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Name or Penon Reportlni: Date or Report Page 2of6 ELLY,ROBERF. 04/20/2009 ll, NON-NVESMEN N CO ME. (Reporting individual and spouse; see pp. 17-U of filing instructwns.). Filer's Non-nvestment ncome D NONE (No reportable non-investment income.) SQUCE ND YE NCOME (yours, not spouse's) NNUL S E OF PENNSYL V N--Pension nnuity $18,2260 B. Spouse's Non-nvestment ncome - lf 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 N Y V REMBURSEMENS - transportatwn, lodging, food, entertainmenl (ncludes those to spouse and dependent children; see pp. 25-27 of filing instructions.) [Z NONE (No reportable reimbursements.) SOURCE DES LOCON PUOSE EMS PD OR PROVED 5. /
Name of Penon Reportng Dale of Report Page 3of6 ELLY, ROBER F. 04/20/2009 V. GFS. (ncludes those to spouse and dependent children; see pp. 28- of filing instructions) [l NONE (No reportable gifs.) SOUE DESCRQN VLUE 5. V LBLES, (ncludes those of spouse and dependent children; see pp. 32- of filing instructions) [l NONE (No reportable liabilities.) CREDOR DESCRON Y CODE 5.
Page 4 of6 Name of Person Reporting ELLY, ROBER F. Dote of Report 04/20/2009 V NVESMENS and RUSS - income, vatue, transactions (ncludes those of spouse and dependent children: see PP. 1<1-60 of filing instructions.) D NONE (No reportable income, assets, or transactions.).! B. c. Des cription of s sets (including trst as sets) Place "(X)" after each a s set exempt from prior disc losure () mount Code (-H) nc ome du ring reporting period (2) ype (eg.., div. rent, or int.) Gr oss val ue at en d of reporting period () Value Code2 (-P) l (2) Value ' i ype (e.g. Method buy. sel l, Code3 redemption) (Q-W) () D. ransactions during reporting period (2) Date Mon th- Day i (3) (4) (5) :! Value Gain de ntit y of Code2 Code buyer/seller (-P) (-H) (if priv ate transaction)! Wachovia Bank Savings ccount nterest Wachovia Bank Savings ccount nterest Vanguard ax Free P Vanguard Muni M lnt./div. oney Market Fund Freeport McMoran Copper and Gold Com c mon Stock, CL.B 5. McDonald's Corp. Common Stock c M 6. R Vanguard Star Fund c Distribution 7. Vanguard P L nsured ax Free Fund nt./div. 8. Vanguard nternational Growth Fund 9. Vanguard US reasury Money Market Fund 10. Vanguard GNM Fund 11. Vanguard Hi-Yid Crp. Bond Fund 1 Vanguard ndex 500 Fund 1 Vanguard Prime Cap Fund 1 R Vanguard Star Fund Distribution 15. Vanguard Star Fund D M 16. Wachovia Fixed CD B nterest M Buy 07/01 M MyPurchase of Wac 17. hoviacd --- ncome Gain Cods:,,51,000 or less B =Sl,001 -$2,500 ---- -------- C =$2,SO $5,000 D =$5,001 -$15,000 E =$15,001 -$50,000 -, (See Columns B and 04) F =$50,001 -S00,000 G =S 00,00 -S 1,000,000 H =Sl,000,001 - SS.000,000 H2 =More than S5,000,000 Value Codes =$15,000 orless =SS,001 -$50,000 L=S50,001-S00,000 M =S00,001 -$250,000 (See Columns C and 03) N =$250,001 -$500,000 0 =$500,001 -Sl,000,000 Pl =Sl,000.001 - $5,000,000 P2 =$5,000,001 - $25,000,000 P3 $25,000,001 -S50,000,000 P4 =More than 550,000,000 Value Method Codes Q ppraisal R =Cost (Real Estate Only) S =ssessment =Cash Market L (Sec Column C2) U =Book Value V =Other W =Estimated ------------ - i
.. Name of Penon Reportlne Date of Report Page 5of6 ELLY, ROBER F. 04/20/2009 V DDONL NFORMON OR EXPLNONS. (lndicate parto/report)
".. N1me of Person Reporting Date of Report Page 6 of6 ELLY, ROBER F. 04/20/2009 X. CERFCON. certify that all information given above (including information pertaining to my spouse and minor or dependent children, if any) ls accurate, true, and complete to the best of my knowledge and belief, and that any nformation not reported was withheld because t met applicable statutory provisions permitting non-disclosure. further certify that earned ncome from outside employment and hooorarla and the acceptance of gifts which have been reported are lo compliance with the provisions of S U.S.C. app. SO et. seq., S U.S.C. 7353, and udicial Conference regulations. Signature NOE: NY NDVDUL WHO NOWNGLY ND WLFULLY FLSFES OR FLS O FLE HS REPOR MY BE SUBEC O CVL ND CRMNL SNCONS (S U.S.C. app. 104) FLNG NSRUCONS Mail signed original and 3 additional copies to: Committee on Financial Disclosure dministrative Offce of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544
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Name of Person Rrportlng Date of Report Pa e 2of6 ELLY, ROBER F. 04/20/2009 ll. N 0 N-NVESMEN N CO ME. (Rtporting indivi,,o/ and spouse; mpp. 7-14 of filing instructions.). Filer's Non-nvestment ncome D NONE (No reportable non-investment income.) SOUCE ND YE NCOME (yours, not spouse's) NNL S E OF PENNSYLVN--Pension nnuity $18,2260 B. Spouse's Non-lnvestmen t ncome - f you were married during any portion of the reporting year, comple this section. (Dollar amount not required except for honoraria.) [Z NONE (No reportable non-investment income.) SOUCE N YE V. REMBURSEMENS -transportation, /odging,food, entertainmenl (ncludes those to spouse and dependent children; see pp. 25-27 of filing instructions.) [{ NONE (No reportable reimbursements.) SO!CE DES LOCON PUSE EMS PD OR PROD
Page 3of6 Name of Person Reporting Date of Report ELLY, ROBER F. 04/20/2009 V, GFS. (lnclud., those lo spouu and dependent children; see pp. 28-31 of filing instructions.) [Z NONE (No reportable gifts.) SOUE DESCRPON VLUE 5. V LBLES. (ncludes those of spouse and dependent children; see pp. 31-33 offuing instructions.) [Z NONE (No reportable liabilities.) CREDOR DESCRON VLUE CODE 5.
