Professional Documents
Culture Documents
~/2010
1. Person Reporting (last name, firsL middle initial) Clevert, Jr,, Charles N.
4. Title (Article III judges indicate active or senior status; magi~rate judges indieat~ full- or part-time)
~ Initial
r-~ A .... I
~ Final
to
12/31/2009
5b. ~ Amended Report 7. Chamben or Office Address 208 U. S. CourtholL~e 517 East Wisconsin Ave. Milwaukee, WI 53202 8. On the basis of the Information contained tn this Report and nny modifications pertaining thereto, it is, in my opinion, In compliance with applicable laws and regulations. Reviewing Officer
Date
IMPORTANT NOTES: 7he instrucaons accompanying this.form must be followed Complete all parts, checking the NONE box for each part where you have no reportable information. Sign on la~t page.
POSITION
I. BoardofDirectors
NAME OF ORGANIZATION/ENTITy
Justice At Stake Campaign
2. House of Delegates
I.
4~6ao~ o
~
1. 2. 3. 4.
~O~CE A~ T~E
~COME
~o~, not ~po~es)
B. Spouses Non-lnvestment Income - if you were marred during any po~n of the rtpo~ing ~ar, comp~t~ thi~ ~ollar amount not required ~c~t for honoraria.) N0~ ~o reportable non-investment income.)
1. 2. 3. 4.
IV. REIMBURSEMENTS (Include.~ tho~ to spouse and dependent children; see pp. 2~-27 of filing i~t~ctio~.)
LQCAT!QN
Boston, MA Boston, MA W~h~gto~ DC
P~OSE
A~ual Meet~g ~A A~u~ Mee~g Bo~d M~t~g
I. 2. 3.
5.
Page 3 of 6
[~
1. 2. 3. 4. 5.
VI. LIABILITIES. a,a,a,, 1~o~, o~" ,p .....~ dependent children; see pp. 32-33 of ISling lnxtruction~.)
[--] NONE (No reportable liabilities.) CREDITOR
1. 2. 3. 4. 5. Pentagon Credit Union Credit Card
DESCRIPT!ON
a.,e or ,,poa
4/6/20
~,,~~r~,,~,~,,
~xempl from prior disclo~re
.~o~, r,~c~.~..
[ C~e 1 (A-~ div.. renK orint)
C~e 2 (J-P)
N~, of 1 ....Reporting
Date of Report
416/2010
1 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-disclosure. I further certify that earned income from outside employment and honoraria and the acceptance of glft~ which have been reported are In compliance wtth the provisions of 5 U.S.C. app. 501 et. seq., 5 if.S.C. 7353, and Judicial Conference regulations.
Signature.__
NOTE: ANY INDIVIDUAL WIIO KNOWINGLY AND WILFULLY FALSIFIES OR FALLS TO FILE TillS 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