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

Size: px
Start display at page:

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

Transcription

1 O IO Rev FINNCIL DISCLOSURE REPOR FOR CLENDR YER 2006 Report Required by the Ethics in Government ct of 1978 (5 U.S.C. app ) l. Person Reporting (last name, first, middle initial) Court or Organization Saylor, F. Dennis IV U.S. District Court, Mass. 05/01/2007 itle (rticle ill judges indicate active or senior status; Sa. Report ype (check appropriate type) magistrate judges indicate full- or part-time) D Nomination, Date U.S. District udge D Initial nnual D Final 6. Reporting Period to 12/ Sb. D 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 Donohue Federal Building with applicable laws and regulations. 595 Main Street Worcester, M Reviewing Offcer Date /MPO R N N 0 ES: he instructions accompanying this form must be followed. Complete all parts, checking the NONE box for each part where you have no reportable information. Sign on last page.. POSIIONS. (Reporting individual only; see pp of instructions.) NONE (No reportable positions.) POSIION NME OF ORGNIZION/ENIY II, GREEMENS. (Reporting individual only; see pp of instructions.) (_ (f (" r= ii o- (.z c:» fr o» -nr -r (") Pl.-.> " C' c::::> :;:: :i- -< > Q N w ;o rn 0 rn < rn 0 NONE (No reportable agreements.) PR IES ND ERMS

2 FINNCIL DISCLOSURE REPOR Page 2 of9 Saylor, F. Dennis IV 05/ Ill, NON-INVESMEN N CO ME. (Reporting indmdual and spouse; see pp of instructions.). Filer's Non-Investment Income [K NONE (No reportable non-investment income.) SOURCE ND YPE INCOME (yours, not spouse's) B. Spouse's Non-Investment Income - I/you were married during any portion of the reporting year, complete this section. (Dollar amount not required except/or honoraria.) D NONE (No reportable non-investment income.) 2006 U.S. Department of ustice - salary SOURCE ND YPE V, REIMBURSEMENS -transportation, lodging,food, entertainment (Includes those lo spouse and dependent children. See pp ofinstmctions.) [K NONE (No reportable reimbursements.) SOURCE DESCRIPION

3 FINNCIL DISCLOSURE REPOR Page 3 of9 Saylor, F. Dennis IV 05/01/2007 V. GIFS. (Includes those to spouse and dependent children. See pp of instructions.) D NONE (No reportable gifts.) SOURCE DESCRIPION VLUE Goodwin Procter LLP (former law firm) Guest at dinner honoring new partners self) $ V LIBILIIES. (Includes those of spouse and dependent children. See pp of instructions.) IB NONE (No reportable liabilities.) CREDIOR DESCRIPION VLUE CODE

4 FINNCIL DISCLOSURE REPOR Page 4 of9 Saylor, F. Dennis IV 05/01/2007 VI INVESMENS and RUSS - income, value, transactions (Includes those of/he spouse and dependent children. See pp D NONE (No reportable income, assets, or transactions.) of filng instructions.). Description of ssets (including trust assets) Place "(X)" after each asset exempt from prior disclosure B. c. D. Income during Gross value at end of ransactions during (I) {I) (I) (3) (4) (5) mount ype (e.g. yj (e.g. Date Gain Identity of Code I div., rent, Method buy, sell, Month - Code I buyer/seller (-H) or int.) (-P) Code 3 redemption) Day (-P) (Q-W) (-H) (if private transaction) 1. Bank of merica Interest Bank of merica None Fidelity Cash Reserves E transfer out 515 Fidelity Cash Reserves transfer out 515 Fidelity Cash Reserves N transfer in Fidelity Growth Co. Mutual None transfer out Fidelity Small Cap Independence Mutual B K 8. Fidelity Mid Cap Stock Mutual B K, 9. Fidelity Growth Co. Mutual None K transfer in 515 IO. Fidelity sset Manager Growth Mutual K 11. Fidelity U 429 Plan None L buy 2/6 1 buy Fidelity U 429 Plan None L buy 2/6 1 buy 11/13 1 Fidelity U 429 Plan None L buy 2/6 16. buy Vanguard 500 Index Mutual B L buy 1/17 Income Gain Codes: =$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 B 1 and 04) F =$50,001 -$100,000 G =$100,001 -$1,000,000 HI =$1,000,001 -$5,000,000 H2 =More than $5,000,000 Codes =$ 15,000 or less K =$15,001 $50,000 L =$50,001 - S 100,000 M =$100,001 -$250,000 (See Columns Cl and D) N =$250,001 - $500,000 0 =$500,001 -$1,000,000 Pl =$1,000,001 -$5,000,000 P2 =$5,000,001 -$25,000,000 Method Codes P3 =$25,000,001 - $50,000,000 R =Cost (Real Estate Only) P4 =More than $50,000,000 =Cash Market (See Column C2) Q =ppraisal V =Other S =ssessment U =Book W =Estimated

