simeon t lake financial disclosure report for 2009

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  • 8/3/2019 Simeon T Lake Financial Disclosure Report for 2009

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    R ~ . v . !/ 2 o / o F O R C A L E N D A R Y E A R 2 0 09 ( ~ u . s .c a p ~ ~ ~ 6 1 - 1 1 1 )I. Person Rep orting (last name, first, middle initial) 2. Conrt or Organization 3. Date of ReportLake, Simeon T. United States D istr ict Court 03/25/2010

    4 . T itk (A rticle Ill jud ges in dicate a ctiv e o r s en io r s tatus ; 5 a. R ep or t T yp e [ ch eck ap pr op ria te ty pe ) 6, Reporting Periodmagistrate judgca indieam full- or part-time) [] Nomirmtion, Dine 0!/01./2009

    U.S. District Judge (active) [] Initial [] Annual [] Fina[ te12/31/2-0095b. [] Amended Report

    7. Chamber* or Off ice Address 8. On the bas is of the information contained in this Report and anymorliF~tion$ pertaining lhtwtto, it is, in my opinion, in complianceUnited States Courthou,~ wi~ apglt t~ble laws and regulations .515 Rusk Avenue, R~m 9535Houston, Texas 77002 Reviewing O fficer Date

    IMPORTANT NOTES: The instrucaons accompanying this form must be fol lowe "f C o m p l e te a l l p a r t s ,checking the NONE box for each part where you ha~e n o reportable information. Sign on last pag~

    ~ N ONE (No reportablepositions.)POSIT IO N N A M E O F O R GA N IZA T IO N /E N T IT Y

    I. Co-Trustee Trust # 1

    I I. A G R E E M E N T S . ( g ~ o , ~ g individual oMy; su pp. 14-16 of fd~g in~ruaionz)N O N E (No reportable agreements.)

    P A R T I E S A N D T E R M S1.

  • 8/3/2019 Simeon T Lake Financial Disclosure Report for 2009

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    Name of Pert , on Reporting Date of ReportF IN A N C I A L D IS C L O S U R E R E P O R T l ~ a k e , S i m e o D T .age 2 of 9 o 3 ~ 5 ~ o l o

    H I . N O N - I N V E S T M E N T I N C O M E . (R~o~ ng ~ *d .~ o ~ ,~o .~; , . ~ ~7-z o / fa .~ i~tru~o~)A . F i le r s N o n - ln ve s~ e n t In c o m e

    N ON E ~o reportable non-inves~ent income.)DATE SOURCE AND TyPE

    (yo~, notI.

    2,

    3,

    4.

    B . S p o u s e s N o n - I n v e s tm e n t I n c o m e - If you were married during tiny portion of lhe rep~rllng year, cotnpl~e ~1$ sectlo~(~l[ar amount not re~dred e~eept for ~nor~a.)

    ~ NONE ~ o reportable non-investment income.)DATE S O UR C E A N D T Y P E

    1.

    2.

    3.

    4.

    IV . RE IM B URSEM EN TS - ~,~,,-~o,~ t,,,~i,,~, ~,,,~,(Includes those to spouse and de:pendent childret ." see pp. 25-2 7 of filing instructions

    N O N E (No reportable reimbursements.)SO U R C E DATES. LOCATION PUR PO SE IT E M S PA ID O R PR O VID E D

    I,

    3.4.

    5.

  • 8/3/2019 Simeon T Lake Financial Disclosure Report for 2009

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    F IN A N C I A L D IS C L O SU R E R E P O R T N~ ....f Person Repor f i .g Date of Repo~Page 3 of 9 Lake, Simeon T. 03/25/2010

    ~ NO NE ( No reportable g ~s .)SO U R C E D E S C R I P T I O N V A L U EI.

    2~3.4~5.

    V I . L I A B I L I T I E S . a ~ , ~ ~ , o ~ , o ~ ~ . . . . . ~ depend,~n, children; s~ pp. 32-3 3 offding ~uctio~)N O N E (No reportable liabilities.)

    C R E D I T O R DESCRIPTION VA I .UE CODEI,2.3.4.5.

