Professional Documents
Culture Documents
1/2011
Report Required by the EtMc~ in Government Act of 1978 (5 U.S.C. app. 101-111)
3. Date of Report
4. Title (Article I~ judges ~dlcate active or senior status; magistrate judges indicate full- or part-time) te
L On the ba~ of the informal- ,.e-~d in thi~ K~p~ and any modificaffoa.~ pertaining thereto, it i~ in my opinion, in ~ompli~nce with applk:able l~w~ and regnlalio~ Date,
IMPORTANT NOTES: The in.ffrucffons accompanying this form nmst be followext Complete all part~, hecMng t~e NONE box for each part where you Imve no reportable information. Sign on last pag~
P0s~oN
4:
Carroll, Earl H.
Date of Report
III. NON-IN~STMENT IN COME. (Repor~ng individual and spouse; see pp. 17-24 of filing i~ucfio,~.)
A. Filers Non-Investment Income ~ NONE
(No FepoFtable
DATE
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.)
~--~
NONE (No reportable reimbursements.) SOURCE DATES LOCATION PURPOSE ITEMS PAID OR PROVIDED
2. 3. 4. 5.
Date of Report
VII. INVESTMENTS an d TRUSTS - income, value, transactions. (Includes those of spouse and dependent children; see pp. 34-60 of f!link, instructiom:)
NONE (No reportable income, assets, or transactions.)
Description of Assets (including trust assets) Place "(X)" after each asset exempt fiom prior disclosure Income during reporting period (1) (2) Amount Type (e.g., Code 1 div., rent, Gross value at end of reporting period
(l)
Value Code 2 (J-P)
(2)
Value Method Code 3
(1)
Type (e.g., buy, sell, redemption)
(2)
(3)
(4)
Gain Code 1 (A-H)
(5)
Identity of buyer/seller (if private transaction)
(A-H)
or int.)
(Q-W)
A [ I~ I, -t-
4.
A
13. t4. 15. 16. 17. I
/5
,k" "/"
A D ,q- h
K /4
A b
/<
1. hacome Gain Codes: (See Columns B1 and D4) 2. Value Codes (S~e Columns CI and D3) 3. Value Method Code~ (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 - $50,000.000 Q =Appraisal U =Book Value
B =$t,00t - $2.500 G =$100,001 - $1.000,000 K =$15,001 - $50,000 O =$500,001 - $I.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 PI =$1,000,001 - $5,000.000 P4 =More than $50,000,000 S =Assessment W =Estimated
=$5,001 - $15,000 H2 =More than $5,000,000 M =$10o,oo~ - ~250,000 P2 =$5,000.00! - $25,000,000 =Cash Market
E =$15.001 - S50,000
I~te of Report
(Q-W) ~
_[
transaction)
18.
22.
27. 28.
29. 30.
D -r
32. 33.
=SI,001 - S2.500 =SI00,~01 - $1,000,000 =5500.001 - SI =~o$~ (Real E~lale Only) --O~her
H I =S1.000.O01 - $5.000,000
{~ Col~
(5)
Vah~ | Vakle Code 2 | Method (J-P) [ Code 3 r~ (e.g., Imy, ~ell, redemption) ~in Dat~ i Valu~ Month - ~ Cod~ 2 Code I [ Day ] {J-P) (A-H) Identity of buyvr/seller (if private transaction)
36.
37.
39.
40.
42.
K E
I
48.
50.
(,S~" Columns BI and I)4) 2. V~I,* Code~ (SC Columra CI and D3) 3. Value Method
A =$ 1,000 or less F =$50,001 - S 100,000 l ---S I 5,000 or less P3 =S25,000.001 - S50.(~0,000 Q = App~isat U =Book Value
B =SI,001 K --S 15,001 - $50.000 O =5500,0OI - SI,000,000 R ~Cost (Real Estale Only) V =Ot~r
E =S 15rio I - S50,000
Date of Report
,-//#
VII. INVESTMENTS and TRUSTS NONE (No reportable income, assets, or transactions.)
Do Description of Assets Income during Gross value at cnd of
~perling perled
- O) [ (2)
Amount [ Typ~ (e.g~
O) [ (2)
V~ C~ 2
(j-P)
[ V~ ~ Me~
~ c~3
~6on)
54.
59.
65.
68.
I. Income Gain Codes: ($e~ Celmm~ BI and D4) (S~e Column~ CI and D3) 3. Va}ue Me/hod Code~ (See Colunm C2)
A =SI fl00 or less F =$50,001 - S 100,O{lO N =$250,~q - $500,000 P3 =525,000,001 Q =Appraisal U =~ook Value
C =S2,501 - SS,O~0 HI =$ I,Oll}fl0l - $5,0~1,000 L =SSO.I]01 - $ 100,l]00 PI =$1,000,001 - SSflO0,000 !4 =Mon~ than $50,000,000 S =Ame&mte-at W =Fatimated
D =$5,001 - $15,000 H2 =Maxe Ihan S5,0O0,OOO M =$100,001 - $250,000 P2 =$5,0~O,001 - S25,000,000 T =Cash Mmke/
Date of Report
Date of Report
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 becanse 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.
Signature:
NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE THIS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (5 U.S.C. app. 104)
Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544