5 FINNCIL DISCLOSURE REPOR Page 5 of9 Saylor, F. Dennis IV 05/01/2007 VI INVESMENS and RUSS - income, value, transactions (Includes those of the spouse and dependent children. see PP of filing instructions.; D NONE (No reportable income, assets, or transactions.). Description of ssets (including trust assets) B. Income during c. Gross value at end of D. ransactions during Place "(X)" after each asset exempt from prior disclosure (1) mount Code I (- ype (e.g. div., rent, or int.) (1) (-P) Method Code 3 (Q-W) (1) ype (e.g. buy, sell, redemption) Date Month- Day (3) (-P) (4) Gain Code 1 (-H) (5) Identity of buyer/seller (if private transaction) 18. buy 2/3 19. Vanguard US Growth Mutual 20. Vanguard 500 Index Mutual 21. Vanguard 500 Index Mutual 2 Vanguard 500 Index Mutual 2 Vanguard Prime Money Market K buy 2/6 2 3M Common Stock None sell Wilmington rust Common Stock None sell 116 c, 26. anus Worldwide Mutual 27. hird venue Mutual 28. Franklin empleton World Mutual 29.. Rowe Price New Horizons Mutual 30. MONY: Life Insurance Policies 31. IR Fidelity: Discovery Mutual 3 IR Fidelity: Contrafund Mutual 3 IR Fidelity: apan Mutual 3 IR Fidelity: Puritan Mutual D M Income Gain Codes: =S 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 =$50,001 -SI00,000 G=$100,001 -$1,00,000 Ht =St,000,001 - $5,000,ooo H2=More than $5,000,000 Codes =S 15,000 or less K =Sl5,001 -$50,00 L =$50,00 l -S 100,000 M=$100,001 -$250,000 (See Columns Cl and D3) N =$250,001 -$500,000 0 =$500,001 -$1,000,000 Pl =$1,00,001 -$5,000,000 P2=$5,000,001 - S25,000,000 Method Codes P3=$25,000,001 -$50,000,000 R =Cost (Real Estate Only) P4 =More than $50,000,000 =Cash Market (See Column C2) Q =ppraisal V=Other S =ssessment U =Book W=Estimated

6 FINNCIL DISCLOSURE REPOR Name of Person Reportng Page 6 of9 Saylor, F. Dennis IV 05/01/2007 VI INVESMENS and RUSS - income, value, transactions (Includes those of the spouse and dependent children. see PP of filing instructwns. D NONE (No reportable income, assets, or transactions.). B. c. D. Description of ssets Income during Gross value at end of ransactions during (including trust assets) Place "(X)" after each asset exempt from prior disclosure (I) (I) mount yp (e.g. Code I div., rent, Method (-H) or int.) Code 3 (-P) (Q-W) (I) yj (e.g. buy, sell, redemption) Date Month- Day (3) (-P) (4) Gain Code 1 (-H) (5) Identity of buyer/seller (if private transaction) 3 IR Fidelity: ggressive Growth Mutual None 36. IR Fidelity; Discovery Mutual K 37. IR Fidelity: Magellan Mutual c 38. IR Fidelity: Blue Chip Growth Mutual 39. IR Fidelity: Discovery 40. IR Fidelity: ggressive Growth Mutual None sell 12/15 B 41. IR Fidelity: Blue Chip Growth Mutual sell 12/15 M D 4 IR Fidelity: Capital ppreciation c L ' 4 IR Fidelity: Contrafund D M 4 IR Fidelity: Equity - Income II c sell 12/15 K D 4 IR Fidelity: Fidelity L 46. IR Fidelity: Magellan sell 12/15 K D 47. IR Fidelity: Mid-Cap Stock 48. IR Fidelity: Real Estate B 49. IR Fidelity: D L 50. IR Fidelity: Cash Reserves buy 12/ IR Vanguard: 500 Index Mutual None M buy 12/29 M Income Gain Codes: =$1,000 or less 8 =Sl,001 - $2,500 C =$2,50 I $5,000 D =$5,001 - $15,000 E =$15,001 $50,000 (See Columns 81 and D4) F =$50,001 - SI00,000 G =SI00,001 - $1,000,000 HI =Sl,000,001 - $5,000,000 H2 =More than $5,000,000 Codes =$15,000 or less K =$ 15,00 I - $50,000 L =$50,00 I SI 00,000 M =$100,00 I $250,000 (See Columns Cl and D) N =$250,00 I - $500,000 0 =$500,00 I - $1,000,000 Pl =$1,000,001 - $5,000,000 P2 =$5,000,001 - $25,000,000 Method Codes (See Column C2) P3 =$25,000,001 - $50,000,000 Q =ppraisal U =Book R =Cost (Real Estate Only) P4 =More than $50,000,000 =Cash Market V =Other S =ssessment W =Estimated

