Varian , Thomas A · Page 2of8 Varian, Thomas A. 05112/2011 . III. 0 N-JNVESTMENT JN CO ME....
Transcript of Varian , Thomas A · Page 2of8 Varian, Thomas A. 05112/2011 . III. 0 N-JNVESTMENT JN CO ME....
Report Required by 1he E1hics AO JO FINANCIAL DISCLOSURE REPORT
in Goi·ernmenl Acl of 1978 Rev. 112011 FOR CALENDAR YEAR 2010 (5 U.S.C. app. §.$JOI-I/ I)
I. Ptrson Rrporting (last namr, first, middlr initial)
Varian, Thomas A.
2. Court or Organization
U.S. District Court, E. Tenn.
3. Date of Report
05/12/2011
4. Till< (Article III judgu indicate active or srnior status; magistrate judges indicate full- or part-time)
U.S. District Judge - Active
Sa. Rrport Type (chtck appropriate type)
D Nomination. Date
D Initial [{] Annual
Sb. D Amended Report
D Final
6. Rrporting Period
01/01/2010 to
12/31/2010
7. Cbambrrs or Office Address
U.S. District Court 800 Market Street Knoxville, TN 37902
8. On the basis of th< information containrd in this Rtport and any modifications prrtaining thrn:to, it is, in my opinion, in compliance with applicablt laws and rrgulations.
Rc\inling Officer Datt
IMPORTANT NOTES: The instructions accompanying this form must he followed. Complete all parts,
checking the NONE box for each part where you have no reportable information. Sign on last page.
I. POSITIONS. (Reporting individual only; see pp. 9-13 of filing inslruclions.)
D NONE (No reportable positions.)
POSITION NAME OF ORGANIZATION/ENTITY
I. Advisory Board University of Tennessee, Department of Political Science
2. Director Bearden High School Foundation
3. Successor Trustee Alexander Varian Revocable Living Trust
4. Member Judicial Conference of the United States
5. Associate Board University of Tennessee, College of Arts and Sciences
II. AGREEMENTS. (Reporting individual only; see pp. 14-16 of filing ins/ructions.)
[{] NONE (No reportable agreements.)
PARTIES AND TERMS
I.
2.
3.
Varian , Thomas A.
2.
4.
2.
Name of Person Reponing Date of Report FINANCIAL DISCLOSURE REPORT
Page 2of8 Varian, Thomas A. 05112/2011
III. N 0 N-JNVESTMENT JN 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.)
SOURCE AND TYPE INCOME (yours, not spouse's)
I.
3.
B. Spouse's Non-Investment Income - If 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.
3.
4.
IV. REIMBURSEMENTS - transportation, lodging.food, entertainment.
(Includes those to spouse and dependent children; see pp. 25-17 of filing instructions.)
[{] NONE (No reportable reimbursements.)
SOURCE DATES LOCATION PURPOSE ITEMS PAID OR PROVIDED
I.
2.
3.
4.
5.
Date of Report Name of Person Reporting FINANCIAL DISCLOSURE REPORT
Page 3of8 05/12/2011Varian, Thomas A.
V. GIFTS. (Includes thou to spouse and dependent chi/dun; see pp. 18-31 of filing instructions.)
[{] NONE (No reportable gifts.)
SOURCE DESCRIPTION VALUE
I.
2.
3.
4.
5.
VI. LIABILITIES. (Includes those of spouse and dependent children; see pp. 31-33 of filing instructions.)
[{] NONE (No reportable liabilities.)
CREDITOR DESCRIPTION
I.
VALUE CODE
2.
3.
4.
5.
B.
(2) (3) (S)
Dalt or Rtport Namt or Ptnon Rtporting FINANCIAL DISCLOSURE REPORT
Page 4of8 Varian, Thomas A. 05/ 12/20 1 1
VII. INVESTMENTS and TRUSTS - income, value, transactions (lnduues those ofspouse ant! uepenuent children; see PP. N-60 of filing ins1r11c1ions.)
D NONE (No reportable income, assets, or transactions.)
