Jack B Weinstein Financial Disclosure Report for 2009

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R~. 1/2010

1

FINANCIAL DISCLOSURE REPORT
FOR CALENDAR YEAR 2009

Report Required by the Ethi~,
in Government Act of 1978 ff U.S.C. app. §§ 101-111)

1. Person Reporting (last name, fgst, middle initial) Weinstein, 1ack B. 4. Title (A~cle 11I judges indicate acdve or senior status; magistrate judges indicate full- or part-dine) Senior U. S. District Judge

2. Court or Organization U.S. District Court, Eastern District of New York 5a. Report Type (check appropriate type) [] Nomination, [] Initial Date [] Final

3. Date of Report 03/18/2010 6. Reporting Period 01/01/2009 to 12/31/2009

7. Chambers or Office Address 225 Cadman Plaza E~st Brooklyn, New York 11201

. [] Annual _ 5b. [] Amended Report 8. On the basis of the Information contained hi this Report ~nd any modl[icat|ons pertaining thereto, it is, in my oplnlon~ In compliance with applicable laws and regulations. Reviewing Officer Date

IMPORTANT NOTES: ~rhe instructions accompanying this form must be followed. Comlffete all parts,
checking the NONE box for each part where you have no reportable information. Sign on last page.

[~

NONE (No reportable positions.) POSITION NAME OF ORGANIZATION/ENTITY

i ,.__’

~ " NONE ~o reportable agreements.) ~
I. 1998 2. 1998 3. 2000 TIAA Retirement Pl~s New York State Retirement Plans New York State Savings Plan Schooling (2)

PARTIES AND TE~S

Weinstein, Jack B.

FINANCIAL DISCLOSURE REPORT

~me of Person Reporting

[

Date of Report

Page 2 of 12

Wetnstein, JackB.

03/18/2010 ]

III. NON-INVESTMENT INCOME. ~Repo.t.g individual ond spou$e: see pp. 17-2d of filing ln~ructlons.)
A. Filer’s Non-Investment Income NONE (No reportable non-investment income.) DATE
1. 2009

~OURCE AND TYPE
Teachers Ins. & Annuity Pension

INC__QME
(yours, not spouse’s) $11,134.18

2. 2009 3. 2009
4.

N.Y. State Retirement Sys~m Pension West Publishing Co. P~oyalty

$8,599.80 $2,892.86

B. Spo use’s Non-Investment Income - if yon were married during any portlon of the reporting year, complete this secaon.
(’Dollar omaunt not required except for honoraria.)

NONE (No reportable non-investment income.) DATE 1. 2. 3.
4.

SOURCE AND TYPE

IV. REIMBURSEMENTS -,~,.sm,,ao.. Iodglng, food, entettai ...... £
(Includes those to spouse and dependent children," see pp. 25-27 of filing instructions.)

NONE (No reportable reimbursements.) S__Q_URCE 1. 2, 3.
4.

DATES

LOCATION

pURPOSE

ITEMS PAID OR PROVIDED

5.

FINANCIAL DISCLOSURE REPORT Page 3 of 12

Name of Person Reporting

Date of Report

Weinstein, Jack B.

o3/18:2oto

[]

NONE (No reportable gifts.) SOURCE DESCRIPTION ~

2, 3.
4.

5.

[-~

NONE (No reportable liabilities.) CREDITOR, DESCRIPTION NALUE CODE

1.
2.

3. 4. 5.

FINANCIAL DISCLOSURE REPORT

N~,~e of Perton t~epor~g

Date otaeport

Page 4 of 12

Weinstein, Jack B.

03/18/2010

NONE ~o reportable income, assets, or tr~actions.)
D~cripfion of Asse~ (including ~t assets) Place "(X)" a~er each as~t ~empt ~om prior disclosure ~com~ d~ng ~po~ng period ¯ ~ount Code 1 : (A-~ Type (e.g., div., ren~ or int.) G~ss ~lue at end of repo~g period Value Code 2 (J-P) Value Me~od Code 3 (Q-~ T T T T T T T T T T T T T T T T T T~ (e,g., buy, sell, r~empHon) T~acdons d~ng ~g period

Date ] Valu~ Gain ~ i C~e 2 . ~de 1 ] (J-P) (A-H)

ldenti~ of buyer/se!ler (if ~vate ~ction)

1. ’ 2. 3. 4. 5. 6. 7. 81 9. 10. 11. 12. 13. 14. 15, 16. 17.

