[Z NONE (No reportable non-investment income.)

Transcription

1 Jordan_Robert_L

2 Page 2of11 Jordan, Robert L Ill. N 0 N-JNVESTMENT JN CO ME. (Reporting individual and spouse; see pp of filing instructions.) A. Filer's Non-Investment Income 0 NONE (No reportable non-investment income.) SOURCE AND TYPE INCOME (yours, not spouse's) I Tennessee Consolidated Retirement System Judicial Retirement $13,2718 B. Spouse's Non-Investment Income - If you were ma"ied during any portion of the reporting year, complete this section. (Dollar amount not required except for honoraria.) [Z NONE (No reportable non-investment income.) SOURCE AND TYPE I. IV. REIMBURSEMENTS -transportation, lodging,food, entertainmenl (Includes those to spouse and dependent children; see pp of filing instructions.) [Z NONE (No reportable reimbursements.) SOUE DATES LOCATION PUROSE ITEMS PAID OR PROVIDED 1.,

3 Page 3of11 Jordan, Robert L V, GIFTS. (Includes those to spouse and dependent children; see pp of filing instructions.) [Z NONE (No reportable gifts.) SOURCE DESCRIPTION VALUE I. 5. VI, LIABILITIES. (Includes those of spouse and dependent children; see pp. JZ-33 of filing instructions.) [Z NONE (No reportable liabilties.) CREDITOR DESCRIPTION VALUE CODE I. 5.

4 Page 4of11 Jordan, Robert L. 05/15/2009 VII. INVESTMENTS and TRUSTS - D NONE (No reportable income, assets, or transactions.) income, value, transactions (Includes those of spouse and dependent children; see PP of filing instructions.) A. B. c. D. Description of Assets Income during Gross value at end of Transactions during reporting period - (including trst assets) reporting period reporting period Place "(X)" after each asset (I) Amount Code I (A-H) (2) Type (e.g., div., rent, or int) (I) Value Code 2 (J-P) (2) Value Method Code3 (I) Type (e.g., buy, sell, redemption) (2) Date Month- Day (3) Value Code 2 (J-P) (4) Gain Code I (A H) (5) Identity of buyer/seller (if private I. AT&T Inc. A Dividend 1 T American Trust Bank ofeast TN None J T BB&T D Dividend M T BP PLC A Dividend 1 T 5. Comcast None J T Transferr ed J (from line 55) 6. Dow Chem. A Dividend 1 T 7. EMC None 1 T 8. ExxonMobil A Dividend Sold 12/18 K E 9. First H orizon c Dividend K T IO. General Electric B Dividend K T Buy 4/ IBM A Dividend J T (add'l) 1 JDS Uniphase Corp None J T 1 John Hancock None J T 1 Johnson & Johnson A Dividend J T 15. KingPhar. None J T 16. Alcatel-Lucent None J T 17. Medtronic A Dividend J T I. Income GWn Codes: A =SI,000 or less B =Sl,001 S2,500 C =S2,50I S5,000 O-S5,00I SI5,000 E=SIS,OOl -S50,000 (See Columns Bl and 04) f =S50,00 I S I00,000 G =SI00,001 Sl,000,000 HI =Sl,000,001 $5,000,000 H2 =More than S5,000,000 Value Codes J =SI5,000 or less K=SIS,001-SSO,OOO L =S50,00t SI00,000 M =$100,001 S250,000 (See Columns CI an 03) N =S250,00 I -S500,000 0 =S500,00I SI,000,000 PI =SI,000,001-$5,000,000 P2 =S5,000,00I -S25,000,000 Value Method Codes P3 -S25,000,00I S50,000,000 Q =Appraisal R ::Cost {Real Estate Only) P4 =More than S50,000,000 S ""Assessment T =Cash Market (See Column C2) U =Book Value V=Other W ==Estimated

