Fax

Name: Fax:

·DO'ITIE ABELL (202} 502-1899

From: Diate:

Subject: Pages:

JUDGE DAVID A. KATZ September 7. 2004 2003 Financial Disclosure Report 2

Judge Lisi:

Please co:n:sider the attached letter as

amend my 2003 lr:inancial D'

Fn:im the desk af ... Judge David A. Katz

United States Oletrlct Court Toledc, Ohio

a. S.

• XI

.... _..,. ·- · , __ .., • • --lol;;I,. "'"' -· -ua:::i 1caaa ASS ananagemem: 1,u:::.3 inc.

UBS Glcb.al . et

St wlf!S'[ 52nd StN!l!t • .. Ma1riagement New 'fcrt, NY 10019

Tei. "'1.212..a82 sooa

Jas&ph M. McGill becutrve Oirectct Chief Compliance Offi r Tel. +21.2...S82·5367 Fax +.212"882-5472 joseph..mc;ill@ubs.c:am

September 1, :2004

Judge Mary M. Usi Chair, Judida1I Conference of the Unitecl States Committee on Financial !Disclosure One Columb1JS Cirde, N.E. Washington. [).C. 20544

Dear Judge Lisi:

This ls In res 1onse to your request to Judge David A. Katz on August S, 2004, conceming J11Jdge Katz's UBS PACE Selea Program A«ount.

Please be advised that the PACE Select program, in which Judge tz has invested, is a mutual fund "wrap· program. sudi, Judge J<atz owns an undivided interest in certain UBS registen!d mutual funds that are subject to the full regulatory requirements under the Investment Company Act of 1940.

After determiining a proper asset allccation mix for Judge Katz. he and his Financial Adviser, select the appropriate UBS registered mutual funds. From time to time, the •asset allocation mix will be rebalanced, when necessary.

-Should you 11eed additional .information, please do not hesitate to contact me at

........ . . -

Joseph M. Mc.'GillExecutive Di1rerc:tor Chief Ccmpli11nce Officer

Judf1e David A. Katz .,/

-

ed y

IPPI'OPJ�

(419)259-74BB - ·

June2,2004 (419)259-3744

Committee on Fin:ancwDisclosure

Attention: Judge 1'4Juy M. Lisi, Chair One Columbus Cilrcle, NE

-

Washington, D.C. 20544

Ile: Your Letterof May 18, 2004 Calendar Year 2003 Filing -

. Dear Judge Lisi: ..· .

.

I have rea,fyed your letter ofMay 18, 2004 and appreciate e advise given on page one. Wrth respect to each of your nuuibered paragraphs I will respond in order: .

1. The "Bcncb/Bar Conference" was a joint conferenceof the Northern and Southern Districts of Ohio. The reimbursement was ·throughthe United States District Court for the Northern District of Ohio.

2. With respect to Prod. Assoc. Ltd. Partnership there was no income for therepo11able period, and the amount for which it was sold was $10,500 which means that Column D(3) should be "r' and Column 4 should be "D". With respect to Microsoft ColUmn B(2) should be "NONE"

3. ColutJm B (l) should be left blank and the word "NONE" should appear in Column B{2) •

. 4. Colutlllll C(l) should be "0" and Colm.nn C(2) should be "Ta. -

5 and 6. These managed accounts were throughthe Fifth Third Bank, Trustee ofmy former 401(k) plan which lbave refe:LTed to·afline 3 of·the same Part Vll. The Plan was disclosed when I first cam on the. bench in ·1994. Subsequently, I was advised that the investments made in th e·aCcotm.ts through the Trustee and · over which I bad absolutely no control need not be individually reported. I have followed that process and intend to continw 1tO do so. In early 2003 those accounts were converted to 1he UBS Pace Accomrt reflecled at Line 25, as to which the value code is incolrect. The value code should ha:ve been 0. That accomrt is of the type reflected on the enclosed matetials·from UBS e Firm. The only power which I have is to desigDate the brelU:dovin or allocation between stocks and income, p1:esently at 70% and 300A, respectively. I ha1re no power to direct anything else and · no ability to dUect tbat the account invest im any particular stocks, bonds or notes, hold the same or sell any the same. Therefore, I do not believe it is necessary that I attempt to laboriously outline the tnmsactions as basically a mini-mutual fund occur -

an almost dailybmtis (I would pres�). I have enclosed my April statement which does !!Qt advise me of · individual stocks held. Please advise.

