D NONE (No reportable positions.)
|
|
|
- Alisha Floyd
- 7 years ago
- Views:
Transcription
1 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 l1) I. Person Reporting (last name, first, middle initial) Court or Organization Date of Report United States District Court, District of Utah Title (Article Ill judges indicate active or senior status; magistrate judges indicate full- or part-time) US District Judge, Senior Sa. Report Type (check appropriate type) D Nomination, Date D Initial [Z Annual D Sb. Amended Report D Final 6. Reporting Period 01/01/2010 to 12/31/ Chambers or Office Address 350 S. Main Street, #222 Salt Lake City, Utah On the basis of the information contained in this Report and any modifications pertaining thereto, it is, in my opinion, in compliance with applicable laws and regulations. Reviewing Officer Date IMPORTANT NOTES: The instructions accompanying this form must be followeil Complete all parts, checking the NONE box for each part where you have no reportable information. Sign on last page. I. POSITI 0 NS, (Reporting individual only; see pp of filing instructions.) D NONE (No reportable positions.) POSITION NAME OF ORGANIZATION/ENTITY I. Member Fellows of the American Bar Foundation Director Utah Chapter, Federal Bar Association Master of the Bench American Inn of Court I Member American Bar Associtaion Member Federal Judge's Association II. AGREEMENTS, (Reporting individual only; see pp of filing instructions.) D NONE (No reportable agreements.) PARTIES AND TERMS I Pension Plan & Profit Sharing Plan (no control except for the interest the Retirement Plan owns for me in Mt. Jordan, a Limited Partnership). See VIII
2 Dale of Report Page 2of6 03/30/201 I Ill. N 0 N-INVE S TMENT INC 0 ME. (Reporting individual and spouse; see pp. I 7-24 of filing instructions.) A. Filer's Non-Investment Income D NONE (No reportable non-investment income.) SOURCE AND TYPE INCOME (yours, not spouse's) I BYU Law School $24, 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.) D NONE (No reportable non-investment income.) SOURCE AND TYPE I Intermountain Healthcare (registered nurse) IV. REIMBURSEMENTS -transportation, lodging.food, entertainment. (Includes those to spouse and dependent children; see pp of filing instructions.) D NONE (No reportable reimbursements.) SOURCE DATES LOCATION PURPOSE ITEMS PAID OR PROVIDED I. DistrictJudges Retreat June 7-9, 2010 Bryce Canyon, UT Judges Business transportation, meals, lodging
3 Page 3of6 Date of Report V. GIFTS. (Includes those to spouse and dependent children; see pp of filing instructions.) [{ NONE (No reportable gifts.) SOURCE DESCRIPTION VALUE I. VI. LIABILITIES. (Includes those of spouse and dependent children; see pp of filing instructions.) [{ NONE (No reportable liabilities.) CREDITOR DESCRIPTION VALUE CODE I.
4 Page 4of6 l>ate of Report VII. INVESTMENTS and TRUSTS - income, value, transactions (Includes those ofspou. e and dependent children; see PP of filing instruttions.) D NONE (No reportable income, assets, or transactions.) A. B. c. D. Description of Assets Income during Gross value at end Transactions during reporting period (including trust assets) reporting period of reporting period (2) (I) (I) (!) (2) (2) (3) (5) (4) Place "(X)" after each asset Amount Type (e.g., Value Value Type (e.g., Date Value Gain Identity of exempt from prior disclosure Code I div., rent, Code 2 Method buy, sell, mm/dd/yy Code 2 Code 1 buyer/seller (A-H) or int.) (J-P) Code 3 redemption) (J-P) (A-H) (if private (Q-W) transaction) I. Draper Irrigation None J T BioMeridian Corp. (see VIII) None J T Pension Plan & Profit Sharing Plan (see VIIJ) c Distribution N T Parcel of real estate-dr per City, Salt Lake Coutny,UT None N w IO I. Income Gain Codes: A =$1,000 or less B =$1,001-$2,500 c =$2,501 -$5,000 D =$5,001 -$15,000 E=$15,001-$50,000 (See Columns Bl and D4) F =$ $ 100,000 G =$100,001 -$1,000,000 H 1 =$1,000,001 -$5, H2 =More than $5,000,000 Value Codes J =$15,000 or less K =$15,001 -$50,000 L =$50,001 -$100,000 M =$100,001 -$250,000 (Sec Columns C 1 and DJ) N =$250,001 -$500,000 0 =$500,001 - $ l,000,000 Pl =$1,000,001 -$5,000,000 P2 =$5,000,001 -$25,000,000 P3 =$25,000,001 -$50,000,000 P4 =More than $50,000,000 Value Method Codes Q =Appraisal R ""Cost (Real Estate Only) S =Assessment T =Cash Market (Sec Column C2) U =Book Value V ==Other W =Estimated
5 Date of Report Page 5of6 VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. (lndicate partofreport.) Part I. Member - American Judicature Society II. Agreements. The Retirement Plan is managed by Charles Schwab & Co. VII. Investments and Trusts: A.2 - worthless, written off for tax purposes in 2004 VII. Investments and Trusts: A.3 - cont'd. - No control except for the interest the Retirement Plan owns for me in Mt. Jordan, a Limited Partnership
6 Page 6of6 Date of Report IX. CERTIFICATION. I certify that all information given above (including information pertaining to my spouse and minor or dependent children, if any) is accurate, true, and complete to the best of my knowledge and belief, and that any information not reported was withheld because it met applicable statutory provisions permitting non-disclosure. 1 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. Signature: s/ Dale A. Kimball NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE THIS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (5 U.S.C. app. 104) Committee on Financial Disclosure Administrative Office of the United States Courts Suite One Columbus Circle, N.E. Washington, D.C
[{ NONE (No reportable positions.)
