D NONE (No reportable positions.)
|
|
- Clement Grant
- 8 years ago
- Views:
Transcription
1 Report Required by the Ethics in Government Act of 1978 FOR CALENDAR YEAR 2011 (5 U.S.C. app ) I. Person Reporting (last name, first, middle initial) Court or Organization Smith, William E. District of Rhode Island 03/28/2012 Title (Article III judges indicate active or senior status; magistrate judges indicate full- or part-time) Article Ill -- active Sa. Report Type (check appropriate type) D Nomination Date D Initial [{ Annual D Final Sb. Amended Report D 6. Reporting Period 01/01/2011 to 12/ Chambers or Office Address U.S. Courthouse One Exchange Terrace Providence, RI IMPORT ANT 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.. Insert signature on last page. I. POSITIONS. (Reportng individual only; see pp of filing instructions.) D NONE (No reportable positions.) POSITION NAME OF ORGANIZATION/ENTITY I. Director Family Service of Rhode Island ASTAR (Advanced Science & Technology Adjudication Resource Center, Inc.) Director II. AGREEMENTS. (Reporting individual only; see pp of filing instructions.) D NONE (No reportable agreements.) PARTIES AND TERMS I Roger Williams University School of Law; agreement to teach Judicial Process course, spring and fall semesters Roger Williams University School of Law; agreement to teach Advanced Evidence course, spring semester Roger Williams University School of Law; agreement to teach Federal Practice/Federal Litigation course, spring and fall semesters 2011
2 Page 2of6 Smit h, William E. 03/28/2012 Ill. N 0 N-INVESTMENT IN CO ME. (Reporting individual and spouse; see pp of filing instructions.) A. Filer's Non-Investment Income D NONE (No reportable non-investment income.) SOURCE AND TYPE INCOME (yours, not spouse's) I Roger Williams University School of Law - teaching $26,9500 B. Spouse's Non-Investment Income - I/you were married during any portion of the reporting year, complete this section. (Dollar amount not required except for honoraria.) D NONE (No reportable non-investment income.) SOURCE AND TYPE I RI Economic Development Corporation - salary IV. REIMBURSEMENTS - transportation, lodging.food, entertainment. (Includes those to spouse and dependent children; see pp of filing instructions.) [{ NONE (No reportable reimbursements.) SOURCE DATES LOCATION PURPOSE ITEMS PAID OR PROVIDED I.
3 Page 3 of 6 Smith, William E. 03/28/2012 V. GIFTS, (Includes those to spouse and dependent children; see pp of filing instructions.) [{ NONE (No reportable gifts.) SOURCE DESCRIPTION VALUE I. VI. LIABILITIES. (Includes those of spouse and dependent children; see pp of filing instructions.) D NONE (No reportable liabilities.) CREDITOR DESCRIPTION VALUE CODE I. American Expres revolving credit K VISA revolving credit K Sovereign Bank line of credit J RI Student Loan Authority student loan J RI Student Loan Authority student loan
4 Page 4of6 Smith, William E. 03/28/2012 VII. INVESTMENTS and TRUSTS -- income, va111e, transactions r1nc111des those of spo11se and dependent children; see PP of filing instr11ctions.j D NONE (No reportable income, assets, or transactions.) A. B. Description of Assets Income during Gross value at end Transactions during reporting period (including trust assets) reporting period of rep()rting period c. (I) (2) (I) (2) (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, Code2 Method buy, sell, Code2 Code I buyer/seller (A-H) or int.) (J P) Code3 redemption): (J-P) (A-H) (if private (Q-W) (2) mrndd/yy D. tralisacticin) I. Fidelity 529 "Unique" Plan - age based A Int./Div. J T r JO I. Income Gain Codes: A =$1.000 or less ll =$1,001 -$500 c =$2,501 -$5,000 0 =$5,001 -$15,000 E =$15,001 - $50,000 (Sec Columns ll l and 04) F =$ $100,000 G =$ $ HI =$1.000,001 -$ H2 =More than $ Value Codes J =$1000 or less K =$15,001 -$ L =$50.00I -$I M =$ $ (Sec Columns C 1 and 03) N =$ $ =$500,001 - $ Pl =$1.000,001 -$5,000,000 P2 =$5,000,001 - $25,000,000 1'3 =$2000,001 - $ P4 =More than $50, Value Mctht>d Codes Q =Appraisal R =Cost (Real Estate Only) S =Assessment T =Cash Market (Sec Column C2) U =Book Value V =Other W =Estimated
5 Page 5of6 Smith, William E. 03/28/2012 VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. (lndicatepartofreport.)
6 Page 6of6 Smith, William E. 03/28/2012 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. app. 501 et. seq., 5 U.S.C. 7353, and Judicial Conference regulations. Signature: s/ William E. Smith NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILLFULLY 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 One Columbus Circle, N.E. Washington, D.C
state Of Pennsylvania Munley, PA Personal/Business Tax Deductions
Munley, James M. AO IO Rev. 112011 FINANCIAL DISCLOSURE REPORT in Government Act of 1978 FOR CALENDAR YEAR 2010 (5 U.S.C. app. 101-11 I) Report Required by the Ethics 1. Person Reporting (last name, first,
More information[{ NONE (No reportable positions.)
