Professional Documents
Culture Documents
Michael A Ponsor Financial Disclosure Report For 2009
Michael A Ponsor Financial Disclosure Report For 2009
Michael A Ponsor Financial Disclosure Report For 2009
Roy. 1/2010
[] Initial
5b. [] Ainended Report 7. Chambers or Office Address 300 State Street Suite 350 Springfictd, MA 01 8. On the basis at the information contained in Ibis Report and an) modifications pertaining thereto, il i~ in my opinion, io compliance with applicable la,vs and regulations.
Reviewing t)fficer
Da~e
IMPORTANT NOTES: The instructions ttccompan.ving thi.~ form must be followed. Complete all parts,
checking the NONE box for each part wbere you have no reportable information. Sign on last page.
POSITION
1.
NAME OF ORGANIZATION/ENTITY
I1. AGREEMENTS. (Reporting i,,dividuat ont.v; se~ pp. 14-16 off!ling i ........ tio,,s.)
~ NONE (No reportable agreemems,)
DATE
I.
Ponsor, Michael A.
Page 2 of 6
[ N .....
]
f P ..... Reporting
Ponsor, Michael A.
INCOME
(yours, not spouses)
3. 4.
B. Spouses Non-Investment income - t~5,ou were married during an), portiott of the reporting year, complete this section.
(Dollar amott~! riot required except fi)r honoraria)
SOURCE A~ T~E
3, 4,
(]ncludt<s" those to spouse and dcT~endent chtldren see pp. 25- 27 olji!in~ itt.ttru tiims. ~
NONE (No reportable reimbursements.) SOURCE DATES LOCATION PURPOSE ITEMS PAID OR PROVIDED
3. 4.
5.
Date of Report
05/05/2010
V. GIFTS. a,,c~,,a~.~ t~,os~ ,o ~p .......a depend .....hildren; see pp. 2,~-31 of filing inslructiolts,)
~ NONE ~o reportable SOURCE DESCRIPTION VALU~
2. 3. 4. 5.
1. 2. 3. 4. 5.
N ....
f P ......Reporllng
Date of Report
Ponsor, Michael A.
05/05.2010
VII. INVESTMENTS and TRUSTS - ; ........ .,,.,e. transactions (Includes tl ..... of sp ........ d dependent children; see pp. 34-60 oJ~/iling instructions)
NONE (No reportable income, assets, or transactions.)
Description of Asse~s (including ~st assets) ....... ~ I~ ] Place "(X)" after each asset exempt #ore prior disclosure Income during ry~i]~g period ~. Amount Yype (e.g., Code I [ div., rent. (A-H) ~ or mL} Gros~ value at end of reposing period Value Code 2 (J-P) Value Method [ Code 3 lype (e g., buy, sell, redemption) Transacfion~ during reporting period
! ........................................................ A Interest J T
: ~
~ 2.
3.
Dividend
[nlercst
11.
14
~ =$I,0~1] - $2,500
E :$15.001 - $.50.(J00
~a~eotP .....
Reporting
Datc of Report
05/05,201
Page 5 of 6
Ponsor, Michael A.
IX. CERTIFICATION.
I certify that all information given ahove (including iuformation 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 Cont~reuce regulations.
Signatu
NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLV FALSIFIES OR FALLS TO FILE THIS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (5 U.S.C. app. 104)
FIL1NG INSTRUCTIONS tMail 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