FOR CALENDAR YEAR 2010 (5 U.S.C. app..~q ) Nomination, Date 01/01/2010 ] [] Annual [] Final [] Initial 12/31/ b.

Size: px
Start display at page:

Download "FOR CALENDAR YEAR 2010 (5 U.S.C. app..~q 101-111) Nomination, Date 01/01/2010 ] [] Annual [] Final [] Initial 12/31/2010. 5b."

Transcription

1 Fallon, Eldon E. O 10 Rev. 1/2011 FOR CLENDR YER 2010 (5 U.S.C. app..~q ) Report Reqtdred by the Ethics in Government ct of 1978 I. Person Reporting (last name, first, middle initial) 2. Court or Organization D~te of Report FLLON, ELDON E. U.S.District Court,Louisiana 06/15/2011 itle (rticle III judges indicate active or senior status; 5a. Report )~e (check appropriate type) 6. Reporting Period magistrate judges indicate full- or pan-time) U.S. DISRIC JUDGE (CIVE) Nomination, Date 01/01/2010 ] to [] nnual [] Final [] Initial 12/31/2010 5b. [] mended Report 7. Chambers or Office ddress 8.On the basis of the information contained in this Report and any modifications pertaining thereto, it is, in my opinion, in compliance U. S. DISRIC COUR svlth applicable laws and regulations. 500 POYDRS SREE - ROOM C456 NEW ORLENS, L Revie~ng Officer Date IMPORN NOES: he instructions accompanying this form must be followe,! Complete all parts, checking the NONE box for each part where you have no reportable information. Sign on last page. I. POSIIONS. meponing individual only; seepp of fillng instructions.) D NONE (No reportablepositions.) POSIION NME OF ORGNIZION/ENIY I. Ex-Officio Board Member~Past President Louisiana Bar Foundation 2. rustee estamentary rust 5. II. GREEMENS. (Reporting individual only; seepp of filing instructions.) 1-~ NONE (No reportable agreements.) DE PRIES ND ERMS

2 Page 2 of 9 FLLON, ELDON E. 06/15/201 I D 111. NON-INVESMEN INCOME. <Reposing indi~idaal ond spouse: see pp of filing instructions.). Filer s Non-lnvestment Income NONE (No reportable non-investment income.) DE SOURCE ND YPE INCOME (yours, not spouse s) hompson-west (book royalty) $2, 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.) DE SOURCE ND YPE IV. REIMBURSEMENS - transportation, Iodglng, food, entertainment (Includes those to spouse and dependent children; see pp of filing instructions.) D NONE (No reportable reimbursements.) SOURCE DES LOCION PURPOSE IEMS PID OR PROVIDED Vanderbilt University Law Feb. 4-5, 2010 Nashville, N Speaker Seminar Program ransportation, meals, lodging School 5.

3 : Page 3 of 9 FLLON, ELDON r. 06/15/201 I V. GIFS. a.cludes,hose,o spouse Qnd depende.t children; see pp of filing instructions.) NONE (No reportable girls.) SOURCE DESCRIPION VLUE I VI. LIBILIIES. and.des those o/spouse Qnd dependent children; see pp of filing instructions.) NONE (No reportable liabilities.) CREDIOR DESCRIPION VLUECODE I

4 Page 4 of 9 FLLON, ELDON E. 06/15/201 I VII. INVESMENS and RUSS - income, value, transactions (Includes those of spouse and dependent children; seepp of filing instructions.) NONE (No reportable income, assets, or transactions.). B. C. Description of ssets Income during Gross value at end ransactions during reporting period (including trust assets) reporting period of reporting period (1) (2) (t) (2) (]) (2) (3) (4) (5) Place "(X)" after each asset mount ype (e.g., Value Value ype (e.g.. Date Value Gain Identity of exempt from prior disclosure Code I div., rent, Code 2 Method buy. sell, mm/dd/yy Code2 Code I buyer/seller (-H) or int.) (J-P) Code 3 redemplion) O-P) (-H) (if privale (Q-W) transaction) I. PRCEL #2, NOL Rent L W 2. PRCEL #5, NOL E Rent O W *PRCEL#6, MS (Pearl River County) C PI W DUKE COMMON SOCK Dividend K 5. FIDELIY FUND COMMON SOCK Dividend K 6. EMPIRE DISRIC ELECRIC Dividend J COMMON SOCK 7. NDORKO COMMON SOCK Dividend K 8. VID COMMON SOCK Dividend J 9. FINOV COMMON SOCK Dividend J 10. REGIONS BNK [formerly M SOUH D Dividend N (IR) 11. SCHWB MONEY MRKE CCOUN D N 12. SVING/FIDELIY HOMESED SSN J 1 *ESMENRY RUS None L 1 VNGURD INDEX RUS Dividend SMLL CP SOCK PORFOLIO (NESX)MUUL 15. LEGG MSON VLUE MUUL FUND Dividend 16. NIONSBNK CORP (BONDS) B Sold 05/I 5/I 0 K I. Income Gain Codes: =$1.000 or less B =$1,001 - $2.500 C =$ $5.000 D =$5.0~ I - $ E =$15.0~1- $ (see Columns BI and D-l) F =$50,001 - $100,0~ G =$100.0(11 - $1,0~,00Q HI =$1,000,001 - $5,0~.0~0 H2 =More than $5,0~ Value Codes J = $15.0~0 or less g =$15.0~ I - $50.0~0 L =$ $ M =$ 100,001 - $250.0~0 (See Columns CI and D3) N =$250,001 - $50~,0~0 O =$ $1.000,000 PI =$1.00~.0~1 - $ P2 =$5.0~ $ P3 =$25.000,001 - $50.00~.0~0 P4 =More than $50.00~.000 Value Method Codes Q =ppraisal R =Cosl (Real Estate Only) S =ssessment =Cash Markcl ISee Column C2) U =Book Value V =Other W =Estimated

