Professional Documents
Culture Documents
Rev. ~/2010
I
[
3. Dat~ of Reporl
4. Title (Article Ill judges indicate aclive or senior sta~s; magis~atejudges indicate ~11- or p~-ume)
6. Reporting Period
Nomination,
Date
S. On tht has~ of ~hc informa6on ontained in ~lis Rtporl and any modi~ca6ons pertaining thereto, it h, in my opinion, in compliance
IMPORTANT NOTES: T~e instructions accompanying thi~ form mast be followed. Complete all parts,
checking the NONE box for each part where you have no reportable information- Sign on last page.
ions.)
2. 3 4 5.
~.~ lI. AGREEMENTS. ~no~or,i.~ ~.ai.ia..t o.~>,; ,o, ~,~,. t ~-t~ off~.z i ......
~NONE (No reportable agreements.) ~TIES ANDTERMS
1.
-:-~
Simpson, Charles R.
B. Spou s es Non -1 nves tm e n t I n co m e - tyou were married during any portion of the reporting year, complete thls section.
(Dollar amount not required exept for honoraria,)
[~] NONE (No reportable non-investment income.) DATE 1. SOURCE AND TYPE
IV. REIMBURSEMENTS (Includes those to spo~e and de~ndent children: see pp. 25-27 offiting instmctmns.I
~ c~,~l.
DESCRIPTION
Vl. LIABILITIES. a, ct~a,, ,no,, oysp ...... a d,pendent chiIdr.; See pp. 32-3J of f!ting inMructio~)
[~ NONE (No reportable liabilities.) CREDITOR~
I 2 3. 4. 5.
DESCRIPTION_
VALUE COD_E
I ~ .... ev .....
~.~or,.~
pp. 34-~0
(including ~as~ as~c~s) Pla~ "(X)" after ~ach ~set exempt flora prior ~sclos~e
rcpo~ng period ~
of redoing pc~od ...... Value Me~od Type ( g, buy, sell, redcmp~on) CodC3(Q.W) Date Valu~ Gain mm/d~ [ Cud 2 Code I (A-F0 ,~ (J-P) Iden~ of buyer/seller u~saction(if p6vat )
Amount ~ Type (eg , Value C~ I ~ div.. rent. [ Code 2 {I-P) o~ inL) ~ I/AH)F ~
ions (Includes those of sp ...... d dependent children: seepp. 3-I-60 of filing in .... tior~l.)
........ -~ .........
Dgscnpnon o[Assc~ (~ncluding ~st a~r~} Plac "(X)" afig~ gad, asset exemptffomp~ordisclos~
{ .
~
~ ............... ~ .............. D ................ ~. Transacfio.s during rcpo~n8 period ....... ~ Gn~ss value a~ end ~ Income dunng
r~ng pc,iod ~ of rcp~ng ~fiod { Value Me~ Code3 ryp tc g. buy, set!, redcmplion.I Gain Date [ Va{u Code I ;mn~/dd,~y ~ C~2 { (J-P) ~ (A-{{) Ident,~ of buyer/seller (,fpnval ~ { I
N =$250.001 - 5500.000
O =1S00.00| - $I .0g0.G~0
pI -$1,000.001 - $5,000.000
PZ :$5,000.001 - $25.000.000
U =Book Value
V -Other
W =Esnmated
Date erRport
~.~, t ....... andude$ tho~e of sp ....... d dependent thildren~ see pp, 34-60 of fdi~g io~
(inclu~ng ~s~ asse~) Place "(X)" a~ter each ~et exempt ~om prior disclosu,e
] ......................... Typc(eg.. buy, sell, red,npdon) Dat~ Value [ G~n mm/d&~) : Code 2 Code I , (J-P} [ (A-IF) Identi~of bu)eriseltet (if private
15
N =$250,001 - $$00,000
L) =$500.001 - $ 1.000.000
P1:11,(~00.001 - $}.000,0
F. =$~.000.001 o ~;25,000,000
lions.) s t~.. t ......ons (Includes those of sp ...... d dependent children; see pp. 34-60 of filing i .....
Code I (A-H) 1
3.
13
14
16
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 kno~rledge and belief, and that an) information not reported was withheld because it met applicable statutory provisions permitting non-disclosure. I further certify that earned income from outside employment and honoraria and the acceptance ofgifts which have been reported are in compliance with the provisions of 5 U.S.C. app. 501 ct. seq., 5 U.S.C. 7353, and Judicial Confercuce regulations.
Sign~ NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WlLFULLY FAI,SIFIES OR FAll~ TO FILE THIS REPORT MAY BE SUILIECT TO CIVIL AND CRIMINAL SANCTIONS (5 IJ.S.Co 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