___________ _ Date. ____ _

0 (I)

.,, <::>

<.O

=

c:::>

L

L

'

· --- -----· - A0-10---··- -·

Re''· 1/2004

-- --------·-- .,__I<; p_o_!!_ ? i e. - - l.:__ ·- - -- ---FINANCIAL DISCLOSURE REPORT---in Gover1unent Act of 1978

Calendar Year 2003 (SU.S.C. app. §§ 101-lll)

L Person Reporting (Last name, First naine, Middle ini tiaI)

SELYA, BRUCE M

2. Court or Organization

UN ITEDSTATESCOURT OFAPPEALS

3. Date of Report

5/1512004

4. Title (Artic]e Ill Judges indicate active or senior status;

magistrate judges indicate full-or part time)

US CIRCUIT JUDGE - ACTIVE

7. Chambers or Office Address

3ll FEDERAL COURTilOUSE

PROVIDENCE, RI 02903

5. Report Type (check ap p ropriate type)

Q Nominatio-n, Date

Q lnitiaJ @Annual 0 Flnal

6. Reporting Period

11112003

to

1213112003

8. On the basis of the information contained in tbis Report and any modifications pertaining thereto, it is, in my opinion, in compliance withapplicable laws.. and regulations.

Reviewing Officer

ANT NOTES: The i.Ilstructions accompanying this form must be followed. Complete all parts, checking the NONE box for each part

I. POSITIONS. (Reporting individual only; see pp. 9-13 of filing instructions)

0 NONE - (No reportable positions.)

POSIDON NAMEOFORGAN ATIONIENTITY

SEEATIACHED SCHEDULE

= -...

:::0 C> rn.- .,, o- (""-"'t .....nz "'<¢'

c::> Pl:::::iZ VIrn2

w <(Reporting individual only; see pp. 14-16 offiling instructions) o>II. AGREEMENTS. ""'" -nr- = m liZJ NONE - (No reportable agreements.) 0

-=-,,, PARTIES AND TERMS

SOCRCE AND TYPE

SOURCE ANDID.!i

SOURCE PESCR!PTION

Name of Person Reporting D<l.te of Report

SEL YA, BRUCE M 5/15/2004

FINANCIAL DISCLOSURE REPORT

ill. NON-INVESTMENT INCOME. (Reporting individual and spouse; seepp. 17-24 offiliugiuslrucfions)

A. Filer's Non-Investment Incom

D NONE (No reportable non iuvestment income.)

J. JUL 7-11 BRANDEIS UNIVERSITY 1EACPJNG FEE

GROSS INCOME (yours, no! spcuse's)

2500

B. Spouse's on-In:vestment Income Of you we:e r;m:ried during any portion of the !eporting year, please c::u:rplete this section. {dollar amount not required except for honoraria)

U NONE (NoreportabJenoo-investmcntincome.)·

I.

IV. REIMB\JRSEMENTS - 311, Jodgi:ig. roo0, entertainment-

{loc1udeB those to spouse and depen.dent children. See pp. 25-27 of instructions.)

D NONE - (Nosucilreponablere!m!JUillements.)

. I. AMERICAJ\ SOCIBTY FOR BAPJATRIC SURGERY llll\10.17-18; PRESENTATION OF PROFESSIONAL ASSOCIATION; TRANSPORTATIOJ\ &MEALS

2. THE RADiBOW EYE FOUNDATION i HAWAilAN' JANUARY I& -25; EDUCATIONAL SEMINAR; TRAN'SPORATION, MEALS & LODGING OPTHAMOLOGY P ARTNERS!!!P

0'N1VERSITY OFVA LAW SCHOOL APRlL 4 - 6; Em.;cATIONAL SEMINAR TRANSPORTATION, MEALS & LODGING

4. BRANDEIB UNIVERSffi' JULY 7 - l 1; EDUCATIONAL SEMINAR; TRANSPORATION. MEALS & LODGING

Pers:n:'"'

DESCRJPTIQN

-POLICY LOA ... 'TS

.

K.Pnnrr

VALUE

FINA..fi/CIAL DISCLOSuRE REPORT -------·--- --- --- ----·--- ------ -------- ·---·

Name of

SELYA, BR:JCE ).1

Date ot

S/15:2004

V. GIFTS,

NONE

(lnclurles those to spouse ruid dependem children. See PF· 2S-31 of instruotions:i

- (Nosuchrepor"1Wegifts.)

l.