A. C. D.
Description of Assets Income during Gross value at end Transactions during reponing period
(including trust assets) reponing period of reponing period
(I) (2) (I) (2) (I) (4) Place "(X)" after each asset Amount Type (e.g., Value Value Type (e.g.• Date Value Gain Identity of
exempt from prior disclosure div., rent, Code 2 Method buy, sell, mm/dd!yy Code 2 Code I buyer/sellerCode I
(A-H) or int.) (J-P) Code 3 redemption) (J-P) (A-H) (if private
(Q-W) transaction)
I. AmSouth Bank Accounts B Interest K T
2. Coca Cola Common Stock B Dividend L T
3. BB&T Common Stock A Dividend J T
4. U. S. Savings Bond A Interest J T
5. Tennessee's BEST Prepaid Tuition Accounts A Interest J T
6. Strategic Portfolio Service Advantage IRA E Dividend M T - I
7. - Fidelity Adv. Strategy Income A Dividend J T
8. - UMB Scout Stock A Dividend K T
9. - Fideltiy Advisor New Insights A Dividend K T
10. - AM Century Equity Income A Dividend K T
11. - Fidelity Advisors Float Rt A Dividend K T
12. - Franklin Mutual Discovery A Dividend K T
13. - American Century Diversified Bond A Dividend K T
14. - American Century Heritage A Dividend K T
15. - Franklin Mutual Discovery A Dividend J T
16. - American Century Equity Income A Dividend Merged 01/02/IO J A (with line I 0)
17. - Fidelity Advisors New Insights A Dividend Merged 01/02/IO J A (with line 9)
I. Income Gain Codes: A :=$ J.000 or less B 4 1.001 - $2.500 C S2.50l - $5,000 D =$5,00 1 -$15.000 E S 15.001 - $50.000
(Sec Columns BI and D4) f =$50.00 1 -$ 100.000 G $ I00.00 I - $1.000.000 Ill =$1.000.001 -$5.000.000 112 =More 1han $5.000.000
2. Valu.: Codes J ""SI S.000 or less K =SI 5.001 - S50.000 L =S50.00t - St00.000 M =SI00.001 -$250.000
(Sec Columns Cl Jnd DJ) N =$250.00 1 -$500.000 0 =$500.001 -s 1.000.000 Pt =Sl.000.001 -$5.000.000 P2 =$5.000.001 -$25.000.000
rJ =$25.000.001 -S50.ooo.ooo P4 """More than $50.000.000
3. Value Method Codl.'.'s Q "'Arpraisal R =Cosi (Real Es1a1c Only) S =AsscSSffiL'Tlt T =Cash Markel
(S..:.: Column C2) U =-H-Ook Value V=Oth1."f W :obtima1cd
FINANCIAL DISCLOSURE REPORT
Page 5of8
Name of Penon Reporting
Varian, Thomas A.
Dale of Report
0511212011
VII. INVESTMENTS and TRUSTS - income, value, transactions <Includes those ofspouse and dependent children; see PP. J4-6o of filing insttucrions.J
D NONE (No reportable income, assets, or transactions.)
A. B. c. D.
Description of Assets Income dur i ng Gross value at end Tra nsactions during rcponi ng period
(inclu ding trus t ass ets) reponing period of reponing period
(I) (2) (I) (2) (I) (2) (3) (4) (5) Place "(X)" after each asset Amou nt Type (e.g., Va lue Value Type (e.g., Date Va lue G a in Identity o f
exemp t from p rior d isc losure CodeI d iv., rent, Code2 Method buy, sell , mm/dd/yy Code2 Code I buyer/sel ler (A·H) or int) (J.P) Code) redemption) (J-P) (A-H) (ifprivate
(Q-W) transaction)
18. - American Century Heritage A Dividend Merged 01102/10 J A (with line 13)
19. - UMB Scout Stock A Dividend Merged 01/02/10 J A (with line 8)
20. - American Century Diversified Bond A Dividend Merged 01102/10 J A (with line 13)
21. - Fidelity Advisor Float Rt. A Dividend Merged 01/02/10 J A (with line 11)
22. - Fidelity Advisors Strategy Income A Dividend Merged 01102/10 J A (with line 7)
23. - Fidelity Advisor Float Rt. A Dividend Merged 01/02/10 J A (with line 11)
24. - American Century Heritage A Distribution Merged 01/02/10 J A (with line 14)
25. - American Century Heritage A Dividend Merged 01/02110 J A (with line 14)
26. - American Century Diversified Bond A Dividend Merged 01102/10 J A (with line 13)
