Rev.

t/2010
I. Pe~nn R~porfln~ (la~ n~me. ~J, mid~lc initial) Adams, Hen~ L. 4. Title (Aaicl~ III jtdges indicate nctive or ~nior status; magist~tc judges indicate fall- or pad-ti~) U.S. District Judge (senior status)

.4o lO

FINANCIAL DISCLOSURE REPORT
FOR CALENDAR YEAR 2009
~ Cou~ or O~snlzmflon Middle District of Florida 51. Re~ff "[)’pe (ch~k zppropfiatc W~) ~ Nomi~tio~ ~ Initi,I Date ~ Annual ~ Final

in Government Act of 1978

(.~ u.s.c. ,,~,p.

~. Dal~ of R~o~ 05/1412010 6. Rtpo~lng Period 01/0112~9 ~o I ~3112009

5b. ~ Amc~Rc~a 7. Eham~ or Office Addres~ B~an Simp~n U. S. Cou~hous¢ 3~ ~. Ho@n St~t, Ste.I I-2~ Jacksonville, F]ori~ 32202~245 8. On Ihe b~tl~ of {he Information conl~lned In thh Reporl ~nd =ay In~lflc~tlonz ~Hzlnlng Ih¢~to’, II Is, In my opinion, In compllzn~ ~[th applicable Izwz and r~ul~tlons. R~vl~wlng Officer ~lle_

IMPORTANT NOTES: me instractlons ac~’ompanylng this form m~st bt followetL Complete all parts,
checking the NONE box for each par~ where you have no reportable information. Sign on last page.

1. POSITIONS. (Rep~nlnX lndi,idual only; s,, pp. 9-13
[~] NONE (No reportable positions.) POSITION
I.

NAME OF ORGANIZATION/ENTITY

.mr-"
..j

~

NONE (No reportable agreements.) DATE I. PARTIES AND TERMS

Adams, Henry L.

FINANCIAL DISCLOSURE REPORT Page 2 of 7

N.m.ore~.o. a~p~-I.z
Adams, llenry L

o...ofa~p~a
05/14/2010

IlL NON-INVESTMENT INCOME. ~R,po~,g i.d~d..: ..a.~u,,~ .,~, p~ : ~-~ ~/~i~ ~,~,,,,~0~ A. Flier’s Non-Investment Income NONE (No reportable non-investment income.) ~ I. 2~9 2. 3. 4. SOURCE AND TYPE State of Flori~ (R~i~ment) ~ (you~, not s~u~’s) $31,659.~

B. Spouse’s Non-investment Income - if you were married during any portion of the reporting ),ear, tvmple~e thl~ ~1i~
(~llur ontotmt not ~qulrcd ~rc~t for honorark~)

~

NONE (No reportable non-~nvestment income.) ~QURCE AND TYPE
I. 2~q State of FIo~da (R~i~ment income)

2.

3.
4.

IV. REIMBURSEMENTS -,ea,~,,,~.a... ~odg,’~g./oo~.,,~,,,,l,,,,,t
(tnch~d~s those to s~t~se and de~ndent child~n; st~ pp. 25-27 of filing in~t~ctlon~.)

NONE (No reportab& reimbursements.) ~
I. 2.

DATE~

LOCATION

~

ITEMS PAID OR P~OVIDED

3. 4. 5.

FINANCIAL DISCLOSURE REPORT Page 3 of 7

~.m, ore,.~0, a, p0-1.~
Adams, Ilenry L

~,,, or a¢~,,
05II4/2010

[~]

NONE (No reportable gifts.)

I.

3. 4.
5.

VI. LIABILITIES. a~t.~
[---] NONE (No reportable liabilities.)

I. 2.

Chase Ma~terCard

Credit Card

3. 4.
5.

FINANCIAL DISCLOSURE REPORT Page 4 of 7

IN,me

of Person Reporting

I

Ilxte ef Report

05114/2010

I--"q

NONE (No

reportable

incorne, assets,

or transactions.) C. Gross value at end of reporting period U) (2) Value Value Code 2 Method [J-P) Codc 3 ~Q-W) L L M K J M J J J J J J T T T T T T S S S T T T D. Tn|nsactlon~ during rcporling period (I) Type (e.g., buy, sell, rcdcml~ion) (~) 13) (4) Date Value [ Gain mnfdd,’yy Code 2~ Code I [J-P) (A-) (5) Identity of buycr/scller (ifpri~ate transaction)

A, Description of Assets (including trust ass~.~s) Place "(X)" after each assot exempt from prior disclosure