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    N a m e o f P e r ~ n R e p o r t i n g D ~ t e o f R e p o r tF I N A N C I A L D I S C L O S U R E R E P O R T] ~, Simeon T .age 4 of 9 0 3 / ~ s / ~ 0 1 0

    N O N E ~ o reportable income, assets, or 9"ansactio~.)

    D~pfion of A~e~ [ I n c o m e d u r i n g G~s ~lue at e~ Transactions d~ng re~ing ~

    div.,~nK Code2 Me~od b~,~ll, ,m~d~~ I C~e2 ~ Code I buyer/~llcr~ ( A - H ) ~ oriaL) . 0 - P ) C~c3 r~e~fion) ! (J-P) i ~A-H) (ifpfiva~,

    I. renal pro~ # l-Houston TX A Rent N W2. rental proper~ #2-Houston, "IX B Rent L W3. rental proper ty #3-Honston, 33( B R en t M W

    4. ren~at property #4-Houston, TX A Rent N W5. property, Washinglon Cnty, TX A R e n t N W6 . J.P. Morgan Chase A I n t e r e s t J T

    Exxon Common Stock E Dividend P I T B uy 03/03/09 IB uy 07/07/09 .I(addl)

    W ells Fargo Bank Account A I n t e r e s t .I T1 0 . Royalty Interest, Washington County, Texas C Royalty K W1 1 . Merrill Lynch Money Mkt Acct (JR.A) A Interest K T

    ~ 1 2 . AT& T Inc. Common Stock (IRA) B Dividend K T13, No var t i s A DR ( I R A ) B Dividertd L T1 4 . IBM Corp. Common Stock (IRA) B Dividend L T1 5 . General Electric Common Stock (IRA) A Dividend J T1 6 . Intel Corp. Common Stock (IRA) A Dividend J "1"1 7 . Syngenta AG ADR (IRA) A D i v i d e n d

  • 8/3/2019 Simeon T Lake Financial Disclosure Report for 2009

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    F IN A N C I A L D I SC L O S UR E R E P O R T ~eoree~ou ae~ang D ~ o f R ~ o .Page 5 of 9 Lake, Simeon T. 03/25/2010

    V I I . I N V E S T M E N T S a n d T R U S T S -~ , .. .. ~u ...... a~,~ a , ,a , ,d~ ~h,,~ o~~t,o , ,~ ~ ~ ~#~: ~ ~ s4~ o/~n~ i~~ ~o reportable income, assets, or transaction.)O N E

    .........................................................~. T ..................... ~ . . . . . . . . . . .. ~ ............... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ ..............................D~fipfion of ~m l~ome dur ing ~ G~s value at end ~ T~o~ during r~ing ~~ i j . . . . .

  • 8/3/2019 Simeon T Lake Financial Disclosure Report for 2009

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    F IN A N C I A L D I SC L O S UR E R E P O R T r ~ a , . e o f P e r s o n Reporting Date of ReportPage 6 o f 9 L a k e , S i m e o n T . 0 3 / 2 5 / 2 0 1 0

    V I I . I N V E S T M E N T S a n d T R U S T S - in ..... t.. ~,~,~~o,~, fn.~.~s ,ho~ .r~o .... ~ a.~.~t ~s~; ~ ~. ~ o ; m - g ~ , ~ , , ~ ;~ NONE (No reportable income, assets, or transactions.)......... ~ ........................

    ~ . _ " c~ ................................................................[c . s c d p ti o n o f A s s e l s I n c o m e d u r i n g G ro s s v a l u e a t e n d T r a n s a c t i o n s d u r i n g r c p o r l i n g i x - r i o d ,( i n c l u d i n g t r u s t a s s ~ . ) r ~ p o r i i n g i x : r io d o f r c p o r 6 n g p e r i o dV a l u e I V a l u el a c e " ( X ) " a f t e r e a c h a s s e t A m o ~ a t T y p e ( e . g . , T y p e ( e . g . , [ Date Value Gain x e m p t f r o m p r i o r d i s c | o s u r e Codel d i v . , r e n t , Cod2 i M e th o d b u y , s e l l , mm/dd./yyICodc2 Code| b u y e r l s e I l ~ - r

    ................................................................. ~ ..................................O - V O :

