... ' A0-10 FINANCIAL DISCLOSUR REPORT Rev.112004 Report Required by the Ethics in Goverent Act of 1978 Calendar Year 200 (5 U.S.C. app. 101-111) Person Reporting (Lt name, Frrt name, Middle initial) Mn.S, WENDELL A 4. Title (Article ill Judges indicate active or senior status; magistrate judges indicate full- or part-time) SENIOR JUDGE Court or Organization U.S. DISTRICT COURT 5. ReportTpe (check appropriate type) 0 Nomition, Date 0 Inti @Annua 0 F1 3. 05/13/2005 6. Reporting Period 01/01/2004 to 12131/2004 7. Chambers or Office Address 236 FEDERA BUILING HO MICHIGAN AVENUE, N.W. GRAND RAPIDS, MICHIGAN 49503 8. On the basis of the information contained in this Report and any modcations pertaining thereto, it is, in my opinion, in compliance with applicable laws and regulations. Reviewing Office Date, IMRTANT NarES: Th instructions accompanying th for must be followed. Complete all parts, checking the NONE box for each part where you have no reporable inforation. Sign on lat page. I. POSITIONS; c cr g individ 6r1y; see pp. 9 i3 offilid.g instrctions). '....,. N0NE (No reporble positions.). POSmON NAMEOFORGANTION/E II. AGREEMENTS. (Reporting individual only; see pp. 14-16 of filing instructions) NONE - (No reportableagreements.) PARTIES AN TEMS c::::> """ B...,, "' U> 0 :: rn 1-r :: o- 0 (/% cj> rn.. - :::o:z rr < OJ> J> rn -nr- -n - 0 0 rt (J w
FINANCIAL DISCLOSUR REPORT Name of Person Reportng MR.S, WENDEU. A 05/13/2005 III. NON-INSTMENT INCOME. (Reporng individual and spouse; see pp. 17-24 offiling instructions) A. Fier's Non-Investment Income 0 NONE - (No reportable non-investment income.) SOURCE AN 1Y GROSS INCOME (yous, not spouse's) I. 0.00 0.00 B. Spouse's Non-Investment Income - not requir except for honora) 0 NONE - (No reportable non-investment income.) (I you were maried during any portion of the reortng year, please complete this section. (dollar amount SOURCE AN TYPE I. IV. REIMURSEMENTS - transportation, lodging, foo, enteainment (Includes those to spouse and dependent children. See pp. 25-27 of instrctions.) 0 NONE - (No such reporable reimbursements.) SOURCE DESCRIPON I.
FINANCIAL DISCLOSUR REPORT Name ofpersonreportng MIS, WENDELL A 05/13/2005 V. GIF S. (Includes those to spouse and dependent children. See pp. 28-31 of instrctions.) NONE - (No such reportable gifts.) SOURCE DESCR VI. LlII.IIES. NONE - (Includes those of spouse and dependent children. See pp. 32-34 of instrctions.) \ (No reportable liabilities.) CR DEIO VALUE CODE
FIANCIAL DISCLOSURE REPORT Name of Person Reporting Page 1of1 MILS, WENDEI A 0511312005 VII. INSTMENTS and TRUSTS - inom, value, trscations (includes those of the spouse and dependent children. See pp. 34-57 of fing instictions.) A. Description of Assets (including trust assets) Pla "(X" af each asset exempt from prior disclosur B. Inme during reporng peiod (1) (2) Amt Ty (e.g. Co 1 div. rent. or (A -H) in) c. Gross value at end of repor period (1) (2) Value Value Cod2 Method (J-P) Co3 (Q-W) D. Transactions during reporg peod (1) If not exempt from disclosure (2) (4) (5) Type (e.g. Date: Value Gain Identity of buy, sell, Month- Cod2 Cod I buyer/seller merger, Day {J-P) (A-H) (Ifprivate redemtion) tracon) (3) DNONE (No repoble income, assets or trnsactions) Fift Thrd Ban; Grnd Rapids, MI B Dividend L T Standard Federal Bank; Grd Rapids, MI A Inteest J T 3. Feer Credt Union; Grnd Rapids, MI A Interst J T 4. Ket Commerce Bank; Grnd Rapids, MI c Inteest K T 5. Macatawa Bank; Grnd Rapids, MI (See Part VIII A Interest J T 6. Northpointe Bank; Grnd Rapids, MI A Interest J T 7. RE ESTATE: 8. Tun Share: Lae Buena Vista, FL; 1987 Appraisal None J Q 9. STOCK: 10. Petrteh (common) A Dividend J T 1 Beneficial Stds (common) A :Dividend J T 1 Tesoro Petroleum (common) A Dividend J T 13. Basic Petroleum (common) A Dividend J T 14. Union Corp (common) A Dividend J T 15. Fi Th Bank D Dividend M T 16. MUAL FUNDS 17. C N A "Whole Life" Insurance policy; (See Part VIII) A Interest K T 18. FlSERVE Securities; Grd Rapids, MI B Dividend K T
..., :, ( - FIANCIAL DISCLOSUR REPORT Name of Person Reporting MILS, WENDELL A 05/13/2005 vm. ADDITIONAL INORMATION OR EXPLANATIONS (Icate par of Repor)
..., i... - FINANCIAL DISCLOSUR REPORT Name of Person Reportng Mil.ES, WEEI A 05/13/2005 IX. CERTIFCATION. 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 fuer certify that eared income from outside employment and honoraria and the acceptance of gis which have been reported are in compliance with the provisions of 5 U.S.C. 501 et. seq., 5 U.S.C. 7353, and Judicial Conference regulations. Signature Date May 1 3, 2005 NOTE: ANY INDIVUAL WHO KNOWINGLY AN WI Y FALSIFS OR FAILS TO FI THIS REPORT MAY BE SUBJECT TO CIVI AN CRIMAL 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.K Washington, D.C. 20544