Académique Documents
Professionnel Documents
Culture Documents
1/2011
Report Required by the Ethics in Govermnent Act of 1978 (5 ~ZS.C. app. ~ 101-111)
Judge-Active
7. Chamber~ or Office Address U. S. Courthouse & Post Office 500 State Line Ave., Rm 309 Texarkana, TX 75501
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. Revie~ving Officer Date
IMPORTANT NOTES: The instructions accompanying this form must be followed. Complete all parts,
checking the NONE box for each part where you have no reportable information. Sign on last page.
NAME OF ORGANIZATION/ENTITY
Texarkana Country Club Board of Directors
I. 2. 3. 4. 5.
Member
II. AGREEMENTS. ~Reporti,g individaai onty; see p,. 14-16 of filing instructions.)
DATE
Folsom, David J.
III. NON-INVESTMENT INCOME. (Reporting individual and spouse; see pp. 17-24 offiling instructions.)
A. Filers Non-Investment Income
~ NONE (No reportable non-investment income.)
DATE
INCOME
(yours, not spouses)
2. 3. 4.
B. Spouses Non-Investment Income - tf ~.ou were married during any portion of the reporting year, complete this section.
(Dollar amount not required except for honoraria.)
1.2010 2.2010 3. 4.
SOURCE
Federal Circuit Bar Association
DATES
06/21/10 to 06/27/10
LOCATION
Colorado Springs, CO
PURPOSE
Activity ofprofessional or civic organization
3. 4. 5.
V. GIFTS. ~lnctudes those to spouse and dependent children; see pp. 28-31 of filing instructions.)
NONE (No reportable gifts.) SOURCE
1. 2. 3. 4.
DESCRIPTION
VALUE
5.
V I. LIAB ILl T IES. ancludes thoso oSspo.se .nd dependent children: see p~,. s~.s~ of filing instructions.)
~]
I. 2. 3. 4. 5.
CRED1TOR
DESCRIPTION
VALUECODE
VII. INVESTMENTS and TRUSTS - income, value, transactions (Includes those of spouse and dependent children; ste pp. 34-60 of filing instructions.)
NONE (No reportable income, assets, or transactions.)
A. Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure B. Income during reporting period C. Gross value at end of reporting period D. Transactions during reporting period
O)
Amount Code I (A-H)
(2)
Type (e.g., div., rent, or int.)
O)
Value Code 2 (J-P)
(2)
Value Method Code 3 (Q-W)
O)
Type (e.g., buy, sell, redemption)
(2)
(3) i (4)
(5)
Identity of buyer/seller (if private transaction)
A
A
Interest
Interest
K
K
A B
Interest Interest L
Matured
06/30/I 0 K
EDWARD JONES (Securities account) #8 Money market funds Automatic Data Processing Broadridge Financial Solutions Eli Lilly & Co Illinois Tools Works Scana Corp Franklin Equity Income Fd Franklin Flex Cap Growth Fd Franklin Small Cap Value Fd Mural Global Discovery Fund A A A A A A A A A A Interest Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend J J J J J J J J J J T T T T T T T T T T
7. 8. 9. 10.
II.
12.
13.
14.
15.
16.
17.
I. Income Gain Codes: (See Columns BI and D4) 2. Value Codes (See Columns CI and D3) 3. Value Method Codes (See Column C2)
A =$1,000 or less F =$50,001 - SI00.00~ J =$15,0~0 or less N =$250.001 - $500,0~0 P3 =$25,000,0)1 - $50.000,000 Q =Appraisal U =Book Value
B =$1,001 - $2,500 G =$100,001 - $1,000,000 K =$15.001 - $50,000 O $500,001 - $1,0~),00~ R =Cost (Real Estate Only) V Other
C =$2.501 - $5,0~0 HI =$1,000,001 - $5,0~.000 L =$50,001 - $100,000 p I = $ 1,000,001 . $5,000,000 P4 =More than $50,000,000 S =Assessment W =Estimated
D =$5,1)01 - $15,000 H2 =More than $5.0~0,00) M =$100,001 - $250,000 P2 =$5,000,001 - $25,00~.000 T -Cash Market
E =$15,001 - $50,000
VI I. INVESTMENTS and TRUSTS - income, value, transactions (Includes those of spouse and dependent children; see pp. 34-60 of filing instructio.~.)
NONE (No reportable income, assets, or transactions.)
Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure Income during reporling period Gross value at end of reporting period (1) (2) Value Value Method Code 2 (J-p) Code 3 Typ~ (e.g., buy, sell, redemption) Transactions during reporting period (2) (3) (4) Date Value i Gain mm/dd/yy Code 2 i Code l (JP) i (A-H) ! (5) Identity of buyer/seller (ifprivate transaction)
(l)
Amount Code I (A-H)
(2)
Type (e.g., div., rent, or int.)
(Q-W)
18. Wells Fargo #10(Securities account) A A Dividend Dividend J
O N Equity Sales Co (Securities Account) #11: Federated Capital Reserves MM OSI Pharmaceuticals Inc Co Whole Foods Market The Bond Fund of America Class C Capital Income Builder Fund Class C B B C A A Interest None None Interest Interest Interest Dividend J K K K T T Sold 07/12/10 J Loss on sale
28. The Income Fund of America Class C 29. 30. 31. 32. 33. 34. The Ohio National Life Insurance Co Annuity # 12 Genworth Financial(Annuity) Putnam Voyager Fund Class A
Int./Div.
lnt./Div.
I. Income Gain Codes: tS~ Columns B I and D4) 2. Value Codes (.Sc Columns C I and D3) 3. Value Method Codes (See Column C2)
A ~$1,000 or less F =$50.0~1 o $100,000 J =$15,000 or less N 45250,001 - $500,000 P3 -$25,000,001 - $50.000.000 Q ~Appraisal U =Book Value
B =$1,001 - $2,500 G =$10O,001 - $1,0(~t,000 K =$15,001 - $50,000 O =$500,001 - $1,000,000 R =Cost (Real Estate Only) V -Other
C =$2,501 - $5,000 HI =$1.000.001 - $5.0~0.000 L =$50.001 - $ 100,000 PI =$1.000,001 - $5,000,000 P4 =More Ihan $50,000,000 S =Ass,cssmcnl W =Estimated
D =$5.0~1 - $15.000 H2 =~.torc than M =$100.001 - $250.00~ P2 =$5,090,0~ I - $25,0~0.000 =Cash Market
E =$15,001- $50.000
VII. INVESTMENTS and TRUSTS - inco.,o, ,,al~., ,ransactio.s anclades ,hose oyspoa~o and dope.de., children; see pp. 34-60 of filing instructions.)
NONE (No reportable income, assets, or transactions.)
Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure Income during reporting period Gross value at end of reporting period Transactions during reporting period
(1)
Amount Code I (A-H)
(2)
Typ~ (e.g., di~., rent, or int.)
O)
Value Code 2 (J-P)
(2)
Value Method Code 3 Type (e.g., buy, sell, redemption)
(5)
Ideatity of buyer/seller
(if.private transaction)
(O-w)
35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. FLOYD CAPITAL MGMT--Schwab (SEP/ IRA): #7: Schwab U S Treasury Money Fund Ishares Russell2000 Powershares Trust Series 1 S P D R S&P 500 B A A A Interest Dividend Dividend Dividend M K K K
T T T
MERRILL LYNCH (SEP/IRA) No. 4: ML Cash account PMC Sierralnc FederaINatl Mtg Assn A A Dividend None Interest J Redeemed 10/22/I 0 J
K K K
1. Income Gain Codes: (See Columns B I and IM) 2. Value Codes (See Columns CI and D3) 3. Value Method Codes (see Column C2)
A =$ 1,000 or less F =$50,001 - $ 100,0~0 J =$15.000 or less N ~$250.001 - $500,00~ P3 =$25,000.001 - $50.00~.000 Q =Appraisal U =Book Value
B =$1,001 - $2,500 G =$ 100,001 - $1,000,000 K =$15.001 - $50.000 O =$500,001 - $1.04)0.000 R =Cosl (Real Eslale Only) V Other
C =$2,501 - $5,000 H 1 =$1,000.001 - $5.000,000 L =$50.0~ I - $ 100.000 P I -$1.1~.{KII - $5.04)0.004) P4 =More than $50.000.000 S =Assessment W =Estimated
D =$5,001 - $15,000 H2 -More than $5.000.000 M $100.04)1-$250,000 P2 =$5,000.001 - $25.00~.000 T =Cash Market
E =$15,001 - $50,000
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 emplo~anent 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 WHO KNOWINGLY 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