I -====::::::;:::::::_ ____ F OR C ALE ND AR Y E AR 20 0 4'...._ ______ (SU .s.c . ·P P ·§§ l 01- 11n it )

a a

2 . Co wt or Organil.9.tioo

U .S. Court of Appeals

3.

4. TiUe (Artlcle ill Judg<s indicate adlve or senior status;

magistrate judges indicate full. or part· time)

8 . Ou the bas.is o f the infonn ation oaotaincd iD th is Report and any modifications pcrtainlng thereto , i t is, in my opinion, in comp l iance wi th applicable laws and regula tions.

to 1213112004

e ewi __________ _ Date ____ _

:1: " .. r IMPORT ANT NOTES: The instructions accomp anying thls form must be foU""'Od. Complete all parts. chccl:.ing Ille NONB box for each part where ro.u have no repor table information. Sign on last page .

�����������,Rm�

NAME OF OBfMNIZATIONfENIIQ'

99i°rust (Assets of this nu.st arc: included In Part VU. tines 9·12 .)

i ua

PARTIES AND TERMS

0 U> (")

M CJ O'.> "'T"t:-.... , ( .. ) r 1

l; J

u

i):.>

.TI

<

•

.I. AO·lO FINANCIAL DISCLOSURE REPORT ReportRcqnirtd by theEtbics

, Rev. 1/2004 in Government Act of 078

I. PersonReporting (Last nSmc, First name. Middle in i'1

Bl ck, Sus n H Date ofRcp<>rt

SIS/200SS. ReportType (ebtcl: appropriate type)

QN...U.olioo. Date

6. Reporting Period

1/1/2004CircuitJudge..Active

7. Clwnbers orOffice Address 300 N. Hogan Street

Suite 14-ISO

0 loiUol 0 Final

Jacksonville, FL32202-42S8 R vi ng Oftlocr.

l POSmONS. (Reporting individual only; secpp. 9-13 of filing instructions)

0 NONE · (No rcpomblc positions.)

I.

PQSWON

Co-Trustee

2.

IL AGRE.El\mNTS. (Rcportillg ndivid l only; see pp. 14-16offiling instructions)

0 NONE - (No rcporta1>Ic agrocments.)

I.

, ...,o-<.l">Z c:>:;?Z

�· = =

,

= :r-·-<

wC:>

7.1 £ \".')

l 0

Name of Person Reponiog

SO!JRCE AND TYPE

Duke University School of Law·appellatc prac tice course

Date of Report

GROSS INCOME (yours, act ,..... ... }

3,486.12

o

SO!JBC!l ANO mE

Ptcsldcot of Travel Agcocy, Oraoge Park.Travel

2. 2004 B<al EstAtc Brom, Self-Employed

2004 Own er ofUmo Service, Bolls ofiax., lLC

DESCRIPTION

•

FINANCIAL DISCLOSURE REPORT

Black, Susan H

IIL NON-INVESTMENT INCOME. (R<:porting individualand spouse; see pp. 17·24 of filing iostroctioos)

A. Filer's Non-Investment Income

0 NONE · (Norcportablenon·invcsuncntincome.)

. I. 2004

SIS/2005

B. Spouse's Non-Investment Income p(Ifyouwcrcmanicdduring:aoyportionoftbcreportiog year.please complc thissecdoo. Dollar amount not required except for bonoraria.)

0 NONE - (No rep rtable oon-invcotmcntinCOOJC.)

I.

3.

IV. RE URSEMENTS -transportation, lodging. fcod, cnt<rtainment.

(Includes1hose to spowe and depcodcotchildren. See pp. lS-27 of instNctions.)

0 NONE - (No sucb reportable n:imbutsemcnts.)

SO!JRGE

I.

Name of Person Repo nirlg

OE.5CRIPTIQN

MOr!gltic-Pmul 33 (Part VU, line 66. )

Date ofRcp<llt FINANCIAL DISCLOSURE REPORT

Dlack, Sw.n H

V. GIFTS. (!Jlcludes Chose lo spouse end dependent childr<n. Sec pp. 28-31 or insuucllons.)

0 NONE · (No such reportable gifts.)

SOJIBCE PESCRlPDQN

S/512005

I.