5 Page 5 of 9 FLLON, ELDON E. 06/I 5/2011 VII. INVESMENS and RUSS - income, value, transactions (Includes those of spouse and dependent children; see pp of filing instructions.) [-~ NONE (No reportable income, assets, or transactions.) Description of ssets Income during Gross value at end ransactions during reporting period (including trust assets) reporting period of reporting period (I) (2) (I) (2) (I) (2) (3) ~ (4) (5) Place "(X)" after each asset mount ype (e.g., Value Value ype(e.g., Date Value i Gain Identi~y of exempt from prior disclosure Code I div., rent, Code 2 Method buy, sell, mm/dd/yy COde 2 i Code I buyer/seller (-H) or int.) (J-P) Code 3 redemption) (J-P) (-H) (if private (Q-W) transaction) 17. *GNM S POOL(BONDS) B J 18. FNM MG POOL C J 19. VNGURD OL SOCK MK Dividend M INDEX FUND 20. MONEYGRM INERNIONL, INC. Dividend J [Spin off of VID] 21. *SCHWBB MONEY MRKE FUND C L (See VIII for explanation) 22. GNM PSS-HRU X SINGLE FLY C J 2 SECOR SPDR R SBI IN-ENERGY Dividend K 2 OIL SVC HOLDERS R DEPOSRY Dividend L RCP 25. PIMCO FDS PC INV MGM COMMD Dividend L RL SR D 26. POWERSHRES EFRUS DYN EN Dividend J EX PROD 27. BLCKROCK INCOME R COM Dividend K 28. FHLMC POOL Dividend K 29. *ISHRES R DJ OIL & GS EXP Dividend K 30. POWERSHRES EFRUS DYN Dividend J 31. *SHEE I YRCKS GOLD R GOLD SHS Dividend M 32. ELECOM HLDRS R DEPOSIRY Dividend RCP 3 VNGURD WORLD FDS MERILS Dividend EF I. Income Gain Codes: =$1,000 or less B =$1,001 - $2,500 C =$2,501 - $5,000 D =$ $15,000 E :$15,001 - $50,000 (See Colunms B I and D4"I F =$ $100,000 G =$100,001 - $1.000,000 HI =$ $ H2 ~Morc than $5, Value Codes J =$15,000 or less K -$15,001 - $ L =$50,001 - $ M =$ $ (See Columns CI and D3) N =$ $500,000 O =$500,001 - $1, PI =$1,000,001 - $5,000,000 P2 =$ $25,000,000 P3 =$25,000,001 - $50.000,000 P4 =More Ihan $50.000,000 Value Method Codes Q =ppraisal R =Cost (Real Estate Only) S =ssessmcnl =Cash Market (See Colunm C2) U :Book Value V =Other W =E.qimated

