n rn n 9 c - Home | Judicial Watch€¦ · Date ____ _ 0 ) .,, 0 n ) --) rn Reviewing Oficer ·1...

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Reviewing Officer

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Report Required by the EthicsA0-10 FINANCIAL DISCLOSURE REPORT

in Government Act of 1978 Rev.1/2004

FOR CALENDAR YEAR 2004 (5 U.S.C. app. §§ 101 111)

L Person Reporting (Last name, First name, Midd.Je initial) 2: • Courr r Organization 3. Date of Report

Bertelsman, William·o· . KY-ED 51912005

4. Title {Article III Judges indicate active or senior status; 5. ReportType (check appropriate type) 6. Reporting Period magistrate judges indicate full or part-time)

0 ·Nomination, Date l/1/2004

U.S. District Judge (Senior) 0 Initial @Annual Q Final to

12/31/2004

7. Chambers or Office Address

35 West Fifth Street, Rm. 505

P. 0. Box 1012

Covington, KY 41012-1012

8. On the basis ofihe information contained in this Report and any modifications pertaining thereto, it is, in my opinion, in compliance with applicable laws and regulations.

e instructions !lCCompanying this form must be followed. Complete all parts, checking the NONE box for each part··

I. POSffiONS. (Reporting individual only; see pp. 9-13 offiling.instructions)·

0 NONE - (No reportable positions.)

POSITION NAME OF ORGANIZATION/ENTITY

1. Adjunct Teacher (part-time)(one class) Salmon P. Chase College of Law, Northern Kentucky University, Highland Heights, KY

2. Owner 529 Trust Plans #1-#9

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

NONE - (No reporta]?le agreements.)

PARTIES AND TERMS

1.

CJ r-n a:;;

c::J::"' ;oz f'T1 OJ> --rir

("-) p·i

,..._, c::::> = ........ :0 % rn

< )> rn ·> 9 c c.n C>

SOURCE

--

51912005

) .

Date of Report Name of Person Reporting , FINANCIAL DISCLOSURE REPORT

. Bertelsman, William 0

ill. NON-INVESTMENT INCOME. (Reporting individual and spou e; see pp. 11-24 of.filing instructions)

A. Filer's Non-Investment Income

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

) . 2004

AND TYPE

Salmon P. Chase College of Law -- teaching fee

GROSS INCOME (yours, not spouse's)

1,816

B. Spouse's Non-Investment Income - (If you 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.) -

SOURCE AND TYPE

) . 2004 Council on Postsecondary Educ·ation

IV. RElJ\IBURSEMENTS transportation, lodging, food, entertainment.

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

NONE (No such reportable reimbursements.) -

SOURCE DESCRIPTION

CREDITOR

I.

51912005

Name of Person Reporting Date of Report FINANCIAL DISCLOSURE REPORT

BerteJsman, William 0

v. GIFTS. (Includes those- to spouse and dependent children. See pp. 28-31 ofinsti"uc:tions.)

NONE (No such reportable gifts.) -

SOURCE DESCRIPTION

I.

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

NONE (No reportable liabilities.) -

DESCRIPTION VALUE CODE

A.

�ndeveloped

iiontessori

c L

·N

K'

(4)

3.

5.

7.

(I) (I) . {I)

FINANCIAL DISCLOSURE REPORT Date of Report Name of Person Reporting

Page 1of7 51912005Bertelsman, William 0

- income, value, transcations (includes those of the spouse and dependent children. See pp. 34-57. of filing instructions.) VII. INVESTMENTS and TRUSTS

B. c. D. Gross value at end of Transactions during reporting period Income during

Description of Assets reporting period rei}orting period (including trust assets)

from disclosure 'If not el\elll]l_t .(3)(2) (5)

(2) (2)

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

DNONE (No reportable income, assets, or transactions)

Victory Gradison Government Reserve #I I.

2. Dreyfus Municipal Bond Fund

Amount Code I

(A -H)

A

B

Type (e.g. div. rent or int.)