27. - Putnam Absolute Return JOO A Dividend J T Buy 02/16/10 J
28. Strategic Advantage Service Portfolio IRA A Dividend J T -2
29. - Franklin Mutual Discovery A Dividend J T
30. - UMB Scout Stock A Dividend J T
31. - Fidelity Advisors Strategy Income A Dividend J T
32. - American Century Equity Jncome A Dividend J T
33. - Fidelity Advisors Float Rt. A Dividend J T
34. - Fidelity Advisors New Insights A Dividend J T
I. Income Gain Codes: A =$ l.000 or less B =$1.001 - $2.500 C =$2.501 · SS.000 D=S5.00I - $15.000 E =$15.001 - $50.000
(Sec Columns Bl and D4) F =$50.001 - $100.000 G =$100.001 - $1.000.000 Ill =$1.000.001. $5.000.000 112 =More than $5.000.000
2. Valui.: Codes J =S 15.000 or kss K =SI 5.001 - $50.000 L =$50.001. SI00.000 M =SI00.001 • $250.000
(Sec Columns Cl and DJ) N =$250.001 - $500.000 0 =$500.00 I - S 1.000.000 Pl =Sl.000.001 - $5.000.000 P2 =$5.000.001 - $25.000.000
PJ =$25.000.00 I • $50.000.000 N =More than $50.000.000
3. Value Mclhod Codes Q =Appraisal R =Cost (Real Estato Only) S =Assessment T =Cash Markel
(Sec Column C2) U =llook Value v =Oth1..1 W ='Estimated
I' "
(2) (3)
Date or Report Name or Penon Reporting FINANCIAL DISCLOSURE REPORT
Page 6of8 05/12/2011Varian, Thomas A.
VI I. INVESTMENTS and TR us Ts - income, value, transactions (Includes thou of spouse and dependent children; SU pp. 34-60 of filing instructions.)
D NONE (No reportable income, assets, or transactions.)
A. B. c. D.
Description of Assets Income during Gross value at end Transactions during reporting period
(including trust assets} reporting period of reporting peiiod
(I) (2} (I) (2) (I) (4) (5) Place "(X)" afler each asset Amount Type (e.g., Value Value Type (e.g., Date Value Gain Identity of
e empt from prior disclosure Code I div., rent, Code 2 Method buy, sell, mmldd/yy Code 2 Code I buyer/seller (A-H) or int.) (J-P) Code 3 redemption) (J-P} (A-H) (if private
(Q-W) transaction)
35. - American Century Diversified Bond A Dividend J T
36. - American Century Herilage A Dividend J T
37. - Putnam Absolute Ret 100 A Dividend J T Buy 01/15/10 J
38. Strategic Portfolio Service Advantage, SEP/
IRA A Dividend Merged
(with line 28) 01/15/10 J A
39. - !shares Russell 3000 Index Fund A Dividend Merged
(with line 28)
01/15/10 J A
40. ,. 1 Varian Revocable Living Trust None M w
41.
I. Income Gain Codes: A =$1.000 or less B =$1,001 -$2.500 c =$2.501 - $5,000 D =SS.DOI - $15.000 E =$15.001 - $50.000
(See Columns BI and D4) F =$50.001 -$100,000 G =$100.001 -$1.000.000 Ill =$1.000.001 - $5.000.000 112 =More than $5.000.000
2. Value Codes J =S 15.000 or less K =$15.001 -$50.000 L =$50.001 - SI00.000 M =SI00.001 -$250.000
(Sec Columns Cl and DJ) N =$250.00 I - $500.000 0 =$500.001 - s I.000.000 Pl =Sl.000.001 - $5,000.000 P2 =SS.000.001 - $25.000.000
Pl =$25.000.001 - $50.000.000 P4 =More than $50.000.000
3. Value Method COOcs Q =Appraisal R =Cost (Real Estate Only) S =Assessment T =Cash M::i.rLct
(Sec Column C2) U =!look Value V =Other W =Estimated
Namt of Ptrson Rrporting Date or Report FINANCIAL DISCLOSURE REPORT
Page 7of8 Varian, Thoma5 A. 05112/2011
VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. (lndicalepartofuport)
FINANCIAL DISCLOSURE REPORT
Page 8of8
Nam• of Prrson Rrporting
Varian, Thomas A.
Dair of Report
05112/2011
IX. CERTIFICATION.
I certify Iha I all informalion givrn abovr (including information prrlaining to my spousr and minor or drprndrnl children, if any) is accuralr, lrur, and com pk Ir to thr brst of my knowledge and brlirf, and Iha I any informalion not rrportrd was wilhhcld brcausr it met applicablr stalutory provisions prrmitling non-disclosurr.