1 AOJO Rev. 112013 Report Required by the Ethics in Government Act
More informationD NONE (No reportable positions.)
AOJO Rev. 112013 FINANCIAL DISCLOSURE REPORT Report Required by the Ethics in Government Act of 1978 FOR CALENDAR YEAR 2012 (5 U.SC. app. 101-111) I. Person Reporting (last name, first, middle initial)
More informationD NONE (No reportable positions.)
AO JO Rev. 112013 FINANCIAL DISCLOSURE REPORT Report Required by the Ethics in Government Act of 1978 FOR CALENDAR YEAR 2012 (5 U.S.C. app. 101-111) I. Person Reporting (last name, first, middle initial)
More informationD NONE (No reportable positions.)
Brimmer, Philip A. A01.0 Rev. 112/Jfl Report Required by the Ethics FINANCIAL DISCLOSURE REPORT in Government Act of 1978 FOR CALENDAR YEAR 2010 (5 U.S.C. app. 101-111) I. Person Reporting (last name,
More informationD NONE (No reportable positions.)
AOlO Rev. 112012 FINANCIAL DISCLOSURE REPORT Report Required by the Ethics in Government Act of 1978 FOR CALENDAR YEAR 2011 (5 U.S.C. app. 101-111) I. Person Reporting (last name, first, middle initial)
More information[{ NONE (No reportable positions.)
.. AOJO Rev. 112011 FINANCIAL DISCLOSURE REPORT Report Required by the Ethics in Government Act of1978 FOR CALENDAR YEAR 2010 (5 U.S.C. app ff JOI-I I I) Person Reporting (last name, first, middle initial)
More informationD NONE (No reportable positions.)
AOIO Rev. l/20ll FINANCIAL DISCLOSURE REPORT FOR CALENDAR YEAR 2010 Report Required by Jhe E1hics in Governmenl Ac/ of 1978 (5 U.S.C. app. 101-1l1) I. Person Reporting (last name, first, middle initial)
More informationFOR CALENDAR YEAR 2010 (5 U.S.C. app..~.~" I01-111)
Kane, Yvette Report Required by the Ethics AO 10 FINANCIAL DISCLOSURE REPORT in Govermnent Act of 1978 Rev. 1/2011 FOR CALENDAR YEAR 2010 (5 U.S.C. app..~.~" I01-111) I. Person Reporting (last name, first,
More informationSeptember 20, 2007. Re: Dean D. Pregerson, 2006 Financial Disclosure Report. Dear Ortrie D. Smith,
September 20, 2007 Committee on Financial Disclosure Administrative Office of the United States Courts One Columbus Circle N.E., Suite 2-301 Washington D.C. 20544 o> }> ljr., Re: Dean D. Pregerson, 2006
More informationFINANCIAL DISCLOSURE REPORT FOR CALENDAR YEAR 2007. U.S. District Court. D Initial. Amended Report. Sb. Reviewing Officer
AOJO Rev. 112008 FINANCIAL DISCLOSURE REPORT FOR CALENDAR YEAR 2007 Report Required by the Ethics in Government Act of 1978 (5 U.S.C. app. 101-111) 1. Person Reporting (last name, first, middle initial)
More informationReport Required by the Ethics AOIO in Government Act of 1978 Rev. 112006 FOR CALENDAR YEAR 2005 (5 U.S.C. app. JOI-I I I) FINANCIAL DISCLOSURE REPORT
Report Required by the Ethics AOIO in Government Act of 1978 Rev. 112006 FOR CALENDAR YEAR 2005 (5 U.S.C. app. JOI-I I I) 1. Person Reportng (last name, first, middle initial) Court or Organization U.S.
More information[{] NONE (No reportable positions.)
AO JO Rev. 112013 FINANCIAL DISCLOSURE REPORT FOR CALENDAR YEAR 2012 Report Required by the Ethics in Government Act of 1978 (5 U.S.C. app.. H 101-111) I. Person Reporting (last name, first, middle initial)
More information[R NONE (No reportable positions.)