Dividend

Jnterest

Type (e.g. Value Value buy, sell, Code2 Method merger,Code.3(J-P) redemption)(Q-W)

L T

K T

Date: Value Gain Identity of Month - Code2 Code I buyer/seller (if

Day (J-P) (A-H) private transaction)

TInterestDreyfus Intermediate.Municipal Bond Fund

None K T4. Dreyfus Gold Fund

Victory Tax Free Fund A Dividend Sold 5/11 J A

Legg_Mason Europe Fund (stock) A Dividend J T6.

U.S. Bank, Fort Thomas, KY A Interest J T Merged #36 with this

8. Dreyfus Short. lnterrnedidate Municipal Bond Fund B Interest L T

Dupree, Kentucky- Short/Med. Fund A Interest L T9.

10. Dupree, Kentucky - Tax Free Fund B Interest T Merged.#89 with this

I I. 9Jndeveloped Lots in Charlotte Co., Florida None J w

7/13 K ELots in Port Charlotte, Florida None Sold

13. Providence Kentucky {School) A Interest K T

14. Fifth Third Bank (Account) A Interest K T

15. Star Bank Stellar Fund A Dividend Sold 4/8 K· A

16. Citizens Bank of Campbell County; KY (shares) A Dividend K T

..

17. Fifth Third Bank, Fcirt Thomas, KY (Common A Dividend M T Shares)

18. Victory Established.Value Fund G A Dividend. T

1. lncome/Gain Codes: A = $1,000 or less B. = $1,Qol-$2,500 .c ""$2,501,$5,000 (See ColiimnsE!I and D4) F = $50,001-$100,000 . G . = $100,00i-$1;000,000 . H[".' $1;000,001 $5,QOQ,000.. . . . . . . . .

2. Value Codes: J · =$15,000orless K = $l5;001 $50,000 t =$50,001,$100,000 . '(See Colunms Cl andD3) N =$250;000,$500,000. 0 $500,001-$1;000,000. . Pl ;= $1,000,001-$5,000,000·

P3. = $25;000,00 r-$50,000,000 • · P4 "' $More ilia.Ii $50,000,ooci· ·

3. Value Method Codes Q =Appraisal .R ·=Cost(RealEstateOnly) S nt..

(See ColurrmC2) U =oBookValue V =Other W: . ,;, Estimated .

D =;$5,001,$15,00Q E =$15;001-$50,0QO. . . H2. =More.than $5,000,000.. M =$100;001-s25o,ooo

=. P2. = $5,000,001-$25,000,000

=Assessnie_ T = Cash/Market

B.

Ke)iiiliilof KY

,

..

34.

(I) (5)

FINANCIAL DISCLOSURE REPORT Date of Report Name of Person Reporting Page 2of7 .51912005Bertelsman, William 0

VII. INVESTMENTS and-TRUSTS - income, value, transcations (includes those of the spouse and dependent children. See pp. 34-57 offiling instructions.)

A.

Description of Assets Income dwing

reporting period

c. Gross value at end of reporting period

D. Transactions during reporting period

(including trust assets) If not exempt from disclosure (I)(2) (2)(1)

(2) (3) (4) Place "(X)" after each asset exempt Amount Type (e.g.from prior disclosure Code I div. rent. or

(A-H) int)

Value Value Type (e.g. Code 2 Method buy, sell,

(J-P) Code 3 merger, redemption)(Q-W)

Dividend J TA19. Dreyfus Growth & Income Fund

A Interest. Matured20. Estill County, Kentucky PPC

Interest J TA21. -gue of Cities (Dayton, KY) :

Interest RedeemedA22. Cities (Dayton,

A Dividend J T23. Victory Gradison ·Government Reserve 2

Interest RedeemedA24. Floyd County, Kentucky (School)-

Interest L Tc25. Bank of Kentucky (Account)

·interest J T26. Lincoln County, KY (Public Property) - A

Date: Value Gain Identity of Month- Code 2 Code I buyer/seller (if Day (J-P) (A-H) private

transaction)

8/2 J A

8/2 K A

911 J A

27. Procter & Gamble - Common stock

28. . .

