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

Size: px
Start display at page:

Download "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"

Transcription

1 Report Required by the Ethics FINCIL DISCLOSURE REPOR in Government ct of 19'?8 Calendar Year 2003 (5 U.S.C. app ) Person Reporting (Last name., First name, Middle initial) 2. Court or Organization 3. Date of Report Haik, Richard Western District of Louisiana 7128/ itle (nncle lu udges indic:ate a.ctive or senior status; 5. Reportype (check appropriate type) 6. Reporting Period magistratejllldges indicate full or parttime) U.S. Distict udge ctive i 1 Nominion, Date 1/1/2003 l. ' nnual (' Flnal to 12/ Chambers or Offce ddress 8. On the basis of the information contained in this Report and any modifications pertaining thereto, it is, in my opinion, in compliance 100 Lafayette: Street with applicable laws and regulations. Suite 4200 Reviewing Offcer Date Lafayette, L 70501, ORN NOES: he: instructions accompanying this form must be followed. Complete all parts, checking the NONE box fur each par ire you have no rep<lrtabl.e information. Sign on last page. POSI10NS. (Reportng individual only; see pp. 913 of filing instructions) NON&: (No reble positions.) NM OF ORGNIZION/ENIY I GREEMES. (R.eprl:ng individual only; see pp of filing instructions) NON&: (No reportable agements.) PRIES ND ERMS 1. 0 :c c::: '( (' r ;. 0 _,. z. _,,,_ e '.. i \,; 0 :rri > z 0 "(:' > ;t r G" o::i w N VI 0 :::;;:::.. c::::i... :: re t ::. m.i...,,;. _... "" r":...,,,1< \ ; I

2 FINNCIL DISCLOSURE REPOR of Person Reponing Date of Rep ] Richard 7128/2004,,,, ID. NONINEShlEN l!ncome. (Reporting individual and spouse: see pp of' tiing instructions). Filer's NonInvestment Incl[me Sl NONE (No reportable noninvestment income.) SQUE N YE GROSS INCOME (yo, not spose's) B. Spouse's NonInvestment focome (Ifyou were married during any portion of the reportng year, please complete this section. (dollar amount not requiired except for honorria) NONE {No reportable noninvestment income.) SOURCE ND WE IV. REIMUREMES trasporttion. lodging, food, entertainment (Ii cludes those to spous1: and depc:ndent children. See pp of instructions.) D NONE {No such n:portable reimbursements.) DESCRIPION Louisiana State Bar ssociation 06/12/03 Seminar Speaker, San Destin, FL ravel, Lodging and Meals 2. Louisiana State Bar ssociation 09/05/03 Seminar Speaker, New Orleans, L ravel, Lodging and Meals

3 , FIN."fCIL DISCLOSURE REPOR Name of Person Reporting Haik, Richard Date of Report 7128/04 V. GIFS. (Includes those to spouse and dependent children. See pp. 283 l of instrctions_) U NONE (No such n=portable gifts.) SOURCE he City Club Honorary Membership DESCRIPION $ Diamnd M Drilling Hunting rip $ Flowar Company Hunting rip $1,000 V LLl\ILIS. (lncludes those of spouse and dependent children. See pp of instructions.) NONE (No reportable ii.ilities.) DESCRIION VLUE CODE...