VL l.IABII.lI1ES. (IncludesllloJeo!spouse and dependent ohildrco. See pp. 3.2-34 ofinslructions.)

0 NONE (Noreportable liabilities.) -

CREPIIOR

· l. Banl:'o! America

VAL!JE<XIDE Pl

Nam e of Pers on Reporting Date of RepDlt Black, Susan H S/S/2005

A. B. c. D.

rq>Olting period «(IOdin& period

(I) (2) (!) ) (I) uoot.,_.

(l) (3) ........ . "(J'P' (e.g. °"" Value Code I div. rttl t. OT Codel """· .. u. Moc1h - Codc2

""-> (1-P) Codol Doy (J·P) • (Q-W) .. )

(No Rp<Xt3ble i assets. or nasacOons)

I. Real Estate Parcel 2 Amelia Is land, FL A Rent J w

2. Real Estate Psoel S Jaclcsonvillc, FL Nooe N w Partial Sale 07/09 M

3. American Callie TV, Ud. Partnership None J w

4. R<aJ Estaie P1ttcl I O Jacksonville, FL Nonc N w

s. Real Estate Parod 13 Jacksonville, FL E Rent M w

6. Real Estaie Pmcd 17 Jaclcson! illc, FL E R<ot M w

7. Real Estate Pared 18 Ponte Vcdra Beach, FL A Rent sold OS/14 M

8 . Real Estate Pmed 21 Jacksonville, FL c Rent L w

9. A Dividend 1 T

10. -Wachovia Bailie Deposit (formerly Waehovia

11. -Cracker BaneD Common (Part VDl) sell .

08117 1

12. -Growth Fund of America Class A

13. Wachovia Scc.wities Account

14. -Growth Fund of Amalea C.S s C Nooe 1 T

IS. -Cracker BaneD Common A Dividend J T

16. Wachovia Securities Accouot

17. -Muni bonds : Onnge Co . FL Hospitals Du e 202 4 Interest K

18. -Blaclaoclc Florida ltuw.d Munici pal 2008 Tenn ln!<reSt Sold 1212 1

,

A B c D

{..! • Vahx V .. Othe r W • E.stima.

E

(4) (SJ Gaia c.ci. I (A-"'

Sead and Amta Hadtie

F James & Cecily Browning

A

A T

A Trust Inc.

(it

B

FINANCIAL DISCLOSURE REPORT

Page 1 ofS

Dcsaiptioa of AS$CtS kcomt: dwUJt Gross ...We at cad of T�c:rions Writtg reporting period

<io<ludioi:..,.•nets) (l

tu.cc "CXT dct CKb &Uct exempt Value. Valoe Typo (e.g.fiompri0tcfi Method

(A-HJ -·

ONONE

-Trust

Money Market)

I. looomc/Glin Cod..: -s1.ooo « Jecs •Sl,001-S:l.>OO •S'-.$01-$.1,000 •SS.OOJ-SIS.000

(Seo Columns Bl "'4 04) F -sso.001.s100,ooo G • SIOO.OOl-SJ,000.000 HJ •SJ.000,00l·SS,000,000 m -Mme it..., ss.000.000

2. Vt!t.e Cod:s:

(S.. Columns CJ "'4 03)

l. V Metbod Code.I

(S.. Colwnn �)

J • $15,000 or leu K • SU,OOJ-S!0.000 l SSO,OOl·SI00, 000

N •SlSO,(i()(l-$500,000 0 • SS00,001-11.000,000 Pl • $1,000,00i·SS.COO,OOO

- . Sl>,OOO,OOJ-$'4,000.000 1'I SM= rhan SS0,000,000

M •S!00.001·'2SO,OOO

P2 • SS,OOO,OOJ-'25,000,000

Q • App<oisol R • ea..(Re;al &>:.Only) S • Asscssmea; T -

Jdcntityof OOyedscllcr

pri"\•atcnmcdoo)

• SJS,001-SSO,OOO

-

Name ofPeison Reporting

Biac:k. Susan H

Date ofRcport

51 5 12005

V1l INVE5TJ\.1EN'IS and TRUS1S -iacxmc; \ 'llloe, tra-n$C3tJOl'IS ("i.ocludcs time ofd:te spouse bd d t pcndent cbi.ldn:o. S ec pp . J.4.$7 of 61ing: imvuctioos.)

