Brinkema_Leonie_M

Name of Person Reporting

FINANCIAL DISCLOSURE REPORT

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IIJ. N 0N-INVESTMENT IN COME.

A.

Date of Report

(Reporting individual and spouse; see pp. 17-24 offiling instructions.)

Filer's Non-Investment Income

KJ

NONE (No reportable non-investment income.)

SOURCE AND TYPE

INCOME
(yours, not spouse's)

I.
2.
3

4.

B.

Spouse's Non-Investment Income - I[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.)

SOURCE AND TYPE
I.
2.
3

4.

IV. REIMBURSEMENTS

-transportation, lodging,food, entertainmenL

(Includes those to spouse and dependent children; see pp.

NONE (No reportable reimbursements.)

SOURCE
of \Jo.

Un Iv.

1. Sc.h..ol
2
3
4.
5.

25-2 7 of filing instructions.)

ct,.,.ot

f....tM.V
\Jo.. ci...,:

Colby Cvlle3 e_
Prlncdon Univ.

DATES

tjq f'yof3
_

LOCATION

PURPOSE
PrtS i'cle ovi'r
Cho.r-lvtlts "'lie I/ fl l'Ylr;o+ t.ovr-t-.s
P.. ec.eiw lilw"'.-d
w.,Jfrsv: II rn,; p'es., t snnch
I

ITEMS PAID OR PROVIDED

,,

,,

,,

FINANCIAL DISCLOSURE REPORT

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V. GIFTS.

Date of Report

Name of Person Reporting

fY} I

(Includes those to spouse and dependent children; see pp. 28-31 offiling instructions.)

NONE (No reportable gifts.)

DESCRIPTION

SOURCE

VALUE

2.

3.

4.

5.

VI. LIABILITIES.

gJ

(Includes those ofspouse and dependent children; see pp. 32-33 offiling instructions.)

NONE (No reportable liabilities.)

CREDITOR

I.

2.

3.

4.

5.

DESCRIPTION

VALUE CODE

Page 4 of

Date of Report

Name of Person Reporting

FINANCIAL DISCLOSURE REPORT

M.

Lt?ONI

VII. INVESTMENTS and TRUSTS -income, value, transactions r1nc1udes those ofspouse and dependent children; see PP 34-60 offiling mstructions.J

NONE (No reportable income, assets, or transactions.)

A.

;
;

Description of Assets

II

(including trust assets)

Place "(X)" after each asset

exempt from prior disclosure

B.

c.

D.

Income during

Gross value at end of

Transactions during reporting period

reporting period

reporting period

(I)

(2)

(I)

(2)

(I)

(2)

(3)

(4)

(5)

Amount
Code I

Type (e.g.,

Value

Value

Type (e.g.,

Date

Value

Gain

Identity of

div.9 rent,

Code 2

Method

buy, sell,

Month-

Code2

(A-H)

or int.)

(J-P)

redemption)

Day

(J-P)

Code

Code

(Q-W)
1. J llFI

- ke.

Yherr: \I

'jncA

B\t\ckr
l":r.s,c. \Jt>1\ue m .J tv.....t
2. IRA - r\men'<-an Ct"'h"'/ F<NYl
lJlh-11 fl\u.ki.J fvnJ t- Schwt't
mwtF
Svn
\rv<>t
nk
3./Rfl
(k\ArvL> F\111. - tt.4 o+. ol "-"0 t
I
4. Ut1;"-tot $Wes. Sc\v "'a s.
els
- .,
5e dee.
&.:'
5. BP.;> Ill- I i?>etnl(
Chec il"'C t:\ccsl

6.

c...

d1'J .j.
1111-,

('...

," .

i(

\nt.

t'A1

j,J.

(A-H)

buyer/seller
(if private
transaction)

7.
8.
9.

10.
11.
12.
13.
14.

15.
16.
17.

l. Income Gain Codes:

(See Columns Bl

and 04)

2. Value Codes
(See Columns Cl and

3. Value Method Codes

(Sec Column C2)

03)

A =$1,000 or less

B =$1,001 -$2,500

C =$2,50 I - $5,000

D =$5,001 -$15,000

F =$50,00I -S100,000

G =$100,001 - $1,000,000

HI =$1,000,001-$5.000,000

H2 =More than $5,000,000

J =$15.000 or less

K =$15.001 - $50,000

L =$50,00 I - $I 00,000

M =$100,00! - $250.000

N =$250.00 I -$500.000

0 =$500,001 -$1.000,000

Pl =$1,000,001 -$5.000.000

P2 =$5,000,001 - $25.000.000

P4 =More than $50,000,000

P3 =$25.000.001 -$50,000.000

Q =Appraisal

R =Cost (Real Estate Only)

S =Assessment

U =Book Value

V=Other

W =Estimated

T =Cash Market

E =S15.00 I -$50,000

FINANCIAL DISCLOSURE REPORT

Name of Person Reporting

Date of Report

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M.
I

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS.

(Jndicate parto/Report.)

4o the...
J.nve.sh-1---ie.n+ V0tlve.. dec.reetse due..
nC\.<;\,'onoJ -C..Onorn ;c- OuJfYvrn.

FINANCIAL DISCLOSURE REPORT

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Date of Report

Name of Person Reporting

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IX. CERTIFICATION.
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 honorarla 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 F

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