4 . 1iN.. fcil DISCLOSURE REPOR Name of Person Reporting Date of Report. Page 1 of2 Haik, Richard 7128/2004 VI, INVESMES and RUSS income, value, tl'anscations (includes those of the spous anci dependent children. See pp of filing instructions.). B. c. D. Description of ssets Income during Gross value at end of ransactions during reportng prriod reporting period reporting peod (including lmst assets) (2) (1) (') (l) Ifnot exempt from disclosre (4) (S) Place "(X)" aft ea asse c:xempi mount ype (e.g. Value Value ype (e.g. Date: Value Gain Identity of from pror diosure Code 1 div. rent. or Code2 Method buy, sell, Month Code:? Cad I buyer/seller (H) i11t.) (P) Cod merger, Da (P} (H) (if!ivate (QW) redemp1ion) tr1:tion) (I) (2) (3) 0 NONE (No renalc inc1ime, 1issets, or transactions) Ibl::ria Bank ccount# 1 Interest 2. Ibe:ria Bank ccount #2 Interest K 3. lbe:ria Bank ccount #3 Interest 4. Iberia Bank ccount #4 Interest 5. Bmkerage ccount# 1 6. Money Market: ccount: 7. Global Industries, LID Common Stock None 8. Diamond Offshore Drilli ng, Inc. Common Stock 9. Home Depot, Inc. Comm on Stoc k Sell 10/ Rowan Company Comm on Stoc k None 11. Bmk cco llt #2 12. Money Market ccount 13. merican International li>etroleum Common Stock None 14. Home Depot, I111c. CofllII on Stoc k IS. Pi:psico, Inc. Common S tock Vodafone Group, PLC Pi.R 1 7. Brcikerage ccunt#3 r. 18. Money Market Fund l " ;, " t: ln omec1ailcodes: S:tQj ;Ot.:esk... :a = $l,00is2;500 c =S2;501S';600 (See Col10mn.< B'I and 04) F = SSO,Off s100,ooo G = $100,001S!,OOO,OOO HI =Sl,000,001$5,000,000 H2 =Mor than $5,000,000 I 2. Value CC>de: = $ orless K = Sl5,00IS50,000 L = S50,00!SW0.000 M =SI $250,000 (Sec Columns CI and 03) N = $250;000$50It,OOO 0 = $500,001$1, Pl = $1,000,001$5,000,000?2 = $5, $15,000,000 P3 = S25,1)00,00l$50,000,000 P4 = SMore than $50,000,000 j 3_ Value Method Codes Q = ppraisal R =Cost (Real Estate Only) S = ssessment = Cah1Markef (Sce Cubunn C2) U = Buok Value V =Other W =Estimated

5 , (l) (1) buy.sen Report: 7128/20o:L ;...INHCIL DISCL,OSURE REPOR Date of., Page 2 of2 VI. INESMES and RUSS Name M Person Reporting Haik, Richard Income, value, transc:ations (includes those ofthe spouse and dependent children. See pp of fiing instructions.) o. :,i5.'001:ii5.o00 i. B. c. D. Income during Gross 11luc at end of ransactions during reporting period Description of ssets reporting period reporting period cmcluding lmst assets) [fnot exempt from disclosur (2) (2) (I) (2) (3) ( ) (5) place "(X)" aft each asset exem11t mount yp (e.g. Value Value ype (e.g. Date: Value Gain Idenity of from prior disclosure Code I div. ret. or Coe2 Method Month Code2 Code I bu/seller (H) int.) (P) Code3 merger, Day (.) (H) (if pri'lllc (QW) reemtion) ttcton) 19. Oro'wt Fund of merica Mutual Fund K Partial Sale K c 20. Libert Funds rust IV Mutual Fund None ] 21. Individual Retirement 1:cou11t # I M 22. Eun:1Pacific Growt Fund Mutual Fund 23. Orm vt Fund ofmeri1:a Mutual Fund 24. lbc:ra Bank ccount #5 25. Ibc:ra Bank cct #6 Interet Interet Opened Opened I I, 26. Ibe:ria Bank ccont #7 Interest ] Opened. I L ;: :s1.01io or, ;;. " l ;; /rain,cod \(1. C, :l.1le1 1.1s1ns: c.1.a ' D = ).,, Sl,5fO(Lrle$. "K =$15,001$50;000 L = SSO,OOf Sl00,000 M = $00.00l$"_W;OOO rl.;{ """ "" u N = S250,.000.$500,00! 0 = SS00,09.1$1,000,000 Pl =S,000,00l$:5,otlO,OOO P2 = $5,000,00l$25.000))00 n i P3 = $25,CtOO,OO $50,000;00 P4 = SMore 1ha11 $50,000,00() i j 3. Value Method, Codes Q = pptaisal R = Cost (Rea Estate Only) S =ssesment = Cash.ltfarke:.$1s,001ss 1)00I B = S!.OO$2,500 c = $2,5frS5.000.! '..(See Cohunro; m.andi!) t;... $5f);OOl$HlO;OOO 0 = $100,001 $ 1, ll.0() m.. s 1,ono;omss,000,000 H2 = More than $5,000,000 j 1 (See Column C2) U = Bo;'k Yaltu: V =Other W = Estated 1. _: I _I I