VI LIABILTIIBS. (Includes tiJDSe of spouse and dependent children. See pp. 32-34 of m,.,,,,.,tion,,)

N01'.1E (No reportabie liabilities.)

CREDITOR CODE

L METROPOUTAN LlFE INSURANCE POLICY LOA..'1S J co.

2. FLEET NATIONAL BANK MORTGAGE (3LACKSTONE ASSOC-20%) N

3. FRANKLIN LlFE INSURANCE CO. POLICY LOANS J

.. CONNBCTICUT MUTUAL LIFE INS . J

5. MUTUAL OF NEW YORK .POIJCY LOA 'IS I

6. PHOENIX MUTUAi. INSURANCE CO. POLICY LOANS K

7. BA."IK RHODE ISLM'D MORTGAGE (FRIENDSHlP RL1Y GllP-40%) N

rNONE

11

A R

: J:f.";j,{)(}()

c.

(1} "" t-}

-

-

K

c

L

{\,l (i} I (3)

I

D

(4)

I HJ

'

E

I

•

I c ' •

ii not exempt from disdcsure

VII. lli SThIBN"TS and TR_USTS -in ome, vnlue, transcatluru: {includes thnse oftbe spouse £JJ.rl d;:;penrler:: chik!:en. Se;.µµ. 34.51 o!5:b,;; instruct.kms)

A. B. D. lr.cor.:ie dining G:nss value a!: em] of T ra:'..'lactb:u; d1Liing reporting period

O!serip1tcn rJf Assets repo:i:ing pe1iod reposting: period: (iuch.Hli.ng trust assets)

{J) (2) (5)

Pla:::e (X)" a.'Te.r each ass.et e.i:empt A..-uoum Valu.e V:L.uc Type (ag. D;;te: Val11e Identity :JfTyp' (e.g. Gainfrom prior disclosure Cod l div. :rent or Cotk2 Method buy. sell, Moufu- Code2 Cod:? l:r.J.y.ertscller

(A-HJ mt) (J-P) Ccde3 merger, 0.y (J-P) (A- (iip:rhrot.eredetuption}(Q-W) ction)

(No reportable income., assets, or ns)

!. BROKERAGE ACCOUNT# I

2. BLACKSTONE ASSOC 20% UNJMPROV REINR E Rent SELL 6130 N (l KLAFAZIA 1 LITTLE C OMPTON & PROV Rl

3. FRJENDSHIP RENLTY 40% A.I' ARTMENT BUILDING LJKCOLN Rl

4. Il.ASSOC!ATES 14286% UNIMPROV HOcSE WTS!NRS KINGSTOWN Rl

5. MASSACHUSETTS INVESTOR TRUST MUTUAL FUND

6, ORRIS INC I .9% COMMON STOCK

7, PHOE1'1X C OMM ON STOCK

B. P OCASSET VII.LAGE ASSOC 2.5% Al'ARTh!E!iT BU1LDING CRANSTON RI

9. 33,33% 1TEREST REALESTATE10HNSTON, lU

10, ROHM&HAAS COMMO:\ STOCK

SELYAPROPERTIES SO% CONDO PROVIDENCE RI

12. Sll, VER RESOt;"RCES, INC COMMON STOCK

13. SUGAR..V� PROPERTIES, INC UNIMPROV RE SK&HOPKINGTON lU

14, BROKE GEACCOUNT#2

15. BANK PJJODE ISLAND C!IECK\SAV PROV RI

16, CAMBRIDGE SA V!NGS BANK SAVINGS ACCT C AMBR!DGE MA

17, ClTJZENs SA VJNGS BANK SAVINGS ACCT PROV RI

18. FIDELITY SERVICE CO MPANY DAJLY INC'.OME TRUST MONEY MKT

E Renl

N one

A Dividend

None

A Di·vldend

D Rent

None

G Dividend

c -

None

None

B lnt=st

A Interest

B Interest

A Dividend

N w

1 T

1 w

J T

K w

L w

P2 T

L w

J w

M T

L T

M T

T

.

