i

Rev. 1:2010

.~o ~o

I
[] Initial

FINANCIAL DISCLOSURE REPORT

FOR CALENDAR YEAR 2009
2. Court or Organization Northern District of Indiana 5a. Report Type (check apprnpriate ,ypo) [] Nomination, Date

,~,..po,-, R~,t,iredb~.,he ~thi~.~

in Government Ac~ oj1978

~:s c~s.c, ap~..6".+ to~-~/~)

3. Date of Report 05/I 2/2010 6. Reporting Period 01/01,;2009 12,31/2

I. Person Reporting (last name, first, middle initial) Springmann, Theresa I,. 4. Title (Article III judges indicate active or senior status; magistrate jt~dges indicate fil[I- or part-time) Active [] A .... I [] Final

5b. [] Amended Report 7. Chamber~ or Office Address U.S. Cotlrt|louse 131)0 South Harrison Street Fm~ Wayne, IN 46802 8. On the ba~i~ of the information contained in this Report ~tnd any modifications pertaining thereto, it is, in my opinion, in compliance wllh applicable laws end regulations.

Reviewing Officer

Date

IMPORTANT NOTES: The instructions accompa,oing this form must be fi~llowed. Complete all par~, ~hecking the NOzVE box for each part ,~here you ha~,e no reportable informatlort. Sign on last page.

I..POSI TION S. (~.~,o.,i~ ~d.,~.ot,,,,t~,: ,~. p.. 9-. 4~,i,,~ instructions.)

[~ NONE (iVo r~7)ortablepositions.) PQ~IT1ON
I. Personal Representative Estate 1

NAMF, QF QRQAN1ZAIION/ENTITY

i~_,
II. AGREEMENTS. (#:~,o.a,, ~,,~,,~..~ o,,~.; .e: ~,~,. ~4-~ of /Ui~# ,.~e~..i,,~.,:) .....

NONE (No reporiab/e agreements.)

DATE
1.

PARTIES AND TERMS r-.

Springmann, Theresa L.

FINANCIAL DISCLOSURE REPORT Page 2 of 6

~," ....r P .... ~po,~i.~ spring .....Theresa L.

[ D~t~ of R~po~,

05;I~2010

III. NON-INVESTMENT INCOME. ~po,,~ indivldual andspouxe; seepp. 17-24 o/filitrg in ........ ion,.)
A. Filers Non-Investment Income NONE 0Vo reportable non-investment income.) DATE
1. 2. 3. 4.

SOl JRCE AND TYPE

INCOME
(yours, not spouses)

B. Spouses Non-I nveslment Income - t.t~,ou were married during an)porion of the reportlng year, complete this secKon.
( Dolktr amou~tt nut r~qutred t, rcept for hon~raria.}

~
I. 2. 3. 4.

NONE (No reportable non-investment income.) DAT~ SOURCE AND TYPE

"~v. REIMBURSEMENTS (Jt~ htdes t]n~ to spouse ~nd ~&p~m &tt ~hildr~,n; see pp. 2~-27 o filling in~tru~tion~.)

N ON E (No reportable reimbursements.) SOUR~

I. 2. 3. 4.

DATES

LOCATION

PURPOSE

ITEMS PAID OR PROVIDED

5.

FINANCIAL DISCLOSURE Page 3 of 6

N ~P .... .... REPORT ~e~o~,o~ Sp~.g ........ Theresa L.

DateofReport

I
~

05/1,~L2010

V. G l FTS. a, c~,,~,,., ,,o,, ,o ,po,],l~ ~,,d d~p~"d~nl (hilaren; .,ee pp. 2~-3 l of filing instruction&) NONE (No reportable gy?s.) SOUR~
I.

DESCRIPTION

3.

4. 5.

VI. LIABILITIES. a.,-i.a.~ ,ho.,.,,y~p ...... d a,,p..z~., ,.ua ........ pp. 32.33 of filing in~tructions.)
---] NONE (No reporlable liabilities.) CREDITOR
I. Chase Mas=er Card credit card

DESCRIPTION

VA~IE CODE
J

3. 4. 5.

FINANCIAL DISCLOSURE REPORT

Page 4 of 6

Name of Person Reporting

Date of Report 05ikl~010

] Spr ngmanm Theresa l,.

VII. INVESTMENTS an d TRUSTS - ~ ........ ~,,, t ........ ions (Includes those of xp ...... d depet, dent children; see pp. 34-60 Drilling instructions.)
NONE (No reportable income, assets, or transactions.)
Descnpfio~ of Assets (including ,rest assets) [ [ Place "(X;" after each .... t exemp~ from prior disclosure ~ I~come during ~_r~0~in~ pedod I [A ...... Code 1 : (A-II) Type{e.g., div., ~nk or int) Gross ~alue al end of r~o~ing period ~ Value Code 2 O-P) Value [ Method : Code 3 (Q-W) I :: i Type ~e.g., buy, sell, redemption) Tran~ction~ during reporting period

I Date ~ Value Gain ; za ~d~yy Code 2 ~ Code I t3-P) : tA-H) ~ ~ ~

Identity of bu).eI!selle (if private tran~ction)

I 2.

IRA with IDS]American Express -sell IRA wkh IDS/American Exprcss

A A

Dividend Dividend

M K

T T Redeemed 12/05/09 K E

(par0
3. Annuity with IDSiAmerican Express -~ A Dividend K T

4. 5. 6. 7. 8. 9. 10. 11 12.
13

IRA - Keough rollover with IDS!American Express - self Savings account wilh Chase Bank Estate I -Chase Bank (Checking) -Centier Bank (CDs) -Citizens Financial (CDs) -Fifth Third (CDs) -First Financial (CDs) -Catholic Foresters (annuily)(no control)
T.Rowc Price Summit (.ash Rcserve

A A D

Dividend Interest Int.IDiv.

M K M

T T T

Int./Div.

14.

16. 17.

P3 =$25,00(I,h01 . $SO.f~)).( I)0

P4 =More than

FINANCIAL DISCLOSURE REPORT Page 5 of 6

f NameofPe~on Reporting

l)a~ of Report

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS.

FINANCIAL DISCLOSURE REPORT

[N ....
I

fP ..... Reporting Springmann, Theresa L.

DateofRep0rt

Page 6 of 6
IX. CERTIFICATION.

! eerti[y 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 statulory prosisions permitting nou-disclosure. I further certify that earned income from outside employment and honoraria and the acceptance of gifts which have been reported are in compliance ssith the provisions of 5 U.S.C. app. 501 et. seq., 5 U.S.C. 7353, and Judicial Conference regulatioos.

NOTE: ANY INDIVIDUAL WIIO KNO\VINGLY AND WILFULLY FALSIFIESORq~~ILS TO FILE T|IISRE~ORT/~,I~4,~r BICSSUB~ECT TO 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 Stales Courts Suite 2-301 O~e Columbus Circle, N.E. Washington, D.C. 20544