ao-.o inancial disclosure report repot required by …...date ____ _ n me of qroanlzatny is and ers...
TRANSCRIPT
Date ____ _
eosmoN NAME OF QROANlZATION/ENTITY
PARTIES AND TERMS
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At'1ENDED Report Required by the Ethks AO-�.O FINANCIAL DISCLOSURE REPORT in Guvernment Act of l 978 Rev. 1.2004
Calendar Year 2003 (5 U.S.C. app. §§IOI-II I)
l. Person Reporting (Last name, First name, Middle initial)
Simandle, Jerome B
4. Tille (Article Ill Judges iodital'll active or senior status;
magistratejudges indicate full- or p11rt·time)
U.S. District Iwlge (Actiw)
7. Chambers or Office Add=
U.S. Courthouse
One John F. Geny Plaza
Camden, NJ OSIOt-0888
2. Courr or Organ izalion 3. Date of Report
U.S. District Court 3120/2004
S. ReportTypc (check appropriate type) 6. Reporting Period
Q Nomi11111ion, Date 1/112003
Q tailial @ Annlllll 0 Final to
1213112003
8. On the basis of the infonnation contained in this Report and any modifications pertaining 1hercto, it is, in my opinion, in compliance with applicab le laws and regulations.
. The instructions accompanying this form must be rollcwed. Complete all pans, checking the NONE box for each part
ble infonnation. Sign on last page. .
I. POSITIONS. (Reporting individual only; see pp. 9-13 offfiing instructions}
0 NONE (No reportable positions.) •
I. Treasurer & Member, Board of Directors Federal Judges Association
II. AGREEMENTS. (Reporting individual only; see pp. 14-16 of filing instructions)
NONE - (No rcportllble agreements.)
I.
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SOURCE AND TYPE GRQSS
SOURCE ANPTYPE
SQURCE DESCRIP1JON
FINA.i�CIAL DISCLOSURE REPORT Name of Person Reporting Date ofReport
Simandle, Jerome B 8/20/2004
III. NON-INVESTMENT INCO:NIB. (Reporting individual and spouse; see pp. 17-24 of filing instmetions)
A. Filer's Non-Investment Incom
NONE - (No reportable non-investment inctime.)
CNCOME (yours, not spouse )
l. Non-n:portable
B. Spouse's Non-Investment Income - (lfyou wen: married during any portion of the reporting year, please complete this section. (dollar amount not required except furhonoraria)
0 NONE - (No reportable non-investment income.)
1. 2003 Licensed Psychologist (self-employed)
N. REIMBURSEMENTS - transportation. lodging. food, entertainment.
(Includes those to spouse and dependent children. See pp. 25-27 of instructions.)
0 NONE - (No such reportable reimbursements.}
1. Federal Judges Association Bd. ofDin:ctors Meeting - Washington, DC; May 3-S, 2003 (transportation. food, lodging)
2.
3.
4.
5.
SOURCE DESCRIPTION
CREDITOR DESCRIPTION VALUE CODE
Name of Person Reporting FINANCIAL DISCLOSURE REPORT Date of Report
Simandle, Jerome B 8/20/2{)-04
V. GIFTS. (Includes those to spouse and dependent children. See pp. 28-31 of instructions;)
NONE - (No such reportable gifts.)
1.
2.
3.
VI. LIABILITIES. (Includes those of spouse and dependent children. See pp. 32-34 of instructions.}
NQNE (No reportable liabilities.} -
1.
2.
3.
!ram
(3) (4) (5)
m
---
.fessional I County,
M
' -
(2)
FlNAl'iCIAL DJSCLOSURE REPORT Name of Person Reporting Date of Report
Page' 1of1 Simandle, Jerome B 8/20/2004
VII. INVESTMENTS and TRUSTS - income, value. trnnscations {includes those of the spouse and dependent children. See pp. 34-57 of filing instmctions.)
A. B. c. D.
Description of Assets Income during
reporting period Gross value at end of repmting period
Transactions during reporting period
(including trust assets) - lf not exempt disclosure(1} (2) (I) (I)
"(X)• after eac;h a.sset exempt · from prior disclosute
(No reportable income, assets. or transactions) DNONE
Rental Property, 1.
2. Commerce Bank,NJ-Accounts
Dreyfils Trust-3rd Cen1my Fund - IRA Accounts3.
MBNA America Barak-Accou11t 4.
Citizens Fund-Citizens Money Market Fund Accounts
s.
Citiz.ens Fund • Citl7.ens Core Growth Fund Accounts
6.
Citizens Fund-Citizens Emerging Growth Fund Accounts
7.
Citizens Fund- Citizens Global Equity Fund Accounts
8.
9. Office,
Citiz.ens Bank Account 10.
