I

AO I0 Re,. 1/2011

FINANCIAL DISCLOSURE REPORT FOR CALENDAR YEAR 2010

Court or Organization USDC for W District of LA
5a. Report T)ve (cheek appropriate type)

Report Required by the Ethics in Government Act of 1978 (5 U.S. C. app. 101-111) 3. Date of Report 07/13/2011
6. Reporting Period 01/01/2010 to 12/31/2010

I. Person Reporting (last name, first, middle initial) Melancon, Tucker L.

4. Title (Article 111 Judges Indlcute uetive or senior status; magistrate judges indicate full- or part-time]

Nomination,

Date [] Annual [] Final

Article 111 Judge - Senior Status

[] Initial

5b. [] Amended Report 7. Chambcr~ or Office Address

8. On the basis of the information contained In this Report and any modiflenflona pertaining thereto, It Is, in my opinion, In ompliance with applicable laws and regulations.

800 Lafayette Street Suite 4700 Lafayette, LA 70501

Reviewing Officer

Date

1MPOR TANT NO TES: rite instructions accompanying this form must be followe,~ Complete all parts,
checking the NONE box for each part where you have no reportable informatlon~ Sign on last page.

I. POSITIONS. ~R.~,ora,.g~nd..U,,a o,.t~,; s,,~,~ 9-1s o/lui,.e ~,,st,nct~ons.J

D
I. 2. 3. 4. 5.

NONE (No reportable positions.) POSITION

Board Member

NAME OF ORGANIZATION/ENTITY National Coalition for Cancer Survivorship

[~]

NONE(No reportable agreements.)

DATE

PARTIES AND TERMS

Melancon, Tucker L.

FINANCIAL DISCLOSURE REPORT Page 2 of 7

Name of Person Reporting Melancon, Tucker L.

Date of Report

07/13/2011

III. NON-INVESTMENT INCOME. eero,ang ~ndl,,id~at~ds~o~e: seepp.

A. Filers Non-Investment Income D NONE (No reportable non-investment income.)
DATE I. 2010 2. 3. 4. SOURCE AND TYPE

INCOME (yours, not spouses)

$26,330.00

New York Life Insurance Company - Annuity

B. Spouses Non-Investment Income - lf ).ou were married during any pot~ton of the reporting.Fear, complete this section.
(Dollar amount not required except for honoraria.)

NONE (No reportable non-investment income.) DATE SOURCE AND TYPE

Self-employed/Sculptor

1.2010 2. 3. 4,

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

(Includes those to spouse and dependent children." see pp. 25-27 o filling instructions.)

NONE (No reportable reimbursements.) SOURCE DATES LOCATION Washington DC PURPOSE Board of Directors Mtg ITEMS PAID OR PROVIDED Lodging, meals, transportation, and taxi fares Lodging, meals, and taxi fares

I.

National Coalition for Cancer 4f28/10 - 4!30/10 Survivorship National Coalition for Cancer Survivorship I0/4/10 - 10/6/10

2.

Washington DC

Board of Directors Mtg

3. 4. 5.

FINANCIAL DISCLOSURE REPORT Page 3 of 7

Name of Person RepDrting Melancon, Tucker L.

Date of Report 07/13/201 !

V, G IF~[S. a.a~e~ a,o~e to spot, and dependent children; see pp. 2S-J 1 of filing instructions.)
NONE (No reportable gifts.) SOURCE
I. 2. 3. 4. 5.

DESCRIPTION

~-~

NONE (No repot)able liabilities.) CREDITOR DESCRIPTION

VALUE CODE

!.

2. 3.
4. 5.

FINANCIAL DISCLOSURE REPORT Page 4 of 7

Name of Person Reporting Melancon, Tucker L.

Date of Report 07/13/2011

Co

Do

Dcscfiptioo of Assets (including trust assets)

Place "(X)" after each asset excrapt from prior disdosure

Income during reporting period (l) t (~) Amount I Type (e.g.,

Code I I

(A-H) /

dlv.,rent,

or int.)

Gross value at ~nd of reporting period (l) (2) Value Value Code 2 Me~hod (J-P) Code 3
(Q-W)

Transactions during reporting period 0) Type (e.g.,

buy, sell,

redemption)

(2) (3) (4) Date Value Gain mm/dd/yy Code 2 Code 1 (J-P) (A-H)

(5) Identity of buyer!seller (if private transaction)

1. 2. 3. 4. 5. 6. 7. 8. 9.
10. 11. 12. 13. 14. 15.

Common Stock Southeast Cnntral LA Premium Finance Co Common Stock Lif~ Insurance Co of Alabama Working Interest - JR Rushing #1, DeSoto Parish, LA Working Interest - Brashing #1, DeSoto Parish, LA Working Interest - Ark-LA-Tex, DeSoto Parsih, LA Royalty lot - Silver Pines, DeSoto Parish, LA Royalty lot - Grisby Petroleum, DeSoto Parish, LA Royalty lot - Berry Petroleum, DeSoto Parish, LA Royalty Int - Silver Oak, DeSoto Parish, LA
Royalty Int - BS10p LLC, DeSoto Parish, LA (X) Royalty Int-ShellWestem E&P,DeSoto Parish, LA (X) Royalty Int-Encane O&G toe, DeSoto Parish, LA (X) Royalty Int-Sun Resources, DeSoto Parish, LA (X) ChaseAect lRA (TLM): -JP Morgan Liquid Assest D

None A Dividend None None A Distribution None None A B

A A

Closed J J T W Merged (with line 9) J J J J J

l J

03/31/10 J

See Note I in Part VIII

01/01/10

See Note 2 in Part VIII

W W W W W
W W

Royalty Royalty
Royalty Royalty

See Note 2 in Part VIII

A A

Royalty Royalty

J J

W W

Int./Div.

