.

..

UNITED STATES DISTRICT.COURT
NORTHERN DISTRICT OF IOWA
P.O. BOX 188
CEDAR RAPIDS, IOWA 52401

CHAMBERS OF
LINDA R. READE
DISTRICT COURT JUDGE
UNITED STATES COURTHOUSE
101 FIRST STREET SE
CEDAR RAPIDS, IOWA 524111

(319)288-2330
FAX(319)2BB-2331

E-mail: llnda_reade@land.usc:ourts.gov

. . .

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Judicial Conference of the United States

;:;

One Columbus Circle, N.E.

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Washington, D.C. 20544

o"'P"°
-nr-.,

Financial Disclosure for Hon. Linda R. Reade

-

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fli

Dear Judge Lisi:
Here is the additional information for my 2003 reprirt:

Part ID, B line2, "Farm Income" should be omitted.
Parts IV and V, the "NONE" box should be checked for both parts.
Part VII, pagel, Line 6, Column D (3) should be "J".
Part VII, page 1, Line 7, Column D (3) should be "J".

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C'.7

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o::;;

Committee on Financial Disclosure

Re:

go

0

Mary M. Lisi, Chair

-

Part VII, page 6, line 100, Column C (1) should be "J"; C (2) should be "T".
Part VII, page 6, line 101, Colunin C (1) should be "J", C (2) should be "T".
Part VII, page 6, line 102, Column A the date of the appraisal is 12/31/03.

rn

rs

-

·

-0
::::::

-

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0

 UNITED STATES DISTRICT COURT
August 18, 2004
Page2

I

am

enclosing three copies

as

requested.

Sincerely,

LRR/dll
Enclosures

·

 ·�� rb

,,..0--10___
__,
. Rev.,1120
...
. - t+

l. Person Reporting (Last name, First name, Middle initial)

(5 U.S.C. app. §§ 101-111)

3. Date of Report

2. Court or Organization

Reade, Linda R

611012004

District Court ND Iowa

Title (Article ID Judges indicate active or senior status;
magistrate judges indicate full- or part-time)

4.

U.S. District Judge - Active

ReportType (check appropriate type)

0

Nomination,

0

Initial

6. Reporting Period

1/112003

Date

@Annual

Q

1st St. SE

12131/2003

of the information contained in.this Report and any

Reviewing Officer.

___________

Cedar Rapids, IA 5240 I

IMPORTANT NOTES:

to

Flnal

modifications pertaining thereto, it is, in my opinion, in compliance
with applicable laws and regulations.

U.S. Courthouse

L POSITIONS.

S.

8. On the basis

7. Chambers or Office Address

NONE

In Government Act of 1978

Calendar Year 2003

__

101

Report Required by the Ethics,

FINANCIAL DISCLOSURE REPORT

Date.__ _ __

The mstructions accompanying this form must be followed. Complete all parts, checking the NONE box for each part

(Reporting individual only; see pp. 9-13 oftiling instructions)

- (No reporlable positions.)

NAME OF ORGANIZATION/ENTITY

POSrIJON

1.

0
(/)

IL AGREEMENTS.

0 NONE

(Reporting individual only; see pp.

14-16 offiling instructions)

C')
. ,,
O::;:
U>'"'c::x>
:::uz
rrin
o::x>
..,, ,
_,.,
C>

Pl

- (No reportable agreem ents.)

....

'

=
<-...,

t-..

c:=
z

0-

1J
-..

·

:::0
rn

(')

rn

<
ril
0

.r-

PARTIES AND IERMS
l.

08/01/93

State of Iowa and me-Iowa Judicial Retirement Plan. .lbc state will pay me retim:nent income when I am eligible
to retire

 . FfN

CIAL DISCLOSURE REPORT

Name of Person Reporting

l>dtc of Report

Reade. Linda R

'

III. NON-INVESTMENT :INCOME.

611012004

(Reporting individ.ual and spouse; see pp. 17-24 of filing instructions)

A. FUer's Non-Investment Incom

NONE

· (No reportable non-investment income.)

SOURCE AND mE

GROSS INCOME
(yours, not spouse's)

1.

B. Spouse's Non-Investment Incom -(lfyou were married during any portion of the reporting year, please complete this section. (dollar amount
not required except for honoraria)

0 NONE

-

(No reportable non-investment income.)

