AO I0 Roy.

1/2011

FINANCIAL DISCLOSURE REPORT FOR CALENDAR YEAR 2010

2. Court or Organization District Court, N D Illinois i 5a. Report Type (check appropriate ~pe)
] Nomination, [] A .... Date I [] Final

Re~otl Required by the Ethics in Go vermnent Act t!/ 1978 (5 U.S.C. app..~k" I01-111)

I. Persou Reporting (last name, first, middle initial) Kapala, Frederick J. 4. Title (Article III judges indicate active or senior status; magistrate judges indicate full- or part-time) District Judge

3. Date ul" Report 05/031201 I 6. Reporting Period 01/01/2010 to 12/3112010

[] Initial

5b. [] Amended Rcport

7. Chambers or Office Address 211 South Court Street Rockford, IL61101

8. On Ihc basis of the information contained in this Report and an) modificalions pertaining thereto, it is, in my opinion, in compliance wilh applicable laws and regulations.

Reviewing Officer

Date

IMPOR TANT NOTES: the instrocaons accompanying this form mast be followed. Complete all parts,
checkit~g the NONE box for each part where you have no reportable information. Sign on lust page.

I. POSITIONS. (Reparti, g i, divid,,ot ,o0V sec l,p. 9-t3 of filing instrttction.t.)

~ NONE (No reportable positions.) POSITION I. 2. 3. 4. 5. Trustee Trustee Director Trust # 1 Trnst # 2 ~]an Illinois not-for-profit corporation NAME OF ORGANIZATION/ENTITY

ll. AGREEMENTS. m,,v,,.i,,~ indi,,i,hmlmdy: seepp. 14-16 ,~ffiling htstructions.)

[~ NONE (No reportable DATE
I. 12/31/2010 2. 3.
agreelllellls.)

PARTIES AND TERMS

State of Illinois Retirement Syslem, pension benefits payable at retirement at or after age 55

Ka )ala, Frederick J.

FINANCIAL DISCLOSURE REPORT Page 2 of 7

Name of Person Rcporling Kapala, Frederick J.

Date ~r Repnrl 05/03/2011

l I I. N ON-INVESTMENT IN COME. g,r,,,,;,,,, indi,.idttal aml,l,Ottse; s,~pp. 17-24 ,,ffilittg ittvtructions.)

A. Fliers Non-Investment Income
[] NONE (No reportable non-investment htcome.) DATE
I. 2010 2. 3. ,~.

SOURCE AND TYPE

State of Illinois - Appellate Court Judge retirement payments

INCOME (yours, not spo~,ses)

$155,307.84

B. Spouses Non-Investment Income - t[j,,,,, n,ere tt arried d tri,lg atO, porrion of the reporting.~,ear, con,plete this sectlm~.
(Dollar amount noi reqiffre~l e.r~e~?.~? hatforaria~.l ...............

NONE (No reportable

DATE
1. 1~31/2010

1?OlT-ilTVeSfll?elil

income.) SOURCE AND TYPE

Catholic Diocese of Rockford, substitute teaching

2. 3.
4.

IV. R_EIMBURSEMENTS -,~o,,.w,~,~o,,. ~,,,~g~,,~,~,,,,~. ~.,,,~,oi,,,,,,,,,.

(htcludes those m ~pouse and d~pendent children; see pp. 25-27 ,?[~filing instructions.)

NONE (No reportable reimb~rsements.) SOURCE

I. 2. 3. 4.

DATES

LOCATION

PURPOSE

ITEMS PAID OR PROVIDED

5.

FINANCIAL DISCLOSURE REPORT Page 3 of 7

V. GIFTS. (hwh.h.s tht,se to spm,sc at,d del, tndent thildren; see pp. 2,q-31of f!linL~" instr.ctions~)
NONE (No reportable gifts.) SOURCE 1. 2. 3.
4.

DESCRIPTION

VALUE

5.

NONE (No reportable liabilities.) CREDITOR DESCRIPTION VALUE CODE

2. 3. 4. 5.

FINANCIAL DISCLOSURE REPORT Page 4 of 7

~ame of Persnn Repurlin~ Kapala, Frederick J.

Date of Report 05/031201 I

VI I. IN VESTMENTS a n d TRUSTS - i,,e,,,,,. ,.,n,,~, transactions et,,ct,,a,,~ ~t,,,se of spo,,se a,,,t ,t,pe,,ae,,, ct, itar,,,,; see tp. ~ 4-~o ,,1iti,,g it,.rtructim,.~.)

[~]

NONE ova

reporlab[e

income, assets, or transactions.)