I hope that this responds

JAK./cg

r1;Et} -

glance

t:Jpanclal

April S 808,203.26

Eamina-s ror

purpasas. dlsclaauro P•a• . . current period

$ . 216.73 _ I .. _1,373.51 aecurlty earnlnga $ $ 1,373.51

P•ll• ln.rorm1tl�n QI! 6ff@tf�!clud11d 1umm1rv. parttallo

lalua on April 30 S 608.203.26

obiectives ab/oatfve

'[ljni:/l_/ilana1111r raur branch f1ff/t;� l!!Jflrltlng by teli;pha1111.

profile: Primary: Secondaf'/:

Profile: Aaaresslve

ilflE' 1;1 . i1Hili 4tt J.if'fM .... - r - . · ·Ii -,.,,,.,."" \ ,, �-��'t�:tlti.tit�i,��tl': , ,_ . · ·

FIHAMCIAL OISOLOSIJHE OFFICE

.· . . ·: <?·;. ':.: ll ::,;:i I.i; ;t '.:·:::2kf,. . ;·�· }li��f !i!I· :;;-;:r1: - . -- '.t f -: ... , 3•' i: ;:;.L- :J.. } ; -,l"i '.?I, ,.. ·

Your Advlaor Retirement Account

JUN 21 II 1a AH ·o I Account Number:

Account Type: Profit Sharing Plan

April 2004

fhis month at a M/alua on March 31 $ 627,145.51

/alue on 30 0

summaryia.rnln1• are the aurrent a•l•nd•r yHr. Aft prior year entries aro summarlred 10pa.ra.t11ly. Thi• lntann11tlan 1hauld not be used or tax &fer to the an the back at th• firat

V1111r-to-dat11

:>lvldenda et 216.73

A..sset .summary efar to the disclosure on thll: back of the first tor from thl•

% of Value

\Autual funds 100.00 808,203.28

·lnve1tment · ·

rh11 folio.wing return end rf•ll prafll•(•J d.,arlb• overall goltl• tar thi1 eocaunt. For ••ah eacount held, you chaa111 on• ·eturn objectlv11, an11 primary rl•k protllo, •nd, If app//011bl11, 11111candary rl•lc praf/111. For eccount1 ho/ding Ml ln11111 11nt In the PACE •rognm, th• primary objoctlv11 and 1/11' profile 1umm1ry lndlaetod an your PACE Investor f'rotll• Quoatlonnllro 1111 11110 dl1pla.y1d 111/ow. If you have qu111Uon• regarding these ob)ectlv111, dlaa11r1111 with ar wl•h ta ah1U11l• them, pt11,. nat/fy yaur Flnanclltl Advl1or or

at ar Overall account Return obJect!ve: Current Income & capita! appreciation Risk Moderate None seiected PACE Investments Return objective: Capital appreciation Risk

Account ln1truct1on1 Statement copies are aent to 1 Interested party.

Bulletin Board ASK YOUR FINANCIAL ADVISOR ABOUT ENROLLING IN ONLINE SERVICES. ITS NEWEST FEATURE, THE PAPERLESS DELIVERY SERVICE, CAN HELP hWlJCE THE AMOUNT OF PAPER MAiL YOU RECEIVE.

VISIT OUR WEB SITE AT WWW.UBS.COM.

MemberSIPC Page 1 of 5 April 04/

f · .. .. ·:·- ·

: ·': = -. .

• •

lctivitv hiahlia-hts --·---------------------�----- --- ·-

CUTIJ(lf ltflQj/_ __ __ Y.ltlNO·dato

et change from activity lilted above f · 1.438.75 S ·2,849.51 "

summatv. period Ye1tr·to-r/11t11

Aprll S 608.203.26 S 608,203.28 I

o

\ . •

loney sweep options scrlpt/011 Op•nlnr b1l•nc11 Clo1/nq b11l1111c11 • ·Closing sh11re erloe Aver•p• r•t• lntore1t p•rlod D•y11 In p't:irlad

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Account Numbar: - Retirement Account Your Financial Advl1orfli

