Escolar Documentos
Profissional Documentos
Cultura Documentos
t/2010
I. Pe~nn R~porfln~ (la~ n~me. ~J, mid~lc initial) Adams, Hen~ L. 4. Title (Aaicl~ III jtdges indicate nctive or ~nior status; magist~tc judges indicate fall- or pad-ti~) U.S. District Judge (senior status)
.4o lO
5b. ~ Amc~Rc~a 7. Eham~ or Office Addres~ B~an Simp~n U. S. Cou~hous 3~ ~. Ho@n St~t, Ste.I I-2~ Jacksonville, F]ori~ 32202~245 8. On Ihe b~tl~ of {he Information conl~lned In thh Reporl ~nd =ay In~lflc~tlonz ~Hzlnlng Ih~to, II Is, In my opinion, In compllzn~ ~[th applicable Izwz and r~ul~tlons. R~vl~wlng Officer ~lle_
IMPORTANT NOTES: me instractlons ac~ompanylng this form m~st bt followetL Complete all parts,
checking the NONE box for each par~ where you have no reportable information. Sign on last page.
NAME OF ORGANIZATION/ENTITY
.mr-"
..j
Adams, Henry L.
N.m.ore~.o. a~p~-I.z
Adams, llenry L
o...ofa~p~a
05/14/2010
IlL NON-INVESTMENT INCOME. ~R,po~,g i.d~d..: ..a.~u,,~ .,~, p~ : ~-~ ~/~i~ ~,~,,,,~0~ A. Fliers Non-Investment Income NONE (No reportable non-investment income.) ~ I. 2~9 2. 3. 4. SOURCE AND TYPE State of Flori~ (R~i~ment) ~ (you~, not s~u~s) $31,659.~
B. Spouses Non-investment Income - if you were married during any portion of the reporting ),ear, tvmple~e thl~ ~1i~
(~llur ontotmt not ~qulrcd ~rc~t for honorark~)
2.
3.
4.
DATE~
LOCATION
3. 4. 5.
~,,, or a~,,
05II4/2010
[~]
I.
3. 4.
5.
I. 2.
Chase Ma~terCard
Credit Card
3. 4.
5.
IN,me
of Person Reporting
Ilxte ef Report
05114/2010
I--"q
NONE (No
reportable
incorne, assets,
or transactions.) C. Gross value at end of reporting period U) (2) Value Value Code 2 Method [J-P) Codc 3 ~Q-W) L L M K J M J J J J J J T T T T T T S S S T T T D. Tn|nsactlon~ during rcporling period (I) Type (e.g., buy, sell, rcdcml~ion) (~) 13) (4) Date Value [ Gain mnfdd,yy Code 2~ Code I [J-P) (A-) (5) Identity of buycr/scller (ifpri~ate transaction)
A, Description of Assets (including trust ass~.~s) Place "(X)" after each assot exempt from prior disclosure
B. Income during reporting period (l) (:z) " Amount Type (e.g., [ Code I div., rent, (A-|l) or int.)
Nationwide Retirement Solutions, Inc. ING ING Govt Employees Credit Union Dural Federal Credit Union Federated Mutual Funds Parcel I, Jax., FL ($25,000.00) Parcel 2, Jax., FL ($1,980.00) Parcel 3. Jax., FL ($2,810.00) Dmyfias Mutual Fund Delhaize America, Inc. (ADR.) Microsoft, Inc. (Common stock) Time Warner Common stockXY) AT&T(Common stock) Johnson & Johnson(Common stock) Alcatel Lucent (ADR) Covad, Inc.(Common stock)(Y)
B B B A A B
A A A
A A
J J J
T T T
Column C2)
Date of Report
05/14/201o
V I I. INV ESTMEN TS and TR U STS - ~.,.o.,., ..t.o,~ ..... ,~o.. a.,,~.~., ~o= ~ ..... .~ a~.a.~ ,,~,Ud~: ~,, ~ ~o .f~U.~ ~.,,~.~,.~)
NONE (No reportable income, assets, or transactions.)
A. Dc~riptlon of A~cts (including t~st as~) Place "(X)" a~cr ~ach ~sct exempt from prior di~losu~ Incom~uring . ~aing ~ri~ (2) Ill IA~unt Type (c.g., Co~ I d[v ~n~ (A-II) o~inL) " C. G~ss value at cad of reposing ~ri~ 11) (2) Value Value C~d~ 2 Method {J-P) Code 3 (Q-W) J J J J J T T T r T D. Tr~sacfions during rt~aiag ~fi~ it) Type (.g., buy, sell, r~cmplion) (51 Identity of buycr/scilcr (if private l~nsaction)
Date Value Gain m ~2) (3) 2 (4) I n~d~ C~ Code (A-H) OP)
Pfizer, Inc.(Common st~k) Cock-Cola, Inc. (Commonstock)(Custodia! account) Ford Motors (Common stock} "ryson Foods (Common stock) Conoco Phillips (Custodialaccount) Generex Biotech, Inc. (Y) Bank of America WR Advisors(Cash regret)
A A
A A
Dividend Dividend
A A
Dividend Dividend
J J
T T
26.
Dividend
U -~ok Valu+
V -Ot~
W =Estimm~
Page 6 of 7
[~me
D~le of Report
I ,~d.~, ~.~ L.
I certif7 lhat all Information given above (including Information pertaining to my spouse and minor or dependent children, If any) is accurate, true, and complete to the best of my knowledge and belief, and that any Information not reported was withheld because It met applicable statutory provisions permitting non-disclosure. [ further cerIIO/that earned Income from outside employment and honoraria and lhe acceptance ofglft~ which have been reported are in compliance with the provisions of$ U.S.G. app. 501 el. seq., 5 U.S.C. 7353, and Judicial Conference regulalion~.
NOTE: ANY INDIVIDUAL WIIO KNOWINGLY AND WILFULLY FALSirtaucr,c.wtw,n~.., v ,~ ..... AND CRIMINAL SANCTIONS (5 U.S,C. app. 104)
,=~-r~r~r-r,rr~-=-~:,~.~. = . v~.,
FILING INSTRUCTIONS Mail signed original and 3 additional copies to: Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544