Johnson, Thomas E. AO JO Rev. 11201 / FINANCIAL DISCLOSURE REPORT Report Required by rhe Erhics in Gm emmenr Acr of 1978 FOR CALENDAR YEAR 2010 (5 U.S.C. app. JOI-I/ I) Person Reporting (last name, first,
More informationD NONE (No reportable positions.)
FINANCIAL DISCLOSUR REPORT Report Required by the Ethics AOJO in Government Act of 1978 Rev. 112007 FOR CALENDAR YEAR 2006 (5 U.S.C. app. 101-1I1) 1. Person Reporting (last name, first, middle initial)
More informationD NONE (No reportable non-investment income.) [Z NONE (No reportable non-investment income.) D NONE (No reportable reimbursements.
Williams_Ann_C Name of Person Reporting Date of Report Page 2of6 Williams, Ann C. 0511312009 Ill. NON-INVESTMENT IN COME. (Reporting individual and spouse; see pp. 17-24 offiling instructions.) A. Filer's
More informationD NONE (No reportable positions.)
AO 10 Rev. 112012 FINANCIAL DISCLOSURE REPORT Report Required by the E1/1ics in Government Act of 1978 FOR CALENDAR YEAR 2011 (5 U.S.C. app. /0/-1 //) 1. Person Reporting (last name, first, middle initial)
More information[K NONE (No reportable positions.)
A010 Rev.112007 FINANCIAL DISCLOSURE REPORT FOR CALENDAR YEAR 2006 Report Required by the Ethics in Government Act of 1978 (5 U.S.C. app. 101-111) 1. Person Reporting (last name, first, middle initial)
More informationD NONE (No reportable positions.)
AO JO Rev. 112008 FINANCIAL DISCLOSURE REPORT FOR CALENDAR YEAR 2008 Report Required by the Ethics in Government Act of 1978 (5 U.S.C. app. JOI-I I I) I. Person Reporting (last name, first, middle initial)
More informationPerson Reporting - A Practical Legal Guide
AOIO Rev. 112013 FINANCIAL DISCLOSURE REPORT Report Required by the Ethics in Government Act of 1978 FOR CALENDAR YEAR 2012 (5 U.S.C. app..h 101-111) I. Person Reporting (last name, first, middle initial)
More informationFOR CALENDAR YEAR 2010 (5 U.S.C. app. 101-111)
O Brien, Terrence L. AO I0 FINANCIAL DISCLOSURE REPORT Rev. 1/2011 FOR CALENDAR YEAR 2010 (5 U.S.C. app. 101-111) Report Required by the Ethics in Government Act of 1978 1. Person Reporting (last name,
More informationD NONE (No reportable positions.)
Report Required by the Ethics AOlO in Government Act of 1978 Rev.112007 FOR CALENDAR YEAR 2006 (5 u.s.c. app. 101-111) J. Penon Reporting Qast name, first, middle initial) Bea, Carlos T 2. Court or Organization
More informationUNITED STATES DISTRICT COURT
UNITED STATES DISTRICT COURT EASTERN DISTRICT OF PENNSYLVANIA CHAMBERS OF TIMOTHY J. SAVAGE DISTRICT JUDGE 9614 UNITED STATES COURTHOUSE INDEPENDENCE MALL PHILADELPHIA, PENNSYLVANI A 19106 267-299-7480
More informationFINANCIAL DISCLOSURE REPORT FOR CALENDAR YEAR 2006. U.S. District Court, Mass. D Initial Annual. Amended Report. Sb.
O IO Rev. 112007 FINNCIL DISCLOSURE REPOR FOR CLENDR YER 2006 Report Required by the Ethics in Government ct of 1978 (5 U.S.C. app. 101-111) l. Person Reporting (last name, first, middle initial) Court
More informationD NONE (No reportable positions.)
Rader, Randall R. FINANCIAL DISCLOSURE REPORT Report Required by the Ethics in Government Act of 1978 FOR CALENDAR YEAR 2010 (5 U.S.C. app. 101-111) 1. Person Reporting {last name, first, middle initial)
More informationD NONE (No reportable positions.)
AOlO FINANCIAL DISCLOSURE REPORT Report Required by the Ethics in Governent Act of 1978 Rev.112006 FOR CALENDAR YEAR 2005 (5 U.S.C. app. 101-111) 1. Person Reporting Oast name, first, middle Initial) Court
More informationD NONE (No reportable positions.)
Tunheim. John R. AO JO Rev. 112011 FINANCIAL DISCLOSURE REPORT Report Required by 1he E1hics in Governmenl Ac/.of1978 FOR CALENDAR YEAR 2010 (5 U.SC. app. JOI-I I I) I. Person Reporting (last name, first,
More informationD NONE (No reportable positions.)
