j, pen:on reporting (last court or organization · 2019-07-26 · mt>rgan stanley smith barney...
TRANSCRIPT
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Legg,
Report Required b_i.: the Ethics FINANCIAL DISCLOSURE REPORT AO /0 in Governmem Ac! of lf/78 Rev 112010 FOR CALENDAR YEAR 2009 (5 USC app. §_;i /lil-11 Ii
J, Pen:on Reporting (last name, fir t. middle initial)
Legg, Benson f.
2. Court or Organization
United States Distrkt Court, Maryland tiS/O<l/2010
4. Title (Article lll judge indicale >.:tive or ai:nior :s:wcus: nrngis1n.1te judge::> indicate full- or p.ul-time)
U.S. District ltldgc (/\ctivc)
5u. Ucport Type (\:het.:k :.ippropriate type)
O Numinati1Jtt. Date
O 1niti'1: [{] Armual SL. D Ami!rnll.!d Rl..'.'p<Jrt
D Final
b. Reporting Period
01101/2009 '"
12i3 Ji2009
7. Ch:rn1bt:r,-; or Ornct: Address 8. Ou tbt" Oasb: ol'the information contained in tbi:s Report and any modifications pl'rtaining tlu.·reto, i1 is in m ' opiniuu, in compliaucL"
10! W. Lombat<l Stred '"·ith appfo.:abfc h:ews and regulations.
Suit 7A Baltimo1 , Maryland 21201
Rl'"·i..,wing Ofticer Oate
f,WPORJANT /VOTES: lite i11slr1t('ffo1ts accumpauying thisjvrm must befollowed. Complete all p11rls, checking the lVOj\'£ boxfi.Jr each part 1t..'here you have 1w rl'porrahle i11forma1io11. Sign on ta il page.
J. POSI Tl O.N S. (Reporting indivit!m1/ onfr see pp. 9-l3 ufjili11g insrruaf..ms.)
D NONE (No reportable positions)
NAME OF ORGAN!ZA Tl ON/ENTITY
UTMA Tcusll'e Custodial Accounts at Legg Mason
2. UTM/\ Trustee Custodial Accounts at T.Rowe Prict..:
3. UTMA Trustee Custodi;-d Accounts at tv1organ Stanky Smith Barnt')'
4.
5.
C--: c·:·
rt. 1\(;llE I\.'lEN"rS .. O?eporting jn,J;vitlual only: see pp. J..J-16 ojjilhtg itntructions.)
[{l NONE (l\io reportable ugreemrnts.)
:u r 1 f:-)
PARTIES AND TERMS a:t <-1; -ri
2. ·-----·-·--------------------
3. -------------·----
Benson E.
-· ----- ·------
---�
LOCATION
·------ ---- ----- ----·------- -----
PAID
----------- ------
FINANCIAL DISCLOSURE REPORT
Page 2 of9
N°'mc uf Person Reporting
Legg, Bt:m.1on E.
Date of Report
0510 2010
Ill. NON-INVESTMENT INCOlVIE. (Reporti11gindi>idu11/1mds[nlll.«';seepp. /7-24ojfilingimm"·riom.)
GJ A. filer's Non-Investment Income
NONE (No reportable non-invesrmenl income.)
2.
4.
SOURCE AND TYPE INCO!v1E 1 yours, not spouscis)
----·-·-··
----- ----
B. Spouse's Non-I nvestrnent Income - lfyvu W'-.'re married durinc unypvrtiull OJ tltt• rqwriingp.wr, t.•omplt.!le this .'it'('tion.
(Du!lur Lm1c.mnl 11.;t rl:!quirt'd exct!pf for honurariu.1
D NONE (No reportable non-investment income.)
SOURCE AND TYPE
I. 2009 Legg Mason Inc (CEO of Legg Ma>on Capital \1annagcmcnt)
-l.
l V, REIJVIB lJ RSEMENTS rrausporration, /odgiNg,.fi'"''· entertuinmou. -
[ZJ NONE (Nu reportable Nimbursemenrs.)
SOURCE
I.
2.
PURPOSE
3.
ITEMS OR PROVIDF.D
-·-------- --- ---- ----- ··- ---······--·-
5.
--·------------------
FINANCIAL DISCLOSURE REPORT
Page 3 of9
N;um· of Person Rt.'(JOrling
Legg. Benson E.