5 Page 5of11 Jordan, Robert L. Dale of Report 05/15/2009 VII. INVESTMENTS and TRUSTS - D NONE (No reportable income, assets, or transactions.) income, value, transactions (Includes those of spouse and dependent children; see PP of filing instructions.) A. B. c. D. Description of Assets Income during Gross value at end of Transactions during reporting period (including trust assets) reporting period reporting period (I) (2) (I) (2) (I) (2) (3) Place "(X)" after each asset Amount Type (e.g., Value Value Type (e.g., Date Value Gain Identity of Code I div., ren Code 2 Method buy, sell, Month - Code 2 Code I buyer/seller (A-H) or int.) (J-P) Code 3 redemption) Day (J-P) (A-H) (if private (4) (5) 18. NASDQ-100 None J T 19. Pfier A Dividend K T 20. Phoenix Cos. A Dividend J T 21. Putnam Global Growth A Dividend J T 2 Security Equity A Dividend J T 2 Sun Trust Bank F Dividend N T 2 TN Hsg. Dev. Agency 3% Due 7/10 B Interest K T 25. Twin Cities Financial, Inc. A Dividend K T 26. Tyco Intl. A Dividend J T 27. Cohen & Steers Select Utility c Dividend K T 28. Vanguard Growth Index Fund A Dividend L T 29. Vanguard 500 Index Fund B Dividend L T 30. Vanguard Mid Cap Index Fund A Dividend L T 31. Vanguard Small Cap Value Fund B Dividend L T 3 Vanguard Health Care Fund D Dividend L T 3 INTEREST, CDS, SA VIN GS, ETC. 3 Green Bank A Interest L T I. Income Gain Codes: A =S 1,000 or less B =$1,001. $2,500 c =$501 -$5,000 D =$5,001 -SI 5,000 E =$15,001 -$50,000 (See Colwnns BI and 04) f =$50,001 -$100,000 G =$100,001 -Sl,000,000 HI =$1,000,001 - $5,000,000 H2 =More than SS,000,000 Value Codes J =S 15,000 orless K =$ $ L =$50,001-$100,000 M =SI $250,000 (See Columns Cl and 03) N =$250,00 I - $500,000 0 =$500,001 -$1,000,000 Pl -Sl,000,001 -$5,000,000 n-s5,ooo,001 -s25,ooo,ooo P3 =$25,000,001 -$50.000,000 P4 =More than $50,000,000 Value Method Codes Q=Appraisal R =Cost (Real Estate Only) S=Assessment T =Cash Market (See Column C2) U =Book Value V=Orber W =Estimated

6 Page 6of11 Jordan, Robert L. 05/15/2009 VII. INVESTMENTS and TR US TS - D NONE (No reportable income, assets, or transactions.) income, vatue, transactions (Includes those of spouse and dependent children; see PP of filing instructwns.j A. B. c. D. Description of Assets Income during Gross value at end of Transactions during reporting period (including trust assets) reporting period 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., Date Value Gain Identity of Code I div., rent, Code 2 Method buy, sell, Month- Code 2 Code I buyer/seller (A-H) or int.) (J-P) Code3 redemption) Day (J-P) (A-H) (if private 35. Regions Bank E Interest N T 36. BB&T B Interest L T 37. Citizens Bank of Blount County D Interest M T 38. First Tennessee D Interest M T 39. Home Federal A Interest J T 40. Merrill Lynch MIT A Interest J T 41. Merrill Lynch Ready Assets A Interest K T 4 SunTrust E Interest N T 4 United Community Bank D Interest M T 4 Y-12FCU B Interest L T 45. American Trust Bank D Interest M T 46. First National Bank D Interest M T 47. Vanguard Int'! Value Fund B Dividend K T Buy 7/28 J (add'!) 48. Vanguard Prime Cap Core Fund A Dividend K T Buy 7/28 J (add'l) 49. Atmos Energy A Dividend J T Merrill Lynch Custodian IRA I. Income Gain Codes: A=SJ,000 or Jess B =S 1.00 I - Sl,500 C =Sl,501 -$5,000 D =$5,001 - $15,000 E =$15,001- $50,000 (See Columns Bl and D4) F =$50,00I - S I00,000 G =SI 00,00 I - S 1,000,000 HI =Sl,000,001 SS,000,000 HZ =More than SS,000,000 Value Codes I=515,000 or less K=Sl5,00J -S L =S50,00I -SI00,000 M =SI00,001-Sl50,000 (See Columns Cl an DJ) N=S250,00 I ,000 0 &$500,001 - SJ,000,000 Pl =SJ,000,001-55,000,000 Pl =S5,000,00J -515,000,000 PJ =Sl5,000,00J -$50,000,000 P4 =More!ban SI0,000,000 Value Method Codes Q=Appraisal R =Cost (Real Estate Only) S=Assc:smcnt T =Cash Market (See Column Cl) U=Book Value V=Other W=Estimated