AO JO Rev. 112012 FINANCIAL DISCLOSURE REPORT FOR CALENDAR YEAR 2011 Report Required by the Ethics in Government Act of 1978 (5 U.S.C. app. JOI-Ill) I. Person Reporting (last name, first, middle initial)
More informationFINANCIA DISCLOSUR REPORT. in Government Act of 1978 FOR CALENDAR YEAR 2004 (5 U.S.C. app. 101-111) District of Kansas. Q Nomination, Date
.... A0-10 Rev. l/2004 FINANCIA DISCLOSUR REPOR Report Required by the Ethics in Government Act of 1978 FOR CALENDAR YEAR 2004 (5 U.S.C. app. 101-111) Person Reporting (Last name, First name, Middle initial)
More informationD NONE (No reportable positions.)
O IO Rev. 112011 FINNCIL DISCLOSURE REPORT FOR CLENDR YER 2011 Report Required by the Ethics in Government ct of 1978 (5 U.S.C. app. IOI-Ill) I. Person Reporting (last name, first, middle initial) Court
More information[K NONE (No reportable positions.)
Report Required by the Ethics AO IO in Government Act of I978 Rev. J/2007 FOR CALENDAR YEAR 2006 (5 U.S.C. app. IOI-I I I) I. Person Reporting (last name, first, middle initial) Court or Organization TEILBORG,
More informationD NONE (No reportable non-investment income.)
Danniels_George_B FNANCAL DSCLOSURE REPORT Page 2of6 Daniels,, George B. 05/6/2009. N 0 N-NVESTMENT N CO ME. (Reporting individual and spouse; see pp. 17-14 of filing instructions.) A. Filer's Non-nvestment
More information[Z NONE (No reportable positions.)
.. AO JO FNANCAL DSCLOSURE REPORT Report Required by the Ethics 111 Government Act of 1978 Rev. 112008 FOR CALENDAR YEAR 2007 (5 USC opp. Ol-llJ) L Person Reporting (last name. first, middle initial) Court
More informationD NONE (No reportable positions.)
Kol lar-kotel Iv, Colleen AO JO Rev. 112011 Report Required by the Ethics FINANCIAL DISCLOSURE REPORT in Government Act of 1978 FOR CALENDAR YEAR 2010 (5 U.S.C. app. 101-11 l) I. Person Reporting (last
More informationFINANCIAL DISCLOSURE REPORT. 2. Court or Organization. U.S.D.C. - S.D. Tx. Sa. Report Type (check appropriate type) D Nomination,
Atlas, Nancy F. ;Aoio Rev. 112011 Report Required by the Ethics in Government Act of 1978 FOR CALENDAR YEAR 2010 (5 U.S.C. app. 101-111) I. Person Reporting (last name, first, middle initial) Court or
More informationD NONE (No reportable positions.)
AO IO Rev. 112006 FINANCIAL DISCLOSURE REPORT Report Required by the Ethics in Government Act of1978 FOR CALENDAR YEAR 2005 {5 US.C. app. IOI-II I) I. Person Reporting (last name, first, middle initial)
More information[Z NONE (No reportable non-investment income.) D NONE (No reportable non-investment income.) [Z NONE (No reportable reimbursements.
Nelson_Thomas_G FNANCAL DSCLOSURE REPORT Page 2of6 Name or Person Reporting Date or Report NELSON, THOMAS G. 03/06/2009 J J J. N 0 N-JNVESTMENT N CO ME. (Reporting indmdual and spouse; see pp. 17-4 of
More informationFINANCIAL DISCLOSURE REPORT FOR CALENDAR YEAR 2005. 2. Court or Organization. Wester District of Missouri. Sa. Report Type {check appropriate type)
AOlO Rev. 1126 FINANCIAL DISCLOSURE REPORT Report Required by the Ethics FOR CALENDAR YEAR 25 in Government Act of 1978 (5 U.S.C. app. 11-111) Person Reporting (last name, first, middle initial) Laughrey,
More informationII. AGREEMENTS. (Reporting individual only; see pp. 14-16 of filing instructions.) C- 9 0 _o rn 0 0 NONE (No reportable agreements.
I. POSITI0NS. (Reporting individual only; see pp. 9-13 of filing instructions.) 0 NONE (No reportable positions.) NAME OF ORGANIZATION/ENTITY I. Director Las Familias del Pueblo (a not-for-profit corporation),..._,...
More informationAOIO FINANCIAL DISCLOSURE REPORT. in Government Act of 1978 Rev. 112006 FOR CALENDAR YEAR 2005 (5 U.S.C. app. 101-1 Jl) 2. Court or Organization
' Report Required by the Ethics AOO FNANCAL DSCLOSURE REPORT in Government Act of 1978 Rev. 112006 FOR CALENDAR YEAR 2005 (5 U.S.C. app. 101-1 Jl). Person Reporting (last name, first, middle initial) Copenhaver,
More informationD NONE (No reportable positions.)
