FINANCIAL DISCLOSURE REPORT FOR CALENDAR YEAR 2010

1. Person Reporting (last name, first, middle initial) Black, Susan H.

4. Title (Article 111 judges indicate active or senior status; magistrate judges iudioate full- or part-time) Circuit Judge-Active

Report Required by the Ethics in Government Act of 1978 (5 U.S.C. app. 101-111)

2. Court or Organization U. S. Court of Appeals

5a. Report Type (check appropriate type) ] Nomination,
[] Initial

3. Date of Report 05/06/2011 6. Reporting Period 01/01/2010 to 12/31/2010

Date
[] Annual [] Final

I 5b. [] Amended Report

7. Chambers or Office Address 300 N Hogan Street Suite 14-150 Jacksonville, FL 32202-4258

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 followed. Complete all parts, checking the NONE box for each part where you have no reportable informatlon. ~ign on last page.

I. P 0 SITI ON S. ~Rcponing individual only; see pp. 9-13 of filing instructions.)

~ NONE (No reportablepositions.) POSITION
1. 2. Trustee

NAME OF ORGANIZATION/ENTITY
Life Ins. Trust (Part VIII)

II, AGREEMENTS. (R~,oning individual only; see pp. 14-16 of filing instructions.)
[~ NONE (No reportable agreements.)
DATE PARTIES AND TERMS

Black, Susan H.

FINANCIAL DISCLOSURE REPORT Page 2 of 8

Name of Person Reporting Black, Susan H.

Date of Report 05/06/2011

III. NON-INVESTMENT INCOME. (Repo.ing individual andspouse; seepp. 17-24 of filing instructions.)
A. Filers Non-lnvestment Income D NONE (No reportable non-investment income.) DATE SOURCE AND TYPE

INCOME
(yours, not spouses) $4,500.00

1. 2010 2. 3. 4.

Duke University School of Law-appellate practice course

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 non-investment income.)

DATE
1.2010 2.2010 3.2010 4.

SOURCE AND TYPE Self-employed president of travel agency Self-employed real estate broker Self-employed owner of limo service

IV. REIMBURSEMENTS - transportation, lodging, food, entertainment.

(Includes those to spouse and dependent children; see pp. 25-27 o filling instructions.)

D
1. 2. 3. 4. 5.

NONE (No reportable reimbursements.)

SOURCE Duke University University of Florida

DATES
Nov 14-16, 2010 Feb 3, 2010

LOCATION Durham, NC Gainesville, FL Teach

PURPOSE

ITEMS PAID OR PROVIDED Airfare, hotel Meals

Roundtable

FINANCIAL DISCLOSURE REPORT Page 3 of 8

Name of Person Reporting Black, Susan H.

Date of Report 05/06/2011

V. GIFTS. ancludes those to spouse und dependent children; see pp. 28-31 of filing instructions.)
NONE (No reportable gifts.)
SOURCE I. 2. 3. 4. 5.

DESCRIPTION

VALUE

VI. LIABILITIES. andudes those of spouse and dependent children; seepp. 32-33 of filing instructions.)
D NONE (No reportable liabilities.) CREDITOR
1. 2. 3. 4. 5. Bank of America SunTrust Bank Mercantile Bank

DESCRIPTION
Mortgage-Parcel 33 (Part VII, line 13) Mortgage-Parcel 39 (Part VII, line 29) Mortgage-Parcel 38 (Part VII, line 18)

VALUE CODE
P1 M N

FINANCIAL DISCLOSURE REPORT Page 4 of 8

Name of Person Reporting Black, Susan H.

Date of Report 05/06/2011

VII. INVESTMENTS and TRUSTS -income, value, transactions (lndudes those of spouse and dependent children; see pp. 34-60 of filing instructions.)
NONE (No reportable income, assets, or transactions.)
A. Description of Assets (including trust assets) B. Income during reporting period C. Gross value at end of reporting period D. Transactions during rep0iting period (2) : (3) (4) Date ...... Value mn~dd/yy C0de2 (J~P) " Identi ,ty of Gain Code.l: :~.: ........ :buyedselle~ (A-H) (it~Private transaction)

exempt from prior disclosure

Codet div.,~:ent; (A:H) : orint2)

Code2 : Method (J-P) Code 3 (Q-W)

buy, sell, redemption)

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17.

Real Estate Parcel 2 Amelia Island, FL Real Estate Parcel 5 Jacksonville, FL Real Estate Parcel 10 Jacksonville, FL Wells Fargo IRA -Calamos Conv Opportunities & Income Fd -DWS Investment Trust Capital Growth Fd CI B -Wells Fargo Bank Deposit -Evergreen Equity Tr Asset Allocation Fd C1 C Wells Fargo IRA -Century Properties Fund XV LP Real Estate Parcel~ Mars Hill, NC Real Estate Parcel~ Jacksonville, FL Real Estate Parcel~ Orange Park, FL Loan-Plumlee Real Estate Parcel~ Jacksonville, FL Loan-Smith SunTrust account

Rent None

J O J

W W W Closed Sold Sold Closed Sold 01/27/10 01/21/10 01/21/10 01/27/10 01/21/10 K J J K K

C A

Rent Int./Div.

