Professional Documents
Culture Documents
1/2011
Report Required by the Ethics in Government Act ofl978 (5 U.S.C. app. 3qff I01-111)
5b. [] Amended Report 7. Chambers or Office Address I00 East Peach, Room 350 El Dorado, AR 71730 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 NO TES: The instructions accompanying this form must be followeg Complete all parts,
checking the NONE box for each part where you have no reportable information. Sign on last pag~
POSITION
I. 2. 3. 4. 5. Director
II. AGREEMENTS. (Reporting individual only: see pp. 14-16 of filing instructions.)
NONE (No reportable agreements.) DATE
1. 2. 3.
Shepherd, Bobby E.
III. NON-INVESTMENT INCOME. (Repor~.~ indi,iduol andspouse: seepp. 17-24 of~li,~ i.st,.c,ion~)
A. Fliers Non-Investment Income
~] NONE (No reportable non-investment income.)
DATE
INCOME
(yours, not spouses)
2. 3. 4.
B. Spouses Non-Investment Income - If you were married during any portlon of the reporting )ear, complete this sectlon~
(Dollar amount not required except for honoraria.)
[]
1. 2010 2. 3. 4.
DATES
LOCATION
PURPOSE
V. GIFTS. anclud~ ,hose to spo~e and dependent children; see pp. 28-3 i of fillng instructions.) NONE (No reportable gifts.) SOURCE
1. 2. 3. 4.
DESCRIPTION
VALUE
5.
VI. LIABILITIES. anclud~ those o/spouse und dependent children; see pp. 32-33 of fillng instructlong) D NONE (No reportable liabilities.) CREDITOR
1. 2. 3. 4. 5. Capital One Bank Citibank Southern Bancorp Credit Card Credit Card Loan
DESCRIPTION
VALUECODE K K K
(including trust assets) Place "(X)" after each asset exempt from prior disclosure
(Q-w)
I. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. Fidelity Adv Div Intl Fund Fidelity Low Price Stock Fund #316 Goldman Sachs Govt M/M Goldman Sachs Short Duration Govt Fund T Rowe Price Equity Income Fund T Rowe Price Mid Cap Growth Fund T Rowe Price Growth Stock Vanguard Bond Ind #222 Vanguard lnterm Treas Fund Vanguard Explorer Fund 24 Vanguard Ind S&P 500 Fund Timberland Bank Common Stock Southern Bancorp (bank acct) Regions Bank (bank accts) Equitable Life Ins Co Overriding Royalty Interest Union County, AR Mineral Interest Union County, AR
A A Dividend J T
Dividend
Dividend
Dividend
Dividend
Distribution
Dividend
Dividend
Dividend
Dividend
Dividend
None
Interest
Interest
Dividend
C
A
Royalty
Royalty
J
J
W
W
1. Income Gain Codes: (Se Columns BI and 1)4) 2. Value Codc:s (See Columns CI and D3) 3. Value Method Codes (Scc Column 122)
A =$1.000 or less F =$50,001 - $100,000 J =$15.000 or I~s N =$250.001 - $500,000 P3 =$25,000.001 - $50,000.000 Q =Appraisal U =B~ok Value
B =$1.001 - $2,500 G =$100.001 - $1.000,000 K =$15,1301 - $50.000 O =$500,001 - $1,000,000 R =Cosl (Real [slate Only) V --O~hcr
C =$2,501 - $5,000 Itl =$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
D =$5,001 - $15,000 112 =More than $5.000,000 M =$100.001 - $250.000 P2 =$5.0~O,001 - $25.000,000 T =C~h Markc~
E =$15,001 - $50.000
VII. INVESTMENTS and TRU STS - i,,eo,,,e, vol,,o, ~-o,~a,~io~ and,,d~,hose o/s~ouse o,d dependen, children; seepp. 34-60 of filing instructions.)
NONE (No reportable income, assets, or transactions.)
Description of Assets (including trust assets) Income during reporting period (I) (2) Amount Typ~ (e.g., Code I div., rent, (A-H) or int.) Gross value at end of reporting period (I) (2) Value Value Code 2 Method (J-P) Code 3 (Q-W) (I) Type (e.g., buy, sell, redemption) (2) (3) (4) Value Date mm!dd~ Code 2 (J-P) Gain Code I (A-H) (5) Identi~y of buyer/seller (if private transaction) Transactions during rel~rting period
Mineral Interest Union County, AR Mineral Interest Union County, AR Mineral Interest Union County, AR
A A A
J J J
w w w
I. Income Gain Codes: (Sc Columns BI and IM) 2. Value Codcs (Sc~ Columns CI and D3) 3. Valuc Method Codes (See Column C2)
A =$1,000 or less F =$50.001 - $100.000 J =$15.000 or Icss N =$250.001 - $500,000 P3 =$25.000.001 - $50.1~0.000 Q =Appraisal O =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 =Cosl (Rcal Estatc Only) V -~9ther
C =$2.501 - $5,0(10 I11 =$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 =Asscssrr~mt W =Estimated
D =$5.0~1 - $15.000 tl2 =More than $5.000.000 hi =$100.001 - $250.000 P2 =$5.000.001 - $25,000.000 T =Cash Market
E =$15,~)1 - $50.0~O
Date of Report
6/01/2011
! 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 ~vith 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 FALLS 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