[ZJ NONE (No reportable positions.)

Transcription

1 AO 10 Rev FOR CALENDAR YEAR 2012 Report Required by the Ethics in Government Act of 1978 (5 USC. app. 101-IJJ) Person Reporting (last name, first, middle initial) Court or Organization Dote of Report US District Court Western District of Arkansas Title (Article 111 judges indicate active or senior status; Sa. Report Type (check appropriate type) magistrate judges indicate full- or part-time) D Nomination Date Active D Initial [{] Annual D Final Sb. Amended Report D 6. Reporting Period 01/01/2012 to 12/31/ Chambers or Office Address I 0 I South Jackson A venue Room 219 El Dorado, AR 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. POSJTI 0 NS. (Reporting indi idual only; see pp of filing instructions.) [ZJ NONE (No reportable positions.) POSITION NAME OF ORGANIZATION/ENTITY J AGREEMENTS. (Reporting individual only; see pp of filing instructions.) [{] NONE (No reportable agreements.) PARTIES AND TERMS

2 Page 2of9 Ill. N 0 N-INVES TMENT IN CO ME. (Reporting individual and spouse; see pp of filing instructions.) A. Filer's Non-Investment Income [{] 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 portion of the reporting year, complete this section. (Dollar amount not required except for honoraria.) D NONE (No reportable non-investment income.) SOURCE AND TYPE 2012 Joseph Hickey, P.A BancorpSouth Advisory Board Fees 2012 PMJ LLC - oil production IV. REIMBURSEMENTS - transportation, lodging,/ood, entertainment. (Includes those to spouse and dependenl children; see pp of filing instructions.) [{] NONE (No reportable reimbursements.) SOURCE DATES LOCATION PURPOSE ITEMS PAID OR PROVIDED

3 Page 3of9 V. GIFTS. (Includes those to ;pouse and dependent children; see pp of filing instructions.) [Z] NONE (No reportable gifts.) SOURCE DESCRIPTION VALUE V LIABILITIES. (Includes those of spouse and dependent children; see pp of filing instructions.) D NONE (No reportable liabilities.) CREDITOR DESCRIPTION VALUE CODE Simmons First National Bank in El Dorado, Arkansas M BancorpSouth Bank Line of credit K

4 Page 4of9 VI INVESTMENTS and TRUSTS -- income, vatue, transactions (Includes those ofspouse and dependent d1ildren; see pp offitinc instructions.) D NONE (No reportable income, assets, or transactions.) A. B. c. Description of Assets Income during Gross value at end D. Transactions during reponing period (including trust assets) reponing period of reponing period (I) (2) (I) (2) (I) Place "(X)" after each asset Amount Type (e.g., Value Value Type (e.g., exempt from prior disclosure Code I div., rent, Code 2 Method buy, sell, (A-H) or int.) (J-P) Code 3 redemption) (Q-W) (2) (3) (4) (5) Date Value Gain Identity of mm/dd/yy Code 2 Code I buyer/seller (J-P) (A-H) (if private transaction) 5-4 The Beach LLC None L u Six Siblings LLC None K u PMJ LLC B Distribution J u Joseph Hickey, P.A. A Distribution K u. '''"' - rental El Dorado; Arkansas E Rent M w 6. Equitable Life Insurance Company Policy B Dividend K T #I (whole life) 7. Genworth Life Insurance Company Policy None J T #I 8. BancorpSouth Checking #I A Interest K T 9. Brokerage Account #I (H) IO. BancorpSouth Inc. Common Stock A Dividend J T 11. McDonalds Corp. Common Stock A Dividend K T 1 Profit Sharing Account #I (H) 1 American Funds - AMCAP Fund A Dividend L T 1 American Funds - American Balanced c Dividend M T Funds 1 American Funds -American High Income E Dividend N T Trust 16. American Funds -American Mutual Funds c Dividend M T 17. Ameican Funds - Bond Fund of America c Dividend M T 1. Income Gain Codes: A =$ t,000 or less B =$1,00 I - $2,500 c =$2,501 - $5,000 (Sec Columns BI ond 04) F =$50.00 I -$I 00,000 G =$100,001 -$1,000,000 HI =$1,000,00 I - $5,000,000 Value Codes J =$15,000 or less K =$15,00 I -$50,000 L =$50,00 I - $I 00,000 (Sec Columns Cl and 03) N =$250,00 I -$500,000 0 =$500,00 I -$1,000,000 P 1 =$1,000,00 I - $5,000,000 0 =$001 -$15,000 E =$15,00 I - $50,000 H2 =More than $5,000,000 M =$100,001 -$250,000 P2 =$5,000,00 I - $25,000,000 P3 =$2000,001 $ P4 =More than $50, Value Method Codes Q ""Appraisal R =Cost (Real Estate Only) S =Assessment T =Cash Market (Sec Column C2) U ""Book Value V =Other W =Estimated