I

= S5,001-S:15,DGO

'H:! = frlore tb:u; .\.'5.03Z:.OC:J

M ""'il 00.C<J1-S252,(!:J 1

REYNOLDS

- --

DEFUNCT

DEFL CT

l. lm:orne!Gait Codes: =.S::,oooorless = $1,001-$2,500 = s:.,soi.- s.o:x:: ""s1s.oo; -sso.oon

{See Columns Bl andD4). F "'$50,COl-SlOQ.GO'.: G ""SI 00,001-.$1,00;J,\JOO Hl = s1,noc-.0J1-ss:,oo .oca

2. Vt'lut Cod:s. ) = Sl.l,000 or !es K = Sl5,00l-i50,D-JO S5C,OOJ-S:i0£r,OOD •

(Sec Coiunms Cl and D3) 'N ""<:'.l !"'J .:; .. _ O.u,,,, -.._ D:;.DJ , 0 "'£500 000 "' '1 01.·1rUi'' l · ·- 000.(J(JI) r2 ""s:s ::·J:;,rn11-s::s.c0:;.;;::J

P4 "" $Mort t..%.11 5QDOIJ.OOD

',\' ,... Estiruot d

BR ti __

.

CSV

c

ifnotexerr.pt ,,_.,l:'l

(2) (3) (4} (S) Gain Cod, l JI)

'

- ·

'

J SALE

c

l

I l i

i

B.

(1)

FINANCIAL DISCLOSlJRE REPORT -Na.m,0 ()fJ' cm _RepQt::;r.g _.,_. .... ·--·.--- . J?. 2J_�E!!. ·-· - -

Page 2 of7 SEL YA, CE M 5/1512004 \'II. INVESThffiNTS and I'R.USTS - im:uro.e, vufne, tn:nscat:::ns (includes those of the s_tmus.e #ltd dependent children. Sec pp. 34-57 offilin,g itJst:ra.ction&)

A. c. D. lncm:1e d iring Gross valu.e ::« end of Trm1sacticms during repnrting period

Deocrlptinn af Assets rerorting period reporting period (incladiugtrust 1lssets)

d.1sc1osure(2) (l) (2} (l)

Place "(X)" after each.asset exeID?t A.."D.Ollllt 'Type {e.g. Vaine Value Type (e.,g. Date: Va!ue Identity of fu:im prior di!le.losure Cad : div. :rent. or Code2 Method buy, sell, Mcn!h Code2 buyertselie!"

(A ·Ill int.) (J-P) C00e3 m<cger, Day J-P) (A- (if private redemption)(Q·W) tra.'lsacticu)

19. FLEET NATIONAL BANK CHECK\SA.V c bterest N T ACCT PROV RI "

'

20. FLEET NATIONAL BANK !RA CD'.SAV ACCT A Interest J T

21.

1 "2 1- '

23.

! 24.

25.

26.

27.

28.

29.

30.

31.

32.

33.

34.

35.

36.

PROV FED POSTAL F.MPLOYEES CU A Interest CHECK\SAV ACCT PROV RI -SOVEREIGN BANK CHBCKISA V ACCT A Interest PROVRI

BRO!l:F!RAGEACCOUNT # 3

CONN ML'TIJALL!FE INS CO INSURED CSV- None

FRANKLIN LlFE INS CO CSV -INSURED None

.. METROPOLITAN LIFE INSURANCE CO CSV - Kone !NS

MlJJUAL Ol'NEW YORK CSV - lNSURED None

PHQENJ:)( MlTl'UIAL LlFE INS CO None

BROK.ERAGEACCOUNT#4

BRISTOL WAR.REN RI REGIONAL SCHOOL B Interest DISTRICT MGNT BOND

MERRILL LYNCH CASH MNGMT ACCT. A Dividend

:PAWTUCKET RI BCJ-'TD MUNIBOND c l:lterest

PROVIDENCE RJ PUBLIC BU!I.D!NGS BOND c Interest

l'UERTO RJCO CO:.!M BONDS MUNJBOND D In'"""'

PUERTO RICO ELECTRJCPOWER BONDS Interest MUNI BOND

PR PUBLIC BUlill!NGS ALTdORITY MUNl c Interest BOND

J T

J T

K w

K w

K w

K w

K w

K T

K T

L I

M T BUY 6120 L

SELL 7/1 K A

K T BlN\ 1131 K A ADDLB\JY & SELL PARTL!tl,

L T PS 112 A PART'.AL

G = £100,001-SLO::VJ,002 K = '$i5,0Cll-S5G,02J L =$50,00J-!,;:JOU.OOO 0 """ .SG:J,JDl-$1.02:..rn;;i Pl .,,, St ,CJ!J.O[i1-S5,UDU,OCO !'.:'. s:.C<J(1.;;01-s:::s.ooc.D.'.){l

P} "'S15,DOD,ODJ-:t50,000.:xm !'4 ""S;Jv'.itm: th:i J:5C.ODJ"'.:l'.l:.: Q = .Apprajs;i C !look V8l\!;'