B. Income during reporting period (l) (:z) " Amount Type (e.g., [ Code I div., rent, (A-|l) or int.)

I. 2. 3. 4. 5. 6. 7, 8. 9. 10. I1. 12. 13. 14. 15. 16. 17.

Nationwide Retirement Solutions, Inc. ING ING Gov’t Employees Credit Union Dural Federal Credit Union Federated Mutual Funds Parcel I, Jax., FL ($25,000.00) Parcel 2, Jax., FL ($1,980.00) Parcel 3. Jax., FL ($2,810.00) Dmyfias Mutual Fund Delhaize America, Inc. (ADR.) Microsoft, Inc. (Common stock) Time Warner Common stockXY) AT&T(Common stock) Johnson & Johnson(Common stock) Alcatel Lucent (ADR) Covad, Inc.(Common stock)(Y)

B B B A A B

Dividend Dividend Dividend htterest Interest Dividend None None None

A A A

Dividend Dividend Dividend

A A

Dividend Dividend None

J J J

T T T

Column C2)

O

FINANCIAL DISCLOSURE REPORT Page 5 of 7

Name of Pe~ou Reporting I Adam,, llenry L.

Date of Report

05/14/201o

V I I. INV ESTMEN TS and TR U STS - ~.,.o.,., ..t.o,~ ..... ,~o.. a.,,~.~., ~o= ~ ..... .~ a~.a.~ ,,~,Ud~: ~,, ~ ~o .f~U.~ ~.,,~.~,.~)
NONE (No reportable income, assets, or transactions.)
A. Dc~riptlon of A~cts (including t~st as~) Place "(X)" a~cr ~ach ~sct exempt from prior di~losu~ Incom~uring . ~aing ~ri~ (2) Ill IA~unt Type (c.g., Co~ I d[v ~n~ (A-II) o~’inL) " C. G~ss value at cad of reposing ~ri~ 11) (2) Value Value C~d~ 2 Method {J-P) Code 3 (Q-W) J J J J J T T T ’r T D. Tr~sacfions during rt~aiag ~fi~ it) Type (.g., buy, sell, r~cmplion) (51 Identity of buycr/scilcr (if private l~nsaction)

Date Value Gain m ~2) (3) 2 (4) I n~d~ C~ Code (A-H) O’P)

18. 19, 20. 21. 22. 23. 24. 25.

Pfizer, Inc.(Common st~k) Cock-Cola, Inc. (Commonstock)(Custodia! account) Ford Motors (Common stock} "ryson Foods (Common stock) Conoco Phillips (Custodialaccount) Generex Biotech, Inc. (Y) Bank of America WR Advisors(Cash regret)

A A

Dividend Dividend None

A A

Dividend Dividend

A A

Dividend Dividend

J J

T T

26.

Motorola, Inc. (Common ,:tock)(custodial accountXX)

A

Dividend

J

T

IS~ Col~n C2~

U -~ok Valu+

V -Ot~¢

W =Estimm~

F1N~CIAL DISCLOSURE REPORT

Page 6 of 7

[~me

ol" Person Reporting

D~le of Report

I ,~d.~, ~.~ L.

VIII. ADDITIONAL INFO~ATION OR EXPLANATIONS.
PART VII: I) Line I: This .’,sset was listed as "Security Life Ins. Co. n,~’a ’Nationwide’" on the preceding report 2) Line 13: Time Warner was inadvertently listed on the preceding report and should have been reported as sold on 12/19107 (Value code: J and Gain code: A). 3) Line 17: Covad should have been listed on the preceding report as sold on 4/I 7/08 (Value code: J and (lain code: A). 4) Line 23: Generex declined below the reporting lhreshold. 5) Line 26: Motorola, Inc. is a previously owned asset that increased in value above the reporting threshold.

FINANCIAL DISCLOSURE REPORT Page 7 of 7 IX. CERTIFICATION.

,\dam,, ne.ry L [ ~=.,~ot~,~.o.

I certif7 lhat 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. [ further cerIIO/that earned Income from outside employment and honoraria and lhe acceptance ofglft~ which have been reported are in compliance with the provisions of$ U.S.G. app. § 501 el. seq., 5 U.S.C. § 7353, and Judicial Conference regulalion~.

NOTE: ANY INDIVIDUAL WIIO KNOWINGLY AND WILFULLY FALSirtaucr,c.w’tw,n~.., v ,~ ..... AND CRIMINAL SANCTIONS (5 U.S,C. app. § 104)

,=~-r~r~r-r,rr~-=-~:,~.~. = . v~.,

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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