7 Name of Penon Reporting Page 7 of fl Jordan, Robert L VII. INESTMENTS and TRUSTS - income, varue, transactions anc1udes those of spouse and dependent children; see PP offilinc instructions.) 0 NONE (No reportable income, assets, or transactions.) A. Description of Assets (including trust assets) Place " (X)" after each asset B. c. D. Income during Gross value at end of Transactions during reponing period reponing period reponing peod (I) (2) (I) (2) (I) (2) Amount Type (e.g., Value Value Type (e.g., Date Value Gain Identity of Code l div., rent, Code 2 Method buy, sell, Month- Code 2 Code I buyer/seller (A-H) or int.) (J-P) Code 3 redemption) Day (J-P) (A-H) (if private (3) (4) (5) 5 -AT&T Inc. A Dividend J T 5 - Regions Ban A Dividend J T 5 -BMC Software None J T 55. -Comcast None T Transferred J (to line 5) 56. -General Electric B Dividend K T Buy 4/18 1 (add'i) 57. -Home Depot A Dividend 1 T 58. -Johnson & Johnson A Dividend J T King Phar. None 1 T 60. -Kroger Co. A Dividend J T Merrill Lynch Rel. Reserves A Interest J T 6 - PerkinElmer A Dividend J T 6 -Sun Trust Bank A Dividend J T 6 - Tanger Factory Outlet A Dividend K T Texas Inst. A Dividend J T Greene Co. Bankshares A Dividend J T Microsoft Corp. A Dividend J T Ingersoll-Rand A Dividend J T I. Income Gain Codes: A =S or less B =S 1,00 I - $2,500 C -S2,501- SS,000 D =S5,00I -$15,000 E =SIS,001- S50,000 (See Colwnns Bl and 04) f =$50,001 - SI00,000 G =SI 00,00 I - S 1,000,000 HI =Sl,000,001 - S5,000,000 H2 -Mor than S5,000,000 Value Codes J =St5,000 or less K = St5,00t -S50,000 L =S50,00t -SI00,000 M = SI00,001 - S250,000 (See Columns Cl and 03) N =S2SO,OO I - SS00,000 O-S500,001-Sl,OOO,OOO Pl =Sl,000,001 - SS,000,000 P2-S5,000,00t - S25,000,000 Pl =S25,000,00I - $50,000,000 P4 =More than S50,000,000 Value Method Codes Q =Appraisal R =Cost (Real Estate Only) S =Assessment T =Cash Market (See Column C2) U =Book Value V =Other W =Estimated

