Professional Documents
Culture Documents
1/20m
(~ u.s.(: app. f.
3. Date of Report
516,2010
6. Reporting Period 01/01/2009 to
12/31/2009
5b. [] Amended Report 7. Chambers or Office Address 1307 United States Courthouse I000 S. \. Third Portland, Oregon 97204 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 Dale
IMPORTANT NO TES: The instructions accompanying this farm must be followe~L Complete all part~,
checking the NONE box for each part where jou have no reportable information. Sign on last page.
POSiTiON
I.
NAME OF ORGANIZATION/ENTITY
Haggerty, Ancer L.
D.,~ ~f J~epo.
5:612010
I Haggerty, Ancer L.
~
(yours, not spouses)
2. 3.
4.
B. Spouses Non-Investment Income - ~f rou .~,e married during any porffon of the reporting year, complete ~hls ~ec~io~
(Dollar amount not required e.rccpt fim honorario.)
[~
I. 2009 2.2009
3.
4.
IV. REIMBURSEMENTS (Includes those to spouse and dependent children; see pp. 25-27 of filing instructions.)
DATES
LQCATION
PURPOSE
3,
4.
5.
Date of Report
5 ~;:o ~o
1. 2. 3. 4. 5.
VI. L~BILITIES. a~t,a,,.,~,o,, 4,~ ......~ depet~ent cltildrel; $~e p~ 32-33 of filing inSlrUCllott~)
~ NONE ~o reportable liabilities.) ~
1. 2. On Poin~ Credit Union (y) American Express Credit C~d Cr~it Card
~ESCRIPTION
VALVE CO~E
J J
3.
4.
5.
--]
1.
Interest
2.
Interest
3.
4.
None
Interesl
J
J
W
T
5.
None
6. 7, 8. 9. 10.
American Spectrum Realty, Inc Corn Victory Prime Obligation Class A TINT TRSY Target Focus (y) Target Trait (y)
A A B
J J
T T Sold 9/I/09 K
I 1.
"~2.
13.
14.
15. 16.
Davis NY Venture Class A (y) Dodge and Cox Income Fund (y)
17.
(See Columns B ! #nd D41 2. Value Cod,as (S~e Columns C I and D3)
U =Boek Value
W =Eaimated
Da~e of Rcpor,
Page 5 of 7
VI I. INVESTMENTS and TRUSTS -- in ....... t.e, t ....... th, t~ (Inclade.s those of .sp ..... lid dependent children; see pp. 34-60 of filing instrlictiotts.)
~, NONE (No reportable income, assets, or transactio~s.)
Description of As~L~ (including t~t as~ts) Place "IX)" after e~h a~ei ~ i [n~e during r~o~ing pm~ Gross value at end of re~ng period T~nsactions during rcpo~ng pcriod ~
~ (i)
~ount T~ (e.g., (A-tO
(?)
]
I
(i) , (2J !
Value (J-PI
(1)
i t2i
i
(3)
(J-P)
(41
(5)
Idcntiv (if private t~ction)
or ink)
American Fun&: Fundamental Inveslors Fund (y) I larbor Bond Fund (y) ~SVIT Mid Cap Valve F~d-Ex~ Ann+ (y) GSVIT S~ctured US Equity-Ex~ Ann+ (Y)
, 1. Income Gain Codes: (See Coltlrnas 17. I ~ ~J i I 2. Value Codc~ (Sc~ Colama~ CI m(I D31 . 3 Value Method Codel Isee Column C2)
A -$1,000 or less P ~$50,001 - $100,000 J -$11,000 or Ices N =$250.001 - $500.090 P$ ~$25,000.001 - $50>000.000 Q ~Apptllisal U ~Book Viii
B ~$1,00t - $2,500 G ~$100,001 - $I.000~000 K =$15,001 . $50,000 O ~$$00,001 - $1,000.000 R ~Co*I (Real Estate Only) V ,~Oth~
C ~$2,501 - $5.000 H I =$1,000,001 - $5,000,000 L =$50,0OI - $100.00~ PI =$1.000,001 . $5,000,000 p4 ~Mor than $50.000,000 S ~Ass~raen! \V =E~limated
D -$5,001 - $15.000 H2 =Mote than $5,000,000 M =$11XI,O01. P2 =$5.000,00 [ - $25.000.000 T --Cash Markel
E ~$15.0Ot- $50,000
O~,e 0r aepo.
5/6/2010
Page 6 of 7
VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. W,,~ic,~,~ar, o~~Cr, or~
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 sgatutor~ provisions permitting non-disclosure. l further certify that earned income from outside employment and honoraria and the acceptance of gifts which have been reported are in cosnpliance with the provisions of 5 U.S.C. app. 501 et. seq., 5 U.S.C. 7353, and Judicial Conference regulations.
NOTE: ANY INDIVIDUAL WIIO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE THIS REPORT MAY BE SUBJECT "IO 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