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1/2011
Report Required by the Ethics in Government Act of 1978 (5 U.S.C. app..~.~ 101-111)
Date
[] Annual [] Final
7. Chambers or Office Address Office of Judge Freudenthal 2120 Central Ave. Cheyenne, WY 82001
8, On the basis of the information contained in this Report and any modifications pertaining thereto, it is, in my opinion, in compliance ~ith applicable laws and regulations.
Revie~sing 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,
Freudenthal, Nancy D.
D
I. 2003 2. 2005 3.
DATE
I. Pan 2010 2. 3. 4.
INCOME
(yours, not spouses)
$78,187.00
B. Spouses Non-Investment Income - tf 7.ou were married during anyportion of the reporting)ear, complete this section.
(Dollar amount not required except for honoraria.)
[~]
I. 2010 2. 3. 4.
SOURCE
Exempt 2. 3. 4. 5.
DATES
LOCATION
PURPOSE
V. GIFTS. anct.des ,hose ,o spouse o.d aepenaen, children; 5ee pp. 2So31 of filing instructions.)
D NONE (No reportable gifts.)
SOURCE Exempt
2. 3. 4. 5.
DESCRIPTION
VALUE
1. 2. 3. 4. 5.
VII. INVESTMENTS and TRUSTS - income, value, transactions (Includes those of spouse and dependent children; seepp. 34-60 of filing instructions.)
D 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 (~) (2) Amount Type (e.g., Code 1 div., rent, (A-H) or int.) Gross value at end of reporting period (I) (2) Value Value Code 2 Method (J-P) Code 3 (Q-W) K K J J M M N T T T T T T T Exempt Exempt Exempt Exempt Exempt Exempt Exempt Exempt Exempt Exempt Transactions during reporting period 0) Type (e.g., buy, sell, redemption) (2) (3) Date Value mm/dd/yy Code 2 (J-P)
(4) Gain Code 1 (A-H) (5) Identity of buyer/seller (if private transaction)
Meridian Trust FCU cash account #1 Ameriprise cash equivalents INDZX INUTX RiverSource Life Annuity RiverSource Life Annuity IRA RiverSource Life Annuity IRA AEPGX Mutual Fund (401K) CABDX Mutual Fund (401(K) ADGAX Mutual Fund (401K) CWGIX Mutual Fund (401K) SEVAX Mutual Fund (401K) AGTHX Mutual Fund (401K) NEWFX Mutual Fund (401K) NYVTX Mutual Fund (401K) NFJ Closed End Mutual Fund (401K) GECapCorp Bonds (401K)
A A A A A A A A A A B A A A A A A
Interest Int./Div. Dividend Dividend Int./Div. lnt./Div. lnt./Div. Int./Div. Int./Div. Int./Div. Int./Div. Int./Div. Int./Div. Int./Div. Int./Div. Int./Div. Int./Div.
I. Income Gain Codes: (See Columns BI and D4) 2. Value Codes (SeeColumnsCI and D3) 3. Value Method Codes (See Column C2)
A $1,000 or less F =$50,001 - $100.000 J = $15.0OO or less N $250.001 - $500.000 P3 $25.000.001-$50.0OO.000 Q =Appraisal U =Book Value
B =$1.001 o $2,500 G =$100,00l - $1,000,000 K - $15,001 - $50,000 O=$500,001 - $1,0OO,000 R =Cost (Real Estate Only) V -Other
C =$2,501 - $5,000 H 1 =$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 ~$5,0OI o $15,000 H2 =More than $5,00~,000 M =$ 100.001 - $250,00(I P2 =$5,000,001 -$25,000.000 T =Cash Market
E =$15,001 - $50.000
Date of Report
Freudenthal, Nancy D.
5/4/201 I
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.)
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
(t)
Amount Code I (A-H)
(2)
Type (e.g., div., rent, or int.)
(I)
Value Code 2 (J-P)
(2)
Value Method Code 3 (Q-W)
(i)
Typ~ (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 nansaetion)
18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34.
