Professional Documents
Culture Documents
1/2011
Report Required by the Ethics in Government Act of 1978 (5 U.S.C. app. ~q 101-111)
Nomination, ] [] Initial
5b. [] AmendedReport 7. Chambers or Office Address P. O. Box 657 Lynchburg, VA 24505 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. Reviewing Officer Date
IMPORTANT NOTES: The instructions accompanying this form must be followe~L Complete all parts, checking the NONE box for each part where you have no reportable information. Sign on last page.
2. 3. 4. 5.
II. AGREEMENTS. (Reporting ind~vUuat only; see pp. 14-16 of filing instructions.)
NONE (No reportable agreements.)
DATE
1.2009 2. 3.
Moon, Norman K.
III. NON-INVESTMENT IN COME. tgeportlng individual and spouse; see pp. 17-24 of ~ling instructions.)
A. Filers l~on-lnvestment Income
D
1. 2010 2. 3. 4.
B. Spouses Non-Investment Income - if you were married during any portion of the reporting year, complete this section.
(Dollar amount not required except for honoraria.)
[~]
I. 2. 3. 4.
DATES
LOCATION
PURPOSE
V. GIFTS. anc~udes ,hose to spouse ond dependen, children; see pp. 28-31 of filing instructions.)
NONE (No reportable gifts.) SOURCE
1. 2. 3. 4. 5.
DESCRIPTION
VALUE
VI. LIABILITIES. ancludes those olspouse ond dependent children; see pp. 32-33 of filing instructions.)
NONE (No reportable liabilities.) CREDITOR
1. 2. 3. 4.
5.,
DESCRIPTION
VALUE CODE
VII. INVESTMENTS and TRUSTS - income, value, transactions (Includes those of spouse and dependent children; seepp. 34-60 of filing instructions.)
(1)
Value Code 2 (J-P)
(2)
Value Method Code 3
(Q-W)
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15.
16.
Lynchburg, VA, Lot SunTrust Bank (Accounts), Lynchburg, VA Wachovia Bank (Accounts) Lynchburg, VA BB&T (Accounts) Lynchburg, VA Bank of America (Accounts) BB&T Common Stock Exxon Mobil Common Stock Bristol Myers Squibb Common Stock Amherst County,. VA property Parcel #1 Amherst County, VA property Parcel #2 Abbott Laboratories Common Stock Cisco Systems Common Stock Coca ColaCommon Stock AT&TCommon Stock Disney Common Stock
Three Corn COMS Common Stock
None C C C C C A A Interest Interest Interest Interest Dividend Dividend Dividend None None A Dividend None A A A Dividend Dividend Dividend
None
L M L M
L
W T T T
T
J J J K J
J
w w T T T
T
T
Sold 04/12/10 J A
17.
Dividend
1. Income Gain Codes: (See Columns 131 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 - $100,000 J =$15,000 or less N =$250,001 - $500,000 P3 =$25.000.001 - $50.000,000 Q =Appraisal U =Book Value
B =$1,001 - $2,500 G =$I00,001 - $1,000,000 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 - $5,000,000 L =$50,001 - $I 00.000 PI -$1,000,001 - $5,000,000 P4 -More than $50,000,000 S =Asscssment W =Estimated
D =$5,001 - $15,000 H2 =More than $5,000,000 M =$100,001 - $250,000 P2 =$5,000,001 o $25,000,000 T =Cash Market
E ~$15,001- $50.000
VII. INVE STMENTS and TRU STS - inco,.e, value, transactions anctudes those of spouse ond aevendent children; see pp. 34-60 of filing instructions.)
NOllE (No reportable income, assets, or transactions.)
A. Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure B. Income during reporting period (1) (2) Type (e.g., Amount Code 1 div., rent, (A-H) or int.) C, Gross value at end of reporting period (1) (2) Value Value Code 2 Method (J-P) Code 3 (Q-W} D. Transactions during reporting period (I) Type (e.g., buy, sell, redemption) (2) (3) (4) Date Value Gain mm/dd/yy Code 2 Code 1 (J-P) (A-H) (5) Identity of buyer/seller (if private transaction)
18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31.
Minnesota Mutual Life Insurance Policy First Colony Life Insurance Policy Equitable Life Insurance Policy Metropolitan Life Insurance Policy Life of Virginia Policy USAAMoney Market Fund Bank of the James (James River Bank) (Accounts)
A A A A A A A
J J J J J K L
T T T T T T T
I. Income Gain Codes: (See Columns BI and D4) 2. Value Codes (See Columns C I and D3) 3. Value Melhod Codes (See Column C2)
A =$ 1,000 or less F -$50.001 - $100,000 J =$15,000 or less N =$250,001 - $500,000 P3 =$25,000,001 - $50,000.000 Q =Appraisal U =Book Vahle
B -$ 1,001 - $2,500 G =$100,00l - $1,000,000 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 - $5,000,000 L =$50,001 - $100,000 P 1 =$1,000,001 - $5,000,000 P4 =More than $50,000,000 S =Assessment W =Estimated
D =$5,001 - $15,000 H2 =More than $5,000,000 M =$100,001 - $250,000 p2 =$5,000,001 - $25,000,000 T =Cash Market
E =$15,001- $50,000
IX. CERTIFICATION.
1 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 employment 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.
Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544