None

D D G A

Rent Rent Rent Interest None None

N L PI J L

W W W U W Closed 12/31/10 J

Interest

1. Income Gain Codes: (See Columns Bt and D4) 2. Value Codes (See Columns C I 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 =$1,00t r $2,500 G=$100,001 - $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 H =$1 000001 -$5,000000

D =$5,001 - $15,000 H2 =M0r~tha~$~ 000,000

E =$15,001 - $50,000

L ~$5o,o0i-$100;00o
PI =$1,000,001 - $5,000~000 S =Assessment w =Estimated

M :$100,00i :$~5o,0o0
P2 =$5,000;001, $25,000,000 T =Cash Market

FINANCIAL DISCLOSURE REPORT Page 5 of 8

Name of Person Reporting Black, Susan H.

Date of Report 05/06/2011

VII. INVESTMENTS and TRUSTS - i.come, va~ue, transactions (Includes those of spo .... nd dependent children; seepp. 34-60 of f!ling instructions.)

NONE

reportable income, assets, or transactions.)

(~) ..................................

18.

Real Estate Parcel~ Jacksonville, FL Loan-S.K. Hong Ine

Rent

19.

Interest

Redeemed

(part)

07/16/10

20. 21. 22. 23. : 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34.

Loan-Smith 2 Loan-Bragg Loan-Hewett 2 Loan-Norman Loan-Norman 2 Loan-Lab Investments Loan-Forte Compass Bank accounts Mercantile Bank account Real Estate Parcel~Jacksonville, FL Mid Atlantic Residential Investors LP Real Estate Parcel~Jacksonville, FL Real Estate Parcel~Jacksonville, FL Loan-Grumling Loan-Gibson C D D D A A

None None None None None None Interest Interest Interest None None Rent Rent None Interest K U L J J M J M L U T T W W W W

Closed Closed Closed Closed Closed Closed

12/31/10 12/31/10 12/31/10 12/31/10 12/31/10 12/31/10

J J J J J J

Closed

12/31/10

1. Income Gain Codes: (See Columns BI and D4) 2. Value Codes (See Columns C I 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 =$100_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 - $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 Marke~

E =$15.001 - $50,000

FINANCIAL DISCLOSURE REPORT Page 6 of 8

Name of Person Reporting Black, Susan H.

Date of Report 05/06/2011

VII. INVESTMENTS and TRU S TS - income, value, transactions (Includes those of spouse and dependent children; see pp. 34-60 of f!ling instructions.)
D NONE (No reportable income, assets, or transactions.)

35. 36. 37.

Loan-Gibson 2 Bank of America account Real Estate Parcel~ Jacksonville, FL

Interest None None

K J L O O K

U T W U U W Buy 02/16/10 K Rory Pire

38. Loan-Black 1 39. 40. 41. Loan-Black 2 Real Estate Parcel~ Jacksonville, FL

D D

Interest Interest None

i ln~0me Gain Codes: (See Columns BI and D4) 2. ValueCodes (See Colu~s CI and D3) 3. Value Method C~ (See Column C2)

A =$1;000 or less F =$50100i - $100,000 J =$15,000 or lesS N =$250 001 - $500 000 P3 =$25,000,001 - $50;000,000 : Q =App~i~l U =Book Value

: B =$1,001 - $2,500: G :$]001001 ; $i i0~01000 : K =$15 00! :~ $50 000 O =$500;001 : $1~0~ 000 R =Cost (Real EState Only) V =Other

:=$2;501, $5,000 ~i ~,i300;00i ; sS~00O~0~ L~$5600 :$100000 P1 =$1;000;001 ~ $5~000;000 ~ ~More than $50,000,000 S =Assessment W =Estimat~

D =$5,001- $15,000

E =$15,001 - $50,000

~ ~b~ maa s5~000;000

M~$I0000]-S250000 ~ ~$5i000,001 - $25;000,000 T:~Cash Market

FINANCIAL DISCLOSURE REPORT Page 7 of 8

Name of Person Reporting Black, Susan H.

Date of Report 05/06/2011

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. (lndicate part of report.)

Part I ~ Life Insurance Trust - not listed in Part VII, as it is an unfunded trust.

FINANCIAL DISCLOSURE REPORT Page 8 of 8 IX. CERTIFICATION.

Name of Person Reporting Black, Susan H.

Date of Report 05/06/2011

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.

Signature: S/Susan H. Black

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