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1. Person Reporting (last name, first, middle initial) Zainey, Jay C. 4. Title (Article I11 judges indicate active or senior status; magistrate judges indicate full- or part-time)
Report Required by the Ethics in Government Act of 1978 (5 U.S.C. app. 101-111) 13. Date of Report 05/15/2011
6. Reporting Period
01/01/2010
to
12/31/2010
5b. [] Amended Report 7. Chambers or Office Address 500 Poydras Street C-455 New Orleans, La 70130 8. 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 followetL Complete all parts,
checking the NONE box for each part where you have no reportable information. Sign on last pageo
2. 3. 4. 5. 6. 7.
II. AGREEMENTS. Repora.g individaai only; setup. 14-16 of f!ling instructions.) [~ NONE (No reportable agreements.)
DATE PARTIES AND TERMS
Zainev, Jav C.
IlL NON-INVESTMENT INCOME. (Reporting individual andspouse; seepp. 17-24 of filing instructions.)
A. Filers Non-Investment Income
D
1.2010 2. 3. 4.
B. Spouses Non-Investment Income - lf you were married during any portion of the reporting year, complete this section.
(Dollar amount not required except for honoraria.)
~
1. 2. 3. 4.
DATE
DATES
LOCATION
06/I0/2010-06/13/201c, Sandestin, FL
08/02/2010-08/06/2010 San Francisco, CA
2. 3. 4. 5.
Travel
V. GIFTS. anel.des those to spo.se and dependent children; see pp. 28-31 of filing instructions.)
[] NONE (No reportable gifts.)
SOURCE 1. 2. 3. 4. 5. Tom Benson DESCRIPTION 2 New Orleans Saints Tickets for Opening Game
VALUE $340.00
VI. LIABILITIES. ancludes those oSspouse and dependent children; seepp. 32-33 of filing instructions.)
D
1. 2. 3. 4. 5.
VALUECODE M
VII. INVESTMENTS and TRUSTS - income, vat, e. tra.sactio,s anel.~$ those olspo., and dependent children; see pp. 34-60 of filing instructions.)
[]
Rental Property #1, Metairie, LA Rental Property #2, New Orleans, LA Rental Property #3, New Orleans, LA JP Morgan AccountsI Capital One AccountsI First NBC Bank (1 Hibernia Investments LLC Sun Life Finanacial - Life Insurance Policy #1 Sun Life Financial - Life Insurance Policy #2 Sun Life Financial - Life Insurance Policy #3 Transamerica Life Ins Co Sun Life Assurance Company - Life Insurance Policy #1 Jackson National Life Ins. - Retirement Annuity # I Jackson National Life Ins. - Retirement Annuity #2 Jackson National Life Ins. - Retirement Annuity #3 Jackson National Life Ins. - Retirement Annuity #4 Jackson National Life Ins. - Retirement Annuity #5
E D E A
N M M J J N J M J J N L L K K K K
W W W T T T T T T T T T T T T T T
Interest None
C A A D C B B B B A
Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest
~ ~li0~br Ies~
(S~ ColUmfis Oi ~nd b~)$i00;000 2. Vah.e Codes J =S 15,000 or i~ (see Col ......Cl and D3) N ~$250,001= $500,000
B =$1,001 - $2,500 G =$100,001 r $1,000,000 K --$15,001- $50,000 0 =$500,001- $1,000L000 R =Cost (Real Estate Only) V =Other
C =$2,50i - $5,000 HI =$i,0~0,00i r $5,0001000 L ~$50~0i ~ ..... PI --~i!000100i i $5;0001000 ; S =Assessment W =Estimated .... :
E =$15,001 - $50,000
~3 =$25,000,00~ - $50.000.000
3. Value Method Codes (See Column C2) Q =Appraisal U =Book Value
VII. INVESTMENTS an d TRU STS - income, value, ~a~actio.s ancludes those olspa.se and dep~nd~t children; seepp. 34-60 offillng instrullons.)
NONE (No reportable income, assets, or transactions.)
Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure B.C. Income during reporting period (1) (2) Amount Type (e.g., Cpde 1 div., rent, (A-H) : : :or int.) Gross value at end of reporting.period (2) (1) Value Value Code 2 Method Co~1~3 (J,E) (Q-W) D. Transactions during reporting period (1) Type (e.g., buy, sell, redemption) (2) (3) .... Date Value mm/d~,,, Code 2 0~P) (4) Gain Code 1 (A-H~ (5) Identity of buyer/seller (if private transaction)
18. 19. 20. 21. 22. 23. 24. 25. 26. 27.
Jackson National Life Ins. o Retirement Annuity #6 Jackson National Life Ins. Retirement Annuity #7 Jackson National Life Ins. Retirement Annuity #8 Jackson National Life Ins. o Retirement Annuity #9 IRA # 1 - State Street Bank and Trust - JP Morgan IRA #2- State Street Bank and Trust o JP Morgan Sun Life Financial - Common Stock Reliance Group Holdings, lnc.- Common Stock United States Antigen Corporation Khoder International Brokerage
A A B A C B A
Interest Interest Interest Interest Interest Interest Dividend None None None
K K K J K J K J J J
T T T T T T T T W W
L ineb~eGain Codesi iS~i C~ifimns Bi a~d O~) 2. Value Codes (See Columns CI and D3) 3. Value Method Codes (See Column C2)
B--$1,901- $2,500 A =$Lboo or less F ---$50100J ! $100.000 G~$100:001:~$1;000,000 J =$15,000 or less K =$15,001 : $50;000 ..... O =$~00100i ~ $i,000~000 N =$250,001 ~ $500.000 p3 =$25,000.001- $50,000,O00 R =Cost (Real Estate Only) ........ Q ---Appraisal V -~3ther U =Bo0k Value
~$2;501 - $5,0~ Hi =$1,000 00i ~:$5;000,0~0 L =$50i001 ~ $100~000 al ~$i 000~00i ~ $5;000,000 S W =Estimated
E =$15,00| - $50,000
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. I further certify that earned income from outside employment and honoraria and the acceptance of gifts which have been reported are in compliance with the provisions of 5 U.S.C. app. 501 et. seq., 5 U.S.C. 7353, and Judicial Conference regulations.
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 2-301 One Columbus Circle, N.E. Washington, D.C. 20544
Report Required by the Ethics in Government Act of 1978 (5 U.S.C. app. 101-111)
5b. [] Amended Report 7. Chambers or Office Address ! 8. 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 fotlowed. Complete all parts,
checking the NONE box for each part where you have no reportable information. Sign on last page.
NAME OF ORGANIZATION/ENTITY
American Red Cross Gods Special Children Homeless Experience Legal Protection (HELP) Program Judge John Boutall Inn of Court St. Andrews Village Pro Bono Project Care Reconcile
II. AGREEMENTS. merortiog ~.aiv~a.at o~ty; s,e rp. 14-16 of filing instructions.)
~] NONE (No reportable agreements.) DATE PARTIES AND TERMS
Zainev, Jav C. A
III. N O N-INV E S T ME N T IN C O ME. (Reporting individual and spouse; see pp. 17-24 of filing instructions.)
A. Filers Non-Investment Income
~] NONE (No reportable non-investment income.) DATE SOURCE AND TYPE
INCOME
(yours, not spouses)
2. 3. 4.
B. Spouses Non-Investment Income - lf you were married during any portion of the reporting year, complete this section~
(Dollar amount not required except for honoraria.)
~]
1. 2. 3. 4.
t.
DATES
LOCATION
PURPOSE
Seminar Lecture
06/10/2010-06/13/201C, Sandestin, FL
2. 3. 4. 5.
Seminar Lecture
Travel
V. GIFTS. anciudes those to spouse and dependent children; see pp. 28-31 of filing instructions.)
[~ NONE (No reportable gifts.) SOURCE 1. 2. 3. 4. 5. Tom Benson DESCRIPTION 2 New Orleans Saints Tickets for Opening Game
VALUE
$340.00
VI. LIABILITIES. ancludes those o/sponse end dependent children; see pp. 32-33 of f!ling instructions.)
D
1. 2. 3. 4. 5.
