tucker l melancon financial disclosure report for 2010

8/3/2019 Tucker L Melancon Financial Disclosure Report for 2010

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I AO I0Re,. 1/2011 FINANCIAL DISCLOSURE RE PORTFOR CALENDAR YEAR 201 0 Report Requ ired by the Ethicsin Governm ent Act of 1978(5 U.S. C. app. 101-111)I. P e r s o n R e p o r t in g ( l a s t n a m e , f ir s t , m i d d l e i n it i a l)Melancon , Tucker L .

4. Title (Article 111 Judges Indlcute uetive or senior status;magis trate judges ind icate ful l - or p ar t- t ime]Article 111 Judge - Senior Status

7 . Ch a m b c r~ o r O f f i c e A dd re s s800 Lafaye t te S t ree tSu i te 4700Lafaye t te , LA 70501

Court or Organizat ionU S D C fo r W D is t r i c t o f LA

5a. Report T)ve (cheek appropriate type)

] N o m i n a t i o n , D a t e[] Initial [] Annual [] Final5b. [] Amended Report

3. Date of R e p o r t07/13/2011

6 . Report ing Period0 1 / 0 1 / 20 1 0to12/31/2010

8. On the basis of the information contained In this Report and anymodiflenflona pertaining thereto, It Is, in my opinion, In ompliancewith applicable laws and regulations.

Reviewing Off icer Date

1 M P O R T A N T N O T E S : rite instructions accompanying this form must be f o l l o w e , ~ Complete all parts,checking the NONE box for each part where you ha ve no reportable informat lon~ Sign on last page .

I . P O S I T I O N S . ~ R . ~ , o r a , .g ~ n d . . U , , a o ,. t ~ , ; s , ,~ , ~ 9 - 1 s o / l u i ,. e ~ , , s t , n c t ~ o n s . JD NONE(N o reportable positions.)POSITION

I. B o a r d M e m b e r2.3.

4.5.

NAME OF ORGANIZATION/ENTITYNational C oal i tion for Cancer Surv ivorship

[ ~ ] NONE(No reportable agreements.)D A T E PARTIES AND TERMS


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FINANCIAL DISCLOSURE RE PORTPage 2 o f 7

N a m e o f P e r s o n R e p o r t in gM e l a n c o n , T u c k e r L .

Date o f Report07/13/2011

I I I . N O N - I N V E S T M E N T I N C O M E . e e r o , a n g ~ n d l , , i d ~ a t ~ d s ~ o ~ e : s e e p p .A. Filers Non- Inves tment IncomeD N O N E (No repor tab le non- inves tment income. )

DATE SOURCE AND TYPE INCOME( y o u r s , n o t s p o u s e s )I . 2010 N ew Y o rk L i f e I n s u r an ce C o m p an y - A n n u i t y $26 ,330.002.3.4.

B . S p o u s e s N o n - I n v e s t m e n t I n c o m e - l f ) .ou were marr ied dur ing any pot~ton of the reporting.Fear, comp lete this section.(Dol lar amount not required except for h o n o r a r i a . )

D (No reportable non-investment income.)O NE

1 . 2 0102.3.4,

D A T E S O U R C E A N D T Y P ESel f -emp loyed/Sculp tor

I V . R E I M B U R S E M E N T S --transportation, lodging, food, entertainment.(Includes those to spouse and dependent children." see pp. 25-27 o filling instructions.)

D (No reportable reimbursements.)ONESOURCE DATES LOCATION PURPOSE

I. Na t i o n a l Co a l i t io n f o r C a n c e r 4 f 28 /1 0 - 4 !30 /1 0 W as hin g to n DC B o ard o f D irecto rs M tgSurv ivo rship

2. National Coal i t ion for Cancer I0/4/10 - 10/6/10 W as hin g to n DC B o ard o f D irecto rs M tgSurv ivo rship3.4.5.

ITEMS PAID OR PROVIDEDLodging, mea ls , t r anspor ta t ion, and taxifaresLodg ing , m e a l s , a nd t a x i f a re s


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FINANCIAL DISCLOSURE REPORTPage 3 of 7N a m e o f P e r s o n R e p D r t in gMe lancon, Tucker L.