A. B. c. D. Gou w!ue at cod of

period rcpon;n, )l<riod

(1) (2) (I) (2) (I) u not ctcmpt llllill dUelosure

\>) (4) (5) Amounl T)'pc Value Gaio

M<lbod i..y,..n. Codel Code int.) (J.P) -· °"' (J·P) I (A·

�detnsiOo11) "'

19. ·Wllllll>ixie common Dividctld Sold OS/10 1

20. ·Wachovia Bank Deposit (Fonncrly Commend B Di vide nd M T

21. ·HRPT Prop<rtles Trust Pr<fi:r=l SIOC Dividend 1 T

22. -Muni bands : Florida St Board of Education Jntetest 1 T

23. -Muoi bond$; Dade Cnty Fla Aviation c lntetest L T

24 . -Jennison Global Qrowtb Mu tual Fllnd A DMclcnd 1 T

2S. -AIM High Yield Murual Fund A Dividend sold OS/10 J A

26. -Dry<lco IDgh Yield Murual F..,d A Dividend sold OS/10 1 A

27. -Ooldman Sachs High Y'ldd Municipal Murual Fund A te sold 1 2/02 K

28. ·Van Kampen High Income Corporate Bond Fund Dividend 1 T partial sale 12/02 1 A

2 9. -BW:Jaock Florida Municipal Income Trust B Dividend sold 1 2/02 J( A

30. -Bladcroclc Mun Income Trust n c Dividend sold 12/02 L

3 1. -Cal llm0$ Conv Opportwtities & Income Fund Dividend K r

32. -Dreyfils Sll'8legie Municipal Bond Fund A lntettst so ld 12/02 1

33. -Nuveen Dividend Advmrtage Municipal Fund 2 A l nterut sold 1 2All K

34. -Pim co Mun loc:anc: Fd m Interest sold OS/10 K

3S. -Scudder S1ra1egic Mun i cipal Income Trust A Interest sold OS/10 1

36. -Seligman Select Muni<:ipal Fund A lnterut sold 0511 0 1

A B c D E

F

N

( Se c Colwnn 0 ) u - Book Value v -om-:: : w • Csu11., :.t e

b"lnslc:tiOA)

• l\.SUSSmtOt

FINANCIAL DISCLOSURE REPORT

,Page2 ofS

looome during Tnmattioos dlllint; period tiooor Assets C""hxlia&tMtOSS<U}

(2)Plaoc •(X)" after et!itb l$$d exe:r.pt Date:vo1 .. Valuo (e.g. Idcality or (e.g.Crom prior cisclosW'C M--Code! div. real. or Cod• 2 bayu/sctlcr

Codo3lA•H) (of pi-• (Q-W)

A

Money MarketFund)

A

A

tcst A

A

c

A

t. lncomcJO Ilia Codes.: •Sl,OOOorless • Sl,OOl-S2,500 •$2.SOl-SS,000 •SS.00l.Sl5,000 •SIS,001·"'6,000

(Seo C00nos Bl ...i 04) • $50.00l·SIOO,OOO G = SI00.001·$1,000,000 HI • s1.ooo.001.ss,ooo,ooo R2 -MOtt ...,, ss,000.000

2. VitJpe: Codel: •St5.000orleu le • su.001.sso,ooo L • sso.001.s100.ooo M -Sl00,001-SlS0,000

(See Co!11rnos Cl ond 03) • s::so.OfJO..SSoo.ooo 0 •SSOO,OOl·Sl,000,000 P l • Si.OOO.OOl.S!,000.000 P2 -ss,ooo,001- 2s.ooo.ooo

PJ -ru.000.001.sso.ooo.ooo p.: • $More lh4:t $50,000,000

. VNue !\ietixld Qldcs Q • App.raisoJ R •Cast{Re>i EstmOni)'j s T • Cash�tarkt:

Name of P ason Repor ting

Black, Slllan H

Date of Report

SIS/2005

- iococn; \'l1ue. 1nmeatiom fmcJttdC$ tbo9c cf the spouse and d cpcnderlt cbi &drcta . pp. 34-51 o( Gline: i )

