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An l0

FINANCIAL DISCLOSURE REPORT FOR CALENDAR YEAR 2009

Report Rcq.ire,tb>, the r.thics in Government Act of 1978 0 u.zc. app ~ lO1-11

Melangon, Tucker L, 4. Title (~ic~e III judg~ indicate active ~w senk~ s~; magistrate judges indicate ~l]- o~

USDC fo~ W DisPel o~ LA 5~. Repo~ T)pe (ch~ck app~fiate t~) ~ Nominatio~ Date

08/1212010 6. Reporting Period 0110112009

Article 111 Judge~ Senior Status

~ Initial
5h. ~ Amgnded

Anmml

~ Final

to
12/31/2009

800 Lafayl~ Slreet Suite 4700 Lafay~t~, LA 70501

modiHcaHons pertaining ~he~e)o, i) is, tn my opinion, in with applicable taws and r~lations, Revl~wlng ()ffi~er Da~e

IMPOR TA NT NO TESt Tt~e instructions aeem,p#nylng this form must be folio wed, Complete ail parts
checMng t~e NON~ box for each part where yaU have no reportable info~m~o~ ~ign on last page.

NON E (No reportable po.~itions.) POSITION 1, Board Member NAME OF ORGANIZATION/ENTITY National Coalition ibr Cancer Su~ivorship

2, 3, 4. 5.

II. AGREEMENTS. !~e,o,+,+ +,ai,.+#,a ,,,t,; ,, ~,~,. u-t+ o.~.~t+,,x i,~,,.+n,,=.j


NONE (No reportable agreements.) PARII ES AND Tg~MS

3.

P.qge

Melancou, Tucker L.

08t12/2010

[II. N ON-INVESTMENT INCOME. ~R~r~ngi~d,~id~l~,,~


A. Filers Non-Investment Income
NONE (No reportable no~-investment income.~ DATE 1.20~) 2. 3. 4. SOURCE AND TYPE New ~ork Lit;z insurance Company - Annuity INCOME (yours, not spouses) $26_330.00

B. Spouses ~on-lnvestment Income - ~f~ou w~ ~arri~d during an)por~io~, ~lhe re,eo~,tin~.Fear, complete ~h~s sectlo~.
(Dollar amou~tl ~ot required excerpt for It,~oraria.)

[~]

NONE (No reportable non-i~estment income.) DATE SOURCE AND TYPE Selt.emo loyed/Sculptor

1,2009 2. 3. 4.

IV. REIMBURSEMENTS (Includes those to spot~~ a~d dependent childrtn: see pp. 25-27 ~f!li~g it~.~trl~clio~t~.) ~ NONE (~o rel;ottttble reimburseme~tt.~.) SOURCE l. National Coalition for Cancer Sun.ivorship 2. National Coalilion for Cancer Survi~orship 3. National Coalition fi~r Cancer Survivorship 4. 5. ~ 1/28/09 ares 5/13109 - 5/15109 Washington DC Board of Directors Mtg Lc<Igiag, meats, and taxi ares LOCATION PURPOSE ITEMS PAID OR PROVIDED

9/16/09 - 9/17/09

Washington DC

Board of Directors Mtg

Lodging, meals, and tm,~i t~.res

FINANCIAL DISCLOSURE Page 3 of 8

N~.. REPORT ~,,~o~ ~--,~ ~.~. o~,~oo~, I


Melaneon, T~cker b.
08/1~2010

W. G[.~S. Includes tk~ to ~use and dependent children; see p9. 28-31 of fih~g t~rutaon~)

NONE ~o reportable
~
1

DESCRIPTION

VAL~

2. 3,
4.

5.

~-~

NONE (No reportable liabH~lies.) CREDITOR DESCRIPTION VALUE CODE

I. 2. 3. 4.

FINANCIAL DISCLOSURE REPORT Page 4 of 8 VII. INVESTMENTS and TRUSTS - i,,~o~. ,.~t~. , ......

Name of person Reporting

Dale o8/~:~20~0

[ Melancon. Tucker L. ,~o~ a~a~,~,~ ,~o~.~ o~o~ .... d d,~,~, ~.h~t~,,~; ~ ~. ~.~ o~#~
~ NONE (No reportable income, a~sets, or transactions0

....................................... .......................................... ~ ......... ............ -6~ ......... X ............................ ~ %~ ~ ........................


D~ription of As~ (indud~g ~st ~sc~) l Inom~ d~ng ] ~po~i~g ~fi~ G~oss value at ~nd of r~ming p~iod T~nsacfions du~ng re~ing

~<~) ~ ~)
ex~mp~ ~om prior discl~ure ................................................................... ~ ....... I. 2. 3. 4. 5. 6. 7. 8. 9. 10. !1. 12. 13. 14. 15. 16. 17. Common Stock Southeast Central LA Premi um Finance Co Common Stock Life Insurance Co of Alaba Working Interest - JR R~hing #1, DeSoto P a~sh, LA Working Interest - Bribing #1, DeSoto Par ish, LA Working Interest - Ark-LA-Tex, DeSoto P arsih, LA Royalty [nt - Silver Pines, DeSoto Parish, LA Royal~ Int - Grisby Petroleum, DeSoto Par ish. LA Royal~ Int - Be~ Petioles, DeSoto Pari sh, LA Royal~ lut - Silver Oak, DeSoto Pa~sh, LA Chase Acct IRA (TLM): -JP Morgan Liquid Assent -Cisco Systems -Intl Business Machines -Worldsource Inc Chase Acct (DKM): -WGL Holdings lne -JP Mo~gan Liquid Asset MMKT A A Dividend lnt./Div. D Int./Div. None None None A A A A B A None Dividend None None Distribution Royalty Royal~ Royalty Royalty

~ ....