Date of Report07/13/201 !

V , G I F ~ [ 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 DESCRIPTIONI.2.3.4.5.

~-~ NONE (No repot)able liabilities.)CREDITOR DESCRIPTION

!.2.3.

4.5.

V ALUE CODE


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FINANCIAL DISCLOSURE REPORTPage 4 o f 7

N a m e o f P e r s o n R e p o r t in gMe lancon, Tucker L.

D a t e o f R e p o r t0 7 / 1 3 / 20 1 1

D c s c f i p t i o o o f A s s e t s( i n c l u d i n g t r u s t a s s e t s )P l a c e " ( X ) " a f t e r e a c h a s s e te x c r a p t f r o m p r i o r d i s d o s u r e

I n c o m e d u r in gr e p o r t i n g p e r i o d(l) t (~)A m o u n t I T y p e ( e . g .,

Code I I dlv.,rent,(A-H) / o r i n t . )

CoG r o s s v a l u e a t ~ n do f r e p o r t i n g p e r i o d(l) (2)V a l u e ValueC o d e 2 M e ~ h o d( J - P ) C o d e 3

( Q - W )

0)T y p e ( e . g . ,b u y , s e l l ,

r e d e m p t i o n )

DoT r a n s a c t i o n s d u r i n g r e p o r t i n g p e r i o d(2) (3) (4)

D a t e Valu e Ga i nm m /dd /y y Co de 2 C o d e 1

( J - P ) ( A -H )

(5 )I d e n t i t y o fbuyer!seller( i f p r i v a t et r a n s a c t i o n )1 . C o m m o n S to ck S o u th ea s t C n n tr a l L A NoneP r e m i u m F i n a n c e C o2. C o m m o n S to ck L i f~ In s u ran ce C o o f A DividendA l a b a m a3. Working In teres t - JR Rush ing #1 , DeSoto NoneParish, LA4. Wo rk in g I n t e r e s t - B ra s h in g #1 , DeS o to NoneParish, LA5. Wo rk in g I n t e r e st - A rk -L A -T ex , DeS o to A DistributionPars ih , LA6. Royal ty lo t - S i lver P ines , DeSoto Par ish , NoneLA

JJ

JJ

Closed 03/31/10 JTW

M e r g e d 01 /01 /10 J(wi th l ine 9)WW

le e N o te I i n P a r t V I I ISee Note 2 in Par t VI I I

7. Royal ty l o t - Gr i sby Pe t ro l eum, DeSo toParish, LA8. Royal ty lo t - Berry Petro leum, DeSotoParish, LA9.

None J WA Royal ty J W

Royal ty In t - S i lver Oak, DeSoto Par ish , LA B Royalty J W See Note 2 in Par t VI I I1 0 . R o y a l t y I n t - B S 1 0 p L L C , D e S o t o P a r i sh ,

L A ( X )1 1 . R oya l ty In t -Sh e l l We s te m E&P, De So to

P ar i sh , LA (X)1 2 . Ro y al ty In t -E n can e O&G to e , D eS o to

P ar i sh , LA (X)1 3 . R oya l ty In t -Sun R e s ourc e s , De So to Pa r i s h ,

L A ( X )1 4 . C h a s e A e c t l R A ( T L M ) :

A Ro y al ty l WA Ro y al ty J WA Royalty J WA Royalty J W

1 5 . - J P M o r g a n L i q u i d A s s e s t D Int . /Div. L T

1 6 . - C i s c o S y s t e m s None J T1 7 . - In t l B tmiaessMach ines None S o l d 01/04110 K S ee N o te 5 i n P a r t V I I I

I. lnconte Gain Codes:(So: Columns BI and

2 . Va lue Code s( S e ~ . C o l u m n s C I a n t i D 3 )

3.Value Method C0dcs( S e e C o l t m a n C 2 1

= $ 1 , 0 0 0 or less= S 5 0 , 0 0 1 - $ 1 0 0 , 0 0 0= S I 5 , 0 0 0 o r l e s s" ~ $ 2 5 0 , 0 0 1 - 5 5 0 0 , 0 0 0