SOURCE AND TYPE

1.

2003

Bradshaw Fowler Proctor & Fairgrave, PC wages

2.

2003

Fann income

-

IV. REIMBURSEMENTS

-

transportation. lodging, food, entertainment.

(Includes those to spouse and dependent children. See pp. 25-27 of instructions.)

D NONE

-

(No such reportable mmburscments.)

SOURCE
1.

exempt

DESCRIPTION

 FINi\NCIAL DISCLOSURE REPORT
'

Name of Person Reporting

Date of Report

Reade, Linda R

V, GIFTS.
D NONE

(Includes those to spouse and dependent children. See pp. 28-31 of instructions.)

·

(No such reportable gifts.)

DESCRIPIION

SQURCE
l.

exempt

VI. LIABILITIES.
D NONE

"

(Includes those of spouse and dependent children.. See pp. 32-34 of instructions.)

(No reportable liabilities.)

CREDITOR
1.

6/10/2004

Farm Credit (X)

DESCRJPTION
Secured by assets 80 through 97.

YALUE CQDE
N

 , FINANCIAL DISCLOSURE REPORT

Reade, Linda R

VIL INVESTMENTS and TRUSTS

-

6/1012004

income. va1ue, traoscations (inc1u11cs t11osc or the spouse anc1 depc:nde.nt cbildren. Sec pp. 34-s1 or filing instructions.>
B.
Income during

A.

Desaiption ofAssets
(inclwting tnlst usels)

c.
Gross YBlue at end of

RpOl'ling period
(l)

Place "QC)" after each uset exempt
fi"om prior disclosure

DNONE

Date of Report

Name of Person Reporting

\.Page 1 of6

D.
Transactions during reporting period

reporting period

(2)
(e.g.

AmolDll

Type

Code 1
(A-H)

div. mll. or
int.)

Value

Valur:

Code2

Method

(J-P)

CodcJ
(Q-W)

Ifnot

(1)

(2)

(1)

(2)

Type (e.g.

Date:

merger,

Day

buy, sen,

Molllh-

tedaqltion)

t ftom disclosure

(3)
Value
Codc2

(J-P)

(4)
Gain

Code

1 (A-

(S)

Identity of

buyeifscllcr

(Jfprivalc

transai:tion)

(No rcpor1able iD:omc, assets, or transactioDs)

1.

West Bank Accounts

2.

US

3.

CSCOStock

4.

Medtronic Inc. Stock

5.

Closed

Bank Accowts (formerly Firstar Banlc Accowts)

Interest

K

T

None

J

T

A

Dividend

J

T

Morgan Stanley Uguid Asset Fund

A

Interest

J

T

6.

VanKampen Ins. MIDli Inc Trust 14

A

Interest

J

T

7.

-Van Kampen Ins. Muni Inc TYUSt 14

8.

COM Mutual Fund

9.

B

Dividend

0

T

US Savings Bonds

None

J

T

10.

Morgan Stanley American Opp. Fund B

None

J

T

11.

VanKampen Select Growth Fund

None

J

T

12.

Stock Index Fund-Valic

None

J

T

13.

Science&: Technology Fund-Valic

None

J

T

14.

Putnam New Opportunity Fund

None

J

T

15.

Putnam Global Gr Fund

None

J

T

16.

American Cent Ultra Fund

None

J

T

17.

IRA Accowt (X)

None

J

T

18.

-Fidelity Adv

A

(See Columns Bl andD4)
2. Value Codes:
(SeeCohmms Cl mid.DJ)

,11,

•

S 1,000 or less

A

partial Sale

12125

A

B

$1,001-S2,.SOO

c

-w01-ss,ooo

D "'SS.001-$15,000

More than SS,000,000

G -s100.001.s1.ooo. ooo

Ht - SJ..00,0 001-SS,ooO,OOO

H2

- sis,ooo or less

K

-

L

M. c$to0,001-$250.000

N =S2S0.000-S500,000

0

-.ssoo.001-s1.ooo.ooo

F •i50,00l..$ l00,000
.J
P3

(See Colunm C2)

05125

Serv VD Technology Fd Cl T

1• .IncomeKlain Codes!

3. Value Method Codes

Partial Sale

-

Sts .00 1 sso oro
,

.