Datto of Report
\l. c;.JF'I'S. (lm:ludt!S ilwse Iv spuWif! mid d4!prnd:nt .:hildren; .'iet• pp. lS-31 uffiling in:--tructiom;.)
[{] NONE (Illa reportable gifis.)
SOURCE
l.
2.
DESCRIPTION
3.
4. ----
V 1 .. LlABILl I'fES. (Jm..-ludt!s tho.se ofsp01m! uud dependent chihlren; see pp. .11-33 ujjili1rg in:;tnu·tiom )
L NONE (No reportable liabilities.)
I. Chas('
CREDITOR
2. Bank of Arnericc.t
5.
DESCRIPTION
Revolving credit ct1rd
Revolving crndit t:ard
Revolving credit card
VALUE CODE
I(
13.
I
I
13. I
9.
!
117
i' OJ
M
M
(2) (!)
Huy
T
Bi.:.Y
(3) (4)
I I
14.
l ).
L___---·-- -----
(2)
(Q-W) ----·-- ·
!'tiam of Person Reporting Datt- of Report FINANCIAL DISCLOSURE REPORT
Page 4 of9 Legg, Benson E. 0510412010
Vil. INVESTMENTS and rRU"SI'S -- i11cume, .,.."""" rmusa•.:rions (Jndudes those of!ipvus1.• '""' d<!pemlr.•m ('f1ildrett; sec pp. 3./v6() of filing itrstrUl'liotis.)
NONE (Nu reporlable income, assets .. ur transactions.)D A. c. D.
Oescriptiun vf As:.sers. lncumc <luring G;:c:.s valut: ut t:!nd ·r 1-:i11s<1 rions during repo:iing period (induding trust <Jssets) repo>ting period vf r porting period
·--· t2) (5)\ l)
Place "(X)" after ach a,:;;;et AlhOUUt exempt from prio:· iJbdusure Cud< I
(A"H)
Type (e.g .. V 1lut> Value Typt: ( .g., Date Value G:lin Identity of div .. rent, Code2 Methud buy, >ell, ! mm'ddlyy : Code 2 : Cude I buyt!r/se.\ll':r or int.) \.f-P) (:o<le 3 redemption) (J-P) (A-H) (ifprivate
I tnm:::;ai.:rion)
I. T.Rowc Price New Horiwns, UTMA #I A
: 2.I
T.Rowe Price New HoriLvno. UTl'vL'\ #2 A
Morgan Stanley Smith Barney (Bank Deposit) IR,'\ #1 Y
• 4. Mvrgac Srnnky Smith Barney iL'v!NSX) -!KA#!
A
5.
6. Morgan Stanley Smith B"mey (LMNVX) (' -IRA#!
7. t-.·torgan Stanley Smith Barney (LMNOX) -IRA#!
8. f\.·1L'rgun Stanley Smith Darncy (AnlJ.;!01!.t:om) -1RA #2
l\forgan Stauky Smith B'1rney (Bk Dcp) A Ht•\ #-2 Dreyfus Mtvl
10. Morga:> Sc:rnky Smith 13.crnev (L\lNVX) B .. JR.Alic
II. Morgan Stanky Smith Barney (LMNOX) -!RA #2
12. Morga;, S::mky Smith Harney (LMNSX) -1RA#2
A
13.
Dividend
DiYidtnd
DiYidcnd
Div1de11J
Non...-
None
lntcrcst
Divid1..:nd
None
Di·:i<knd
K
K
N
N
0
T
T
T
T
T
T
T
T
T
Buy (add' I)
Buy (<LJd'])
Buy
Buy iadd'I)
(add'!)
Buy (add'!)
Buy
Buy (add'!)
12115i09
12.] 5'09
3:30/09
121lll'09
12'10/U\l
12/10/()9
}.'27:'09
12!10109
Morgun Srnnl1:y Smith r-farncy (LMNVX) l'iD #2
B Dividend lvl t 2'10'09
iVlnrgnn Sranlcy Smith Ramey {lJvlNOX) -lND#2
Nom; r, T
16. Morgan Stanley S:nith Barnev (LMNSX) A -!ND'ii2
Mut n St•:tlcy Su1i1h Oarney I.Amazon) -lND #2
DividmJ
Nl>nC
L
L
T
T
12110109Buy (add'!)
