Professional Documents
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Report Required by the Ethics in Govermnent Act of 1978 (5 U.S.C. app. ~ 101-111)
I. Person Reporting (last name, first, middle initial) KLAUSNER, ROBERT G. 4. Title (Article 111 judges indicate active or senior status; magistrate judges indicate full- or part-time) ACTIVE
Nomination, [] Initial
5b. [] Amended Report 7. Chambers or Office Address 8. On the basis of the information contained in this Report and any modifications pertaining thereto, it is, in my opinion, in compliance with applicable laws and regulations. Reviewing Officer Date
Roybal Federal Building 255 East Temple Street, #860 Los Angeles, CA 90012
IMPORTANT NOTES: The instructions accompanying this form must be followea~ Complete all parts,
checking the NONE box for each part where you have no reportable information. Sign on iast page.
NAME OF ORGANIZATION/ENTITY
II. AGREEMENTS. me~,o,ting individuol only; see pp. 14-16 of filing instructions.)
D
1. 2002 2. 3.
Klausner, Robert G.
III. NON-INVESTMENT INCOME. O+eportin# individual andspouse; seepp. 17-24 of filing instructions.)
A. Filers Non-lnvestment Income
---] NONE (No reportable non-investment income.) DATE
I. 2010 2. 3. 4.
B. Spouses Non-Investment Income - If you were married during anyportion of the reporting year, complete this section.
(Dollar amount not required except for honoraria.)
DATES
LOCATION
PURPOSE
V. G I FT S. a,,cl,,des ,hose ,o spo,,~e ,~nd dependent children; see pp. 28~31 of filing instructlons.)
NONE (No reportable gifts.) SOURCE
1. 2. 3. 4. 5.
DESCRIPTION
VALUE
VI. LIABILITIES. anaude~ those oS~pou~e and dependent children; see pp. 32-33 of filing instructions.)
NONE (No reportable liabilities.) CREDITOR
1. 2. 3. 4. 5.
DESCRIPTION
VALUECODE
VII. INVESTMENTS and TRUSTS - inco,.e, value, transactions (Includes those of spouse and dependent children; see pp. 34-60 of filing in:vtruction~.)
~ NONE (No reportable income, assets, or transactions.)
Description of Assets (including trust assets) Income during reporting period Gross value at end of reporting period (1) (2) Value Value Code 2 Method (J-P) Code 3 Transactions during reporting period
(t)
Place "(X)" after each asset exempt from prior disclosure Amount Code I
(A-H)
(2)
Type (e.g., div., rent,
or int.)
(4)
Gain Code 1 (A-H)
(5)
Identity of buyer/seller (if private transaction)
(Q-W) 1. 2.
3. 4.
5.
Dividend Dividend
Dividend Dividend
Dividend
L L L K L
J
T T T T T
T
C A
C
6.
Interest
7.
Dividend
8.
Dividend
9.
Dividend
10.
Dividend
II.
Dividend
12.
None
Edison Imemational Common Stock American Funds: Europacific Growth Fund Exxon Common Stock Fed. Courts & Rec CU - now Financial CreditUnion WACHOVIA Securities
B B C B A
I. Income Gain Codes: (See Columns B I and D4) 2. Value Codes (See Columns C I and D3) 3. Value Method Codes (See Column C2)
A =$1,000 or less F -$50,001 - $100,000 J =$15,000 or less N =$250,001 - $500,000 P3 =$25,000,001 - $50,000,000 Q-Appraisal U =Book Value
B =$1,001 - $2,500 G =$ 100,001 - $1,000,000 K =$15,001 - $ 50,000 O =$500,001 - $1,000,000 R =Cost (Real Estate Only) V -Other
C =$2,501 - $5,000 H 1 =$ 1,000,001 - $5,000.000 L =$ 50,001 - $ 100,000 P I =$ 1,000.001 - $5.000,000 P4 =More than $50.000,000 S Assessment W :Estimated
D =$5,001 - $15,000 H2 =More than $5,000,000 M =$ 100.001 - $ 250,000 P2 =$5.000,001 - $25,000,000 T=Cash Market
E =$15,001 - $50,000
Vll. INV ES TMENTS and TRU S TS - income, value, transactions (Includes those of spouse and dependent children; .see pp. 34-60 of filing instructions.)
[~ NONE (No reportable income, assets, or transactions.)
A. Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure B. Income during reporting period (l) Amount Code l (A-H) (2) Type (e.g., div., rent, or int.) C. Gross value at end of reporting period (1) (2) Value Value Code 2 Method Code 3 (J-P) (Q-W) L K J T T T Redeemed 12/14/10 J J K L M K L J L J K J L T T T T T T T T T T T T
Transactions during reporting period
18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33.
American Funds: Growth FundofAmerica Fund Jackson National Life Ins. Lucent - now ALCATEL Mesa Royality Tust UBI Microsoft Common Stock Newmont Mining Corp. Nuveen Calif. Select Quality Muni. Fund Inc. PG&E Common Stock Questar Corp. DWS (Wachovia) Formerly Scudder Ca. Tax Free Bond Sempra Energy American Funds: Small Cap World Fund Valero Energy Corp. Vodafone Group Common Stock Met Life & Affiliate TRUST A Consisting of Real Properly In Morgan County, CO
A C A
A A D D A B A A A A A D
Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Interest Dividend
1, Income Gain C~:ies: (See Columns B I and D4) 2. Value Codes (See Columns CI and D3) 3. Value Mclhod Codes (gee Column C2)
A =$1,000 or less F -$ 50,001 - $100,000 .1 =$15,000 or less N =$250,001 - $500,000 P3 =$25,000,001 - $50,000.000 Q =Appraisal U =Book Value
B =$1,001 - $2,500 G = $ 100,001 - $1,000,000 K =$15,001 - $50,000 O =$500.001 - $1,000,000 R Cost (Real Estate Only) V Other
C :$2,501 - $5,000 H 1 =$1,000,001 - $5,000,000 L =$50,001 - $100,000 P 1 =$1,000,001 - $5,000,000 P4 =More than $50,000,000 S -Assessment W =Estimated
D =$5,001 - $15,000 H2 = M ore than $5,000,000 M -$100,001 - $250,000 P2 =$5,000,001 - $25,000.000 T =Cash Market
E =$15,001 - $50,000
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 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.
Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544