Beruflich Dokumente
Kultur Dokumente
1/2011
Report Required by the Ethics in Go vernment Act of 1978 (5 U.S.C. app..~ff I01-I11)
5b. [] Amended Report 7. Chambers or Office Address 111 South Tenth Street Suite 8-North St. Louis, MO 63102 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 followecL Complete all parts,
checking the NONE box for each part where you have no reportable information. Sign on last page.
II. AGREEMENTS. mepo~.g ~.aivia.~t o.ty; seepp. 14-16 of filing instructions.) D NONE (No reportable agreements.)
DATE
1.2010 2. 3.
III. NON-INVESTM ENT INCOME. (eepom.g individual andspouse; seepp. 17-24 of filing instructlon~)
A. Filers Non-Investment Income
D
I. 2010 2. 3. 4.
B. Spouses Non-Investment Income - if you were married during any portlon of the reportlng year, complete this section.
(Dollar amount not required except for honoraria.)
1. 2010 2. 3. 4.
~]
2. 3.
4.
5.
V. GIFTS. (indud~ those to spouse and dependent children: see pp. 2S-J! of filing instructions.)
NONE (No reportable gifts.) SOURCE I. 2. 3. 4. 5. DESCRIPTION
VALUE
V I. L I A B I L I T I E S. (Includes those of spouse and dependent children see pp. 32-33 of filing instructions.)
NONE (No reportable liabilities.) CREDITOR
I. 2. 3. 4. 5.
DESCRIPTION
VALUECODE
V II. INVESTMENTS and TR U STS - ~.co.,e, ,,,,1,,e, ,ra.sae,io.s a.cludes ,hose olspo.se a.d depe.de., children; see plx 34-60 of filing instructiomO
NONE (No reportable income, assets, or transactions.)
Description of Assets (including trust asse~s) Income during Gross value at end Transactions during reporting period (I) Type (e.g., buy, sell, redemption) (2) (3) (4) Date Value mm!ddlyy Code 2 (J-P) (5) Identity of buyer/seller (if private transaction)
reporting period
(I) Amount Code I (A-H) (2) Type (e.g., div., rent, or int.)
of reporting period
(I) (2) Value Value Method Code 2 Code 3 (J-P) (Q-W) Gain Code I (A-H)
D A A A A E
L J J J L
W T T T T
2. 3.
4.
Equitable Life Insurance Company (IRA) Gateway Federal Employees Credit Union Oak Value Fund Equivest (Mutual Fund of AXA Advisors, LLC) Missouri State Judicial Retirement
5.
6.
7.
8. 9. 10.
t2.
13.
14.
16.
17.
I. Income Gain Codes: (Sc Columns B I and D4) 2. Value Codes (See Columns Cl and D3) 3. Value Method Cod~ (See Column C2)
A =$1.000 or less B =$1,001 - $2,500 G =$100.001 - $ 1.000.000 F =$50.00 [ - $100.000 J =$15.000 or Ic_________~s K =$15.001 - $50.000 N =$250,001 - $500,000 O =$~;00.001 - $1.000.000 P3 =$25.000.001 . $50.000.1~0 R =Cost (Real Estate Only) Q =Appraisal V =Other U =Book Value
C =$2.501 - $5.000 [ I I =$1.0~0.001 - $5.000.000 L =$50.001 - $100.000 PI -$1.000.001 - $5.000.000 P4 =Morc than $50.000.000 S =Asscssm..m! W Estimated
D ~$5.001 - $15,000 112 = More t hart $5.000.000 M =$100.001 . $250.000 P2 =$5.000.0OI - $25.000.000 T =Cash Markc~
E =$15.001 - $50.000
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 ~vas 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 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 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