6 I ' FCIL DISCLOSURE REPOR ". '! N""' of P=oo """"'"' Haik. Richard V DDffONL IN1FORMION OR EXPLNIONS (Indicate part of Report.) Daile of Repo1 7n8/2004

7 Fllol rcil DISCLOSURE REPOR IX. CERIFICION. Name of Person Reporting Haik, Richard Date of Report I certify that all information given above (including infonnation pertaining to my spouse and minor or dependent children, if any) is accurate, true, and 1 ompletc! to the best of my knowledge and belief, and that any information not reported was withheld because it met applicable statutory provisions permitting f!ondisclosure. I furthe1r certify that eamed 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. 501 et. seq., 5 U.S.C. 7353, and udicial Conference regulations. Date 9; /t2 04 NOE: IN WHO KNOWINGLY ND WILFULLY FLSIFIES OR FILS O FILE HIS REPOR MY BE SUBEC O CIVIL ND CRIMINL SNCIONS (5 U.S.C. app. 104) FILING INSRUCIONS Mail signed original and 3 additional copies to: Committee on Financial Disclosure dministrative Offce of the United States Cours Suite 2301 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

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

[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.) 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

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

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

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

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

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

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

[{ 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 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

[{ 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.) 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

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

[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

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. 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

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.) 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

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

[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

[{] 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

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

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.) 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

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

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

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

[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

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

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

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

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

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

[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

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

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

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

[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

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

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

FOR CALENDAR YEAR 2010 (5 U.S.C. app..~q 101-111) Nomination, Date 01/01/2010 ] [] Annual [] Final [] Initial 12/31/2010. 5b. Fallon, Eldon E. O 10 Rev. 1/2011 FOR CLENDR YER 2010 (5 U.S.C. app..~q 101-111) Report Reqtdred by the Ethics in Government ct of 1978 I. Person Reporting (last name, first, middle initial) 2. Court or

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

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

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

[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

[{ 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

[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

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.) 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

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

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

[{ 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

Type Of Information To Be Told By A Corporation Administrator

Type Of Information To Be Told By A Corporation Administrator 'l L " r.. Re,. 112 N01 FINNCIL DISCLOSURE REPOR in Government ct of l ns Calendar Year 2003 (5 U.S.C. app. 101111) Report Required by the Ethics l. Person Reportng (Last name, First name, Middle initial)

More information

,.,.. R_ev_A_ -h- _o_6

,.,.. R_ev_A_ -h- _o_6 ,.,.. R_ev -h- _o_6 FINNCIL DISCLOSURE REPORT Report Reqired by the Ethics in Government ct of 1978 FOR CLENDR YER 2005 (5 u.s.c. app. 101-111) I. Person Reporting (last name, first, middle initial) 2.

More information

I. POSITIONS. (Reporting individual only; see pp. 9-13 offiling instructions) 0 NONE - (No reportable positions.)

I. POSITIONS. (Reporting individual only; see pp. 9-13 offiling instructions) 0 NONE - (No reportable positions.) .0-10,. Rev. l/2004 FINNCI DISCOSURE REPOR Report Required by the E.thics in Government ct of 1978 FOR CENDR YER 2005 (5 U.S.C. app. 101-111) 1. Person Reporting (ast name, First name, iddle initial) EVRIZIN,

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

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

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

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

STATE PERSONAL INCOME TAXES ON PENSIONS & RETIREMENT INCOME: TAX YEAR 2010

STATE PERSONAL INCOME TAXES ON PENSIONS & RETIREMENT INCOME: TAX YEAR 2010 STATE PERSONAL INCOME TAXES ON PENSIONS & RETIREMENT INCOME: TAX YEAR 2010 Ronald Snell Denver, Colorado February 2011 Most states that levy a personal income tax allow people who receive retirement income

