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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.
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PARTIES AND TE~S
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Perez-Gimenez, Juan M.
D,t. of R,~o,t
04,.27/2010
DATE
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.)
DATE
1.
2. 3.
4.
SOURCE
I. 2. 3. 4. 5.
DATES
LOCATION
PURPOSE
PEREZ-GIMENEZ, JOAN M.
04/2712010
SOURCE
t. 2. 3. 4. 5.
DESC~PTION
VALUE
CREDHOR
DESCRIPTION
VALUE CODE
2. 3.
4
I N ..... fP .....
[
Repurting [
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
O L L K J K K
10.
12.
14.
15.
17.
550O.O0O
DateofReport 04/27/2010
t~ateorRep,,r~
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