Citizens Bank of Campbell Co., Kentucky . (Accounts)

Dividend K TA

D Interest M T

· Dividend J T29. Victory Sm<ill Company Fund A

None J T30. NCR Corp. (common stock)

None J T31. Pomeroy Computer Res. (Common stock)

Dividend K T32. BankAmerica Corp. (Common stock) A

Interest L T33. Bank of Kentucky (Account) c

Interest ,L TUnited States Savings Bonds (I) B

35. Kentucky Interlocal School 12/1/04)

(due A Interest Redeemed 12/1 J A

36. Star Bank (now US Bank) (Account) A Interest J T Merged with #7 above

I. Income/Gain Codes:

(See Columns Bl and D4}

2. Value Codes:

(See Cohmms Cl.andD3)

3. Value Method Codes

(See Column C2)

A = $·] ;000 or Jess

F = $50,Q0)-$100;000

J '= $15;ooo or less

N =o S250,000-$500,000

P3 = $25,000,001 •$50,000,000

Q ;;,, Appra1sal U =Book Value

B

G

K 0

R V

=$1,00lc$2,SOO

= $100,001,$1;000,000

= $15;00U5Q;OOO

""$500,00 I $1,00Q,000

= Cost (Real .Estat Only)

=Other

C : =$2,50 lc$5,000 D ."'$5,0Ql-$15,000 H1

. = $l;OOO,OO!c$5,000,000. :· JU =More tl1an$5;000,000.

· L =$50,00i-$100,000 M =$IOO;OOl-$25ci;ooo

. Pl:.,;, $! ;ooo,OOl-$5,000;000 . : P2 = $5,000,001-$25,000,000

P4 =$More tha11 $50,000;000

S = Asse.ssment T '· • =Cash/Mar ei w =Estimated

.. E

. .. - .. = $11i.OOJc$50;000

c.

-

(4)

J

I

B

.!' G K

.. N 0

R

v

-·

(I)

FINANCIAL DISCLOSURE REPORT Date of Report Name of Person Reporting 'Page 3of7 Bertelsman, William 0 51912005

-- income, value, transcations (i.ncludes those of the spouse and dependent children. See pp. 34-57 offiling.inslruclions.)Vil.· INVESTMENTS and TRUSTS

A. B. o. Income duririg Gross value at end of Transactions during rtjlorting period

Description of Ass.els reporting period reporting period (including trust assets)

37. Carrollton & Henderson KY (Public A Interest J L Energy

. American Int'] Group, Inc. A Dividend K T38.

39. Conagra Foods,· Inc. A Dividend J T

First Data Corp. A Dividend K T40.

41. Sherwin Williams A Dividend J T

Tyco International Ltd. A Dividend J T42.

43. Scudder Dreman High Return Fund A Dividend K T

Russell County, KY Hospital A Interest K T44.

45. Mill Valley One Ltd. (Ltd. partnership) (promissory A Interest J T note)

American Express Co. A Dividend · J T46.

47. Kroger Co. A Dividend T

Merck & Company, Inc. A Dividend Sold 12/31 J A48.

49. Sun Microsystems, Irie. None 9120 J ASold

Ross Sinclair Brokerage(Account) A Dividend J T50.

-·KY Health Care Faes Laurel Prj A Interest K T51.

52. Eastern Ky Univ RevsSys Due 211109 - A Interest J T

53. Victory Stock Index Fund (Account) A Dividend J T

-y EDL Bldg Rev (Union College) A Interest J T154. ,

I f not exempt from distlosure (I) (2)

Code I div. rent. or (A-H) int)

(2) ( I ) (2) (3) (5)

Place "(X)" after e ch asset exempt from prior disclosure

Amount Type (e.g. Value Value Type (e.g. Date: Value Gain Identity of Code 2 Method buy, sell, Month- Code 2 Code I buyer/seller (if

merger, Day private(J-P) Code 3 (J-P) (A-H)redemption) transaction)(Q-W)

. - · . L Income/Gain Codes:· A = $1 ,000 or\ess = $1,00)c$2 500 c = $2.;5oH5,ooo D =: $5,001-$15,000 E =: $J5;<iotc$50;000

(See Columns Bl. and 04) = $50,001-$100,000 = $100,001"$1,000;000 H1 · = $1,000,QOl-$5,000;000 .. . . . . . . . . .. . H2 =More .thaii $5;000,000

