AO 10 in Government Act of 1978 Rev. 112006 FOR CALENDAR YEAR 2005 (5 U.S.C. app. 101-111) Report Required by the Ethics I. Person Reporting (last name, first, middle initial) Court or Organization 3, Date of Report THOMAS, CLARENCE UNITED STATES SUPREME COURT Title (Article IIJ judges indicate active or senior status; magistrate judges indicate full- or part-time) ASSOCIATE JUSTICE Sa. Report Type (check appropriate type) D Nomination, Date D Initial 18 Annual D Final 6. Reporting Period 01/01/2005 to 12/31/2005 7. Chambers or Office Address U.S. SUPREME COURT I FIRST STREET, N.E. WASHINGTON, D. C. 20543 Sb. 0 Amended Report 8, On the basis of the information contained in this Report and any modifications pertaining thereto, it is, in my opinion, in compliance with applicable laws and regulations. Reviewing Officer Date IMPORT ANT NOTES: The /11struct/011s acco111pa11y/11g this for111 11111st be followed. Complete all parts, checking the NONE box for each part where yo11 have 110 reportable i11for111atio11. Sig11 011 last page. I. POSITIONS. (Report/11g indlvld11al 011/y; see pp. 9-13 ofi11structio11s.) D NONE (No reportable positions.) POSITION NAME OF ORGANIZATION/ENTITY!. Board of Trustees Holy Cross College Board of Directors Horatio Alger Association II. AGREEMENTS. (Report1!1g i11d/vld11al 011/y; see pp. 14-16 of1!1structt'o11s.) IB NONE (No reportable agreements.) l. PARTIES AND TERMS C) :.-; l ) ) S-... - -: : i- 1.1
Page 2 of7 Name of Person Reportin g THOMAS, CLARENCE Date of Rep ort III. N 0 N-INVE S TMENT IN CO ME. (Reporti11g 11111/vldual and spouse; see pp. 17-24 of illstructlons.) A. Filer's Non-Investment Income D NONE (No reportable non-investment income.) SOURCE AND TYPE INCOME (yours, not spouse's) I. 217/05 Creighton University School of Law $ $15,000 B. Spouse's Non-Investment Income - If you were 111arrle1/ during any portion of the reportl11g year, complete this section. (Dollar amount not required except for honornria.) [R NONE (No reportable non-investment income.) SOURCE AND TYPE I. IV. REIMBURSEMENTS -transportation, /odglng,food, e11tertain111ent. {Includes those lo spouse and dependent children. See pp. 25-27 of instructions.) D NONE (No reportable reimbursements.) SOURCE DESCRIPTION I. Creighton University School of Law Transportation, meals and accommodations/teaching seminar/justice Thomas/2/7-2/11/05-0maha, NE Horatio Alger (Florida) Transportation, meals and accommodations/scholarship Awards/Justice Thomas 5/1 I/05 - Ft. Lauderdale, FL University of Alabama Transportation//meals and accommodations/lecture/justice Thomas 11/11/05 - Tuscaloosa, AL 6.
Name or Person Reporting Date or Report Page 3 of7 THOMAS, CLARENCE 7. 8. 9. 10.
Date of Report Page 4of7 THOMAS, CLARENCE V. GIFTS. (brcludes those to spouse and dependent children. See pp. 28-31 of Instructions.) D NONE (No reportable gifts.) SOURCE DESCRIPTION I. $ 0.0 $ 0.0 $ 0.0 VI, LIABILITIES. (Includes those of spouse and dependefll children. See pp. 32-34 of instructions.) [K NONE (No reportable liabilities.) CREDITOR DESCRIPTION VALUE CODE I.
Page 5of7 THOMAS, CLARENCE Date of Report VII. INVESTMENTS and TRUSTS --income, va1ue, 1ra11sac11011s 011c1uaes 11tose of11te spouse aua aepe11de111 c1i11t1ren. see pp. 34-57offili11c111s1ruc11o11sJ 0 NONE (No reportable income, assets, or transactions.) A. B. C, D. Description of Assets Income during Gross value at end of Transactions during reporting period (including trust assets) reporting period reporting period 1--- (I) (2) (I) (I) Ifnot exempt from disclosure Place "(X)" after each asset Amount Type (e.g. Value Value Type (e.g. (3) (4) (5) exempt from prior disclosure Code I div., rent, Code 2 Method buy, sell, Date Value Gain Identity of (J-P) (2) (A-H) or int.) Code 3 (Q-W) merger, (2) Month- Code2 Code I buyer/seller redemption) Day (J-P) (A-H) (if private transaction) I. MONY Annuity None J T 1/3 int. in rental property at## I, 2, & 3, A Rent J w Sav., GA First Trust Corporation - IRA Denver, None J T Colorado AIG Sun America - Jersey City, NJ None J T Ginger, LTD., Partnership A Rent L w 6. Fidelity 403(b) None M T 7. 8. 9. 10. 11. 1 1 1 1 16. 17. I. lncot11e Gain Codes: A =$1,000 or less 8 =$1,00 I -$2,500 C =$2,50 I -$5,000 D =$5,00 I -$15,000 E =$15,00 I -$50,000 (See Columns Bl and 04) F =$50,00 I -$I 00,000 0=$100,001 $1,000,000 HI =$1,000,00 I $5,000,000 J-2 =More than $5,000,000 Value Codes J=$15,000 or less K=$15,001 -$50,000 L=$50,001 -$100,000 M =$I 00,00 I - $250,000 (See Columns Cl imd 03) 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 Value Method Codes Pl =$25,000,00 I -$50,000,000 R =Cost (Real Estate Only) P4 =More than $50,000,000 T=Cash Market (Sec Column C2) Q=Appraisal V=Other S =Assessment U =Book Value W =Estimated
Date of Report Page 6of7 THOMAS, CLARENCE VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. (lndicatepartofreport.)
Date or Report Page 7of7 THOMAS, CLARENCE 0511512006 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. Signal 5-;;4b NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR F AILS TO FILE THIS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (5 U.S.C. app, 104) ( FILING INSTRUCTIONS 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