. --R-ev_._1_n_oo_4 ___ _.

___________ _ Date. ____ _

PARTIES AND TERMS

C::J 01

0

;.. -<

c:q.

9

I

Reviewing Officer

rn

Report Requji;ed y the Ethics A0-10 FINANCIAL DISCLOSURE REPORT in Government Act of 1978

NOMINATION FILING (S U.S.C. app. §§ 101-111)

I. Person Reporting (Last name, First name, Middle initial)

BORMAN, PAUL D

4. Title (Article ill Judges indicate active or senior status;

magistrate judges indicate full- or part-time)

Active U.S. District Judge

7. Chambers or Office Address

740 U.S. Courthouse

231 W. Lafayette

2. Court or Organization 3. Date of Report

U.S. DISTRlCT COURT, EDM 05/14/2005

5. ReportType (check appropriate type) 6. Reporting Period

(!} Nomination, Date 09/02/1994 01/01/2004

Q Initial 0 Annual Q Final to

12/31n004

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.

Detroit, Ml 48226

IMPORT ANT 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.

I. POSITIONS. (Reporting individual only; see pp. 9-13 of filing instructions)

0 NONE - (No reportable positions.)

.. . :. POSITION NAME OF ORGANIZATION/ENTITY

1. President Foundation

2. Co-Trustee Trust

3. Manager LL.C.

(Reporting individual only; see pp. 14-16 offiling instructions) .. ·: ..... ·· .· II. AGREEMENTS. NONE - ( No reportable agreements.)

1.

,..;- '·

......... = = ,_,..,("") "'"::0 i"-:-r rno-c.r:.:.:::

c:: :r-..> - . -,. m; C:) -o::� :::.ir- )> <

. ,

rq 0 -r= N

0

SOURCE

DESCRIPTION

FINANCIAL DISCLOSURE REPORT Name of Person Reporting Date of Report

BORMAN, PAULO 05/14/2005

Ill. NON-INVESTMENT INCOME. instructions)(Reporting individual and spouse; see pp. 17-24 offiling

A. Filer's Non-Investment Income

D NONE - (No reportable non-investment income.)

AND TYPE GROSS INCOME

(yours, not spo Se's)·

I. 12/31/04 West Publishing Company-- Royalty 1587.00

B. Spouse's Non-Investment Income - (If you were married during any portion of the reporting year, please complete this section. Dollar amount · · · '-':<.not required except for honoraria.)

D NONE - (No reportable non-investment income.)

SOURCE AND TYPE

I.

2.

3.

4.

0

IV. REIMBURSEMENTS - transportation, lodging, food, entertainment

(Includes those to spouse and dependent children. See pp. 25-27 of instructions.)

D NONE - (No such reportable reimbursements.)

I.

SOURCE

National Sentencing Guidelines Seminar, Tampa Bay Chapter, FBA

May 19-21, 2004, Miami Beach FL; 2 nights hotel, meals, airfare, no Honorariwn

2. Vanderbilt Law School, Nashville TN; teach class 2004, Nashville, TN; 1 day, meal, airfare, no Honorarium, no overnight

3. Ralph C. Wilson, Buffalo Bills Football Team 2004, Houston, TX; 3 nights hotel, meals, 1 way airfare, Superbowl ticket

4. Ralph C. Wilson, Buffalo Bills Football Team 2004, Buffalo, NY; meals airfare, game ticket, no overnight

CREDITOR DESCRIPTION

FINANCIAL DISCLOSURE REPORT Name of Person Reporting

BORMAN, PAULO

Date of Report

05/14/2005

V. GIFTS.

NONE

(Includes those to spouse and dependent children. See pp. 28-31 of instructions.)

- (No such reportable gifts.)

1.

SOURCE DESCRIPTION

VI. LIABILITIES. (Includes those of spouse and dependent children. See pp. 32-34 of instructions.)

NONE (No reportable liabilities.) -

1.

'··h-- :.,, .

VALUE CODE

it.: .. '

V'aI ·&,a 060 I :4.$twdrt$ ;()Cit}:i (s! 1 :c;aµd: l) :$2 6;6oo'J;M.o o

P3

It disclosure

w

::1 = =1::: .o.bo :-:.::; =$ ; J ®:

(4)

. '

. '

.

'

--=-

-

8.