2. Value Codes: = $15,000 or less • = $15;001 $50;000 L = $50;001,$100,000 . . . . . .. ·

M = $100,001-$250,000

(See Colunms Cl and D3) =: $250,000-$500,000 = $500,001-$1,000,000 Pl =$t,ooo,001 $5,ooo,ooo P2 =: $5,ooo,001c$2s,ooo,ooo

P3 = $25,000,00 J-$50,000,000 P4 ;;, $More truin $50,ooci,ooo

3. Value·Method Codes Q =Appraisal =Cost ea! Estite Only) s ; . ,;,,. As.sessment T =Cash/Market

(See Column C2) u .= Book Value =:Other w ·='Estimated,:

I

•

I. A F

J

N

Q 1.)

B.

B

G

K

0

R

v

T

c

L

·--

P4

s

w

57.

69.

{4)


51912005Page 4 of7 Bertelsman, William 0

-- income, yalue, transcaticms {includes those of the spouse and depe11dent children. See pp. 34-57 offiling instructions.) VII. INVESTMENTS and TRUSTS .

c. D.A. Gross value at end of Transactions during reporting. period Income during

Description of Assets reporting period reporting period (including trust assets)

lfnot exempt from disclosure(I) {2) {I){2){I) (3)(2) {S)

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

55. Victory Gradison Government Reserve #3

56. Kentucky State Property & Bldg.

Amount Code I {A-H)

A

A

Type (e.g. div. rent. or int)

Dividend

Interest

Type {e.g. Code 2 Method Value Value

buy, sell, (J-P) Code3 merger,

(Q-W) redemption)

J T

K

Date: Month-Day

Value Gain Identity of Code 2 Code I buyer/seller (if (J-P) {A-H) priva)e

transaction)

J.M.Smucker Co .. A Dividend J T

. .

58. Ageere Systems Inc.

59. Comcast Corp. Class A

60. 529 Trust #1

529 Trust#2 61.

529 Trust#3 62.

529 Trust#4 63.

529 Trust#5 64.

529 Trust#6 65.

66. Allstate Corp.

67. BP PLC

68. Burlington No. Santa Fe

A

A

B

B

B

B

B

B

D

B

A

Dividend Sold 1113 J A

Dividend · J . T

Interest M T

Interest M T

Interest M T

Interest M T

Interest M T

Interest M T

Dividend N T

Dividend L T

Dividend Sold 6/18 J B

Burlington Resources A Dividend J T

K T70. Chevron-Texaco Corp. B Dividend

71. Cinergy Corp. DividendA J T

72. Clorox Co. - B Dividend L T

.. . Income/Gain Codes: :o $1,000 or less . = $1,001-$2,500 = $2,SQJ "$5,000 · • .. · (SeeCollll111lsBI andD4) = $50,001,.$100,000 •. = $100,001-$1,000;QOO Hl ·<= $1,(iOO,QOJ-$5,000,000

2. Value Codes: = $15,000 or Jess = $15,001-$50,00ci ..= $50,001,.$100,000 . . . ..

(See Co!urrins Cl aildD3) = $250,000-$500,000 = $500;001-$1,000,000 Pl ".' $1;000 001-$5,ooo;ooo

P3 = $25,000,001-$50,000,000 =$More tl1an $50,000,000

3. Value Method Codes = Appraisal =Cost (Real Estate Only) · = Assessment · ·

(See Column C2) • · · =Book Value = O ther · = Estiinated • ·

--- . . b = $5,cioJ,$15,000 . E = $15;001-$50,000

H2 =More than $5,000,000

M = $100,001 $250;000

P2 = $5,000,001-$25,000,000

T = Cash/Market.

T

(4)

73.

74.

75.

77.

79.

(!)

(e.g.

