FINANCIAL DISCLOSURE REPORT. 2. Court or OrKanliatlon U.S.D.C. S.D. FLA (WPB) Sa. Report Ty (check spproprl l lype) [nitia! Annual

Transcription

1 AOIO Rev FINANCIAL DISCLOSURE REPORT Report Required by lhe Ethics In Government Act of 1978 FOR CALENDAR YEAR 2011 (S U.S.C. app. IOI-I I I) I. Penon Reportln11 (l I n me, llrst, middle Initial) Middlebrooks, Donald M. 2. Court or Oranliatlon U.S.D.C. S.D. FLA (WPB) 3, Date of Report 6/ Title (Arllde m judgea lndlcate active or 1enlor atalut; magistrate judges indicate full- or part-time) U.S. District Ct. Judge Actlve 7, Cbambm or Offce AddrCH Sa. Report Ty (check spproprl l lype) D Nomina ion [nitia! D f1 Sb, D Amended Rcpon Date Annual D Final 6. Reportng Period 01/01/201 I to 12131/20 I I 70 I Clematis Street, Room 257 West Palm Beach, FL 3340 I IMPORTANT NOTES: The Instructions accompanying this form must be/of/owed. Complete allparts, checking the NONE hox for each part where JIOU have no reportable information. Insert signature 011 last page. I. POSITIONS. (R porllng lndlvldua/ only; se1 pp bffl/ing lm1ruo1/ons.) 0 NONE (No reportable positions.) POSITION NAME OF ORQANJZATJON/ENTITY 1. Partner (22.5% Interest) Lake Lucy Groves (Operations and most of assets sold - Sec Section Ylll) 2. 50% Owner Billie Moore Fars, LLC, a Georgia Limited Liability Compnay s. II, AGREEMENTS. (Reporting lndmduot on/yt m pp, ofjl/fng ln trucllons.) [{ NONE (No reportable agreements.) PARTIES AND TERS 2. 3.

2 Name or Person Reportlns Date of Report Page 2of8 Middlebrooks, Donald M. 6/15/2012 [JI, N 0N-JNVESTMENT INC 0 ME, (Reporting lndmdual and spouse15ee pp of fl/ing lnsttuctlons.) A. Flier's Non-Investment Income [{ NONE (No reportable non-investment income.) SOURCE AND TYE IN_ (yours, not spouse's) B. Spouse's Non Investment Income I/you were married during any pnrllon of the reporting year, complete thlr section, (Dollar amount not required except/or honoraria.) 0 NONE (No reportable non-investment income.) SOURCE AND TYPE Palm Beach County School Board Salary -----"'""'"'" """'' j, IV, REJMBURSEI\IENTS -trrmsportallon, /odglng,/ood, enterta/nmen (Includes fhose t<1 spouse and dependenr children: see pp of filing /n.rtruclions.) [{ NONE (No reportable reimbursements.) SOURCE LOCATION PURPOSE ITS PAID OR PROED _,.., 4,

3 Page 3of8 Nome of l'enon Reporting Middlebrooks, Donald M. Date or Reporl 6/IS/2012 V GIFTS, (Includes those to spouse ond dependent children; see pp, 28 3 I of fl/ing lmtruc1/011s.) [{ NONE (No reportable gifs.) SOURC DESCRIPTION I. 2. J, ,, VI, LIABILITIES. (Includes thase of spouse and de mltnl children; mpp. 32-J.l off/ling lmtruct/ons.) PESCRIPTIQN L " ".,...,,_