A. B. c. D.

rcportfu& period r<pemnsperiod

(I) (l) (I) (2) (1) lf a ot exempt • ...U...U.Sllre (2) (J) (4) (S)

Amount 1)!lC Dote : Value Gain ddiv. rent. or Code2 Mtthod Moc.1h- COdc2 iot .) CCde3 ""'""'· 0.y (J·P) 1 (A·

· {Q-W) "' ..... Woo )

-Van Kampen American Capi tal OpponunityTrust A Oivjdend sold OS/10 J

38. -Van Kampen Apierican C1pjtal Trust InvtGrMwtl A lntcr..i sold OS/10 J

3 9. ·Diydcn Index Ser Fund Stock lndcot Fd Cl A A Dividend J T 04/0S J .

40. Wacho v ia ·IRA Dividend K T

41. -Calamos Conv Opportunities &: ln<omc Fd

42. ·Strategic Partners Equity Fd Cl A partlal sale 0113 0 J A

43. .stntcgic PIJ1!lcn Equity Fd Cl B (Part Vtn) converted 0030 J

44. -Scudder GtowUI Fd Cl B

45. -IRA Wachovi a Bank Dcposil(Fonneriy Command Money Mrlc1 Fund)

46 . Wachovia· IRA E Dividend N T

4 7 . ·US Treasury Sll'lp 0 lllta-cst Du e 2004 redemption !UIS K 0

48 . -Jennison Gtov.1h Fund In c Clw B

49. ·Putnam Investment Fds Small Cap Val fd Cl B

so. -AIM Growth Ser Basic Val Fd Cl B (Equity Fds 01130 1

S I . ·Blaclaock Income Tnzst Inc

S2. -Jcnn1'on OrowUI Fund C las• A (Part Vtn) coovc:rtcd 06130 K

S3. -Calamos Co nv Opportunities k lnoomc Fud

54. -IRA Wachovia Bank Deposit

A B c D £

(

T •Casiv'Muke�

(S.c Co'"'1w C: ) u • B ook V al'J e v • Odlcr w - S...-:aaw-..d

FINANCIAL DIS('.;LOSURE REPORT

Page3 of5

·vn. JNVES'l}\1ENTS and TRUSTS

'OC&Criptio11of Assets In.come dmitlg °""' ..lbc " ""' of Tracisadioosduriri5 reportiftg' period

(mchicli.n.etnastas&ru)

Aace "(X)"after each &S$Ct: e.u:iDpt (e.g. v.i.. v.i.. T)'J>O (e.g. l =iiry of imm prior 6closure Code I V.11.scD. Code bu)'«/$dlcr(I\ ·Fl) (1·P) (jfpri\'alCtcdcmptioa)

37.

Tr

buy

A

putiolsalc Blue Chip}

I. l<lcomJOaio Codos: -s1.oooor •Sl,OOl·Sl.SOO -$2,501-$5,000 •lS,001.SH.OOO •SIS,001.SSO,OOO

(S..ColummBl mdD4) f •S>O,OOl·SI00,000 G •SIOO.OOl.Sl.000.000 HJ •si.000,001..ss.ooo.ooo H2 =Moretlmiss,000.000

2. Value Co ; J =SIS,000 or l¢:SS K •SlS,OOJ-S50,000 l, •S.SO,OOl·Sl00,000 M =SIOO,OOl·Sll0.000

See Cohi.� Cl a.rid D3) N •$lS-O,OOt>-S500,000 0 • SSOO,OOl·SJ,000,000 Pl • Sl.000,00l·SS,000.000 P2 • ss,OOO,COl·S2S, OOO,OOO

n -m.000.001.sso,coo.ooo •$Mo tbilll $.S0,000,000

3. Value Jl.1ttbo<I CodQ. Q -�i>tl R •C.Sl (R..J Ooly) s .. AsstS:Sm�ot

Name of Person Reporting

Bla cl<, SU$8ll H

B. c.

pu;od ,....... pai<>d

(I) (2) (I) (2)

- 1'>P< (e.g. Cod< I div. reat. or Method

iot.) (1-P) °"" 3 · (Q-W)