P3 =$25,000,00 ! - $50,0C/0,000=Appra i s a l= B o o k V a l u e

B= 2 1 , 0 0 1 - $ 2 . 5 0 0G = $1130 , 0 0 1 . $1 , 0 0 0 , 0 0 0K= $ 1 5 , 0 0 1 - $ 5 0 , 0 0 00 =$ 50 0 , 0 0 1 - S 1 , 0 0 0 , 0 0 0R = C o s l { R ea l E s t a t e O n l y )V = O t h e r

C ~ 2 2 . 2 0 1 - 2 L 0 0 0H I = 2 1 , 0 0 0 . 0 0 1 - 2 5 , 0 0 0 , 0 0 0L = 5 5 0 , 0 0 1 - S 1 0 0 , 0 6 0P I =$1.000,001 - $5,000.000

P 4 = M o r e t h a n $ 5 0 , 0 0 0 , 0 0 0S = A s s e s s m e n tW =Est im a te d

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

E =SI5.001 - $50,1000


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FINANCIAL DISCLOSURE REPORTPage 5 o f 7

N a m e o f P e r s o n R e p o r t in gMe lancon , Tucker L.

D a t e o f R e p o r t07/13/2011

N O N E (No reportable income, assets, or transactions.)

D e s c r i p t i o n o f A s s e t s( includ ing t rus t as se t s )

P l a c e " ( X ) " a f t e r e a c h a s s e te x e m p t f r o m p r i o r d i s c lo s u r e

B.I n c o m e d u r i n gr e p o r t i n g p e r i o d

(l) 1 (2)A m o u n t t T y p e ( e . g .,C o d e I d i v , , r e n t ,( A - H ) or in t .)

G ro s s v a lu e a t e n do f r e p o r t i n g p e r i o d(i ) (2) [ O )

V a l u e V a l u e I Type (e,g.,~ o d e 2 Nlethod

t

b u y , s e l l ,( J - P ) C o d e 3 r e d e m p t i o n )

( Q - W )

T ra n s a c t i o n s d u r i n g r e p o r t i n g p e r i o d(2) (3) (4)

D a t e V a l u e G a i nm m / d d / y y C o d e 2 C o d e I

0 - P ) ( A - H )

(5 )Identity of

buyer/sel ler( i f pr ivate

transaction)

1 8 . -Worldsource lnc None Closed L2/31/10 J B a n k r u p t1 9 . C h a ~ e R e t ir e m e n t A c c t

20 . -Transamer ica L i fe In s Annu i ty ( IRA) None L T21 . C h a s e P r e m i e r S a v in g s None C l o s e d 0 1 1 0 4 / 1 022 . CapitalOne Saving~ : : ~, iJ A Int./Div. L T23 .24 .25 .26 .27 .28 .

B lnt./Div. K TLA M i d s t re a m G a s Serv LLC - L e a s eBonu s,De$oto Parish (Y) LAS w e p i LP - L eas e B o n u s , DeS o to P a r i s h , LAPetrohawk - Lease Bonus, DeSoto Parish,L A (Y )Chesapeake Op Inc-Lease Bonus , DeSo toPar i sh ,LA (X) Rent K W See Note in Part VIII

i I . Inc om e Ga in Code s : A =$1. 000 or l e s s D = $ 1 , 0 0 1 - $ 2 , 5 0 0 C =~2 ,501 $5 ,000 D =$51001 - $15t~! I . Sc C ol urans BI and D4) F =$50,00! - S t00,000 O =$1 00 . 001 - $1. 000 . 000 HI = $1 ,000,001 - $5 ,000,000 H2 ~M ore than $5 , 000 , 000

2 . Va lue Code s ] =$ I S.000 or less K = $15 . 001 - $5 0 , 000 L =$50.001 - $ I00,000 M = $100 , 001 - $25 0 , 000(Se e Colum ns CI a nd D3) N =$250.001 - $500,000 O =$ 50 0,~ 01 - $ 1,0 00.0 00 P I ~ $1 ,00 0,00 1 - $ 5.00 0.00 0 P2 = $5.00 0.00 1 - $2 5,00 0,0 00

P3 =$25,000,001 - $50,000,000 P4 =Mor~ thnn $50.000,0003 . Va lue Me thod Code s O ~App ra i s al R " # - C o s l ( R e a l E s t a te O n l y ) S =Asses sment T = C a s h M a r k et( S e e C o hm m C 2 ) U =Book Va lue V = O l h c r W =Es t imated

E =$15,00 t -


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FINANCIAL DISCLOSURE RE PORTPage 6 o f 7

N a m e o f P e r s o n R e p o r t in gM e l a n c o n , T u c k e r L .