R'f ____ _ )'lame

48,

I

-

E

11

(2) (3)

Day

' l l l

'

N T 612 M

I '

(4)

1 HJ

A

' -

i '

'

'

l '

I

J ""SL5.00J or bss K ""Sl5.0GJ-$50.C-SO

.•..FJ:NANCIAL_D!S [;P!lJ' _I'i'? ofP.crso0 RopnI)ing _

Page3 of7 SELYA, BRUCEM 5!15/200

VII. INVESTlv.IEN"TS and TRUSTS - ln\:Drr.e, vn:1.:.e, t:ranser.!ious (includes U:Jose of' the S}k"11ille aml dependen1 children. St;;e PJI. 34-57 of filing insti:uctious.)

A. B. c. J), Income dllring GroBi value m e:>.d of Transactions du.-ing reporting period

D £cri:;itioc ofA..sets reporting period reporting periOO (indudl!ig trust assets)

001 exempt from disclosure(1) (2) (:) ;2) (1) (5)

Piace- "{X) after each asset ex.empt AmOU!lf type (e.g, Value Vaiue T:;ye fe,g, Date: Value Gain ldent:ily of from priorclfs.ck;surt Code l div, rent or Code 2 fo:OO::l buy, sell, Mcnth- Code2 Code buyer/seller

(A ·H) int) (J-P) Code 3 nerge:, (l-P) (A· (if private n:demption)(Q-W) transaction)

RHODE ISLAN'D CONS BONDS MUN1B<YND D Interest M Tl 31. ..

38. RHODE ISIA'!D CONVENTION CENTER A Dividend K T AU7HORil'Y &fll1' BOND

39. RHODE IS:.A'.'D DEPOSITORS BONDS MUNI BOND

D Interest M T

4G, Rl HEALTH & EDUCATIONAL BU!LOlNG

CORP MUNJBOND Interest BUY\

SELL ADOL3L'Y& PARTIAL

-41. RI H0cSING & MORTGAGE FINA.\iCE CORP D Interest M T

BONDS ML1'<T B01''D

42. RI PROV PLA.'\TAT!ONS BOND Mw'Nl JlOND c lll1erest L T

43.

44.

45.

46.

47,

49,

50,

I 51.

52.

53.

54.

WARWICK RI BOND MUNI BOND A Interest

BROKERAGE ACCOUNT# 5

AGILENT TECHNOLOGIES INC. COMMON A Dividend STOCK

GLAXO SMffHKLINE PLC COMMON A Dividend STOCK

HEWIE'IT PACKARD CO. COMMON STOCK A Dividend

!NIEL CORP CTJMMON STOCK A Dividend

1'ff'l COMMUNICATIONS INC. COMMON A Dividend STOCK

SMITH BARNEY CASH FL'ND A Dividend

w'.Si.,LS FARGO & CO COMMON STOCK A Dividend

BROKERAGEACCOUNT#6

ANADARKO PF.TRO CO. COMMON STOCK A Dividend

AT&T COi...U..10N STOCK A Dividend

K T

J T

K T

J T

K T

L T

J T

K T

J T

SELL 2110 J A

CDdes: A = Sl,000 err less B "' i,OG -$2...500 C ""s:?.. 50;-$5.cr.1": D ""

(Sru> O:ilumns Bl ar.d D4) ·F '"'S50,001,.$lO:lOO!J H1 ""$'! ,000/::.H-i5)J:Js_;;00 P =! ore th;m 1s.r.:cs.o :i

:::::_ \ia\ Codes: l "'-$:H.i,OCH-$1D:J.O:J:J hl £10G.00l-$250.DJO

tSe;:-Colllmn;.C- ;:ndD3J N $250.(.101.J-$ 00.000 O =S500,IJi}) Sl.00C.SiJC Pi ""S:L,OGl,_OUJ-.S:;.c;;· ,UOJ ::;·, "'i5.CJCUJOJ-l::5.0i)'�.000

P3 $25,000,00!-S:SO,OO!':J,00:'

Q Appraisu:

C Boo;, Vaine-

Dividend

l

--

(2) ll dlSel®tre

(3) (4) Gfiln

1 HJ

,

(5)

A J

I 63.

64.

