AO-.O INANCIAL DISCLOSURE REPORT Repot Required by …...Date ____ _ N ME OF QROANlZATNY IS AND ERS...

12
Date _____ e NE OF QROANlZATIT PE AND TRM <- r ; A'NDED Repor Required by the Ethks AO-�O FNANCIAL DISCLOSURE REPORT in Guvernment Act of l 978 Rev. 1.2004 Clend Yea 2003 (5 U.S.C. app. §§IOI-II I) l. Person Reporing (Lt name, First name, Middle initial) Simandle, Jeme B 4. Tille (Article Ill Judge ioitl'l active or senior status; mgistrte judges indicate fll- or p1r·time) U.S. District Iwge (Actiw) 7. Chambr or Ofice Add= U.S. Courthouse Oe John F. Ge Pla Cden, NJ OSIOt-0888 2. Cour or Organ izalion 3. Date of Report U.S. Distict Court 310/004 S. RerTy (check approprate type) 6. Reporting Peiod Q Noi111io Dat 1/11003 Q tailial @ Annlll 0 Fnal to 1211003 8. On the bais of the infnnation containe in ti Repor and any modifcations peining 1, it is in m opinion, in cmpliance with applicab le law an rglations. . Te itions accompnying ti fo mu b rollcw. Complete all p, cheking t NNE bo fr ec pa ble infonation. Sign on la pge . I. POSITONS. (Reoring individual onl y se pp. 913 offing iions} 0 NON (No reporble poitio.) I. Trur & Membe, Board of Diretor Feel Judge Asociatin I. AGREMNS. (Reoring individual only; se pp. 1416 of fing instcions) ¥ NON - (No rporlble aget.) I. Q = C #·$ J,:fz .... z :+,2 f: * -n• "1 - 0 r " G u c: -- - .. U s c: .: ; r 0 ,.. .. ,-,>- ..• .t"• )

Transcript of AO-.O INANCIAL DISCLOSURE REPORT Repot Required by …...Date ____ _ N ME OF QROANlZATNY IS AND ERS...

Page 1: AO-.O INANCIAL DISCLOSURE REPORT Repot Required by …...Date ____ _ N ME OF QROANlZATNY IS AND ERS n , tENDED AO-.O . INANCIAL DISCLOSURE REPORT . Repot Required by the Ethks . in

Date ____ _

eosmoN NAME OF QROANlZATION/ENTITY

PARTIES AND TERMS

<:>-

rn ;,

At'1ENDED Report Required by the Ethks AO-�.O FINANCIAL DISCLOSURE REPORT in Guvernment Act of l 978 Rev. 1.2004

Calendar Year 2003 (5 U.S.C. app. §§IOI-II I)

l. Person Reporting (Last name, First name, Middle initial)

Simandle, Jerome B

4. Tille (Article Ill Judges iodital'll active or senior status;

magistratejudges indicate full- or p11rt·time)

U.S. District Iwlge (Actiw)

7. Chambers or Office Add=

U.S. Courthouse

One John F. Geny Plaza

Camden, NJ OSIOt-0888

2. Courr or Organ izalion 3. Date of Report

U.S. District Court 3120/2004

S. ReportTypc (check appropriate type) 6. Reporting Period

Q Nomi11111ion, Date 1/112003

Q tailial @ Annlllll 0 Final to

1213112003

8. On the basis of the infonnation contained in this Report and any modifications pertaining 1hercto, it is, in my opinion, in compliance with applicab le laws and regulations.

. The instructions accompanying this form must be rollcwed. Complete all pans, checking the NONE box for each part

ble infonnation. Sign on last page. .

I. POSITIONS. (Reporting individual only; see pp. 9-13 offfiing instructions}

0 NONE (No reportable positions.) •

I. Treasurer & Member, Board of Directors Federal Judges Association

II. AGREEMENTS. (Reporting individual only; see pp. 14-16 of filing instructions)

NONE - (No rcportllble agreements.)

I.

Q

CB. ·

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z : 2 f:'J-n• "'11 -0 rn

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SOURCE AND TYPE GRQSS

SOURCE ANPTYPE

SQURCE DESCRIP1JON

FINA.i�CIAL DISCLOSURE REPORT Name of Person Reporting Date ofReport

Simandle, Jerome B 8/20/2004

III. NON-INVESTMENT INCO:NIB. (Reporting individual and spouse; see pp. 17-24 of filing instmetions)

A. Filer's Non-Investment Incom

NONE - (No reportable non-investment inctime.)

