You are on page 1of 6

[

~olo gev. 112OLO

FINANCIAL DISCLOSURE REPORT


FOR CALENDAR YEAR 2009
2. Court or Organization US District Ct/ED of Michigan 5a. Report Type (check appropriate type) [] N~minafion, [] Initial Date [] Annual [] Final

ReportRcquiredbytt~eEthiCS Government Act of 1978


0 u.s.c, app. ff 101-111)
3. Date of Report 04/09/2010 6. Reporting Period 01/01/2009 to 12131/2009

1. Person Reporting (las~. name. first, middle initial) Feikens, John 4. Title (Article Ill judges ir~dicate active or senior status; magistrate judges indicate full- or part-time) US DistrictJudge/Sr. Status

7. Chambers or Office Address "Fheodor~ Levin US Courthouse 231 W. Lafayette, Rm 851 Detroit, M148226

i 5b. [] Amended Report 8. On the basis of the information contained in this Report and any modilications pertaining thereto, it is, In my opinion, In compliance with applicable laws and regulations. Re~lewlng Officer Date

IMPORTANT NOTES: The instruction~ accompanying this form must be fotlowetL Complete all parts,
checking the NONE box for each part where )~u have no reportable information. Sign on last pag~

I. POSITIONS. ~,~oni,~g i.~via,a o~y: scow. ~-t J of p,~ instructions.)


NONE (No reportable positions.) POSITION
1.

NAME OF ORGANIZATION/ENTITY

5. CL- :..

II. AG~EMENTS. (gepo,ing individual only; ,,pp. 14-16 of ~ng instruction~)


~ NONE ~o reportable agreements.)

C3

~
1.

pARTIES AND TE~S

Feikens, John

FINANCIAL DISCLOSURE REPORT Page 2 of 6

I
[

Nameof Per~iOll Reporting

DateofRcporl

04/09/2010 Feikens, John

Ill. NON-INVESTMENT INCOME. ~R,poni.g individual and spouse; xee pp. 17-24 of filing instructions)
A. Fliers Non-Investment Income NONE (No reportable nonoinvestment income.) DATE
I.
2.

SOURCE AND TYPE

INCOME
(you~, not spouses)

3.
4.

B. Spouses Non-Investm ent Income - tf ~,ou wert married during an), portion of the reporting year, complete this section.
(Dollar amount not required exccpt for honoraria.)

~-]

NONE (No reportable non-investment income.) DATE SOURCE AND TYPE

I.
2. 3.

4.

IV. REIMB URSEMENTS - t,,nsport,tio,. Iodu~.g,ood. e~t,i,me,~


(Includes those to spouse and dependent children," see pp. 2.$-27 of filing instructions.)

[]

NONE (No reportable reimbursements.)


SO[JRC~ ~

LOCATION

pURPOSE

ITEMS PAID OR PROVIDED

1.

2. 3.
4. 5.

FINANCIAL DISCLOSURE REPORT Page 3 of 6

Name of Person Reporting

Date of Report

o4/ognmo

I Feikens, John V. GIFTS. ana.des those to spouse and dc,pende~l children; see pp. 28-31 of JTling instru~:tior~)
[] NONE (No reportable gifts.) SOURCE
1.

DESCRIPTION

VALUE

2. 3. 4. 5.

~-]

NONE (No reportable liabilities.) CRED|TOR DESCRIPTION VALUE CODE

1. 2. 3.
4.

5.

FINANCIAL DISCLOSURE REPORT

[ N,m, ofP~,,on R,pon~ng


~/09/2010

Page 4 of 6 [
NONE (No reportable income, ~sets, or tramactions.)
D~cfiption of As~e~ (including t~st a~ets) ] In.me d~g ~i~ p~i~ Gross value at end

Feikens, John

VII. INVESTMENTS and TRUSTS -~o~ ~. ~,~o~ a~#~ ~o~ o~,~o~,~ ~ ~, ~d,~: ~, r~.

of r~o~ing p~
Value
~de 2

0)
Place "(X)" aRer ~h as~t
cxempt from prior disclo~r

~)
T~ (e.g.,
div,,

0)

Amount
Code 1

] (~)
Mc~

Val~
Code3

0)
T~ (e.g.,
buy, ~ll,

I
Date
m~d~

V~u~ G~n
Co~

ld~ of (ifpfivme

] (A-H)
1. Comcrica Bank C

oriat.)
Int,rest

(J-P) ]
M

~demption)

(J-P) (A-~ ~

2.
3,

Bank One/Chase!JP Morgan


Franklin MI Ins Fund

C
D

Interest
Interest

M
M

T
T

4.

Ann Arbor Properties XllI (Ann Arbor, Michigan)

C A

Rent Dividend

K J

U T

5, Ford Motor Company Stock

10. 11.
12. 13. 14.

15. 16. 17.

I. Income Gain Codes: (Se Columns BI and D4) 2. Value Codes (Set: Columns Cl and D J) ~. Value Method Coder ($e Colurrm C2)

A =$1,000 or less F -$50.001 - $100.000 J -$ I 5,000 ot less N =$250,001 - $50~.000 P3 ~ $25.000,001 - $50,0~0,000 Q =Appraisa] U =Book. Value

B -$1,001 - $2.51~ 13 =$100.001 - $1,000,000 K ~$ IJ.001 - $50,000 O =$500,0OI - $1,000,000 P. =Cost (Real Esaate Onl)) V ,=Other

C =$2,501 . $~,000 HI -$1,00O,001. $5,000,000 L =$50.001 - $100,000 Pl =$1,000,001 - $5,000,000 P4 ~More than $50.000,000 $ =Assessment W =E~-timaled

D =$5,001 - $15,000 H2 ~Ao~ than $5.000.000 M =$100,001 - $250,000 P2 =$5,000,001 - $25,000.000 T ,,-Cash Market

E =$15,001 . $50,000

FINANCIAL DISCLOSURE REPORT Page 5 of 6


] Feikens, John

04/09/2010

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. (Indlc~tepartofRepor)

FINANCIAL DISCLOSURE REPORT

N~me of Per, on Reporting

Date of Report

Pago 6 of 6
IX. CERTIFICATION.

Feikens, John

04/09/2010

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.

NOTE: ANY INDIVIDUAL \VItO KNO\VINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE THIS 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

You might also like