Professional Documents
Culture Documents
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I. Per~n Reper ring (last name. fi~t. middle initial) Gaughan. Patricia A.
IMPORTANT NOTES: Tl~e tnstruaiom accompanying this form must be followed. Complete all parts,
checking the NONE box for each part where you have no reportabl~ information. Sign on last page,
of filing I.,tr.~[o,,.)
NAME OF ORGANIZATION/ENTITY
CSAHS/University Hospital Para]egal Studies AdvisorS Board Ursuline College Leukemia & Lymphoma Society Magnificat High School
Gaughan, Patricia A.
Gau~an, Patr~a A. [
S/13~010
III. NON-I~ESTME~ IN CO~. 1~,~ ~i~ ~,~; ~, ~. ~-~ o/~u~ A. Filers Non-Investment Income NO~ (No reportable non-investment income.) SO~CE A~ ~E
(y~, not
1. 2. 3. 4.
B. Spouses Non-Investment Income. ~f yoa were marr~d durtng any portlon of the reporttng year, comple:e thi~ stc~lon.
(Dollar amount not required except for honoraria.)
I. 2009
2. 3. 4.
Iodglng, fo~l,
cnlerlalnme~.
LOCATION
PURPOSE
3. 4.
5,
Date of Report
5/13/2010
V. GIFTS. a.~., ~ho,o 1o ,~o~,, ~.~ ~.~t ~r~; ,~o ~. ~.J~ of ~ ~,~o,~.~
[] NONE (No reportable g~s.)
I.
2. 3.
4. 5.
REPORT
G,u~a,. Pa~lda A.
D. ot R, o. I
~/13/2010
Pla~"~)~h~t ex~mptf~p~di~l~u~
/VMu I C~2
i V~u ] Mcth~
I~ntity~f I
I. ~. 3. 4. 5. 6. ~. 8. 9. 10.
K~ybank N~i~ A~iation Savin~ Ac~nt~ ~i~ Fcd~ Savings ~king ~unt~ 1~ - Ew~en Fun~ - ~uity 1~ Fund I~ - MBNA America B~k c~h~i~lent IRA - Cha~ One B~k ~sh~uivalent Ohio PERS Reti~ment Fund I~ - Columns Life Insurance Co. ~fe~ Annuit)~ I~ - Ph~nix 110mo Mfo ~exiblo ~nuity S EP/~A ~tnam Voyager Fund ~ B~ No,op G~mmaa C~tion ~mmon St~k
A A A A A
J J J J J L J J J J
T T T T T T T T T T
A A A A
12.
I Gaughan,Patric.la A.
5/13/2010
5/13/2010
I certify that all information given above (including information pertaining to my spouse and minor or dependent children, Lf any) [s 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 glf~ which have been reported are in compliance with the provisions of 5 U.S.C. app. 501 et. seq., $ U.S.C. "/353, and Judicial Conference regulations.
NOTE: ANY INDMDUAL WilO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE THIS RF~PORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (5 U.S.C. app. I04)
FILING INSTRUCTIONS Mail signed original and 3 additional copies to: Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544