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)
[] Initial
7. Chambers or Office Address 701 Clematis Street, Room 257 West Palm Beach, FL 33401
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 followecL Complete all parts,
checking the NONE box for each part where yoa have no reportable information. Sign on iast page.
NAME OF ORGANIZATION/ENTITY
Lake Lucy Groves (Operations and most of assets sold - See Section VIII) Billie Moore Farms, LLC, a Georgia Limited Liability Compnay
Middlebrooks, Donald M.
III. NON-INVESTMENT INCOME. (Reporting individual and spouse; see pp. 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-lnvestment Income - If you were married during anyportion of the reporting year, complete this section.
(Dollar amount not required except for honoraria.)
2. 3. 4.
DATES
LOCATION
PURPOSE
V. GIFTS. tt~dodes those to spouse a.d dependent children; see pp. 28-31 of filing instructions.)
NONE (No reportable gifts.) SOURCE
i. 2. 3. 4. 5.
DESCRIPTION
VALUE
VI. LIABILITIES. a,,cludes those of spouse and dependent children; see pp. 32-33 of filing instructions.)
~ NONE (No reportable liabilities.)
.CREDITOR 1. 2. 3. 4. 5. Northern Trust Bank Loan
DESCRIPTION
VALUE CODE
L
VII. INVESTMEN TS and TRU S TS - income, vatue, transactions (.Includes 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) Amount Code 1 (A-H) (2) Type (e.g., div., rent, or int.) C. Gross value at end of reporting period (1) (2) Value Value Code 2 Method (J-P) Code 3 (Q-W) D, Transactions during reporting period (1) Type (e.g., buy, sell. redemption) (2) (3) (4) Date Value Gain mm/dcbyy Code 2 Code 1 (J-P) (A-H) (5) Identity of buyer/seller (if private transaction)
Lake Lucy Groves, Lake Cty, FL 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15.
16.
None D Dividend
L N
W T Buy (addl) Buy (addl) Buy (addl) Buy (addl) 04/01/10 07/01/10 10/01/10 12/15/10 J J J J
Berkshire Hathaway Common Stock A Berkshire Hathaway Common Stock B Exxon Mobil Common Stock A Intel Corporation Common Stock Microsoft Corporation Common Stock Johnson & Johnson Common Stock 1 Shares MSC1 Emerging Markets Index Fund I Shares MSCI EAFE Index Fund UTS SPDR Trust Series 1
PI M L
T T T Sold 07/29/10 K
A A C D
K K M N
T T T T Sold (part) Sold (part) Sold 07/29/10 07/29/10 11/23110 07/29/I 0 11/23/10 K J J K A
Dividend
17.
1. Income Gain Codes: (See Column~ 131 and D4) 2. Value Codes (See Columns C 1 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 =$25,000,001 - $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 - $5,000 H 1 -$ 1,000,001 - $ 5,000,000 L =$50,001 - $ 100,000 P I =$1,000,001 - $5,000,000 P4 =More than $50,000,000 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. INVES TMENTS and TRUSTS - inco,.e, 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 repo~ting period (1) Amount Code l (A-H) (2) Type (e.g., div,, rent, or int.) Gross value at end of reporting period (1) (2) Value Value Code 2 (J-P) Method Code 3 (Q-W) (l) Type (e.g., buy, sell, redemption) Transactions during reporting period
(2) (3) (4) Date Value Gain mm/dd/yy Code2 Code 1 (J-P) (A-H)
(5)
Identity of buyer/seller (if private transaction)
18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32.
U.S. Treasury Notes Federal Home Loan Bank Barclays Bank CD .2279279% Int. in Ind. Pk. Odando Holwood, Inc. Level 3 Communication Inc. CV Citibank, N.A. Bank Deposit Program (Cash) inAirport
Interest None
Buy (addq)
04/28/10 L
Redeemed 04/29/10 L L K K K L L J L
T T T
Q W
A B
US Tsy Inflation Index NTS DTD 1/15/2001 B Northern Trust Checking Account GoogleCommon Stock B
Sold (part)
09/02/10 M
J J J
Leucadia National Billie Moore Farms, LLC Pimco Total Return Fund Class A Pimco All Asset All Authority
Dividend None
L M L M
T R
Buy (addl)
B D
Int.iDiv. Int./Div.
Buy
09/02/10 M
1. Income Gain Codes: (See Columns B I and I)4) 2. Value Codes (See Columns C I 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 =$25,000,001 - $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 H 1 =$1,000,001 - $ 5,000,000 L -$50,001 - $100,000 P 1 =$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
27. Billie Moore Farms, LLC is corporation. I own 50% and: ~~ owns 50%. Its sole asset is land in Crawfordville, Georgia. It was purchased on July 18, 2008 for $290,000 from Larry Stewart. Note: I have deleted stocks and bonds owned by outside our home. ~ that were previously listed on this report in Section VII. ~ now eside
IX. CERTIFICATION.
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 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.
Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544