Академический Документы
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1/2011
Report Required by the Ethics in Government Act of 1978 (5 U.S.C. app. 101-111)
I. Person Reporting (last name, first, middle initial) Haik. Richard T. 4. Title (Article III judges indicate active or senior status; magistrate judges indicate full- or part-time)
i [] Initial
7. Chambers or Office Address 800 Lafayette Street Suite 4200 Lafayette, LA 70501
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
IMPORTANT NOTES: The instructions accompanying this form must be followe,! Complete all parts,
checking the NONE box for each part where you have no reportable information. Sign on last page.
NAME OF ORGANIZATION/ENTITY
Colonel J. George & S. Saloom Hannie Community Home, Inc.
Haik, Richard T.
111. NON-INVESTMENT INCOME. tRepo~ing individual and spouse; seepp. 17-24 of filing instructions.)
A. Fliers Non-Investment Income ~ NONE (No reportable non-investment income.) DATE SOURCE AND TYPE INCOME
(yours, not spouses)
2. 3.
4.
B. Spouses Non-lnvestment Income - If you were married during any portion of the reporting)ear, complete this section.
(Dollar amount not required except for honoraria.)
DATE
I. 2. 3. 4.
~-~
3. 4. 5.
V. GIFTS. ancl.de~,hoso,o ~pouse and d.,enden, children; see pp. 28-31 of filing instructions.)
NONE (No reportable gifts.)
SOURCE 1. 2. 3. 4. 5. DESCRIPTION
VALUE
VI. LIABILITIES. ancl.de~ ,hose olspo.se and dependen, children; see pp. 32-33 of fillng instructions.)
D NONE (No reportable liabilities.)
CREDITOR 1. St. Landry Bank and Trust Company See Note in Part VIII. USAA Federal Savings Bank - See Note in Part VIII. DESCRIPTION Bank loan to purchase investment in BPLVisions, LLC formerly The McGeHee Group, LLC Bank loan to purchase residential rental property
VALUECODE
J
2.
3. 4. 5.
VII. INVESTMENTS and TRUSTS - income, ,.alue, transactions a.ctudes those of spouse and dependent children; see pp. 34-60 of filing instructions.)
NONE (No reportable income, assets, or transactions.)
A. Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure B. Income during reporting period (1) (2) Amount Type (e.g., Code I div., rent, (A-H) or int.) C. Gross value at end of reporting period (1) (2) Value Value Code 2 Method Code 3 (J-p) (Q-W) K
J
Transactions during reporling period 0) Type (e.g., buy, sell, redemption) (2) (3) (4) Date Value Gain mm/dd/yy Code2 Code I
(J-P) (A-H)
I.
2.
A
A
Interest
Interest
T
T
3.
4. 5. 6. 7. 8. 9. 10. II. 12. 13. 14. 15. 16. 17.
A C A A A C A A
L M M K J K K K
T T T T T T T T
A A
J J J K
T T T
Interest
I. Income Gain Codes: (See Columns B I and D4) 2. Valuc Codes (See Columns C I and D3) 3. Value Method Codes (See Column C2)
A :$1,DO0 or less F ~$50,DOI - $ IDO.000 J = $15,DO0 or less N =$250.001 - $500,000 P3 =$25.000.001 - $50.000.000 Q =Appraisal U =Book Value
B =$1,001 - $2,500 G =$1DO,001 - $1.DOO,DO0 K = $15,D01 - $ 50,000 O =$500,001 - $1,000,DO0 R =Cost (Real Estate Only) V =Olhcr
C =$2,501 - $5,000 HI =$1,DOO.001 - $5.000,000 L = $ 50,001 - $ I DO,DO0 PI =$1,DO0.001 - $5,000.000 P4 =More than $50,000.000 S =Assessment W =Eslimated
D =$5.DO1 - $15,000 tt2 =More than $5.000.000 M -$ I DO,DO 1 - $ 250.000 P2 -$5,000.001 - $25.000.000 T =Cash Market
E =$15.001- $50,DO0
VII. INVESTMENTS and TRUSTS - income, val.e, transactions dnctudes those of spouse and dependent children; see pp. 34-60 of filing instructions.)
NONE (No reportable income, assets, or transactions.)
Description of Assets (including tmst assets)
Place "(X)" after each asset exempt from prior disclosure
(5)
Idemity of
18.
-Xerox Capital Trust Capital Securities -Camden County, NJ Pollution Control Bonds
A
A
Interest
Interest Interest
Redeemed 12/01/10
20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34.