STOCK

----··----------�·

J

'

! i

I

I

I

FINANCIAL DISCLOSURE REPORT _.. Nt:.mce<:f?crsor: Rcpi.:.i:ting -···" ·-·-·---· -- -- ---- ------ ______ ,., - ,__ y:_q-[B. qrt

Page 4 of7 SELYA, BRUCE M 511512004

".income, '·a.Jue, tm.us>:atio:.s (includes faose of tae-spousesnd dependent cbild:en. Sec pp. 34-57 offiling i>tS1mctions,) · Vll. INVESTMilNTS and TRUSTS

A. n. D. lucome during Gru" v' c' :n' nf l ransa>;:tions durirrg otting perlod

Descripfo:m of As.set's reporting p(!riotl repor..r.g r-enoo (inc;uC.ing ::rust esseni)

not excrr.pt u:om (l) (2) (!j (2) (l)

Pl&c;;: "'(Xl nfter each asset exempt Amou V.a!ue Value Type \e.g. Date: \'atue ldentityofType c .s.fro:n prior-Cisciosure Code l d:v. re.nL o:r Codo2 Nfelhod ht.;:, seE, l\-1ontl:i- C:xle2 C():k buyer/seller(A-H} intJ (J-P) Cade3 Dey (l·P) (A- (if privalc merg r,

r.demption)(Q-W) transaction}

55, AT&T WIRELESS COMMON STOCK A Dividend J T

56. COMCAST CORP COMMON STOCK A Dividend SELL W4 l A

57. GA!.AXY TAX EXEMPT FUND TRUST CLASS MUTUALFUND

-·

B Dividend M T

. ,

1 ss. MA INVESTORS TRUST FUND

MUTUAL A J T

59. MAXCO,INC. COMMON STOCK A Dividend J , T

60 . NORTEK, INC COMMON STOCK A Dividend

.

61. ONEOK.INC. C0?<,1M"ON STOCK A Dividt:'!:ld

SELL

J T

!!9 J A

52. PERK!NELMER INC. COMMON STOCK Divi&ud T

65.

66.

67.

68,

69.

w.

7L

Tl.

I'lNNACLE WEST COMMON STOCK

QWEST COMML'N1CATIONS COMMON STOCK

SOUTH AMERJCAN MINERALS COMMON STOCK

TEXTRON, INC. CO!Y!MON STOCK

UNION PAC COP.I' COMc.!ON STOCK

VERJZDN COMMUNICATIONS COM"1GN STOCK

WAS!!1NGTON TRUST COMMON STOCK

BROKEJlAGE ACCOUNT # 7

AMERICAN lNTER'L GROv"P !NC COMMON STOCK

AMERICAN FWR COlNE.'<.SION COMMON

A Di'lidend .

A Dividend

A Dividend

ll Di'lidend

A Dividend

A Dividend

A Dividend

A Dividend

A divldead

J T

T

J T

K T

K T

J T

J T

J T

J T BUY !2123 J

A = SLOO;J or fo.ss D = $5,001-$15,000 E ""'Sl.5.001-£$0,00(}

(Sw; C.o!unm.,,B! lmd D4) F = S5CJJQ1.SlOG.C<:C: G ""$l{)C',00i-S'J.OO:J,OOD 2, Valu-:-Co&:s: J =-Sl:t000criess K ""Sl 5,CO ·'F5\J,OOD

(S:c:t Cnlumns C! cm: "C'.3: }.' "' $250.0LlO-iSOC\DJ:; 0 = $5{ :1.0'.Jl S!.OC .OO'J P3 "'i:;S.00'.l,O'JJ ·S5C<,(.J:)c,u:l \ }'4 ""$Jv1or<- fa :J s5n_u:J _c,y1 0 "" App:;.is;J r. Cc::: !Rec! Erii. r: 0 0y« S = /uis :;:srner,t

l- Boo!: \"r.i;;;

PARTIAL

J

L A B c D E

A.

__Natne_qf_Person Reporj.iQg _____ ............ . __ . .._.

Page 5 of7 SELYA, BRUCE M

- income, value, transcations {im:ludes those ofthe spouse and depeutlent children. See pp. 34-57 offiling instrui::.tions.) VII. INVESTMENTS and TRUSTS

B. c. D. Income durillg Gross value at end of Transactions duriog reponing period

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

(1) (2) (!) (2) (!) Ii not exempt from disclosure

(2) (3) (4) (5) .

