You are on page 1of 6

t

Ao !0 :::
, Rev. 1/20~0

]
[

FINANCIAL DISCLOSURE REPORT


FOR CALENDAR YEAR 2009
[ 2. Court or Organization U.S. District Court, Ohio 5a. Report Type (check appropriate ~pe) [---] Nomination, ["--] Initial Date ~ Annual ~] Final

Report Re,~,,ir~a b~ t~,e ~thi~


in Government Act of 1978 0 u.s.c, app. ,~" 101-111)

1. Person Repvrtiag (last n~me. first, m~ddle initial) Lioi, Sa~a E. 4. Title (Adicle III judges indicate active or scni~r status; magislratejudges indicate titll- er part-time) U.S. District Court - Active Status

] 3. Date of Report 05/12/20 6, Reporting P~riod 01/01/2009 to 12/31/2009

5b. [] Amended Report 7. Chambers or Office Address United States Cotlrthouse Room 526 2 South Main Street Akron, Ohio 44308 8. On the basis of the information contained in this Report and any modifications pertaining thereto, it is, in my opinion, in compliance ~vith applicable laws and rcgulatioas. Reviewing Officer Date

IMPORTANT NOTES: The instructions accompunying this form must be followed. Complete all parts, checking the NONE box for each part )vhere you have no reportable information. Sign on lastpage.

I. POSITIONS. (~po,..g ~.~i..ia,.~Z o.o.; ,~. p~. 9-ts of f!ling i .........


~ NONE (No reportable positions.)

tions.)

POSITION
1. Member tEmeritus Status)

NAME OF OROANI~ATION!ENTIqY
Plain Local Schools Foandation Board of Directors

2. 3.
,~.

Member Member
Member

Plain Local Alumni Association Board of Directors Walsh Universiiy Advisory Board
The Ohio Statc University Moritz Coflege of Law Alumni Association National Advisor Council Sisters Foundation orCanton Board "

5. 6.

Member Member

Walsh Univeristy Board of Directors

-; :;

~ .....

~...~

II. AGREEMENTS. ~wo,,i,,~ Ordividual onO; seepp. 14-16 of fiting instrt, etions0
~ NONE (No reportable agreements.) DATE
I. 12/01/I 997

PARTIES AND TE~S


Ohio Public Employees Retirement System Defined Benefit Pension Plan

Lioi, Sara E.

FINANCIAL DISCLOSURE REPORT Page 2 of 6

Lioi, Sara E. [

05/1212010

IIL NON-INVESTMENT INCOME.


A. Filers Non-Investment Income

(Reporting individual ~nd sp ............ pp. 17-24 of filing i~stru~iot,~.)

NONE (No reportable non-investment income.) DAT~


I.

S~URC~ AND TYPE

INCOME
(you~, not spouses)

3. 4.

B. Spouses Non-Investnlent Income - ~jyou were tnarried during any portion of the reporting yea~, complete this sectiot~
"Dollar amount not required e.tcept]Or honoraria.)

~]

NONE, (No reportable non-investment income.) DATE .5OURCE AND TYPE

1. 2. 3. 4.

(lnclu&s those to spouse and &pendent chthlre~- see pv. 25-27 af.liling instructions.)

NONE (No reportable reimbursements.)

~.IRCE
1. 2. 3. 4. 5.

LOCATION

PURPOSE

,ITEMS PAID OR PROVIDED

of Person FINANCIAL DISCLOSURE REPORT ] Lioi, SaraE. Reporting Page 3 of 6

[Name

Da~e of Report

05/12/2010

NONE ~Zo reportable g~s.)


~URC~ DESCRIPTION VALUE

2. 3. 4. 5.

VI. LIABILITIES. a,++.a,, t+o,+ o:,~ ...... ~ de~endent children; see pp. 32- 33 of filing instructions.)
NONE 0Yk+ reportable liabilities.)

CRED1TO~
1. 2. 3. 4.

DESCRIPTION

NALUE CODE

FINANCIAL DISCLOSURE REPORT


Page 4 of 6

.~a~
Lioi, Sara E. 05,"12120 l0

VII. INVESTMENTS an d TRUSTS - i ........ al .......... tions (Includes those of sp ...... d dependent children; see1)p. 34-60 of fili,,g i ....... lions.)
[~ NONE (~o reportable income, assets, or transactions:)
Desc,qption of Assets ( nc ud ng trust asse s~ Place "(X)" aft ..... ....t h exe~rp lron prordsosure Income during reporting period

~ .........

Gross value at end

Transactio~s during reporting period

itV --i-~3
,A ...... ] Type(e.g., ; Value [ Value t Codel dv.,rent, Code2 ~ Method I(A-H [ or ira.) {~ W Tvpe(e.g,. [ Date /alue ] Gain immidO~vylCode2 Icodcl buy, scl. Identityof buyer,:sellcr

1,

IRA

Dividend

2. 3.

-Exxon Mobil Corp Common Stock KeyBank Account

Interest

4,

10.

14. 15. 16.

(See Cotunma Bt and D4) (See Columns CI and D3) Value Method C~lcs {See Col~n C2)

~-=$50,1)01 - S HY0.tff)O N =$250,001 - $500,0~ P3 =$25.01~,001 - $50,01~).~0 Q =Appraisal U =B~k Value

G =$100,001 - $l,00O,0~ O =$500,00~ - St.0,~.000 R ~osr (Rea! ~tarc Only} V =Other

Ht =$1,~0,001 - SS ~ O~ PL =$1 ~30 00l - $5 0~ ~ P4 =More ~han $50.~0,000 S =A~cssment W =Esrmaled

~1~ =More ~an $50~ 000 .... ~ =$5 ~ 00[ - $25 ~0 ~ T =Cnsh Market

FINANCIAL DISCLOSURE REPORT Page 5 of 6

N Lioi, Sara E.

05/12/2010

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS.

FINANCIAL DISCLOSURE REPORT

] ~ .... f P ..... Reporting


I Lioi, Sara E.

[
[

Uate of aeport
05/12/201 0

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 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 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 Conferen~:e regulations.

Signatllre ...............

NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE TillS REPORT MAY BE SUBJECT TO CI\"IL AND CRIMINAL SANCTIONS (5 U.S.C. app. 104)

FILING INSTRUCTIONS Mail signed original and 3 additional copies to: Committee on Financial Disclosure Administrative Orrice of the United Stales Courts Suite 2-30 ! One Columbus Circle, N.E. Washington, D.C. 20544

You might also like