13.

(1) (1)

(J-P)

(5)

FINANCIAL DISCLOSURE REPORT Date of Report Name of Person Reporting

Page 1of6 BORMAN, PAULO 05/14/2005

VII. INVESTMENTS and TRUSTS - inc ome, value, transcations (includes those of the spouse and dependent clnldren. See pp. 34-57 of filing instructions.)

A. B. c. D. Income during Gross value at end of Transactions during reporting period

Description of Assets reporting period reporting period (including trust assets)

(1) (2) not exempt from {2) (3)(2)

Place "(X)" after each asset exempt Value Type ( e.g. Date:Type ( e.g. ValueAmowit Identity of Value Gain from prior disclosure Code 1 Code2 Method buy, sell, Month-div. rent. or buyer/sellerCode2 Code

Code3 merger, Day {J-P) 1 (A- {ifprivat e redemption) m transaction)

(A-H) int.) (Q-W)

DNONE (No reportable income, assets, or transactions)

l. Saving/Checking Account - Bank One G Interest P2 T

2. State of Israel Bonds B Interest K T

3 . Bristol-Myers Squibb Co. B Dividend L T

4. Campbell Soup Company A Dividend K T

5.

6.

Charter One Financial

Del Monte

D Dividend

None

Redeem/M erl!;e

Donate

9/20

12/22

N

K

G

Foundation

7. Gillette c Dividend M T {1£1

HJ. Heinz Company c Dividend M T

9. Kellogg Company c Dividend M T

10. Merck & Company, Inc. D Dividend M T

11. Bank One/J.P. Morgan Chase F Dividend P l T

12. Medco Health (Merck spinoft) None Donate 12/22 K Foundation

14.

Proctor & Gamble Company D Dividend 0 T

Smucker A Dividend Sell 11/19 J

. ,.. 15. Tribune Company B Dividend M T IH.

16. Zimmer None Donate 12122 K Foundation

17. Pfizer. · D Dividend M T

18. 4% Int. Village Green Apt. Ltd. Partner, Southgate, E Rent L

MI

· .f. :Ss0..001 i-00;Qilo . :· • i · · ' ·

· J srs K . ' .. .

o: =$ 06;oin7$1;oo0:000 Pl .= s1;oo0;o0i.ss;ooo.ooo n · ;;$s,ii@;oo1-s2s.ooo,®o. . N · · · · = s2s;ooo;ocl1;sso,000;00o . P4 =SMiirethan$50;000;000

3. Value}4etliod Cbdes Q "'Appr3isal . · · .. R = C-0st .(Real Estate Only) · s = Assessment T "" Cash!Matket

(See Column C2) u =BookValne. v =oilier W =E$Diated

If (2)

=- -=--

K .,. - ... -· - --:.:

-. ·-

-f-..-..- --

l ·rnedlndGiiih es;· ··. ·.· ·$S··.· . • :.·> 'B s1 ()()'! $g;SQO: c =Siso1 's5 0oo » ;..;.srs,oill: .. . · •' ;5···'· ···•.co.···. ·.a .... ·. .· .··.•·.··.::n.·. ·.· .-.1J.•·.1.• :.;.iiii.•··.·. .... • ..• · ·. .· \.'iJ.. .. . · :$. '.i.'t1.".'do: ...... ,-OO.· .·.· : $; .. ···· ·····

·.@.·oo .•. .

" -·- ..,.. ./,F• .H:i;q(l°;<i<fo '. SJ!X\.<itil•Sl,OOO;Opo .,,, . . ,H2M··· ··· ·=--Ms·· .·1ooteo.· ,·.·o.tha!io ·.1·. -. .:s2

·.s.s,oo·. o

oo·• o.ooo.··.}J" . 2 .c:vliliill ¢s; :oriless -.& L$15;!i(iY;$5();6oo ...

·( :c-01Wllll.S GI·andOS) =s2s:o,ilo9, 5!Jo;o:oQ o.· ,j·• •

FINANCIAL DISCLOSURE REPORT Date of Report Name of Person Reporting

Page 2of6 BORMAN, PAULD 05/14/2005

VII. INVESTMENTS and TRUSTS - income, value, transcations (includes those of the spouse and dependent children. See pp.34-57 offiling instructions.)