-$50,001.$100,000

Pl -$1,000,001-SS,000,000

•

P2 = SS,000,001-$25,000.000

P4 = $More than $50;000.000

szs.000.001-sso.ooo.ooo

Assessment

Q ; Appraisal

R

=Cost (Real Estate Only)

s

u =Book Value

v

=Other

w =Estimated

=

T = Cash/Market

E

-s1s,001-sso.ooo

 .FINANCIAL DISCLOSURE REPORT

Date of Report

Name of Person Reporting

:.Page 2 of6

Reade, Linda R

VIL INVESTMENTS and TRUSTS

6/1012004

- income, value, transcations (includes those oflbe spouse and dependent eluldren. See pp. 34-S7 of filing instructions.)
B.

A.

c.
Gross value at end or
n:porting period

Jncom: during

ieporling period

Description ofAssets
(including tnist assets)

(I)

(1)

(2)

D.
Transactions during reporting period
If not exetq>l from disclosure

(1)

(2)

(3)

(2)

Place "(X.)" after each asset exempt
from prior disclosure

Amount
Code 1
(A-H)

Type (e.g.
div. ml. or
int.)

Value

Pl

Codc2

(J-P)

Value
Method

Code3
(Q-W)

Type (e.g.
buy, sell,
merger,
redeq>tion)

Dam:
Month-

Day

(4)

(S)

Value

Gain

Identity of

Codc2

Code

bu:yerlseller

R\

tnnsaction}

(J-P)

l

(A-

(ifprivate

Piper Jaffray Prime Obligs

19.

-

20.

Retirement Account (X)

A

Dividend

21.

-

A

Interest

22.

-Schwab Money Market Fund

23.

-Consumer Port

24.

-Adrian Resources LTD

25.

-Agere Systems Inc

26.

-American Intl Group Inc

27.

-American Tech Grp Inc

28.

-Associated Banc Corp Wis

29.

-Authentidate IDdg Corp

30.

-Avaya Inc

31.

-Bay View Cap I

32.

-Biomira Inc

33.

-Biosys Inc New

34.

-Blue Chip Value Fd Inc

35.

-Breed Technologies

36.

-Corrections Cp Amer New

I. Incomc!Gain Codes:
{SceColmmsBl andD4)

2. Value Codes:
(See Columns C'l and 03)
3. Value Method Codes
(Sec Column C2)

A

•

T

$1 ,000 or less

.B

•Sl,001-$2,500

C

-'$2.501-$5,000

D

•$.5,001-$1S,OOO

• $100,001-Sl,00,0 000

Ht

-Sl,000,001-$$,000,000

.H2

•Mon:·tban SS.000;000

F -sso.om-s100.ooo

·G

J

•$15,000 or less

K

-

N

-

$250.000-$500,000

0

• $500,00 l ..S l,000.000

P3

=

$25,000;001-$50,000.000

Q

s

Appr1isal

R

=

U =Book Value

$15,001-$50,000

Cost (Real Estill: Only)

v =_Oth_er_
__

___ _

_____

L

-·ss0.001-SIOO,OOO

Pl

•

P4

•$More than $50,000,000

S

-

S 1,000,001..$5,000,000
Asses.o;menr

v._r _=_Estima 1ed

_

M

-

Sl!Xl,001-$250,000

P2

•

SS,000,001-$25,000.000

T

=

Cash/Market

E

-s1s,001-sso,ooo

..o

_ __
_
____
________________

 ,FINMCIAL DISCLOSURE REPORT

Date of Report

Name of Person Reporting

:Page3 of6

Reade, Linda R

vn. INVESTMENTS and TRUSTS

-

6/10/2004

income, value, transcations (includes those of the spouse and dependent cluldrcn. See pp. 34-57 of filing instructions.)
B.
1nc:orre during
Jq)Ol'ting period

A.
Description of Assets
(including ttust assets)

(1)

Place "(X)" after each asset exempt
from prior disclosure

37.

-Cray Computer Corp

38.

-General Electric Company

39.

-Grupo Inds Maseca B

40.

-Hcalthrac Inc

41.

-Intl Business Machines

42.

-

43.

-Lascrscope

44.

-Level 3 Communications

4 .

-Lucent Technologies Inc

46.

-Maytag Corp

47.

-Mclcodusa Inc New

48.

-Nstor Technologies Inc

49.

