Académique Documents
Professionnel Documents
Culture Documents
Rev. 1/2010
Ao t0
[] Initial
5b. [] Amended Report 7. Chambers or Office Addres~ Federal Building, Room 860 PO Box 868 Harrisburg, PA 17108-0868 8. On the btsis of the inlormation contained in thi~ Report and any modifications pert~ining therelo, it i~, in my opinion, in compliance with applicable laws and regulations. Reviewing Officer Date
IMPORTANT NOTES: The instructions accompanying this form must be followea~ Complete all parts.
checl~ing the NONE box for each part where you have no reportable information. Sign on lastpage.
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1. 2. 3.
II. AGREEMENTS. (Reporting i.dlvidua! only; ~ee pp. t4-t6 of fiting in,truction.~.)
NONE (No reportabh, agreements.) ~ PARTIE~, AND TERMS -q2) ~ ,~
Rambo, Sylvia H.
s,,,v,, "
; set pp. 17-24of filing in ......ions.)
o I 04;,
] Dat of Report
~M~
(yours, not spouses)
B. Spouses Non-Investment Income - If ~,ou wet, married during an)portion of the reporting ),ear, complete thi~ sectlor~
(Dollar amount not required except./i)r honoraria.)
[-~
DATE
1. 2. 3. 4.
IV. REIMBURSEMENTS (Inch,de~ tho~e ~ ~p~ u~e ~nd depen~&nt thildren. ~ee pp. 25-27 ol filtng in.~t~ti,ms.)
DATES
LOCATION
PURPOSE
3. 4. 5.
Rambo. Sylvia H.
04/14/2010
V. GIFTS. a~a~ ,,o~ ,o wo~,-~ .~a ~,~,,a~t ~h~,~; ~,~ r~ ~s.zt of filing instruc~ons.)
NONE (No reportable ~
1. 2. 3. 4. 5.
DESCRIPTION
VALUE
DESCRIPTION
VALUE CODE
2. 3. 4.
r~,m, of e .....aepo,,ing
Rambo, Sylvia !1. I 04/14/2010
~.,, t .......dons (Inclu~s those of sp ....... d dependent childrtn; see pp. 34-60 oZffding insttuclions.)
~ Date
~aluc Gain ]
Interest Dividend
J K
B A
T T
3. 4.
Dividend
Interest
5.
Dividend
Page 5 of 6
I R,mbo, Sylvia H.
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 statutoo" provisions permitting non-disclosure. I further certify that earned income from out~ide employment and honoraria and the acceptance of gifts which have been reported are in compliance with the provisions of 5 [!.S.C. app. 501 et. seq., 5 U.S.C. 7353, and Judicial Conference regulations.
NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FALLS TO FILE THIS REPORT MAY BE SUBJECT TO CIVIl. AND CRI]~|iNAL SANCTIONS (5 U.S.C. app. 104)
FILING INSTRUCTIONS Mail signed original and 3 additional copies to: Committee on Financial Disclosure Administrative Office of the Untted States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544