Citigroup Capital X 173064205 (401K) Keycorp Cap V 49327J200 (401(K) Deferred Comp BGI LifePath Ind. 2035 Fund M Rentalproperty in County, Wyoming K&N, LLC Davis& Cannon, LLP Mass Mutual Life Insurance ING Life Insurance Cash & Sweep Balance-Wells Fargo (401K) UBS Bank USA Dep Acct (Trust #1) BMY Stock (Trust #I) GMR Stock (Trust #1) GE Stock (Trust #1) HD Stock (Trust #1) INTC Stock (Trust #1) MSFT Stock (Trust #1) PEP Stock (Trust #1) Laramie
A A
B B A A A A A A A C A
Dividend Interest Interest Interest Dividend Dividend Dividend Dividend Dividend Dividend Dividend
I. Income Gain Codes: {See Colurrms BI and D-l) 2. Value Codes (See Columns CI and D3) 3. Value Method Codes I.sec Column C2)
A =$1,000 or less F =$50.001 - $100.000 J -$15.0~0 or less N =$250.001 - $500,0~3~ P3 =$25.0~0,0~1 - $50,00~,000 Q =Appraisal U =Book Value
B =$1.001 - $2,500 G =$100.001 - $1.000.000 K = $15,001 - $50,00~1 O =$500.001 - $1.0~0,000 R =Cost (Real Estale Only) V =O~her
C =$2,501 - $5,000 HI =SI.000.001 - $5.000.0~0 L = $ 50.001 - $ 100.000 PI =$1.000,001 - $5,000,000 P4 -More Ihan $50,000,000 S =Assessment W =Estimated
D =$ 5.001 - $15,000 H2 =~.torc than $5.000.000 M -$ 100,001 - $250.000 P2 -$5,000,001 - $25,000,000 T =Cash Market
E =$15.001- $50,0~O
VII. INVESTMENTS and TRUSTS - income, value, transactions (Includes those of spouse and dependent children; see pp. 34-60 of filing instructions.)
NONE (No reportable income, assets, or transactions.)
Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure Income during reporting period (I) (2) Amount Type (e.g., Code I div., rent, (A-H) or int.) Gross value at end of reporling period (I) (2) Value Code 2 (J-P) Transactions during reporting period
O)
Value Method Code 3 (Q-W) Type (e.g., buy, sell, redemption)
(2)
(3)
(4)
Gain Code I (A-H)
(s)
Identity of buyer/seller (if private transaction)
35.
A A A A A B C C B D B A B A B A A
Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend
J J J J J K K K J K K J K J K K J
T T T T T T T T T T T T T T T T T Exempt
Exempt
36. TWC Stock (Trust #1) 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. TWX Stock (Trust #1) YUM Stock(Trust#I) MMM Stock (Trust #1) BGR Mutual Fund (Trust # I) EOI Mutual Fund (Trust #1) EOS Mutual Fund (Trust #1) EXG Mutual Fund(Trust #1) ETJ Mutual Fund(Trust #1) KYE Mutual Fund (Trust #1) Amer Funds Capital World Growth & Inc Fund CL A-Trust #1 FTTempleton Growth A (Trust #1) Hartford Capital Appreciation Fund CL A (Trust #1) Lord Abbett Developing Growth Fund CL A (Trust # I) Thoruburg Value Fund A (Trust #1)
I. Income Gain Codes: (See Columns BI and D4) 2. Value Codes (See Columns CI and D3} 3. Value Method Codes (See Column C2)
A =$ 1,000 or less F =$50.001 - $100,000 J =$15,0(~1 or le~s N =$250,001 - $50{),000 P3 =$25,000,0OI - $50.004).000 Q =Appraisal U =Book Value
B =$ 1.001 - 52,500 G =5100.0~1 - $1,00~.0~O K =$15,001 - $50.000 O =$50~.001 - $1.0{KI,0~O R =Cost (Real Estate Only) V =Olher
C =52.501 - $5,~00 HI =51,0OO.001 - 55.090,0OO L 550,001 - 5100.000 PI =51,000.001 - $5.000.000 P4 =More than $50.0{)0.000 S =As>cssmcnt W =Estimated
D =$ 5.001 - $15,000 H2 -More than $5,0~3,0(~ M =$100,001 - $250.000 P2 =$5.000.001 - 525,000.000 T =Cash Market
E =515,001 - 550,(~0
VII. INVESTMENTS and TRUSTS - i.como, ,,at.e, transactions (Includes those of spouse and dependent children; see pp. 34-60 of fillng instructlonx)
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 (1) Amount Code I (A-H) (2) Type (e.g., div., rent, or int.)
