You are on page 1of 6

Re~.

//20:0

ao to

FINANCIAL DISCLOSURE REPORT


FOR CALENDAR YEAR 2009
2. Courl or Organization U.S.D.C. PUERTO RICO
5a. Report Type (check appropriate t~pc) [] Nomination, [] Initial Date [] Annual [] Final

Report Required by the Ethics


in Government Act o]1978

(5 u.s.c, app. 161-111)


3. Date of Report 04/27/2010
6. Reporting Period 01101/2009 to 1213 I/2009

1. Person Reporting (last name, first, middle initiaI) PEREZ-GIMENEZ, JUAN M.


4. Title (Article lit judges indicate active or senior stares; magistrate jodges indicate full- or part-time) SENIOR U.S. DISTRIC JUDGE

5h. [] Amended Report 7. Chambers or Office Address CLEMENTE RUIZ-NAZARIO U.S. COURTHOUSE 150 CARLOS CHARDON STREET - ROOM CH-125 SAN JUAN, PR 00918-1765 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

I&IPORTANT NOTES: The instructions accompanying this form must be followed. Complete all parts, checking the NONE boxJbr each part where you have no reportable inJbrmation. Sign on last page.

NONE (No reportablepositions.) POSIT1ON NAIVlE OF ORGANIZATION/ENTITY

I.

11. AGREEMENTS. ra,vo,ti~g individual only; seepp. 14-16 of fiting i .......


~] NONE (No reportable agreement+.)
DAT~

lions.)

.~

~~

,
PARTIES AND TE~S

7~::

Perez-Gimenez, Juan M.

FINANCIAL DISCLOSURE REPORT


~Dage 2 0~" 6

,~ ...... r P ..... ~.o~rti.~


PIREZ-GIMENEZ, JUAN ~*1.

D,t. of R,~o,t
04,.27/2010

I11. NON-INVESTMENT INCOME. (u~,,~,i,, i~.i~u,~ ~,,a ~ .........


A. Fliers Non-Investment Income NONE (No reportable non-investment income.)

p~. 17-24 of filing instrttr.tioas.)

DATE

SOURCE AND TYPE

INCOME
(yours, not spouses)

3.
4.

B. Spnuses Non-In vestment Income - lf you ~,ere *narried during tim" p,)rtlon ~f the reporting year, complete thi* sectio~
(Dollar gtmo*mt not requ*red ~rcept./br honoraria.)

NONE ~o reportable non-investment income.)

DATE
1.

SOURCE AND TYPE

2. 3.
4.

IV. REIMIBURSEMENTS ....... ,,,~,.,i,,., ~,,,~.~i..~.. la,,a. ~,,,~,~.i


(In~.u.~a hose t~ Wouse ann &pen~,ent ct i~&e~. .~ev ~p. 25-27 q~fiiir~g instructions,)

NONE (No reportable reimbmsemems.)

SOURCE
I. 2. 3. 4. 5.

DATES

LOCATION

PURPOSE

ITEMS PAID OR PROVIDED

FINANCIAIL DISCLOSURE REPORT Page 3 of 6

PEREZ-GIMENEZ, JOAN M.

04/2712010

V. GIFTS. a-~,,~, ,~,,,,,,,,,~,,,,~ .,~ ~p~,~,, ~,;,~p.


NONE ~Vo reportableg~s:)

SOURCE
t. 2. 3. 4. 5.

DESC~PTION

VALUE

NONE (No reportabl~ liabilities.)

CREDHOR

DESCRIPTION

VALUE CODE

2. 3.
4

FINANCIAL DISCLOSURE REPORT


Page 4 of 6

I N ..... fP .....
[

Repurting [

Date ~ffRrporr 04/27/20t0

PEREZ-GI:~IENEZ, JUAN tM.

NON E ~N~o re[~ortable income, assets, or trat~soctio~ts..) ~scriptiou of Assets (including ~mt assels) Place "(X)" after each asset exempt f?om prior disclosure t:~come dt~ng re~ortmg period ~ Amount Code I {A.H) Type (e.g. div, rent, ormt.) Transactions during reposing ~riod of reporting period Vak~e ~ Code 2 {J-P~ Value Method Code3 {O-W) U T T T f T T Buy Buy 04/01/09 04/01/09 J T>~ (e.g., buy, sell, redemption) Value Cain ~ Dale ~tddi~ Code 2 Code I ] (J-P.) .~ (A-H) ~ Identity of buyer/seller (ifpovate transaction)

1 2. 3. 4. 5. 6. 7,

Invemiones Misijos, Inc. (Common Stock) IR A-Oriental Federal. Savings Bank {Cash Equivalent) [R.A-Odcntal Federal Savings Bank (Cash Equitalent) PR Public Fin Corp(7%) Uf:5S Nlo~my Market Fm~d PR Home Morgage (6.30%) PR }tome Mortgage 6 10%)

E C B A A B A

Dividead Interest bttetest Interest Dividend Interest Interest

O L L K J K K

10.

12.

14.

15.

17.

550O.O0O

FINANCIAL DISCLOSURE REPORT Page 5 of 6

~ .... fP ..... Repor~ino PEREZ-GIMENEZ, JUAN M.

DateofReport 04/27/2010

VIII. ADIDITIONAL INFORMATION OR EXPLANATIONS. (t.a~.ot, p~r,


PART VII, Page It, Line 1, Column C(2): Thc common ,Stock of [nversiones Misijos. Inc., is not publicly traded since this is a} the VII]Be Method Code U. corporation owned by ~i~ : Ime As such, I ,,,ill continue to use

FINANCIAL DISCLOSURE REPORT

~, ..... rP ..... Rep,.~rting

t~ateorRep,,r~

Page 6 of 6 ] PEREZ-GIMENEZ, JUAN 3.t.


IX. CERTIFICATION.

04/27/2010

I certify that all information given above (inchlding 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 statuto~ pro~Ssions permitting non-disc~ostare. 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. 50! et. seq., 5 U.S.C. 7353, and Judicial Conference regulations.

Sign:

NOTE: ANY INDIVIDI.iAL WHO KNOWINGI, AND WILFULLY FAI,,SIFI[~:S OR FAIl ,S "l[O FILE ]HIS REPORT MAY BE SUBJECT TO CIVIL AND CRI~IINAI, 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 Shire 2-301 One Columbus Circle, N.E. Washington, D.C. 20544

You might also like