16. -Cisco Systems 17. -Intl BtmiaessMachines

None None

T
Sold 01/04110 K

See Note 5 in Part VIII

I. lnconte Gain Codes: (So: Columns BI and 2. Value Codes (Se~. Columns CI anti D3) 3. Value Method C0dcs (See Coltman C21

=$1,000 or less =S50,001 - $100,000 =SI5,000 or less "~$250,001 - 5500,000 P3 =$25,000,00 ! - $50,0C/0,000 =Appraisal =Book Value

B =21,001 - $2.500 G =$1130,001 . $1,000,000 K=$15,001 - $50,000 0 =$ 500,001 - S 1,000,000 R =Cosl {Real Estate Only) V =Other

C ~22.201 - 2L000
HI =21,000.001 - 25,000,000 L =550,001 - S100,060

P I =$1.000,001 - $5,000.000
P4 =More than $50,000,000 S =Assessment

D =25,001 - $15,000 H2 =More than $5,000,000 M =$100,001 - 2250,000 P2 =S5.000,001 - S25,000,000 T ---Cash Market

E =SI5.001 - $50,1000

W =Estimated

FINANCIAL DISCLOSURE REPORT Page 5 of 7

Name of Person Reporting Melancon, Tucker L.

Date of Report 07/13/2011

NONE (No reportable income, assets, or transactions.)

B.
Description of Assets (including trust assets) Income during reporting period Gross value at end of reporting period Transactions during reporting period

(l) 1 (2)
Place "(X)" after each asset exempt from prior disclosure
Amount t Code I (A-H) Type (e.g., div,, rent, or int.)

(i)
Value ~ode 2 (J-P)

(2) [
Value Nlethod Code 3 (Q-W) I

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

(2)

(3) (4)
Gain Code I

Date Value mm/dd/yy Code 2

0-P)

(A-H)

(5) Identity of buyer/seller (if private transaction)

18. 19. 20. 21.

22.

-Worldsource lnc Cha~e Retirement Acct -Transamerica Life Ins Annuity (IRA) Chase Premier Savings
CapitalOne Saving~ :: ~,iJ A

None

Closed

L2/31/10 J

Bankrupt

None None
Int./Div.

T Closed 01104/10

23. 24. 25. 26. 27. 28. LA Midstream Gas Serv LLC - Lease Bonus,De$oto Parish (Y) LA Swepi LP - Lease Bonus, DeSoto Parish, LA Petrohawk - Lease Bonus, DeSoto Parish,
LA (Y)

lnt./Div.

Chesapeake Op Inc-Lease Bonus, DeSoto Parish,LA (X)

Rent

See Note in Part VIII

i I. Income Gain Codes: ! I.Sc Colurans BI and D4) 2. Value Codes (See Columns CI and D3) 3. Value Method Codes (See Cohmm C2)

A =$1.000 or less F =$50,00! - St00,000 ] =$ I S.000 or less N =$250.001 - $500,000 P3 =$25,000,001 - $50,000,000 O ~Appraisal U =Book Value

D =$1,001 - $2,500 O =$100.001 - $1.000.000 K =$15.001 - $50,000 O =$500,~01 - $1,000.000 R "#-Cosl (Real Estate Only) V =Olhcr

C =~2,501 $5,000 HI =$1,000,001 - $5,000,000 L =$50.001 - $I00,000 P I ~$1,000,001 - $5.000.000 P4 =Mor~ thnn $50.000,000 S =Assessment W =Estimated

D =$51001 - $15t~

E =$15,00t -

H2 ~More than $5,000,000 M =$100,001 - $250,000 P2 =$5.000.001 - $25,000,000 T =Cash Market

FINANCIAL DISCLOSURE REPORT Page 6 of 7

Name of Person Reporting Melancon, Tucker L.

Date of Report 07/I 3/2011

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS.

7 #1: Part VII - Investments and Trusts, Line 1 Southeast Central Louisiaz~a Premium Finance Co dissolvrd effective 3131/2010, Stock is no longer outstanding and has no value. #2 Pan VII - Investments and Trusts, Line 4 and 9 The Brashing #I Royalty Interest (line 4) is not combined and reported ~vith the Silver Oak Royalty Interest (Line 9) #3 Part VII - Investments and Trusts, Line 18 Worldso~rce has declared bankruptcy and therefore has no income for 2010 and no value at 12/3112010. #4 Pan Vll - Investments and Trusts, Line 27 This investment income was a one time receipt of a lease bonus. There is no value placed on the lease bonus and no asset was purchased or acquired. #5 Part VII - Investmets and Trusts, Line 17 Proceeds from sale of lntl Business Machines were deposited into the JP Morgan Liquid Asset Trust Fund within the Chase IRA Account.

FINANCIAL DISCLOSURE REPORT Page 7 of 7

Name of Person Reporting Melancon, Tucker L.

Date of Report 07/1312011

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 omplete 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.

NOTE: ANY INDIVIDUAL WllO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE TtlIS 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