Gaughan_Patricia_A 1

Transcription

1 Gaughan_Patricia_A 1

2 Name of Persn Reporting Page2 of6 Gaughan, Patricia A /2009 III, NON INVESTMENT IN CO ME, (Reportng Individual and spouse; see pp of filing instructions.) A. Filer's NonInvestment Income [Z NONE (No reportable noninvestment income.) SOURCE AND TY INE (yours, not spouse's) I. B. Spouse's NonInvestment Income If you were ma"led during any portion of t/1e reporting year, complete this section. (Dollar amount not required except for honoraria.) 0 NONE (No reportable noninvestment income.) SOURCE AN TYPE I. 200& St. Raphael Church {administration) IV, REIMBURSEMENTS transportation, lodging,food, entertainment. (l11cl11des those to spouse and depe11det11 children; see pp offili11g i11structio11s.) [Z NONE (No reportable reimbursements.) SOURCE LOCATION PUOSE ITES PAID OR PROVIDED I.

3 Name of Persn Reporting Page 3of6 Gaughan, Patricia A. 04/14/2009 V. GIFTS. (Includes those to spouse and dependent childn; see pp of filing Instructions.) [Z NONE (No reportable gifs.) SQ DESCRN VALE I. VI. LIABILITIES. (Includes those of spouse and dependent children; see pp of filing instructions.) [Z NONE (No reportable liabilities.) CRER DECR VA CODE l.

4 Page 4 of 6 Name of Person Reporting Gaughan, Patricia A. 04/14/2009 VII. INVESTMENTS and TRUSTS.. income, vaj11e, transactions 11nc111des those of spo11se and dependent chtldren; see pp of filing instrctions.> 0 NONE (No reportable income, assets, or transactions.) I. A. c Des ription of Assets (including trust assets) Place "(X" after each asset exempt from prior disclosure Keybank National Association Savings Ac count. Third Federal Savings Checking Account r;; z = 1,:,l _T = un c. In o m n g Gros s at reporting period reporting period e : r _ yp lf e :.. Code 1 div., rent, Code 2 Method buy, sell. (AH) or int.) (JP) Code 3 redemption). (QW) :;.: Valill u Gain J Date Month Code 2 I buyer/ s eller Day o: Code (JP) (AH), ( Identity of (if private trnnsaction) IRA Evergreen Funds IRA MBNA America Bank cashequival ent IRA Charter One Bank cashequivalent 6. Ohio PERS Retirement Fund None L T 7. IRA Columbus Life Insurance Co. 8. IRA Phoenix Home Life 9. SEP/IRA Putnam Voyager Fund Class B A Dividend J T 10. l l. Northrop Grumman Corporation Common Stock A Dividend J T ;c,; G;;i;Ccd: I (Sec Columns Bl and 04) F=S50,001 SI G =SI00,001 $ HI =Sl,000,001 $5, H2=Morc th SS i Value Codes 1=$15,000orlcss K=S100J $50,000 L=S50.00l S100,000 M=Sl00,00I S2,000 J II (Sec Columns Ct and 03) N=$250,001 $500,000 0 =$500.00rSl, Pl =St S P2 =SS $25, l I ;;'. o ) ;.:sl,ooo orless B = S l.ooj $2:Soo C E :::1 :: ; &we =ss:ooo o:: s 1 s:ooo =5J sso:ooo1 ; so.. : <' ]

5 Name or Persn Reporting Date or Report Page 5 of 6 Gaughan, Patricia A. 04/14/2009 VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. (Indicate part of Report.)