O O FINNCIL DISCLOSURE REPOR in Government ct of I 978 Rev. 112007 FOR CLENDR YER 2006 (5 U.S.C. app. OI-I II) Report Required by the Ethics Person Reporting (last name, first, middle initial) Court or
More informationD NONE (No reportable positions.)
Webber, E. Richard AO JO Rev. J/20ll FINANCIAL DISCLOSURE REPORT Report Required by the Ethics in Go1 ernment Act of 1978 FOR CALENDAR YEAR 2010 (5 V.S.C. app. 101-1 I I) Penon Reporting (last name, first,
More information[{ NONE (No reportable positions.)
Wi 11 iams, Stephen F. AO JO Rev. 112011 FINANCIAL DISCLOSURE REPORT Report Required by the Ethics in Government Act of 1978 FOR CALENDAR YEAR 2010 (5 U.S.C. app. IOI-I I I) Person Reporting (last name,
More informationD NONE (No reportable positions.)
Bolton, Susan R. Report Required by the Ethics FINNCIL DISCLOSURE REPOR in Government ct of 1978 FOR CLENDR YER 2010 (5 U.S.C. app. 101-111) 1. Person Reporting (last name, first, middle initial) 2. Court
More informationReport Rcqu.ired by the Ethics A0-10. Calendar Year 2003 (5 U.S.C. app. tof.-111). 2. Court or Organization 3. Date of Report
j:,_ Report Rcqu.ired by the Ethics A010 FNANCAL DSCLOSUR REPORT in Government Act of 1978 l/ 004. Ll. Calendar Year 2003 (5 U.S.C. app. tof.111).. Person R
More informationD NONE (No reportable positions.)
.. AOIO FINANCIAL DISCLOSURE REPORT Report Required by the Ethics in Government Act of 1978 Rev. /12006 FOR CALENDAR YEAR 2005 (5 U.S.C. opp. JOI-I I/) l. Penon Reporting (last name, ftnt, middle Initial)
More information[Z NONE (No reportable positions.)
O O Rev. 112008 FINNCIL DISCLOSURE FOR CLENDR YER 2007 REPO \o V::d \( Report Required by the Ethics in Government ct of 1978 (5 U.S.C. app. 101-111) 1. Person Reporting (last name, first, middle initial)
More informationfinancial DiScloSure report
Filing ID #10005556 financial DiScloSure report Clerk of the House of Representatives Legislative Resource Center 135 Cannon Building Washington, DC 20515 filer information name: Status: State/District:
More information[K NONE (No reportable positions.)
AOlO FINANCIAL DISCLOSURE REPOR Report Required by the Ethics in Government Act of 1978 Rev. 112006 FOR CALENDAR YEAR 2005 (5 U.S.C. app. 101-111) Person Reporting (last name, first, middle initial) Court
More informationfinancial DiScloSure report
Filing ID #10001482 financial DiScloSure report Clerk of the House of Representatives Legislative Resource Center B-106 Cannon Building Washington, DC 20515 filer information name: Status: State/District:
More information[Z NONE (No reportable non-investment income.) D NONE (No reportable non-investment income.) D NONE (No reportable reimbursements.
Martin_Beverly_B FNANCAL DSCLOSURE REPORT Page 2of14 MARTN, BEVERLY B. 611912009 ll. N 0 NNVESTMENT N CO ME. (Reporting individual and spouse; see pp. 1724 of filing instructions.) A. Filers Nonnvestment
More informationRequest for Proposals Insurance Brokerage or Consulting Services
Insurance Brokerage or Consulting Services INTRODUCTION Through this ( RFP ), Rhode Island Housing seeks proposals from qualified firms to provide brokerage and/or consulting services for insurance placement
More informationUNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 4 STATEMENT OF CHANGES OF BENEFICIAL OWNERSHIP OF SECURITIES
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 4 STATEMENT OF CHANGES OF BENEFICIAL OWNERSHIP OF SECURITIES The Commission is authorized to solicit the information required
More informationOffer in Compromise. Attach Application Fee and Payment (check or money order) here. IRS Received Date. (Rev. May 2012) Section 3
Form 656 (Rev. May 2012) Department of the Treasury Internal Revenue Service Offer in Compromise Attach Application Fee and Payment (check or money order) here. Section 1 Your Contact Information Your
More informationOfficial Form B 22A2 Chapter 7 Means Test Calculation 12/14
Fill in this information to identify your case: Debtor 1 Debtor 2 (Spouse, if filing) United States Bankruptcy Court for the: District District of of (State) Case number (If known) Check the appropriate
More informationFORM 3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES The Commission is authorized to solicit the information required by
More informationD NONE (No reportable positions.)