(Q-W)

#57


'Page 5 of7 51912005Bertelsman, WH!iam 0

VII. INVESTMENTS and TRUSTS - inconl<'., valu , transcations (includes those_ of the spouse and dependent children. See pp. 34-57 of filing instructions.)

c. D.A. 8. Gross valiie at end of Transactions during repbrting period Income during

Description of Assets reporting period reporting period .(including trust assets)

!foot exempt from disclosure (!) (2) (I)(2) (2) (3) (5)

Place "(X)" after each asset exempt Value Value Type (e.g. Date: Value Gain Identity of TypeAmount buy, sell, from prior disclosnr.e Month- Code ICode 2Code2 Method buyer/seller (if Code I div. rent or

DayCode 3(J-P) merger, (A-H) private(J-P)int)(A -H) redemption) transaction)

Conoco Phillips A Dividend

Exxon Mobil Corp. A Dividend

General Mills Inc. A Dividend

J T

K T

K T

76. Kerr McGee Corp. A Dividend J T

Pepsico Inc. c Dividend M T

78. Pfizer, Inc. D Dividend M T

Procter & Gamble Co. E Dividend 0 T

J.M. Smucker A Dividend J T Merged with 80.

. 81. Southern Co. c pividend L T

. . 82. Sunaco, Inc. A Dividend K T.

83. Wachovia Corp. A Dividend K T

84. Whirlpool Corp. A Dividend J

. 85. Wisconsin Energy Corp. B Dividend L T

86. Xcel Eneregy, Inc. A Dividend "J T

87. Yum Brands, Inc. A Dividend L T

88. U.S. Savings Bonds (H} A Interest K · T

89. Dupree Mutual Fµnds D Dividend M T Merged with #JO above

90. 529 Trust#7 B Interest M T

. . . . . . ..... . 1. Income/Gain Codes: A .= $1 ;000 .or less B = $1,00i"$2;500 c =$2;501-$5;000

.(See Colnnms Bl .and D4) F = $50,00l-$JOO;QOO G =:$.100,001 $1,QOO,OOO. HI ,;,$t,ooo,Oo($s,ooo,ooo m =More than$5;0Qo,ooo

. . . .. . . . 2. Value Codes: J = $15;000 oiless K =; $U,001 $50;ooo L ;., $S0,00l-$100,000 M = $JOO;OO!c$250,000

(SeeColnnms Cl .and D3). N = $250,000 $500,000 o =: $SOO,oil1:$1;060;000 Pl •• =: $1,000,00b$S;OOO;ooo P2 = $5,000,001-$25,000;000

P3 = $25,000,00I $50,0oo;ooo P4 · O:_ $More t11an $.50,000;000 . . . .

3. Value Method Codes Q ·=Appraisal. R = CiJst (RealEstate Only) S T = Cash/Market= As_sessment

(See Column C2) U =;Book Value. V =Oiher .w ·. = Estimated

. .:... -

B.

(1) (2) (1) (2)

93.

95.

97.

99.

FINANCIAL DISCLOSURE REPORT Date of Report Name of Person Reporting 'Page 6of7 51912005Bertelsman, William 0

VII. INVESTMENTS and TRUSTS -- income, _value, transcations (includes those of the spouse and dependent children._. See pp. 34-57 of filing instructions.)

A. c. D.

Income during Gross value at end of Transactions during reporting period Description of Assets reporting period reporting period

(including trust assets) disclosfilelfnot exempt from

(3) (4) (5) (1) (2)

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

Amount Code 1

Type (e.g. div. rent. or

Value Code2

Value Method

Type (e.g. buy, sell,

(A-H) int) (J-P) Code3 (Q-W)

merger, redemption)


Date: Value Gain ldentityof Month- Code 2 Code I buyer/seller (if Day (J-P) (A-H) private

transaction)


Louisville & Jefferson Co., KY Metro Sewer & c _Interest K T Drain Bond

-94. ElizabethtoWJ1, KY Public Properties Bond B Interest K T

University of Louisville, KY Educational Bldg. Bond B Interest K T

96. . Kentucky State Turnpike Authority Bond c -Interest K T

Kentucky State Property & Bldgs. Communication c Interest K T Revenue Bond

98. Northern Kentucky Water District Bond B Interest K T

Clay County, KY Justice Center-Bond B Interest K T

·Interest K T100. - Project.Bond B·Owensboro, KY Publi_c

Interest K TIOI. Kentucky State Property&, Bldgs Reven tie Bond c

Interest J T Buy 9120 J102. E-Trade Account A

103. Ky. State Turnpike Bond 3.6% A Interest J T Buy 9/8 J

104. Ky. State Turnpike Bond 3.75% A Interest K T Buy 9/8 K

Dividend K T Buy 1/8 K105. Automatic Data Processing, Inc. A

106. Johnson & Johnson A Dividend .K T Buy 1/8 K

107. T-Rowe Price Equity Index 500 A Interest K T Buy 12i3J K *Bought 2002 -prev. omitted

108. Templeton Foreign Fund Cl A A Interest K T Buy 12/15 K *Bought 2003 -prev.omitted

. . ... . . I. Income/Gain Codes: A = $1,000 or less B = $1,001-$2,500 C . = $2,50 I c$5,000 . D• _ =$5,001-$15,000