Smi& B~ey e~h Smith Barney ms active assets Nassau Cnty NY Genl Obl-l/l/14 NYS Twy Auth Local Hwy-4/I/21 Harborfields Central School Dis NY-6!I/I 8 Buffalo NY Mun Wtr Fin Auth-711122 NYS Dorm Auth leese-7/l/25 Dutchess Cnty NY Resource-l!l/13 Ea~tport South Manor Central Sch-6/l 5/21 New York NYC Health & Hosp-2/15114 NYS Dorm Auth Revs-2115114 NYS Enviro Facs Corp- 6/15/14 Srnithtown NY CentralSch Dist-8/l/15 NYS Donn Auth Rev- 211/18 Tribor0ugh Brdg & Tunl Auth-ll/15/18 Duchess Cnty NY lndl Dev Agy-7/l~0 New York NY Genl Obl ser-g 8/1/20

A A A A A A A A A A A A A A A A A

~terest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest

J J J J J J J J J J .l J J J J J J

1. Income OMn Co~s:

A ~$1.000 or less

B ~$1,901 - $2,500

C ~5:Z,501 - 55,000

D ~$5,001 - $15,000

(See ~uolurnns C I and D3 )

N =$250.001 -$500,000 P3 =$25,000,001 - $50.000,000 U =~ook Valu~

O ~$500,001 - $1,000.000

P I --~ 1,000,001 - $5,000,000 Pa ~Mor~ than $50,000,000 W -Estimated

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

(See Cotumn C21

V --Other

FINANCIAL DISCLOSURE REPORT

Name of Person Reporting

Date of Report

Page 5 of 12

I w~i~t~i~l, J~ek B.

03/18/2o~0

[---]

NONE (No reportable income, assets, or transactions.)
Descript~o~ of Assets (including trust assets) Place "(X)" after each asset exemlg from prior disclosure . ; Income during reporting period Type(e.g., div., rent, or int.) Gross value at end ofr~porting period Value Code 2 (.Lp) Value Method Code3 Type(e.g., buy, sell, redemption) Transactions during reporting period

IAmount i Code 1 (A-H)

[ Date

I

i Value ~ Gain i Code 2 Code I ! I (J-P) : (A-H) [

Identityof buyer/seller (if private

18. 19. 20. 21, 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34.

East lslip NYUn Free Sch Dist-6/15/2I Nev¢ York NYC Genl Obl Ser A-8/1/21 New York NY Genl Obl Ser-I - 311/22 New York NYC Indl Dev Agy - 6/’i/22 Neat York NYC Mun Wtr Fin Auth -6/15/22 Long Island Power Auth- 1211/22 NYS Envir Fats Carp - 6/15/23 NY NY Genl Oblig Ser J - 8/1123 NYS Muai Bond Bank Agy-12/l/23 New York NY Genl Oblig Ser-I- 311/24 NYS Enviro Facs Corp-6/15/24 Port Auth NY &NJ One Hundred-7/15/24 New York NYC Genl Oblig Ser-B - 8/1/24 NYS Enviro Fats Corp-’10/15/24 Metropolitan Transn Auth NY-Ser aidMetropo![tan Transn Auth NY-Ser ANYS Twy Auth Gen Rev Set-G- I/1/26

A A A A A A A A A A A A A A A A A

Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest

K K J J J K J J J J K J J J J J K

T T T T T T T T T T T T T T T T T

I. t~ome Gain Code~: (See Columns B I tad D4} : 2. V=luc Codes (See Column~; CI and D3) i 3, Val~e Method Codes (See Column U2)

A =$ t,O00 or less F =$50,001 - $100,0430 $ =~15,000 or less N =$250.001 - ~500.000 P3 =$25,000,001 * ~50,000,000 Q =Appraisal U *Book Valu~