CNCOME (yours, not spouse )

l. Non-n:portable

B. Spouse's Non-Investment Income - (lfyou wen: married during any portion of the reporting year, please complete this section. (dollar amount not required except furhonoraria)

0 NONE - (No reportable non-investment income.)

1. 2003 Licensed Psychologist (self-employed)

N. REIMBURSEMENTS - transportation. lodging. food, entertainment.

(Includes those to spouse and dependent children. See pp. 25-27 of instructions.)

0 NONE - (No such reportable reimbursements.}

1. Federal Judges Association Bd. ofDin:ctors Meeting - Washington, DC; May 3-S, 2003 (transportation. food, lodging)

2.

3.

4.

5.

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SOURCE DESCRIPTION

CREDITOR DESCRIPTION VALUE CODE

Name of Person Reporting FINANCIAL DISCLOSURE REPORT Date of Report

Simandle, Jerome B 8/20/2{)-04

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

NONE - (No such reportable gifts.)

1.

2.

3.

VI. LIABILITIES. (Includes those of spouse and dependent children. See pp. 32-34 of instructions.}

NQNE (No reportable liabilities.} -

1.

2.

3.

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!ram

(3) (4) (5)

m

---

.fessional I County,

M

' -

(2)

FlNAl'iCIAL DJSCLOSURE REPORT Name of Person Reporting Date of Report

Page' 1of1 Simandle, Jerome B 8/20/2004

VII. INVESTMENTS and TRUSTS - income, value. trnnscations {includes those of the spouse and dependent children. See pp. 34-57 of filing instmctions.)

A. B. c. D.

Description of Assets Income during

reporting period Gross value at end of repmting period

Transactions during reporting period

(including trust assets) - lf not exempt disclosure(1} (2) (I) (I)

"(X)• after eac;h a.sset exempt · from prior disclosute

(No reportable income, assets. or transactions) DNONE

Rental Property, 1.

2. Commerce Bank,NJ-Accounts

Dreyfils Trust-3rd Cen1my Fund - IRA Accounts3.

MBNA America Barak-Accou11t 4.

Citizens Fund-Citizens Money Market Fund Accounts

s.

Citiz.ens Fund • Citl7.ens Core Growth Fund Accounts

6.

Citizens Fund-Citizens Emerging Growth Fund Accounts

7.

Citizens Fund- Citizens Global Equity Fund Accounts

8.

9. Office,

Citiz.ens Bank Account 10.

(2)

Ammmt Type (e.g. Value Value Type (e.g. Date: Value Gain Identity of Olde I div. nmt OT Code2 Method buy.sell, Month- Code2 Code buyer/seller (A-H) int.) {J-P) Code l lllllrglll', Day (J-P) 1 (A- (if private redemption)(Q-W) transaclion)

D Rent M w

A Interest J T

A Dividend K. T

A Interest J T

A Dividend M T

None K T -

None K. T

None 1 T

None - N w

A Interest T Open 9124 N Account

. '

I. Im,ome/Gaiil Codes: A .;Sl,OOOorl= B = Sl,001-$2;500 c = $2,)Ql-_$5,000 D = $5,001-$15,000 E SI 5,001-$50,060

(See Co!tu ,Bl andDt) F = $50,QQi-s1 oo,ooa G "'$100,001-$1,000.000 ru =s1,ooo,001'-$.5,ooo;ooo . B2 =Mo ,lhan $5,000,000

:t Value Codes: J = $15,000 or less K = $15.001-$50,000 . L = $5Q,001-S'1oa,ooo · M = s100.001- .so.ocio

(See Columl'lS Cl and D3} N = S250,000-:S500,000 0 = $:500,001-S l,000,000 P1 · = s1.ooo,001-ss,ooo;Q00 P2 = $5,000,001-$25,000,000

P3 = $25,000,00 Jc$50,000,000 P4 = $More tlllin .$50,000,000

J, Value Method Codes Q =Appraisal R =Cost (Real Estato Only) s = Asscsgment T =Cash/Market

(See Column C2) u =Book Value v =Other w =Estimated

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I

. ·

8/2012004

Name of Person Reporting Date of Report FINA.l�CIAL DISCLOSURE REPORT

Simandle, Jerome B

(lndicale part ofReport.) VIII. ADDITIONAL INFOR1\1A TION OR EXPLANATIONS

This Report amends the Financial Disclosure Report for 2003 dated 5/1212004.

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2..0,

TINAl'f CIAL DISCLOSURE REPORT .