-Southmark Corp New

so.

-Southmar:k Pfd Ser A Conv

SI.

-Telecom Argentina Ord F Class B

52.

-Templeton Global lncm Fd

53.

-Time Warner lnc

54.

-Tyco Intl Ltd New F

Amount
Code l
(A·H)

c.
Gross value at end of
rqiorting period
(1)

(2)

Value
Code2
(J.P)

Type (e.g.
div. mit. or
int)

D.
Transactions during rq>ortiog period

(2)
Value
Method
Code3
(Q-W)

lf not exempt from disclosW"e

(1)
Type (e.g.
buy, sel
merger,
redemption)

(2)
Date:
MonlhDay

(3)

(4)

Value
Code2
(J·P)

Gain
Code
I (AJ.l'\

(S)

Identity of
buyer/seller
(if private
tnmsacmn)

L T V Corporation New

I. lncomcfGain Codes:

(See Colmms Bl andD4)
2. V11lueCodes:
(See Colunm Cl and 03)
3. Value MelllOd Codes
(See Columi C2)

A
F

-

$1,000 or less

B

-

Sl,001-$2,SOO

•

SS0.001-$100,000

G

-

s100,001-s1,ooo. ooo

D
Hl -Sl,000;001-$5,000,000

J

•

$15,000orless

K -s1s.001-sso,ooo

L

-sso.001,s100.ooo

N

c

$250,0Q0..$500,000

0

Pl

-

P3

-

$25,000,00J -$50,000.000

Q

=

Appraisal

U =Book Value

•

$500.001-$1,000.000

$1,000,001-SS,000,000

-

SS.OOl·SIS,000

H2 •More than $5,000,000
M •Sl00,001-$250.000
$5,000,00l-S25.000,000

P2

•

T

=Cash/Market

P4 =$More than SS0.000.000
R =Cost (Real ES1llle Only)

S

=Assessment

V =Other

w

c

Esti11111ed

E -SIS;OO!·S50,000

 FINANCIAL DISCLOSURE REPORT

Date of Report

Name of Person Reporting

:Page 4 of6

Reade, Linda R

VII. INVESTMENTS and TRUSTS

-

6/10/2004

income, nlue, tnmscanons (includes those of the spouse and dependent cluldren. See pp. 34-57 of tiling instructioiJs.)
B.
during
reporting period

A.
Description ofAssets
(including trust uscts}

Amount
Cocle 1
(A-H)

D.
Tnnsactions dming reporting period

reporting period

(2)

(I)

Place ·oo· after each asset exempt
from prior disclosme

c.
Gross value at end of

Value
Code2
(J-P)

Type (e.g.
div. mil. or
int}

If not exerqit from disclosme

(2)

(1)

Value
Method
Coclc3

Type (e.g.
buy, sen,
merger,
)

(I)

. (

W)

(2)
Date:
Month·
Day

(3)

(4)

Value
Codc2
(J-P)

Gain
Code
1 (AR'I

55.

-Wackenhut Corrections Cp

Partial Sale

09/19

K

56.

-Wackenhut Corrections Cp

Partial Sale

10/08

J

57.

-Wal-Mart DE Cv Spn Adr F

58.

-Wells Fargo & Co New

59.

-Worldcom Inc.

60.

-Worldcom Inc- MCI Group

61.

-X C LI..tdNcw

62.

-Capital World Growth & Income Fd CL A

(S)

Identity of
buyer/seller
(ifprinte
transaction)

......

American Funds
63.

-Fidelity Mv Eqty Growth Fund

64.

-Fidelity Adv Overseas Class T

65.

-Franklin Biotechnology Discovery Fund

66.

-Kopp Emerging Growth Fund Cl A

67.

-MFS Emerging Growth Fund

68.

-MFS Global Fund CL A

69.

..()ppcnhcimcr Global Fund

70.

-Putnam New Opportunties

71.

-General Growth PP'IYS

72.

-Aero Systems Inc

I.

lncome/Gai11 Codes:

A

•

B

=SUlOJ-$2,500

{See Columns Bl arul'D4)

F

-sso.001.,s100,ooo

G

-

.K - $15,00J-$50,000
0

P4

=

S

=

2. Value Codes:
(See Colunm Cl and 03)

3. Value Method Codes
(See Colunm CZ)

SI ;000 or Jess

J

-$15,000.tJr less

N

-

P3

= $25,000,00l•SS0,000.000

Q

= Appraisal

U

=

$250.000-$500,000

Book Vslue

•

s1 00 001..s1 ooo ooo
,

.