B =$1,0Ol - $2,500 G =Sl00,001 - $1,000,000 K =$15,001 - $~.0,000 0 =$500.001 - $I,000.000 R =Cost (Real Estate Only) V *Other

(2 =$2,501 . $5,000 HI -$1,000,001 - $5,000,000 b =$50,001 - $100,0(D Pl =$1,000,1~ l - $5,000.000 P4 =Mor¢ than $50,000,000 S =Assessment W =Estimated

D =$5,001 - $ I 5,000 H2 -More than $5.000,000 M =$100,001 - $2.50,000 P2 =$5,000.001 - $25,000.000 T =Cash Market

E =$ IS,001 - $ 50,0~0

FINANCIAL DISCLOSURE REPORT Page 6 of 12

Name of Person Reporting [ Weinste n, Jack H.

Date of Report

03/lgt2Ol0

VII. INVESTMENTS an d TRUSTS - i,,co.,~ .~,,~ ,r..s~o,~ a.a,,aes a, os. ol wo.~. ~ a¢..d..t ehua~..; ~ee vp. 34~0 of fd~g instrncaon~)
NONE (No reportable income, ~sets, or ~atuactio~.) De~pfion of ~seu (including ~t as~ts) Pi~ee "(X)~ sfter each asset exempt from prior diselosu~ ; Income dung Gross value at end T~efions during ~p~ing

~ 0)

: Amount ~ Type (e.g., C~ [ div., re~t,

(2)

0)
V~]ue Code 2

(2)
Value Met~

O)
Typ~ (e.g., buy, ~ll,

(~) ’] (s)
Dat~ ~ Valu~ ~d~ ~ ~ 2

(i)
Gain Code ]

35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45~ 46. 47. 48. 49. 50. 51.

NYS T~ Au~ St Pe~ Income- 3115~6 .Triborough Brdg & Tunl Au~- 111~7 New York ~C Tfa Rev Fum re mxMetropoli~nTmnsn Auth NY- 11115~8 NYS Twy Auth Gen Rev Ser-G- 111/26 ’NYs T~ Au~ St Pers Income- 3115~6 Tribomugh Brdg & T~I Auth- 111~7 New Yo~ NYC Tfa Rev Futu re ~ Metropolitan Transn Auth NY- I 1/15/28 New York NY Genl ObI-Ser H - 3115~9 Br0okhaven Go 11/1~1 Buffalo Sales9/l~l FreepoaGo 1/15~3 MTA Dedi~ted 11/15/27 MTATmas I 1/15~7 NY~ Go8/1~3 NYC Go Set G 8/1127

A A A A A A A A A A A A A A A A A

In~r~t hter~t Inter~t Interest Inte~st Interest lnte~st Interest Interest Interest Interest lnter~t Interest ln~r~t Interest Interest Interest

K J J J K K J J J J

T T T T T T T T T T Sold Sold Sold Sold Sold Sold Sold 01/0~09 01/0~09 01!06/09 01/06/09 01106/~ 101191091 01/16109 J J J J J J J A A A A A A A Buy 08117109 K

I. Income Gain Co~s: (See Columra B I and D41 2. Value Codes (See Coh~mm C I ~nd 1131 L Value Melhod Co&:s (See Colunan C21

A ’=$1,000 or less F -$50,001 - $100,000 J =~15.000 or less N =$250,001 - $500,000 P3 =$25,000,001. $50,000.000 Q -Appra;s=l U =Book V=lue

B =$1,001 - $2.500 G =$100.001 - $ |,000,000 K--$I$,001 - $50.000 O ~$500,001 - $ i,000,000 R ==Cosl (Rez] E~ate OnlyI V --OIher

C =$2,501 - $5.000 H 1 =$1,000,001 - 55.000,000 L --$50,001 - $100.000 PI =$ t ,000,00| - $$,000,000 P4 =More than $$0,000,000 S =As~sment W

D =$5,001 - $15,000 H2 ~More tMn M =$ lID0,001 - $250,000 P2 =$5,000,001 - ~’25,000,000 T =Cash Market

