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I

Ao to
Rev. 1/2010

FINANCIAL D! SCLOSURE REPORT


FOR CALENDAR YEAR 2009
2. Coati or Org,nlzatlon USDC, WDPA ~. Repo~ Type [check ~ropri~ ~) Dale ~ Nomination, ~ A~ual ]~ Initial

Report Required by the Ethics


in Government Act of 1978 (5 us.c app. IOl.l l l)

I. Perlon Reporting (last name. first, middle inilial) Cercone, David S. 4. Title (~icle Ill judg~ indicate ~ctiv or senior sl~tus; magis~Ic judges indics~ ~1I- or p~-d~) U.S. Dis~ctJudge-Acdve

05/5/2010 6. R~po~l~ Perl~ 0~/01/2~9 to 12/3 I/2~9

~ Fin.l

7. Ch~mben or O~ce Addrrs~ S~it~ 7270, 7~ G~I Sff~t U.S. C0unho~ Pit.burgh, PA 15219

8. On lhe ba~ of lee Inform~lloa ontzln~ In lhls Repo~ znd ~ny m~lflc~l~n~ with ~ppllc~bl I~wl ~nd regulmllo~l. Reviewing Officer

IMPORTANT NOTES: The instructions accompanying this form must be followed. Complete all parts, checlclng the NONE box for each part where you have n o reportable information. Sign on last page.

I. POSITIONS. (Re~,o.~x
~ NONE (No reportablepositiom.) pOSITION
I. Dir~tor

NAME OF ORGANIZATION~NTI~
Boys and Girls Club of Western Pcnnsylvani~ Account #I

2. Cust~ian

~ NONE (No reportable agreements.)

~~ PARTIES AND TE~ m ~

1.2~2 2.2~3 3.

Administrative Office of PA Coups - eligible to receive health care ~nefits For life Pa. State Employees Retirement System - elected to r~eive montly penmon payment for life

Cercone, David S.

FINANCIAL DISCLOSURE REPORT Page 2 of 6

N~mt of Person Reporting

Dire of Report

Cerco,e. a,.ia s.

os/uz01o

A. Filers Non-Investment Income NONE (No reportable non-investment income.) DATE


I, 2009 2.2009 3. 4.

SOURCE AND TYPE


University of Pittsburgh - teaching salary PA. State Employees Retirement System - pension

INCOME
(yours, not swouses) $14,200.00 $34,966.00

B. Spouses Non-Investment Income - If you were married d~rtng any porffon of the rrporang yeor, complete (Dollar omo~nt not required exce~ for honorarY)

~ NO~ ~o reportable non-investment income.) ~


I. 2~ 2. 3. 4.

SO~CE A~ ~PE
Admini~r~tive O~ce of PA Courts - mngistefial dis~ct judge~ s~l~

IV. RE IMBURSEMENTS - ~....o.o,~,~ ~oa~,/ood, ,~o,.t.~e.i


(Includa~ those to xpouse and dependent children," see pp. 2J .2 7 offlll~g Instructions.)

NONE (No reportable reimbursements.) SOURCE I. 2. 3. 4. 5. DATES LOCATION PURPOSE ITEMS PAID OR PROVIDED

FIN~CIAL DISCLOSU~ ~PORT

N~me of Person Repor~lnE

D~te of Rcpor~

Page 3 of 6

c,~,o,,. David S.

0~/5~010

NONE (No reportable g~.) ~ DESCRI~ION

I. 2. 3. 4. 5.

V I. LIABI LITIES. a.~t.d., ,~o~o of.to.s, o,,~,~oro.,~o~,, ~,d..: ,o. re. Jz-~J o/].1~e I~,.~,~o~
[----] NONE (No reportable liabilities.)

I. 2. 3. 4. 5.

Chase Home Financ~ Allegheny Valley Bank of Pittsburgh

Mortgage on Rental Property Naples, FL (Pt. VII, line 17) Bank Joan

M K

Name of Person Report|rig

PagcFINANCIAL4 of 6 DISCLOSURE REPORT

Dale of Repor~

Cercone, V,v,d S.

I
Transactions during rc~ning ~ri~

VII. INVESTMENTS and TRUSTS - l.oom., ~ot.e, r.u.*a.lo., a~a~,, t~o~.


NONE (No reportable income, ~sets, or transactions.) Description of Assc~ ; l~om d~ing ~ Gross value at end ~

i Value Value Amount Place "(X)" after each asml [ T~ (e.g., C~e 2 Mc~hod cxmp~ flora p~or disclosu~ l C~e I [ div., ren~. {A-H) or inL) {J-P) Code 3

" of I ~-

6~ ..... 6~ "
Ty~ (e.g., Date buy, sell, C~e 2 i Code I m~dR~ r~dempfion) (J-P) buyer/seller

I. 2. 3. 4. 5. 6. 7. 8. 9. 10.
1 I.

DIa~are T~x Fr~ PA Mural Fund Davis NY Venture Mutual Fund Waste Management Common Stock Citizens Bank Accounts American Balanced Fund 529B An~erican Funds: Cash Met. Trust of America - 529 B

A A A A A A

Dividend Dividend Dividend Interest Dividend Dividend

K K

T T Sold 316109 ~I A

K l J

T T T Sold (pan) Sold (parQ Sold (part) 12/14./09 7/6/09 12/I0/09 l l J A A A

IRA - American Funds: Bond Fund of America - American Funds: Capital Income Builder
.American Funds: Income Fund of America

Dividend

12. 13. 14. 15. 16. 17.

-American Funds: Cash Mgt. Trust of America American Funds: Income Fund of America Wachovia Bank: Bank Deposit Sweep Money Market General Electric A A Dividend Interest None J J T T Buy Sold Rental Prop~r~y, Naples, FL (8/I I12003 $265.000) D Rent N R 316/09 3/13/09 J J A

PageFINa~UIAL5 of6 DISCLOSUI~ I~PORT

Cercone,

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS.

FINANCIAL DISCLOSURE REPORT

~ .... fp .... Reporting Cercone, David S,

[ Daze of Report 05/512010 I

Page 6 of 6
IX. CERTIFICATION.

I certify that all Information given above (including information pertaining to my spouse and minor or dependent children, If an}) Is accurate, true, and complete to the best of my knowledge and belief, and that any information not reported was withheld because It met applkable 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 arc in compliance with the provhions of 5 U.S.C. app. 501 et. seq., 5 U.S.C. 7353, and Judicial Conference regulations.

Signature__

NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FALLS TO FILE TillS REPORT bIAY BE SUBJECT 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 States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544

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