Gross value at end of reporting period (i) (2) Value Value Code 2 Method Code 3 (J-P) (Q-W)
52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68.
UNTS Claymore Delta GLBL Coal Portfolio Series I (Trust #1) UNTS Claymr Delta GLBL Shipping Ser 8 (Trust # 1) UNTS Ft Target VIP (Trust #1) UNTS Pathfinders treasury & Growth Stock Series 31 (Trust #1 FT Templeton Global Bond A (Trust #1) CRP securities (Trust #1) RBSPRM Securities (Trust #1) RBSPRQ Securities (Trust #1) WFCPRJ Securities (Trust #I) Residential property Wyoming (Trust #I) Rentalproperty, Wyoming (Trust #1) Park County, Park County,
B A A B A B A A B
Int./Div. Dividend Int./Div. Dividend Dividend Dividend Dividend Dividend Dividend None J K J J J K M K J K K J J J T T T T T T S S T T T T T T J T
C A A B A A A
North Carolina HSG Fin Agy Bonds (Trust #~) WCDA Housing Bonds (Trust #1) Vectren Utility Holdings Bonds (Trust #1) BXP stock (Trust#I) XOM stock (Trust#I) FCX stock (Trust #1)
I. Income Gain Codes: (S~e Columns BI and D-l) 2. Value Codes ISle Columns CI and D3) 3. Value Method Codes ISce Column C2)
A =$1.000 or Icss F -$50.001 - $100.000 J =$15,000 or less N =$250.001 - $500.000 P3 -$25,0~).001 - $50.000.000 Q -Appraisal U =Book Value
B =$ 1.001 - $2,500 G =$100.001 - $1.00~.000 K $15,001 - $50.000 O =$500.001 - $1.000.000 R =Cost (Real Estale Only) V =Other
C =$2,501 - $5,000 HI =$1.000.001 - $5,000,00~ L =$50,001 - $100,000 PI =$1,000.001 - $5,000,000 P4 =More than $50,000,000 S =Assessment W =Estimaled
D =$5,00 1 - $15,000 H2 =More than $5.000.00~ M =$100,001 - $250.000 P2 =$5,000,001 - $25,000.000 T =Cash Market
E =$15.001 - $50,000
VII. INVESTMENTS and TRUSTS - income, value, transactions (Includes those of spo .....
NONE (No reportable income, assets, or transactions.)
Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure Income during reporting period Gross value at end of reporting period
O)
Amount Code I (A-H)
(2)
Type (e.g., div., rent, or int.)
0)
Value Code 2 (J-P)
(2)
Value Method Code 3 (Q-W) Type (e.g., buy, sell, redemption)
(2) (3) (4) Date Value Gain mm/dd/yy Code 2 Code 1 (J-P) (A-H)
(5)
Identity of buyer/seller (if private transaction)
HBAN stock (Trust #1) PFE stock (Trust #1) CAIBX mutual fund (Trust #1) FTIAX mutual fund (Trust # I) FITAX mutual fund (Trust #1) FKINX mutual fund (Trust #1) AMECX mutual fund (Trust #1) Edward Jones Money Market (Trust #1) Meridian Trust FCU cash account #2
Meridian Trust FCU cash account #3 (Y)
A A B A A B A A A
J j K K J K K J J
T T T T T T T T T Exempt
79.
B A A
N K J J
T T T T
(x)
80. HFLAX (Trust #1) (X)
#l)(X)
Oregon Trail Bank cash account (X)
85.
1. Income Gain Codes: (See Columns BI and D4) 2. Value Codes (See Columns CI and D3) 3. Value Method Codes (See Column C2)
A =$ I.O00 or Ic~s F =$50.001 - $100,000 J = $15.000 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 = $15,1301 - $ 50,000 O =$500.001 - $1.000.000 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 - $15,000 H2 =More than $5.000.000 M = $ 100,001 - $250.000 P2 =$5.000.001 - $25.000,000 T :Cash Markel
E =$15,001 - $50,000
VII. INVESTMENTS and TRUSTS - income, ,atue, 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 (1) (2) Amount Type (e.g., Code I div., rent, (A-H) or int.) Gross value at end of reporting period Transactions during reporting period
(i)
Value Code 2 (J-P)
(2)
Value Method Code 3 (Q-W) Type (e.g., buy, sell, redemption)
86. 87. 88. 89. 90. 91. 92. 93. 94. 95. 96. 97. 98. 99. 100.