Place "(X)" after each asset exempt Amount Typo (e.g. Value Value Type (e.g. Date: Value Gain Identity of from prior disclosure Code l div, rent or Code 2 Method_ buy, 5el l, l\ol:onth - Code2 Code buyer/seller

(A-H) inL) (J-P) Code 3 merger, D•y (J-P) 1 (A- (if private (Q-W) redemption) H) transaction)

73. AMGENI:N"C COMMON STOCK A Dividend J T BUY 5/15 J ·-

74. APACHE CORl' COMMON STOCK A Dividend J T PS 12123 J A

SALE

75. AUTOMATIC DATA PROCESSING INC. A . Dividend J T

COMMON STOCK -

76. BM1CN'EWYORKINC. COMMON STOCK A Dividend J T

77. CARD!NAL HEALTH INC. COMMON A Dividend J - T

STOCK

78. crsco SYS INC. COMMON SlDCK A Dividend J T PS 12/23 J A PARTIAL SAL E

79. CITJ,GROUP INC COMMON STOCK A Dividend J T BUY 12123 J

80. CLEAR CHANNEL COMMUNICATIONS A Dividend T

COMMON STOCK

81. COX COMMUNICA110NS INC NE COMMON A Dividend J T BUY 4n J

STOCK

82. DOW CHEM CO COMMON STOCK A Dividend J T BUY 5/23 J

83. EXXON MOBIL CORP COMMON STOCK A Dividend J T

84. FEDERAL NATIONAL MORTGAGE ASSN A Dividend SELL 7/18 J A

COMMON STOCK

85. FLEXTRONICS !N'TL LTD ORD COMMON A Dividend J T BUY 8/20 J

STOCK

86. GENERAL DYNAMICS CORP COMMON STOCK A Dividend SELL 12123 J A

87. G ENERAL ELECTRIC CO. COMMON STOCK A Dividend J T ADD'L 914 J A

- PURCH.

88. GUIDANT CORP COMMON STOCK A Dividend SELL 6113 J A

89. HOME DEPOT INC. COMMON STOCK A Dividend J T PS 11/18 J A PARTIAL SALE

90. INIEL CORP COMMON STOCK A Dividend J T PS 12/23 J A PARTIAL SALE

ln ome/Gain Codes: = S l ,ODO or \l!SS = Sl,001-$2500 = S2,501-$.5.000 = $5,0Gl-$15,000 = S15.001-$50.COO

[See Columns Bl .and 04) F = S:50,0D!-$ l OD,000 G = S:lOU,OOi-Sl,00 ',000 HI =·s1 ,OOD.00l-S5,000.000 H2 =More than $5.000.000

Vnlue Codes· = .$1 s,00:1 or less K = $;15,001-$:50,00 L = S5\:·,0Dl-Si00.00(1 M =- l oo.oo;-$ 5o,uoo

::;,;e Coluruuo c., ant D3) N = $250.0 (1--£50U.0:J{1 0 = S50C',001-Sl.OOJ,OOO Pl = SI,000.00l-S5,08 ,0D-J P2 = :i5 DOL'.00l-£25.00J.00S'

p_; = S25,fl'.JJ,QOJ-S5G,OOJ.OO:i P4 = SMor;;- t..'iar. ;:so.oor.i.or.m

Vaiut Mtllia:'. Cedes Q = Ap.rr:ai.s:r.l R =Cost (Real E-swtt Only} ' = Assessmem T = Cas:i'M.<lri:e!

(::;ee •:::.c.h1m ·: c2·, i._: • Bcol. Val tit \' =Other \\' =Estimated

_ _ _ _ _

A

-;,;

J T

H

BUY 6125

I

. FINANCI.A..L DISCLOSLi:REREPORT _Na1ne_of Person Reporting ... QaJe_{l[,Jl P.Qrt: _ _ , _ -· -·-· _ ___ · - · -----·--·------ ·------.. --· _ ____ _

Page 6 of7 SEL YA, BRUCE M 5/1512004

- income, 'Wllue, tnmscations (includes those ofthe spouse m1d dependentclllldren. See pp. 34-57 offi1iog iustructious.)VIL INVESTl\1ENTS and TRUSTS

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

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

not exempt from disclosure(I) (2) (1) (2) (1)

Place (x} after each asset exempt Amount Typ' (e.g.from prior disclosure Code 1 div. rent or

(A·H) int)