E =$15,001 - ~:50,000

FINANCIAL DISCLOSURE REPORT Page 7 of 12

Nam~:ofPerson Reporting [

DateofReport

Weinstein, Jack B. ]

03118/2010

VII. INVESTMENTS an d TRUSTS - ,.~o~,,, .ol,,,, ~ ......
~ NO~ ~o reportable income, ~sets, or ~ansactions.)
..................... ~T ........................ D~cdption of~se~ (i~ludi~ ~t ~) Place "~)" afi~ ~h ass~ exemptfrompfiordi~losu~ B? Income during re~ing period

,~o.s (Includes thos. of spouse ~ng aepe~ge~ children; s~ pp. 34-60 of filing ins~uctlonx)
~ ..................................... 6.~ .................. G~ss v~ at ~d T~nsacfions during r~oning p~iod of ~aing period Value Code 2 O-P) ] Data ] Value . Ga~ /m~d~ ~ Code 2 ~ C~e 1 / i (J-P) ](A-~

, ~3 " ’~
~Am~nt Code 1 i~ (A-H)

T~e (e.g., div., ~nt, orint)

t~) ~ Value ....... 2~ ...... [- ~~ t~;V~; ........... ~ ..... (~ ~ T~ (e.g., ldenti of
~ Me,or ~ Code3 buy, sell, ~demption) W buyer/sell~ (ifprivale

[52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68.

NYC Go Set N 8/1~3 NYCGo- G 8/1/18 NYC Go- 14/15/20 NYC Trnstl- B 11/1/23 NYS Da Facs 5/15/21 NYS Da-Hlth 711/09 NYS Da-Mntl-D2!15/ll NYS Donn Au-D 8/15/’16 NYS Envmntl 12/15/20 NYS Udc-Cnctnl 1/I109 NYS Urban Dev411/09 Rockland Purp 8/15/21 Schnctdy 6/15/20 Suffolk Inpt 5/15/22 Tarrytwnufsd 1/15/17 NYS Da Cancer7/I!24 NYS DormAu 3115/28

A A A A A A A A A A A A A A A A A

.Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest

Sold Sold Sold Sold Sold Sold Sold Sold Sold Sold Sold Sold Sold Sold Sold Sold Buy

01/0~09 10/19/09 I1/16/09 01/06/09 05/15/09 07/01/09 08/17/09 08/17/09 01/06/09 01/02/09 04/01/09 01/06/09 12/07/09 01/06/09 07/20/09 01/06/09 02/10/09

J J J J J J J J J J J J

A A A A A A A A A A A A

K J J

A A

I. Income Gain Codes: {See Coluna~ B I and D4) 2. Value C~des (See Columos C I ~nd D3) ]. Value Method Codes (~ee Column C2)

A =21,000 or Jess F =~50,001 - 2100,000 3 "$15,000 or less N -$250.001 - $500,000 P3 =~;25.D00.001. $50,000,000 Q =Appraisal U -Book Value

B =21,001 - ’t2,500 G =$100,001 - $1,000,0~) K =215,001 - 250,000 O -$500.00| - ~;I.000.000 R =Cost (R¢~I Estate Only) V ’=Olher

C =$2,50 ! - $5,0~0 H I =$ 1,000,0O I - 25,000,000 L =250,01)1 -$100,000 P1 =$1,000,~ 1 - $5.000.000 P4 -M~¢ than $50,000,000 S -Assessment W =-Estimated

D =25,001 - $15,000 H2 =Mo~e tl~Ja 25.000,000 M =$100,001 - 2250,0~0 P2 =$$.000.001 - $25,000,000 T =Cash Market

E -215,~01 - $50,000

FINANCIAL DIS CLOSURE REPORT Page 8 of 12

N~m, of P ..... Reporting Weinstein, Jack B.

Date *fReport

03/18/2010

VII. INVESTMENTS and TRUSTS - ~nco,,re, ~otu,. t ..... e,lon~ (Includes those of spouse and dependent children; see pp. 34-60 of filing instructions.)
NONE (No reportable income, assets, or tra~actions.)

