Professional Documents
Culture Documents
1/2011
Report Required by the Ethics in Government Act of 1978 (5 U.S.C. app..~.~; 101-111)
I. Person Reporting (last name, first, middle initial) Shanstrom, Jack D. 4. Title (Article III judge~ indicate active or senior status; magistrate judges indicate full- or part-time)
Senior Status
5b. [] Amended Report 7. Chambers or Office Address P.O. Box 985 Billings, MT 59103-0985 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. Revie,~ing Officer Date
IMPORTANT NOTES: The instrucaons accompanying this form mast be followe~ Complete all parts,
checking the NONE box for each part where you have no reportable information. Sign on last page.
NAME OF ORGANIZATION/ENTITY
DATE
I. 2. 3.
Shanstrom, Jack D.
I11. NON-INVESTMENT INCOME. tRepo,l.g inZivlduol ondsp ....: see pp. 17-2~ of~lin~ i.s,ru~,ion~)
A. Filers Non-Investment Income
--] NONE (No reportable non-investment income.)
DATE
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.)
~]
2. 3. 4. 5.
V. GIFTS. anet~d,~ ,hose to sp ...... d dependent children: see pp. 28-31of filing lnstructiong)
NONE (No reportable gifts.) SOURCE
I. 2. 3.
4.
DESCRIPTION
VALUE
5.
V I. L I A B I L I T I E S. anctudes those of spouse and dependent children; see plx 32-33 of filing instr uctlong)
NONE (No reportable liabilities.) CREDITOR
1. 2. 3. 4. 5.
DESCRIPTION
VALUECODE
A. Description of Assets (including ~rost assets) Place "(X)" after each asset exempt from prior disciosure
B. Income during reporting period i (I) (2) i Amount Type (e.g., div., rent, I Code I i (A-H) or int.)
C. Gross value at end of reporting period (I) Value Code 2 (J-P) 12) Value Method Code 3 (I) Type (e.g., buy, sell, redemption)
Transactions during rel~rting period (2) (3) (4) Date Value Gain nurddclhyy Code 2 Code I (J-P) {A-H) (5) Identity of buyer/seller (if private transaction)
US Bancorp Del sharesF"7~! Microsoft Corp share~"~] Municpal bond - MT St V Health fac Auth Municipal bond - MT Fac Fin Authority AAPL shares ~,::~ ANTF shares -~ AAPL shares -~<~ VYOG shares -~"~ ~::~ TNK shares -!~ ORCL shares-~ ORCL shares WFC shares i~.~[~ Microsoft shares-~li~ IRA Costco shaes ~- IRA AT&T stock ~ - IRA PSEC ~i~~ IRA Target shares -~~" ~:3~:~
A A C B A A A A A
Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend None
J J K K J J J J J
T T T T T T T T T
K J K J J J J J
A
A A A A A A A
Buy
I. Income Gain Codes: (See Columns B I and D4 ) 2. Value Codea (See Columns CI and D3) 3. Value Method Codes ISee Column C2)
A =$1,000 or less F =$50.001 - $ 100.000 J =$15.000 o~" less N ~$250.001 - $500.000 P3 =$25.000.001 - $50.0OI.000 Q ~Appraisal U =Book Value
B =$1,001 - $2,500 G =$100.001 - $1,000.0~0 K =$15.001 - $50.000 O =$500.001 - $1.000.000 R -Cost (Real Estate Only) V =Oth~"r
C =$2.501 - $5.000 I I I =$ 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 =Asscssmcm W Estimated
D =$5.001 - $15.000 112 =M ore than $5,000.000 M =$100.001 - $250.1300 P2 =$5.000.001 - $25.000.000 T =Cash Market
E =$15,001 - $50.000
value, transactions anclude~ those of spouse and dependent children; see pr~ 3 4-60 of J~/ing instructions.)
[~
NONE
Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure
18.
NWL shares-~
Dividend
J J
J
T T
T
19.
SIRI stock-~
Dividend
20.
Dividend
21.
Dividend
22.
3M stock
Dividend
23.
Gannett stock-
Dividend
24.
Dividend
j
J
T
T
25.
Lowes stock
Dividend
26.
Dividend
J J J J J
J
T T T T T
T
27.
Dividend
28.
Dividend
29.
30.
Dividend
AstraZeneca stock-
Dividend
31.
GlaxoSmithKline stock-
Dividend
32.
Dividend
j J J
T T T
33.
EliLilly stock-
Dividend
34.