More information

Premature: under the age of 59½ Normal: over the age of 59½, includes Required Minimum Distributions (RMD) Disability

Premature: under the age of 59½ Normal: over the age of 59½, includes Required Minimum Distributions (RMD) Disability P 1.800.962.4238 W www.pensco.com Distribution Request 1. ACCOUNT OWNER INFORMATION Please type or print all information requested below. Required fields are denoted by an * (asterisk). *First Name: *MI:

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

FOR CALENDAR YEAR 2009 (5 U.S.C app. 101-111) 2. Court or Organiz.tlon. United States District Court - District of New Jersey

FOR CALENDAR YEAR 2009 (5 U.S.C app. 101-111) 2. Court or Organiz.tlon. United States District Court - District of New Jersey Kugler, Robert B. AOJO FNANCAL DSCLOSURE REPOR Rev. 1121)/0 FOR CALENDAR YEAR 2009 (5 U.S.C app. 101-111) Report Required by the Ethics in Governmenr Act of 1978 Person Reporting (last name, first, middle

More information

LIMITED PARTNERSHIP FORMATION

LIMITED PARTNERSHIP FORMATION LIMITED PARTNERSHIP FORMATION The following Chart has been designed to allow you in a summary format, determine the minimum requirements to form a limited partnership in all 50 states and the District

More information

Distribution Request for Payment of Qualified Health and Long-Term Care Insurance Premiums THE CITY OF SEATTLE VOLUNTARY DEFERRED COMPENSATION PLAN

Distribution Request for Payment of Qualified Health and Long-Term Care Insurance Premiums THE CITY OF SEATTLE VOLUNTARY DEFERRED COMPENSATION PLAN Instructions Distribution Request for Payment of Qualified Health and Long-Term Care Insurance Premiums THE CITY OF SEATTLE VOLUNTARY DEFERRED COMPENSATION PLAN Retired Public Safety Officers can use this

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

FRAME BUILDERS & MANUFACTURERS APPLICATION. Your Guide to Creating a Successful Partnership with QBP

FRAME BUILDERS & MANUFACTURERS APPLICATION. Your Guide to Creating a Successful Partnership with QBP FRAME BUILDERS & MANUFACTURERS APPLICATION Your Guide to Creating a Successful Partnership with QBP Thank you for your interest in establishing an account with QBP. We offer frame builders and bike manufactures

More information

FORM D Notice of Exempt Offering of Securities

FORM D Notice of Exempt Offering of Securities You may not send a completed printout of this form to the SEC to satisfy a filing obligation. You can only satisfy an SEC filing obligation by submitting the information required by this form to the SEC

More information

UNITED STATES COURT OF APPEALS FOR TH NINH CIRCUIT 95 SEVENTH STREET, SUITE 205 SAN FRANCISCO, CALIFORNIA 94103-1526.

UNITED STATES COURT OF APPEALS FOR TH NINH CIRCUIT 95 SEVENTH STREET, SUITE 205 SAN FRANCISCO, CALIFORNIA 94103-1526. UNIED SAES COUR OF APPEALS FOR H NINH CIRCUI 95 SEVENH SREE, SUIE 205 SAN FRANCISCO, CALIFORNIA 94103-1526 CHAMBERS OF CARLOS IBURCIO BEA US CIRCUI JUDGE Judge Ortrie D Smith Judicial Conference of the

More information

REPORTING OF PROXY VOTES ON EXECUTIVE COMPENSATION AND OTHER MATTERS. SUMMARY: The Securities and Exchange Commission is proposing rule and form

REPORTING OF PROXY VOTES ON EXECUTIVE COMPENSATION AND OTHER MATTERS. SUMMARY: The Securities and Exchange Commission is proposing rule and form SECURITIES AND EXCHANGE COMMISSION 17 CFR Parts 240, 249, 270, and 274 [Release Nos. 34-63123; IC-29463; File No. S7-30-10] RIN 3235-AK67 REPORTING OF PROXY VOTES ON EXECUTIVE COMPENSATION AND OTHER MATTERS