I. Income Gain Codes: (See Columns B I and IM) 2. Value Codes (.Scc ColumnsCI and D3) 3. Value Method Codes (sec Column C2)
A =$1,000 or less F =$50,001 - $100.009 J =$15,0~30 or less N =$250.001 - $50~.000 P3 =$25,0~).001 - $50.000,000 Q =Appraisal U =Book Value
B $1.001 - $2,500 G =$100.001 - $1,009.00~ K =$15,001 - $50,000 O $50(I.001 - $1,000,000 R =Co,~t (Real E~tale Only) V =Other
C =$2,501 - $5,000 HI =$1.000,0~1 - $5,0~0,000 L =$50,001 - $ 100.000 PI =$1,000,0~1 - $5,000,000 P4 =More than $50,000.000 S =Asscssmenl W =Estimated
D =$5.001 - $15,0~ H2 =More than $5,000,00~ 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 ~ithheld because it met applicable statutory provisions permitting non-disclosure. ! 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.
NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS 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
Report Required by the Ethics in Government Act ofl978 (5 U.S.C. app. 101-111)
[] Initial
[] Annual
[] Final
Reviewing 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.
D
I. 2. 3. 4. 5. 6. 7. 8. 9.
POSITION
Partner Member President Co-Chairman Representative Officer Representative Representative Director
NAME OF ORGANIZATION/ENTITY
Davis & Cannon, LLP (ended 5/31/2010) K&N, LLC (ended 5/31/2010) Leadership to Keep Children Alcohol Free Foundation (ended 5/31/2010) Leadership to Keep Children Alcohol Free (ended 5/31/2010) Wyoming First Ladys Initiative (ended 5/31/2010) National Governors Spouses Leadership Committe (ended I/3/201 I) Western S~ates Arts Federation (ended 5/31/2010) Wyoming 2-1 - I Leadership Group (ended 5/31/2010) Wyoming Governors Residence Foundation (ended I/3/2011) UW Art Museum National Advisory Board Wyoming Carbon Sequestration Working Group (ended 5/31/201 O) Trust #1
Freudenthal, Nancy D. A
II1. NON-INVESTMENT INCOME. (Reporting individual and spouse; seepp. 17o24 of filing instructions.)
A. Fliers Non-Investment Income
~ NONE (No reportable non-investment income.) DATE SOURCE AND TYPE
INCOME
(yours, not spouses) $78,187.00
I. Par~ 2010 2. 3. 4.
B. Spouses No n-I nvestment I ncome - If you were married during any portion of the reporting year, complete this section.
(Dollar amo~mt not required except for honoraria.)
I. 2010 2. 3. 4.
[~]
SOURCE
DATES
LOCATION
PURPOSE
2. 3. 4. 5.
V. G IFTS. ancl,des ,hose ,o spo,se ond dopendent children; see pp. 28-31 of filing instructions.)
D NONE (No reportable gifts.) SOURCE I. 2. 3. 4. 5. 6. 7. 8. Davis & Cannon, LLP Zanterra Parks & Resorts Grand Teton Lodge Company Federal Bar Association Inn at the Creek Larry Suchor & Larrys Mining Cheyenne Family YMCA Wyoming Arts Council Investiture Reception Lodging and transportation - Old Faithful and Snow Lodge Lodging - Jenny Lake Lodge Reception Gift Certificate for One Night Stay - unused to date Three pieces of petrified wood ~j membership Glass with Capitol Xmas Tree Silk Screened Powdered Glass Image by John Frechette DESCRIPTION
VALUE
$1,670.00 $900.00 $400.00 $350.00 $349.00 $600.00 $583.00 $350.00
9.
VI. LIABILITIES. ancludes those of spouse and dependent children; sec pp. 32-33 of filing instructions.)
D NONE (No reportable liabilities.)
CREDITOR
1. 2. 3. 4. 5. Security State Bank Oregon Trail Bank
DESCRIPTION
Mortgage on Property in Iowa City, Iowa Construction Loan
VALUECODE
L N
VI I. INVESTMENTS and TRUSTS - income, ,aZue, transactions (Includes those of spouse and dependent children; seepp. 34-60 of filing instructio.~)
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 (l) (2) Value Value Code 2 (J-P) Method Code 3 (Q-W) Transactions during reporting period
0)
Amount Code I (A-H)
(2)
Type (e.g., div., rent, or int.)
