AO JO Rev. 112012 FINANCIAL DISCLOSURE REPORT Repor! Required by 1he /hies in Governmen/ Ac/ of 1978 FOR CALENDAR YEAR 2011 (5 U.S.C. app. JOI-/ I I) Person Reporting (last name, first, middle initial) Court or Organization Moon, Norman K. Western District of Virginia 05/11/2012 Title (Article Ill judges indicate active or senior status; Sa. Report Type (check appropriate type) 6. Reporting Period magistrate judges indicate full- or part-lime) U. S. District Judge (senior status) D Nomination 0 Date 0 Initial 0 Annual Sb. 0 Amended Report Final 01/01/2011 to 12/31/201 I 7. Chambers or Office Address P. 0. Box 657 Lynchburg, VA 24505 IMPORT ANT NOTES: The instructions accompanying this form must be followed. Comp/eJe all parts, checking the NONE box/or each part where you have no reportable information. Insert signature on last page. PQSITI 0 NS, (Reporting individual only; see pp. 9-13 of filing instructions.) [{ NONE (No reportable positions.) POSITION NAME OF ORGANIZATION/ENTITY I AGREEMENTS. (Reponing individual only; see pp.14-16 of filing instructions.) D NONE (No reportable agreements.) PARTIES AND TERMS 2009 Virginia Supplemental Retirement System (no control)
Page 2of7 Moon, Norman K. 05/11/2012 II N 0 N-INV ESTMENT IN CO ME. (Reporting indfridual and spouse; see pp. 17-24 of filing instructions.) A. Filer's Non-Investment Income D NONE (No reportable non-investment income.) SOURCE AND TYPE INCOME (yours, not spouse's) 2011 Virginia Supplemental Retirement System $116,0000 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.) [Z NONE (No reportable non-investment income.) SOURCE AND TYPE IV. REIMBURSEMENTS - transportation, lodging, food, entertainment. (Includes those to spouse and dependent children; see pp. 25-27 uffiling insrructions.) [Z NONE (No reportable reimbursements.) SOURCE DATES LOCATION PURPOSE ITEMS PAID OR PROVIDED
Page 3of7!\loon, Norman K. 05/11/2012 V. GIFTS. (Includes those lo spouse and dependent children; see pp. 28-31 of filing instructions.) [{ NONE (No reportable gifs.) SOURCE DESCRIPTION VALUE V LJABJLJTJES. (Includes those of spouse and dependent children; see pp. 32-33 of filing instructions.) [{ NONE (No reportable liabilities.) CREDITOR DESCRIPTION VALUE CODE
Page 4of7 Name of Person Rt'porting Moon, Norman K. Date or Report 05111/2012 VI INVESTMENTS and TRUSTS -income, a111e, 1ransac1ions r1nc1udes rhose of spouse and depent1en1 children; see PP 34-60 of filing ins1r11c1ions.j D NONE (No reportable income, assets, or transactions.) A. B. c. Description or Assets Income during Gross value at end Transactions during reponing period (including trust assets) reponing period ofreponing period (I) (2) (I) (2) (I) D. (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 I div., rent, Code 2 Method buy, sell, mmldd/yy Code 2 Code I buyer/seller (A-H) or int.) (J-P) Code 3 redemption) (J-P) (A-H) (irprivate (Q-W) transaction) Lynchburg, VA, Lot None L w SunTrust Bank (Accounts), Lynchburg, VA c Interest M T Wachovia Bank (Accounts) Lynchburg, VA c Interest L T BB&T (Accounts) Lynchburg, VA c Interest M T Bank of America (Accounts) c Interest L T 6. BB&T Common Stock c Dividend L T 7. Exxon Mobil Common Stock A Dividend K T 8. Bristol Myers Squibb Common Stock A Dividend K T 9. Amherst County,. VA property Parcel #I None J w 10. Amherst County, VA property Parcel #2 None J w 11. Abbott Laboratories Common Stock A Dividend J T 1 Cisco Systems Common Stock None K T 1 Coca Cola Common Stock A Dividend J T 1 AT&T Common Stock A Dividend J T 1 Disney Common Stock A Dividend J T 16. State Farm Life Insurance Policies A Dividend K T 17. Minnesota Mutual Life Insurance Policy A Dividend J T Income Gain Codes: A =$1.000 or less H =$1,001 - $500 c =$501 - $000 D =$001 $1000 E=$t00l -$50.000 (Sec Columns BI and 04) F =$50.00I - $ t 00,000 G =$ I00.00 I -$1.000.000 Ill =$1.000.001 -$000.000 112 =Moro than $000.000 Value Codes J =$1000 or less K =$1001 -$50.000 L =$50.001 - $100.000 M =$100.001 -$250.000 (Sec Columns Cl and DJ) N =$250.001 - $500.000 0 =$500.00 I -$1.000.000 Pl =$1.000.001 -$000.000 P2 =$000.001 - $2000.000 Pl =$2000.00 I -$50.000.000 P4 =More than $50.000.000 Yt1luc Method Cocks Q =Appraisal R =Cost (Real Est:ilc Only) S =Assessment T =-Cm.h "-1Jrkct (Sec Column C2) U =Book Value V =Oihcr W =Estimated
Page 5of7 Name of Person Rcporling l\oon, Norman K. 05/11/2012 VI INVESTMENTS and TRUSTS - income, va1ue, 1ransac1ions (1nc1udes 1110se nfspouse and dependent children; see PP 14-60 nffiling ins1ruc1ions.j D NONE (No reportable income, assets, or transactions.) A. B. c. D. Description of Assets Income during Gross value ttt end Transactions during reporting period (including trust assets) reporting period of reporting period (2) (!) (I) (2) (!) (4) (5) (2) (3) Place "(X)" after each asset Amount Type (e.g., Value Value Type (e.g., Date Value Gain Identity of exempt from prior disclosure Code l 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) 18. First Colony Life Insurance Policy A Dividend J T 19. Equitable Life Insurance Policy A Interest J T 20. Metropolitan Life Insurance Policy A Dividend J T 21. Life of Virginia Policy A Dividend J T 2 USAA Money Market Fund A Interest K T 2 Bank of the James (James River Bank) A Interest L T (Accounts) 2 2 26. 27. 28. 29. 30. Income Gain Codes: A =$1.000 or less B =$t,001 - $500 c =$501 - $000 D =$00t - $ t 5,000 E =$ t5,00i - $50.000 (Sec Columns BI and 04) F =$50.00 I - $I 00.000 G =$100.00 I - $1.000.000 111 =$1.000.001 - $000.000 112 =More than $000.000 Value Codes J =$1000 or less K =$100 I $50.000 L =$50.00 I - $I 00.000 M =$100.00 I - $250.000 (Sec Columns Cl and DJ) N =$250.001 - $500.000 0 =$500.00 I - $1.000.000 Pl =$1.000.001 - $000.000 P2 =$000.00t - $25,000.000 PJ 42000.001 - $50.000.000 P4 =More than $50.000.000 Value Method Codes Q =Appraisal R =Cosl (Real Estate Only) S =Assessment T =Cash Mrirkct (Sec Column C2) U =-8ook Value V =Other W =Estimated
.. FINANCIAL DISCLOSURE REPORT Date or Report Page 6of7 l\loon, Norman K. 05/11/2012 VII ADDITIONAL INFORMATION OR EXPLANATIONS. (lndicattpartofreport.)
Page 7of7 J\loon, Norman K. 05/11/2012 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. SOI et. seq., 5 U.S.C. 7353, and Judicial Conference regulations. Signature: s/ Norman K. Moon 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 Offce of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544