-Capital Projects Fin Auth FL Bonds -Charlton County, GA Solid Waste Revenue Bonds --DWS Managed Municipal Bond Fund -Hudson County, NJ Solid Waste Revenue Bonds --Ohio State Solid Waste Disposal Revenue Bonds -Port of New Orleans, LA Board of Commissioners --Pumam Tax Exempt Income --St. Paul, MN Port Authority Industrial Revenue Bonds --Allegheny County, PA Hospital Bonds --Angola, IND Healthcare Facs Revenue Bonds --Ben Hill County, GA Revenue Bonds --Bibb County, GA Development Authority Bonds --Cambria County, PA Revenue Bonds --Central Arizona Irrigation & Drainiage District Bonds --Connecticut Development Authority Bonds A A B A A A A B A A
Interest lnt./Div. Interest Interest Interest Int./Div. Interest Interest Interest Interest Interest Interest Interest Interest
I. Income Gain Codes: (See Columns B I and D4) 2. Value Codes (See Columns CI and D3) 3. Value Method Codes (See Colunm C2)
A =$1,000 or less F =$50,001 - $100.000 J = $15.0~(I or less N =$250.001 - $500.000 P3 =$25.000.001 - $50.000.000 Q =Appraisal U =Book Value
B =$1.001 - $2,500 G =$100.001 - $1.000,000 K =$15.001 - $ 50.000 O=$500.001.$1.000.000 R =Cost (Real Estate Only) V -Other
C =$2,501 - $5,000 HI =$1,0~,001 - $5.000.000 L -$50.001 - $ 109.000 p I =$ 1.000.001 - $5.000.090 P4 =More than $50.000.0~0 S =A:,~zssmcnt W =E~.tlmalcd
D =$5.001 - $15,000 H2 =More than $5.000.000 M = $ 100.001 - $250.000 P2 $5.000.001-$25.000.000 T =Cash Market
E =$15.001 - $50.000
VII. INVESTMENTS and TRUSTS - income, ralue, transactions (Includes those of spouse and dependent children; seepp. 34-60 of filing instructions.)
NONE (No reportable income, assets, or transactions.)
Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure Income during reporting period (i) (2) Amount Type (e.g., Code I div., rent, (A-H) or int.)
Gross value at end
Transactions during reporting period (i) Type (e.g., buy, sell, redemption)
(2) Date mm/dd/yy (3) (4) Value 1 Gain Code 2 ! Code 1 (JP) I (A-H) ] (5) Identity of buyer/seller (if private transaction)
(Q-W) 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. -Crawford County, GA Development Authority Bonds -Denham Springs-Livingston Housing Bonds -East Carrol Parish, LA Law Enforcement Bonds -Escambia County, FL Health Facs Bonds -Hammond-Tangipahoa Home Mortgage Bonds -Hancock County, TN Health Ed Bonds -Lafayette, LA Public Trust Fin Auth Bonds --Langhome Manor Boro, PA Higher Education Bonds --Louisiana State University Bonds --Montgomery-Southside, AL Revenue Bonds --New Jersey Health Care Facilities Bonds B A A A A A A A A B B A A A A A A Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest Interest
K J J
05/17/10 08/02/10
J J
A A
03/01/10
K J J J J
J J J
46. --St. Paul, MN Port Authority Bonds 47. 48. 49. 50. 51. --St. Paul, MN Port Auth Hsg & Red --St. Tammany Parish, LA Hospital Bonds --Savannah, GA Economic Development Authority Bonds --Shreveport, LA Water & Sewer Revenue Bonds --Sumner, IL Healthcare Facilities Revenue Bonds
T T T
1. Income Gain Codes: {See Colurans B I and D4) 2. Value Codes (See Columns CI and D3) 3. Value Method Codes {See Column C2)
A =$1,000 or less F =$50.001 - $100.0(~ J =$15,000 or less N =5250.001 - 5500.000 P3 -525.000,001 - $50.000.000 Q =Appraisal U =Book Value
B =$1.001 - $2,500 G =$100.0~1 - $1,0~O.0~O K = $15.001 - 550.000 O 5500.001-$1.000.000 R :Cost ( Real E>lalc Only) V Other
C =$2,501 - $5,000 H 1 =$1,00~,001 - $5.0{~,0~ L = $50,001 - $ 100,000 p I =$ 1,000.001 . $5,~00,000 P4 =More than $50.000.000 S =Assessment W =Estimalcd
D =$5.001 - $15,000 H2 =More than $5,0~,0~O M =$ 100,0O I - $250,1)00 P2 =$5,000,001 - $25,000.000 T =Cash Market
E =$15,001 - $50.000
VII. INVESTMENTS and TRUSTS - income, ralue, transactions (Includes those of spouse and dependent chitdren; seepp. 34-60 of filing instructions.)
NONE (No reportable income, assets, or transactions.)
Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure Income during reporting period O) (2) Amount Type (e.g., Code I div., rent, (A-H) or int.) Gross value at end of reporting period
(I) (2)
(5)
Identity of
Value Code 2
(J-P)
Value Method
Code 3
(Q-W) 52. -Tillman County, OK Revenue Bonds B A Interest Dividend None None A Interest None A Dividend J J J J K J T T T T T T T Sold (part) I 1/10/10 M Redeemed (part) 10/08/10 J A
53. -Verizon Communications Common Stock 54. -Tjiwi Kimia Intl Finance Co Senior Notes
A A
J J J K K J J J J
T T T T T T T T T
A B A A
A A
67. 68.