:· '•,

/ -stat•miint.Paflod: Ap il 2oo4\

' •epoalta rpfeHional management fees and related aervlcea

$ . .00 ·1,438,76

S · 15.88 ·2;865.39

•ortfolio •··

Current pening value·. S 627, 145.51 $ 611,368.Bil' et,change jrom Activity Hlghilghts -1,438.76 -2,6'!9.51' et security earning& 216.13 1,37-3:51·

· .·hange iil value of Investments ...17,7 0.23" · -1:1887.12.. alue on 30 • · ... ;·

.sset portfolio dlo.!t•• ·. d11ld11l•tl -of unrNllJttd 1lll11sl/0H•I llH•d upi;m a UBS Flnaiwl _.....nl/i:;,sh•n av11llabl11, prlc••· lncom• •nd current values m11y be 1ppro1dm1te Ill!' thu• r111l11sllott111 ll!•Y l!qf_bir l u t•ly renoat• ·) n ••t• . { J

l}ustmenr to coat basis. The numb•r "1' lndlcatn cost ba•I• Information hH been provldW by a ...1qu11111..9'h• than UBS 1111• i1!.•I e'!lC-'ii:f!• llJ• b'f.!'l al the tint P•I• tor addl un.,1111foqnatlon. li•ln•llJJHH '" 11 t c4/culal rJ r zera coupon 1nvestmant1. "PendlnQ.1dJu1tm11nt" or"PJA• lndlcatu ·cost 1111#1 hll nofyet b eti .Uaoalrld'•1·:a re1ult at a.:apln·d/,ofitaq'bl• axch1n1e.. .l:ltrdtc.tti ·th• ritln11 tor thll 1to11• m1y hive been plac11d U11d.:r Review JJy 11 11nalyst, may b su'lij11ot to a Ratlnr1/Retum dlv11,.,11no• or may hav• in OKC111ptlon to th• i:oJW;'f,j/ f,..'bf.ii.! ; :'f ,.lndloato i'i · "!lrl,.f 'tltllj ".d.!'!�. r.•i'i•t·t r,'!!"J.•!lf'.'f.. .,.mporarlly ,ill•'p•nd•d p•ndln1 r•vI w: Fb : !" h"'. . .. w lian .,. .. rof•r ta th• R•• '!.T9h f!.11tlng EJU:ftPtlon(' .dally report_ or contai:t your Flnan •I Advlaor. • • ,. , " •· ,. . ii , . . . •• ., '"'" · , . • , .• · , , :J-'i-a.•, :·· '! .,,• _.••" "1 •: • , • : .. ,.; l ,I..,. .... '•'tt"61,.• t'H1{.pl- , ;,Jll . '' .• ::/:.,• · . • • - ' .·:,,

111:11.t "'i"H ·I'· .. . :.":.-ifunds and other ---- - ----- _

Dlvldf/lndJ

, _. .

BS RET MONEY FUND 15.88 .00 1.00 : ... '. 0.28% .03/25 • 04/25 32 Dtal ' S 15.88 $ .00 . ..

·,,,.. 1

. •.

.. ,

·.

Page 2 of I Aprll04/ -;

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Actlvlt'/.........___ D'Hcrlpt/on

• Date_ . Actlv/tv De_'-r;_f/ptlon

page regarding prHanted

Activity Dascrlptton Qu11ntltv

.• .':;·: ,

, ,lf· ·•' "·: ;·;;i.M.rol\f<'>';' ;,_,';lfJ;,'/I• ·::;· '-''rl\"'"'';J'.(l.< 'll:"'<'' -'' Ii< ,""""' f.a;.; -:;:'5 'tft'C 'F ':"°' li'• ':t4l'!"...m > ""'--' :_ ·:,,.,.1- ,,; ":,'_J,.,JJ"':I<!/0.J.· .....;..o -.!JY-.'M 1:£ltl t· -&<:.--..l'v-"i'- =- "' • ""'41 -·