Carney, Cormac J.. OJO*cc; Rev.112,0{1 Report Required by the Ethics FINNCIL DISCLOSURE REPOR in Government ct of 1978 FOR CLENDR YER 2010 (5 U.S.C. app. 101-111) 1. Person Reporting (last name, first,
More informationCheck if this is an amended filing
Fill in this information to identify your case: Debtor 1 Debtor 2 (Spouse, if filing) United States Bankruptcy Court for the: District of of Case number (If known) Check if this is an amended filing Official
More informationFinancial Affidavit of Information - Short Form
Connecticut Judicial Branch Self-Represented Parties Information Series Filling Out and Filing a Financial Affidavit Short Form Slide 1 Welcome to the Connecticut Judicial Branch Law Libraries Self-Represented
More informationOffice Email: paula.carey@jud.state.ma.us
Name of Person Reporting: Paula M. Carey Current Home Address: Home Phone: Office Phone: 617-788-6600 Fax Number: N/A Name of spouse residing in household: None Office Email: paula.carey@jud.state.ma.us
More informationD-76. District of Columbia (DC) Estate Tax Forms and Instructions For Estates of Individuals Who Died on January 1, 2011 or After
Government of the District of Columbia Office of the Chief Financial Officer Office of Tax and Revenue D-76 District of Columbia (DC) Estate Tax Forms and Instructions For Estates of Individuals Who Died
More informationDenver Tax Group, LLC CHADWICK ELLIOTT 1888 Sherman Street SUITE 650 DENVER, CO 80203 (0) Organizer Mailing Slip
Denver Tax Group, LLC CHADWICK ELLIOTT Sherman Street SUITE 0 DENVER, CO 00, (0) Organizer Mailing Slip TAX ORGANIZER TO:, FROM: Denver Tax Group, LLC Sherman Street SUITE 0 DENVER CO 00 (0) -0 Enclosed
More informationOfficial Form 22A 2 Chapter 7 Means Test Calculation 12/13
Fill in this information to identify your case: Check one only as directed in lines 40 or 42: Debtor 1 Debtor 2 (Spouse, if filing) United States Bankruptcy Court for the: District of (State) Case number
More informationApplicable Sections of the Internal Revenue Code
Form 668-B (Rev. May 2003) Due from (Taxpayer name and address) Department of the Treasury Internal Revenue Service Levy Originating Internal Revenue Territory Office Taxpayer Identification Number (TIN)
More information1. Judges and eligible employees may be reimbursed for a portion of the cost of professional liability insurance subject to these guidelines.
Professional Liability Insurance Reimbursement Plan for The United States District Court for the District of Nebraska, including The United States Bankruptcy Court The Clerk of the District Court The Clerk
More informationfinancial DiScloSure report
Filing ID #10000711 financial DiScloSure report Clerk of the House of Representatives Legislative Resource Center B-106 Cannon Building Washington, DC 20515 filer information name: Status: State/District:
More informationPOST-DECREE OR POST-FINAL ORDERS
District Court El Paso County, Colorado Court Address: 270 S. Tejon, PO Box 2980, Colorado Springs, CO 80901 (719) 448-7700 Petitioner: COURT USE ONLY Case Number: Respondent / Co-Petitioner: DOMESTIC
More informationINSTRUCTIONS FOR COMPLETING OFFICIAL FORM 1, VOLUNTARY PETITION I. INTRODUCTION
INSTRUCTIONS FOR COMPLETING OFFICIAL FORM 1, VOLUNTARY PETITION I. INTRODUCTION This form, known as a "voluntary petition," must be used by a debtor to begin a bankruptcy case. Filing this petition is
More informationInstructions for Schedule L (Form 990 or 990-EZ)
2010 Instructions for Schedule L (Form 990 or 990-EZ) Transactions With Interested Persons Department of the Treasury Internal Revenue Service State whether the transaction has been Section references
More informationIN THE NINTH JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA IN AND FOR THE COUNTY OF DOUGLAS
Case No. Dept. No. IN THE NINTH JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA IN AND FOR THE COUNTY OF DOUGLAS In the Matter of the Estate of Deceased. INSTRUCTIONS FOR PERSONAL REPRESENTATIVE A Personal
More informationCHARLES COUNTY ETHICS COMMISSION c/o Office of the County Attorney P.O. Box 2150 La Plata, Maryland 20646 301-645-0555
CHARLES COUNTY ETHICS COMMISSION c/o Office of the County Attorney P.O. Box 2150 La Plata, Maryland 20646 301-645-0555 FINANCIAL DISCLOSURE STATEMENT Form 2 Qualifying Employees & Appointed Members of