'

IX. CERTIFICATION.

Name of Person Reporting Date of Report

Simandle, Jerome B 8/20/2004

I certify that all infonnation given above (including infonnation pertaining to my spouse and minor or dependent children, if any) is accmate, 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 bonoraria and the acceptance of gifts which have been reported are in compliance with the provisions ofS U.S.C. § 501 et. seq., 5 U.S.C. § 7353, and Judicial Conference regulations.

Date l.o() 'f

NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE 1HIS REPORTMAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (5 U.S.C. app. § 104)

FILING INSTRUqrIONS

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

Page 7: AO-.O INANCIAL DISCLOSURE REPORT Repot Required by …...Date ____ _ N ME OF QROANlZATNY IS AND ERS n , tENDED AO-.O . INANCIAL DISCLOSURE REPORT . Repot Required by the Ethks . in

__________ _ Date ____ _

POSIDON NAME OF ORGANJZATIONIENTITY

PMTIES AND TERMS

c:::::> ...c:..

""-> ,

Date

Report Required by the EthicsAO-IO FINA.l CIAL DISCLOSURE REPORT iu Government Act of 1978

Rev.1/2004 Calendar Year 2003 · (5 U.S.C. app. §§ 101-nt)

1. Person Reporting (Last name, First ruune, Middle initial) 2. Court or Organil.ation 3. Date of Report

Simandle, Jerome B U.S. DistrictCourt 5/12/2004

·4. Title (Article Ill Judges indicate active or senior status; 5. ReportType (check appropriate type) 6. Reporting Period

magistrate judges indicate full- or part-time) 0 Naminaticn. 1/Jfl003

U. S. District Judge (Active) Q Initial @Annual Q Final to

12/3lfl003

7. Chambers or Office Address It On the basis of the infurmation contained in. this Report and any

U.S. Courthouse modifications pertaining thereto, it is, in my opinion, in compliance

with applicable laws and regulations. One John F. Gerry Plaza

Camden, NJ 08101-0888 Reviewing Officer

IMPORTANT NOTES: The instructions accompanying this funn must be followed.. Complete all parts, checking the NONE box for each part where you have no reportable information. Sign on last page.

I. POSmONS. (Reporting individual only, see pp. 9-13 of filing instructions)

0 NONE . - (No reportable positions.)

1. Treasurer & Member, Board ofDin:ctors Federal Judges Association

0-en "i;=<::> -

r--., "-l =o ·c.no- r�1C:.".:1:.:

c:):::.. C';>-;,_:1;;:: - l:"''"''l

r-:10 : . -05;: w ·llfif·

(Reporting individual only; see pp. 14-16 offiling instructions) "ij r- 3:::i... ,.II. AGREEMENTS. '"If = 0 ... -

NONE (No iq>anable agreements.) l1j 0-

" 1.

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SOURCE AND TYPE GROSS INCOME

SOURCE AND TYPE

DESCRIPTIQN

5/1212004

Name of-Person Reporting FINANCIAL DISCLOSURE REPORT Date ofRepo.1

Simandle, Jerome B

III. NON-INVESTMENT INCOME. (Reporting individual and spouse; see pp. 17-24 offiling instructions)

A. Filerts Non-Investment Jncom

NONE · (No reportable non-investment income.)

l.

(yours, not spouse's)

Non-reportable

B. Spouse's Non-Investment Income· Qfyou were married during any portion of the reporting year; please complete this section. (dollar amount not required except for honoraria)

D NONE (No reportable non-investment income.) •

1. 2003 Licensed Psychologist (self-employed)

IV. REIMBURSEMENTS transportation, lodging, food, entertainment. -

(Includes those to spouse and dependent children. See pp. 25-27 of instructions.)

D NONE (No such reportable reimbursements.) -

SOURCE

l. Federal Judges Association Bd. ofDirecton Meeting - Washington, DC; May 3·5, 2003 (transportation. food, lodging)

2.

3.

4.

5.

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SOURCE DESCRIPTION

CREDITOR. DESCR.IPTION VALVE CODE

5/1212004

.

NameofPerson Reporting FINANCIAL DISCLOSURE REPORT Date of Report

- Simandle, Jerome B

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

NONE (No such reportable gifts.)-

l.

2.

3.

VI. LIABILITIES. (Includes those of spouse and dependent children. See pp. 32-34 of instructions.)

NONE (No reportable liabilities.) -

1.

2.

3.