A. B. c. D. Income during Gross value at end of Transactions during reporting period

Description of Assets reporting period reporting period (including tmst assets)

(1) (2) (1) not exempt from disclosure (1) (2)

Place "(){)" after each asset exempt from prior disclosure

19. 11 % Int. Kendallwood Apt. Ltd. Fannington Hills, MI

Amount Code 1(A-H)

F

Type (e.g. div. rent or int.)

Rent

Value Code2(J·P)

0

Value MethodCode3 (Q·W)

w

Type (e.g. Date: buy, sell, ·Month-merger, Dayredemption)

(3) Value

Code2(J-P)

(4) "(5)Gain Identity of Code buyer/seller1 (A· ( if private m transaction)

.-i.:-; . 20. Northwestern Mutual Life (Retirement Account) A Interest J T

21. Teachers Insurance & Annuity Ass'n College D Interest N T Retirement Acct.

22. . IRA Cash Equivalent A Interest J T -

23. IRA Stock - Gillette B Dividend M T

24. Equitable Life Ins. Company Retirement Account A Interest T ·-

25.

26.

27. - :; ..... -.=...-28.

29.

30.

31.

32.

33.

34. __,,___ . · --35. . -:." -:.r:· :.: ·-.....:..

36.

·

. . ·· · ·•. . . . . •· , . •· > ·: b ,.,...s�;l)o1 s1;?'.ooo ' . . · . 'E· $5,()�<>:0fr. . · · . · · ..· · .:

·· K ,,;$J;�!l(l:or..·. .. .· .d<•.•. .> H.l .. . .. .. . .. .< ··... ... .. . ·. . . . . . . . . . .: sso,ooi:.si06;iioo• · •• t· ·.· .·· . ·· · · N o =ss:oo;Qo1.:si ooo.1Xlo FI =·s1;000;001.ss oo,0QO P2 =ss,000;001°$2S;OOQ;-Ooo

PJ =i2s.000;001 ss-O;o00;cioo .

P4 = SMore than sso;ooo;ooo3. Vaiue Method Codes Q = Appraisal R =Cost (Real Estate Only) S = Assessment T =Cash/Market

(See Col111µ11 C2) V = Other W = EstilnatedU =Book Val.ne

ff disclosure

(2) (4) Gain

m ,,

;'·· . .·

:1.j . f ;f ; !6 . 0- : : :_··.:.:1_l.· . o .. ..•. ".·.s_: ... ···s··· .: .· .o.· =.$5;0,61 $1 ;000

:\S,l!li' ! ;J!piiJ . Si ss;oo!J,ooo Hso[X} h ";,,,sJ3.®r sst>,CiQ 'Ni

tllll a)'. N -,;.s2s,ooo;OOJ4S5o.ooo>-0oil

Type

47.

49.

53.

·• .. • : · .. · : .•. ooo.·. ·.· .•

FINANCIAL DISCLOSURE REPORT oiile df'Report Name of Person Reporting

Page 3of6 BORMAN, PAUL D 05/14/2005

VII. INVESTMENTS and TRUSTS - income, value, transcations (includes those of the spouse and dependent children. See pp. 34-57 of filing instructions.)

A. B. c. D. Income during Gross value at end of Transactions during reporting period

Description of Assets reporting period reporting period -··· (including trust assets)

not exempt from (1) (2) (1) (2) (1) (3) (5)

Place "(X)" after each asset exempt from prior disclosure

(e.g. Value Value Type (e.g. Date: Value Identity of AmountCodel Code2 Method buy, sell, Month- buyer/seller

(ifprivatediv. rent. or Code2 Code

(J-P) I (A·(J·P)(A·H) Code 3 merger, Dayint.) (Q-W) redemption) transaction)

_ ........ 37. TRUST TRUST

38. Savings/Checking Account - Bank One E Interest Pl T

.. . . --39. Allergan A Dividend L T Bought ··· ·? (l!7•ri

40. Anheuser Busch B Dividend L T

41. Automatic Data Processing A Dividend K T

· ·-·42. Boeing A Dividend K T ··

43. Campbell Soup Company B Dividend L T

44. Caterpillar A Dividend L T

45. Charter One Financial A Dividend Redeem/M 9120 L E er11;e

46. Cisco Systems None K T · ·-. .. .

Dell None K T -.:·-... (!,,;..;-;.