6 Name of Persn Reporting Page 6of6 Gaughan, Patricia A. 04/14/2009 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, anil complete to the best of my knowledge and belief, and that any information not reported was withheld because it met applicable statutory provisions permitting nondisclosure. I further certify that eaed income from outside employment and honoraria and the acceptance of gift which have been reported are in compliance with the provisions of 5 US.C. app. 501 et. seq., 5 US.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 US.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 2301 One Columbus Circle, N.E. Washington, D.C

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8 Page 2of6 Nam of Persn Reportng Gaughan, Patricia A Ill. NON INVESTMENT IN CO ME. (Reportig indiviual and spouse; see pp of filing instructions.) A. Filer's NonInvestment Income [{ NONE (No reportable noninvestment income.) SOUE AN TYP INCOM (yours, not spouse's) I. B. Spouse's NonInvestment Income If you were marid during any portion of the reporting year, complete this sectin. (Dollar amount not required except for honoraria.) D NONE (No reportable noninvestment income.) SQUE AN TYPE I St. Raphael Church (adnistration) IV. REIMBURSEMENTS.. transportn, lodging,food, entertinment. (Includes those to spouse and dependent children; see pp of filing instructions.) [{ NONE (No reportable reimburse "! e '! t.) SOUR LOATI PUSE ITS PA OR PROVIDED l.

9 Page 3of6 Nam of Peron Reportng Gaughan, Patricia A. 6/4/2009 V. GIFfS. (Includes those tq spouse and dependent children; see pp of filing instructins.) [Z NONE (No reportable gifts.) SOURCE DESCRIO VALUE I. VI. LIABILITIES. (Includes those of spouse and tkpendent children; see pp of filing instructions.) [Z NONE (No reportable liabilities.) CR DESCRIION VAL CODE I.

10 I Page4 of6 Name of Persn Reporting Gaughan, Patricia A. 6/4/200 VII. INVESTMENTS and TRUSTS income, value, transactions (Includes those of spouse and t1penden1 children; see PP 3460 of flung instructins.> D NONE (No reportable income, assets, or transactions.) r Descripti of Assets l!!i (including trst assets) Place "(X)" after each asset exempt from prior disclosure r, B. I r C. Income during Gross value at end of I Transac I ti ons during reporting period reporting period reporting period I (I) I (2) (I) T( (I)' (2) I 1(3),l 4). (5) Amount I Type (e.g., Value Value Type (e.g., Date I Value Gain Ident I... 1 it y of """" "" =<.,, """'' I I """" 00,, "'" c I """' ",,,, ( AH) or i n t. ) J];.J redemp ay ti on ) l D. ( J :_t:.1 tr ::::) j I. Keybank National Association Savings Ac count. Third Federal Savings Checking Account t IRA Evergreen Funds Equity Income F und IRA MBNA America Bank cashequival ent IRA Charter One Bank cashequivalent 6. Ohio PERS Retirement Fund None L T 7. IRA Columbus Life Insurance Co. Defer red Annuity. 8. IRA Phoenix Home Life Flexible Annuity 9. SEP/IRA Putnam Voyager Fund Class B. A Dividend J T 10. Northrop Grumman Corporation Common Stock A Dividend J T r, J co e Gain C s: i A =SI,000 or less B =Sl,001 $2,500 c =5501. $5,000 D =5001 SI5,000 E =51001 $ (See Columns Bl and D4) F=550,001 $ G =5100,001 SI,000,000 HI =51, Sooo.ooo H2 =More than SS, Value Codes J =$15,000 or less K =515,001 $50,000 L =550,001 S t M =5100, (See Columns Ct an D3) N =5250,001 $500,000 0 =5500,001 SI.000,000 Pl =SI,000,001. S P2 =5000,001. $25, P3 =52000, ,000,000 P4 =More than $50,000,000 Value Metho Cods Q=Appnilsal R =Cost (Rea Estate Ony) S =Assessment T =Cash Market (See Column C2) U=BookValue V =Or W=Estimated

11 Nam of Persn Reporting Page 5of6 Gaughan, Patricia A. 6/4/2009 VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. (Indcat part of Report.)

12 Nam of Person Reporting Page 6of6 Gaughan, Patricia A. 6/4/200 IX. CERTIFICATION. I certi 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 nondisclosure. I further certify that eaed income from outside employment and honoraria and the acceptance of gifts which have been reported are in compliance with the provisions of S U.S.C. app. 501 et. seq., S U.S.C. 7353, and Judicial Conference regulations. Signature NOTE: AN INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE TIDS REPORT MAY BE SUBJECT TO CIVIL 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 2301 One Columbus Circle, NE. Washington, D.C