VII. INVESTMENTS and TRUSTS - i.co,~e, v.i.e, ,r.nsoctlo,~ and~d~ ~l,o~ oSs.o.s~ .nd d~penden, children; see pp. 34-60 of filing instructions.)
~-] NONE
(No reportable
Rental Property # 1, Metairie, LA Rental Property #2, New Orleans, LA Rental Property #3, New Orleans, LA JP Morgan Accounts (5) Capital One Accounts (3) First NBC Bank (3) Hibernia Investments LLC Sun Life Finanacial - Life Insurance Policy #1 Sun Life Financial o Life Insurance Policy #2 Sun Life Financial - Life Insurance Policy #3 Transamerica Life Ins Co Sun Life Assurance Company - Life Insurance Policy #1 Jackson National Life Ins. - Retirement Annuity #1 Jackson National Life Ins. - Retirement Annuity #2 Jackson National Life Ins. - Retirement Annuity #3 Jackson National Life Ins. - Retirement Annuity #4 Jackson National Life Ins. - Retirement Annuity #5
E D E A
N M M J J N J M J J N L L K K K K
W W W T T T T T T T T T T T T T T
Interest None
C A A D C B B B B A
Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest
1. Income Gain Codes: A =$1~000 0r less (See Columns Bl and D4): J =$15,000 or less 2. Value Codes (See Columns CI and D3) N =$250,001 - $500,000 P3 =$25,000.00 i, $50,000,000 3. Value Method Codes Q =Appraisal (See Cohmm C2) U =Book Value
B -$1,001 - $2,500 0 =$100,0Ol - $1,090~000 K =$15,001 - $50,000 O =$500,001 - $I,000,000 R =Cost (Real Estate Only) V -Other
C --$2,501. $5;000
D ~$5~00i r $15,000
E =$15,001 - $50.090
P4 LM0r~tha~$50i~6!0~ ;
S =Assessnient :
: T =~h M~rket
W =Esti~ai~d ....
VII. INVEST MENTS and TRUSTS - income, value, tra,~actions and.des those of spouse and d~pendcnt children; see pp. 34-60 of filing instructions.)
~]
18. 19. 20. 21. 22. 23. 24. 25. 26. 27.
Jackson National Life Ins. - Retirement Annuity #6 Jackson National Life Ins. - Retirement Annuity #7 Jackson National Life Ins. - Retirement Annuity #8 Jackson National Life Ins. - Retirement Annuity #9 IRA #1 - State Street Bank and Trust - JP Morgan IRA #2- State Street Bank and Trust - JP Morgan Sun Life Financial - Common Stock Reliance Group Holdings, Inc. - Common Stock United States Antigen Corporation Khoder International Brokerage, LLC Inactive
A A B A C B A
Interest Interest Interest Interest Interest Interest Dividend None None None
K K K J K J K J J J
T T T T T T T T W T
1. Income Gain Codes: [See Columns BI and D41 2. Value Codes (See Columns C1 and D31 3. Value Method Codes (See Column C21
A :$I.000 or less F =$50.001- $I 00.000 J =$15.D00 or less N =$250.001 - $500.000 P3 =$25.1100.001 - $50.000.000 Q =Appraisal U =Book Value
B =$1.001 - $2.500 G =$100.001 - SL000,000 K =$15.001 - $50.000 O =$500.001 - $1.000.000 R =Cost (Real Estate Only) V =Other
=$2.501 - $5,000 1 =$1,000,001 - $5.000.000 =$50.001 - $100.000 PI =$1.000.001 - $5.000.000 P4 =More than $50.000.000 =Assessment: W =Estimated
D =$5,001 - $15.000 H2 =More lhan $5,000.000 M =$100.001 P2 =$5,000.001 - $25.000.000 T --Cash Market
E =$15.001- $50,000
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 Judicial Conference regulations.
Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544