Donated (pMtJi
A-'Si.•10(inrk;-;s H '-0.SI .mll - 2.5 ) 1 C=:$2,9i - S'.'.U(Jt1 D" 5,i.JlJl .£.:5. )r) Sl."c Colut•in:.. lH :md D J r sso.uo i . 100.000 G -·$10(>}..J.f)l -::il.OVii,O!J:.) HI =$1,0\i(}.UCil - S5.tlll{l,O(l(l It?. Mu,c ttu..n $5,01)1),(IUO
2. V::i!u-:Cl).(j;:s J '"$)5.000m ks.s K "'.}IS lhil - $-'..(1.(10{1 t. =550,001 · S!( J.\JOU M >«$100.001 - S.250,0()0 (Sw Ct!lumrL.'\ ( i and 1)3) N "S O.VUl -$500,(IOQ 0 •:·S500,00 I • .) : ,(i!iO.UOD PJ ""Sl,(11)0.001 · $.S..000.000 P2 -,,.ss.omj/.lOI -s2s,ooo,ooo
P "' 25,000.001 · S.S0,000,0UO /?4 ;;:\for'<' th<Ul :S:51),0(h),000 j_ \'a ui: :\·ktb•.-0 c ,d ,. () · -Apprn dl R '-Co:>tjlk.'.LI J sc:m: Olli}'} S'"Asscssme-ur
i..:S!:t• Ct::.l'Jmti C ) l r -•Bt:ul. V lu1.· \' 4Jth·!'l W ··Estimated
(I) T (2) \I)
11s.
1' ..
;o
I J
L_.
· ----
(l)
'
(2) (3) (41
I
A. I'.
(2)
(Q-W)
Name of l't:rsou Rcpurtiug Datt! of Report FINANCIAL DISCLOSURE REPORT
Legg, Bensun £.Page 5 of9 ()5,frl/20 l u
V.ll. IN.Y.ESTl\.iE.I\TS and TRUSTS - i11<0amc, ··11l11e, lmmactiun; (/11dudes '""" fJfSJl{}ll'" and dependent children; SC<' pp. 34-60 of filing inS1rU«tfo11s.)
D NONE (No reportable income. assets, or transocfions.)
DescripticJn of As:;;=ts Transactions during reporting period
ll. c. lni:t>n1e during Gro s valu nc t!nd
or reporting period(including t.iust assets) '.-.;porting penoJ
Value (5)
Jdcntit:· o: Plac<" "(X)" after each ·as:;et exl!mpt·from prior disdosure
Va!u1: GainfAmount' Type(e.g.oi Code J
Type (e.g., Date Value buy1 sell,CoJe2 tvktho<lJiv,. r1::nt, !mm:t.kflvy Cud<2 Code J buy 11seller
I . •
(J-1') \A-H) (ifprivatefA-H) or ir:t.) (J-l') Code3 redemption)
r1ansai.:tion)! .. ··-· ·--- ·--i··-·-···-------- .
'.\forgan Stoulcy Srnnh Barney (Cell Gcnesys)-IND #2
19. MorganSttlnlcy Smith Barney(Biosamc Phann) [ND #2 X
20. Morgao Stanley Smith Barney (Qualcomm) -IND#2
21. Morgan Stanky Smith Barney (Legg Mason lnc)-:ND #2
2. Morgan Stanley Smith Barney IBank Dcpositl !ND #2
! ..., ... : -'- Dcutsdie B,mk Optio;is (Legg l\'1ason) #2 Y
24. Li:g.g 1\'la on 401 K (Special Investment)
25. Legg Mason 40 IK {Value'lnst)
26.
')'I Legg 1ason Phan.tom Stock Plan4.' .