6 Page 6 of 9 Name of Person Reporting FLLON, ELDON E. 06/15/201 I VII. INVESMENS and RUSS - inco,~e,,.alue, transactions (Includes those of spouse and dependent children; see pp of filing instructions.) NONE (No reportable income, assets, or transactions.). B. C. Description of ssets Income during Gross value at end ransactions during reporting period (including trust assets) reporting period of reporting period (1) (2) O) (2) O) (2) (3) (4) (5) Place "(X)" after each asset mount ype (e.g., Value Value ype (e.g., Date Value Gain Identity of exempt from prior disclosure Code I div., rent, Code 2 Method buy, sell, mrrddd/yy Code 2 Code I buyer/seller (-H) or int.) (J-P) Code 3 redemption) (J-P) (-H) (if private (Q-W) transaction) 3 PIMCO CORPOREOPP FD COM Dividend L 35. REGIONL BNK HOLDERS R Dividend L DEPOSIRY RCP 36. SREERCKS SERR SPDR S&P Dividend K ML 37. PIMCOOL RN 2 Dividend K 38. U.S. GLOBL Dividend K 39. FIDELIY SELEC COMPUERS Dividend K 40. FEDERED FUND Dividend L 41. *GMBELLI GROWH FUND Dividend K 42. LEGG-MSON OPPORUNIY FUND Dividend K 4. ROWE PRICE INERN L Dividend K 4 VNGURD GNM B Dividend K 45. VNGURD OL SOCK INDEX B Dividend M 46. U.S. SVINGS BONDS Redeemed 10/09/10 L U.S. Bureau of Public Debt 47. FIDELIY HOMSED (CDs) C M 48. GURNY HOMESED (CDs) B M 49. CPIOL ONE (formerly DRYDES K SVINGS) (CDs) 50. LLINCEBERNSEIN INC COM Sold 10/26/10 K 1. Income Gain Codes: =$1,000 or less B =$ $2,500 C -$2,501 - $5.000 D =$5,001 - $15,000 E =$15,001 - $50,000 (See Columns B I and D-I) F =$50,001 - $100,0(~ G -$ $1.090,000 HI =$I.000,001 - $5.000,000 H2 =More than $ Value Codes J $15,0~O or less K $15,001 - $ L =$50,001 - $ M =$100,001 - $ (See Colurnns CI and D3) N =$250,001 - $500,000 O =$ $ PI $1,0OO $ 5,000,000 P2 = $5,000,001 - $ Value Method Codes P3 =$25, $ Q =ppraisal R =Cost (Real Estate Only) P4 -More than $50.00~,000 S =s~ssmcnt =Cash Market [SeeColunmC2) U =BookValue V Other W=Eslimatcd

7 Page 7 of 9 FLLON, ELDON E. 06/15/201 I VII. INVESMENS and RUSS - inco,~e,,.oloe, transactions (Includes those of spouse and dependent children; see pp of filing instructions.) NONE (No reportable income, assets, or transactions.) Description of ssets (including trust assets) Place "(X)" after each asset exempt from prior disclosure Income during reporting period (l) (2) mount ype (.g., Code I div., rent, (-H) or int.) Gross value at end of reporting period (t) (2) Value Value Code 2 Method (J-P) Code 3 (Q-W) O) yp~ (e.g., buy, sell, redemption) ransactions during reporting period (2) (3) (4) Date Value Gain mm/dd/yy Code2 Code I (J-P) (-H) (5) Identity of buyer/seller (if private transaction) 51. FIDUCIRY CLYMORE MLP COM K 52. WISDOMREE RUS EMERG MKS EF K 5 WISDOMREE RUS INL DIV E FINL K 5 BLCKROCK LD DURION COM SH K 03/25/10 K 55. VNGURD BD INDEX FD SHOR RM BOND L 02/12/10 L 56. ISHRES R BRCLYS IPS BD L 103/04/10 L 57. ISHRES R GS CORP BD FD L 03/04/10 L 58. MRKE VECORS EF R GRIBUS EF J 03/04/10 J 59. SPDR SERIES RUS BRCLYS SHR EF K 03/04/I 0 K 60. PIMCO MUN INCOME FD II COM 09/23/I 0 J 61. Sold 11/15/10 J I. Income Gain Codes: =$1,000 or less B =$1,001 - $2,500 C =$2,501 - $5,000 D =$5,001 - $15,0~0 E =$15,001 - $50,000 (See Columns BI and D4) F -S $ G =$100,001 - $I,000,00 ) HI =$1, $5, H2 =More than $5.000, Value Codes J -$15,000 or less K $15,001 - $50,000 L =$50,001 - $10~.000 M =$100,001 - $250,000 (See Columns C I and D3) N =$250,001 - $ O =$ $1,009,000 PI =$1.000,001 - $5.000,090 P2 =$5,000,001 - $25, p3 -$ $ P4 More than $50,000,000 Value Method Code~ Q =ppraisal R :Cost {Real Estate Only) S =ssessment =Cash Market (S c Column C2) U =Book Value V =Other W =Estimated

8 Name of Person Reporling Dale of Report Page 8 of 9 FLLON, ELDON E. 06/15/2011 VIII. DDIIONL INFORMION OR EXPLNIONS. a,,~ica,epa, o~rr,pon.) VII. INVESMENS ND RUSS. # Farm and pasture land. Raise cattle and sell cows. #1 ssets of estmentary rust. (I) rustee, with no direct personal interest, for ccount of estamentary rust on deposit with Bank One, New Orleans, Louisiana. he interest income is paid pursuant to the terms of the rust m monthly ~nstallments to:... i : i: ~-] urstee s/] are the principal beneficiaries of the rust. (2) Lot~ ~-~?~Estates, Geneva County, labama, appraised value $600 # 17. GNM S POOL BONDS is principle reduction on a government mortgage pool. #2 I. SCHWBB MONEY MRKE FUND is funds in an IR cash reserve with money in and out, similiar to a bank account. his fund is treated like a CD, and some of the funds are used to purchase other stocks, i.e., the value at beginning of the year was greater than the value at the end as the funds were reduced by purchase of more shares in fund. #29. ISHRES R DJ OIL & GS EXP (includes previous #35, same fund) #3 I. SREERCKS GOLD R GOLD SHS (includes previous #38, same fund). #41. Previously reported as GMBO GROWH FUND, should be GMBELLI GROWH FUND.