,

$500,00l ·Sl,OOO,OOO

R

=Cost (Real EslDll:

V

;Qlher

Only)

c

= S2.SO l•SS,000

HI

"'

Sl,000,001-SS,000,000

L

•

SSO.OOhSI00,000

Pl

- Sl,000,001-$5,000, 000

W

D

= SS.OOl·SIS,000

H2

=

More than SS,000,000

M

•

S100 ,00 l-S2SO,OOO

P2

-

$5,000,001..$25,000, 000

T

=

Cash/Market

SMon: than sso,000.000
Asses!ltllCnt

Estimated

E .: S 1 S,00I"$50,000

 FINANCIAL DISCLOSURE REPORT

Reade, Linda R

VII. INVESTMENTS and TRUSTS

6/1012004

-income, wlue, traoscations (includes those of the spouse and dependent cluldn:n.

B.
Income during
1qlOl'ting period

A.
Description ofAsse1s
(iocludiog trust 8SSCIS)

(1)

73.

-Commerce Bancshares IA

74.

-Enen:on Data Corp

75.

-McLeod USA Inc Cl AXXX

76.

-Simetco Inc

77.

-Encana Corporatio n

c.
Gross value at end of
reporting period
(I)

(2)

D.
Trallsactions during reporting period

(2)

Atmunt

Codcl
(A·H)

Value
Code2
(1-P)

Type (e.g.
div. rent or
int.)

Type (e.g.
buy,aell,
merger,

Value
Method
Codc3

redezqiticm)

(Q-W)

79.

-Bay View Cap I

80.

Fann 1 Dallas Co, IA (X)

M

w

81.

Farm 2 Dallas Co, IA (X)

M

w

82.

Farm 3 Dallas Co, IA (X)

L

w

83.

Fann 4 Dallas Co, IA (X)

K

w

84.

Fann S Adair Co, IA (X)

M

w

85.

Fann 6 Adair Co, IA (X)

M

w

86.

Farm 7 Adair Co, IA (X)

L

w

87.

Fann 8 Adair Co, IA (X)

L

w

88.

Fann 9 Adair Co, IA (X)

L

w

89.

Fann l 0 Adair Co, IA (X)

M

w

90.

Farm 11 Adair Co, IA (X)

K

w

(See Columns BI and 04)
2. Value Codes:
(See Columns Cl and 03)
3. Value Method Codes
(Sec Column C!)

If not exempt from disclosure

(I)
Da :

MonthDay

(3)
Value

Codc2
(J-P)

10131

K

sold

12/05

K

rmemption

12131

J

A •SI ,000 or less

;B

-s1.001-sz,soo

c

-

s:?,501"$5;000

D

F

G

• SIOO,Oot-Sl,000,000

Ht

•

$1,000,00J..$5,000,000

H2 • More than $5,000,000

•

SS0,001-SHXl,OOO

•

SS.llOt-SIS,000

J

•

$15,000 or less

K -:ns.001-tso,ooo

L

•

SS0,001"$ I 00,000

M

•

N

•

$250.000-SSOO,OOO

0

•

Pl

•

Sl,OOO,OOl.$5,000,000

P2

•

SS,000,00I -$25,000.000

P3

=

$25,000,001-$50,000. 000

P4

c

SMorc lhan $50.000.000

Appraisal

R

=Cost (Real Es1atc Only)

S

E

Assessment

T

-

Cash/Marlcet

=Book Value

v

w

=

Estimated

Q
U

s

SS00,001..$1.000.000

Other

(4)

(S)

Gain

Identity of

Code
1 (A·

buyer/seller
fJfpriw

transaction)

buy

-

L Income/Gain Codes:

See pp. 34-57 offiliog instructions.)

(2)

Place "(X)" after each asset exempt
from prior disclosure

78.

Date of Report

Name ofPerson Reporting

".Pages of6

SI00,001..$250.000

B

E

='$15,001-SSO,OOO

 FINANCIAL DISCLOSURE REPORT

Date of Report

Name of Person Reporting

·Page6 of6

Reade, Linda R

VIL INVESTMENTS and TRUSTS

6/10/2004

- income, value, transc:alions (mcludes those of the spouse and dcpcndcnt cluldn:n. See pp. 34-57 of filing instructions.)
B.
lncom! during
ieporting period

A.

