Академический Документы
Профессиональный Документы
Культура Документы
1/2011
Report Required by the Ethics in Government Act ofl978 (5 U.S.C. app. 101-I11)
] Final
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.
Revie~ing Officer
Date
IMPORTANT NOTES: The instructions accompanying this form must be followed. Complete all parts,
checking the NONE box for each part where you have no reportable information. Sign on last page.
(No reportablepositions.)
POSITION
NAME OF ORGANIZATION/ENTITY The Negro Spiritual Scholarship Foundation Bok Tower Gardens Foundation, Inc. Historical Society ofthe United States District Court for the Middle District of Florida, Inc. Florida Supreme Court Historical Society Central Florida YMCA
I. 2. 3.
4. 5.
II. AGREEMENTS. m,~,o,ing individuol only; s,e pp. 14-16 of filing instructions.)
[~] NONE (No reportable agreements.) DATE
PARTIES AND TERMS
Fawsett, Patricia C.
III. NON-INVESTMENT INCOME. (Repo.ing individual andspouse; seepp. 17-24 of filing instructions.)
A. Filers Non-Investment Income ~ NONE (No reportable non-investment income.) DATE SOURCE AND TYPE INCOME
(yours, not spouses)
2. 3. 4.
B. Spouses Non-Investment Income - If you were married during any portion of the reporting year, complete this section.
(Dollar amount not required except for honoraria.)
I. 2010 2. 3. 4.
DATES
LOCATION
PURPOSE
V. GIFTS. ancludes those ,o spo,se and dependent children; see pp. 28-31 of filing instructions.)
NONE (No reportable g~s.)
SOURCE i. 2. 3. 4. 5.
DESCRIPTION
VALUE_
VI. LIABILITIES. ancl.des ,hose ol spouse and dependent children; see pp. 32-33 of filing instructions,)
~ NONE (No reportable liabilities.)
CREDITOR
DESCRIPTION
VALUECODE
2.
Bank Loan
3. 4. 5.
Bank Loan
VII. INVESTMENTS and TRUSTS - income, value, transactions (Includes those of spouse and dependent children; see pp. 34-60 of filing instruction~.)
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 O) Amount Code I (A-H) (2) Type (e.g., div., rent, or int.) C. Gross value at end of reporting period (I) Value Code 2 (.l-P) (2) Value Method Code 3 (Q-W) T Type (.g., buy, sell, redemption) Transactions during reporting period (2) Date mm/dd/yy (3) (4) Value Gain Code 2 Code I (J-P) (A-H)
Dividend
AMERICAN FUNDS-American Balanced Fund A AMERICAN FUNDS-Bond Fund of America AMERICAN FUNDS-Income Fund of America A Orange Cty FL Real Estate
B B C
L K L J K K K J K J
T T T R T T T T T T
A A A A A
American Funds-Capital World Bond Fund A American Funds-Capital World Growth & Income A Edward Jones Profit sharing
Edward Jones 401K American Funds-New World Fund A
B A C
C A
A
K K L
K J
J
T T T
T T
T
16.
I. Income Gain Codes: (See Columns BI 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 - $100.000 J =$15.1300 or less N =$250.001 - $500,000 P3 =$25.000,001 - $50.000.000 Q =Appraisal U =Book Value
B =$1,001 - $2,500 G -$I00.001 - $1.000.C~30 K -$15.0~ I - $50.000 O =$500.001 - $1.000,000 R =Cost (Real Estate Only) V Other
C =$2,501 - $5,000 H 1 =$1.0~.001 - $5.000.0(~ L =$50.001 - $ 100.00~ PI =$1.000,001 - $5,000,000 P4 =More than $50,000,000 S =Assessment W =Estimated
D =$5,001 - $15,000 H2 =Mor~ than $5.000.000 M =$ 100.001 - $250,0@) P2 =$5,000,001 - $25.000,D00 T =Cash Market
E =$15,001
VII. INVESTMENTS and TRUSTS - income, value, transactions (Includes fhose of spouse and dependent children; see pp. 34-60 of f!llng i.,tructions.)
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
(0
Amount Code I (A-H)
(2)
Type (e.g., div., rent, or int.)
(t)
Value Code 2 (J-P)
(2)
Value Method Code 3
(z)
Type (e.g., buy, sell, redemption)
(2) (3) (4) Date Value Gain mm/dd/yy Code 2 Code I (J-P) (A-H)
(5)
Identity of buyer/seller (if private transaction)
(Q-W)
18.
19.
A
A
Dividend
Dividend J
20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34.