8 Dale of Report Page 8of11 Jordan, Robert L. 05/15/2009 VII. INVESTMENTS and TRUSTS - income, value, transactions (Includes those of spouse and dependent children; see PP of fding instructions.) 0 NONE (No reportable income, assets, or transactions.) A. B. c. D. Description of Assets Income during Gross value at end of Transactions during reporting period (including trust assets) reporting period reporting period (!) (2) (!) (2) (2) (3) Place "(X)" after each asset Amount Type (e.g., Value Value Type (e.g., Date Value Gain Identity of Code I div. rent, Code 2 Method buy, sell, Month - Code 2 Code I buyer/seller (A-H) or int.) (J.P) Code3 redemption) Day (J-P) (A-H) (if private (!) (4) (5) DEFERRED COMPENSATION - STATE OF TENNESSEE Plan I D Int./Div. M T 7 - Plan II - 401K D Int./Div. M T 7 7 Ingersoll-Rand A Dividend J T 15. Verizon Communications A Dividend J T 76. TN Valley Fin. Hldr. Inc. A Dividend J T Buy 9/25 J (add'!) 77. Caterpillar Inc. A Dividend J T 78. Idearc Inc. A Dividend J T 79. Ingersoll-Rand A Dividend J T 80. LSI None J T 81. Tyco Elect. Ltd. None J T 8 Covidien A Dividend J T 8 Merrill Lynch ARN due 11/26/08 None Sold 11/26 K A 8 Merrill Lynch LIRN due 9/8/09 None K T 85. Vanguard REIT A Dividend J T Buy 2/14 J I. Income Gain Codes: A a:s l,000 or less B =Sl,001 -$2,500 c ES2,501 -$5,000 D =SS,001 - $15,000 E=SlS,001-SSO,OOO (See Columns Bl and 04) F =SS0,001 -SI00,000 G =$ 100,001 - S1,000,000 HI =$1,000,001 -$5,000,000 H2 =Mon: than $5,000,000 Value Codes J =SIS,000 or less K =$15,001 -$50,000 L =$50,001 -SI00,000 M =SI $250,000 (See Columns Cl and 03) N =$250,001 -SS00,000 0 =SS00,001 -SI,000,000 Pl =Sl,000,001 -$5,000,000 P2 =$5,000,001 $25,000,000 Pl =$25,000,001 - $50,000,000 P4 =More than SS0,000,000 Value Method Codes Q =Appraisa R =Cost (Real Estate Only) S =Assessment T =Cash Market (See Column C2) U=Book Value V =Other W=Estimated

9 Name or Penon Reporting Date or Repo rt Page 9of11 Jordan, Robert L /2009 VII. INSTMENTS and TR us TS - D NONE (No reportable income, assets, or transactions.) income, value, transactions (Includes those of spouse and dependent children; see PP of filing instructions.) A. Description of Assets (including trst assets) Place "(X)" after each asset B. c. D. Income during Gross value at end of Transactions during reporting period reporting period reporting period (I) (2) (I) (2) (I) (2) (3) (4) Amount Type (e.g., Value Value Type (e.g., Date Value Gain Identity of Code I div., rent, Code 2 Method buy, sell, Month - Code 2 Code I buyer/seller (A-H) or int.) (J-P) Code 3 redemption) Day (J-P) (A-H) (if private (5) A Dividend J T Buy (add'!) 7/28 J 87. DEER None J T Buy 10/3 J 88. TN Housing Dev. Agency 6%, Due 7-25 None M T Buy 12/18 M 89. Mountain Nat'[ Bank CDs D Interest M T t. Income Gain Codes: A -s J,000 or less B =$ t,00 I $2,500 c =$2,501 -$5,000 D =$5,001 -$15,000 E =$15,001 $50,000 (Sec Colwnns Bl and 04) F=S50,00l SIOO,OOO G =SIOO,OOl -Sl,000,000 HI =Sl,000,001 S5,000,ooo H2 =More than $5,000,000 V aluc Codes J :SJ5,000 or less K =$15,001 -$50,000 L =$50,00 I - SI 00,000 M =$100,001 $250,000 (See Columns Cl and DJ) N =$250,00 I $500,000 0 =$500,001 $1,000,000 Pl $1,000,001 -$5,000,000 P2 =$5,000,001 - $25,000,000 PJ -s25,ooo.001 s5o,ooo,ooo P4 =More than $50,000,000 Value Method Codes Q=Appraisal R =Cost (Real Estate Only) S =Assessment T =Cash Market (See Column C2) U =Book Value V =Other W=Estimated

10 Page 10of11 Jordan, Robert L. 05/15/2009 VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. (/ndicatepartofreporl)

11 . FINANCIAL DISCLOSURE REPORT Page 11of11 Jordan, Robert L 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 NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFS OR FAILS TO FIE THIS 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 Offce of the United States Courts Suite One Columbus Circle, N.E. Washington, D.C