(2)
Ammmt Type (e.g. Value Value Type (e.g. Date: Value Gain Identity of Olde I div. nmt OT Code2 Method buy.sell, Month- Code2 Code buyer/seller (A-H) int.) {J-P) Code l lllllrglll', Day (J-P) 1 (A- (if private redemption)(Q-W) transaclion)
D Rent M w
A Interest J T
A Dividend K. T
A Interest J T
A Dividend M T
None K T -
None K. T
None 1 T
None - N w
A Interest T Open 9124 N Account
. '
I. Im,ome/Gaiil Codes: A .;Sl,OOOorl= B = Sl,001-$2;500 c = $2,)Ql-_$5,000 D = $5,001-$15,000 E SI 5,001-$50,060
(See Co!tu ,Bl andDt) F = $50,QQi-s1 oo,ooa G "'$100,001-$1,000.000 ru =s1,ooo,001'-$.5,ooo;ooo . B2 =Mo ,lhan $5,000,000
:t Value Codes: J = $15,000 or less K = $15.001-$50,000 . L = $5Q,001-S'1oa,ooo · M = s100.001- .so.ocio
(See Columl'lS Cl and D3} N = S250,000-:S500,000 0 = $:500,001-S l,000,000 P1 · = s1.ooo,001-ss,ooo;Q00 P2 = $5,000,001-$25,000,000
P3 = $25,000,00 Jc$50,000,000 P4 = $More tlllin .$50,000,000
J, Value Method Codes Q =Appraisal R =Cost (Real Estato Only) s = Asscsgment T =Cash/Market
(See Column C2) u =Book Value v =Other w =Estimated
I
. ·
8/2012004
Name of Person Reporting Date of Report FINA.l�CIAL DISCLOSURE REPORT
Simandle, Jerome B
(lndicale part ofReport.) VIII. ADDITIONAL INFOR1\1A TION OR EXPLANATIONS
This Report amends the Financial Disclosure Report for 2003 dated 5/1212004.
2..0,
TINAl'f CIAL DISCLOSURE REPORT .
'
IX. CERTIFICATION.
Name of Person Reporting Date of Report
Simandle, Jerome B 8/20/2004
I certify that all infonnation given above (including infonnation pertaining to my spouse and minor or dependent children, if any) is accmate, 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 bonoraria and the acceptance of gifts which have been reported are in compliance with the provisions ofS U.S.C. § 501 et. seq., 5 U.S.C. § 7353, and Judicial Conference regulations.
Date l.o() 'f
NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE 1HIS REPORTMAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (5 U.S.C. app. § 104)
FILING INSTRUqrIONS
Mail signed original and 3 additional copies to:
Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544
__________ _ Date ____ _
POSIDON NAME OF ORGANJZATIONIENTITY
PMTIES AND TERMS
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Date
Report Required by the EthicsAO-IO FINA.l CIAL DISCLOSURE REPORT iu Government Act of 1978
Rev.1/2004 Calendar Year 2003 · (5 U.S.C. app. §§ 101-nt)
1. Person Reporting (Last name, First ruune, Middle initial) 2. Court or Organil.ation 3. Date of Report
Simandle, Jerome B U.S. DistrictCourt 5/12/2004
·4. Title (Article Ill Judges indicate active or senior status; 5. ReportType (check appropriate type) 6. Reporting Period
magistrate judges indicate full- or part-time) 0 Naminaticn. 1/Jfl003
U. S. District Judge (Active) Q Initial @Annual Q Final to
12/3lfl003
7. Chambers or Office Address It On the basis of the infurmation contained in. this Report and any
U.S. Courthouse modifications pertaining thereto, it is, in my opinion, in compliance
with applicable laws and regulations. One John F. Gerry Plaza
Camden, NJ 08101-0888 Reviewing Officer
IMPORTANT NOTES: The instructions accompanying this funn must be followed.. Complete all parts, checking the NONE box for each part where you have no reportable information. Sign on last page.
I. POSmONS. (Reporting individual only, see pp. 9-13 of filing instructions)
0 NONE . - (No reportable positions.)
1. Treasurer & Member, Board ofDin:ctors Federal Judges Association
0-en "i;=<::> -
r--., "-l =o ·c.no- r�1C:.".:1:.:
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r-:10 : . -05;: w ·llfif·
(Reporting individual only; see pp. 14-16 offiling instructions) "ij r- 3:::i... ,.II. AGREEMENTS. '"If = 0 ... -
NONE (No iq>anable agreements.) l1j 0-
" 1.
SOURCE AND TYPE GROSS INCOME
SOURCE AND TYPE
DESCRIPTIQN
5/1212004
Name of-Person Reporting FINANCIAL DISCLOSURE REPORT Date ofRepo.1
Simandle, Jerome B
III. NON-INVESTMENT INCOME. (Reporting individual and spouse; see pp. 17-24 offiling instructions)
A. Filerts Non-Investment Jncom
NONE · (No reportable non-investment income.)
l.
(yours, not spouse's)
Non-reportable
B. Spouse's Non-Investment Income· Qfyou were married during any portion of the reporting year; please complete this section. (dollar amount not required except for honoraria)
D NONE (No reportable non-investment income.) •
1. 2003 Licensed Psychologist (self-employed)
IV. REIMBURSEMENTS transportation, lodging, food, entertainment. -
(Includes those to spouse and dependent children. See pp. 25-27 of instructions.)