7 FINNCIL DISCLOSURE REPOR Page 7 of9 Saylor, F. Dennis IV 05/01/2007 VI INVESMENS and RUSS - income, value, transactions (Includes those of the spouse and dependent children. See pp of filing instructions.) D NONE (No reportable income, assets, or transactions.). B. c. D. Description of ssets Income during Gross value at end of ransactions during (including trust assets) Place "(X)" after each asset exempt from prior disclosure (I) mount Code I (-H) ype (e.g. div., rent, or int.) (I) (-P) Method Code3 (Q-W) (I) ype (e.g, buy, sell, redemption) Date Month- Day (3) (-P) (4) Gain Code I (-H) (5) Identity of buyer/seller (if private transaction) 5 Commerce Bank CD B Interest K rollover 7/4 K B 5 Countrywide Bank CD D Interest M rollover/sel 8/8 M D 5 Income Gain Codes: =$ 1,000 or less B =$1,001 -$2,500 c =$2,501 -$5,000 0 =$5,001 -$15,000 E =$15,00 I -$50,000 (See Columns B I and 04) F =$50,001 - $100,000 G =$100,001 -$1,000,000 HI =$1,000,001 -$5,000,000 H2 =More than $5,000,000 Codes =$15,000 or less K =$15,001 - $50,000 L =$50,001 - $100,000 M =$100,001 - $250,000 (See Columns Cl and 03) N =$250,00I - $500,000 0 =$500,001 - $1,000,000 Pl =S!,000,001-$5,000,000 P2 =$5,000,001 - $25,000,000 Method Codes (See Column C2) P3 =$25,000,001 - $50,000,000 Q =ppraisal U =Book R =Cost (Real Estate Only) V =Other P4 =More than $50,000,000 S =ssessment W =Estimated =Cash Market

8 FINNCIL DISCLOSURE REPOR Page 8of9 Saylor, F. Dennis IV 05/01/2007 VII DDIIONL INFORMION OR EXPLNIONS. (ndicateparto/report) On anuary 3, 2006, I received reimbursement (value code K) from the own of Weston under the Massachusetts Community Preservation ct for funds expended on a historic preservation project for the benefit of our property and adjoining town conservation land. he project was approved by vote at a town meeting on November 25, 200

9 FINNCIL DISCLOSURE REPOR Page 9 of9 Saylor, F. Dennis IV 05/01/2007 IX. CERIFICION. I certify that all information given above (including information pertaining to my spouse and minor or dependent children, if any) is accurate, true, and complete to the best of my knowledge and belief, and that any information not reported was withheld because it met applicable statutory provisions permitting non-disclosure. I further certify that earned income from outside employment and honoraria and the acceptance of gifts which have been reported are in compliance with the provisions of 5 U.S.C. app. 501 et. seq., 5 U.S.C. 7353, and udicial Conference regulations. Signature Date_ _ _f _ _'0_()_7 NOE: NY INDIVIDUL WHO KNOWINGLY D 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 Courts Suite One Columbus Circle, N.E. Washington, D.C

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

[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

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

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

[{ NONE (No reportable positions.)