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Retirement Account

Statement Period: April 2004

Monthly activity

Cash flow - · ·· :Date Amount

03/31 Balance forward· .oo 04/29 DIVIDEND UBS PACE INTERMEDIATE 04/16 DIVIDEND UBS PACE MONEY MARKET 10.50 FIXED INCOME INVESTMENT

l_NVESTMENT FUND CLASS P FUND CLASS P AS OF 04/15/04 AS OF 04/23/04

04/23 FEE CHARGED PACE Quarterly Fee -1,559.28 Proceed• from aecurlty transaction• $ Market Value $627, 130 Fu"da u .. for aacurlty tran•actldna S• Billing Daya 91/366 Proc .. da from.money fund/aweep trana. ' Annual Fee Percentage 1.00 ;I Funda u .. d for money fund/aweep trans. $

04/23 FEE PACE Management Fee Rebate '120.51 ' 04130 Cloalng balance $ ADJUSTMENT Period: 01/01/04 03/31/04•

..; ....Security transactions . -- . ·.. . · ' :. - ,. •..,

"tClfor to tho discio11uro an th• back of th• flflt the Price/Value for rostrlcted HCUrltlu. ,atct Prlc• I Value Awowit

l4/05 S.OLD UBS PACE INTER.MEDIATE FIXED INCO E INVESTMENT:; ·:;.31 :. .. -8, 23.077 ;:-JJ.700 $ 61,000.00. · 1,..lf!JJJQ ..CLASS P WITHDRAWAL r .' ·.:..:;

BATCH . .... -. 34105 BOUGHT UBS PACE MONEY MARKET INVESTMENT FUND CLASS P 81,000.000 1.000 81,000.00

CONTR!BUTION BATCH# ••• .. . '

)4/18 REINVESTMENT ues· PACE MONEY MARKET INVESTMENT FUND CLASS p' 10.5Q9 - ... .;-_-.. - 10.50 DIVIDEND REINVESTED AT 1.00 NAV ON 04/15/04 ·, . AS OF 04/15/04

l4/27 SOLD UBS PACE MONEY MARKET INVESTMENT FUND Cl.ASS P -1,422.870 1.000 1,422.87FEE PAYMENT BATCH#

... . . :. . ,· .

l4/29 REINVESTMENT OBS PACE INTERMEDIATE FIXED INCOM INVESTMENT 17.855 ,• 206 23.FUND CLASS P DIVIDEND _REINVESTED AT 11.55 NAV ON 04/23/04 AS OF 04/23/04 Securities purchased $ 81,21ti.73Securities sold $ 82,422.87

2l,.;.:.!]

tl2: ,-4'..::c ; ; -IH,216./iJ

/0• 15 <in

Page 4 of 5 Apri104/ -

··· l:'�"""'"•' "'-· ""'"'·•''•"'.•;< _,, , ··

'2004

____ -------

Date ____ _

POSIDON ORGA,NIZATION/ENTITY

PARTIES AND TERMS

,. '

D NONE - (No reportable positions.}

Report Required by the Ethics ·10 •. FINANCIAL DISCLOSURE REPORT

. In Government Act of 1978Q- Calendar Year 2003 (S U.S.C. app. §§ 101-ll 1)

I. Person Rc:porting (Last name, First name, Middle initial)

Katz, David A

2. Court or Organization

U.S.D.C. Northern, Ohio

3. Date of Report

4/19/04

4. Title (Arlticle III Judges indicate active: or senior status;

magistrate judges indicate full- or pa1t-.time)

District Court Judge (Active)

5. ReportType (check appropriate type)

Q Nomination, Date

Q Initial @Annual Q Final

6. Reporting Period

l/l/03

to

12/31/0.l.

7. Chambers or Office Address

21 0 U.S. Courthouse

1716 Spielbusch Ave.

Toledo, OH 43624

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

IMPORTANT NOTES: The insltrUctions accompanying this fonn must be followed. Complete all parts, checking the NONE box for each part

where you have no reportable infonnation. Sign on last page.

I. POSTI10NS. (Reporting.individual only; see pp. 9-13 offiling instructions) '

I •'

' • • ' ,

•

NAME OF

I. Vice President & Trustee David S. Stone Foundation

2. Member Nat'l Council of Ohio State University College of Law

3. TruSltee Mercy Health System - Northern ReE,ion

4. Member Toledo Zoo Foundation Board

5. Member Advocates for Victims & Justice, Inc., Board

(Reporting individual only; see pp. 14-16 of filing instructions) IT. AGREEMENTS.

NONE - (No reportable agreements.)

I.

_ ____ ,

SOURCE GROSS

SOURCE

SOURCE DESCRIPTIO_N

I.