5 Page 5of9 Name or Person Reporting Date or Report 08/J 3/2013 VI INVESTMENTS and TRUSTS - D NONE (No reportable income, assets, or transactions.) income, vatue, rransa«tions r1nc1ut1es 11tose of spouse ant1 t1epent1en1 «11ilt1ren; see PP offiting ins1r11c1ions.j A. B. c. Description of Assets Income during Gross value at end D. Transactions during reporting period (including trust assets) reporting period of reporting period (I) (2) (I) (2) (I) (2) (3) (4) (5) Place "(X)" after each asset Amount Type (e.g., Value Value Type (e.g., exempt from prior disclosure Code I div., rent, Code 2 Method buy, sell, (A-H) or int.) (J-P) Code 3 redemption) (Q-W) Date Value Gain Identity of mm/dd/yy Code 2 Code I buyer/seller (J-P) (A-H) (if private transaction) 18. American Funds - Capital Income Builder A Dividend K T Fund I9. American Funds - Capital World Growth & A Dividend K T Income Fund 20. American Funds - Europacific Growth Fund A Dividend J T 21. American Funds - Growth Fund of America A Dividend L T 2 American Funds - Income Fund of America A Dividend K T Fund 2 American Funds - Investment Company of B Dividend L T America Fund 2 American Funds - New Economy Fund B Dividend L T 2 American Funds - New Perspective Fund A Dividend L T 26. American Funds - New World Fund A Dividend J T 27. Equitable Life Insurance Company Policy D Dividend M T #2 (whole life) 28. Money Purchase Plan Account (H) 29. American Funds - AMCAP Fund A Dividend K T 30. American Funds - American Balanced B Dividend L T Funds 31. American Funds - American Mutual Fund B Dividend L T 3 American Funds - Bond Fund of America A Dividend K T 3 American Funds - Capital Income Builder c Dividend L T Fund 3 American Funds - Capital World Growth & A Dividend K T Income Fund 1. Income Gain Codes: A =$1,000 or less B =$1,00 I - $2,500 C =$2,50 I - $5,000 (Sec Columns Bl and 04) F =$50,00 I - $I 00,000 G =$100,001 -$1,000,000 HI =$1,000,001 -$5,000,000 Value Codes J =$15,000 or less K =$15,001 -$50,000 L =$50,00 I -$I 00,000 (Sec Columns CI and 03) N =$250,00 I -$500,000 0 =$500,00 I - $1,000,000 PI =$ t,000,00 I - $5,000,000 P3 =$2000,001 -$ P4 =More than $ Value Method Codes Q =Appraisal R =Cost (Real Estate Only) S =Assessment (Sec Column C2) U =Book Value V =Other W =Estimated 0=$001-$15,000 E =$15,00 I -$50,000 H2 =More than $5,000,000 M =$I 00,00 I - $250,000 P2 =$5,000,00 I -$25,000,000 T =Cash Market

6 Page 6of9 Hickey, Susan O. VI INVESTMENTS and TRUSTS -- income, vatue, transactions r1nd11des 1110seofspo11se and dependent children; see pp offitinc ins1rm 1ions.J D NONE (No reportable income, assets, or transactions.) A. B. c. D. Description of Assets Income during Gross value at end Transactions during reporting period (including trust assets) reponing period of reponing period (I) (2) (I) (2) (I) (2) (3) (4) (5) Place "(X)" after each asset Amount Type (e.g., Value Value Type (e.g., Date Value Gain Identity of exempt from prior disclosure Code J div., rent, Code 2 Method buy, sell, mm/dd/yy Code 2 Code I buyer/seller (A-H) or int.) (J-P) Code 3 redemption) (J-P) (A-H) (if private (Q-W) transaction) 3 American Funds - Growth Fund of America A Dividend K T 36. American Funds - Income Fund of America B Dividend L T Fund 37. American Funds - Investment Comany of A Dividend K T America Fund 38. American Funds - New Economy Fund A Dividend K T 39. American Funds - New Perspective Fund A Dividend K T 40. Brokerage Account #2 (H) 41. American Funds - Fundamental Investors A Dividend J T Fund 4 American Funds - Growth Fund of America A Dividend J T 4 American Funds - New World Fund A Dividend J T 4 Brokerage Account #3 (H) 4 Murphy Oil Corp. Common Stock A Dividend J T 46. Roth IRA Account# 1 (H) 47. American Funds - Europacific Growth Fund A Dividend J T 48. American Funds - Growth Fund of America A Dividend J T 49. American Funds - New Perspective Fund A Dividend J T 50. American Funds - New World Fund A Dividend J T 51. Brokerage Account #4 (IRA Beneficiary) (H) 1. Income Gain Codes: A =$ t,000 or less B =$ t.00 t $2,500 C =$2,50 I - $5,000 0 =$5,001 -$15,000 E =$15,00 I - $50,000 (Sec Columns BI and 04) F =$50,001 -$100,000 G =$100,001 $t,000,000 HI =$1,000,001 -$5,000,000 H2 =More than $5,000,000 Value Codes J =$15,000 or less K =$15,00 I - $50,000 L =$50,001 -$100,000 M =$ I 00,00 I - $250,000 (Sec Columns CI and 03) N =$250,00 I - $500,000 0 =$500,00 I -$1,000,000 Pl =$1,000,001 -$000,000 P2 =$5,000,001 - $25,000,000 P3 =$2000,00 I $ P4 =More than $ Value Method Codes Q =Appraisal R =Cost (Real Est.ie Only) S "'Assessment T =Cash Markel (Sec Column C2) U =Book Value V Other W =Eslimatcd