1 AOJO Rev. 112013 Report Required by the Ethics in Government Act
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,
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
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,
[{ 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)
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)
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)
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)
[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,
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)
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,
[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)
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
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)
[{] NONE (No reportable positions.)
![[{] NONE (No reportable positions.)](/thumbs/39/19404004.jpg "[{] 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)
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
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)
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.
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
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,
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
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,
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
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)
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)
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
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)
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)
[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
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
[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,
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
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
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)
[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
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
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),..._,...
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,
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,
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,
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)
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
[{ 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,
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
[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)
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
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)
[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
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,
[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
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:
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:
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
TABLE OF CONTENTS PAGE GENERAL INFORMATION B-3 CERTAIN FEDERAL INCOME TAX CONSEQUENCES B-3 PUBLISHED RATINGS B-7 ADMINISTRATION B-7
STATEMENT OF ADDITIONAL INFORMATION INDIVIDUAL VARIABLE ANNUITY ISSUED BY JEFFERSON NATIONAL LIFE INSURANCE COMPANY AND JEFFERSON NATIONAL LIFE ANNUITY ACCOUNT G ADMINISTRATIVE OFFICE: P.O. BOX 36840,
Health Savings Account
Application Booklet Health Savings Account Delaware Charter Guarantee & Trust Company d/b/a Principal Trust Company Table of Contents Privacy Notice Protecting Your Privacy We Protect Information We Collect
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
Code means the Internal Revenue Code of 1986, as amended.
The American Funds Roth IRA Trust Agreement Pending IRS approval. Section 1 Definitions As used in this trust agreement ( Agreement ) and the related Application, the following terms shall have the meaning
Official Form B 22A2 Chapter 7 Means Test Calculation 12/14
Fill in this information to identify your case: Debtor 1 Debtor 2 (Spouse, if filing) United States Bankruptcy Court for the: District District of of (State) Case number (If known) Check the appropriate
Check if this is an amended filing
Fill in this information to identify your case: Debtor 1 Debtor 2 (Spouse, if filing) United States Bankruptcy Court for the: District of of Case number (If known) Check if this is an amended filing Official
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