AND TYPE

Name of Person Reporting Date of Rep011

Katz, David A

FINANCIAL DISCLOSURE REPORT

4119104

.....

IlI. NON-INVESTMENT INCOME. (Reporting individual and spouse; see pp. 17-24 of filing instructions)

A. Filer's Non-Investment I:ncome

NONE (No reportable non-investment income.) -

AND TYPE INCOME

(yours, not spouse's}

B. Spouse''s Non-Investmenit Income- (If you were married during any portion of the reporting year, please complete this section. (dollar amount not requirc:d exceptfor honoraria)

NONE (No reportable mm-investment income.) · -

I.

N. REIMBURSEMENTS transportation, lodging, food, entertainment.-

(Im:Jucles those to spouse and dependent children. See pp. 25-27 of instructions.)

D NONE - (No such reportable reimbursements.)

I. 6th Circuit Judicial Conferem:e Sixth Circuit Judicial Conference Aqnil 10 - April 13, 2003 (Transportation, Lodging & meals)

2. BenchlBar Conference Non FJC Educational Seminar October 2 - October 3, 2003 (Transportation, lodging, meals)

,

DESCRIPTION

DESCRIPTION CODE

FINANCIAL DISCLOSURE REPORT

..• , _____

Name of Person Reporting

Katz, David A

V. GIFTS,. (Includes those to spetuse and dependent children. See pp. 28-31 of instructions.)

NO'J'.'IIB - (No such reportable gifts.)

Date of Repon

4/19/04

I.

VI. LIABJLITIES. (lncludc:s those of spouse and dependent children. See pp. 32-34 of instructions.)

NONE - (No reportable liabillities.)

l.

VALUE

·��������

-

5.

6.

-A

disclosure

(3)

.

(4) (S)

.

·-

-

FINANCIAL DISCLOSURE REPORT Date of ReportName of Person R.eporting Katz, David A 4/19/04Page 1 of2

-income, value, transcations (includes those of the spouse and dependent children. See pp. 34-57 offiling instructions.)\VII. lNVESTMENTS and TRUSTS

A.

Des<..-ription of Assets (including trust assets)

lPlac.c "(X)" after each asset exe t IFrom prior disclosure

-

DNONE (No reponable income, asseu or transactions)

B. Income during

reponing period

(!) (2)

Amom1t Type (e.g. Code I div. rent. or (A-H) int.}

c. Gross value at end of reporting period

(I) (2)

Value Value Code2 Method (J-P) Code3

(Q-W)

D. -

Transactions during reponing period

(I} lfnot exempt from

Type (e.g. buy, sell, merger, redemption)

(2) Date: Month· Day

Value Code2 (J-P)

Gain !dent )' or Code l buyerlseller (A-H) (if private

transaction)

1. Prod. Assoc. Ltd. Partnership Sell 7/03 K E

2.

3.

4.

Lepercq Corp. Inc. Fund forrnerlly Pacific Plact Ltd.

Profi1: Sharinig Plan Fifth Third B:illlkTrustee

Microsoft.

A .Dividend

None

K w

Charity Gift

10/03 J A

Intel1.

Israel Bank (4)

A Dividend

Interest

J T

J T

7. Israel Bo·nd (4} B Interest K T

8. Israel Bo·nd (4) A Interest J T _, _,

9. Spartan Stores, Inc. B Dividend L T

10. Promissory Note (4}

- -

A Interest K T -

- - - -

I I.

12.

Fifth Third Banksafe (4)

Lucent Tech (4) -

B Interest

A Dividend

K T

J T -

13. Ericsson Tel. (4) A Dividend J T_

14. Rittenhouse Managed Mac Acct --

A Dividend N T - Transferred 1/03 M To UBS Pace Account

15. Cisco• S)'Stem . A None J T

16. Dell Computer . None J T -

17. MCI Worldcom. None J T

r

18. Group Managed Account A Interest N T Transferred 1103 N To UBS Pace Account

l. lncomeiUa:in Codes: A = $1,000 or less B = $1,001-$2,500 c = $2,501-$5,000 D = $5.(lOl-$15,000 E = $15,001-$50.000

(See Colunms Bl and D4) F = $50,0()] ..$100,000 G = $100.001-$1,000,000 m = $1.000.001-5>5.000.000 H2 =More than $5,000.000