91. INTERNATIONAL BUSINESS MACHINE A Dividend OMMON STOCK

92. JOHNSON & JOHNSON COMMON STOCK A Dividend

93. LILLY ELI & CO COMMON STOCK A Dividend

-

94. MAXlM INTEGRATED PRODS INC COMMON A Dividend STOCK

95. MBN"KCORP COMMON STOCK A Dividend

96. MEDCO HEALTil SOL1IT10NS COMMON A Dividend STOCK

97. MEDTRONIC INC COMMON STOCK A Dividend

98. MERCK & CO. INC. COMMON STOCK A Dividend

99. MORGAN STANLEY DEAN WITTER & CO. A Dividend COMMON STOCK

100. NEXTEL COMMUNICATIONS INC. COMMON A Dividend STOCK

101. ORACLE CORP. COM COMMON STOCK A Dividend

102. PEPSICO INC. COMMON STOCK A Dividend

103. PFIZER INC COMMON S1DCK A Dividend

104. PROGRESSIVE CORP omo COMMON STOCK A Dividend

105. SCHLUMBERGER LTD COMMON STOCK A Dividend

106. SEALED AIR CORP NEW COMMON STOCK A Dividend

.

107. STAPLES INC COMMON STOCK A Dividend

108. TIMEWARNER<FORMERLY AOLTIME A Dividend WARNER> COMMON STOCK

Value Value Code2 Method (J-P) Code3

(Q-W)

J T ..

J T

J T

J T

J -

T

J T

J T

J T

J T

J T

J T

J T

J T

J T

J T

J T

(2) (3) Type (e.g. Date: Value buy, sell, 11onth- Code 2 merger, Doy (l-P)redemption)

BUY 11/14 J

PS 11/18 J

BUYISEL 8/19 J L

J

SELL 3/7 J

BIN 3121 J

PS 12123 J

(4) Gain Code

(A-H)

A

A

A

A

A

(5) Identity of buyer/seller {ifprivate transaction)

- -

PARTIAL SALE

PARTIAL SALE

NAME CHANGE

= =], lncomclGai11 Cotles: = $1,000 or k:ss E .Sl ,001 -$2...50{} c = $2,501-S:i.OOO D "'$5,001-$15,000 E $15.001-$50,000

B1 and D4) F = $5C.001-Sl0Q.OOO G = $100,001-$1 .OOU,000 HI = Sl ,000.001-£5,000.UOO P..2 ""More than S,5,000.00U(See Coltn:-tllS

Valti.e CoDes: $1:".:.000 or less 1::: = Sl5,001-S50,00D L ""SSG,O:JI-SlOU.000 M ""$1U0.001-S 50,00D

(See Colmuns C = $25(J.00D-550C.O C 0 = 50D,O:JJ-Sl.OIJ JJ0lJ PI "'U ,ODD,G01"$5,00CJ,OOl1 p_: "'$5_000.00l-.$25.000.DOO·3) P3 "" '.:!5.00D,O!Jl-S50,00CLQGU P4 = l\ or::- tliar1 S5U_ODJ.000

Vaiu htethod Colle'., ""Apprais<Jl r: =Cost (Re;;! Esr.a.tt- Oni)') ' = J. •.s.se.ssrnem T "' C:as!v'M r-J:ct Q \Set- Coh1m1 c::;;, u BJoL V.::lll = Othe:- \\" "' Estimated ==

'

I i

o;

1fL TfjAL F.)ND

I

I

{2}

u d'""

(3) \4)

A

(5)

. -

I '

i l

I

I

s;pOO ..

A

------ ----······--·-·---------------·---

I

i

(1)

FINAt"'ClAL DISC'LOSURE'REPORT Paget of 1 ·· ··- - -- SEL YA, BRUCE M 511512004

VIL JNVESThffiNTS and TRL'STS · incCme, value, :ranscati<Jns {include those of th:; spause mid depem:eut ::hil::lren. Seo: pp, 34-57 of fi:in;;: 1.'1Strnc:t:o11s.}

A.

Description of Assets {incJodWg: tnrnt assen;/

B. Inccme during

reportbg period

c. Gross value at end of reporting period

TraD.

mmctium: di.L".ing reporttng period

:noi exenpt drnclosure(2) (1) {!)

Place "(X)" after each aS:ie! exempt Type (e._g.Amount Type (e.&. Value Va be Date: Vu'.lue Gain l1entity of fratn prior disclosure . bus, sell, Ji.1-0llth-Cod= l div. rent. or Co002 MeUio Code2 Code bi.lyedsc!ler

nerger, Day(A·H.) il1i.} (J·P) Code3 (J-P) 1 (A· (ifpr.v::ttredernptfan)(Q-W) Hl nar.ss::tion)