! 28. Rive1 l lotcl, Baltimore. MD
29. Pioneer Nan.iral R\:sources
IJCW Drilling Partnership Units l 980-l, Unpriced Security
131. llC\V Dnlling Partnerships Units 1979-1, Unpric d Sc urity
32. Kog.<.::r Pa11ncrship. LTD
33. Legg Masun ESPP (The Bank uf NY Mellon)
A
E
A
A
c
B
D
A
B
None
Nooe
Divi<ll!nd K
Divid1.:nJ Pl
lutt.::rc;st K
Di,·id nd K
Div1tlrnd N
Divid-:nd M
lm1..:n.: t
Dividi.:nd
None
No::c-
None
Oi\i<li:nd M
Merged (wirh line 19)
T
T
T Dorn.Hell (part)
r
T Buy (add'I)
T Buv 1add'I)
Buv (ad<i't)
T 13uy(adj'])
T
T
w
w
\Ii
T Buy (<tdd'I)
Buy 1,add'l)
10/14/09
12/10/09
Oo!Ol/(\O K
12/l0109
10105.'tN K
06101/09
06itJL09 K
l. ln;: m11: Gai111 Code::· B ,.,$1,001 - $2,500 1,,' -="£'2,50! - $5,00U D-.$5,'J'Jl • S!5.00fl E S I5.(,\i l S t1.(}(hJIS c CiJlumr1 Ul ti11d 04) F •$50,00l · $100,000 (j $ it'}(J.Of)J - :-:; \.000,000 HL "'-SI,000,00 l • $5,\l/J.0,000 H2 .,.,More th.an. $5,UOIJ,fJOO
2. Vriluc Col.le:; J-•Sl>,001/ "r kss K =-·$15,001 - .S:iV,000 t. o..SS0,00 I • $I Ol _cj(ll) M SI00,001 · :t250,{)t,t..')($Ct: Culumn.s Cl :rnJ 03 t .N c$25(J, O! · $5(;{>,000 0 M•$5(•l).o0l • :1-:J .000,00(J P'. -..,S1.DOO.ODI "$5,000.UUO P:! =. 5.0UU.001 -$25.tK){}.OlJO
11. -;$25,000,(iOt - 'S50,000.000 P4 ··t-.fo:\.'" !ha1: $$iJ,Q(}(J,00{) 3 V11lu1.: c1h.x Codes 0 -Appr:1i:;a\ R · ·Cu:-t (R ;;;!! Esl<.1ti: Or;Jyi S ' A.s i:ss.mcnt
lSce Cclumu C2) l ···8t11.)k Va!ut; V uOther \V ,. r: l imm.;-d ·
I I
i
) 45 ! ;
'
4<l
(2) (!) (2) (!) (2) (3) (4)
c.
(Q-W)
Name of Person Reporting Date of Report FINANCIAL DISCLOSURE REPORT
Legg, Benson E. Page 6 of9 0510412010
VII. INVESTMENTS and TRUSTS -- income, ''"'"'· 1runsuctions (Includes those of spouse and t1epenaem ehilitre11: see pp. 11-60 oJJiling i11s1rucriom·.J
D NONE (No reportable income, assets, or transactions.)
A. B. D. Di:scription of Asset:. lucume: during Grus.5 value at eud
(including trust assets) reporting period of reporting period
I (1) -f
I V lue ValuePl.a.1..·I! "(X)" atler ach asset Amount Type (e.g.,
• Code I Code 2 Methodexempt from prior disclosure div., rent. ! (A·H) i or int.) (J-P) Code 3 I
Transactions during reporting period
(5) Type (e.g., Date j Value Gain ldentily of buy, sell, mm1ddlyy i Code 2 Codt: i buy(:'r/selter
redemption) (.J-P) (A-H) (if private I
--- -L rrnnsacriun)
35. L•cgg Mason Inst funds #I (Value Trust),UTMA#I
36. Legg Mason Inst Funds# I (Oppr Trust). UTMA#l
37. Morgan Stanley Smitl1 Barney UTMA #I Y
38. Mt>rgan Stanley Smith Barney UTMA #2 Y
39. Morgan Stanley Smith Barney GRAT(Legg Mason) Y
40 Morgan Stanley Smith Barney GRAT, (Bank Deposit) Y
41. Legg Mason Inst Funds #2 (Value Trust) UTMA#2
1 42 Legg Mason Inst Funds #2 (Oppr Trust), UTMA #2
43 Legg Mason Capital Management Research Fund
1 44 LMCM Income Opp Fund II
LMCM Small Cap funu LLC
i 46. LMCM Systematic Value FunJ LLC
41. Morgan Stanley Smith Barney (LMOPX)-IRA#3
48 Morgan Stui1lcy Sm ith Barney (LMASX) IRA#3
Morgan Stanley Smith Barney (LMASX) IRA#4
50. Morgan Stanley Smith Barney (Bank Deposit)
St Morgan Stanley Smith Barney (CD) Y
A
B
A
A
B
A
A
A
[)
Dividend K
None M
DiVldcnd
Dividend K
Noue M
Im./ Di\'. K
lnr./Div. K
lnt./Div. K
Int./ Div. K
Nom: )
None J
Norn.: J
lnt1.. r st 0
Interest
T Buv ladd'lj
T
Closed
T Buy (add'!)