4 Name or Person ReportlnR Dale or Report Page 4 of8 Middlebrooks, Donald M. 6/15/2012 VII. INVESTMENTS and TRUSTS - lncolte, alue, lransac1(ons (ln"1ud ll10se o/spousd and dependenl children: see pp. N-60 off/ling lnstrucl(tjnr,) 0 NONE (No reportable income, assets, or tramaclions.) A. Dcscripllon of Aascts (including trust assets) Place "(X)" ofter en h a ct exempt from prior disclosure (l) Amount Code l (A H} B. Income during reporting period c. Oross value at end ofreport ins period D. Transactions during reporting period (2) (l) (2) (I) (2) (3) (4) (5) Type (e.g., div., rent, or int.) Value Code 2 (l Pl Value Method Code 3 (Q W) Type (e.g., buy, sell, redemption) Date mm/ddlyy Value Code 2 (J-P) Gain Code I (Ml) Identity of buyer/seller (if private transaction) ""'""' I. Lake Lucy Groves, Lab Cty, FL 2. Coca Cola Common Stock -_,,,,, "--'""" - -'"' ' " None LI - w. D Dividend. N T 12/30111 J SEE Vlll.. 3. Berkshire Hathaway Common Stock A < BerkshireHathaway Common Stock B Exxon Mobil Common Stock A 8, Pl "" ----,...._ ,_ '"' IL IS. - 1 A T Johnson & Johnson Common Stock A Dividond T,, #.. c None None M T Sold (part) Dividend M "... '"',_._ ,,,,,, T! - - ; """ T... (add'!) -- (add'!) (add'j) (add'l) (add'l) I 02/18/J I L 08/08/11 05/17/11 07/ /0l/l I 08/0311 I 08/05/l I 0811 Oil I Microsoft Corporation Common Stock Dividend 12116/ I Shares MSCl Emerging Markets I ndcx c Dividend M Fund Shares MSC! EAFE Index fund D Dividend L "# v. T T - - J - ="''" --- «-'"" '""""'""" Sold l D (part) -.. _J 1. (noone Oaln Code : A SJ,000 Of le!i B <-$1,001 Sl,500 (See Columns BI and 04) f $50,001 St00,000 G $1tl,00t $ 1,000,00Q 2. V11lu<: Coc!J J -$ or l1:ss SIS,001 SSD,000 (Sc Columns Cl and Dl) N $2SO,OOt $500,000 0 =$500,001 s 1,000,000 Pl vsll,000,00l $50,000,000 J. Value Mclhod CC"dc11 Q Appro\Jul R s:ost (R al Eslal\) Only) (Sec Column C2) U Bonk Vali1c V.Ocher c $2,501 $5,000 D S5,00l $t5,000 Ii $t S,001 $SO,tl0 Ill $1,000,0lll $5,000,000 Hl "'Mon lhao $.S,000,000 L S$D,OOI $100,000 M S l00,001 $250,000 Pl Sl,000,00l $S,OOO,ooo l'l Ss,ooo,oot $25,000,000 P4 =More 1hen SS0,000,000 S AttecHnwnt T "'Cash Markel W l:;jtimlltcd

5 - FINANCIAL DISCLOSURE REPORT Nome of Person R porting Dote of Report Page 5of8 Middlebrooks, Donald M VII. INVESTMENTS and TRUSTS - lncom, value, lrpnmtlons (Includes lhosi of spouse ani d pendenl chlitlren; pp of f/llng /nstruc1/ons.) D NONE (No reportable income, assets, or transactions.) A. B. c. D. Descriplion of Assets Income during Gross value at end Transactions during reporting period (including trut o'8ets) reporting period of reporting period Place "(X)' oner each as8ct exempt from prior disclosure (I) (2) (I) Amount Code l (A H) (2) (S) (2) (I) (3) (4) Type (e.g., Value Value Type (e.g., Date Value Gain div.. rent. Codcl Method buy, sell, mm/dd/yy Code 2 Code I or int.) (J P) Code 3 redemption) (J P) (A H) (Q-W) Identity of buyer/seller (if private transoction) Vanguard Total Stock Mkt Viper A Sold (purt) Dividend T l 0112/J l A 20. U.S. Treasury Notes D Interest M T 21. Proctor & Gamble None 04/18/l l L >-- " '''", Sold 07126/J I L A !----- Barclays Bank CD c lnt./div. Sold 04/18111 c I I % Int. in Acres in Airport None Q Ind. Pk. Orlando 'f-"'"" Holwood, Inc. None w Level 3 Communication Inc. CV A Interest Sold 04/20111 D Citibank, N.A. Bank D posit Program Interest L T (Cash) 28. US T y Inflation Index NTS DTD l/is/200 Interest Sold L c Northern Trust Checking Account B Interest J T 30. Google Common Stock None I L T """ Archer Daniels Midland A Dividend T 08101/11 - _,, Leucadia National Dividend L T -... N< _...,, Billie Moore Farms, LLC None M R I Pimco Total Return Fund Class A B lnt./div. L T lncume Oain Codo11: A =$ l,000 or leas B $1,001 $2,500 C $l.soi $5,000 D U,001 $15,000 E $15,00l $SO,OOO (S"" Column Blond D4) F SS0,001 $t00,000 0 $100,001 $1,000,ooi Ill ll,000,001-$5,000, More than $5,000, Value Cod J $15,000 or '"'' $15,001 o.ooo \.G$l0,001 $100,000 M $100,001 $2l0,000 (Sec Column Ct ond 03) N $250,001 $500,000 0 SS00,00 I $1,000,000 r1 11,ooo.001.s5,ooo,ooo r2 $l,ooo.001 $25,aoo,ooo Pl $25,000,001 $50,000,000 P4 Moro thn llo,ooll,000 J. Valuo Method Cod" Q Appraisal R-Cu" (Roal"'"" Only) s ""AHeSb'r»Cnl T Cash Murket (Seo Column Cl) U Book. Value V-Othcr W...E1tim111