Page 4 of 6 Nome or Person Reporting ELLY, ROBER F. Dote or Report 04/20/2009 V NVESMENS and RUSS - income, value, transactions r1nc1udes 11rose of spouse and dependent children; see PP. 14-60 of filing instructions.) 0 NONE (No reportable income, assets, or transactions.). Description of ssets (including trust assets). reporting period reporting period B. c. D. ncome during Gross value at end of ransactions during reporting period Place "(X)" after each asset e<ernpt from prior disclosure L ount ype (e g.,, Value Value, ype (e.g., Date Value ' Gain ' dentity of ode div., rent, Code 2 Method 1 buy, sell, Month - Code 2 Code 1 buyer/seller -H) or int ) (-P) Code 3 redemption) Day (-P) ( -H) (if private (Q-W), transaction) 1, (2)- ---(ll-- "(i)- --(i) (2_ --(3),-(4---- ---- - Wachovia Bank Savings ccount nterest Wachovia Bank Savings ccount nterest Vanguard ax Free P Vanguard Muni M oney Market Fund lnt./div. Freeport McMoran Copper and Gold Com mon Stock, CL.B c 5. McDonald's Corp. Common Stock c M 6. R Vanguard Star Fund c Distribution 7. Vanguard P L nsured ax Free Fund lnt./div. 8. Vanguard nternational Growth Fund 9. Vanguard US reasury Money Market Fund 10. Vanguard GNM Fund 11. Vanguard Hi-Yid Crp. Bond Fund 1 Vanguard ndex 500 Fund 1 Vanguard Prime Cap Fund 1 R Vanguard Star Fund Distribution 15. Vanguard Star Fund D M 16. Wachovia Fixed CD B nterest M Buy 07/01 M MyPurchase of Wac hoviacd 17. U.S Series EE Bonds nterest w ncome Gain Codes: =Sl.or less B =Sl,001 S2,500 C =S2,501 S5,000 D =SS,001 Si5,000 E =S15,001 550.000 (Se e Columns B and D4) f =S50,00 5100,000 G 5100,001 Sl,000,000 H =Si,000.001 -S5,000,000 H2 =More than $5,000,000 Value Cores (S«Columns Cl and D) =S S,000 or less N =S250,001 5500,000 =Sl5,00 S50,000 0 =S500,00 S 1,000,000 L =Sl0,001. S00,000 Pl =Sl,000,00l S5,000,000 M =S00,001 S250,000 P2 =S5.000,001 S25,000,000 Value Mclhod Codes (See Column C2) P =S25,000,00 S50,000,000 0 =ppraisal U =Book Value R =Cos (Real Estale Only) v =Ohe P4 =More than SS0,000,000 S =ssessment W=Es1imated ash Market
Name or Person Reporting Date or Report Page 5 of 6 ELLY, ROBER F. 04/20/2009 V DDONL NFORMON OR EXPLNONS. (ndicaleparto/reporl) his mended Report is presented because an asset was unintentionally not included with all the other assets on Part V he oversight is now corrected by the entry of the U.S. Series EE Bonds on line 17 of Part V of this mended Report..
Name of Person Reporting Date of Report Page 6_of 6 ELLY, ROBER F. 04/20/2009 X. CERFCON. 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., S U.S.C. 7353, and udicial Conference regulations. Signature NOE: NY NDVDUL WHO NOWNGLY ND WLFULLY FLSFES OR FLS O FLE HS REPOR MY BE SUBEC O CVL ND CRMNL SNCONS (5 U.S.C. app. 104) FLNG NSRUCONS Mail signed original and 3 additional copies to: Committee on Financial Disclosure dministrative Offce of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544