More information

ABOUT LPL FINANCIAL. serving. financial advisors. and their clients

ABOUT LPL FINANCIAL. serving. financial advisors. and their clients ABOUT LPL FINANCIAL serving financial advisors and their clients the need for objective advice has never been greater Amid an ever-changing investment landscape, investors need an expert and experienced

More information

United States Bankruptcy Court District of Arizona NOTICE TO: DEBTOR ATTORNEYS, BANKRUPTCY PETITION PREPARERS AND DEBTORS

United States Bankruptcy Court District of Arizona NOTICE TO: DEBTOR ATTORNEYS, BANKRUPTCY PETITION PREPARERS AND DEBTORS United States Bankruptcy Court District of Arizona NOTICE TO: DEBTOR ATTORNEYS, BANKRUPTCY PETITION PREPARERS AND DEBTORS UPDATED REQUIREMENTS FOR FORMAT OF MASTER MAILING LIST The meeting of creditors

More information

IRA Distribution Form

IRA Distribution Form Use this form to request distributions from your IRA account and to close an IRA. Instructions 1. Complete the form and include any necessary supporting documents. 2. Sign and send us the completed form.

More information

Business Credit Application and Credit Card Authorization form

Business Credit Application and Credit Card Authorization form Business Credit Application and Credit Card Authorization form INSTRUCTIONS: If applying for Open Terms, please complete this application in its entirety. If applying for a Credit Card account, please

More information

United States Bankruptcy Court District of Arizona

United States Bankruptcy Court District of Arizona United States Bankruptcy Court District of Arizona NOTICE TO: DEBTOR ATTORNEYS, BANKRUPTCY PETITION PREPARERS AND DEBTORS UPDATED REQUIREMENTS FOR FORMAT OF MASTER MAILING LIST The meeting of creditors

More information

Offer in Compromise. Attach Application Fee and Payment (check or money order) here. IRS Received Date. (Rev. May 2012) Section 3

Offer 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 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

Wells Fargo & Company Stock Purchase Plan

Wells Fargo & Company Stock Purchase Plan Prospectus Wells Fargo & Company Stock Purchase Plan November 1, 2014 This document constitutes part of a prospectus covering securities that have been registered under the Securities Act of 1933. Specifically,

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

AT RICHMOND, SEPTEMBER 7.20)1. By order entered on July 25, 201 1, all interested persons were ordered to take notice that

AT RICHMOND, SEPTEMBER 7.20)1. By order entered on July 25, 201 1, all interested persons were ordered to take notice that COMMONWEALTH OF VIRGINIA STATE CORPORATION COMMISSION AT RICHMOND, SEPTEMBER 7.20)1 H ca COMMONWEALTH OF VIRGINIA, ex rel. P 12 : 1 o STATE CORPORATION COMMISSION Ex Parte : In the matter of Adopting a

More information

Name Social Security No. Birth Date. Name SSN Relation- Birth 2015 Gross *Full-Time (required) ship date Income Student

Name Social Security No. Birth Date. Name SSN Relation- Birth 2015 Gross *Full-Time (required) ship date Income Student Tax Data Questionnaire 2015 The Stewardship Services Foundation (661) 362-2TAX (362-2829) Check here if this is the first year we have prepared your return. Name Social Security No. Birth Date Name of

More information

Community Eligibility Option: Guidance and Procedures for Selection of States for School Year 2012-2013

Community Eligibility Option: Guidance and Procedures for Selection of States for School Year 2012-2013 United States Department of Agriculture Food and Nutrition Service 3101 Park Center Drive Alexandria, VA 22302-1500 DATE: February 9, 2012 MEMO CODE: SP 12-2012 SUBJECT: TO: Community Eligibility Option:

More information

Dependent Care Accounts

Dependent Care Accounts Dependent Care ccounts n Independent Licensee of the Blue Cross and Blue Shield ssociation. uestions and nswers Dependent Care ccounts Preferred Dependent Care ccount Can Save You Money s part of your

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

#2." In my 2006 report it was therefore moved to Line 110, the last entry for that brokerage account.

