D NONE (No reportable positions.)

Transcription

1 AO {I.:.. l FINANCIAL DISCLOSURE REPORT Report Required by the Ethics Rev: 1!1. '):... in Government Act of FOR CALENDAR YEAR 2009 (5 U.S.C app ) Person Reporting (last nae, fit, middle initial) Court or Organization U.S. Dist.Ct. Dist.ofNebraska Title (Article Ill judges indicate active or senior status; magistrate judges indicate full- or part-time) Article III Judge-active Sa. Report Type (check appropriate type) D Final Nomination, 0 Date 0 Initial 0 Annual Sb. 0 Amended Report 6. Reporting Period 01/ to 12/ Cbambers or Oflce Address 8. On the basis of the information contained in this Report and any modifications pertaining thereto, it Is, lo my opinion, In compliance 586 Federal Building with applicable Jaws and regolatloos. JOO Centennial Mal Nort Lincoln, NE Reviewing Officer Date IMPORTANT NOTES: The instructions accompanying this form must be followed. Complete all parts, checking the NONE box for each part where you have no reportable information. Sign on last page. POSITIONS. (Reporting individual only; see pp. 9-H of filing lnstructkns.) D NONE (No reportable positions.) POSITION NAME OF ORGANIZA TIQNNTITY Chairman of the Board Historical Society of the United States Courts in the Eighth Circuit Attorney-in-Fact-I Holder of Power of A ttomey for J in Foreign Country Attomey-in-Fact-2 Holder of Power of Attorney in Foreign Country I AG REE MENTS. (Reporting individual only; see pp of fiing Instructions.) [Z NONE (No reportable agreements.) for;;;; ; i' 1if i'.j (., ' '- -..J )!.._. -:; 1 -, :-: -:) C) ).> > ,, (.'J Pl == ) :-J ' ;,Tl ' =' PARTIES AND TERMS

2 Page 2of6 Name of Person Reporting II N 0 N-INVESTMENT IN co ME. (Reportig Individual and spouse; see pp. 17-U of filing instructions.) A. Filer's Non-Investment Income [Z NONE (No reportable non-investment income.) SOURCE AND TYPE INCOME (yours, not spouse's) B. Spouse's Non-Investment Income - If you were married during any pordon of the repordng year, complete this section. (Dollar amaunl nol required except far hanoraria.) [Z NONE (No reportable non-investment income.) SOURCE AND TYPE IV. REIMBURSEMENTS transportation, lodging, food, mtertalnmenl (Includes those to spouse and dependent children; see pp a/filing instructions.) - D NONE (No reportable reimbursements.) SOURCE LOCATION PURPOSE ITEMS PAID OR PROVIDED Northwestern University 4/19/2009-4/21/2009 Chicago, Illinois Judicial Education Programs Hotel ($440.00); Airfare ($1869); Taxi from and to Chicago airport ($80.00); Mileage to and from and parking at Omaha airport ($110.80)

3 Page 3of6 Nome of Person Reportng V G JFTS. (Includes those to spouse anj dependent children; s.,, pp of filing Instructions.) [Z NONE (No reportable gifs.) SOURCE DESCRITION VALUE 1. V LIABILITIES. (Includes those of spouse and dependent children; see pp of fiing instructions.) [2 NONE (No reportable liabilities.) CREDITOR DESCRION VAE COD 4,

4 Page 4 of6 Name of Person Reportng VI INVESTMENTS and TRUSTS -incom, vatue, rransacdons a11c1udes rhose of spouse and dependent children: see PP H o ffltlnx 1nsrruc11ons.; D NONE (No reportable income, assets, or transactions.) A Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure B. Income during reporting period (I) (2) (I) Amount Type (e.g., Code I div., rent.! (A-H) or int.) c. D. Gross value at end of reporting period (2) Transactions during reporting period (I) (2) (3) (4) (5) Value Value Type (e.g., Date Value Gain Identity of Codc2 i Method buy, sell, mm/dd/yy : Code 2 Code I buyer/seller (J-P) Code3 redemption) (J-P) (A-H) (if private (Q-W) trction) Wells Fargo Bank, Lincoln, NE (Cash) A Interest K T Equitable Life Insurance, Des Moines, IA (Variable Life) None L T Equitable Life Insurance, Des Moines, IA (Annuity) None J T! ! i I : 1 I Income Gain Codes: ---- A =S 1,000 or less B =Sl,001 $2,500 C =S2,501 S5,000 D=Sl.001- Si5,000 E =$15,0-1 $50,0-00 (See Colwmu BI and 04) F =SSO.OOt. $100,000 G =SI00,001 Sl.000,000 HI =Sl,000,001 $5,000,000 H2 ""More than SS,000,000 V.2lue Codes J S 15,000 ortess K =Sl5,00t SS0,000 L =SS0,00 I St 00,000 M =St $250,000 (Su Columns Cl and DJ) N $250,001 SS00,000 0 =$500,00t $1,000,000 Pt =$1,000,001 -$5, P2 =$5,000,001. $25,000,000 Pl =$25,000,001 Sl0.000,000 P4 =Mor< 1han $50,000,000 Value Method Code Q =Appisal R.Cost (Real Estate Only) S =Assessment T =Cash Maret (Sec Column Cl) U Bool Value v =Oter W=Estimated

5 Nome of Person Reporting Page 5of6 VII ADDITIONAL INFORMATION OR EXPLANATIONS. (ln41catepartofrepon.) As noted in Part I, I beld two powers of attorney, one each for two different ii J both of whom re side in different foreign countries. These persons are not dependent upon me for support For each1/i31i jj< disclos ure : conferred 01 I exercised control over a checking account. I was not aware of and did not exercise control over reportable items. Prior to making this 1 with Ralph Watkins, a staff member of the Committee on Financial Disclosure, and l have made this disclosure consistent with the advice t hat I received from him. Although advised that I need not identify the persons for whom I hold the power s of attorney and while I have also been advised that I am not required to provide other identifying information, I have personally elected to do so. My tenn as Administrator of the Robert Van Pelt American Inn of Court ended in 2008.

6 Name of Penon Reportng Page 6 of6 Dace of Report IX. CERTIFICATION. I certfy that all information given above (including information pertaining to my spouse and minor or dependent children, lf any) Is accurate, true, and complete to the best or my knowledge and belief, and that any information not reported was withheld because it met applicable statutory provisions permitting nun-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. app. 501 et. seq., 5 U.S.C. 7353, and Judicial Conference regulations. NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE TillS REPORT MAY BE SUB.JEC'f 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 Offce of the United States Courts Suite One Columbus Circle, N.E. Washington, D.C