SS. -<:entu')' Propenies Food XV LP

56. -Consolidated Capi tal Institutional Propeny I

51. Lou Tom Co . None N w

58. Loan·Petcrs None J

59. Lo an-Beaclics Lim o B Interest K

60. Real EstaJe Pared 29 Mars Hill, NC D Rent M w

61. Loan.Shouvlin #I c lntcr<st L u

6i R eal Esla!c Pared 3 0 Callahan, FL None N w

63. Real Estate Pared 31 Jacksonville, FL Rent L IV

64. PromisS«YNOle-HarrlngtOn None 1 u

65. Re al E•tate Parcel 32 DcJzoy Beach, FL G Rent Pl w

66. Real EstaJe Pared 33 Orange Parle, FL G Reot Pl w

67. Gibson Loao 112 A !ot=st

68 . Loan-Plumlee Interest K

69. lilvestmelll·Pvadise Mooring SUbcfivisioo E L w

70. Compass Bank Checking Interest K T

7 1. Compass Bank Money MlUket lnt=st L T

72. Re.al Estate Parcel 34 Mt Pleas.ant. Iowa F Re nt 0 w

A B c

D.

Date ofRep<llt

S/5/2 0 0 S

(I ) J.f oot excmpc disdo.surc t2) (3) (4) (S)

Dal« Valoe Mmh- Codi: 2 °"' I .

(A• rc tioo) "'

Paid 01f 06/03 J

buy 0 1/0 S 0 B&K l

D E

Q • .Ap;Joms;&l R s r

(See C oli:Jtm Cl) I.: • Book Vah:c v ... Otb:r \\' ..- cd

FINANCIAL DISCLOSURE REPORT

Pagc4 of5

·vn. INVES'I]VIENTS and TRUSTS

A.

OcsaiptionofAs9tts - Groos value at end Cf

( ..,.assets)

Pl8C$"(X)• after cxti asset acmpt Value vai .. 6.mp<Mrclisdomno °"" 2

. (A·f!)

u

u

A

A u

lni=st

"

A.

1. lncomtlGairi Codes:: cSl,OOOorleu •Sl,OOJ-Sl.500 •$2.SOl.SS,000

(Sec CollltnllS 8 J scd 04) F ,. sso.001.s100, ooo G • SIOO,OOJ·Sl,000,000 HI • SJ.OOO,OOJ.SS.000.000

2. Vafog Codes: ] • SI :5.000 or less K • Sll,001.SSO,OOO L • SSO,OOJ-$100.000

(Set Columns Cl Cid DJ) N •s2so.000-ssoo.ooo 0 • $500,001.Sl,000,000 Pt • Sl.OOO,OOJ-$),000,000

-""""greporu.gperiod

T)'po (e.g. Galo !dcDlilyot .bll)'._aeU. °"" '""""'a" "'"""· (1.P) (ifpti\"ab:

traosaccioo)

a vestments

• SS.001·$15,000 •SlS,OOl·SS0,000

R2 ·M<n-SS,000.000

M • SJOO.OOJ-$250.000

P2 • SS,000,001-$25.000,000

P3 = SlS,OOO,OOJ.$50,000,000 p.; • SMQre tbm $S0,000,000

3. Vltlut Method Codes. - (;()$! (Real Es:a1c On.1y) • A$$cS$1Deai - 1arl.:ti

Pngc Black, SusanH S/512 00 5 · •vnc:= -:INVES::::::::-:::TMENTS=-====--an--:d-:TR=-=u-=s=TS=--_-..,,,.--.,-,.iuc,.i..; ;;""":::.:'"":..:. ..,=,=ro=m.i::.u<1=s _____ or_lh<_.-,...,,-,-...i-dcpend<n---,-d-u1<1r-eo-. -s.e-pp-.-:J4 -.n-.r-m-.. L.-iOS1nlc-...: n::.· :::,:.>::::.::. __ __J

A. e. c D.

reporti.1g pcri-od " """"' period (I) (2) (I) (2) (1) u oot e:xcmp t llUllll discloswe

