AOJO Rev. 112013 Report Required by the Ethics in Government Act of 1978 FOR CALENDAR YEAR 2012 (5 U.S.C. app. JOI-I I I) Person Reporting (last name, first, middle initial) Court or Organization DISTRICT COURT - EASTERN OKLA 05/14/2013 Title (Article Ill judges indicate active or senior status; magistrate judges indicate full- or part-time) U.S. DISTRICT JUDGE-ACTIVE 7. Chambers or Office Address Sa. Report Type (check appropriate type) D Nomination Initial Annual D [{ D Sb. D Amended Report Date Final 6. Reporting Period 01/01/2012 to 12/31/2012 201 U.S. COURTHOUSE P.O. BOX 2459 MUSKOGEE, OKLAHOMA 74402 IMPORT ANT NOTES: The instructions accompanying this form must be followed. Complete all parts, checking the NONE box for each part where you have no reportable information. POSI'JI 0 NS. (Reporting individual only; see pp. 9-13 of filing instructions.) [{ NONE (No reportable positions.) POSITION NAME OF ORGANIZATION/ENTITY I AGREEMENTS. (Reporting individual only; see pp. 14-16 of filing instructions.) [{ NONE (No reportable agreements.) PAR TIES AND TERMS
-- Page 2of7 05114/2013 Ill. NON-INVESTMENT IN COME. (Reporting individual and spouse; see pp. 17-24 of filing instructions.) A. Filer's Non-Investment Income [{ NONE (No reportable non-investment income.) SOURCE AND TYPE INCOME (yours, not spouse's) 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.) [{ NONE (No reportable non-investment income.) SOURCE AND TYPE IV. REIMBURSEMENTS transportation, lodging,food, entertainment. (Includes those lo ;pause and dependent children; see pp. 25-27 (filing instructions.) [{ NONE (No reportable reimbursements.) SOURCE DATES LOCATION PURPOSE ITEMS PAID OR PROVIDED
Page 3of7 05/14/2013 V. GIFTS. (lnc/11des those lo spouse and dependent children; see pp. 28-31 of filing ins/ructions.) [{ NONE (No reportable gifts.) SOURCE DESCRIPTION VALUE VJ. LJABILJTJES. (Includes those of spouse and dependent children; see pp. 32-33 of filing inslr11clions.) [{ NONE (No reportable liabilities.) CREDITOR DESCRIPTION VALUE CODE
Page 4of7 05/14/2013 VI INVESTMENTS and TRUSTS -- income, va111e, transactions r1nc111des those of spouse and dependent children; see PP 34 6o of filing instructions.) D NONE (No reportable income, assets, or transactions.) A. B. c. D. Description of Assets Income during Gross value at end Transactions during reporting period (including tr ust assets) reporting period of reporting period (I) (2) (I) (I ) (2) (3) (4) (5) Place "(X)" after each asset Amount Type (e.g. Value Value Type (e.g., Date Value Gain Identity of ekempt from pr ior disclosure Code I 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 pr ivate (2) (Q-W) tr ansaction) 4TH STREET BUILDING CORP, c Dividend Sold 12/12/12 M F Tom Delmedico Muskogee, OK ; 'lfj ::, - Stonewall Co., TX B Rent L w (i18 interest) BANCFIRST Muskogee, OK B Interest M T COMMERCIAL REAL1ESTATE- A Rent L w Muskogee, OK (30% int) EDWARD D. JONES CO - MONEY A Interest J T MARKET 6. SUN LIFE/POLARIS VARIABLE A Dividend J T ANNITY fka Anchor Nat'l 7. AMERICAN HIGH INCOME TRUST A Dividend K T FUND A MUTUAL