109. · 'NlTED TECHNOLOGIES CORY COMMON A D.ivide::td J T STOCK .•

Dividend J T110. VERIZON COMMiJNICAT!ONS COMMON A STOCK

Dividend J TIll. VltcCOM INC c;,, B COMMON STOCK A

Dividend J T112. W AL!l"'1{T STORES INC CO vfMON A STOCK

113. W AL6REEN CO COMMON STOCK A Dividend J • T

Dividend J T114. WYETI! COMMON STOCK A

ll5. JM CORP COMMON STOCK A Divide:id J T PS 914 J FARTIAL SALE

ll6. RI HEALTI! & ED BLDG MUNI BOND D Jnterest M T

T117. GALAXY GCVERNMENT FUND TRUST A DivJdend K

Dividend JA T ?S 417118. MORGAN STA.'\;'LEY PARTIALINST INTL EQUITY FD A J A MU11JA1 Fmm SALE

A Dividend SELL l :111 J A119. NASDAQ· 100 SERS MUTUAL FUND

lA SELL 315120. S &P 50G DE?OSITORY MUTUAL FUND Dhidend J

Dividend A BUY&PS 5/28121. T ROWE PRICE EQ GR0\1'11! /.GD CAP ::NST A T J A BUY & MF PARTIAL

1. h:ccmcJG:iil; Ccdei:: A - S l .{i'.'.l:i or lest C ""£2,50l-S5.00D :W ;t;,001-$15,000 E - S15.0G1-S50.000

{See Coiurn.n:;, Bl ooci D4) F ""S50.0-8J-$1GC.Ctl0 Hl = OD'.-S5,D00.0flO H::': "'iV::;n t<Jan S:S,000.00 1

2, V lueCoC:es· = l'.15.(l'.JVorlerrs 1;'. o- SlS.OCl SSOJJOO L ..- S50,DOl-T10U.OO'.) M ""Si.OC.O 'J.$25),000

(:�i:e:: Columns Cl au D3) N ,,.. £250.J00·S5U0,{100 O -=- 5�'J,00l-SL0(18,000 ?l """S ,OOJ.Ol_ii-$5,::.:0U,:o:i .. s::.oct-.0\1}-.1 5.::.:; DOG

P3 = S::5.'.'JJS.U:.ll-S5Q,f:C�',CIOD ?4 ,.. Si•: ore 1h;in S50,0S8.00

' ,, . ' .

SELYA,BRUCEM. POSITIONS HELD - OTilER ORG.ANIZicTIONS - PART I

Report Date - May 15, 2004

I was, during the period beginning January 1, 2003 through December 31, 2003, an officer arid/or director and/or a partner in certain corporations and/or other entities, as follows:

1. Pocasset Village Associates (real estate limited partnership) iimited partner.

2. Blackstone Associates (real estate general partnership) ·general piL'i:ner (investment property 011Jy).

3. Friendship Realty Group (real estate general partnership) • general partner (investment property only).

4. Selya Properties (real estate general partnership) general partner (investment property only).-

5. R2 State - Federal Judicial Cmmcil Chairman . ..

6. Rhode rs:ar"d Hospital (a non-profit corporation) Trustee Emeritus.

7. Bryant College (a non-profit corporation) -Tnislee Emeritus.

8. Lifespan Corporation (non-profit holding company for Rhode Island, Miriam, Emma P. Bradley and Nev;'Port Hospitals) - Director.

9. Boston College Law School adjimct professor.

l 0. Boston University Law School adjunct professor.

11. Hospital Associations ofRhode Island (a non-profit co:rporation)- Director.

Date_ 11;2 wy. A KN

t'INANCIAI, DISCLCfSlrRE REPORT Name >f Pe'"'" Rcp·Jrth -·- -----.--- -- --------- --- --- -- --- - ---.--'"--- ---· .,- - - --- -------------· - ---------·-·· ----------· ---·--·--- ·--------- --- ------- -

SEL YA, BRUCEM 5/?5/2004

IX. CERTIFICATION.

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

I further certify tha: earned income from outside ere.ployrnent and honoraria and the acceptance of gifts which have been reported are in eo:npliance wilh the provisions of5 U.S.C. § 501 et seq., 5 U.S.C. § 7353, and Judicial Conference regularionB.

Signatlli-e

NOTE: LLY FALSIFIES ORF AILS TO FILE THIS REPORT MAY BE SUBJECT TO CIV!L &'-'D CRIMINAL SANCTIONS (5 D.S.C. app. § 104)

FILING INSTRUCTIONS

Mail signed original and 3 additional copies to:

Committee on Financial Disclosure Administrative Office of the linited States Courts Suite 2-301 One Columbus Circle, N.E.

Washington, D.C. 20544