9 Page 9 of 9 FLLON, ELDON E. 06/15/201 I IX. CERIFICION. 1 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 kno~vledge 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 of 5 U.S.C. app. 501 et. seq., 5 U.S.C. 7353, and Judicial Conference regulations. Signatnre: S/ELDON E. FLLON NOE: NY INDIVIDUL WHO KNOWINGLY ND W1LFULLY FLSIFIES OR FILS O FILE HIS REPOR MY BE SUBJEC O CIVIL ND CRIMINL SNCIONS (5 U.S.C. app. 104) Committee on Financial Disclosure dministrative Office of the United States Courts Suite One Columbus Circle, N.E. Washington, D.C

FINANCIAL DISCLOSURE REPORT FOR CALENDAR YEAR 2006. U.S. District Court, Mass. D Initial Annual. Amended Report. Sb.

FINANCIAL 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 information

D NONE (No reportable positions.)

D 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 information

D NONE (No reportable positions.)

D 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 information

FOR CALENDAR YEAR 2010 (5 U.S.C. app..~.~" I01-111)

FOR 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 information

[Z NONE (No reportable positions.)

[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 information

D NONE (No reportable positions.)

D 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 information

state Of Pennsylvania Munley, PA Personal/Business Tax Deductions

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.)

[{ 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 information

D NONE (No reportable positions.)

D 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

D NONE (No reportable positions.)

D 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 information

FINANCIA DISCLOSUR REPORT. in Government Act of 1978 FOR CALENDAR YEAR 2004 (5 U.S.C. app. 101-111) District of Kansas. Q Nomination, Date

FINANCIA 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 information

D NONE (No reportable positions.)

D NONE (No reportable positions.) 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) Court or Organization Smith, William E. District

More information

D NONE (No reportable non-investment income.) [Z NONE (No reportable non-investment income.) D NONE (No reportable reimbursements.

D 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 information

D NONE (No reportable positions.)

D 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 information

FINANCIAL DISCLOSURE REPORT FOR CALENDAR YEAR 2007. U.S. District Court. D Initial. Amended Report. Sb. Reviewing Officer

FINANCIAL 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 information

D NONE (No reportable positions.)

D 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

September 20, 2007. Re: Dean D. Pregerson, 2006 Financial Disclosure Report. Dear Ortrie D. Smith,

September 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 information

D NONE (No reportable positions.)

D 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 information

D NONE (No reportable positions.)

D 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 information

FOR CALENDAR YEAR 2010 (5 U.S.C. app. 101-111)

FOR 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 information

D NONE (No reportable positions.)

D 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 information

[{ NONE (No reportable positions.)

[{ NONE (No reportable positions.) 1 AOJO Rev. 112013 Report Required by the Ethics in Government Act

More information

D NONE (No reportable positions.)

D 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 information

[K NONE (No reportable positions.)

[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 information

[{] NONE (No reportable positions.)

[{] 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

[{ NONE (No reportable positions.)

[{ NONE (No reportable positions.) Roberts, Victoria. OJO. Rev. 112ou FINNCIL DISCLOSURE REPOR Report Required by the Ethics in Government ct of 1978 FOR CLENDR YER 2010 (5 U.S.C. app. 101-111) Person Reporting (last name, first, middle

More information

Person Reporting - A Practical Legal Guide

Person 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 information

D NONE (No reportable positions.)

D 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 information

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) 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) 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

[R NONE (No reportable positions.)

[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 information

D NONE (No reportable positions.)

D 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 information

D NONE (No reportable positions.)

D 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 information

UNITED STATES DISTRICT COURT

UNITED 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 information

[K NONE (No reportable positions.)

[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 information

D NONE (No reportable positions.)

D 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 information

[Z NONE (No reportable positions.)

[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 information

D NONE (No reportable positions.)

D 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

D NONE (No reportable positions.)

D 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

FINACIAL DISCLOSURE REPORT in Government Act of 19'?8 Calendar Year 2003 (5 U.S.C. app. 101-111) i 1 Nominion, Date 1/1/2003

FINACIAL DISCLOSURE REPORT in Government Act of 19'?8 Calendar Year 2003 (5 U.S.C. app. 101-111) i 1 Nominion, Date 1/1/2003 Report Required by the Ethics FINCIL DISCLOSURE REPOR in Government ct of 19'?8 Calendar Year 2003 (5 U.S.C. app. 101111) Person Reporting (Last name., First name, Middle initial) 2. Court or Organization

More information

II. AGREEMENTS. (Reporting individual only; see pp. 14-16 of filing instructions.) C- 9 0 _o rn 0 0 NONE (No reportable agreements.

