Professional Documents
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1. P~rson Reporting ;hsI r,~mc, fi.-sl, middle ~nhial) Amon, Carol B. 4. qitle (Aaiclc 111 ~udges indicate active or senior sta~s: magismatejudges indicate ~H- or pa~-timel
3. Dal~ of Ecporl
i Sb. :] A ..... tedRep~ modifications pertaining thereto. II is, in my opimon. In omplianc~ mith applicable lows and regulations. Reviewing Offic~r~
225 Cadtnan P:.aza Easl Room 9,395 Brooklyn, New York 1~201 "
1MPORTANT t~OTES: rl, e instructions accompanying this form must be followed. Complete alt parts,
checking the NONE boxJbr each part where you have no reportable in~brmation. Sign on la~tpage.
NAME OF ORGANIZATIONiENTITY
Amon, Carol B.
~ ....
fP .....Reporting
Amon, CarolB.
A. Filers Non-Investment Income NONE (No reportable non-investment income.) DATE 2009 SOURCE A~ TYPE ~OM~ ~ours. nor $16,000.00
B. Spouses Non-Investment Income - tf ~.o,, ,~,r, married d,,ri,,g any p,,rri,,n ,,frt, e report,,,g y*,*r, coml,hte this ~ NONE (;Vo reportable non.investment income..) DAT._~_~ ! 2,")0q SOURCE AND TYPE Self-Employed Attorney - Law Partnership Distribution
DATES
LOCATION
Malibu, California
P~POSE
Lecturer
I D.,,o,.,por, 05/1512010 i
~_~
I. 2, 3. 4. 5.
VI. LIABILITIES. (Includes tl .... ef ~ ....... d depend ..... h,ldren; see ~p. 32-J3 oyyiling ira ..... ion~.t
NONE (Vo reportable liabdiries.) CREDITOR DESCRIPTION VALUE CODE
2.
3.
4. 5.
Dale t:,faepo|t
A.,o., C.ro~
N~NE (No reportable income, assets, or transactions.) A De3cr:pti~n of Aaset~ (mcludlng Pi;~ce "(X)" ~fger each asset exempt lrom prmr d~sclosure B Income ~urmg C Gross value at cad Value Code 2 Value Method
(Q-W)
D
T~nsac:tons during re~omn~ p,:~od
~ Am,)m~( : , Code I
Gain C~de [
Idcnti~ of buyer/seller
~
3. 4. i 5. ,6. 7.
IK~ Accts Cflibank, Bklyn,NY F ide li~Ad DynamicCap~tatAppFud Law Partnership Ca3.Acct Thomas G. Amon Pension Plan Thomas G. Amon Pr~hrPlan Cifihank N.A., Money Market Fidelit)ContraFund II Fidelity h~dependenceFund Dynamics FD Class B (Name change !n,esco/Aim Fieelity Ad Eeuip,., Growth
Dividend Norse
K M J J M J J J K J J J N1 J
T T T T T T T T T "1" T -I r T
A A B A A A A A A A [! ~k
Interest interest lr.tercst Dividend Di,,idend Dividend Dividend Dividend Dividend Dividend Dividend lnteresl
!|)
I I Legg Mason Partners Fi~ancial Services Fund 13 !2 I 3. 14 kegg Mason Partners Large CapVaiue Fm~d B NIF5 ModerJle Allocation Chase Se!eel Checking Four Vvinds Inv. LLC 16 Ur, iphyd, h,c. (Y) [ 7 Biodeisel Mnerica, Inc. (Y)
I
L
__
Da,e of Repo,t
Page 5 of 8
,\mo,~. c~ro~ B.
,~!~5,20~o
VII. INVESTMENTS and TRUSS -- ~ ......... t ............. ~o,,. ~.ct.a~ ,~o~o o.~ ....... ~ a.p..d,., ~,,~,~,~ ,,~ ~. ~-~o o/t~i,,~ i ............. ~
N~NE ~%o reportable income, assets, or tran~~zctions.)
