D NONE (No reportable non-investment income.)

Transcription

1 Thornburg_Lacy_H

2 Name or Perun Reporting Date of Report Page 2of6 Thornburg, Lacy II. 04/07/2009 III. N 0 N-INVESTMENT IN CO ME. (Rq1rtlng individual and spoust; m pp. 17-U of filing Instructions.) A. Filer's Non-Investment Income D NONE (No reportable non-investment income.) SOURCE AND TYPE INCOME (yours, not spouse's) I Consolidated Judicial Retirement System of NC S41, Teachers & State Employees Retirement Sl2, B. Spouse's Non-Investment Income - I/you weu nurrled during any portion of the uporring yar, completnhis section. (Dollar amounl not required except for honoraria.) D NONE (No reportable non-investment income.) SOURCE AND TYPE I N.C. Teachers & State Employees Retirement IV. REIMBURSEMENTS - transportn, lodging.food, entutainmenl (Includes those to spouse and dependent children; see pp of filing instructions.) [l NONE (No reportable reimbursements.) SOURCE DATES LOCATION PURPOSE ITEMS PAID OR PROVIDED I. 5.

3 Page 3of6 Name of Person Reportini: Thornburg, Lacy II. Date of Report 04/07/2009 V. GIFTS. (lncluda thou to spuse and de ndent childnn; see pp. 28-JI off/ling Instructions.) [{ NONE (No reportable gifs.) SOUE DESCRIPTION YA LUE I. 5. VI. LIABILITIES. (lnc/uda those of spouse and dependent children; see pp. JJJ offiing instructions.) D NONE (No reportable liabilities.) CREDITOR DESCRIPTION VALUE CODE I. State Employees Credit Union Deed of trust L 5.

4 Page 4of6 Name or Person Reporting Thornburg, Lacy II. Dace or Report 04/07/2009 VII. INVESTMENTS and TRUSTS -Income, value, transacdons (lncluda those of spouse anti tleptntfent children; see PP J4-60offiling instructions.) D NONE (No reportable income, assets, or transactions.) duri n:po = riod - A. - Description of Assets -lnc :u g j - r ::: v:l : :::dof! Tra:= tons, (including trust assets) reporting period reporting period! Place "(X)" after each asset i u r ;.::. -- v. v c T;i:. -- g.. 6 :. i v C T ::n r.- - :e of exempt from prior disc lo sure Code I div., rent, Code 2 Method buy, sell. Month -! Code 2 Code I buyer/seller 1 I (A -H) or int.), _J! -.J _ ' (A-H) I n c - ti_ on _ ) (J-P) Code 3 redemption) Day : (J-P) I i (ifprivate I I. Frame House-Webster, NC (2005 ta appra c Rent L Q isal) Cottage-Webster, NC (2005 ta appraisal) c Rent L Q J Southern Fann Bureau life insurance policy A Interest J T State Employees Credit Union-Webster, NC B Interest M T 5. Paul Revere variable annunity-worcester, M A Interest K T A I. loc Gain Co: A-St,000 or kn B -S 1,00 I - S2,500 C -S2.501 SS.000 O-S5,00I $15,000 E-S15,001-$50,000 (See Columns Bl and 04) Value Codes (See Columns Cl and 03) Value Mctho Cod (Sec Column C2) F-SS0,001 J-Sl5,000orlcss SI00,000 N-S250,00I - $500,000 Pl -S25,000,00I - S50,000,000 Q Apprai,.I U Book Value G-SI00,001-$1,000,000 K-Sl5,00I $ $500,001 -Sl R :Cu (Real f:ta11. Only) V =Oh<r 111-Sl.OOO.OOI L -S50,00 I $5, SI r I SI I - Sl P4 Mure 1han Sl0, S=A'Oessm1.1lt W ""lsumated 112 More!han $5,000,000 M SI00,001 $250,000 1' =Sl.000,001 SH,000,000 T.CashMarlct

5 Namr of Prrson Reporting Dair of Rrport Page 5of6 Thornburg, Lacy II. 04/07/2009 VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. (lndicauparto/r port)

6 Name or Pcnon Reporting Date or Report Page 6of6 Thornburg, Lacy II. 04/07/2009 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, and complete to the best of my knowledge and belief, and that any Information not reported was withheld because It met applicable statutory pro, isions 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 S U.S.C. app. SOI et. seq., S U.S.C. 7353, and Judicial Conference regulations. Signatur NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE TllJS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (S U.S.C. app. 104) FILING INSTRUCTIONS Mail signed original and 3 additional copies to: Committee on Financial Disclosure Administrative Offce of the United States Courts Suite One Columbus Circle, N.E. Washington, D.C