More informationWASHINGTON UNIVERSITY SCHOOL OF LAW NEW LOAN REPAYMENT ASSISTANCE PROGRAM (LRAP II) (Last updated: January 19, 2015) I INTRODUCTION
WASHINGTON UNIVERSITY SCHOOL OF LAW NEW LOAN REPAYMENT ASSISTANCE PROGRAM (LRAP II) (Last updated: January 19, 2015) I INTRODUCTION To help law students who want to secure employment in low paying public
More informationHealth Savings Account
Application Booklet Health Savings Account Delaware Charter Guarantee & Trust Company d/b/a Principal Trust Company Table of Contents Privacy Notice Protecting Your Privacy We Protect Information We Collect
More information1 INSTRUCTION SHEET FOR GARNISHMENTS. Garnishment and Execution Documents
1 INSTRUCTION SHEET FOR GARNISHMENTS Garnishment and Execution Documents Revised June 2015 2 INSTRUCTION SHEET FOR GARNISHMENTS Garnishment and executions are governed by state law. See Federal Rules of
More informationInstructions for Schedule L (Form 990 or 990-EZ)
2011 Instructions for Schedule L (Form 990 or 990-EZ) Transactions With Interested Persons Department of the Treasury Internal Revenue Service Section references are to the Internal do so, it must file
More informationResidential Loan Application for Reverse Mortgages
Residential Loan Application for Reverse Mortgages This application is designed to be completed by the applicant(s) with the lender s assistance. Applicants should complete this form as Borrower or Co-Borrower,
More informationThe Examination Process. The IRS Mission
The IRS Mission Provide America s taxpayers top quality service by helping them understand and meet their tax responsibilities and by applying the tax law with integrity and fairness to all. The Examination
More informationVOLUNTARY PETITION I. APPLICABLE LAW AND RULES
Instructions, Form B1 11.21.12 VOLUNTARY PETITION This form, known as a voluntary petition must be used by a debtor to begin a bankruptcy case. Filing this petition is how an individual or other entity
More informationApply Today. Fax application to 1-866-526-5777
PNC CashBuilder Visa Credit Card Application Apply Today Fax application to 1-866-526-5777 With a PNC CashBuilder Visa, you ll earn Cash Back on your everyday purchases. The CashBuilder Visa credit card
More informationUNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM S-4 REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 OMB APPROVAL OMB Number: 3235-0324 Expires: May 31, 2017 Estimated average burden hours per response.. 4,099.6 FORM S-4 REGISTRATION
More informationColumn B Taxable Value (35% of Column A)
DTE FORM 1 (Revised 01/02) BOR NO. DATE RECEIVED R.C. 5715.13, 5715.19 COMPLAINT AGAINST THE VALUATION OF REAL PROPERTY ANSWER ALL QUESTIONS AND TYPE OR PRINT ALL INFORMATION READ INSTRUCTIONS ON BACK
More informationLIABILITIES. Cash on Hand and in Banks $ Outstanding Bills $ Savings Accounts $ Notes Payable to Banks and Others $
Small Business Loan Pool Application Page 1 of 5 (Rev. August 2010) Date: 5 AND 10 SMALL B USINESS L OAN F UND ECONOMIC DEVELOPMENT AUTHORITY OF FLOYD COUNTY SECTION I: GENERAL INFORMATION REQUEST FOR
More informationShort Form Return of Organization Exempt From Income Tax
Form 990-EZ PUBLIC DISCLOSURE COPY ** PUBLIC DISCLOSURE COPY ** Short Form Return of Organization Exempt From Income Tax Under section 501, 527, or 4947(1) of the Internal Revenue Code (except private
More informationIn order to adjudicate an appeal, OPM requires claimants or their authorized representatives to submit the following information:
SYSTEM NAME: Health Claims Disputes External Review Services. SYSTEM LOCATION: Office of Personnel Management, 1900 E Street NW., Washington, DC 20415. CATEGORIES OF INDIVIDUALS COVERED BY THE SYSTEM:
More informationOFFICE OF THE CLERK SUPREME COURT OF THE UNITED STATES WASHINGTON, D. C. 20543 GUIDE FOR PROSPECTIVE INDIGENT PETITIONERS FOR WRITS OF CERTIORARI
OFFICE OF THE CLERK SUPREME COURT OF THE UNITED STATES WASHINGTON, D. C. 20543 October 2009 GUIDE FOR PROSPECTIVE INDIGENT PETITIONERS FOR WRITS OF CERTIORARI I. Introduction These instructions and forms
More informationLenders Property Reporting Policy
Lenders Property Reporting Policy Fidelity and Deposit Company of Maryland Colonial American Casualty and Surety Company Application Named Insured: Address: Type of Institution: Date of Application: Agent:
More informationD NONE (No reportable positions.)