.A D,z~~pt~en of A~ts finc.udmg ~ust ~sets) P~acc ~X~" after ac~ asset exempt ffem prior disclosure B Income during :cp,J~ing period Amo~n~ C~e I : (A-If) ~ [ypc te.g, ~v, rent. or ira.) C. (]ros~ ~ai,ae at end cf reporting pefod Value Code 2 (J-P) Value Me~h~)d Code 3 [Q.W) "i,..~e (e.g.. buy. sell, redempliun) D. T~nsaetions during repo~h~g pedod
Encore Ne~vu~ks, [T~. (See V1 ) Webcasting TV, lr~e. (Y) Rental Property - Newporl, V See V!II)
None
:: 21.
23. Vill)Ake~ative Construction Tech. Inc. {See 24. Rental Prope~ Newport. Vt. (See VIII)
None None
~ M
T R
25.
2(:,
Nor.e
Dividend
27 2~.
29.
Acceler,~Ied BuilJing Concepts Corp (See v~II) tY) LIFP. lnc (3)
Son~cMotmtains Inc None N U
CitlBank LD Jol~nson & Johnson stock Paws Plus, h~c. (.flee VIII)
A a,
Inlerest Dividend
J J
T T
None ,x. me
Buy
09115/09
Buy
06/22109
D~,, o, Repor,
Page 6 of 8
amo.,C~ol B.
0~/l_~,:010
/I
]
V] I. 1 N VESTMENTS an d TRUSTS - , .......... t ........... ;,,,, tI, cl~,le, a,,,,e 4sl,o,,,~ a,d depend .... I, ild,en; ,,e ,,p. 34-60 o[f!li,,g .......... ion,.)
NONE (No reportable income, asseLL or transactions.)
A l B. C. i O
Code I : (A-H)
Co,le 2 (~-P~
Method C~ti t
: m~d&yy Code 2 . (J )
Code I ,A-H i
Thompson Creek Me~als Novartis ~var~is Th,..mps~m Cret:k blelals Thcmpson Creek Metals gm:~ana Gold Ym?,ana Gold
J I J J J J J
I ,~mo., Cam= B.
Re: Part VH Iten~ 18 - Market value of vested ~ptions less exercise pnLce or, 12/31/09. [ten, 20 -Rentai prope~ty iocatcd in Ci_w of Newport. Chittendor, County, Veru~oni h~herited by ~1 in 199,1. Value at date acquued - $21D,000. iten~ 23 - Full description - A!ternative COtZSl~lc[Jo~ rech, [no, FiK/A Altc~z~live Cons~ction Co, Inc. (Rcsl~cled Sleek) hem 24 - Rental property located in Cib ,afNewport, Chittendon Counb, Vem~ont acquired by ~]on Senlember 5.2f}115 Purchase pffce - $220.000. llem 25 - Inlerest i~: Cranston I1, LLC is owned through Denmark :danagemenl. LLC. llem 27 - Full desc~ption - Accelerated Building Concepts Corp., F,:~"A New Centue/Slmclures. Inc. (Restocked Stock). llem 30 - Nlalket value of vested options less exercise price at 1213 i;09 l~cm 33 - Market v~t~e of vested cp~ions less exercise price at 12/3 ./09
Amon, Carol B.
05/15/2010
I certify that all information given above [including information pertaining to my sponse and minor or depentlent children, if any) is accurate, true, and c~mptete to the besl of my knowledge and belief, and Ihat any information not reported was withheld because i! met applicable stalutory provisions permitting non-disclosure. I further certify that earned income from outside employmenl and honoraria aud the acceplance of gifts which have becu rq~.rl~d ate in compliance with the provisinus off U.S.C. app. 501 el. seq., 5 U.S.C. 7353, anti Judicial Conference regulations.
Signature__]
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NOTE: ANY INDIVIDUAL ~A.lIO KNO\VINGLY AND ~AILFULL" FALSIFIES OR FALLS TO Fll.E TIllS REPORT MAY BE SUBJECT TO CIVIL AND CRI~IINAL SANCTIONS (5 U.S.C. app. 104)
FI LiNG FNSTRUCTIONS Mail sig~aed eriginal and 3 additiona! c{~pies m: Committ~:e o~a Financiai Disciosure Adminisl:ativc Or-rice of the United Slates Courts Suite 2G01 One Columl~us Circle, N.E. Washington, D C. 205d4