...--- ·. ·

48. Dominion Res A Dividend K T

Fifth Third Bank A Dividend Sold 12/15 J A

. 50. Fiserv, Inc. None L T

51. General Electric A Dividend K T

52. International Paper A Dividend K T

..s: -INTEL A Dividend K T

NAX None K T54.

.· · ..J.)· .·· .. : ··· ..• · .,.E . ,=-si5;®.1 sso,-0.oo

.;¥0. .... .. . . . ... . . . ... ....... . . . .., ;,· ··• .::1).. · o ·- i$so .(iou s1,ooo.PJ)o

D4).2.. . . 1.,. .... L ..;sso;oo.f'-$ioo,ooa =$i0o,o()i $2so.ooo · .·

n = ss,Q()(),ooi0s2s.o'ii-O;(){)o .·

PI $1,000.ool�ss;ooo;ooo ;..�1so;®issoo;ooo .•. · P4 = sMoi-�thaii·sso;ooo,ooo .P3 . · . .

3. ValueM�od Codes Q = Appraisal R =Cost(Real Estate Only) s =ASsessment T = Casb/M;rrket (See Column c2) U "'Book Value V =Other W =Estimated

from dil;clOsure

;; ;;;$H o: r{e$s i,, •.; sjj()jlijszsoo ;04) : v:;.$!96; 0$1 !1Qil.pcjo.. ID m -#. <i .ili#ssiooo;oi\o·

2:viiiile:¢:09 :: :M

Code

m

.-

< :

,.

-

<fr ..

.. ' .

-

: _.,...

(I) (1)

55.

57.

70.

FINANCIAL DISCLOSURE REPORT Date fReport Name of Person Reporting

Page4 of6 BORMAN, PAUL D 05/14/2005

VIT. INVESTMENTS and TRUSTS - income, value, transcations (includes those of the spouse and dependent cluldren. See pp. 34-57 of filing instructions.)

A. B. c. D. Income during Gross value at end of Transactions during reporting period Description of Assets reporting period reporting period

(including trust assets) If not exempt (2) (2) (1)

(2) (3) (4) (5)Place "(X)" after each asset exempt Amount Type (e.g. Value Value Type (e.g.from prior disclosure div. renl or

Date: Value Gain Identity of buyer/sellerCode 2 Method buy, sell, Month-Code 1 Code 2

Code3 merb>er, Day (ifprivate-trl!Dsaction)

(A-H) int.) (J-P) I (A-(J-P)redemption)(Q-W). .

Kellogg Company c Dividend M T :"1,, ·.•.·..

Lowe's A Dividend K T56.

Maytag A Dividend Sold 1114 K A

58. Merck & Company, Inc. D Dividend M T

59. Medco Health None K T

60.

61.

Pfizer, Inc.

Reebok

A

A

Dividend

Dividend

K

K

T

T

. \.. · {i{;.lt".

62. Quest Diagnostics A Dividend K T . .

..63. Royal Dutch Shell B Dividend K T

64. Stryker Corporation A Dividend L T

65. Sunguard Data None K T

66. Washington Mutual A Dividend K T

67. Wells Fargo A Dividend K T

68. -•.. 1

69.

-

71.

72.

· · · . . .. ..• , · ·• ••··. _ ;: . •. · .c s2;So1 $ ;ooo · . ·o ·., .;;$s;oo1 $is,Q-Oo •· · · . .j;' .= $${);0(ll"Sl0oiQOQ.:. • . =e$1.o()\l;ooi"S$;Q®.(\{l · · .· . .J: ·";'$ls;ooo(IJ'1e ·· ·K s1 ;oot"*so;iKxl' · · 'i -sso;oo1-niio.ii6Q: =sfoo;oili $2so;ooo

·• (See·C.qluibn$·CI.iifidiP?) •:t-i: =$2SOi000'$SOO;� o. =$?-OO;l)QJ..Sl;OQ(l;ooO. n =$l,0()!};001 5;{l()!l,OOQ . P2 = $5;0oo;dOl:C$2S;f)Oo,ooo �3 .= 2s;ooo�OOlfSSO;O()O,OOO P4. ='$Morethan$50;000;QOO . ·

.Q <=Apj)ririsal · R = Cost(Real Estate Only) s = As.sessment. T. = Cash!Mmket . . (See Collllllµ C2) U =Book. Value v =Oiher w =Estimated

·

It trom

=:Sfoolh>r'fess t> .,.• 's·.·o·.··.· ·.·. ·1··.· .. ·. ". 1::;i)\ µ4) " "' .Bi Mm:e. ·ss;()()(l;()pQ

Ci:K,l s: · .L.·.··.'.·. =,...·-.·., .•. : .· .SJ ·.·

.• 2.5:5··

·. 0:000.: ·0:.