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

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.) .. 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

[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.) 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

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

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

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

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

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

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.) 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.) 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

[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 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.) 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

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

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 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

[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

[{] 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.) 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 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

[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.) 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

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) 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

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

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..~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

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

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.) 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

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.) 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

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

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

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.) 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

[{ 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

[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

[{ 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

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

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

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

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

[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

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

Baltimore 457 Deemed IRA Participant Agreement

Baltimore 457 Deemed IRA Participant Agreement Baltimore 457 Deemed IRA Participant Agreement NRM-8296MD-BA.2-0314 1 2 Employer Plan IRA Type Personal Information Baltimore Deemed IRA Participation Agreement Payroll Deduction Authorization & Service

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

Incoming Rollover Instructions Directed Account Plan #21622

Incoming Rollover Instructions Directed Account Plan #21622 Incoming Rollover Instructions Directed Account Plan #21622 If you are a current Directed Account Plan (DAP) participant or a former DAP participant, you may roll over assets from other accounts into the

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

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

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

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

financial DiScloSure report

financial DiScloSure report Filing ID #10005530 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

Payroll Deduction Roth IRA

Payroll Deduction Roth IRA Payroll Deduction Roth IRA Date: Oct. 30, 2006 Presented by: WENDELL KRISTOFAK, RETIREMENT PLANS SPECIALIST AC: 0606-791 Agenda ICMA-RC Overview Payroll Deduction Roth IRA Investments Summary 2 Corporate

More information

Employee Enrollment Form for Thrift Plans and Consent to Receive Electronic Documents (edocuments)

Employee Enrollment Form for Thrift Plans and Consent to Receive Electronic Documents (edocuments) 320 PARK AVENUE NEW YORK NY 10022-6839 800 468 3785 OR CALL YOUR LOCAL REGIONAL OFFICE Employee Enrollment Form for Thrift Plans and Consent to Receive Electronic Documents (edocuments) EMPLOYER S NAME

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

Voya Retirement Insurance and Annuity Company

Voya Retirement Insurance and Annuity Company P E R F O R M A N C E U P D A T E Voya Retirement Insurance and Annuity Company STATE OF NEVADA DEFERRED COMP Separate Account D, Group Annuity Contract Average Annual Returns as of: 05/31/2016 (shown

More information

TRUSTED SYSTEMS, INC. 401(K) PS PLAN & TRUST Rollover Contribution

TRUSTED SYSTEMS, INC. 401(K) PS PLAN & TRUST Rollover Contribution This form may be used to move retirement plan assets from a retirement plan or traditional or SIMPLE IRA into your employer s plan. This form may NOT be used to request a rollover from this plan to another

More information

Health Savings Account

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

More information

WEAC IRA Account Application (Select account type[s].)

WEAC IRA Account Application (Select account type[s].) P.O. Box 7893 Madison, WI 53707-7893 1-800-279-4030 Producer Code: Fax: (608) 237-2529 WEAC IRA Account Application (Select account type[s].) Traditional Inherited IRA: Name of Deceased: Roth SEP Deceased

More information

Security Life of Denver Insurance Company

Security Life of Denver Insurance Company P E R F O R M A N C E U P D A T E Security Life of Denver Insurance Company Asset Portfolio Manager VUL Average Annual Total Returns as of: 05/31/2013 (shown in percentages) The following variable investment

More information

The George Washington University Retirement Plans. How to get started

The George Washington University Retirement Plans. How to get started The George Washington University Retirement Plans How to get started Table of Contents Why Save 3 Plans at a Glance 4 Approved Investment Providers 7 How to Enroll 8 Provider Fact Sheets 9 Investment Education

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

ATLAS AIR WORLDWIDE HOLDINGS INC Filed by WELLINGTON MANAGEMENT GROUP LLP

ATLAS AIR WORLDWIDE HOLDINGS INC Filed by WELLINGTON MANAGEMENT GROUP LLP ATLAS AIR WORLDWIDE HOLDINGS INC Filed by WELLINGTON MANAGEMENT GROUP LLP FORM SC 13G (Statement of Ownership) Filed 02/14/14 Address 2000 WESTCHESTER AVENUE PURCHASE, NY 10577-2543 Telephone 9147018000

