010 FINNCIL DISCLOSURE REPORT in Government ct of 1978 Rev. 112006 FOR CLENDR YER 2005 (5 U.S.C. app. 101-111) Report Required by the Ethics I. Person Reporting (last name, first, middle initial) Court or Organization District Court - Louisiana 0511112006 Title (rticle III judges indicate active or senior status; magistrate judges indicate full- or part-time) U. S. DistrictJudge Sa. Report Type (check appropriate type) D Nomination. D Initial nnual D Final 6. Reporting Period 01/01/2005 to 12/31/2005 7. Chambers or Offce ddress U. S. Courthouse 611 Broad Street Lake Charles, L 70601 Sb. D mended 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. Revi wing Offcer.. IMPORT NT NO TES: The instructions accompanying this form must be followed. Complete all parts, checkilg the NONE box for each part where you have no reportable information. Sign on last page. I. POSITIONS. (Reporli11g ilidividual 011/y; see pp. 9-13 of i11structions.) D NONE (No reportable positions.) POSITION NME OF ORGNIZTION/ENTITY I. Manager Minerex, LLC II. GREEMENTS. (Reporting individual only; see pp. 14-16 of instructions. D NONE (No reportable agreements.) PRTIES ND TERMS I. 2003 La. State Employee Retirement System (pension upon retirement) :J -- -,-:;-,,,,- C)..,,. i, ("' f-,.) i... -u
FINNCIL DISCLOSURE REPORT Page2 of7 Name of Penon Reporting Minaldl, Patricia H ID. NON-INESTMENT INCOME. (Reporting individual and spouse; seepp.11-u of instructionsj. Fier's Non-Investment Income D NONE (No reportable non-investment income.) SOURCE ND TYPE INCOME (yours, not spouse's) I. 2005 U.S. Judges dmin. Offce Of The U.S. Courts $ 143,267 B. Spouse's Non-Investment Income - If you were ma"ied during any portion of the reporting year, complete this section. (Dollr amount not required except for honoraria.) D NONE (No reportable non-investment income.) SOURCE ND TYPE I. 2005 Louisiana Health Insurance Indemnity Company 2005 Souther Nationa Life Insurance Company 2005 Stockwell, Sievert, Viccellion, Clements & Shaddock, LL IV. REilURSEMENTS -transportation, lodging,food, entertainment (Includes those to spouse and dependent children. See pp. 25-27 of instructions.) 0 NONE (No reportable reimbursements.) SOURCE DESCRITION I. Louisiana ssociation of Defense Counsel pril 16-23, I005 nnua Conference in Rome and Sorrento; reimbursement of transportation, lodging and food
FINNCIL DISCLOSURE REPORT Page 3 of7 V. GIFTS. (Includes those to spouse and depe11dent cl1il1/re11. See pp. 28-31 of instructions.) [K NONE (No reportable -gifts.) SOURCE DESCRIPTION VLUE I. VI. LIILITIES. (Includes those of spouse and dependent children. See pp. 32-34 of instructions.) [K NONE (No reportable liabilities.) CREDITOR DESCRIPTION VLUE CODE I.
FINNCIL DISCLOSURE REPORT Page 4 of7 0511112006 vn. INVESTMENTS and TRUSTS - income, value, trnsactio11s (i11dudes those of the spouse and depe11dent cltildrej See pp. 34-57 of filing iltstructions) D NONE (No reportable income, assets, or transactions.) B.. c. Description of ssels (including trst assels) Income during Gross value at end of (I) (I) Place 1'(X11 after each asset mount Type(e.g. Value Value exempt from prior disclosure Code I div., rent, Code2 Method (-H) or int) (J-P) Code3 (Q-W) (I) Type(e.g. buy, sell, merger, redemption) D. Transactions during Jfnot exempt from disclosure Month - Day (3) Value Code2 (J-P) (4) (5) Gain Identity of Code I buyer/seller (-H) (if private transaction) I. Minerex, LLC None J w Northwest Mutual Ins. Co. (account) Interest J T Legg Mason Cash Reserve Trust Hibernia National Bank (ccounts) B Interest L T Legg Mason Special Investment Trust B 6. Legg Mason Cash Reserve Trust 7. Legg Mason Opportunity Trust 8. Legg Mason Cash Reserve Trust 9. Legg Mason Opportunity Trust 10. Other Property - St. Mary Parish (undivided