Van Sickle_Fred
FNANCAL DSCLOSURE REPORT Page 2of7 VAN SCKLE,, FRED 05/15/2009. N 0 N-NVES TMENT NC 0 ME. (Reporting individual and spouse; see pp. 17-24 of filing instructions.) A. Filer's Non-nvestment ncome D NONE (No reportable non-investment income.) SOURCE AND TYPE NCOME (yours, not spouse's). 2008 Washington State Judicial Retirement $53,098.00 B. Spouse's Non-nvestment ncome - lf> ou 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. 2008 State of Washington Retirement V. REMBURSEMENTS -transportation, lodging.food, entertainmenl (ncludes those to spouse and dependent children; see pp. ]5-}7 of filing instructions.) [Z NONE (No reportable reimbursements.) SOURCE DATES LOCATON P!JRPOSE TEMS PAD OR PROVDED. 5.
FNANCAL DSCLOSURE REPORT Page 3of7 VAN SCKLE,, FRED 0511512009 V, GFTS. (ncludes those to spouse and dependent children; see pp.18-31 of filing instructions.) Z NONE (No reportable gifs.) SOURCE DESCRPTON VALUE. V. LABLTES. (ncludes those of spouse and dependent children; see pp. 31-33 of filing instructions.) Z NONE (No reportable liabilities.) CREDTOR DESCRPTON VALUE CODE. 5.
FNANCAL DSCLOSURE REPORT Page 4of7 VAN SCKLE,, FRED 0511512009 V. NVESTMENTS and TRUSTS -income, value, transactions r1nc1udes those of spouse and dependent children; see PP J4-6o of filing insrrucrions.j D NONE (No reportable income, assets, or transactions.) A. B. C. Description of Assets ncome during Gross value at end of i Place "(X)" after each asset Amount Type (e.g.,! (including trust assets) reporting period reporting period exempt from prior disclosure ( ) (2) (1) (2) () Value Value Type (e.g.,, Code div., rent, Code 2 Method buy, sell, (A-H) or int.) (J-P) Code redemption) 3 (Q-W) D. Transactions during reporting period (2) ( 3 ) 1 Date Value Month - Code 2 Day (J-P) ::n Code (A-H) (5) dentity of buyer/seller (if private transaction) i. Wash Mutual nvestors Fund A Dividend K T Templeton Foreign Fund None Redeemed 4/24 K D 3'. Mutual Qualified Fund, RA c Dividend K T part w/d 12126 J A Mutual Shares fund, RA A Dividend K T 5. Windsor Fund, RA A Dividend K T 6. AT&T B Dividend K T 7. Exxon/Mobil A Dividend K T 8. Boeing A Dividend K T 9. Franklin Tax Free High Yield c Dividend K T O. Royal Dutch Petrol B Dividend K T 11. Telephono de Mexico A Dividend K T 1 Bristol Myers A Dividend 1 T 1 Microsoft A Dividend K T 1 St.Jude Med A Dividend K T 15. Wash Trust Savings A nterest 1 T 16. Hewlett Packart A Dividend K T 17. Eric Tel A Dividend 1 T. ncome Gain Codes: A =S 1.000 or less B =Sl,001 -S2,500 C =S2,501 -SS,000 (See Columns B and D4) F =S50,001 -S00.000 G =S 100.00 - S 1,000.000 H =Sl,000,001 - ss.000.000 Value Codes J =S 5,000 or less K =SS,001 S50,000 L =S50,00 - S00,000 (See Columns Cl and 03) N =S250.00 - SS00,000 0=SS00.001 -S 1,000,000 Pl =Sl,000,001 -SS,000,000 Pl =$25,000,001 - SS0,000,000 P4 =More than S50,000,000 Value Method Codes Q =Appraisal R =Cost (Real Estate Only) S =Assessment (See Column C2) U =Book Value V ther W :=Estimated D =S5,001 -SS.000 H2 =More than S5,000.000 M =S00,001 -$250,000 P2 =SS,000,001 -$25,000,000 T =Cash Market E =Sl5,001 - S50,000
FNANCAL DSCLOSURE REPORT Page 5of7 VAN SCKLE,, FRED 0511512009. V. NVESTMENTS and TRUSTS - income, varue, transactions r1nc1udes those of spouse and dependent children; see PP u-60 of filing instructwns.j D NONE (No reportable income, assets, or transactions.) A. B. i c. ; Description of Assets ncome during Gross value at end of Transactions during reporting period (including trust assets) reporting period reporting period (2) (2) () (2) (3) (4) i Place "(X)" after each asset Amount Type(e.g., Value Value Type(e.g., Date Value Gain dentity of exempt from prior disclosure Code div., rent, Code2 Method buy, sell, Month - Code 2 Code buyer/seller (A-H) or int.) (J-P) Code 3 redemption) Day (J-P) (A-H) (if private () () (Q-W) D. (5) transaction) j! 18. Johnson & Johnson B Dividend L T 19. ntel A Dividend L T 20. RMP Account A nterest J T 21. Numerica CU B nterest K T 2 America Movil A Dividend K T 2 Comcast Corp A Dividend J T 2 Harley-Davidson A Dividend Sold 4/23 J A 25. Suntrust Bank A Dividend Sold 4/2 J A 26. Home Depot A Dividend Sold 4/23 J A - 27. Procter & Gamble A Dividend K T 28. U.S. Bank A Dividend K T 29. Spokane School Dist 81 A nterest J T 30. Banner Corp A Dividend Sold 4/23 J A 31. North Cascades Bank Shares A Dividend K T 3 Tel Mex A Dividend J T Spinoff 6117 J (from line 11) 3 Port of Seattle A nterest J T Buy 11/21 J. ncome Gain Codes: A =Sl,000 or less B =Sl.001 -S2,500 C =S2,50 -SS,000 D =SS,001 -SS,000 E =SS,001 -SS0,000 (See Columns 8 and 04) F =SS0,001 -S00,000 G =S00,001-Sl,000,000 H =Sl,000.001 - SS,000,000 H2 =More than SS,000,000 Value Codes J=SS,OOOorkss K=SS,001 -SS0,000 L =SS0,001-SOO,OOO M =S 100.001-5250,000 (See Columns Cl and DJ) N =S250,00 -SS00,000 0 =S500,00 -Sl,000,000 Pl =Sl,000,001 -SS,000,000 P2 =SS,000,001 -S25,000,000 PJ =S25,000.00 -SS0,000,000 P4 =More than SS0,000,000 Value Method Codes Q =Appraisal R =Cost (Real Estate Only) S =Assessment T=Cash Market (See Colwnn C2) U =Book Value V=Other W =Estimated
FNANCAL DSCLOSURE REPORT Page 6 of7 VAN SCKLE,, FRED 0511512009 V. ADDTONAL NFORMATON OR EXPLANATONS. (lndicatepartofreport.)
FNANCAL DSCLOSURE REPORT Name of Person Re p ortin g Date of Re p ort Page 7of7 VAN SCKLE,, FRED 05/15/2009 X. CERTFCATON. 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. 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 NDVDUAL WHO KNOWNGLY AND WLFULLY FALSFES OR FALS TO FLE THS REPORT MAY BE SUBJECT TO CVL AND CRMNAL SANCTONS (5 U.S.C. app. 104) FLNG NSTRUCTONS 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