I. Income Gain Codcs: (See Columns BI and D-l) 2. Value Codes (Sc Columns CI and D3) 3. Value Method Codes (See Column C2)
A =$1,000 or Icss F =$50.001 - S 100,0~0 J = $15,00) or k~.s N =$250.001 - $500.000 P3 =$25.000.0OI - $50.000.000 Q =Appraisal U =Bo,.,k Value
B =$1,001 - $2,500 G =$100,001 - $1,000,000 K -$15,001 - $50,000 O =$500.001 - $1,000.000 R =Cost (Real Eslale Only) V =Other
C =$2,501 - $5,000 HI =$1,000.001 - $5,000,000 L =$50.001 - $ 100,000 PI =$1,000.001 - $5,000,000 P4 =More than $50.000.000 S =Assessment W =Estimated
D =$5.001 - $15.0OO H2 -More than $5,000,000 M =$ 100,001 - $250.000 P2 -$5,000.001 - $25,000.000 T =Cash Market
E =$15.001 - $50,000
VII. INVESTMENTS and TRUSTS - i.co.,o, ,.atue, tra.sac,io.s a.clude~ those oI~po.~e and depe.de.t children; see pp. 34-60 of filing instructions.)
NONE (No reportable income, assets, or transactions.)
Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure Income during reporting period Gross value at end of reporting period Transactions during reporting period
(])
Amount Code I (A-H)
(2)
Type (e.g.. div., rent, or int.)
(1)
Value Code 2 (J-P)
(2)
Value Method Code 3 Type (e.g., buy, sell, redemption)
(Q-W) 69. 70. 71. 72. 73. 74. --Ultra Pure Technologies, Inc. Stock --Louisiana Public Facilities Auth Rev Bonds --Katy Texas lnpdt School District Bonds --Frontier Communications Corp Stock (X) --Rivus Bond Fund (X) Individual Retirement Account #1 A A D A None Interest None Dividend Dividend Dividend J K K J J N T T T T T T Buy Buy 09/09/I 0 12/07/I 0
I. Income Gain Codes: ~S~e Columns B I and I)4) 2. Value Codes (See Columns C I and D3) 3. Value Method Codes (See Column C2)
A =$1.0~0 or less F =$50.0~1 - $10~,0~0 J = $15.000 or less N =$250.001 - $500,000 p3 =$25,000,001 . $50.000.000 Q =Appraisal U =Book Value
B -$1.091 - $2,500 G =$10~.0~1 - $1,0(KI.0~ K - $15,001 - $50.000 O =$500.001 - $1,000.00~ R =Cosl (Real Estate Onlyl V Other
C =$2,501 - $5,000 H I =$1.0~.001 - $5,000,000 L =$50.001 - $ 100,000 PI =$1,000,001 - $5,000,000 P4 More than $50.0~0,000 S =A~essment W =Estimated
D =$5,0~1 - $15,000 H2 =Morn than $5,0~,000 M =$ 100,001 - $250,0~O P2 =$5,000,001 - $25,000.000 T =Cash Market
E =$15,1)01 - $50.000
VII. INVESTMENTS and TRUSTS - income, value, transactions (Includes those of spouse and dependent children; see pp. 34-60 of filing instructions.)
[]
reporting period O)
Amount Code I (A-H)
(2)
Type (e.g., div., rent, or int.)
(i)
Type (e.g.,
buy, sell,
(2)
(3)
(4)
Gain Code l (A-H)
(5)
Identity of buyer/seller (if private transaction)
redemption)
86.
87.
None
None
J
J
W
W
Buy
01/10/10
88.
None
I. Income Gain Codes: (See Columns B I and D4) 2. Value Codes (SeeColurrms CI and D3) 3. Value Mcthod Codes ISce Column C2)
A =$1.000 or less F =$50.001 - SI00.000 J =$15.00~ or less N-$250,001 - $500,000 P3 $25,0~0.0~ I - $50.00~.000 Q =Appraisal U ~Book Value
B =$1.001 - $2,500 G =$100.001 - $1,000.000 K = $15.001 - $50,0~) O $500,001 - $1,0~0,(~9 R Cost {Real Estate Only) V =Other
C =$2.501 - $5,000 HI =$1.000.001 - $5.000,000 L =$50,001 - $ 100,000 PI ~$1,000,001 - $5,000,000 P4 =More than $50,000,000 S =Assessment W =Estimated
D =$5,001 - $15,090 H2 =More than $5.000.000 M =$100.0~ I - $250.04~ P2 =$5,000,0~1 - $25,000.0~1 T =Cash Market
E =$15,0~1 - $50,000
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 emplo~anent and honoraria and the acceptance of gifts which have been reported are in compliance with the provisions of 5 U~.C. app. 501 et. seq., 5 U.S.C. 7353, and Judicial Conference regulations.
NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FALLS 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