Pfizer stock-
Dividend
I. Income Gain Codes: (See Columns BI and D4) 2. Value COd~ (S~c Column.~ CI and D3) 3. Value Method Codes (See Column C2)
A =$1.000 or less l= =$50,0~1 - $10~,0O0 J =$15.000 o~ le~s N =$250.001 - $500.0~0 P3 =$25.000.001 - $50.000.000 Q =Appraisal U =Book Value
B =$1,001 - $2.500 G =$100.001 - $1,000.0~0 K =$15.0OI - $50.000 O =$500.001 - $1.0O0.000 R ~ost (Real Estate Only) V =Otho"
C =$2.501 - $5,000 Ill =$1.000.001 - $5.00Q.000 L =$50.0~1 - $10O.00O PI =$1.000.001 - $5.000,0~0 P4 =More than $50.000.000 S =Assessment W =Estimated
D =$5.001 - $15,000 112 =More than $5.000.000 M =$100.0Ol - $250.000 P2 =$5.0(30.001 - $25.000.0~3 T =Cash Market
E =$15,001 - $50.000
i,,e, VII. INVESTMENTS and TRUSTS - i,,c ...... transactions (include~ those of sp ......
D
d dependent
(2) (3) (4) Value Gain Date mm/ddh/y Code 2 Code I (J-P) (A-H)
(Q-W)
35. Wyeth stock-~ A Dividend J T
Municipal bond - MT St V Health Care fac Bank of America shares C~hgroup sharesL~,~z "" MBIA shares US Bancorp sharesWachovia sharesWells Fargo shares
C A A A A A A B B B
A
Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend
Dividend
K J J J J J J J L L
J
T T T T T T T T T T
T
43. Municipal bond - Fed Home Ln BK -~ 44. Municipal bond - Fed Home Ln BK
Lee shares-~:~ :~
HRP shares!!
J J J J J
Dividend
PSEC shares FIBK shares ~!~ VYOG shares -~,i~ Ambase stock IRA
A A A A
J J J J
T T T T
1. Income Gain Codes: (See C01umns B 1 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 - $10~.00O J :$15.000 or less N =$250.001 - $500.00) P3 =$25.000.001 - $50.0~).0~0 Q =Appraisal U =l:k~.k Value
B =$1,001 - $2.500 O =$100.0Ol - $1.000.090 K ~$15,0OI - $50.000 O ~$500,001 - $1,000.000 R =Cost (R~I Estate Only) V =Olher
C =$2.501 . $5.000 I I I =$1.000.001 - $5.000.000 L ~$50,001 - $100.000 PI =$1.0~0.001 - $5.000,000 P4 =Mote than $50.000.0~) S =Assessment W =Estimated
D =$5.001 . $15.000 112 =More l han $5.000.000 M =$100,001 - $250.0~X) P2 =$5.000.001 - $25.000.000 T =Cash Markcl
E =$15.001 - $50.000
VII. INVESTMENTS and TRU STS - theory,, ,alue. ,r .... lncludes ,hose of sp ...... d del, enaent children; see pp. 34-60 of filing instructions.) ,io,~
NONE (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 (I) Amount Code I (A-H) (2) Typ~ (e.g., div., rent, or int.) C. Gross value at end of reporting period (I) (2) Value Value Method Code 2 (J-P) Code 3 (Q-W) (I) Type (e.g., buy, sell, redemption) D. Transactions during reporting period (2) (3) (4) Value Date mm/dd~yy Code 2 (J-P) (5) Identily of buyer/seller (if private transaction)
52.
A A A A - IRA A A A A - IRA A A A
Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend
J J J J J J J J J J J
T T T T T T T T T T T
53. Coslco stock-~- IRA 54. 55. 56. 57. 58. 59. Motorola stock GE stock- IRA IRA
Five Star Quality stock-~ - IRA STSA stock ~ - IRA HRP stock-IRA
60. Visteon Corp stock 61. 62. 63. Intel stock ~- IRA PSEC stock-IRA
I. Income Gain Codes: (See Columns B1 and D4) 2. Value Codes (See Columns CI and D3) 3. Value Method Codts (S~c Column C2)
A =$1,000 or less F =$50,001 - $100.0~0 l =$15.000 o~" less N =$250.001 - $500.0~0 P3 =$25.0Q~.001 - $50.0~1.090 Q =Appraisal U =Book Value
B =$I,001 - $2,500 O =$100.001 - $1.000.000 K =$15,001 - $50.000 O =$50~.001 - $1.0(~.0OO R =Cost (Real Estate Only) V =Ozhcr
C =$2,501 - $5.0Q0 Itl =$1.000.001 - $5.0~0,000 L =$50.0~1 - $10~.0OO PI ~$1.000.0~1 - $5,000.000 P4 =More than $50.0~0.0~0 S =Assessment W =Estimated
D =$5.001 - $15,0~0 112 =More than $5.000.000 M =$100.0QI - $250.000 P2 =$5.O00.001 - $25,0~0.00~ Y =Cash/vlarkd
E =$15,0~1 - SS0,O0O
I 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 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