___________ _ 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