Templeton Funds- China Fund A Franklin Templeton Funds-Income Fund A Franklin Templeton Funds-BRIC Fund A Franklin Templeton Funds-Utililty Fund A Franklin Templeton Funds-BRIC Fund A Limited Partnership in Jones Financial Cos, LLLP Abbott LabsCommon Stock ABT Apple Common Stock AAPL ATTCommon Stock Franklin Templeton Funds-Rising Dividend Fund McDonalds Common Stock- MCD Suncor Common Stock SU VanKampen Muni Unit Trust VanKampen S&P Unit Trust~-~::~i~,:i~ Walmart Common Stock WMT
A A A A A D A
K J K J J L J K J J J J J J J
T T T T T U T T T T T T T T T
A A A A m A A
I. Income Gain Codes: (See Colun~s B I and IM ~ 2. Value Codes (S~e Columns CI and D3) 3. Value Method Codes (See Column C2)
A =$1,000 or less F =$50,001 - $ 100,000 J =$15,000 or less N =$250.001 - $500,000 P3 =$25,000.0OI - $50,000.000 Q =Appraisal U =Book Value
B =$1,001 - $2,500 G = $ 100,001 - $ 1.0~.00~ K =$15,001 - $50.000 O =$500,001 - $1,000,000 R -Co~t (Real Estate Only) V Other
C =$2,501 - $5,00~ H 1 =$ 1.000,0~1 - $5.0~0,000 L =$50.0OI - $100,000 PI =$1,000,001 - $5,000,000 P4 =More than $50,000,000 S =Assessment W =Estimatod
D =$5,0OI - $15,000 H2 -More than $5,0~.000 M -$100,001 - $250,000 P2 =$5,090,001 - $25,0OO.000 T =Cash Market
E =$15,0~1 - $50,0~0
VII. INVESTMENTS and TRUSTS - income, value, transactions (Includes those of spouse and dependent children; see pp. 34-60 of filing instructionx)
NONE (No reportable income, assets, or transactions.)
Description of Assets Income during
Transactions during reporting period (i) Type (e.g., buy, sell, redemption)
(2) (3) (4) Date Value mm/dd!yy Code 2 (J-P)
reporting period 0)
Amount
(2)
Type (e.g.,
(i)
Value
(2)
Value
Code I (A-H)
Code 2 (J-P)
transaction)
35.
A A A A A C B A A A
Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend
J J
J J K K L J J J
36. 3M Common Stock MMM 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. Southern Companies Common Stock- SO VanKampen Unit Trust Alliance Bernstein Funds- Balanced Wealth Strategies Fund A Alliance Bernstein Funds-High Income Fund A American Funds- US Govt Fund A FPL Common Stock -FPL changed to NEE Alliance Bernstein Funds-Tax Managed Balanced Wealth Fund A American Funds- US Govt Securities fund A
American Funds - Growth Fund of America A - AGTHX Templeton Growth Fund A - TEPLX A
J K
T T
Buy Buy
Buy (addl)
01/26/10 03/11/10
04/08110
J J
J
J J J
11/19/10 J
I. Income Gain Codes: (See Colunms B I and 134) 2. Value Codes (See Columns CI and D3) 3. Value Method Codes (Set: Column C2)
A =$1,000 or less F =$50,001 - $100,0~0 J =$15,0~O or less N =$250,001 - $500,000 P3 =$25,0~0,001 - $50.000.000 Q =Appraisal U =Book Value
B =$1,001 - $2,500 G =$100.~OI - $1,0~0.0~0 K =$15,001 . $50,0~0 O =$500,001 - $1,0OO,0~O R =Cosl (Real Estate Only) V Olher
C -$2,501 - $5,000 HI =$1.000.001 - $5,000,0~0 L =$50,001 - $100.000 PI =$1,0~0,001 - $5,000.000 P4 =More than $50,000,000 S =Assessment W =Eslimated
D =$5.001 - $15.000 H2 =More than $5.0~0.000 M $100.001-$250,000 P2 =$5.000.001 - $25.000.000 T =Cash Market
E =$15,001 - $50,000
VII. INVESTMENTS and TRUSTS - i.cor.e, ,at.e, tra.sac,io.s a.aade$ 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
C.
Gross value at end of reporting period Transactions during reporting period
O)
Amount Code I
(2)
Type (e.g., div., rent,
(i)
Value Code 2 (J-P)
(2)
Value Method
(A-H)
or int.)
Code 3 (Q-W) T T
(2)
(3)
(4)
Gain Code I (A-H)
None Dividend
J J
J J J J J J J A
Dividend
Dividend
Buy
I. Income Gain Codes: (See Columns BI 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 - $100,000 J =$15,000 or less N =$250.001 - $500.0~0 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 - $1.0OO.O00 R Cost (Real Estate Only) V =Olhcr
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 =Asscs~,mcnt W =Estimated
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
IX. CERTIFICATION.
1 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 pro~dsions permitting non-disclosure.
I further certify that earned income from outside emplo)anent and honoraria and the acceptance of gifts ~vhich 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.
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