FUND 8. AMERICAN MUTUAL FUND CL A A Dividend L T 9. EDISON INT'L COMMON STOCK A Dividend K T 10. PEPSICO COMMON STOCK D Dividend N T 11. YUM BRANDS COMMON STOCK B Dividend M T (formerly Tricon Global) 1 AT&T STOCK c Dividend K T 1 AMERFUND AMCAP FUND CL A A Dividend K T MUTUAL FUND 1 AMERFUND WASHINGTON MUTUAL A Dividend K T INVESTORS MUTUAL FUND 1 AMERFUND EUROPACIFIC GROWTH A Dividend J T CL A MUTUAL FUND 16. JOHN HANCOCK RAINIER FUND A Dividend J T CLASS C MUTUAL FUND 17. ML BANK DEPOSIT MONEY MARKET A Interest L T Income GDin Codes: A =$1.000 or less B =$1.001 $500 c 4501 $000 D=$001 $1000 E =$1001 $50.000 (Sec Columns Bl and D4) f=$50.00l - $100.000 G =$100.001 - $1.000.000 Ill =$1.000.001 -$000.000 112 =More than $000.000 Value Codes J =$1000 or less K =$1001 $50.000 L =$50.00 I $100.000 M =$100.001 - $250,000 (Sec Columns Cl and D3) N =$250.001 $500.000 0 =$500.00 I $1.000.000 Pl =$1.000.001 $5,000.000 1'2 =$000.001 $2000.000 1'3 =$2000.00 I $50.000.000 1'4 =More than $50.000.000 Value Mc1hod Codes Q =Appraisal R =Cost (Real Estate Only) S =Assessment T =Cash Market (Sec Column C2) U =Book Value V =Other W =Estimated
Page 5 of 7 05/14/2013 VI INVESTMENTS and TRUSTS - income, vat11e, transactions r1nc111des those ofspo11se and dependent children; see PP 34-60 of filing instr11ctions.j D NONE (No reportable income, assets, or transactions.) A. B. c. D. Description of Assets Income during Gross value at end Transactions during reporting period (including trnst assets) reporting period of reporting period (2) (I) (2) (I) (I) (3) (2) (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, mmlddlyy Code 2 Code I buyer/seller (A-H) or int.) (J-P) Code3 redemption) (J-P) (A-H) (if private (Q-W) transaction) 18. BLACK.ROCK MUNIHOLDINGS II A Dividend J T 19. BLACK.ROCK GLOBAL ALLOCATION A Dividend J T FD INC A 20. AMERFUND CAPITAL WORLD A Dividend K T GROWTH & INCOME FUND CL A MUTUAL FUND 21. AMERFUND NEW PERSPECTIVE FUND A Dividend K T CL A MUTUAL FUND 2 MFS TOT AL RETURN B MUTUAL A Dividend K T FUND 2 PUERTO RICO HIGHWAYS & A Dividend K T TRANSPORT AUTH REVENUE (Series J) 2 OIL & GAS LEASE, KENT CO., TX (X) B Royalty J T 1. Income Gain Codes: A =$1.000 or Jess 13 =$1.001. $500 c =$501 $000 D =$5,001 - $15,000 E =$1001 - $50.000 (Sec Columns BI and D4) f =$50.00 I $I 00,000 G =$100.00 I $1.000.000 Ill =$1.000.001 - $000,000 112 =More than $000.000 Value Codes J =$1000 or less K =$1001. $50.000 L =$50,00 I - $100.000 M =$100.001 - $250.000 (Sec Columns Cl and D3) N =$250.001 $500.000 0 =$500.00 I - $1.000.000 Pl =$1.000.001 - $5,000.000 P2 =$5,000.001 - $25,000.000 1'3 42000.00 I - $50.000.000 P4 =More than $50.000.000 Value Mclhod Codes Q =Appraisal R =Cosl Okal Estntc Only) S =Assessment T =Cash Market (Sec Column C2) U =Book Value V =Other W =Estimated
Page 6of7 05/14/2013 VII ADDITIONAL INFORMATION OR EXPLANATIONS. (lndicatepartofreport.)
Page 7 of7 05/14/2013 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: s/ JAMES H. PAYNE 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 Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544