(3 ) ("l (SJ - 'fype v.i... v.i .. Va.hie (;.;,,

div. rc:at. or 't>f<Ood ...... u, Codc2 Code iot.) """"'' (1-P) l (II. -

"'

73 . PromiSSOf)' No<e 1-Pisap ia B Interest J u loon 07114 J

74. paid o ff 121.lO 1

75 . Promissory Note 2·Pisapia Int=<! J u Joan 01114 J

76. paid o ff 121.l O J

77 . Ini...st J T 10!{)3 1

78. Compass Bank Savings Intet<St 1 T buy 2118 1

A B c D E F

N

(So c c o1w .. C2) ti • Book v ab. y •O<hct w -EstR;irc:;I

FINANCIAL DISCLOSURE REPORT NomeofPcnonRepor1ing DmotR.cport

• S of 5 . ..

Dcsaiptionor AsscU fl2ca�e�.1....jag Gros:s vab:ic at cad ol Transadiom cbring ttpOrt:ini period

(incfudiog tru$tassets}

(2)Pbee w· &.ftct cocb ltSSd. cccmpr (e.g. Tn>o ('-f. Ds!o: .kblily or tiom pi« &sdos..c Code I Codo2 Mooth- · buycrfsclk:t

(A-ll) (1-P) Codc3 0., ("lfpri\'ate ·(Q.W) t o) transaction)

•

B

Compass Bank Oieeking (Part VD!) A buy

A

I. -Codes: .. Sl,000 er iess • St,OOJ..s:2,500 ., $2..SOJ·SS.OOf) • SS,OOJ ...SlS.000 •SJS,001-$50,000 (SocIA>Jw= BI ...i I>') -sso.001.sioo,ooo G •$100,001-Sl,OOO,OOO m -s1,ooo.001 ..ss.ooo,ooo m •Mort than ss.000.000

2. Vt.lue Codes: -$JS,000orlcss K • SJS,OOJ.SS0,000 L -sso.001-s100.ooo M • SIOO,OO!-S250,000

(See ColUlllllS Cl and D3) • S2S0,000-SSOO,OOO 0 • S.SOO,OOi:·Sl,000,000 PJ -s1.ooo.ooi-s;,ooo, ooo P2 • SS,OOO,ool-S2S,000,000

n - s2s. ooo.001...s.so, ooo.ooo P'I( •SMoreth:m s.so.000.000 3. Value !o.1ctbod CO<ks Q •App.� R -Cos! (RQi £sute Only) s = ""°""""' T sC'.ubl'}..�at\:"e1

FINANCIAL DISCLOSURE REPORT NnmeofPCISonReporting

Black. Susan H

Date of RC].'ort

S/$12005

vm ADDIDONAL INFORMATION OR EXPLANATIONS

PartVU, Lino 43 was c:onvclt<d from Clsss B10 Clsss A shares (reported on line 42) by lhe fund. The Closs B shill<S were reported on line 46 in the prior

ycor'srq>Ort.

Part VD, Line S2 was converted from Class B shares (reported on line 48)to C1Ass A slwtS by the fund. The Class B shares were reportedon lineSI in the prior year's rcporl

PartVD,Une 11 was a<tually sold on 811712003. This sale was inadvatcnlly omitted from !he prior year reportand the asset Wll.1 inadvertatUyincluded in the prior year rcpOrt.

Part Vil.Line 77 was inadvertentlyomitted fiom the prior year report The income and value codes for 2003 would have been identical to those reported. in2004.

/

Name of Person Reporting

Si Date //, BD.5

FINANCIAL DISCLOSURE REPORT

Black, Susan H

Date of Report

SIS/2005

IX. CERTIFICATION.

I certify that all information given above (including infonnation pertaining to !DY spouse and minoror 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 i tmet applicable statutoryprovisions pemiitting non-disclosure.

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

NOTE: ANY INDNIDUAL WHO KNOWINGLY AND WILFUILY FALSIFIES OR FAILS TO mE nns REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (5 U.S.C. app. § 104)

FlLING INSTRUCTIONS

Mail signed original and 3 additional copies to:

Comriiittee onFinancial Disclosure Administrative Office of the Uruted States Courts Suite 2-301

One Colmnbus Circle, N .E. Washington, D.C. 20544