r:jl l Re t/2 1 1. Person R ' eporting (Last name, First name, Middle initial) FINANCIAL DISCLOSURE REPORT Calendar Year 2003 Report Required by the Ethics in Government Act of 1978 (5 U.S.C. app. 101111)... 2. Court or Organization 3. Date of Report F!TZPA TRICK, DUROSS 4. Title (Article Ill Judges indicate active or senior status; magistrate judges indicate full or parttime) U. S. DISTRICT JUDGE (SENIOR) U. S. DISTRICT COURT, GEORGIA 5. ReportType (check apprnpriate type) Q Nomination, Date () Intial (! Annual Q Fln 5110/2004 6. Reporting Period 111/2003 to 12/31/2003 7. Chamb :rs or Office Address P. 0. BOX 1014 MACON, GA 31202 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 Offcer _ Date I. POS][TJ[ONS. (Reporting individual only; see pp. 913 of filing instructions) D NOl'IE (No reportable positions.) POSITION NAME OF ORGANIZATION/ENTITY 1. PRESIDENT RICHLAND RESTORATION LEAGUE, INC. II. AGREEMENTS. {Reporting individual only; see pp. 1416 offiling instructions) NONE (No reportable agre, ments.) PARTIES AND TERMS I. (I (",) r a:!! (/.c c:: J). '".....,,_,,, :110 n::;): "l'jr "' 0 n, i:i f.. "'"" ":O.J li!i,, (") nr, tu Ci Si '11llF «'"'"., f' " 0
FINANCIAL DISCLOSURE REPORT Name of Person Reporting FITZPATRICK, DUROSS Dat1 5/l0/20:_ III. NONIlWESTMNT IJ COME. (Reporting individual and spouse; see pp. 1724 offiling instructions) A. File r's NonInvestment Income NONE (No reportable noninivestment income.) SOURCE AND TYPE GROSS INCOME (your, not spouse's)!. B. Spouse's NonInvestmimt Income (If you were married during any portion of the reporting year, please complete this section. (dollar amount not required except for honoraria) NONE (No reportable noninvestment income.) SOURCE AN TYPE!. IV. REillBURSEMENTS transportation, lodging, food, entertainment. (Includes those to spouse and dependent children. See pp. 2527 of instructions.) NONE (No such reportable reimbursements.) SOURCE DESCRIPTION 1.
FINANCIAL DISCLOSURE REPORT Name of Person Reporting FITZPATRICK, DUROSS Date ofrepo 5110120.:_j I. V. GIFTS. (includes those to spouse and dependent children. See pp. 2831 of instructions.) NON (No such reportable gifts.) DESCRIPTION I. VI. LIAlBILITIES. (Includes those of spouse and dependent children. See pp. 3234 of instructions.) D NOJ'l (No reportable liabilities.) CREDllTOR 1. WELJLS FARGO DESCRIPTION FARM LAND, EQUIPMENT & PERSONAL VALUE CODE M 2. AGGEORGIA FARM CREDIT ACA FARM K 3. GEORGIA DEVELOPMENT AUTHORITY FARM LAND & EQUIPMENT N
I j I....l... FINANCIAL DISCLOSURE REPORT Name of Person Reporting Date ofrepo8 Page 1of1 FlTZP A TRICK, DUROSS 5/!0/2004. VII. INESTMENTS and TRUSTS income, value, transcations {includes those of the spouse and dependent children. See pp. 3457 of filing instn.ctions.) A. Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure B. c. D. Income during Gross value at end of Transactions during reportlng period reporting period reporting period (I) (2) (I) (2) If not exempt from disclosw e (2) (3) (4) (5) Amount Type (e.g. Value Value Type (e.g. Date: Value Gain Identity of Code I div. rent. or Code 2 Method buy, sell, Month Code2 Code 1 buyer/seller (AH) int.) (JP) Code3 merger, Day (JP) (Ml (ifprivate (QW) redemption) trnsaction) (1) DNONE (No reportable income, assets, or transactions) I. TIMBERLANDTWIGGS COUNTY, GEORGIA None 0 w 2. PASTURE & CROP landtwiggs COUNTY, D Rent M w GEORGIA 3. FARM EQUIPMENT None K w 4. STOCKAGGEORGIA FARM CREDIT ACA A Dividend J T 5. VEHICLES None K w 6. 7. COBBILESTONE SQUARE LlllITED PARTNERSHIP CHECKING ACCOUNT, SUN1RUST BANK B Rent K w A Interest J T 8. CHECKING ACCOUNT, RIVOLI BANK & TRUST A Interest J T 9. JRA,SALOMON SMITH BARNEY E Interest N T Paral Rede Mthly K Monthly IR distributions 10. RIVOLI BANK & TRUST STOCK 11. TRANSAMERICA LIFE INS COMPANY LANDMARK ANNUITY 12. Cff!BANK NA BANK DEPOSff PROGRAM!. IncomeiGain Codes: A = $1,000 or less B = $1,001$2,500 c = $2,501$5,000 D = $5,00 l$15,000 E = $15,001$50,000 (See Columns Bl and D4) F = $50,001$100,000 G = $100,001$1,0()0,000 HI =$1,000,00l S5,000,000 H2 =More than $5,000,000 2. Value Codes: J = $15,000 or kss K = $15,001$50,000 L =$50,001$100,000 M = $100,001$250,000 (See Colmnns Cl and D3) N = $250,000$500,000 0 =$500,001Sl,OOO,OOO Pl = $],000,001$5,000,000 P2 '= $5.,000,001$25,000,0DO P3 = $25,000,001$50,000,000!'4 = $More than $50,000,000 J. Value Melhod Codes Q =Appraisal R = Cost (Real Estate Only) s = Assessmeut T = Cash/Market (See Colu= C2) u =Book Value v =Oter w =Estimated
FINANCIAL D SCLOSURE REPORT Name of Person Reporting Date of Report FITZPATRICK, DUROSS 5/l0/2004 VIII. ADDITIONAL INOR.t\lTION OR EXPLANATIONS (JndicatepartofReport.)
FINANCIAL DISCLOSURE REPORT Name of Person Reporting Date of Report FITZPATRCK, DUROSS 5/10/2004. IX. CERTIFICATION. I certify that all infonnation given above (including information pertaining to my spouse and minor or dependent children, if any) is accurate, tre, 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 nondisclosure. I fuer certify that eared 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. 501 et. seq., 5 U.S.C. 7353, and Judicial Conference regulations. Signature._ NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE THIS REPORT MAY BE SUBJECT TO CIVIL AN CRIMINAL SANCTIONS (5 U.S.C. app. 104) FILING INSTRUCTIONS Mail signed original and 3 additional copies to: Committee on Financial Disclosure Admistrative Offce of the United States Courts Suite 2301 One Columus Circle, N.E. Washington, D.C. 20544