UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON

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1 UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON FRANKLIN D. BURGESS SR. UNITED STATES DISTRICT JUDGE () June 7, PACIFIC AVENUE, ROOM 1 TACOMA, WASHIGTON 98 Hon. Ortrie D. Smith Chair, Judicial Conference of the United States Committee on Financial Disclosure One Columbus Circle, N.E. Washington, D.C..--> CJ = = CJ -- :: (J (..- rn c::.. ::.? I 1..- (" rn rn9. < oy J> -nl rn -... CJ += r< Re: Calendar Year 6 Filing "NY Life Annuity" Entry Dear Honorable Smith, Your letter of June, 7 relative to Part VII, page 1, line 1 of my disclosure report is responded to as follows: Purchase Date: 1/7/ (New) () Value Code M () Gain Code D If there are any other questions, please advise.

2 AO-IO(W) FINANCIAL DISCLOSURE REPORT Rev. 1/7 FOR CALENDAR YEAR 6 Report Required by the Ethics in Government Act of 1978, ( U.S.C. app ) 1. Person Reporting (Last name.first, middle initial). Court or Organization. Date of Report U.S. District Court for the Western District of WA at Tacoma /7/7. Title (Article III judges indicate active or senior status; Sa. Report Type (check appropriate type) 6. Reporting Period magistrate judges indicate full- or part-time) _ Nomination, Date Jan. 1, 6 to Dec. 1, 6 U.S. District Judge-Senior Status Initial.! Annual Final Sb. _ Amended Report 7. Chambers or Office Address 8. On the basis of the information contained in this Report and any modifications pertaining thereto, it is, in my opinion, in compliance with applicable laws and U.S. Court House regulations Pacific Avenue, Rm. 1 Reviewing Officer Date Tacoma, WA 98 7'7,_ = T f{ijr J{ fe.sg, r' th "iri:dff'ii: I. POSITIONS. (Reporting individual only; see pp. 9-1 of Instructions.) GJ POSITION NONE (No reportable positions.) _ J ;- t;j.fj -t::i ('{)Ji '' NAME OF ORGAN Tl ON/ENTITY ii CJ ;u r II. AGREEMENTS. (Reporting individual only; see pp of Instructions.) - o.::i m DATE PARTIES AN TERMSC :::.,.,. I :::u::: rr1c; _J NONE (No reportable agreements.) - m Q o:: 'lr )> <...,.1 m <) 9 III. NON-INVESTMENT INCOME. (Reporting individual and spouse; see pp. 17- of Instructions.) DATE SOURCE AND TYPE INCOME A. Filer's Non-Investment Income GJ NONE (No reportable non-investment income.) B. Spouse's Non-Investment Income - If you were married during any portion of the reporting year, please complete this D section. (dollar amount not required except for honoraria) NONE (No reportable non-investment income.) 1 6 Giaudrone Middle School

3 FINANCIAL DISCLOSURE REPORT Name of Person Reprtg Date of Reprt /7/7 IV. REIMBURSEMENTS -- transportation, lodging, food, entertainment. (Includes those to spouse and dependent children. See pp. -7 of Instructions.) Ci 1 SOURCE NONE (No such reportable reimbursements.) DESCRIPTION 6 7 V. GIFTS. (Includes those to spouse and dependent children. See pp. 8-1 of Instructions.) SOURCE DESCRIPTION VALUE W NONE (No such reportable gifts.) VI. LIABILITIES. (Includes those of spouse and dependent children See pp. - of Instructions.) CREDITOR DESCRIPTION VALUE CODE* NONE (No reportable liabilities.)

4 -- FINANCIAL DISCLOSURE REPORT Name of Person Reprtg Date of Report /7/7 VII. Page 1 INVESTMENTS and TRUSTS income, value, transactions (Includes those of spouse and dependent children. See pp. -6 of Instructions.) D NONE (No reportable income, assets, or transactions.) Columbia Bank c Int. M T Evergreen Utility Fund c Div. L T NY Life Annuity D Int. M T

5 FINANCIAL DISCLOSURE REPORT Name of Persn Reportng Date of Report /7/7 VIII. ADDITIONAL INFORMATION OR EXPLANATIONS (Indicate part of Report.) 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 ofmy 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 ro 1 et. seq., U.S.C. 7 and Judicial Conference regulations.

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