I furthrr crrlify lhat rarnrd incomr from oulsidr rmploymrnt and honoraria and lhr accrptancr of gifls which bavr brrn rrportrd arr in compliancr wilh lhr provisions of 5 ll.S.C. app. § 501 rt srq., 5 U.S.C. § 7353, and Judicial Confrrencr rrgulalions.
s/ Thomas A. Varian Sianaturr ..
NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE THIS REPORT J\IAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (5 U.S.C. app. § 104)
Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301
One Columbus Circle, N.E. Washington, D.C. 20544
3.
Reporl Required by rhe Erhics AO 10 FINANCIAL DISCLOSURE REPORT
in Go1·ernmenl Act of1978 Rev. 112011 FOR CALENDAR YEAR 2010 (5 U.S.C. app. §§ 101-111)
I. Per.on Reporting (last name, first, middle initial)
Varian, Thomas A.
2. Court or Organization
U.S. District Court, E. Tenn.
5a. Report T)'pe (<heck appropriate l)·pe)
D Nomination, Date
D Initial [{] Annual D Final
Sb. [{] Amended Report
3. Date of Report
08/17/2011
6. Reporting Period
01/01/2010
to
12/31/2010
4. Tille (Article Ill judges indicate active or senior status; magistrate judges indicate full- or part-time)
U.S. District Judge - Active
7. Chambers or Office Address
U. S. District Court 800 Market Street, Suite 143
Knoxville, TN 37902
8. On the basis of the information contained in this Rtport and any modifications pertaining thereto, it is, in my opinion, in compliance
with applicable laws and regulations.
Rnie,."ing Offictr Date
IMPORTANT NOTES: The instructions accompanying this form must be followed. Complete all parts,
checking the NONE box for each part where you have no reportable information. Sign on last page.
I. POSITIONS. (Reporting individual only; see pp. 9-13 of filing ins/ructions.)
D NONE (No reportable positions.)
POSITION NAME OF ORGANIZATION/ENTITY
I . Advisory Board University of Tennessee, Department of Political Science
2. Director Bearden High School Foundation
3. Successor Trustee Varian Revocable Living Trust
4. Member Judicial Conference of the United States
5. Associate Board University of Tennessee, College of Arts and Sciences
II. AGREEMENTS. (Reporting individual only; see pp. 14-16 of filing instruclions.)
[{] NONE (No reportable agreements.)
PARTIES AND TERMS
I .
2.
Varian , Thomas A. A
4.
I.
Date or Report Name or Person Reporting FINANCIAL DISCLOSURE REPORT
Page 2of8 Varian, Thomas A. 08117/2011
HJ. N 0 N-INV ESTMENT IN CO ME. (Reporting individual and spouse; m pp. 17-U of filing instructions.)
A. Filer's Non-Investment Income
[{] NONE (No reportable non-investment income.)
SOURCE AND TYPE INCOME (yours, not spouse's)
I.
2.
3.
B. Spouse's Non-Investment Income - I/you were ma"ied 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.
JV. REJMB URSEMENTS - transportation, lodging.food, entertainmenL
(Includes those to spouse and dependent children; see pp. 25-27 of filing instructions.)
[{] NONE (No reportable reimbursements.)
SOURCE DATES LOCATION PURPOSE ITEMS PAID OR PROVIDED
2.
3.
4.
5.
3.
Date of Report Name of Penon Reporting FINANCIAL DISCLOSURE REPORT
Page 3of8 Varian, Thomas A. 08/17/2011
V. GIFTS. (Includes those to spouu and dependent children; see pp. 18-31 of filing instructions.)
[{] NONE (No reportable gifts.)
SOURCE DESCRIPTION VALUE
I.
2.
3.
4.
5.
VI. LIABILITIES. (Includes those of spouse and dependent children; see pp. 31-33 of filing instructions.)
[{] NONE (No reportable liabilities.)
CREDITOR DESCRIPTION VALUE CODE
I.
2.
4.
5.
Name of Person Reporting Date of Report FINANCIAL DISCLOSURE REPORT
Page 4of8 Varian, Thomas A. 08/17/201 1
VII. INVESTMENTS and TRUSTS -income, value, transadions r1nc1udes thou of spouse and dependent children; see PP· J4-6o of filing instructions.)
D NONE (No reportable income, assets, or transactions.)