<~)

v~ ...... ~V-[-~-~[--~~ ......... ~- .........

~ ................................................ J J J J J J J J J W T W W W W W W W

~ ..... ~ ........ ~ .......................

L J K J

T T T T

Sold Sold

10/20 11119

J K

FINANCIAL DISCLOSURE REPORT


Page 5 of 8

NameofPer~o. Reporting

Date of Reporl

Melancnn, Tucker L. [

08/12/2010

VI I. INVESTMENTS and TRU STS - ~. ....

~ value. Ira ..... tlottv ancludes those of ~pouse and dependem cMldren; see p~ 34-60 of flllng instructor)

~ NONE ~Vo reportable income, assets, or transactions.)

.................................."~ ............................~ ................~ ............r .........:~. ...................~ ................................................................................. I ! D.


D~cfipUon of As~ (includ~g trust ~eLS) Income G~ss vnlue at ~d of ~ re~ingd~ng ~d~ ~ ..................... r~aing peri~ ~ ~ ............................. ~ [ Amount [ Code I (A-ll) T~ (e,g., di ..... t, or int.) Value ~ ~e 2 ~ (J-P) ~ Value i Meth~ [ Code 3 I] Transactions during r~aing Place "(X)" after each ~set ~xempt from p6or disclosl~e i T~ (e.~, ! buy, ~11, redemption) D~e MonthDay Value [ Gain [ C~e 2 [ C~e (J-P) ] (a-tl) ldenliW of

18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34.

-Janus Research Fund -Jan~ Ente~rise Fund -JanusGIobalLifeSeience -Jan~ GlobaITechnology Fund Chase Retirement Aect (DKM): -Chase SEP/IRA Money Market (SEP): -Janus Enterprise I,und (IRA) -JanusContrarian Life (IRA) -Janus Global Life Science (IRA) -Janus GlobalTechnology Fund (IRA) -Traasamerica Life Ins Annuity (IRA) Whole Life - Trust #1 Chase Premier Savings (DKM/TLM): -Chase Premier Savings Capital One Savings (DKM/TLM) GMAC Bank Savings (DKM/TLM) LA Midslream Gas Serv LLC - Lease Bonus as, DeSoIo Parish LA

A A A A

lnt.!Oiv. Int.~iv. lnt./Div. Int.lDiv.

Sold Sold Sold Sold

10/20 10/20 10/20 10/20

J J J J

A A A A A

Int./Div. Int./Div. lnt./Div. lnt./Div. Int./Div. None None L T

Sold Sold Sold Sold Sold Buy Closed

10/20 10/20 10/20 10/20 10/20 10!20 3/09

K J J J J L J N/A - See Addl Info #1

A B A

Int./Div. lnt./Div. lnt./Div.

J L

T T Transferred (to line 37) 05/18 K GMAC Bank name cha nge See Note 2 in Part VIII

E Distribution

3. Value Methyl C~le.~ (See Column C2)

Q =App~is~l U =~k Valu~

R ~t (Rcnl ~la~ Only) V ~her

W =E~lim~tcd

Page 6 of 8

;",let~,n,~o~, Tucker L.

08/12/2010

V II. INVESTMENTS and TRUSTS - ~ .... ~ ,.~,~ ..... ao~, ~,.t~a~,,~,o~, ~/~, ~a ~,,~,~ ~u~,,~; ,,,
NONE (No reportab& income, assets, or transactions.)

D~dptioa of As~ei~ Pl~e~ "(X)" after each ~seI exelnpr frompfiordisclosure

~ [

Income d~ng repoaing ~6~

~o~s value a~ ~nd of re~ain8 ~od

: ~

T~cl{o~ during ~ing p~

l Amoui,t I Tp (~.~., Value V~lu~ T~ ({.~., [ Co~ I ~ div.. r~K C~le2 Meih~ b~,sll, i (,~-i~) ~ t or int.) Q-P) C~e 3 rCde~ion) , , ............................................................ [ ...... 1 ......................................................... 35. 36. 37. 38. Swepi LP - Lease Bon~, DeSoto Parish, L3 Petrohawk - Le~e Bonus, DeSoto Parish, LA Atly B~k~ffLM) D E B Distribulion [ Distfibnlion Inl.~iv. j ~ K W W T

I Dat~ i Value Mon~- [ C~e2 ~ C~e l~y (J-P) ~ (A-H) (if private ........... ~ .......... t .... Z ..................... " See Note 2 in P~t VII See No~e 2 in Paa VIII

Tr~sfe~ed 05/18 (~om line 33)

P~vioustyGMAC Ba nk

~(~ 7 0~" ~

Melnnon, TuCker L.

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS.

Part 1 - Positions Part Vlf - Investments and Trast, Line 30 During 2009, Judge Melancon was removed as a trtt~tee from the Trust #l~ Trust and therefore no longer holds this position at December 31,2009 #2 Part VII - Investments and ]rust, Lines 33 and 36 This investment income was a one time receipt ofa least~ borers. There is oo value placed on the lease bonus and no asset was purchased or acquired.

Reporting FINANCIAL DISCLOSURE REPORT [ NameofPer~on Page 8 of 8 Melancon, Tucker L.

08/t2/2010

]i

IX. CERTIFICATION.
I certify that all information given above (including information pertaining to my spouse and minor or dependeot children, if any) is accurate, lrue, and complete to the best of my knowledge and belief, and that any information not reported was withhold because it met applicable stalutory provisions permitting non-disclosure. I further certify thai earned income from outside employmenl and honoraria and file acceptance of gif|s which have been reported are in compliance wi|h the provisions of 5 UoS.C. app. 501 et. seq., 5 U.S.C. 7353. and Judicial Conference regulations.

Signatnr

NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FALLS TO FILE THIS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINA.L 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

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