·· .• 0·.•.•· .•0·.·.

o····-·.: ·.r.L,es.•• .•.·n

· .. . '.;·n. •. ·. ·. ··

• ·· ='s1oo;otJ12* sO,O?o ( ic91 :cl:a,iidPi!): ., ... "" """ o.

("': R\

:

,

";• .

-

: - -

;::..

B.

73.

74.

75.

76.

77.

.. · • · . .: .... ..

. ..

••. · .. ·•.· · K · ,.. $I�;(ltl1•��?;1J00 ••.. · · · ·

. · :M :. · ··•·

Q = ptaisat

(4)

FINANCIAL DISCLOSURE REPORT Date of ReportName of Person Reporting

Page 5of6 BORMAN, PAULO 05/14/2005

VII. INVESTMENTS and TRUSTS - income, value, transcations ( includes those ofthe spouse and dependent children. See pp. 34-57 offilinginstructions.)

Income during c.

Gross value at end of D. l..

Transactions during reporting period A.

Description ofAssets reporting period reporting period( including trust assets)

disclosurenot exempt(I) (2) (!) (2) (I) (2) (3) (5)

Place "(X)" after eachasset exempt Amount Type ( e.g. Value Value Type ( e.g. Date: Value Gain ·Identity offrom prior disclosure Code I div. rent or Code2 Method buy, sell, Month- Code2 Code buyer/seller

(A-H) int.) (J-P) Code3 merger Day (J-P) I . (ifprivate(Q-W) redemption) tratisaction)

L.L.C. LL.C.

American Express A Dividend K T

Affiliated Compu Serv None K T

Boeing A Dividend K T

Automatic Data

Charter One

A

A

Dividend

Dividend

K T

Redeem/M 9/20 K D

< $<.........

78. eoi;e

Caterpillar A Dividend K T79. . . ··-

"'. "f1. ,Cisco None J T80.

Dell None K T81.

Fiserv None K T82.

83. G.E. A Dividend K T

84. IVAX None K T

JNTEL A Dividend K T85. •. ;··l..:·

86. International Paper A Dividend K T

87. Lowe's A Dividend L T . .

,,.,-.. 88. Maytag A Dividend J T

Mellon Financial A Dividend J T89.

Merck A Dividend J T90.

· . . · .B, . · · ···. A.· . ,;;s1.001"�2;so.9:> .. . c . "'s2;591;;s?,ooo .

··.· . · ··· · · · · · · · · · · · ·. · · ··.1 · ••o .o'''' .•oo·.·.oF .· <(i. · •.· Ul iitif\O;®.f S�OQQ;ooitlOP;()e s1; @o'. . . . . • •.L· .;;.sso;o1n�$°foo;00() ·. . .Pt · = ss,000;001 s2 ;000,00o Yp3 =':s25.000;001l$50-;'ooo;oo0

·

=·$MoreJii!lliS5o;ooo,ooo ·

..=,ss;oo1 $1•$,oo. o .·. ··. . . . . . ......... · ·· ·· ·· ·.• · •o·. ··• ;;_.. ·· . · · ··. ·· · • •. .· .... · ·.· o.. . .·.· ... . ..

2,· . ¥al1!e = $t;ooo,qo1.$s;ooo;ooo. n=·$}OlWOtc$1;ooq;opo ,.· •· • ., ·: . . :P4

U .SookV.alue =Other .(See Co. R =cost{ReaL.EstilteOn;ly) s =Asse5Smeilt3. Valu¢Melbod'Ccides

lwnnC2). T =cash/Miuk�t

V =W EStunaled=

lfnot

(4)

m

-

·- . -

-

I .

G 000000 · ·····' ·s···2·.s.