D a t e o f R e p o r t07/I 3/2011

V III. ADDITIONAL INFORM ATION OR EXPLANATIONS.7#1 :Par t VII - Inves tm en ts and Trus t s , L ine 1S o u th ea s t C en t r a l L o u i s iaz ~a P rem iu m F in an ce C o d i s s o lv rd e f f ec t i v e 31 31 / 20 1 0 , S to ck i s n o l o n g e r o u t s tan d in g an d h a s n o v a l u e .#2Pan VI I - Inves tments and Trus ts , L ine 4 and 9The Brash ing #I Royal ty In teres t ( l ine 4) i s no t comb ined and repor ted ~ vi th the Si lver Oak R oyal ty In teres t (L ine 9)#3Par t VII - Inves tmen ts and Trus t s , L ine 18Worldso~rce has declared bankrup tcy and therefore has no income for 2010 and no value a t 12/3112010.

#4Pan Vl l - Inves tments and Trus ts , L ine 27T h i s i n v e s tm en t i n co m e w as a o n e t im e r ece i p t o f a l e a s e b o n u s . T h e re i s n o v a l u e p l aced o n t h e l e a s e b o n u s an d n o a s s e t w as p u rch as ed o r a cq u i r ed .#5Par t VII - Inves tm ets and Trus t s , L ine 17Proceeds f rom sale o f ln t l Bus iness Mach ines were depos i ted in to the JP Morgan Liquid Asset Trus t Fund wi th in the Chase IRA Account .


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FINANCIAL DISCLOSURE REPORTP a g e 7 o f 7

Name of Person Report ingM e l a n c o n , T u c k e r L .

Date of Report07/1312011

IX. CERTIFICATION.I c e r t if y t ha t a l l I n f o r m a t i o n g i v e n a bo v e ( i n c lu d i n g In f o r m a t i o n pe r t a i n in g t o m y s po u s e a n d m i n o r o r d e pe n d e n t c h i l d r e n , I f a n y ) i saccura te , t rue , and o m p le t e t o t he be s t o f m y k n o w le d g e a n d be l i e f , a n d t ha t a n y i n f o r m a t i o n n o t r e po r t e d wa s w i t hhe ld b e c a u s e I t m e t a pp l i c a b l e s ta t u t o r y

p r o v i s i o n s pe r m i t ti n g n o n - d i s c lo s u r e .I f u r th e r c e r t if y t h a t e a r n e d I n c o m e f r o m o u t s id e e m p l o y m e n t a n d h o n o r a r ia a n d t h e a c c e p t a n c e o f g i f ts w h i c h h a v e b e e n r e p o r te d a r e i nc o m pl i a n c e w i t h t he p r o v i s i o n s o f 5 U . S . C . a pp . 50 1 e t . s e q ., 5 U . S . C . 7353 , a n d J u d i c i a l Co n f e r e n c e r e g u l a t i o n s .

N O T E : A N Y I N D IV I D U A L W l lO K N O W I N G L Y A N D W I L F U L L Y F A L S I F I E S O R F A I L S T O F I L E T tl IS R E P O R T M A Y B E S U B J E C T T O C I V I LA N D C R I M I N A L S A N C T I O N S ( 5 U . S .C . a p p . 1 0 4 )

Co m m i t t e e o n F in a n c ia l Dis c lo s u reA dm in i s t ra t i ve Of f i ce o f t he U ni t ed S t a te s Cour t sSu i t e 2 - 301On e Col um bus C i r c l e , N .E .Wa s hin g to n , D.C . 20 54 4

tucker l melancon financial disclosure report for 2010

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