6 Name of Per on Reporllng Date or Report Page 6of8 Middlebrooks, Donald M. 6/15/2012 VII. INVESTMENTS and TRUSTS.. in com, vatu1, iransgcttons (lnc1udes 1hns of spouse a11d aep nr1n1 chlldrcn1 see PP u-60 of flllng 1nsrruc11ons.1 0 NONE (No reportable income, assets, or transactions.) A. a. c. D. De>cripiion of Assel1' Incomeduring Gross v&l\le 1tl ej1d Transactions during reporting period (including trust nssel ) reporting period of reporling period Place "(X)" aficr each asset exempt from prior disclosure F ' m" M i A Dividend 35. Pimco All Asset All Authority T. (I) (2) (I) (2) (I) (2) Amount Type(e.g., Value Value Type (e.g., Dale Value Gain Jdentlly of Code I div., rent, Codc2 Method buy, sell, mmldd!yy Code2 Code I buyer/seller (3) 04/11/.1. (4) (5) (A H) or int.) (J-P) Code 3 redemption) (J P) (A H) (if private (Q W) transaction) 36. General Electr c T 10/11/11 "" / (add'l) 38. Apple None L T «««<<" I. lncume:oalnctxlu; A $1,000 or!en 1l $1,00 I $2,SOO C $2,lOI $l,ooo D 55,001- $15,000 s $1i,oot-s5o,ooo (See Columns Bl ar.d04) Y SS0, ,0!JO O-SIOO,OOl $1,000,000 HJ $1.000,001 $l,000,0il0 H2 More than $$,000, V11luc Codes J $I l,000 or Im $15,00t $50,000 L SS(),001 $100,000 M $100,00I $250,000 (Seo Column Cl and OJ) N $250,001. $500,000 0 SSOO,OOt Sl,00!),000 rt s 1.000,001 ss '2 ll,000,00t $25.000,000 P3 :$25,000,00 I Sl0,000,000 P4 Moro than $50,000, Vnluo Mclhod Coo" Q Approl,.1 R <o l (R"I B"ate Only) S -As,,i:nm<:QI T *Cash Market (Sec Col,mn C2) ll Book VDIUC V-Olh<r W E,timatcd

7 Page 7of8 Name or Person Reporting Middlebrooks, Donald M, Date or Reporr 6/\5/2012 VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. (lnd/collparto/71pon) Item Number(From Part Vil): I As noted previously, virtually all assets of Lake Lucy Groves were sold. The only remaining asset is an interest in, pursua111 to the sales contract, two unplatted residential lots which have not yet been transferred to the partnership. 2. Our Coca Cola stock is set up for dividend reinvestment and also set up for automatic $ contributions monthly. Because of the number of purchases, I aggregated them into a single p1.rchase dated 12/ Appraisal Date 8/6/94. 2S, Previo1.sly disclosed shares in corporation given Timberland in Crawfordville, GA sole asset of corporation. 33. Billie Moore Farms, u... c is a corporation. I own 50% and i 18, 2008 for $290,000 from Larry Stewart. owns 50%. Its sole asset is land in Crawfordville, Georgia. It was purchased on July

8 Name of Perton Report1n11 Dale of Report Page 8of8 Middlebrooks, Do nald M. 6/15/2012 IX. CERTIFICATION. I certlly that all Information given above (lndudlng Information pertaining to my spouse and minor or dependent children, If any) Is accurate, true, and complete t-0 the best or my knowledge and belief, a nd that any lnlormadon not reported was with held because II met applicable statutory provisions permitting non-disclosure. I rurther certify that earned Income from outside employment and honorarla and the acceptance of gilts whkh have been reported are In complia nce with the provisions of S U.S.C. app, SOI et. seq., S U,S,C. 7353, and Judlclal Conference regulations. NOTE: ANY INDlVIDUAL WHO NOWINGLY ANO Wll.LFULLY 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 Offce ofthe United States Courts Suite One Columbus Circle, N.E. Washington, D.C