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FINANCIAL DISCLOSURE REPORT FOR CALENDAR YEAR 2009
2. Court or Organization NORTHERN DISTRICT OF FLORIDA fit. Report T}’pe (check appropriate type) r-] Nomination. [] Initial Date [] Final

Report t~equired b), the Ethic.~ in Government Act of1978 (5u.s.capp.§§lOl.lll)
3. Date ol’ Report 05/06/2010 6. Reporting Period 01/01/2009 to 12131/2009

I. Perion Reporting (la~ name, first, middle initial) COLLIER., LACEY A. 4. Title (Article III judges indicat~ active or ~enior slams; m~gi*trat¢ judges indicate full- or part-time) U.S. District Judge (Senior)

7. Charaber~ or Office Address IfNITED STATES COURTHOUSE ONE North Palafox St. PENSACOLA, FL. 32502

[] Annual 5b. [] Amended Rq~ort ll. On the bath of the information contained in this Report and tony modifications pertatnlnt, thereto, it It, in my opinion, in ompllal~ce with applicable laz’s anti regulations. I Redewing Officer Date

BIPORTANT NOTES: The instrueaom accompanying this form must be followed. Comptete dl parts,
checking the NONE box for each part where j~u have no reportable informatiott Sign on last page.

I. POSITIONS. ~R,port~g im,ia,,~ oot~.; ,o r~. ~-~ ~ of fdin# instr.ctlons.)
[~ NONE (No reportable positions.) POSITION
1. 2. 3. Trustee and Director Member - Sacred Heart Hospital Pensacola Board Trustee, Chairman

NAME OF ORGANIZATION/ENTITY
Naval Aviation Museum Foundation Sacred Heart Hospital Communal3" Maritime Park Associates, hac

4. 5.

Member, Board of Directors

Florida State University College of Medicine, West Forida, Inc.

II. AGREEMENTS. ~o~o~~ ~i,~ o~y; ,, ~ u4 ~ ~#a~g i~)
NONE (No reportable a~eements.) PARTIES A~

._
.

2.

Collier, Lacey A.

FINANCIAL DISCLOSURE REPORT

N,me ofl~ ....

Reporting

D,,eof~
05/06/2010

Page 2 of 6

COLLIER, LACEY A.

I

IIl. NON-INVESTMENT INCOME. taevo,,~,g Individual andspou,e; seel,p. 17-2,t of filing tnslructians.)
A. Flier’s Non-Investment Income [] NONE (No reportable non-investment income.) AD_A.T~
1. 2009 2. 3. 4.

SOURCE AND TYPE
State of Florida (retirement)

INCOME
(yours, not spouse’s) $30,246.60

B. Spouse’s Non-Investment Income - If you ~a~re married during an),portion of the reporting )’eat, complete this section.
(Dollar amount not required ~xcept for ~onoraria,)

[~

NONE (No reportable non-investment income.) DATE SOURCE AND TYPF,

1. 2. 3. 4.

IV. REIMBURSEMENTS -,,o,~mr~o,~ l~dging, food~ ~,mertainmt~t.
(Includes those to spouse cmd dependent children; see pp. 25.27 of filing instructions.)

NON~ (No reportable reimbursements.)

SOURCE
1. 2. 3.

DATF~.

LOCATION

PURPOSE

ITEMS PAID OR PROVIDgD

5.

Name of P~r~a Reporting

Date of Repurt

PageFLNA-NCIAL3 of 6 DISCLOSURE REPORT

COLLIER, LACEY A.

05/06:2010

V. GIFTS. a~,~, ~o,, ,o ,~ ..... ~ de~nd~t ,h~dren; see pp. 2~-31 of fding inMructionx.) NONE ~o reportable g~s.) SO~CE
I. 2. 3.

DESCRIPTION

5.

VI. LIABILITIES. anti,d,, a, os, o~" sp ..... d dependent children; set l,p. 32-33 of./’cling instructions.) NONE (~:o reportable liabilities.) CREDITOR
1. 2.

DESCRIPTION

3.
4.

5.

FINANCIAL DISCLOSURE REPORT Page 4 of 6

Name o~’~’ .....ae~,o.i.g COLLIE~. LACEY A.

[

I
D. T~n~ctio~ du~ng re~ing ~ri~

D.te of aepo,’t 05/06n010

I

VII. INVESTMENTS and TRUSTS -; .... ~. ~;~,. ~ ..... ,;o~ a~¢~.~- ,~o,~ oz~ ...... g z.~¢~,., ~,g,~;,,,rp. ~-~0 oz~;;.g; ....... ;,,~.?
NONE ~o reportable income, ~sets, or transactiom.) A, Desc~ption of Assc~ (including t~t asse~) PI~e"(X)" aR~ each ~set exempt from ~rior disclosure B. In,me dining ~ing ~i~ Amount [ C~ I (A-H) T~ (e.g., div., rent, or inL) ~ C. Gross v~u¢ at end of rc~ing ~riod Value C~e 2 O-P) Value ~ Met~ C~e3 (Q-W) T T T Ty~ (e.g.. buy, sell, redemption) - .....

(3)
Date m~d~ Value Gain CMe I ~ (J-P) (A-H) [

(5)
Identiw of buyerlseller (if private ~nsaction)

I I. 2. 3.

~gg Mason Value T~t IqFCU Share Savings Acct. Suntrust Bank Accounts

A A B

Dividend Interest Interest

L J K

10. ’11. 12. 13.
14.

15. 16, 17.

FINANCIAL DISCLOSURE REPORT

Page 5 of 6

COLLIER, LACEY A.

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS.

Name of Person Reporting

PageFINANCIAL6 of 6 DISCLOSURE REPORT IX. CERTIFICATION.

COLLIER, LACEY A.

Bite05/06/2010of Report

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 was withheld because it met applicable statutory provisions permitting non-disclosure1 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.

Signature~ ............

NOTE: ANY INDIVIDUAL WHO KNOWINGLY A~N’D WILFULLY FALSIFIES OR FAILS TO FILE THIS REPORT MAY 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