A. B. c. D.
Description of Assets Income during Gross value at end Transactions during reponing period
(including trust assets) reporting period of reponing period
(I) (2) (I) (2) (I) (2) (3) (4) (5)
Place "(X)" after each asset Amount Type (e.g.• Value Value Type (e.g.• Date Value Gain Identity of
exempt from prior disclosure Code I div., rent, Code 2 Method buy. sell, mm/dd/yy Code 2 Code I buyer/seller
(A-H) or int.) (J-P) Code3 redemption) (J-P) (A-H) (if private
(Q-W) transaction)
I. AmSouth Bank Accounts B Interest K T
2. Coca Cola Common Stock B Dividend L T
3. BB&T Common Stock A Dividend J T
4. U.S. Savings Bond A Interest J T
5. Tennessee's BEST Prepaid Tuition Accounts A Interest J T
6. Strategic Portfolio Service Advantage IRA E Dividend M T - I
7. - Fidelity Adv. Strategy Income A Dividend J T
8. - UMB Scout Stock A Dividend K T
9. - Fideltiy Advisor New Insights A Dividend K T
IO. - AM Century Equity Income A Dividend K T
11. - Fidelity Advisors Float Rt A Dividend K T
12. - Franklin Mutual Discovery A Dividend K T
13. - American Century Diversified Bond A Dividend K T
14. - American Century Heritage A Dividend K T
15. - Franklin Mutual Discovery A Dividend J T
16. - American Century Equity Income A Dividend Merged 0 1/02/10 J A (with line 10)
17. - Fidelity Advisors New Insights A Dividend Merged 0 1/02/10 J A (with line 9)
I. Income Gain Cocks: A =$1.000 or less B =$1,001 - $2.500 c =$2.50t - $5,000 D =$5.001 -$15.000 l =$15.001 - $50.000
(Sec Columns Bl and D4} F =$50.001 -$100.000 G =SJ00.001 -$1.000.000 111 =Sl.000.001 -$5.000.000 I12 =More Imm $5.000.000
2. Value Ccxks J =Sl5.000orlcss K =$15.001 -Sl0.000 L =$50.001 - SI00.000 M =SI00.001 - $250.000
(Sec Columns Cl and DJ) N =$250.001 - $500.000 0 =$500.001 - SJ.000.000 Pl =SJ.000.001 - $5.000.000 P2 =Sl.000.001 -$25.000.000
rJ =S25.ooo.001 - S5o.ooo.ooo P4 =More lhan $50.000.000
J. Value Mclhod Codes Q=Appraisal R =Cost (Real Eslatc Only) S =Assessment T =Cash Morkc:t
(Sec Column C2) U =f:Jool Value V =Othcr W =Estimated
(3) (4) (5)
FINANCIAL DISCLOSURE REPORT
Page 5of8
Name of Person Reporting
Varian, Thomas A.
Dale of Report
08/17/2011
VII. INVESTMENTS and TRUSTS -income, .. a1ue, transactions <Includes thou of spouse and dependent children; see PP. 1.1-60 offilinK instructions.)
D NONE (No reportable income, assets, or transactions.)
A. B. c. D.
Description of Assets Income during Gross value at end Transactions during reporting period
(including trusl assets) reporting period of reporting period
(I) (2) (I) (2) (I) (2)
Place "(X)" afler each assel Amounl Type (e.g., Value Value Type (e.g., Date Value Gain Identity of
exempt from prior disclosure Code I div., rent, Cocle 2 Method buy, sell, mm/dd/yy Code 2 Code I buyer/seller (A-H) or int.) (J-P) Code3 redemption) (J-P) (A-11) (ifprivate
(Q-W) transaction)
18. - American Century Heritage A Dividend Merged (with line 13)
19. - UMB Scout Slock A Dividend Merged
(with line 8)
20. - American Century Diversified Bond A Dividend Merged (with line 13)
21. - Fidelity Advisor Float Rt. A Dividend Merged
(with line 11)
22. - Fidelity Advisors Strategy Income A Dividend Merged (with line 7)
23. - Fidelity Advisor Float Rt. A Dividend Merged
(with line 11)
24. - American Century Heritage A Distribution Merged (with line 14)
25. - American Century Heritage A Dividend Merged (with line 14)
26. - American Century Diversified Bond A Dividend Merged (with line 13)
27. - Putnam Absolute Return 100 A Dividend J T Buy
28. Strategic Advantage Service Portfolio IRA A Dividend J T -2
29. - Franklin Mutual Discovery A Dividend J T
30. - UMB Scout Stock A Dividend J T