II. 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 information

D NONE (No reportable positions.)

D 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 information

D NONE (No reportable positions.)

D 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 information

D NONE (No reportable non-investment income.)

D 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

FINANCIAL DISCLOSURE REPORT FOR CALENDAR YEAR 2005. 2. Court or Organization. Wester District of Missouri. Sa. Report Type {check appropriate type)

FINANCIAL 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 information

D NONE (No reportable positions)

D NONE (No reportable positions) OlO FINNCIL DISCLOSURE REPOR Report Required by the Ethics in Goverment ct of 1978 Rev. 112006 FOR CLENDR YER 2005 (5 U.S.C. app. 101-111) 1. Person Reporting (last name, first, middle Initial) Court or

More information

D NONE (No reportable positions.)

D 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 information

[Z NONE (Vo reportable positions.)

[Z NONE (Vo reportable positions.) Quarles, William D. Report Required by the Ethics O 10 FINNCIL DISCLOSURE REPOR in Government ct of 1978 Rev. liwlo FOR CLENDR YER 2009 (5 US.C. app. 101-111) l. Person Rt po.-tiug [last name, first, middle

More information

FINANCIAL DISCLOSURE REPORT. 2. Court or Organization. U.S.D.C. - S.D. Tx. Sa. Report Type (check appropriate type) D Nomination,

FINANCIAL 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 information

D NONE (No reportable positions.)

D 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

[Z NONE (No reportable non-investment income.) D NONE (No reportable non-investment income.) [Z NONE (No reportable reimbursements.

[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 information

AOIO 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

AOIO 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 information

[K NONE (No reportable positions.)

[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 information

[{ NONE (No reportable positions.)

[{ 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 information

Report 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

Report 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 information

in Government Act of 1978 FOR CALENDAR YEAR 2005 (5 u.s.c. app. 101-111) 2, Court or Organizatin NDIL - WESTERN DIVISION

in Government Act of 1978 FOR CALENDAR YEAR 2005 (5 u.s.c. app. 101-111) 2, Court or Organizatin NDIL - WESTERN DIVISION AOlO Rev.112006 FIANCIAL DISCLOSURE REPt0 lpl,..,,,,,,,.,,,; in Government Act of 1978 FOR CALENDAR YEAR 2005 (5 u.s.c. app. 101-111) 1. Person Reporting Oast name, first, middle Initial) REIN, PHIIP G

More information

D NONE (No reportable positions.)

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

[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 information

Denver Tax Group, LLC CHADWICK ELLIOTT 1888 Sherman Street SUITE 650 DENVER, CO 80203 (0) Organizer Mailing Slip

Denver 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 information

Guide To Your USAA Investment Management Company Brokerage Forms 1099 For Tax Year 2015

Guide To Your USAA Investment Management Company Brokerage Forms 1099 For Tax Year 2015 Guide To Your USAA Investment Management Company Brokerage Forms 1099 For Tax Year 2015 We are committed to providing accuracy in reporting tax information related to your USAA brokerage account(s) and

More information

financial DiScloSure report

financial 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

Compromise Application

Compromise Application Compromise Application Before we will consider accepting less than the full amount due, we must receive all of the information requested below. Your documentation will be reviewed and verified. A Revenue

More information

financial DiScloSure report

financial 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

United States Estate (and Generation-Skipping Transfer) Tax Return

United States Estate (and Generation-Skipping Transfer) Tax Return Form 706 (Rev. August 2013) Department of the Treasury Internal Revenue Service United States Estate (and Generation-Skipping Transfer) Tax Return Estate of a citizen or resident of the United States (see

More information

Thank you for choosing our firm to prepare your income tax returns for tax year 2014. This letter confirms the services we will provide.

Thank you for choosing our firm to prepare your income tax returns for tax year 2014. This letter confirms the services we will provide. Deborah Wright Keystone Management Services, LLC P.O. Box 965564 Marietta, GA 30066 January 19, 2015 Dear Taxpayer, Thank you for choosing our firm to prepare your income tax returns for tax year 2014.

More information

ESTATE PLANNING QUESTIONNAIRE Date:

ESTATE PLANNING QUESTIONNAIRE Date: I. Client Information ESTATE PLANNING QUESTIONNAIRE Date: : Yes No First Middle Last U.S. Citizen? How would you like your name to read on your estate planning documents? Other s Known By Date of Birth

More information

financial DiScloSure report

financial DiScloSure report Filing ID #10005442 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

Number, street, and room or suite no. If a P.O. box, see the instructions. City or town, state or province, country, and ZIP or foreign postal code

Number, street, and room or suite no. If a P.O. box, see the instructions. City or town, state or province, country, and ZIP or foreign postal code Form 1065 Department of the Treasury Internal Revenue Service A Principal business activity U.S. Return of Partnership Income For calendar year 2015, or tax year beginning, 2015, ending, 20. Information

