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AO IO Rev. 1/2011
Report Required by the Ethics in Go ~ernment ,4 ct of 1978 (5 U.S.C. app. ,~,~" 101-111)
7. Chambers or Office Address 777 Florida Street Suite 375 Baton Rouge, Louisiana 70801
8. On the basis of the information contained in this Report and any modifications pertaining thereto, it is, in my opinion, in compliance sdlh applicable laws and regulations.
Reviewing Officer Date
IMPORTANT NOTES: The instructions accompanying thls form must be followed Complete all parts,
checking the NONE box for each part where you have no reportable informatior~ Sign on last page.
POSITION
NAME OF ORGANIZATION/ENTITY
2. 3. 4. 5.
II. AGREEMENTS. (Reporting individual only; see pp. 14-16 of fillng instructions.)
D
I. 2011 2. 2011 3.
Jackson, Brian A.
llI. NON-INVESTMENT INCOME. (Reporting individual andspouse; seepp. 17-24 of filing instructions.)
A. Filers Non-Investment Income D NONE (No reportable non-investment income.) DATE
I. 2010 2. 2011 3. 4.
INCOME
(yours, not spouses)
$120,546.87 $24,885.49
B. Spouses Non-! nvestment I ncome - tf you were married during any portion of the reporting year, complete this sectiom
(Dollar amount not required except for honoraria.)
DATES
LOCATION
PURPOSE
I
NONE (No reportable gifts.)
SOURCE
I. 2. 3. 4.
Jackson, BrianA.
V. GIFTS. ancludes ,hos~ ,o spouse a.d d~ponden, children; see pp. 28-31 of filing instructions.)
DESCRIPTION
VALUE
5.
VI. LIABILITIES. ancl,de: ,hose o/spo.+e and dependent children; see pp. 32-33 of filing instructlong)
NONE (No reportable liabilities.)
CREDITOR
1. 2. 3. 4. 5.
DESCRIPTION
VALUECODE
Vll. INVESTMENTS and TRUSTS - into,no, ~,l,,~, t,.nsoetion$ a,,ch, de~,hose,,ys~,o,se o.d de~,endenf 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
(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)
I.
2.
E
A
Rent
Int./Div.
M
J
W
U
Vanguard REIT Janus Research Fund Janus Orion Fund Villere Balanced Fund Ariel Appreciation Fund Vanguard Wellington Fund ExxonMobil Vanguard GMNA Fund Vanguard 500 Fund Vanguard Target Retirement 2025
A A A A A A A
Int./Div. Int./Div. Int./Div. Int./Div. Int./Div. Int./Div. Int./Div. None None None
J J J J J L K L L L
U U U U U U U U U U
I. Income Gain Codes: (See Columns B I and D4) 2. Value Codes (See Columns C I and D3) 3. Value Mclhod Cod~ IScc Column C2)
A =$1,000 or less F =$50.001 - $100,000 J = $15.000 or less N =$250.001 - $500.000 P3 $ 25,0OO.001 - $ 50,0OO.000 Q =Appraisal U =Book Value
B =$1,001 - 52,500 G =$100.001 - $1,000,000 K -$15.001 - $50,000 O =$500,0OI - $1,000.0~0 R =Cost (Real Estate Only) V -Other
C =52,501 - $5,000 III =$1.000,001 - $5,0~,000 L =$50.001 - $100,0130 PI =51,000.001 - $5,000.0OO p4 -More than $50,000,000 S =Assessment W =Estimated
D =$5,001 - $15,000 H2 -Morn than $5.000.000 M -$ 100.001 - $250,000 P2:55,000.001 - $25.000.000 T =Cash Market
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. 1 further certify that earned income from outside employment and honoraria and the acceptance of gifts which have been reported are in compliance ~vith the provisions of 5 U.S.C. app. 501 et. seq., 5 U.S.C. 7353, and Judicial Conference regulations.
NOTE: ANY INDIVIDUAL WHO KNOVVINGLY 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