31. - Fidelity Advisors Strategy Income A Dividend J T
32. - American Century Equity Income A Dividend J T
33. - Fidelity Advisors Float Rt. A Dividend J T
34. - Fidelicy Advisors New Insights A Dividend J T
01/02/10 J A
01102110 J A
01/02/10 J A
01/02/10 J A
01/02/10 J A
01/02/10 J A
01/02/10 J A
01/02/IO J A
01/02/10 J A
02116/10 J
I. Income Gain Codes: A =$1.000 or less B =$1,001 -$2.500 c =$2.501 . $5.000 0=$5.001-$15.000 E =Sl5.00I - $50.000 (See Columns Bl and 04) F =$50.001 -$100.000 G :SI00.001 -$1.000.000 Ill =$1.000.001 -$5.000.000 112 ==More than SS.000.000
2. Value Codes J =S 15.000 or less K =S15.001 -S50.000 L =S50.00I - SI00.000 M =SI00.001 -$ 50.000
(Sec Columns Cl and DJ) N =$250.001 -SS00.000 0 =S500.00 I -S 1 .000.000 PI =S 1.000.00 I - $5.000,000 r2 =$5.000.001 -$25.ooo.ooo
Pl =$25.000.00 I -S50.000.000 r..i =More 1h:m S50.000.000
3. Value Mc1hod Codes Q =Appraisal R =Cost (Real Estate Only) S =Assessment T =Cash Market
(Sec Column C2) U =Book Value V =Other W ='Estimated
f;;;,};;1;1;;;.¥1
(2) (2) (2)
Page 6of8
Date of Report Name of Penon Reporting FINANCIAL DISCLOSURE REPORT
Varian, Thomas A. 08/17/2011
VII. INVESTMENTS and TRUSTS income, value, transactions (Includes those of spouse and dependent children; see PP· 34-60 of filing instructions.) -
D NONE (No reportable income, assets, or transactions.)
A. B. c. D.
Description of Assets Income during Gross value at end Transactions during rl"pOrting period
(including trust assets) rl"pOrting period of rl"pOrting period
(I) (I) (I) (3) (4) (5)
Place "(X)" after each asset Amount Type (e.g., Value Value Type (e.g., Date Value Gain Identity of
exempt from prior disclosure Code I div., rent, Code 2 Method buy, sell, mm/dd/yy Code 2 Code I buyer/seller (A-H) or int.) (J-P) Code) redemption) (J-P) (A-H) (if private
(Q-W) transaction)
35. - American Century Diversified Bond A Dividend J T
36. - American Century Heritage A Dividend J T
37. - Putnam Absolute Rel 100 A Dividend J T Buy 01115/10 J
38. Strategic Portfolio Service Advantage, SEP/ IRA
A Dividend Merged (with line 28)
01/15/10 J A
39. - )shares Russell 3000 Index Fund A Dividend Merged (with line 28)
01/15/10 J A
40. Varian Revocable Living Trust (X) (See Part VIII)
None M w
41.
I. Income Gain Codes: A =$1.000 or less B =$1,001 • $2.500 c =$2.501 - $5.000 D =$5.001 -$15.000 E =S 15.00 I - $50.000
(Sec Columns BI and 04) F =$50.001 - $100.000 G =$I 00.00 I -$1.000.000 Ill =$1.000.001 -$5.000.000 112 =More than $5.000.000
2. Value Codes J =$15.000 or less K =SI 5.001 -$50.000 L =$50.001 -SI00.000 M =SI00.001 • $250.000
(Sec Columns Cl and 03) N =$250.001 • $500.000 0 =$<00.00 I • $1.000.000 r1 =Sl.000.001. $5.ooo.ooo P2 =$5.000.001 - $25.000.000
rJ =$25.000.001 • sso.000.000 P-t =More 1ha11 S 0.000.000
3. Value Mcihod Codes Q=Appraisal K :Cost (Real Estate Onl ) S =Assessment T =Cash Market
(Sec Column C2) U =Uoolo.. Value v =Oth1..'T \\' =!::.stimatcd
Part VII, Line 40
Date of Report :-lame of Penon Reporting FINANCIAL DISCLOSURE REPORT
Page 7of8 08117/2011Varian, Thomas A.
VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. (/ndicale partofreporL)
Name of Person Reporting Date of Report FINANCIAL DISCLOSURE REPORT
Page 8of8 Varian, Thomas A. 08/17/2011
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 proYisions 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 pro\·isions of 5 U.S.C. app. § 501 et. seq., 5 U.S.C. § 7353, and Judicial Conference regulations.
Signature: s/ Thomas A. Varian
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)
Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301
One Columbus Circle, N.E.
Washington, D.C. 20544