D NONE (No such reportable reimbursements.) -
SOURCE
l. Federal Judges Association Bd. ofDirecton Meeting - Washington, DC; May 3·5, 2003 (transportation. food, lodging)
2.
3.
4.
5.
SOURCE DESCRIPTION
CREDITOR. DESCR.IPTION VALVE CODE
5/1212004
.
NameofPerson Reporting FINANCIAL DISCLOSURE REPORT Date of Report
- Simandle, Jerome B
V. GIFTS. (Includes those to spouse and dependent children. See pp. 28-31 of instructions.)
NONE (No such reportable gifts.)-
l.
2.
3.
VI. LIABILITIES. (Includes those of spouse and dependent children. See pp. 32-34 of instructions.)
NONE (No reportable liabilities.) -
1.
2.
3.
(I) (2) (I) It disclosure
(2) (3) (4) {S) Oaill
Codc2 Code
m
2.
ln1«clt
Accounts
Office,, None
c ·o Ii
- ;
-CasblMa.llcet
F1NANCIAL DISCLOSURE REPORT Nam.. of Pemm R.eportina Dare of Report
Page 1 of l Simand11; Jeiomc B 5/1212004
VII. INVESTMENTS and TRUSTS income. v1luc. lnlW:atiou <m.:1uc1es t11osc otme spouse 1111d dependent c1111<1ren. !ire w. l•i.s1 otlilins instnu:lit>U.) -
A. 8. c. D.
Dcsoripticn of Amis (includin IAlilt-)
Income daring reponinJ period
OIOSS valuo al end of reporting period
(2)
Trml58Ctiam during l'llpOl1iaa period
{l) 00! e.cnipl Imm
Place "DC}" after each asset eicempt fun prior disclostn
Amount T)'Pe fc.a. Code:! div. n:nt. Ill"
Value Vahlll Codo2 Metliod
Type (o.s, Dote: Val1111 ldcntiryofbuy, sell, Moath• bu)'er/Rller
(A •Ii) a11.) [J-1') . Codoil
(Q-W) .......... 0..,. CJ-I') I (A· {ifprivotonoclernption) lr:allSaclillll)
DNONE (No reponabloc illccml:, -. or )
I. Rcmal Property,
Commm:c Bank, NJ-Ac;counts
J. Dn:yfiis Trust-3rd Ccnl.vly Fund • IRA Accounl8
4. MBNA America Bank-Account
5, ri7.enA Finut..r.itin!lft• Mnnq Mllfket Flmd Al:counts
D Rent
A lntcn:st
A Dividend
A
A Tllvidmd
M w
J T
IC T
J T
M T
6. Citizens Fond • Cltisns Cclnl Clrowtb Fund Al:counlS
N0111 K. T
7. Cili2als Fund..Citmns Emcrgiag Clmwlh Fund Acconnts
Non. K. T
&. Citizens Plllld- Citizr:as Cllobll Equity Fund
9. Profcssiomd
10. Personal Lmm l.O { i=livalllo) .
Nono
liomnnt
c llltwat
J T
N w
M T (Apr. '03).•
11. Cit.W:as Dw hc;ou11t A ln"""°"t M T Opc:a 9fl003
I. oCoda:: A •Sl,OOOorlcss B - s 1,001..$2,SOO -$2,501·15,000 •SS,001'-$15,000 -SI S.0014'1>,000 (Sec Columns Bl and DI) F • SS0,001-$100,000 G • SlOO,OOM 1,000,000 HI • SJ,000,0014J,OOD,OOO H2 • More 11!111 SS,000,0llD
2. Value Cudes: J D SlSJlOQ or less K •SU,001-SSO,OOO L - sso.001..s100,ooo M • Sl00.001·$250,000
(Sec Columns Cl and 03 J N •S2SO,OOO..SSOO,OOO 0 • SS00,001..S!,000,000 Pl •. s1.ooo,001..s=s,ooo,ooo P2 -ss.000.001.m,ooo,ooo
P3 • S2S,GOO.OOl·SSG,OllO,OCO P4 - SMcni U-SS0,000,000 3. Value Method Codes Q •Appnisll R Cost (Real i!slalc Oaly} s •Assessmcal T=
(Sec Colunm C2) U •Boot Value v •Odier W •'Esli111arod
FINA.t CIAL DISCLOSURE REPORT Name ofPerson Reporting
Simandle, Jerome B
VIII. ADDIDONAL INFORMATION OR EXPLANATIONS (IndicalcpattafReport.)
Dale ofReport
5/1212004
S ignature
Name of Person Reporting Date of Report FINAJ. CIAL DISCLOSlJRE REPORT Simandle, Jerome B 5/1212004
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 of5 U.S. C. § 501 et. seq., 5 U.S.C. § 7353, and Judicial Conference regulations.
I z, Z..ool.f Date
NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND Wll..FULLY FALSIFIES OR FAILS TO FILE TIIlS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (5 U.S.C. app. § 104)
FILING INSTRUCTIONS
Mail signed original and 3 additional copies to:
Co on Financial Disclostll'e
AdminiStrative Office of the United States Courts Suite2-301
One Columbus Circle, N.E.
Washington, D.C. 20544