    3 5 . --Apple Computer Inc. Common Stock None M T3 6 . --Bristol Myers Squib Co. Inc, Common C Dividend L TStock3 7 . --Pfizer inc. Comm on Stock A Dividend K T

    3 8 . --Mit,rosofi Common Stock A Dividend K T3 9 . -Johnson & Johnson Co. Common Stock A Dividend K T4 0 . Merrill Lynch Money Fund B Dividend L T4 1 . AT& T Inc. Common Stock A Dividend J T4 2 . Abbott Labs Common Stock B Dividend K T4 3 . Trust #2

    4 4 , -Exxon Corp. Co~runon Stock F Dividend P1 -I"4 . 5 . --Merrill Lynch Money Fund A Dividend ~ T4 6 . --Abbott Labs Common Stock A Dividend47. --General Electric Comm on Stock A Dividend J 7 "4 8 . Pfizer Inc. Common Stock A Dividend J "l"4 9 , N0kiaCorp, Common Stock A Dividend K T5 0 . W ells Fargo & Co. Common Stock A Dividend Sold 10/21/09 3 A5 1 . K ellog Co. Common Stock A Dividend, K T

    (Se~ Cehunas Bt and I)4) F =$50,001 - $100,000 G = $1 00 ,I ]O 1 - $1 ,0 90 ,0 00 H [ = $1 ,0 00 ,0 01 - $ 5,0 QJ ,~ )O } L2 = Mo re t ha n $5 ,0 00, ~0 0

  • 8/3/2019 Simeon T Lake Financial Disclosure Report for 2009

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    F IN A N C I A L D IS C L O S U R E R E P O R T N .... f P e r x o n R e p o r t in g D a t e o f R e p o r tPage 7 o f 9 t a k e , S im e o n T . 03/25/2010

    VII. INVESTMEN TS and TRUSTS - ~ ..... ~,,,,, ~,~,,~,~no~ a~t,,a~ , h o ~N O N E ( N o reportable income, assets, or transactions,)

    D e s c r i p t io n o f A s . s e t s I n c o m e d u r i n g Gtt~ss value at end,( i n c l u d i n g t i n ! ! a s s e t 3 ) ~ v o r t i n g l y e d o d o f r e p o r t i n g p e r i o d" i i ) - - 7 . . . .. . . . i~ .........S---~-q

  • 8/3/2019 Simeon T Lake Financial Disclosure Report for 2009

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    F IN A N C I A L D I SC L O S UR E R E P O R T s .... fP .... R e p o r t i n g ] Da,e of ReportPage g o f 9 Lake, Simeon T.

    ]0 3 , r 2 5 / 2 0 | 0

    VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. a~,~ot~,~oSR~oo,~7

    SECTION VII

    PAGE 7Line 66 - N uvecta Muni Value Fund is a new entry.Line 67 - Texa.~ Water Assistance Board bond is a new entry.

  • 8/3/2019 Simeon T Lake Financial Disclosure Report for 2009

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    N a m ~ o f P e r s o n R e p o r t in g I D a t e o f R e p o r tF I N A N C I A L p a g e 9 o f 9 D I S C L O S U R E R E P O R T Lake, S i m e o n 1 . [ 0 3 / 2 5 / 2 0 1 0I X . C E R T I F IC A T I O N .

    1 certify that all information given above (including information perlaining to my sp ouse and minor or depend ent children, if any) isaccurate, true, and complete to the best of my knowledge and belief, and that any information not reported was withheld because it met applicable statutoryprovisions permitting non-dlsdosure~

    l further certify that earned income from outside employment and honoraria and the acceptance of gifts which have been reported are incompliance with th e provisions of 5 U .S.C. app. 501 et. seq, 5 U.S.C. 7353, and Judieial Conference regulations.

    Si

    NOTE : ANY INDIVIDUAL W HO KN OW INGLY AND W ILFULLY FALSIFIES OR FAILS TO FILE THIS REPORT MAY BE SUBJECT T O CIVILAN D CRIMINAL SAN CTION S (5 U.S.C. app. 104)

    F I LIN G I N ST R U C T I O N SMail signed original and 3 additional copies to:

    Committee on Financial DisclosureAd minis tra t ive O ff ice of the United State CourtsSuite 2-301One Columbus Circle, N.E.W ash ing ton , D.C . 20544