T
u
u Buy
u Buy
u Buy
T
T Duy
T Buy
T
Clo>CC
12110109
02112!09
12/JU/09
3/30/09
6130/09
6/30/09
4/17/09
04/20/09
12102/09
J
J
J
K
K
K
J
J
J
L lncumc Uam Codes: A "'$1,00Q or lt:SS e =-.)J.llOJ • :J>2.500 c s:: .so 1 - ss .rJov D =$5,001 -$L5.l)OC f:. -":i-15,001 • $50,000 {Sec Coh.unn.:> Bl ;md 04) r -S50,00J. St0-0.000 G ""s100.uo1. ::;1.uoo.uou HI .,,$l,OOU,UOi S5.0U0,000 H2 ""Mme than S5,000,01}0
2. Vuh.u: Co(.ks J "'Sl5,000oc less K -=S 15,01.11 • !)'50,000 L ·=S50,(X}l - SIOO.UOU M =$ !OOJ)Ol S250,000 (St:c Columa.� Cl <Hlt.1 D3) N ,,S250,001 -$500,000 0 ···SS00,00 I · $ 000.00fJ Pi · Sl .OUV.00 1 -S5,00U,tJCO P2 =S5.000.iJ<J l - $25.000,000
>.Value Mi.:tliotl Code:; P3 s2s,ooo,001 • sso.00<>.000 Q ""Appnai al R --"Cost (Re.ii Estutc Uni> i
Pi.I ·""'More 1han S50,000,000
S -'·Assl!' smeru T -Cus!: Mark..:1 (Sci! Column C2) U "'Bl.lot V:ilue V:-Otl:l·: W "'Estimated
{l) (2) (l)
'
I-s I
(2) (3) (4) (5)
Name of Person Reporting Date of Repol·t FJNANCIAL DISCLOSURE REPORT Page 7 of9 Legg, Benson E. 05/0412010
VIL INV ESTn.fENTS and 'f RUSTS -- income, wdue, lTUtlSU!'li07'S (lnd11t/ey I/lose 11/spouse "'"' depell(/ent dd/Ur<n; see PP· 34-60 ojfi/i11g inslfll<'(ion"")
NONE (No reportable income, assets. or transactions.)
A. B. c. D. o cripr:un of Assets inco:u durillg Grnss value at end Trnn actiom during-reporting period
tincl11di11g trust asset ) reporting p:.:r.od or rnpurting period
1;j (2j P!a...:e ''.(X)" utkr ach a:;s t
exempt from prior disclosure ; AmowH : [ Code l
. (A-ll)
Type (e.g., div.. rent. or int.)
V;1lae
Code2
(J-1')
Value
Me<ho<l
Cu<.k3
lype(c.g., buy, 'ell,
re<kmption)
Oat.:
'mmlddlyy
Value
Code 2
(J-1')
Gi.lin
Code. l
\A-H!
ldontity of
buyer/seller
(if private
(\)-IV) rmm;:actil)n)
Rcnt:.iJ Prvp:rty - BaJtimurt City, MDX F l\ent Pl
I. rncumi! Gum Code:-. A. =$1.000 ..ir tc:-.s B ., l ,00 I · '.>Z .stio C ·· ·:i2.5iJ\ · SS,OPO D ""$5.001 · Sl5.000 E "">) IS,001 -S50,000
! S..:c Columns BI 1111d .()4 i F ..,.$51),001 · $100,000 I.) "' !OIJ,lJ(}j. ')J,lJOO.OQt1 HJ - l .QUU.001 - '£5,f.l();),000 H:?: -"'!>·hire than SS,000,0UO
2. V ,ilue Cocks J ,-S\5 ,000 ur le K :.-·.$ J 5 ,OU I • SO,\Jl}O L c:.$50,:j(Jl. SJ(IQ,'JOO M .,.SlOO,OOl -$250.00<)
{S'-' Ct.•lumns Claud D3J N :...:$250,LlOJ · $."i00,000 O - S5Uti/J!Jl . S l,0(1t1,(IOO Pl c·.SJ ,000))01 -S5,0GO,tJ0t) P2 '°'S.S,000,001 - S25,00u..Ol..YJ
PJ ,.,,sz .oor1.001 . so.000,000 P4 ·":Vkire Iha.a $50.000,000 J. Villi.I M·diuU (\)di!:. Q"-'Appr;tiS.'il R "-COM 1.H.l.'u! ml\: Dn!y) S '-A .'><! Snt llt T '-Cash Markel
(Sc•.' Column C2f L ··8m k Value \ · -·Ulhc·1 W-E'>1in1,1ti:tl
aml' uf Pt•rson Reportiug Date of Report FINANCIAL DISCLOSURE REPORT
Page 8 of9 05104/2010Legg, Benson E.