7 Page 7of9 Dote of Report VI IN VESTMENTS and TRUSTS -- income, vatue, 1ransac1ions r1nc1udes 11tose of spouse and depent1e111 c1tilt1ren; see pp ,if filing instrm tions.j D NONE (No reportable income, assets, or transactions.) A. B. c. Description of Assets Income during Gross value at end D. Transactions during reporting period (including trust assets) reporting period of reporting period (I) (2) (I) Place "(X)" after each asset Amount Type (e.g., Value Value Type (e.g., exempt from prior disclosure Code I div., rent, Code 2 Method buy, sell, (A-H) or int.) (J-P) Code 3 redemption) (Q-W) (2) (I) (2) (3) (4) (5) Date Value Gain Identity of mm/dd/yy Code 2 Code I buyer/seller (J-P) (A-H) (if private transaction) 5 Murphy Oil Corp. Common Stock A Dividend J T 5 BancorpSouth Savings Account# I A Interest J T 5 Income Gain Codes: A =$1.000 or less B=$1,00l -$2,500 c =$2,501 -$5,000 (Sec Columns BI and 04) F =$50,001 -$100,000 G =$100,00 I -$1,000,000 HI =$1,000,00 I - $5,000,000 Value Codes J =$15,000 or less K =$15,001 -$50,000 l =$50,00 I -$I 00,000 (Sec Columns Cl and DJ) N =$250,00 t -$500,000 0 =$500,00 I -$1,000,000 Pl =$1,0 0,001 -$000,000 D =$00 I -$15,000 E =$15,00 I - $50,000 H2 =More than $5,000,000 M =$I 00,00 I -$250,000 P2 =$5,000,001 -$2000,000 P3 =$2000,001 - $ P4 =More than $50, Value Method Codes Q =Appraisal R =Cost (Real Estate Only) S =Assessment T ""Ca:;h Market (Sec Column C2) U =Book Value V =Other W =Estimated

8 Page 8 of9 08/J 3/2013 VII ADDITIONAL INFORMATION OR EXPLANATIONS. (lntlicate partofreport.) Part VI: Liabilities. Line The value code listed is the pro rata portion several liability. Part VII: Investments and Trusts. Line 9. Brokerage Account #I listed on line 9 was referred to as Brokerage Account #3 on line 9 in the 2011 Annual Report. Part VII: Investments and Trusts. Line 40. Brokerage Account #2 listed on line 40 was referred to as Brokerage Account #7 on line 45 in the 2011 Annual Report. Part VII: Investments and Trusts. Line 4 Brokerage Account #3 listed on line 44 was referred to as Brokeage Account #8 on line 49 in the 2011 Annual Report. Part VII: Investments and Trusts. The assets listed in lines of the 2011 Annual Rerpot are no longer reportable because 02j who owns those assets is Sw '.. no longer a dependent.

9 Page 9of9 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 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 provisions of 5 U.S.C. app. 501 et. seq., 5 U.S.C. 7353, and Judicial Conference regulations. Signature: s/ Susan 0. Hickey NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILLFULLY FALSIFIES OR FAILS TO FILE THIS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (5 U.S.C. app. 104) Committee on Financial Disclosure Administrative Office of the United States Courts Suite One Columbus Circle, N.E. Washington, D.C