Description ofAssets

(including trust assets)

(2)

(I)
Place "(X)" after each asset exempt
flOm prior disclosUR

Amount
Codel
(A-H)

c.
Gross value at end of
reportin g period
(1)

Value
Codc2
(J-P)

Type (e.g.
div. ient. or
int)

(1)

Value
Method
Cocle3
(Q-W)

Type (e.g.
buy, sell,
merger,
redeqltion)

Farm 12 Cass Co, IA (X)

M

w

92.

Farm 13 Adams Co, IA (X)

M

w

93.

Fann 14 Adams Co, IA (X)

M

w

94.

Fann 1 S Adams Co, IA (X)

L

w

95.

Fann 16 Union Co, IA (X)

L

w

96.

Farm 17 Taylor Co, IA (X)

L

w

97.

Fann 18 Adams Co, IA (X)

K

w

98.

Cincinnati Ufe Insurance Whole Llfe Policy (X)

M

T

99.

Real Estate in Country of Latvia (X)

K

w

100.

Mineral lntercst,Dallas County, IA (X)

D

Royalty

101.

Royalty Interest, Bowman County, North Dakota (X)

A

Royalty

102 ..

Liberty Bansharcs Inc (X)

E

S-corp inc

0

Q

103.

Ben Con Properties U.C (X)

c

Rent

K

u

104.

Towne View Apartments, L1D(X)

A

Rent

J

u

105.

Jam Leasing (X)

None

J

u

106.

Carefree Group u.c (X)

None

K

u

(See Cohnms Bl and 04)
2. Vatue Codes:
(See Columns CJ and 03)
3. Value Method Codes
(See Colunm C2)

A

=

SI ,000 or less

B

F

•

$50.001-SI 00,000

G

J

=

$ I5,000 or less

K

N

- $250.000-$500,000

P3

=

0

··Sl,001-$2,500
-s100,001-s1.ooo,ooo
·-

$15.001-$50,000

-$500,001-$1,000,000

c

•

If 1iot ex

(2)

91.

I Income/Gain Codes;

D.
Transactions during reporting period

$2.501-SS,OOO

D

=

(2)
Date:
MonthDay

Cost (Real Esllltc Only)

Q =Appraisal

R

u =Book Value

v -other

=

Value
Code2
(J-P)

$5,001-SIS,OOO

H2 =More than SS,000,000

HI

_, SI,OOO,OOJ.$5,000,000

L

•

$50,00J SIOO,OOO

M

Pl

=

$1,000,001..SS, OOO,OOO

P2 - $5,000,001-$25,000,000

- SI 00,0(}1.$250.000

P4 - SMore tharr sso.000.000

$25,000,001-$50,000.000

(3)

s

s

Assessment

w =Estimated

T

=

Cash/Market

t from disclosure
(4)
Gain
Code
1 (AJ.I\

E

(S)
Identity of
buyedseiter
(Jfprivalle
transaction)

s$J5,00J-$50,000

 ·.

FINANCIAL DISCLOSURE REPORT

Name or Person Reporting

Date of Report

Reade, Unda R

VIII. ADDmONAL INFORMATION OR EXPLANATIONS

Part VII AU items marked with an (X) wen: acquired through maniage.

611012004

(JndicatepartorRcport.>

 ...

" FINANCIAL DISCLOSURE REPORT

Name ofPcsson Reporting
Reade, linda R

Date of Report
611012004

IX. CERTIFICATION.
I certify that all information given above (including information pertaining to my spouse and minor or dependent childten, if
any) is accurate, true, and complete to the best ofmy knowlCdge 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. § 501 et. seq., 5 U.S.C. § 7353, and Judicial Conference regulations.

Signa:
./
NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAII.S TO FILE nns REPORT MAY
BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (5 U.S.C. app. § 104)

FllJNG INSTRUCTIONS

Mail signed orig:iDa1 and 3 additional Copies to:
Committee on Financial Disclosure
Administrative Office of the United States Courts
Suite2-301
One Columbus Circle, N.E.

Washington, D.C.

20544