0)
Type (e.g., buy, sell, redemption)
(2) (3) (4) Date Value Gain mm/dd/yy Code 2 Code I (J-P) (A-H)
I. 2. 3.
K
K
T
T
T J M M N T T T T Sold Sold Sold Sold Sold Sold Sold Sold Sold Sold 10/22/101 10/22/10 10/22/101 10/22/10 10/22/10 10/22/101 10/22/10, 10/22/10 10/22/10 10/22/10 K J J K K K K K K K A A A A A A A A A A
4. INUTX 5. 6. 7. 8. 9. 10. I I. 12. 13. 14. 15. 16. 17. RiverSource Life Annuity RiverSource Life Annuity IRA RiverSource Life Annuity IRA AEPGX Mutual Fund (401K) CABDX Mutual Fund (401(K) ADGAX Mutual Fund (401K) CWGIX Mutual Fund (401K) SEVAX Mutual Fund (401K) AGTHX Mutual Fund (401K) NEWFX Mutual Fund (401K) NYVTX Mutual Fund (401K) NFJ Closed End Mutual Fund (401K) GECapCorp Bonds (401 K)
A A A A A A A B A A A A A A
Dividend Int./Div. Int./Div. Int./Div. lnt./Div. Int.iDiv. Int./Div. Int./Div. Int./Div. Int./Div. Int./Div. Int./Div. Int./Div. Int./Div.
1. Income Gain Codes: ( See Col umns B I an d IM ) 2. Value Codes (sec ColumnsCI and D3) 3. Value Method Codes Isee Column C2)
A =$1.000 or less F = $ 50.001 - $ 100.000 J -$ I 5,000 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 =$15,1)01 - $50,000 O =$500,0~1 - $1,000,000 R =Cost (Real Estate Only) V Other
C =$2,501 - $5,000 H I = $ 1,000,001 - $ 5.000.000 L =$50,001 - $ 100.000 PI =$1,000,001 - $5,000,000 P4 =More than $50,009.000 S =Assessment W =Estimated
D =$5,0OI - $15,000 H2 =M ore th an $5.000,000 M -$ 100,001 - $250.000 P2 $5,0~0,001 - $25.000.090 T =Cash Market
E -$15.001- $50,000
VII. INVESTMENTS and TRUSTS - income, value, transactions (Includes those of spouse and dependent children; see pp. 34-60 of filing instructions.)
NONE (No reportable income, assets, or transactions.)
Description of Assets (including trust asse~s) Place "(X)" after each asset exempt from prior disclosure Income during reporting period Gross value at end of reporting period Transactions during reporting period (l) Value Method Code 3 Type (e.g., buy, sell, redemption) (2) (3) (4) Date Value mnddd/yy Code2 (J-P)
(i)
Amount Code I (A-H)
(2)
Typo (e.g., div., rent, or int.)
(i)
Value Code 2 (J-P)
(2)
(Q-W)
18. 19. 20. 21. 22. Citigroup Capital X (401K) Keycorp Cap V (401 (K) Deferred Comp BGI LifePath Ind. 2035 Fund M Rental property in County, Wyoming K&N, LLC Laramie D A A Int./Div. Int./Div. None Rent None None
B Dividend M Sold Sold Sold (part) Expired Sold Sold 10/22/10 110/22/10 I 1/01/10 06/30110 05/31/10 05/31/10 J J M N L K
A A A A D A
25. 26. 27. 28. 29. 30. 31. 32. 33. 34.
