Escolar Documentos
Profissional Documentos
Cultura Documentos
nev. W2010
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4. Title (~icle 11I judges indicate active or senior sta~s; magistrate jndges indicate ~11- or part-time}
Nomination,
Date
8. On ~1 basis of the information contained ia this Report and any modificafionspe~ainiugthereto, ills, inmyopinion, incomplianc with applicable lawn and re.lotions.
IMPORTANT NOTES: The instructions accompanying this form must be followe~ Cmnplete all par~,
checking the NONE box for each part where you have no reportable information. Sign on last page.
3 4.
3 4 5
CREDITOR
DES.CRIPT1ON
VALUE
2. 3. 4 5.
~.~, ~ ..... tions (Inch, des those of $p ..... ~ a~.a..~ ~ua,,,; s~ ~. 34.60 of filing ~structions.)
~Amount:, Type(e.g.
ii-; ..... : .......... i~T--]-7~ ....... ~: ........ ~i5 ........ 1-~) ............. ~57~~5 ........... ~si .......
Value I C~e 2 [ (J-P) [ Type(eg. t Date ~Valu ~ Gain { buy, sell, /mn~dd/)~ [ C~ 2 i Code 1 :i r~emption) ] ~ (J-P) [ (A-H)
ldemi~,of
buy~/seller (ifprivat
1 ......
~ ................. ~ ....
3.
4.
S.
7.
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IX. CERTIFICATION.
1 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 ors U.;S.C. app. 501 el. seq., 5 U.S.C. 7353, and Jndicia! Conference regulations.
Signature
NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULL FALSIFIES OR FAILS TO FILE THIS REPORT MAY BE SUBJECT TO UIVII_ AND CRIMINAL SANCTIONS ~5 U.S.C. app. 104)
FILING INSTRUCTIONS Mail signed original and 3 additional cop~es to: Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544