2. Value Codes: = $15,000 or less K = S 15.001-$50,00{i l = $50.001-Sl 00.000 M = SJ00,001-$250.000

(See Columns Cl and D3) N = $250,(l()[)..$500,000 0 = $500.(K)l-$1,000,000 l'l ·'" Sl,000,001-$5,000.000 P2 - $5,000,001-$25 .000.000

1'3 = $25,000,00!-$50.000.000 1'4 " SM ore than $50.000.000

3. Value Method Codes Q ;:: Appraisa1 R = C:us1 (Real Estaic Only) s = Asseso'Tl"ll!nt T = Cash/Market

{5',e Colunm C2) l] Book Vuluc v Other w =Estimated

-

-·

(S)

""""'-"!

I - ----·---,- --- - -- - -- ---------.-- -- - - ----------------- - ---- ---------- ----- ------

(1) (2)

•"J' __,

FINANCIAL DISCLOSURE REPORT Name of Person Reporting Date of Report

Page 2 bJr2 Katz, David A 4/19104

"<vn. INVESTMENTS and TRUSTS -- income, value. tr.mscalions {includes those of the spou."11: and dependent children. Sec pp. 34-57 of filing instructions.)

19.

20.

21.

22.

23.

-

A.

Descriptio11 of Assets (inc·luding tnast assets)

Piace "(X)" af\er each asset exi:mpt from prior disclosure

HomeDepot

B. c. D. Income during Gross value at end of Transactions during reporting period

reponing period reporting period

lfnot eitempt from disclosure {I)(I) (2) (2) (3) (4)

Type (e.g. Date: Identity ofValue GainAmount Type {e.g. Value Value buy, sell, Month-Code I div. rent. or Code2 Method buyer/sellerCode2 Code I merger,(A-H) int) (J-P) Code3 (if]ftiVateDay (J-P) (A-H)redemption) transaction)(Q-W)

A Dividend K T

Lucent A Dividend K T

Avaya

4)Avaya(

-

A

A

Dividend

Dividend

J

J

T

T

Groupam a Mgd Mac Acct A Interest M T Transferred 1/03 M to UBS Pace Accountt

24. IDS Un iphase A Dividend J T

-

25. cc Account.UBS Pa A Dividend/Int M T Buy 1103 M

}. lncomciG:1in Codes: A =Sl,000 or less B = SI ,001-$2,500 c = £2,501-$5,000 D = $5,001-$15.000 E -(Sec CohmmsBl and D4) F = S50,DOl-$100,000 G =SI00.001-$1,000,000 Hl = $1.000,001-$5.000.000 B2 =More than $5,000,000

2. Value C<ldes: = $15,000 or less K = $15,001-S50,000 L = $50,001-$100,000 l'.·1 = SJ00,001-$250,000

(See Columns Cl and D3) N = $250,000-$500,{){lQ 0 = $500.()(11-$1.000,000 Pl = $1,000,00l-$5,000.000 P2 = SS,000,00!-$25.000,000

P3 =· $25,0CKl,001-$50.000.000 P4 e $More than $50.000.000 '

3. Valm: M.ethod Codes Q =Appmisal R =Cost (Real Estate Only) s = Assessment T = Cash/Market -I (See Colum11 C2) \) =·Book Value v =Other w = Estim:ired

·· ---

FINAJ CIAL DISCLOSURE REPORT NameofPersonReporting

4/19/04

Date of Report

Katz, David A

(Indicate part ofReport.) VIlI. ADDITIONAL INFORMATION OR EXPLANATIONS

, ----

/.., i !"" / ..;· A ,J • .--,

Date.-+- -/4· qi. !!...·• 1 f..:..l..::j_;:_/-;i''1t'-+·· .!!:!.,...{itJ, ...:.:6:.:.._C-1-, _

·u .

LY

FINANCIAL DISCLOSURE REPORT Name of Person Reporting Date of Report

Katz, David A 4/19/04

IX. CERTIFICATION.

I certify that all infonnation 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. § 501 et seq., 5 U.S.C. §-7353, and Judicial Conference regulations.

FALSIFIES OR FAILS TO FILE THIS REPORT MAY

.S.C. app. § 104)

FILING INSTRUCTIONS

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