B. Income during reporting I~riod (I) (2) Amount Type (e.g.. Code I div., rent, (A-H) or inl.) C. Gross value al e~~d of reporting period (I) Value Code 2 (J-P) {2) Value Melhod Code 3 (Q-W)
(i) Type (e.g.. buy, sell, redemption)

A. Description of Asscls (including trust assets} Place "iX)" after each asset exempt from prior disclosure

Transactions during reporting period

(2) (3) (4) Date Value mm/dd/yy Code 2 (J-P) (5) Identity of buyer/seller (if private transaclion)

Gain Code I (A-H)

I. 2. 3. 4. 5. 6. 7. 8. 9. 10. I I. 12. 13. 14. 15. 16. 17.

Chase Bank account # I Blackhawk Bank account # I Blackhawk Bank acconnt # 2 Blackhawk Bank account # 3 Hacris N.A. Bank Account # I Alpine Bank CD Scottrade Bank deposit program Universal Infotainment Systems Co~poration Fairholme Fund Trust 1/ I, trustee and income beneficiary - Drugslore.con| stock Trust # 2, trustee and income beneficiary - Drugslorc.com stock IRA # I - Time Wan~cr, Inc. stock - Time Warner Cable Inc. stock - AOL Inc.

A A A A A A A A D

Interest Interest Interest Interest Interest Interest Interest Dividend Dividend None

K
K

T
T

T L K T T
Closed L J M J T T T T Buy 12/17/10 J 08/21/10 J

None

lnt./Div.

T
Sold Sold Sold 06/16/10 06/16110 06/16/10 J J J

I. Inc,mw G:Un Codc~:

A =$ I.(]Dtl t~r less

L] =$1,001 - $2,500

C =$2.501 - $5.tlf)fl

D =$5,1){)1 - $15.t)on

FINANCIAL DISCLOSURE REPORT Page 5 of 7

Name nF Pcrs~)n Rtporling Kapala, Frederick J.

D,nle of Rcpnrl 05/03/201 I

Vll. INVESTMENTS and TRUSTS - i,,,., .......

.,t,,,. , ...... e,i,,,,s (hwludes those ,~f sp,,use m,d dependent children; see pp. 34-60 , fili,g Instructi,,ns.)

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

Description of Assets (including trust assets) Place "(X)" aflcr each asset cxcmpl from prior disclosure Income during reporting p~riod (I) Amount Code I (A-H) 12) Type (e.g.. div.. rent, or int.) Gross value at end ofreporting period 11) (2) Value Value Method Cod.,: 2 (J-P) Code 3 (O-w) Transaclions during reporting period (2) (3) (4) Value Gain Dale mm/dd!yy Code 2 Code I (J-P) [A-I-I} (5) Identity of buyer/seller (ifprivalc transaclion}

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

18. 19.
:20. 21. 22. 23. 24.

- YamanaGoldlnc IRA # 2
- Drugstore.corn stock A lnt./Div.

- CitiGroup Real Estate # I, Winnebago County, Illinois (2005, $100,000) Real Estate # 2, Wilmebago County, Illinois (2003, $25,000) Real Estate # 3. Winnebago County, Illinois ($60,349)
None None None L K L

R R S

FINANCIAL DISCLOSURE REPORT Page 6 of 7

Name of Persnn Reporting Kapala, Frederick J.

Dale of Report 05;031201 I

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. (Imlicatepartt~freport.)

Pan Vll, Line 14. the IRA was convcrlcd from a Traditional IRA to a Roth IRA Part VII, Line 19, the IRA was converted from a Traditional IRA to a Roth IRA Part VII, Line 22 was purchased on July 12, 2005 for $100,000. Part VII, Line 23 was purchased on September 15, 2003 for $25,000. Part VII, Line 24, Ihe assessed value is $60,349.

FINANCIAL DISCLOSURE REPORT Page 7 or7 IX. CERTIFICATION.

Name tff Person Reporting Kapala, Frederick J.

Dale of Rcporl 05/03!201 I

I certify that all information given above (including information pertaining In my sponse and minor or dependent children, it any) is accurate, true, and cnmplete to the best of my knowledge and belief, anti that any information not reported ~vas withheld because il met applicable statutnry provishms permilting non-disclosnre. I further certify tha! earned income from oulside employment and bonoraria and the acceptance nf gifts whicb have been repurled 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 KNOWINGLY AND WILFULLY FALSIFIES OR FALLS TO FILE THIS REPORT MAY BE SUBJECT TO CIVIl. AND CRIMINAL SANCTIONS {5 U.S.C. app. 104)

Committce on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544