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SOURCE PURPOSE

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FINANCIAL DISCLOSURE REPORT Page 2 of"b

Name of Person Reporting Date of Report

IIJ. N 0 N-INVESTMENT IN CO ME. (Reporting individual and spouse; see pp. 17-24 of filing instructions.) A. Filer's Non-Investment Income

NONE (No reportable non-investment income.) KJ SOURCE AND TYPE

(yours, not spouse's) INCOME

I.

2.

3.

4.

B. Spouse's Non-Investment Income - I[ you were married during any portion of the reporting year, complete this section. (Dollar amount not required except for honoraria.)

NONE (No reportable non-investment income.)

SOURCE AND TYPE

I.

2.

3.

4.

IV. REIMBURSEMENTS -transportation, lodging,food, entertainmenL (Includes those to spouse and dependent children; see pp. 25-2 7 of filing instructions.)

D NONE (No reportable reimbursements.)

DATES LOCATION ITEMS PAID OR PROVIDED Un Iv. of \Jo. f....tM.V

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3 Univ.

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4.

5.

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FINANCIAL DISCLOSURE REPORT Page 3 of-

Name of Person Reporting Date of Report

fY} I

V. GIFTS. (Includes those to spouse and dependent children; see pp. 28-31 of filing instructions.)

NONE (No reportable gifts.)

SOURCE DESCRIPTION VALUE

2.

3.

4.

5.

VI. LIABILITIES. (Includes those of spouse and dependent children; see pp. 32-33 of filing instructions.)

NONE (No reportable liabilities.) gJ

CREDITOR DESCRIPTION VALUE CODE

I.

2.

3.

4.

5.

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FINANCIAL DISCLOSURE REPORT Page 4 of b

Name of Person Reporting

Lt?ONI = M. Date of Report

VII. INVESTMENTS and TRUSTS -income, value, transactions r1nc1udes those of spouse and dependent children; see PP 34-60 of filing mstructions.J

D NONE (No reportable income, assets, or transactions.) A.

Description of Assets (including trust assets)

Place "(X)" after each asset ! exempt from prior disclosure I

1. J llFI - ke.h Yherr: \I >'jncA B\t\ckr m.J tv .... 2. IRA - r\men'

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FINANCIAL DISCLOSURE REPORT Page5of b

Name of Person Reporting Date of Report

M. VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. (Jndicate parto/Report.)

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I I I

FINANCIAL DISCLOSURE REPORT Page (, of (p

Name of Person Reporting Date of Report

IX. CERTIFICATION.

I certify that all information given above (including information pertaining to my spouse and minor or dependent children, if any) is accurate, true, and complete to the best of my knowledge and belief, and that any information not reported was withheld because it met applicable statutory provisions permitting non-disclosure.

I further certify that earned income from outside employment and honorarla and the acceptance of gifts which have been reported are in compliance with the provisions of 5 U.S.C. app. 501 et. seq., 5 U.S.C. 7353, and Judicial Conference regulations.

NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY F AND CRIMINAL SANCTIONS (5 U.S.C. app. 104)

FILING INSTRUCTIONS

Mail signed original and 3 additional copies to:

Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544