....... ~, .............
D~cfipt~on ~fAss~ (~eluding t~t a~ets) Plae~ "(X)~ a~er ~ch ~set ~empt ~om prior disclosu~

~.
Income ~g reporting pefi~

d ..........................
Gross ~lue at ~d of reporting ~ri~

b~ ....................
Tmnsacfio~ during ~ng period

" u)
Amount Code 1 (A-H)

c2)
Type (e.g., div., rent, orin~)

u)
Valu~ Code 2 (J-P)

(2) "
Valu~ Me~od C~e3 (~

Typ~ (e.g.) buy, sell, redemption)

~b

’(2) " (3) ~ (~) ~ ......
~ Date i V~ue Ga~ ~ m~d~ ~ C~e 2 ~ Code 1] i (J-P) ~ (A-H) ~ . . ~. . J ~. A

~)
Idenfi~ of buyeHseller (if private ~nsaetion)

69,

~S Do~ Au 3/15~8

A

Interest

Sold

1~07/09

70. NYS EnvrmntI- B 6115/25 71.
"72. 73. 74. 75. "76. 77, 78. 79. 80. 81. 82. 83. 84. 85.

A A
A A A A A A A A A A A A A A

Interest Interest
Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest J J J J J J J K J J J J T T T T T T T T T T T T

Buy Sold
Buy Sold

05119/09 12/07/09
04106109 12/07/09

J J
K K A

N¥S Envrmntl-13 6/15/25
PtNYNJ -154 911/25 PtNYNJ -154 9i1/25 Morgan Stanley Bank N,A, Nassau CtyNY GenlOblig 1/1/14 NYS Twy Auth Local Hwy 411/21 Harborfields Cent Sch D[st NY 6/1118 Buftlao NY Mun Wtr Fin Auth Wtr 7/1/22 NYS Dorm Auth Lease Rev 7/1/’25 Duchess Cty NY Res. Rec. 1/I/13 Eastport So. Manor Cent Sch Dist 6115/21 New York NYC Hlth & Hosp Corp 2/15114 NYS Dorm Auth Revs 2/15/14 Srnithtown NY Cent Sch Dist 8/l/15 NYS Dorm Auth Rev Aid Long 11/1/15

A

,

I. Income Gair~ Codes:

A =$ I )000 or less

B ~ I,~1 = ~,5~

C =$~01 - $5.~

D =$5.001 - $15,000

E =$15,~ I - $50,~

(See Column C2)

U ~ok Value

V =Other

W ~Est~mated

FINANCIAL DISCLOSURE REPORT
Page 9 of 12

Name of Person Reporting

I

Date of Report

Weinstein,

VII. INVESTMENTS an d TRU S TS - ~.co,.e. ~t... ~..s.cao.~ a.et,.d.s tnos. o~" spo..s, o.~ ~,p,.a.., children; see pp. 34-60 of fillng instrnctiong)
NONE (No reportable income, assets, or transactions.)
I Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure Income during reporting period !Amount ,: Type (e.g., i Code I ! div., rent, i (A-H) ’, orint.) Gros~ value at end of reporting period Value Code 2 (J-P) Type (e.g., buy, sell, redemption) Transactions during reporting period

] .

Method [ Value " Code3

Date [ Value :. Gain mrrddd/yy ! (J-P) . (A-H)

Identity of buyer!seller (if private

ti (2ode 2

86. 87. 88~ 89. 90. 91. 92. 93. ~4. 95, 96. "97. 98. 99.

Tarrytown NY Union Free Sch Dist 1/15/17 NYS Dorm Auth Rev 211/18 Schenectady NYC Seh Dist 6/15120 Duchess CtyNY Indl Dev Agy 7/1/20 New York NY Genl Oblig Ser-G 8/I/20 NYW Envir. Facs 12/15/20 East lslip NY Union Free Seh Dist Ser-A 6/15121 New York NrYC Genl Oblig Set A 8/1/21 Rockland Co NY Various Purposes 8/15/2 1 Buffalo NY Fiscal Stability Auth. 911121 Brookhaven NY Open Space Pres. 1111/21 New YorkNY Genl Oblig Ser-I 3/1/22 Suffolk Co N~ Pub Impt Set A 5/15/22 Ne~v York NYC Mun Wtr Fin Auth 6/15/22