ING Life Insurance Cash & Sweep Balance-Wells Fargo (401K) UBS Bank USA Dep Acct (Trust #1) BMY Stock (Trust #1) GMR Stock (Trust #1) GE Stock (Trust #1) HD Stock (Trust #1) INTC Stock (Trust #1) MSFT Stock (Trust #1) PEP Stock (Trust #1)
B A A A A A A A C A
Interest Interest Interest Dividend Dividend Dividend Dividend Dividend Dividend Dividend
K Sold J J J J J J K J
T T T T T T T T
10/I I/I0
I. Income Gain Codes: (See Columns B I and D4) 2. Value Codes (See Columns CI and D3) 3. Value Method Codes (See Column C2)
A =51,000 or less F =550,001 - $10~,000 J =$15,0~1 or less N =$250.001 - $500,00~ P3 =$25.000.001 - $50.0~3.000 Q =Appraisal U =Book Value
B =$I.001 - $2,500 G =$100.001 - $1,0~0,000 K -515,001 - $50,000 O =$500.001 - $1.000.000 R =Cost (Real Estate Only) V -Other
C =52,501 - $5.000 HI =51,01~1,001 - 55,000.000 L =$50.001 - $100.0~O PI $ 1,000.0~ I - $5,009.000 P4 -More than $50.000.000 S =As.,essmcnl W =Estimated
D =55.001 - 515.000 H2 =More than $5.000.000 M $10O.0~l - $250,0(~ P2 =$5.000.001 - $25.000.000 T -Cash Market
E =$15.001 - $50.000
redemption)
(2) (3) (4) Gain Date Value mm/dd/yy Code 2 Code 1 O-P) (A-H)
35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50.
SLE Stock (Trust #1) TWC Stock (Trust #1) TWX Stock (Trust #1) YUM Stock (Trust #1) MMM Stock (Trust #1) BGR Mutual Fund (Trust #1) EOI Mutual Fund (Trust #1) EOS Mutual Fund (Trust #1) EXG Mutual Fund (Trust #1) ETJ Mutual Fund (Trust #1) KYE Mutual Fund (Trust #1) Amer Funds Capital World Growth & Inc Fund CL A-Trust #1 FT Templeton Growth A (Trust #1) Hartford Capital Appreciation Fund CL A (Trust # I) Lord Abbett Developing Growth Fund CL A (Trust # I ) "lhomburg Value Fund A (Trust #1)
A A A A A B C C B D B A B A B A A
Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend
J J J J J K K K J K K J K J K K J
I. Income Gain Codes: (See Columns BI and 134) 2. Value Codes (See Columns CI and D3) 3. Value Method Codes {See Column C2)
A =$1,0~0 or less F ~$50,091 - $100,009 J =$15,000 or loss N =$250.0~1 o $500.000 P3 =$25.0~0,001 - $50.00~.000 Q =Appraisal U =Book Value
B $1.0~1 - $2.500 G =$100.001 - $1.00~,0~0 K $15,0~1 - $50,000 O =$500.001 - $1.00~.0~0 R =Cost (Real Estate Only) V =Other
C -$2.501 - $5.000 H I -$1,009.001 - $5.000.090 L =$50.001 - $100.00~ Pl -$1.000.001 - $5.000.090 P4 -More than $50,000,000 S =Assessment W =Estimalcd
D =$5,0~1 - $15.000 H2 =More than $5.0(~.0~0 M =$100,001 - $250.0~) P2 =$5.000,001 - $25,000,0~0 T =Cash Market
E =$15.001 - $50,000
VII. INVESTMENTS and TRUSTS - income, value, transactions anct.aes those of spoase and dependent 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 O) Amount Code I (A-H) (2) Type (e.g., div., rent, or int.) Gross value at end of reporting period O) Value Code 2
(J-P)
(5)
Identity of
Type (e.g.,
buy, sell,
redemption)
52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68.
