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AO IO Rev. 1/2011
Report Required by the Ethics in Go vernment A ct of 1978 (5 U.S.C. app. ,~.~ 101-111)
5b. [] Amended Report 7. Chambers or Office Address 300 North Hogan Street Suite 14-200 Jacksonville, Florida 32202 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. Reviev,ing Officer Date
IMPORTANT NO TES: The instructions accompanying this form must be folioweK Complete all parts,
checking the NONE box for each part where you have no reportable information. Sign on last page.
D
1. 2.
3. 4. 5.
Tioflat, Gerald B.
III. NON-INVESTMENT INCOME. (R,poning indlvidual a,d spo~e: see p~ 17-24 of filing instructions.)
A. Filers Non-Investment Income
~] NONE (No reportable non-investment income.)
DATE
2. 3. 4.
B. Spouses Non-Investment Income - If you were married during any portion of the reporting year, complete this section.
(Dollar amount not required except for honoraria.)
D
I. 2010 2. 3. 4.
1.
International Association of Defense Counsel American Conference Institute American Bankruptcy Institute Phi Delta Phi Excellence Award Northwestern University
2.
February 17-18
New York, NY
Panel Participant
3.
March 15-16
New York, N
Moot Court
4.
April 10-1 I
Washington, DC
5.
April 12-13
Chicago, IL
Searle Civil Justice Institute Transporlation, meals and lodging Board of Overseers Meeting
Orlando, FL Washington, DC
Panel Participant
Searle Civil Justice Institute Transportation, meals and lodging Board of Overseers Meeting
V. GIFTS. ttnctudos tho~e to ~pouse and dependent children: see pp. ~-~ of~l~g inst~.c~on~
NONE (No reportable gifts.) SOURCE
I.
DESCRIPTION
VALUE
2.
3.
4.
5.
Vl. LIAB 1LITIES. (Includes those of spouse and dependent children; see pp. 32-33 of filing instructions~)
NONE (No reportable liabilities.) CREDITOR
I. 2. 3. 4. 5.
DESCRIPTION
VALUECODE
V I I. INV EST MENTS and T RU STS - income, vatue. ,~o,~ac,~o,~ ~lnctude$ those of spouse and dependent children: see plx 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 Gross value at end of reporting period Transactions during reporting period
(I)
i Amount ] Code I (A-H)
(2)
Type (e.g., div., or int.)
O)
Value Code 2 (J-P)
(2)
Value Method Code 3
(2) (3) (4) Date Value Gain mm/dd~y Code 2 Code I (A-H) (J-P)
Davis New York Venture Fund (Mutual Fund) Rogers, Towers, Bailey, Jones & Gay P.A. (401K) Alliance Berstein Global Technology (Mutual Fund) Columbia Marsico Focused Equities Fund (Mutual Fund) 5. 6. Manulife Financial (401K) Pappas Metcalf .lenks & Miller Quaker Strategic Growth Fund (Mutual Fund)
E A A A A A
Sold
01/06/10
I0. 11.
12. 13.
14. 15. 16.
17.
I. Income Gain Codes: (See Columns BI and D4) 2. Value (See Columns Cl and D3) 3. Value Method Codes (See Column C2}
A =$1.000 or less F =$50,001 - $100.000 J -$15.000 or h:ss N $250.001 - $500.000 P3 =$25.000.001 - $50.000.000 Q Appraisal U Book Value
B =$1,091 - $2,500 G =$I00,~01 - $ I K =$15.~11 - $50.~ O =$50~.001 R =:Cost (Real Estate Only) V =Olhcr
C =$2.501 - $5,000 Itl =$1.000.001 - $5.000.000 L =$50.001 - $100.000 PI =$1.000.001 - $5.000.000 P4 =More than $50.000.000 S ~Asscssm~mt W -Estimated
D :$5.001 - $15,000 112 =More than $5.000.000 M :$100.001 - $250.000 P2 =$S,000.001 - $25.000.000 7" =Cash Market
E =$15,001 - $50.000
Date of Report
05/10/2011
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