AO JO FINANCIAL DISCLOSURE REPORT in Government Act of 1978 Rev. 112006 FOR CALENDAR YEAR 2005 (5 U.S.C. app. 101-111) Report Required by the Ethics Person Reporting (last name, first, middle Initial) Court or Organization U.S.D.C., Florida (So.) Date or Report Title {Article III judges indicate active or senior status; magistrate judges indicate run- or part-time) District Court Judge (Active) Sa. Report Type (check appropriate type) D Nomination, Date D Initial Annual D Final 6. Reporting Period 01/01/2005 to 12/31/2005 7. Chambers or Office Address U. S. Courthouse 701 Clematis Street W. Palm Beach, FL 33401-5196 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 Jaws and regulations. Reviewing Officer Date IMPORTANTNOTES: The instructio11s accompa11ying this form must be followed. Complete all parts, checki11g the NONE box for each part where you have no reportable information. Sig11 011 last page. POSITIONS. (Reporting individual only; see pp. 9-13 of instructions.) [K NONE (No reportable positions.) POSITION NAME OF ORGANIZATION/ENTITY I AGREEMENTS. (Reporting individual only; see pp. 14-16 of instructions.) [K NONE (No reportable agreements.) PARTIES AND TERMS a C/ c. ),-..., s r')_.- \:-1. OJ" -nr - ----.,, = '? Yo a :::0 0 )/ ['.) 0?: rn (' rn -- rn 0
FINANCIAL DISCLOSURE REPORT Page 2of6 II N 0 N-INVESTMENT IN COME. (Reporting individual and spouse; see pp. 17-24 of instructions.) A. Filer's Non-Investment Income D NONE (No reportable non-investment income.) SOURCE AND TYPE INCOME (yours, not spouse's) 2005 State of Florida, Div. of Retirement $ 39,3436 B. Spouse's Non-Investment Income - I/you were married during any portion of the reporting year, complete this section. (Dollar amount not required except for honoraria.) [R NONE (No reportable non-investment income.) SOURCE AND TYPE IV, REIMBURSEMENTS -transportation, lodging.food, entertainmenl (Includes those to spouse and dependent children. See pp. 25-27 of instrnctions.) [R NONE (No reportable reimbursements.) SOURCE DESCRIPTION
FINANCIAL D.hSCLOSURE REPORT Page 3of6 V. GIFTS. (Includes those to spouse and dependent children. See pp. 28-31 of instructions.) NONE (No reportable gifs.) SOURCE DESCRIPTION VALUE VJ. LJABJLJTJES. (Includes those of spouse and dependent children. See pp. 32-34 of instructions.) NONE (No reportable liabilities.) CREDITOR DESCRIPTION VALUE CODE
FINANCIAL DiiSCLOSURE REPORT Page 4of6 VI INVESTMENTS and TRUSTS - income, value, transactions (includes those of the spouse and dependent children. see PP 14-s1 of filing instructions) D 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) (l) (2) (I) (l) If not exempt from disclosure Place ''(X)" after each asset Amount Type (e.g. Value Value Type (e.g. (2) (4) exempt from prior disclosure Code l div., rent, Code 2 Method buy, sell, Date Value Gain Identity of (A-H) or int.) (J-P) Code3 merger, Month- Code 2 Code I buyer/seller (Q-W) (3) redemption) Day (J.P) (A-HJ (if private (5) transaction) Wachovia Bank, N.A. -Accounts c Interest M T Fidelity Federal Bank & Trust of Florida A Interest L T -Account 6. 7. 8. 9. lo. 11. 1 1 1 1 16. 17. Income Gain Codes: A =S 1,000 or less B 1,001 -$2,500 C =$2,50 I - $5,000 D =$5,001 -$15,000 5 =$15,001 -$50,000 (See Columns Bl and D4) F =$50,001- SI00.000 G =$100,001 - SI,000,000 HI =SI,000,001 -$5,000,000 H2 ==More than $5,000,000 Value Codes J =$15,000 or less K =>15,001 -$50,000 L =$50,001 -SI00,000 M =SI 00,00 I -$250,000 (See Columns CI and 03) N =$250.001 -$500,000 O =$500,001 -Sl,000,000 Pl =SI,000,001 - $5,000,000 P2 =$5,000,00 I -$25,000,000 Value Method Codes P3 =$2000,001 - $50,000,000 (See Column C2) Q =Appraisal U "'Book Value R =Cost (Real Estate Only) V =Other P4 =More than $50,000,000 S =Assessment W ==Estimated T ==Cash Market
FINANCIAL DISCLOSURE REPORT Page 5of6 04/04/20-6 VII ADDITIONAL INFORMATION OR EXPLANATIONS. (Jndicate parto/reporl)
(},,...'L_ FINANCIAL DJSCLOSURE REPORT Page 6of6 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 "I cj.oof: Date LSIFIES OR FAILS TO FILE z;ort M:vBE SUBJECT TO CIVIL FILING INSTRUCTIONS Mail signed original and 3 additional copies to: Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544