More information

TIER 2 ANNUAL AND CANDIDATE PERSONAL FINANCIAL DISCLOSURE

TIER 2 ANNUAL AND CANDIDATE PERSONAL FINANCIAL DISCLOSURE FAQ: COVER SHEET TIER 2 ANNUAL AND CANDIDATE PERSONAL FINANCIAL DISCLOSURE FREQUENTLY ASKED QUESTIONS WHO IS REQUIRED TO FILE A TIER 2 ANNUAL PERSONAL FINANCIAL DISCLOSURE FORM? Elected officials representing

More information

SOCIAL SECURITY ADMINISTRATION OMB No. 0960-0037

SOCIAL SECURITY ADMINISTRATION OMB No. 0960-0037 Form Approved SOCIAL SECURITY ADMINISTRATION OMB. 0960-0037 Request For Waiver Of Overpayment Recovery Or Change In Repayment Rate We will use your answers on this form to decide if we can waive collection

More information

REPORT. lu G )Vetnment Act of 1;yrs Calendar Year 2003 (5 U.S.C. app. 101-111) Ncrnation, Date 111mo3

REPORT. lu G )Vetnment Act of 1;yrs Calendar Year 2003 (5 U.S.C. app. 101-111) Ncrnation, Date 111mo3 ! ACIO Rev. /264 REPOR Report Requ.ireU by the Etht:s: lu G )Vetnment Act of 1;yrs Calendar Year 23 (5 U.S.C. app. 11111) Perron Reporting {at name, First name,.lv ictdlc initial) l 2. Court or Ornization

More information

D-76. District of Columbia (DC) Estate Tax Forms and Instructions For Estates of Individuals Who Died on January 1, 2011 or After

D-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 information

IN THE SUPERIOR COURT OF WASHINGTON FOR THE COUNTY OF KING In Re the Guardianship/Trust/Settlement of: ) No. ) ) FIDUCIARY S ) INVESTMENT PLAN ) )

IN THE SUPERIOR COURT OF WASHINGTON FOR THE COUNTY OF KING In Re the Guardianship/Trust/Settlement of: ) No. ) ) FIDUCIARY S ) INVESTMENT PLAN ) ) IN THE SUPERIOR COURT OF WASHINGTON FOR THE COUNTY OF KING In Re the Guardianship/Trust/Settlement of: No. FIDUCIARY S INVESTMENT PLAN I. General Information 1. Name of Fiduciary: Prof. License # 2. Effective

More information

Page 1 OLSON CPAs, PLLC CERTIFIED PUBLIC ACCOUNTANTS 2015 INCOME TAX ORGANIZER ********************************************************

Page 1 OLSON CPAs, PLLC CERTIFIED PUBLIC ACCOUNTANTS 2015 INCOME TAX ORGANIZER ******************************************************** Page 1 OLSON CPAs, PLLC CERTIFIED PUBLIC ACCOUNTANTS 2015 INCOME TAX ORGANIZER ******************************************************** Client Name: E-mail: Telephone: Day Evening NOTES: If we DID NOT

More information

North Carolina s Reference to the Internal Revenue Code Updated - Impact on 2015 North Carolina Corporate and Individual income Tax Returns

North Carolina s Reference to the Internal Revenue Code Updated - Impact on 2015 North Carolina Corporate and Individual income Tax Returns June 3 2016 North Carolina s Reference to the Internal Revenue Code Updated - Impact on 2015 North Carolina Corporate and Individual income Tax Returns Governor McCrory signed into law Session Law 2016-6

More information

2AI. 2014 ANNUAL SURVEY OF LOCAL GOVERNMENT FINANCES Special Agencies DUE DATE:

2AI. 2014 ANNUAL SURVEY OF LOCAL GOVERNMENT FINANCES Special Agencies DUE DATE: (8-4-2010) U.S. DEPARTMENT OF COMMERCE Economics and Statistics Administration U.S. CENSUS BUREAU 2014 ANNUAL SURVEY OF LOCAL GOVERNMENT FINANCES Special Agencies FORM F-32 (04/07/2014) OMB No. 0607-0585:

More information

Personal Information. Name Soc. Sec. No. Date of Birth Occupation Work Phone Taxpayer: Spouse: Street Address City State Zip

Personal Information. Name Soc. Sec. No. Date of Birth Occupation Work Phone Taxpayer: Spouse: Street Address City State Zip Paid to Taxpayer Paid to Spouse Client Tax Organizer Please complete this Organizer before your appointment. Prior year clients should use a personalized Organizer. To request a personalized Organizer,

More information

Client Tax Organizer Worksheet

Client Tax Organizer Worksheet PAGE 1 OF 7 The asks about pertinent tax items necessary for preparing the most accurate tax return possible. Please answer all applicable questions and attach a statement when necessary for additional

More information

Schneps, Leila; Colmez, Coralie. Math on Trial : How Numbers Get Used and Abused in the Courtroom. New York, NY, USA: Basic Books, 2013. p i.