VIII. ADDITIONAL 11\FORMATION OR EXPLANATIONS. (lndicutepurto/Report.)
Part VIII. lnvcstm nts and Trusts:
Smith Barney cbnged their name from Smith Barney to Morgan Stanley Smith Barney iu 10U9.
Morgan Stanley Smith Barney (Bank Deposit) IRA# I Y (item 3) - P:·eviously dosed 2008.
Morgan St,111ley Smith Barney (Cell Gcncsys) - JND #2 (item 18) Cell Gcncsys was acquired ihrough an all stock mcrgc:r by Biosanlc Pharmaceuticals in 2009 (item 19). The Biosantc Pharmaceuticals shares ·ere received in exchange for the Cdl Gencsys slmres {item I 8). (item 18) wilJ no longer he inclmh;d in future report::;.
DcL:tschi.:- Bank Optiuns {L gg Milson) #2 Y {item 23)- Prcvkn1sly dosed 2GOS.
tv1orga.n StanlLy Smith Barney UTN1A # l Y {itcrn 37) Previously dosed and wcrl: 1.;IToneously rcportc.:.d in 2008.
Morg.ar, Stonlcy Smith Barney UTMA #2 Y (item 3X.1- Prcviosly closed and were erroneously reported in 2008.
Morgan Stanley Smith Barney GRAT (Legg lvlason) Y (item 39) P1cviously closed 2008 ·
i\1organ Stanley Srmth UarnL"y GRAT. (Bunk Deposit) Y (item 40) \Vas dos.::d rn '.2009 ;,md funds ;vcrc trnnsfrrr d into Morgan Stanley Snuth Bamry (Bank Dcp,i>i1) INDW2 (itcm 22). (item 40) WJll n(J lunger bt: iududed in ti..1tur reports.
LMCv! Income Upp Fur.d (ite:n 44) is a newly established account.
LMC\t Sma!i Cop Fund LLC (item 45) is a newly cstablishc<l ccuuut.
LMCM Systci:i"t;c Value Fund LLC (item 46) is a newly established account.
Mor '"' Stank} Smith Barney (LMASX) IRA t!4 (i;cm 49) is a newly cstabfohcd account.
;v1orgun St:mley Smith Barnt:y (CD) Y (item 51) was 1,,·.loscd in 2009, CD's. rmtturcd in '2.009 and funds were deposik<l inw i\,lorgun Sunlt!y Smilh Barney \Bank-
Deposi1) (item 50). !vtorg3fi Sranlcy Smith Barney (CD) Y (itGm 5 l) win llo longer b(:' iacludcd in fotun: n.:po:is.-
FINANCIAL DISCLOSURE REPORT
Page 9 of9
I" ame of Person Reporting Dute of Report
Legg, Benson E. 05/04/2010
IX. CERTIFICATION.
I certify that all information given abm-. (in cluding information pertaining to my spouse and minor or dependent children, if an}') is accurate. true, and complete to the best of my knowledge and belief, and that any information not reported was withheld because it met applicabk statutory proYisions permitting non-disclosure.
I further certify that earned income from outside employmertt and honor aria and the acceptance of gifts which ha vr been reported are in compliance with the provisions of5 U.S.C. app. § 501 et. seq., 5 U.S.C. § 7353, and Jmlidal Confcrenct.' regulations.
NOTE: ANY J\'iDJVIDUAL WHO KNOWl:'<GLY AND WILFUILY FAL AND CRIJ\llNAL SANCTIONS (5 U.S.C. app. § 104)
FILING INSTRUCTIONS
Mail signed original and 3 additional copies to:
Committee on Financial Disclosure Administrative Office or tbe Unilt:d States Courts Suite 2-::101 One Columbus Circle, N.E. Washington, D.C. 20544