UNTS Claymore Delta GLBL Coal Portfolio Series I (Trust #1) UNTS Claymr Delta GLBL Shipping Ser 8 (Trust # I ) UNTS Ft Target VIP (Trust #1) UNTS Pathfinders treasury & Growth Stock Series 31 (Trust #1 FT Templeton Global Bond A (Trust #1) CRP securities(Trust #1) RBSPRM Securities (Trust #1) RBSPRQ Securities (Trust #1) WFCPRJ Securities(Trust #I) Residential property, Cody, Park County, Wyoming (Trust #1) Rental property, Cody, Park County, Wyoming (Trust #1) North Carolina HSG Fin Agy Bonds (Trust #~) WCDA Housing Bonds (Trust #1) Vectren Utility Holdings Bonds (Trust #1) BXP stock (Trust #1) XOM stock (Trust #1) FCX stock (Trust #1)
B A A B A B A A B
Int./Div. Dividend lnt./Div. Dividend Dividend Dividend Dividend Dividend Dividend None J K J J J K M K J K K J J J T T T T T T S S T T T T T T J T
Sold Sold
K J J
A A A
(part)
Sold
C A A B A A A
I. Income Gain Codes: (see Columns B I and D4 ) 2. V alue Codes (see Columns CI and D3) 3. Value Method Codes (See Colunm C2)
A -$1.00~ or less F =$ 50.001 - S 100.000 J = $15.000 or less N $250.001 - $500.000 P3 $25.000.001-$50.000.000 Q = Appraisal U :Book Value
B =$1.00l - $2,500 G =$ 100,001 - $ 1.000.000 K = $15,001 - $50,0~0 O=$500.001-$1,000,000 R =Cost (Real Estate Only) V -Other
C =$2.501 - $5,000 H 1 =$1,000,001 - $5,000,000 L = $ 50,001 - $100,000 P I =$1,000,001 - $5,000,000 P4 =More than $50,000.(~O0 S =Assessment 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 - $50.00~
VII. INVESTMENTS and TRUSTS - income, value, transactions (Includes those of spouse and dependent children; seepp. 34-60 of filing instructions.)
NONE (No reportable income, assets, or transactions.)
Description of Assets Income during
reporting period 0)
Amount
(2)
Type (e.g.,
Code I (A-H)
Gross value at end of reporting period O) (2) Value Value Method Code 2 (J-P) Code 3
(Q-W)
(5)
Idenlily of
69.
A A B A A B A A A
J J K K J K K J J
70. PFE stock (Trust #1) 71. 72. 73. 74. 75. 76. 77. 78. 79. 80. 81. 82. 83. 84. 85. CAIBX mutual fund (Trust #I) FTIAX mutual fund (Trust#I) FITAX mutual fund (Trust # I) FKINX mutual fund (Trust #1) AMECX mutual fund (Trust #1) Edward Jones Money Market (Trust #1) Meridian Trust FCU cash account #2 Meridian Trust FCU cash account #3 (Y) Active Diversified Alternatives MOD, IRA
T T T T T T T
B A A
N K J J J M
T T T T T S
Buy Buy
02/14/10 04/30/10
K J
(x)
HFLAX (Trust #1) (X) Casper WY Cmnty Col. Rev Bonds (Trust #~)(X) Oregon Trail Bank cash account (X) Shoshone Title Common Stock (Trust #1) Residential Property, Iowa City, Johnson County, IA A
Dividend None
I. Income Gain Codes: (See Columns B I and O4) 2. Value Codes (See Columns C I and D3) 3. Value Method Code,:, ISec Column C2)
A =$1.000 or less F =$50.001 - $100,000 J =$15,000 or less N =$250.001 - $500,000 P3 =$25.000,001 - $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 =$1.000,!~01 - $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 - $15,000 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. INVESTM ENTS and TRU STS - income, value, transactions (Includes those of spouse and dependent children; see pp. 34-60 of filing instructions.)
(2)
Type (e.g., buy, sell, redemption) Date mm/dd/yy
(3)
Value Code 2 (J-P)
(4)
Gain Code I (A-H)
(5)
Identity of buyer/seller (if private transaction)
86.
88. 89. 90. 91. 92. 93. 94. 95. 96. 97. 98. 99. 100.
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 - $100,00~ J =$15,0~0 or less N =$250,001 o $50~.0~0 P3 =$25.0~).001 - $50.000.000 Q =Appraisal U =Book Value
B =$1,001 - $2,500 G =$100.0~1 - $1,000,000 K $15.001 - $50,000 O =$500.001 - $1,000.0~0 R =Cost (Real Estate Only) V -Other
C =$2,501 - $5,000 HI ~$1,0~0,001 - $5,000,000 L =$50,001 - $11D0.000 PI =$1,000.001 - $5,00~,0~0 P4 =Mor~ than $50,0~.000 S =Assessment W =Estimated
D =$5,001 - $15,000 H2 =More than $5,000,000 M =$100.001 - $250.000 P2 =$5,0~).001 - $25,0~.00~ T =Cash Markct
E =$ 15,001 - $50.1)00
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 kno~vledge and belief, and that any information not reported was withheld because it met applicable statutory provisions permitting non-disclosure.
! further certify that earned income from outside employment 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 FAILS 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