... FINANCIAL DISCLOSURE REPORT Report Required by the Ethics AOJO in Government Act of 1978 Rev. 112006 FOR CALENDAR YEAR 2005 (5 U.S.C. app. 101-111) 1. Person Reporting (last name, first, middle initial) Court or Organization Blackbum, Robert E District Court - Colorado Title (Article Ill judges indicate active or senior status; magistrate judges iodicate fujj- or part-time) U.S. District Judge -Active Sa. Report Type (check appropriate type) D Nomination, Date D Initial 12 Annual D Final 6. Reporting Period Ol /01/2005 to 12/31/2005 7. Chambers or Offce Address 901 19th Street, A741 Denver, CO 80294 Sb. D Amended Report 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 regulations. -.. '. -. :.._,._... nlj>ok N.Qt$ Reviewing Offcer TJkv l;;ac o1!p ying this form must be followed. Complete all parts, checking.. t'1e NoNE box for each f>art wherey,,u iiaje n1> reportable information. Sign on last page... Date J. POSITIONS. (Reporting individual only; see pp. 9-13 of instructions..) [R NONE (No reportable positions.) POSITION NAME OF ORGANIZATION/ENTITY!. II. AGREEMENTS. (Reporting individual only; see pp. 14-16 of instructions.) D NONE (No reportable agreements.)!. 2003 PERA Retirement Plan with State of Colorado, no control PARTS AND TERMS 0 Cf CJ,,, O :: '...';.... c:::: J; ::JA: 1110 o> -q, -q ( ") 'l.,.. = = =- ::;:: :: -< c..n 1J CJ.c :: rn () t ;-1 "",.., rn a
Page 2of6 Blackburn, Robert E III. NON-INVESTMENT IN COME. (Reporting individual and spouse; see pp. 17-24 of instructions.) A. Filer's Non-Investment Income NONE (No reportable non-investment income.) SOURCE AND TYPE INCOME (yours, not spouse's) I. 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/or honoraria.) NONE (No reportable non-investment income.) SOURE AND TYE I. IV. REIMBURSEMENTS -transportation, lodging,food, entertainment (Includes those to spouse and dependent children. See pp. 25-27 ofinstructions.) D NONE (No reportable reimbursements.) SOURCE DESCRION l.ccaa Steamboat Springs, CO; June 10 & 11; seminar speaker; lodging
Page 3of6 Blackburn, Robert E V. G JFTS. (Includes those to spouse and dependent children. See pp. 28-31 of instructions.) NONE (No reportable gifts.) SOURCE DESCRIPTION VALUE I. VJ. LJABJLJTJES. (Includes those of spouse and dependent children. See pp. 32-34 of instructions.) D NONE (No reportable liabilities.) CREDITOR DESCRIPON VALU CODE I. Audi Financial Services Car Loan (Co-signor) GMAC Car Loan K National City Mortgage Co. Mortgage M First Nat'! Bank Las Animas Car Loan (Bridge Loan) None
Page 4of6 Blackburn, Robert E 0510912006 VII. INVESTMENTS and TRUSTS - income, 1 a1ue, transactions (includes those of the spouse and dependent children. see PP 1s1 of filing instructions) 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 c. Gross value at end of reporting period D. Transactions during reporting period (I) (2) {I) (2) (I) If no[ exempt from disclosure Amount Code I {A-H) Type (e.g. div., rent, or int.) Value Code2 (J-P) Value Method Code3 (Q-W) Type (e.g. buy, sell, merger, redemption) Date Month - Day (3) Value Code2 (J-P) (4) Gain CodeI {A-H) Identity of buyer/seller ( if private transaction) (2 ) (5) I. First Nat'! Ban Las Animas B Interest J T Europa Cruises A Dividend J T PERA D Retire. M T Real Property; Lakewood, CO (2005 $175,000) None M T buy 2128 M 6. 7. 8. 9. 10. 11. 1 1 1 1 16. 17.. I. Income Gain Codes: A=Sl,000 or less B =$1,001 -$2,500 C =$2,50 I -S5,000 D =$5,00 I -S 15,000 E =S 15,00 I -$50,000 (See Columns BI and 04) F =$50,001-$100,000 G =$100,001 -Sl,000,000 H 1 =S 1,000,00 I -$5,000,000 H2=More than $5,000,000 Value Codes J =$1 S,000 or less K=$15,00I -$50,000 L =$50,00 I -SI 00,000 M =SI00,001 -$250,000 (See Columns CJ and 03) N =$250,00 I -$500,000 0 =$500,001 -SI,000,000 Pl =Sl,000,001-$5,000,000 P2 =$5,000,001 -$25,000,000 Value Method Codes PJ =$25,000,00I -$50,000,000 R :::Cost (Real Estate Only) P4 =More than $50,000,000 T=Cash Market (See Column C2) Q Appraisal V=Other S =Assessment U=Book Value W=Estimated
Page 5of6 Blackburn, Robert E 0510912006 VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. (lndicatepartofreporl)
Page6of6 Blackburn, Robert E 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. NOTE: A A OWINGLY AND WILFULLY FAL IES OR FAILS TO FILE 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 2-301 One Columbus Circle, N.E. Washington, D.C. 20544