A A A A A A A A A A A A A A A A A

Interest Interest Interest Interest Interest Interest Interest Interest Interest interest Interest Interest Interest Interest Interest Interest Interest

J J J J J J J K J J J J J K J J J

T T T T T T T T T T T T T T T T T 7

100. Ne~’ York NYC Indl Dev Agy Civic 6/1/22 6/1/22 101. NewYorkNYCMunWtrFinAuth6/15122 102. MetropolitanTrans AuthNYSerA 11/15/27.,

I. Income Gain Cnd~: (See Colu runs B 1 and D4 ) 2. Value Codes (S¢ Colun~tls C I and D3) 3. Value Method Cod~s (See Colun~n C"2)

A ~$ 1,00’~ or I©~ F =$50,001 - $ 100,0D0 $ -$ I $,000 or le~. N -$250,001 o $51)0,000 P3 -$25,000,001 -$50,000,000 Q =Appraisal U ~Book Value

B ~$1.001 - 52,J00 O =$ 100,001 - $1,000,000 K =$ [ 5,001 - $50,0~0 0 ~$500,001 - $ | ,O00,00I] R ,-Cost (Real Estate Only) V =Otlw.r

C-$2,501 - $5,0~O H 1 =$1,00O,001 - $5,000,00D L ~$50,001 - $100,000 PI =$ 1,000,001 - SS,000,000 P4 -More than $50,000,000 S =Assessment W =Estim~ted

D -$5,001 - $15,000 H2 -M ore than $5,000,000 M ~$100,001 - $250,000 P2 =~5,000,001 - ~2S,O00,000 T =C~h Market

FINANCIAL DISCLOSURE REPORT
Page 10 of 12

Name of Person Reporting [ Weinstein, Jack B.

Date of Report

o~n8/2OlO

VII. INVESTMENTS and TRU S TS -i ..... ~, value, transactions (Inelndes those of spouse and dependent children; see pp. 34-60 of filing instruc~io,~.)
NONE (’No reportable income, assets, or transactions.)
Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure Income during reporting period I Amount . Code 1 ¯ (A-H) Type (e.g., div., rent, oriat) Gross value at end of r~poning period Value Code 2 (J-P) Value Method Code 3 (Q-W) T T T T T Type (e.g., buy, sell, redemption) Transacdon~ during reporting period

I Date , Value i Gain Imm/dd~’y I Code 2 , Code I . *i (J’P) I ~ (A-H) L

Identity of buyer/seller (ifprivate transaction)

103. Long Island Power Auth NY 12/1/22 104. Freeport NY Genl Oblig Set A 1tl5/23 105. NYS Envir Facs Corp St Clean 6/15/23 106. NYS Dorm Auth Rochester SerA 7/1/23 107. New York NYC Genl Oblig Ser N 8/1/23

A A A .A A

Interest Interest Interest Interest Interest

K J J J .T

108. New York NY Genl Oblig Set J 8/1/23
109. New York NYC Transitional 1111/23 110. NYS Muni Bond Bank Agy 1211/23 l 1 I. MdropoHtan Trans Auth NY Svc 1/I/24 112.

A
A A A

Interest
Interest Interest interest

J
J J J

T
T T T

FINANCIAL DISCLOSURE REPORT Page I 1 of 12

Name of Person Reporting I Weinstein, Jack B.

[

Date of Report

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS.

See attached Certificate of Aeeout~tant who prepared listing for Item VII, dated February 23, 2010.

FINANCIAL DISCLOSURE REPORT Page 12 of 12 IX. CERTIFICATION.

Name of Person Reporting .l ~Veinstein, Jack B.

Date of Report

o3/l~nolo

I certi~ that all information given above (including information pertaining to my spouse and minor or dependent children, ff any) is accurate, true, and complete to the best of my knowledge and betief, and that any information not reported was withheld because it met applicable statutory provisions permitting non-disclosure. 1 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 AND CRIMINAL SANCTIONS (5 U.S.C. app. § 104)

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

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