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(I) (2) (I) It disclosure

(2) (3) (4) {S) Oaill

Codc2 Code

m

2.

ln1«clt

Accounts

Office,, None

c ·o Ii

- ;

-CasblMa.llcet

F1NANCIAL DISCLOSURE REPORT Nam.. of Pemm R.eportina Dare of Report

Page 1 of l Simand11; Jeiomc B 5/1212004

VII. INVESTMENTS and TRUSTS income. v1luc. lnlW:atiou <m.:1uc1es t11osc otme spouse 1111d dependent c1111<1ren. !ire w. l•i.s1 otlilins instnu:lit>U.) -

A. 8. c. D.

Dcsoripticn of Amis (includin IAlilt-)

Income daring reponinJ period

OIOSS valuo al end of reporting period

(2)

Trml58Ctiam during l'llpOl1iaa period

{l) 00! e.cnipl Imm

Place "DC}" after each asset eicempt fun prior disclostn

Amount T)'Pe fc.a. Code:! div. n:nt. Ill"

Value Vahlll Codo2 Metliod

Type (o.s, Dote: Val1111 ldcntiryofbuy, sell, Moath• bu)'er/Rller

(A •Ii) a11.) [J-1') . Codoil

(Q-W) .......... 0..,. CJ-I') I (A· {ifprivotonoclernption) lr:allSaclillll)

DNONE (No reponabloc illccml:, -. or )

I. Rcmal Property,

Commm:c Bank, NJ-Ac;counts

J. Dn:yfiis Trust-3rd Ccnl.vly Fund • IRA Accounl8

4. MBNA America Bank-Account

5, ri7.enA Finut..r.itin!lft• Mnnq Mllfket Flmd Al:counts

D Rent

A lntcn:st

A Dividend

A

A Tllvidmd

M w

J T

IC T

J T

M T

6. Citizens Fond • Cltisns Cclnl Clrowtb Fund Al:counlS

N0111 K. T

7. Cili2als Fund..Citmns Emcrgiag Clmwlh Fund Acconnts

Non. K. T

&. Citizens Plllld- Citizr:as Cllobll Equity Fund

9. Profcssiomd

10. Personal Lmm l.O { i=livalllo) .

Nono

liomnnt

c llltwat

J T

N w

M T (Apr. '03).•

11. Cit.W:as Dw hc;ou11t A ln"""°"t M T Opc:a 9fl003

I. oCoda:: A •Sl,OOOorlcss B - s 1,001..$2,SOO -$2,501·15,000 •SS,001'-$15,000 -SI S.0014'1>,000 (Sec Columns Bl and DI) F • SS0,001-$100,000 G • SlOO,OOM 1,000,000 HI • SJ,000,0014J,OOD,OOO H2 • More 11!111 SS,000,0llD

2. Value Cudes: J D SlSJlOQ or less K •SU,001-SSO,OOO L - sso.001..s100,ooo M • Sl00.001·$250,000

(Sec Columns Cl and 03 J N •S2SO,OOO..SSOO,OOO 0 • SS00,001..S!,000,000 Pl •. s1.ooo,001..s=s,ooo,ooo P2 -ss.000.001.m,ooo,ooo

P3 • S2S,GOO.OOl·SSG,OllO,OCO P4 - SMcni U-SS0,000,000 3. Value Method Codes Q •Appnisll R Cost (Real i!slalc Oaly} s •Assessmcal T=

(Sec Colunm C2) U •Boot Value v •Odier W •'Esli111arod

Page 11: AO-.O INANCIAL DISCLOSURE REPORT Repot Required by …...Date ____ _ N ME OF QROANlZATNY IS AND ERS n , tENDED AO-.O . INANCIAL DISCLOSURE REPORT . Repot Required by the Ethks . in

FINA.t CIAL DISCLOSURE REPORT Name ofPerson Reporting

Simandle, Jerome B

VIII. ADDIDONAL INFORMATION OR EXPLANATIONS (IndicalcpattafReport.)

Dale ofReport

5/1212004

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S ignature

Name of Person Reporting Date of Report FINAJ. CIAL DISCLOSlJRE REPORT Simandle, Jerome B 5/1212004

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 honoraria and the acceptance of gifts which have been reported are in compliance with the provisions of5 U.S. C. § 501 et. seq., 5 U.S.C. § 7353, and Judicial Conference regulations.

I z, Z..ool.f Date

NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND Wll..FULLY FALSIFIES OR FAILS TO FILE TIIlS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (5 U.S.C. app. § 104)

FILING INSTRUCTIONS

Mail signed original and 3 additional copies to:

Co on Financial Disclostll'e

AdminiStrative Office of the United States Courts Suite2-301

One Columbus Circle, N.E.

Washington, D.C. 20544