(See Ccilµmns :a.I arn:ID4) F = $50;001-$100,000 G = $100,00(,$1,000,000 HI =$1.QC)0,001-$5,000,000 lf2 =More than $5,ooo,ooo

2. Value Codes: J = $15;000 or less K =$15;QQJc$50,QOO L = $50;001 $100,000 M. =$100,001-$250,000

( ee.CoJµmns Cl andD3) N = $250,000,$500,000 o = $500,00H1;000;000 Pl = s1;000;001,$5,ooo,ooo P2 7' $5,000,001,$25;000,ooo . P3 · = $25,000,001-$50,000,000 P4 · =$More than $50,000;000

3. Value Meihod-Codes Q '= Appraisal R = Cost (Real ES1;lte Only) S '= 1\sse_ssniCnt = Casli'MarketT ..

(See .Column_ C2) . 'U .=Book Value v =Other - W =Estimated ·

A

F.

.J

N

B

G

K

0

R

v

c

Ht

L

Pl

P4

s

w

from.disclosure

(4) (e.g.

(5)


Page 7of7 51912005Bertelsman, William 0

. VII. INVESTMENTS and TRUSTS -- income, value, transcations (includes those of the spouse and dependent children. See pp. 34-57 of filing ins tructions.) .

B. D.c.A. Income during Gross.value at end.of · Transactions during reporting period

Description of Assets reporting period re\>orting period (including truSt assets)

If.not exempt (l)(I) (2) (I) (2)

(3)(2) Place "(X)" after each asset exempt TypeValue ValueAmount Type (e.g. Date: Value Gain Identity of from prior disclosure Code I div. rent. or Code 2 Method buy, sell, Month - Code 2 Code I buyer/seller (if

(A-H) int.) (J-P) Code 3 (Q-W)

merger, redemption)

Day (J-P) (A-H) private transaction)

109. Growth Fund of America A Interest K t Buy 12/31 K *Bought 2002-prev.omitted

110. Ky. State Property & Bldg. Commn. Bond

I. Income/Gain.Codes: =$1;000 or less

(See Colunms Bl and D4) = $50,001-$10();000

2. Value Codes: = $t 5;ooo or less

(See ColunmsCI andD3) = $250,000-$500,000

P3 "'. $25,000,001-$50,000,000

3.. Value Method Codes Q ·= Appraisal

(See Colunm C2) u =Book Value

A Interest

= $1,00J-$2,500

·;;, $100,00l-$1,000,000.. = $1s;oo1c$5ci;ooo

= $500,001-$1;000;000.

• = Cosi (Real ESfate Only)·

=Other

K T Buy 10/30 K *Bought 2003 -prev.omitted

= s2.5o J-$5.ooo D =$5,001-$15,000 I! = $15,001-$50,000

= $1,()00,00145,000,000 H2 =More than $5,000,000

$50,00I c$ J00,000 M = $100;001 $250,000

= $I;ooo,001c$5,ooo,ooo Pi =$5,000,001-$25;000,000

=$More thah $50,000,000

. · = Assessment • T =•Cash/Market

;;, Estifmited

51912005

Date of Report Na1ne of Person Reporting FINANCIAL DISCLOSURE REPORT

Bertelsman, William 0

(Indicate part cifReport.) VIII. ADDITIONAL INFORMATION OR EXPLANATIONS

Name of Person Reporting Date of Report }'INANCIAL DISCLOSURE REPORT

51912005Bertelsman, William 0

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.

Signature Date

NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE THIS 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:

Committee on Financial Disclosure Administrative Office ofthe Uri:ited States Courts Suite 2:.301

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

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