·.· .·. .·.·.·.·o·.·.·.o·. ;2$ sli0qior'11is$<'·-;: ·"

ts®.c.Q ·c1 =$5,00Q;o or ..

(1) (2)

Type (e.g.

93.

97.

99.

··.· . . c; ... $2;591":ss,-000 ·

FINANCIAL DISCLOSURE REPORT Date ofReportName ofPerson Reporting

Page6 of6 BORMAN, PAULO 05/14/2005

VII. INVESTMENTS and TRUSTS - income, value, transcations (includes those of the spouse and dependent children. See pp. 34-57 offiling instructions.)

A. B. c. D. . I

Income during Gross value at end of Transactions during reporting periodDescription ofAssets reporting period reporting period

(including trust assets) exempt from disclosure{l) (2) (1)

(2}Date:

(3) (5)Place "(X)" after each asset exemptfrom prior disclosure

Value Value Type (e.g.Amount Value Gain Identity of Code l buy, sell, Month-Code 2 Method Code 2 Code buyer/sellerdiv. rent. or

merger,int.) (J-P) Code 3 Day ·(ifprivate(A-H) (J-P) l (A.i.·(Q-W) redemption) transaction)

91. Omnicom A Dividend K T

92. Pepsico A Dividend K T

Quest Diagnostic A Dividend K T

Reebok A Dividend K T94.

95. Royal Dutch Shell None K T ··.·.·· ·'.

96. Stryker A Dividend K T

98.

Was!µpgton Mutual A Dividend J T ,...... ..

""' ....-:.; ·cat..,...Wells Fargo A Dividend K T

Bristol-Myers Squibb c Dividend M T

Zimmer None K T100.

101. Eastman Chemical A Dividend J T

102. Bank One/J.P. Morgan Chase D Dividend 0 T

....

;$1�tio1 s2,sdc». · •

· · · n . '"3$S;oo1.i.S1s�ooo ' ·M retrumss • ·.

. E ·;;; srs;O<h•sso,tl6p.A .�:s1 000.orle >· . . . ·:.?. . · .

siiiti��oi $i;009;00b _...· · · · · · · · Hl•;,, l;()()Q;OpJ'.§ iooo.ooo. . .

·1•... · ··.· · ··· • •' ··· · ·· . . .•...·o.· F :;= sq;o@lJoo <iOo· · . . . ... .... . . . IU -··· · · .· . •••• -· •··

. ·..o• •·oo

· • • ·· · ·· ·•.s1 ·M. . · ··· ·.1 '..Jc =''s1S;Q&hssoiO()Q• . .r» :;;.sso;ooi sioo;6oo· . o.= .. .> ... .. . . .

an .b3) .N ;,,$2S0;000-$500;000 . () =ssQ0;001"SlioOO;®O . Pl . s1iO(lO.ooicSS;Ooo;ooo . . P2. s2s;oM,OOO '1 ..-::

•..p3 =s2s.ooo.001-ssd,ooo;ooo P4. . = sM.0retiian·$5a,o<iP;obo ·

3. Valne;MethodCodes Q =App R ""Cost(Real Estue Only) S '= ASsessment T = Cash/!Vfurket (See Caltunn{;2} U · '=�k Value. · V =Other W =.Estimated

. ..

FINANCIAL DISCLOSURE REPORT Name of Person Reporting Date of Report

BORMAN, PAULO 05/14/2005

·'

(fndicate part of Report.) VIII. ADDITIONAL INFORMATION OR EXPLANATIONS

I, Paul D. Borman, am one of a class of potential beneficiaries of the Trust. I have never received any distributions from this Trust. The Trust Assets are . listed in category VII, pages 3-4.

t · ·•

-'7.:· (

. .. ' ::·:···

Date_G'_- ( ] --() -)'-----_

FINANCIAL DISCLOSURE REPORT Name of Person Reporting Date of Report

BORMAN, PAULO 05/14/2005

IX. CERTIFICATION.

I certify that all information given above ( including information pertaining to my spouse and minor or dependent children, ifany) 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 employ ment and honoraria and the acceptance of gifts which have been reported are in compliance with the provisions of5 U.S.C. §501 et. seq., 5 U.S.C. § 7353, and Judicial Conference regulations:····

NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES ORF AILS TO FILE TIIlS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL 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 United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544