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

Security Life of Denver Insurance Company

Security Life of Denver Insurance Company P E R F O R M A N C E U P D A T E Security Life of Denver Insurance Company Voya Variable Universal Life-ECV Average Annual Total Returns as of: 11/30/2015 (shown in percentages) Mutual funds offered through

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

5500 Series Filing Overview

5500 Series Filing Overview 5500 Series Filing Overview Determine which form you should file. Form 5500-EZ Administrators of one-participant plans (including plans that cover only owners and their spouses) file Form 5500-EZ; however,

More information

Advisor s Edge Variable Annuity Product Guide Effective July 1, 2015

Advisor s Edge Variable Annuity Product Guide Effective July 1, 2015 Advisor s Edge Variable Annuity Product Guide Effective July 1, 2015 Advisor s Edge Product Guide Annuities issued by Transamerica Premier Life Insurance Company Cedar Rapids, IA. Annuities are underwritten

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

Voya Retirement Insurance and Annuity Company

Voya Retirement Insurance and Annuity Company P E R F O R M A N C E U P D A T E Voya Retirement Insurance and Annuity Company OPPORTUNITY PLUS Variable Annuity Account C, Non-Standardized Returns without a Deferred Sales Charge Average Annual Total

More information

2012 Important Information for Corporate Shareholders

2012 Important Information for Corporate Shareholders IMPORTANT TAX INFORMATION Updated 4/30/2013. Affected funds: Fidelity Four-in-One Index Fund, Fidelity Global Equity Income Fund, and Fidelity Global Strategies Fund. We have circled all revised percentages.

More information

SunTrust Rollover Solution Center

SunTrust Rollover Solution Center SunTrust Rollover Solution Center www.suntrust.com/retirement 1-800-453-4015 Mutual fund categories T he SunTrust Rollover Solution Center can help explain many investment options including a product that

More information

ROCHESTER INSTITUTE OF TECHNOLOGY Comparable Funds By Asset Class

ROCHESTER INSTITUTE OF TECHNOLOGY Comparable Funds By Asset Class ROCHESTER INSTITUTE OF TECHNOLOGY Comparable Funds By Asset Class In response to the request from several participants, the following is a guide to comparable funds in the new investment fund lineup, by

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

ROOSEVELT UNIVERSITY DEFINED CONTRIBUTION PLAN-CLERICAL UNION

ROOSEVELT UNIVERSITY DEFINED CONTRIBUTION PLAN-CLERICAL UNION ROOSEVELT UNIVERSITY DEFINED CONTRIBUTION PLAN-CLERICAL UNION Summary of Plan Services and Costs This summary provides important information to assist you in making decisions related to your participation

More information

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM S-3 REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933

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

More information

Voya Retirement Insurance and Annuity Company

Voya Retirement Insurance and Annuity Company P E R F O R M A N C E U P D A T E Voya Retirement Insurance and Annuity Company MONTGOMERY COUNTY PUBLIC SCHOOLS 403B Variable Annuity Account C, Non-Standardized Returns with and without a Deferred Sales

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

Public Interest Loan Repayment Assistance Program I For graduates of the Class of 2007 and Before

Public Interest Loan Repayment Assistance Program I For graduates of the Class of 2007 and Before American University Washington College of Law is pleased to offer the Public Interest Loan Repayment Assistance Program (PILRAP) to WCL alumni who are serving the public through government and non-profit

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

TRURO TAXATION AID COMMITTEE

TRURO TAXATION AID COMMITTEE TRURO TAXATION AID COMMITTEE Elderly and Disabled Fund -- Fiscal Year 2016 -- Guidelines and Application** **Must be submitted by Thursday, December 31, 2015 All information supplied to the Committee will

More information

Please note: For any return that is prepared while you wait, payment is expected at the time of completion.

Please note: For any return that is prepared while you wait, payment is expected at the time of completion. Your full name: Please answer the following questions as they relate to the year 2013. While this form is NOT required to be completed, you may be eligible for a 5% discount if this checklist is filled

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

Voya Retirement Insurance and Annuity Company

Voya Retirement Insurance and Annuity Company P E R F O R M A N C E U P D A T E Voya Retirement Insurance and Annuity Company THE OHIO STATE UNIVERSITY ARP Variable Annuity Account C, Non-Standardized Returns Average Annual Total Returns as of: 03/31/2015

More information