OFFICE OF THE CLERK SUPREME COURT OF THE UNITED STATES WASHINGTON, D. C. 20543 GUIDE FOR PROSPECTIVE INDIGENT PETITIONERS FOR WRITS OF CERTIORARI
OFFICE OF THE CLERK SUPREME COURT OF THE UNITED STATES WASHINGTON, D. C. 20543 October 2009 GUIDE FOR PROSPECTIVE INDIGENT PETITIONERS FOR WRITS OF CERTIORARI I. Introduction These instructions and forms
Application for Extension of Time To File an Exempt Organization Return
Form 8868 (Rev. January 2014) Department of the Treasury Internal Revenue Service for Extension of Time To File an Exempt Organization File a separate application for each return. Information about Form
Column B Taxable Value (35% of Column A)
DTE FORM 1 (Revised 01/02) BOR NO. DATE RECEIVED R.C. 5715.13, 5715.19 COMPLAINT AGAINST THE VALUATION OF REAL PROPERTY ANSWER ALL QUESTIONS AND TYPE OR PRINT ALL INFORMATION READ INSTRUCTIONS ON BACK
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
UNITED STATES BANKRUPTCY COURT FOR THE WESTERN DISTRICT OF MICHIGAN ORIGINAL CHAPTER 13 PLAN
UNITED STATES BANKRUPTCY COURT FOR THE WESTERN DISTRICT OF MICHIGAN In Re: Debtor(s), / Case #: Chapter 13 Hon. Filed: ORIGINAL CHAPTER 13 PLAN Check this box if this plan deviates in any way from the
DEPARTMENT OF HEALTH CARE FINANCE
DEPARTMENT OF HEALTH CARE FINANCE Dear Provider: Enclosed is the District of Columbia Medicaid provider enrollment application solely used for providers, who request to be considered for the Adult Substance
Applicable Sections of the Internal Revenue Code
Form 668-B (Rev. May 2003) Due from (Taxpayer name and address) Department of the Treasury Internal Revenue Service Levy Originating Internal Revenue Territory Office Taxpayer Identification Number (TIN)
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
Official Form 22A 2 Chapter 7 Means Test Calculation 12/13
Fill in this information to identify your case: Check one only as directed in lines 40 or 42: Debtor 1 Debtor 2 (Spouse, if filing) United States Bankruptcy Court for the: District of (State) Case number
Enrolled Copy H.B. 141
Enrolled Copy H.B. 141 1 INSURANCE RELATED INDUCEMENTS 2 2015 GENERAL SESSION 3 STATE OF UTAH 4 Chief Sponsor: John Knotwell 5 Senate Sponsor: Curtis S. Bramble 6 7 LONG TITLE 8 General Description: 9
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
IRS Form 668-W Part 1
IRS Form 668-W Part 1 REPLY THIS ISN'T A BILL FOR TAXES YOU OWE. THIS IS A NOTICE OF LEVY TO COLLECT MONEY OWED BY THE TAXPAYER NAMED ABOVE. The Internal Revenue Code provides that there is a lien for
Moving To Georgia. A Tax Guide
Moving To Georgia A Tax Guide Updated July 2012 TAX GUIDE FOR MOVING TO GEORGIA PAGE I. INTRODUCTION 1 II. MAULDIN & JENKINS 2 III. ELIGIBILITY TO DEDUCT MOVING EXPENSES 3 IV. DEDUCTIBLE MOVING EXPENSES
UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF ILLINOIS
02/03/04 rev. UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF ILLINOIS RIGHTS AND RESPONSIBILITIES AGREEMENT BETWEEN CHAPTER 13 DEBTORS AND THEIR ATTORNEYS (Model Retention Agreement) Chapter 13 gives
Preparing Articles of Organization for a Limited Liability Company a Step-by-step summary
Preparing Articles of Organization for a Limited Liability Company a Step-by-step summary Prepared by the Utah Division of Corporations and Commercial Code GUIDE-SHEET FOR PREPARING ARTICLES OF ORGANIZATION
Financial Affidavit of Information - Short Form
Connecticut Judicial Branch Self-Represented Parties Information Series Filling Out and Filing a Financial Affidavit Short Form Slide 1 Welcome to the Connecticut Judicial Branch Law Libraries Self-Represented
STATEMENT OF CURRENT MONTHLY INCOME AND MEANS TEST CALCULATION FOR USE IN CHAPTER 7 ONLY
Form B22A (Chapter 7) (10/05) In re Debtor(s) Case Number: (If known) According to the calculations required by this statement: The presumption arises. The presumption does not arise. (Check the box as
CHICAGO TRANSIT AUTHORITY RETIREE HEALTH CARE TRUST PROCUREMENT POLICY FOR INVESTMENT CONSULTANTS. a. Is a fiduciary appointed by the Board;
CHICAGO TRANSIT AUTHORITY RETIREE HEALTH CARE TRUST PROCUREMENT POLICY FOR INVESTMENT CONSULTANTS A. Introduction The Board of Trustees ( Board ) of the Chicago Transit Authority Retiree Health Care Trust
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
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM S-4 REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 OMB APPROVAL OMB Number: 3235-0324 Expires: May 31, 2017 Estimated average burden hours per response.. 4,099.6 FORM S-4 REGISTRATION