Schneps, Leila; Colmez, Coralie. Math on Trial : How Numbers Get Used and Abused in the Courtroom. New York, NY, USA: Basic Books, 2013. p i. New York, NY, USA: Basic Books, 2013. p i. http://site.ebrary.com/lib/mcgill/doc?id=10665296&ppg=2 New York, NY, USA: Basic Books, 2013. p ii. http://site.ebrary.com/lib/mcgill/doc?id=10665296&ppg=3 New

More information

U.S. Property and Casualty Insurance Company Income Tax Return. For calendar year 2014, or tax year beginning, 2014, and ending, 20.

U.S. Property and Casualty Insurance Company Income Tax Return. For calendar year 2014, or tax year beginning, 2014, and ending, 20. Form 1120-PC Department of the Treasury Internal Revenue Service A Check if: 1 Consolidated return (attach Form 851). 2 Life-nonlife consolidated return.. 3 Schedule M-3 (Form 1120-PC) attached... U.S.

More information

financial DiScloSure report

financial 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 information

FILING DEADLINE IS MARCH 1, 2015. Name on Tax Bill: GPIN: Account: GENERAL INFORMATION AND REQUIREMENTS

FILING DEADLINE IS MARCH 1, 2015. Name on Tax Bill: GPIN: Account: GENERAL INFORMATION AND REQUIREMENTS T. Scott Harris, MCR Commissioner COUNTY OF HANOVER, VIRGINIA REACH: REAL ESTATE TAX RELIEF-SENIOR TAX YEAR 2015 Office of the Commissioner of the Revenue PO Box 129, Hanover, VA 23069 Tel: 804-365-6128

More information

Howard 457 Deemed IRA Participation Agreement for Deferred Compensation Plan

Howard 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 information

Proposed Washington Capital Gains Tax HB 1484/SB 5699. Frequently Asked Questions

Proposed Washington Capital Gains Tax HB 1484/SB 5699. Frequently Asked Questions Proposed Washington Capital Gains Tax HB 1484/SB 5699 Governor Inslee is proposing a capital gains tax on the sale of stocks, bonds and other assets to increase the share of state taxes paid by Washington

More information

Name Last First M.I. Marital Status Single Married Divorced Separated. Will your spouse be a student during the 2015-16 academic year?

Name Last First M.I. Marital Status Single Married Divorced Separated. Will your spouse be a student during the 2015-16 academic year? INTERNATIONAL STUDENT FINANCIAL AID APPLICATION FILING DEADLINE: MARCH 1, 2015 PLEASE LIST ALL AMOUNTS IN US DOLLARS SECTION 1: STUDENT GENERAL INFORMATION Name Last First M.I. LSAC # Marital Status Single

More information

North Carolina s Reference to the Internal Revenue Code Updated - Impact on 2015 North Carolina Corporate and Individual income Tax Returns

North Carolina s Reference to the Internal Revenue Code Updated - Impact on 2015 North Carolina Corporate and Individual income Tax Returns June 3 2016 North Carolina s Reference to the Internal Revenue Code Updated - Impact on 2015 North Carolina Corporate and Individual income Tax Returns Governor McCrory signed into law Session Law 2016-6

More information

FOR CALENDAR YEAR 2010 (5 U.S.C. app. ~sq.~ 101-111) [] Initial [] Annual [] Final

FOR CALENDAR YEAR 2010 (5 U.S.C. app. ~sq.~ 101-111) [] Initial [] Annual [] Final Holland, H. Russel I I AO 10 Rev. 1/2011 FOR CALENDAR YEAR 2010 (5 U.S.C. app. ~sq.~ 101-111) Report Required by the Ethics in Government Act ofl978 1. Person Reporting (last name, lirst, middle initial)

More information

Your Asset Protection Blueprint It s Taken Years to Accumulate Your Assets. Now it s Time to Protect Them!

Your Asset Protection Blueprint It s Taken Years to Accumulate Your Assets. Now it s Time to Protect Them! Your sset Protection Blueprint It s aken Years to ccumulate Your ssets. Now it s ime to Protect hem! Confidential P 1 Questionnaire You will receive your customized blueprint within five business days

More information

Notice 97-34, 1997-1 CB 422, 6/02/1997, IRC Sec(s). 6048

Notice 97-34, 1997-1 CB 422, 6/02/1997, IRC Sec(s). 6048 Notice 97-34, 1997-1 CB 422, 6/02/1997, IRC Sec(s). 6048 Returns of foreign trusts foreign gift reporting requirements tax This notice provides guidance regarding the new foreign trust and foreign gift

More information

ESTATE PLANNING CHECKLIST. Your Name(s): Client 1: DOB: SSN: Employment: Telephone Numbers: Home: Office: Fax: Cell:

ESTATE PLANNING CHECKLIST. Your Name(s): Client 1: DOB: SSN: Employment: Telephone Numbers: Home: Office: Fax: Cell: ESTATE PLANNING CHECKLIST Meeting Date: Referred By: Your Name(s): Client 1: DOB: SSN: Employment: Client 2: DOB: SSN: Employment: Address: (including County of residence) Telephone Numbers: Home: Office:

More information

JEFFERSON COUNTY BAIL BOND BOARD APPLICATION FOR SURETY LICENSE

JEFFERSON COUNTY BAIL BOND BOARD APPLICATION FOR SURETY LICENSE JEFFERSON COUNTY BAIL BOND BOARD APPLICATION FOR SURETY LICENSE NOTICE: Pursuant to Occupations Code Chapter 1704.162 Section (2) (b) and the Jefferson County Bail Bond Board local rules, failure to submit

More information

Succession Planning. Succession Planning. James F. Weber, CPA, CGMA Managing Member

Succession Planning. Succession Planning. James F. Weber, CPA, CGMA Managing Member James F. Weber, CPA, CGMA Managing Member This session is eligible for 1 Continuing Education Hour and 1 Contact Hour. To earn these hours you must: Have your badge scanned at the door Attend 90% of this

More information

COMPLETING A PERSONAL NET WORTH STATEMENT (Personal Net Worth Statements and Related Financial Information Are Not Subject To Public Disclosure Laws)

COMPLETING A PERSONAL NET WORTH STATEMENT (Personal Net Worth Statements and Related Financial Information Are Not Subject To Public Disclosure Laws) COMPLETING A PERSONAL NET WORTH STATEMENT (Personal Net Worth Statements and Related Financial Information Are Not Subject To Public Disclosure Laws) For New Applicants: All Owners Claiming Disadvantaged

More information

Medicaid Eligibility and the Treatment of Income and Assets under the New York State Partnership for Long-Term Care

Medicaid Eligibility and the Treatment of Income and Assets under the New York State Partnership for Long-Term Care Medicaid Eligibility and the Treatment of Income and Assets under the New York State Partnership for Long-Term Care (The only plan covered in this document is the Total Asset 3/6/50 plan.) Prepared By:

More information

FULLER LANDAU LLP. Tax Return Questionnaire - 2014 Tax Year. Name and Address: Social Security Occupation Number:

FULLER LANDAU LLP. Tax Return Questionnaire - 2014 Tax Year. Name and Address: Social Security Occupation Number: FULLER LANDAU LLP Print this form out, take some time to fill it out, and bring it with you when you come to the office. This will save you time and money, and help us help you more effectively. Tax Return

More information

TAX DEFERRAL INFORMATION AND INSTRUCTION SHEET

TAX DEFERRAL INFORMATION AND INSTRUCTION SHEET CECIL COUNTY, MARYLAND OFFICE OF FINANCE 200 CHESAPEAKE BLVD, STE. 1100 ELKTON, MARYLAND 21921 TAX DEFERRAL INFORMATION AND INSTRUCTION SHEET The Annotated Code of Maryland, Tax-Property Article 10-204

More information

PENN STATE FEDERAL BUSINESS LOAN APPLICATION

PENN STATE FEDERAL BUSINESS LOAN APPLICATION PENN STATE FEDERAL BUSINESS LOAN APPLICATION Date: Branch: Office: BUSINESS LOAN APPLICATION CHECKLIST Please be sure to include all of the following so that we may process your application as quickly

More information

GIFT ACCEPTANCE POLICIES

GIFT ACCEPTANCE POLICIES GIFT ACCEPTANCE POLICIES I. PURPOSE OF POLICY AND GUIDELINES The purpose of the Gift Acceptance Policy and Guidelines is to guide the efforts of the Board of Directors of the Daughters of the Nile Foundation,

More information

Non-Deductible/ROTH IRA Disclosure Statement

Non-Deductible/ROTH IRA Disclosure Statement UBS Trust Company of Puerto Rico Non-Deductible/ROTH IRA Disclosure Statement UBS Trust Company of Puerto Rico ( UBS Trust or the Trustee ), as trustee of the UBS Puerto Rico Non- Deductible/ ROTH Individual

More information

LAW OFFICES OF BRADLEY J. FRIGON, LLC PROBATE INTAKE FORM PERSONAL INFORMATION

LAW OFFICES OF BRADLEY J. FRIGON, LLC PROBATE INTAKE FORM PERSONAL INFORMATION Member National Academy of Elder Law Attorneys Member Special Needs Trust Alliance ** Certified Elder Law Attorney by the National Elder Law Foundation www.specialneedsalliance.com LAW OFFICES OF BRADLEY

More information

Tax Return Questionnaire - 2014 Tax Year

Tax Return Questionnaire - 2014 Tax Year Print this form out, take some time to fill it out, and bring it with you when you come to the office. This will save you time and money, and help us help you more effectively. Tax Return Questionnaire

More information