#2. In my 2006 report it was therefore moved to Line 110, the last entry for that brokerage account. UNITED STATES DISTRICT COURT DISTRICT OF MAINE D. BROCK HORNBY DISTRICT JUDGE April 24, 2007 CJ (/ l) r--,, (/ :: C::l> Committee.::0 on Financial Disclosure :::z,, a-

More information

Table 12: Availability Of Workers Compensation Insurance Through Homeowner s Insurance By Jurisdiction

Table 12: Availability Of Workers Compensation Insurance Through Homeowner s Insurance By Jurisdiction AL No 2 Yes No See footnote 2. AK No Yes No N/A AZ Yes Yes Yes No specific coverage or rate information available. AR No Yes No N/A CA Yes No No Section 11590 of the CA State Insurance Code mandates the

More information

Annual Survey of Public Pensions: State- and Locally- Administered Defined Benefit Data Summary Brief: 2015

Annual Survey of Public Pensions: State- and Locally- Administered Defined Benefit Data Summary Brief: 2015 Annual Survey of Public Pensions: State- and Locally- Administered Defined Benefit Data Summary Brief: Economy-Wide Statistics Division Briefs: Public Sector Graphical Summary By Phillip Vidal Released

More information

Payroll Deductions BUSINESS OFFICE 202 STEPHANIE PIT TMAN BREMEN PUBLIC SCHOOLS

Payroll Deductions BUSINESS OFFICE 202 STEPHANIE PIT TMAN BREMEN PUBLIC SCHOOLS Payroll Deductions BUSINESS OFFICE 202 STEPHANIE PITTMAN BREMEN PUBLIC SCHOOLS Mandatory Deductions Social Security (OASDI) Employee deduction - 6.2% Wage Base Limit 2014 - $117,000 Employer Matching Social

More information

Vintage Financial Services, LLC. 101 North Main Street, Suite 800. Ann Arbor, MI 48104 (734) 668 4040. www.vintagefs.com

Vintage Financial Services, LLC. 101 North Main Street, Suite 800. Ann Arbor, MI 48104 (734) 668 4040. www.vintagefs.com Vintage Financial Services, LLC 101 North Main Street, Suite 800 Ann Arbor, MI 48104 (734) 668 4040 www.vintagefs.com E mail: Succeed@VintageFS.com Brochure dated January 27, 2015 This brochure updates

More information

Part 5. Tax Credits for Qualified Business Investments. 105-163.010. (Repealed effective for investments made on or after January 1, 2013)

Part 5. Tax Credits for Qualified Business Investments. 105-163.010. (Repealed effective for investments made on or after January 1, 2013) Part 5. Tax Credits for Qualified Business Investments. 105-163.010. (Repealed effective for investments made on or after January 1, 2013) Definitions. The following definitions apply in this Part: (1)

More information

Muret CPA, PLLC Page 1 2011 Tax Questionnaire

Muret CPA, PLLC Page 1 2011 Tax Questionnaire Muret CPA PLLC 2011 Tax Organizer Please complete and bring to your appointment, or fax to us at 918-517-3000. You can also scan and email to paul@muretcpa.com Muret CPA, PLLC Page 1 2011 Tax Questionnaire

More information

CHARLES 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 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 information

SCO TT G LEA SO N D EM O Z G EB R E-

SCO TT G LEA SO N D EM O Z G EB R E- SCO TT G LEA SO N D EM O Z G EB R E- EG Z IA B H ER e d it o r s N ) LICA TIO N S A N D M ETH O D S t DVD N CLUDED C o n t e n Ls Pr e fa c e x v G l o b a l N a v i g a t i o n Sa t e llit e S y s t e

More information

Career Goals 0 points Activities 0 points

Career Goals 0 points Activities 0 points Directions for Completing the Scholarship Application READ DIRECTIONS CAREFULLY I. General Instructions for all applicants 1. Must be completed by applicant; 2. Must be typewritten or legibly printed in

More information

Eaton Vance 2013 Tax Guide

Eaton Vance 2013 Tax Guide aton Vance aton Vance 2013 Tax Guide Our Investment ffiliates aton Vance Management ontents 2013 orm 1099-DIV 2 2013 orm 1099-B 4 2013 orm 8949 6 2013 orm 1099-R 8 2013 orm 5498 10 nswers to ommonly sked

More information