UTAH RETIREMENT SYSTEMS 401(K) WITHDRAWAL
Utah Retirement Systems PO Box 1590 Salt Lake City, Utah 84110-1590 801-366-7720 or 800-688-4015 Fax 801-366-7445 or 800-753-7445 Email: dcplans@urs.org www.urs.org INSTRUCTIONS: 1. Use this form to request
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
STATEMENT OF CURRENT MONTHLY INCOME AND CALCULATION OF COMMITMENT PERIOD AND DISPOSABLE INCOME
Form B22C (Chapter 13) (10/05) In re Debtor(s) Case Number: (If known) According to the calculations required by this statement: The applicable commitment period is 3 years. The applicable commitment period
Diligent Corporation (Name of Issuer)
SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 2549 SCHEDULE 13G* (Rule 13d-12) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1(b), (c), AND (d) AND AMENDMENTS THERETO FILED PURSUANT
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
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
APPLICATIONS FOR A FINANCIAL REMEDY
APPLICATIONS FOR A FINANCIAL REMEDY PART 9 PART 9 Contents of this Part I APPLICATION AND INTERPRETATION Rule 9.1 Application Rule 9.2 Application of Magistrates Courts Rules 1981 Rule 9.3 Interpretation
*HB0076* H.B. 76 1 INSURANCE RELATED REVISIONS. LEGISLATIVE GENERAL COUNSEL Approved for Filing: P. Owen 01-23-14 3:59 PM
LEGISLATIVE GENERAL COUNSEL Approved for Filing: P. Owen 01-23-14 3:59 PM H.B. 76 1 INSURANCE RELATED REVISIONS 2 2014 GENERAL SESSION 3 STATE OF UTAH 4 Chief Sponsor: Jim Bird 5 Senate Sponsor: Wayne
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](/thumbs/40/21597602.jpg "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)
ENROLLED 2016 Legislature CS for CS for SB 286
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 An act relating to merger and acquisition brokers; amending s. 517.061, F.S.; providing an exemption from certain registration
THE IMPACT OF THE NEW ILLINOIS CIVIL UNION LAW
THE IMPACT OF THE NEW ILLINOIS CIVIL UNION LAW Kenny Eathington Husch Blackwell LLP 401 Main St., Suite 1400 Peoria, Illinois 61602 Kenny Eathington is a member of the Real Estate Practice Group in the
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
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 4 STATEMENT OF CHANGES OF BENEFICIAL OWNERSHIP OF SECURITIES
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 4 STATEMENT OF CHANGES OF BENEFICIAL OWNERSHIP OF SECURITIES The Commission is authorized to solicit the information required
WASHINGTON UNIVERSITY SCHOOL OF LAW NEW LOAN REPAYMENT ASSISTANCE PROGRAM (LRAP II) (Last updated: January 19, 2015) I INTRODUCTION
WASHINGTON UNIVERSITY SCHOOL OF LAW NEW LOAN REPAYMENT ASSISTANCE PROGRAM (LRAP II) (Last updated: January 19, 2015) I INTRODUCTION To help law students who want to secure employment in low paying public
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM S-3 REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933
OMB APPROVAL OMB Number: 3235-0073 Expires: October 31, 2014 Estimated average burden hours per response...... 472.49 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM S-3 REGISTRATION
GOVERNMENT OF THE DISTRICT OF COLUMBIA Department of Health
GOVERNMENT OF THE DISTRICT OF COLUMBIA Department of Health Prescription Drug Marketing Costs A Guide for Pharmaceutical Manufacturers and Labelers Published by the District of Columbia Department of Health
Directors may, from time to time, direct.
BYLAWS OF THE TEXAS ACADEMY OF FAMILY LAW SPECIALISTS Article I Officers Section 1. Officers. The Officers shall be the President, President-Elect, Vice- President, Secretary and Treasurer. Section 2.
STATE OF NORTH CAROLINA COUNTY OF FORSYTH YEAR 2015 APPLICATION FOR PROPERTY TAX RELIEF
STATE OF NORTH CAROLINA COUNTY OF FORSYTH YEAR 2015 APPLICATION FOR PROPERTY TAX RELIEF ELDERLY OR DISABLED EXCLUSION (G.S. 105-277.1), DISABLED VETERAN EXCLUSION (G.S. 105-277.1C), or CIRCUIT BREAKER
Pursuant to Section 19(b)(1) of the Securities Exchange Act of 1934 ( Act ), 1 and Rule
SECURITIES AND EXCHANGE COMMISSION (Release No. 34-51900; File No. SR-Amex-2005-003) June 22, 2005 Self-Regulatory Organizations; American Stock Exchange LLC; Notice of Filing of Proposed Rule Change,
Prepared By: The Professional Staff of the Committee on Banking and Insurance REVISED:
BILL: SB 286 The Florida Senate BILL ANALYSIS AND FISCAL IMPACT STATEMENT (This document is based on the provisions contained in the legislation as of the latest date listed below.) Prepared By: The Professional