interest) None J w 11. Fidelity ggressive Growt Fidelity IR. 1 Fidelity Growt Companies Fidelity IR. 1 Fidelity Value Dividend L T Fidelity IR. 1 Spartan Total Market Index Fidelity IR. 1 IM Equity Funds Blue Chip Fund Raymond James IR. 16. Hartford Mutual Funds Capital ppreciation Fund Raymond James IR. 17. Hartford Mutual Funds Midcap Fund Raymond James IR. I. Income Gain Codes: =$ J,000 or less B =Sl,001 -S2,500 c =$2,501 -$5,000 D =$5,001 -$15,000 E =$I 5,00 I - $50,000 (See Columns Bl and 04) F =$50,001 -$100,000 G =$100,001 -$1,000,000 HJ =$1,000,001-$5,000,000 H2 =More than $5,000,000 Value Codes J =$15,000 or less K.=SJ 5,001 -$50,000 L=$50,001-$100,000 M =$100,001 -$250,000 (See Colunms Cl and 03) N =$250,001 -$500,000 0 =$500,001 -$1,000,000 Pl =$1,000,001-$5,000,000 P2 =l5,000,001-$25,000,000 Value Method Codes P3 =$25,000,001 -$50,000,000 R =Cost (Real Estate Only) P4 =More than $50,000,000 T =Cash Market (See Column C2) Q=ppraisal V=Other S =ssessment U =Book Value W=Estimatcd
FINNCIL DISCLOSURE REPORT ofreport Page 5 of7 0511112006 VII. INSTMENTS and TRUSTS -incom. value, transactions (Includes those of the spouse and dependent children. See pp. 34-57 of filing instructions) 0 NONE (No reportable income, assets, or transactions.). Description of sets (including trust assets) B. Income during c. Gross value at end of D. Transactions during Place " (X" afr eah asset exempt from prior disclosure (I) (I) mount Type(e.g. Value Code I div.,rent, Code 2 (-H) or int) (J-P) Value Method Code 3 (Q-W) (I) Type(e.g. buy, sell, merger, redemption) Month - Day Jfnot exemt from disclosure (3) (4) Value Gain Code 2 Code I (J-P) (-H) (5) Identity of buyer/seller (if private trnsaction) 18. Harord Mutual Funds Global Health Raymond James Fund IR. 19. First Tr Target VIP Portfolio Sale/Repurch 12/30 J Rebalancing sale/purchasesecurity. sami 20. New York Whole Life 21. Northwest Mutual Whole Life #1 2 Nortwest Mutual Whole Life #2 2 La. State Employee Retirement System None L T Please see note in Par VIII. 2 Series EE Bonds None J T 2 Maxim Stock Index Portfolio None J T From La. Deferrd Comp.Plan 26. merican Century UltrFund None J T From La Deferred Comp.Plan 27. Maxim INVESCO Small Cap Growth None J T From La. Deferred Portfolio Comp.Plan 28.FERSTSP None K T 29. JP Morgan Chase Bank Interest J T 30. I. Income Gain Codes: =$1,000 or less B =$1,001 -$2,500 c=$2,501 -$5,000 D =$5,00 I -S 15,000 E=$15,00I -S50,000 (See Columns Bl and D4) F =$50,001 -$100,000 G=SI00,001-Sl,000,000 HI =$1,000,001 -$5,000,000 H2 =More th"' $5,000,000 Value Codes J=$15,000 or less K=$15,00l -S50,000 L=$50,001 -S 100,000 M =$100,001 -$250,000 (See Columns CI and D3) N=$250,001 - $500,000 0=$500,001 - $1,000,000 Pl=SI,000,00I -$5,000,000 P2 =$5,000,001 -$25,000,000 Value Method Codes P3=$25,000,001 - $50,000,000 R =Cst (Real Estate Only) P4 =More than $50,000,000 T =Ch Market (See Column C2) Q=ppraisal V=Other S =ssessment U =Book Value W=Estimated
FINNCIL DISCLOSURE REPORT Page 6 of? VID. DDITIONL INFORMTION OR EXPLNTIONS. r1ndica1epartofrepor1.j 1. La Deferred Compensation Plan rolled over to FERSTSP (From Part VII, record 23, 26, 27, 28, & 29). Plan included Max Stock Index Portfolio, merican Centur Ultra Fund and Max INESCO Small Cap Growt Portfolio. La. State Employee Retirement Plan is in litigation {From Part VII, record 24).
FINNCIL DISCLOSURE REPORT Page 7 of7 IX. CERTIFICTION. I certify that all information given ;ibove (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. Signatur NOTE: ND CRIMINL SNCTIONS (5 U.S.C. app. 104) 4/ / Co SIFIES OR FILS TO FILE THIS REPORT MY BE SUBJECT TO CIVIL FILING INSTRUCTIONS Mail signed original and 3 additional copies to: Committee on Financial Disclosure dministrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544