O JO FINNCIL DISCLOSURE REPOR in Government ct of 1978 Rev. 112008 FOR CLENDR YER 2007 (5 US.C. app. 101-111) Report Required by the Ethics 1. Person Reporting (last name, first, middle initial) Court
More informationSTATEMENT OF CURRENT MONTHLY INCOME AND CALCULATION OF COMMITMENT PERIOD AND DISPOSABLE INCOME
Form B22C (Chapter 13) (10/05) In re Debtor(s) Case Number: (If known) According to the calculations required by this statement: The applicable commitment period is 3 years. The applicable commitment period
More informationU.S. Small Business Administration DISASTER HOME LOAN APPLICATION --FOR SBA INTERNAL USE ONLY--
Physical Declaration Number: U.S. Small Business Administration DISASTER HOME LOAN APPLICATION --FOR SBA INTERNAL USE ONLY-- OMB Control No.: 3245-0018 Exp.: 01/31/2015 Date Received: By: FEMA Registration
More informationSACRAMENTO METROPOLITAN FIRE DISTRICT GOVERNMENTAL 457 DEFERRED COMPENSATION PLAN
SACRAMENTO METROPOLITAN FIRE DISTRICT GOVERNMENTAL 457 DEFERRED COMPENSATION PLAN DEEMED IRA ACCOUNTS DISCLOSURE STATEMENT This Disclosure Statement summarizes the provisions relating to the deemed IRA
More informationENROLLED 2016 Legislature CS for CS for SB 286
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 An act relating to merger and acquisition brokers; amending s. 517.061, F.S.; providing an exemption from certain registration
More informationAVIATION AUTHORITY POLICY
PURPOSE: To protect the integrity of the Authority by providing a guide for proper conduct of Board members and employees of the Authority, including discipline for violations, and establishing a program
More informationUniform Residential Loan Application
Uniform Residential Loan Application This application is designed to be completed by the applicant(s) with the Lender s assistance. Applicants should complete this form as or Co-, as applicable. Co- information
More informationFINANCIAL CASUALTY & SURETY, INC. ALLIANCE SURETY SERVICES PO Box 393, Greenville, SC 29602 \ Phone 864-232-4567 Fax 864-232-4467
FINANCIAL CASUALTY & SURETY, INC. ALLIANCE SURETY SERVICES PO Box 393, Greenville, SC 29602 \ Phone 864-232-4567 Fax 864-232-4467 APPLICATION FOR LIABLE BAIL Agency / Producer fcs The BAIL Insurance Company
More informationThe Ethics Act. A Code of Conduct for Public Servants. W. Va. Code 6B-1-1 et seq
The Ethics Act A Code of Conduct for Public Servants W. Va. Code 6B-1-1 et seq WV Ethics Commission 210 Brooks Street, Ste 300 Charleston WV 25301 (304) 558-0664 fax (304) 558-2169 Toll Free (866-558-0664
More informationChapter 13: Repayment of All or Part of the Debts of an Individual with Regular Income ($235 filing fee, $39 administrative fee: Total fee $274)
B 201A (Form 201A) (12/09) WARNING: Effective December 1, 2009, the 15-day deadline to file schedules and certain other documents under Bankruptcy Rule 1007(c) is shortened to 14 days. For further information,
More informationPREPARING THE PETITION, SCHEDULES, STATEMENT OF FINANCIAL AFFAIRS, MEANS TEST (FORM 22C) AND CHAPTER 13 PLAN
PREPARING THE PETITION, SCHEDULES, STATEMENT OF FINANCIAL AFFAIRS, MEANS TEST (FORM 22C) AND CHAPTER 13 PLAN THE PETITION Provide complete information for each debtor. Full name Any aka, dba or fdba Complete
More informationHoward 457 Deemed IRA Participation Agreement for Deferred Compensation Plan
Howard 457 Deemed IRA Participation Agreement for Deferred Compensation Plan DC-4803 (09/2015) For help, please call 1-877-677-3678 www.howard457.com 1 2 DC-4803 (09/2015) For help, please call 1-877-677-3678
More informationUniform Residential Loan Application
Uniform Residential Loan Application This application is designed to be completed by the applicant(s) with the Lender s assistance. Applicants should complete this form as Borrower or Co-Borrower, as applicable.
More informationIf No is selected above, provide a detailed explanation of any changes.
Attachment B Form FP-NMA Application Contact Information Provide the following information for the person who will be the primary contact for the Funding Portal ( FP ) Applicant during FINRA s review of
More information