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.4010 Rev.

1/2011

FINANCIAL DISCLOSURE REPORT FOR CALENDAR YEAR 2010

Report Required by the Ethics in Government dct of 1978 (5 U.S.C. app. 101-I11)

i. Person Reporting (last name, first, middle initial)

3. Date of Report

Report Type (check appropriate type)

6. Reporting Period

~
7. Chambers or Office Address

Nomination.

Date [~ Aimual ] Fmal

[] Initial

5b. [] Amended Report


8. On the basi~ 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

IMPORTANT NOTES: The instruction~ accompanying this form must be followed Complete all part~,
checking the NONE box for each part where you have no reportable informatiott Sign on last pag~

I. POSITIONS.(Reporting indi,idual ,nly; .~c pp. 9-13 of filing instrucl~m:~.)


~/NONE (No reportablepoMtions,) POSITION NAME OF OR, GAN1ZATION,/ENTITY

2. 3
4.

.~.

II. AGREEMENTS. ~R.po.,.~ ~.~i~..~


~NONE (No reportable agreements.) PARTIES AND TERMS
I 2 3.

Cleven_qer, Ravmond C. III

FINANCIAL DISCLOSURE REPORT Page 2 of.b/t ~

Name of Person Reporting

Date of Report

III. NON-INVESTMENT INCOME. (~epor~g~div~a,d,po~e;,eepp. 17-24offdinginstructiotts.)


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

DATE

SOI.]RCE AND TYPE

INCOME (yours, not spouses}

2 3
4

B. Spouses Non-! nvestm en t I ncom e - tf ~.,,u were murrird during tny portion of the rl~ortlng year, complete this section.
(Dollar amount not required except for honoraria)

NONE (No reportable non-investment income.) DATE


I 2.

SOURCE AND TYPE

IV. REIMBURSEMENTS -,,,,~,p,,,,~no~. ~,,a~in~.:,,,,d. ,o,e,,oinm,~


(Includes those to spouse and d~pendent children; see ~p 23-27 ofJiling mstruction~, )

NONE (No reportable reimbursements.) SOURCE DATES LOCATION PURPOSE ITEMS PAID OR PROVIDED

FINANCIAL DISCLOSURE REPORT Page 3 of~ ~,~

Name of Person Reporting

Date of Report

V. GI/FTS. a.c,~d~ ~o ,, spot, o.~deptndent children; see pp. 25-31 of f cling instructions.)
~/NONE (No reportable gifts.)
SOURCE DESCRIPTION

VALUE

3.
4

[~Z NONE (No reportable liabilities.) GREDITOR


I

DESCRIPTION

YALUECODE

4.

FINANCIAL DISCLOSURE REPORT Page 4 of~

Name of Person Reporting

Date of Report

VII. INVESTMENTS and TRUSTS - ~co~. ,at,,. ~,o,~,aio,,,. (t.ct, d~ t~o,, of ,po=, ,,d depe, d,~t eMIdt,n; ytt pp. J#-60 of filing i~ttulfOnS.)

NONE (No reportable income, assets, or transactions.)


DescrlpUon of Assets (including tzus! assets) Place "(X)" after each asse! exempt from prior disclosure Income during reposing p6od Gross value at end of reporting period (I) Value Code 2 (J-P) (2) Value Method Code 3 (Q-W) (I) Type (.g, buy, sell, rdemptmn) Transactions during reporting period (2) Date mm/dd/yy (3) Value Code 2 U-P) (4) Gain Code I (A-H) (5) ldem~ry of" buyer/seller (if private transaction)

(I)
Amount Code ] (A-H)

(2)
Type (e.g.. dw,. rent, or

T K

Columns CI ~d D))

N =1250.~1 - 1500.000

O =1$00,~1 11.000.0~

Pl :$1.0~.001 - SL000.0~

P2 =$5,~0.001 - $25.000.000

FINANCIAL DISCLOSURE REPORT Page4/f ~9 ~3

Name of Person Reporting

VII. INVESTMENTS and TRU S TS - i.co.,~..~,,o, ..,.oc,lo,.,:


---q NONE (No reportable income, assets, or transactions.)
A. Desc.,6pdon of Assets (including trust assets) Place "IX)" after each asset exempt from prior disclosure B. Income dunng reporting period (I) (2| Amount Type (e.g, Code ! day., rent. (A-H) or int.) C. Gross value at end of reporting period (I) (2) Value Value Code 2 Medmd [J-P) Code 3 (Q-W) D. Transactions during repotting period ~1) Type (e.g., buy, sell. redemption) (2) Date mm/ddiyy (3) (4) Value Gain Code 2 Code I (J-P) (A-H) (5)
[de:nlity Ol"

buycrtseller 0f private uansaction)

A A

A
A

I Income Gain Codea (See Columns B I and 04) 2, Value Codes (See Columm CI and D3) ] Value Me~.~t Codn 1S( Colt~mn C2)

A =$1,000 o( less F :$$0,001 - $ I00.000 I =$1.1,.000 or l~s N=$250.001 - 1)00.000 P3 =$25.000,001 - 150.000.000 0 -Appraisal U =Book Value

B =$1.001 - $~.500 G =$100,001 - $ I,O00,O00 K =$1 $.001 - 5S0.000 O -$~,00.001 - $1.000.000 R =Cost (Re~I Estate Only) V =Other

C =S2.50! - $5,000 HI =$1.000.001 - $~,000,000 L =$50.001 - $100.00~ Pl ~$i .O00.OOt - 55.1300.000 pa =Mt~ IJian $50,000.000 S ~Ais~ssnlent W :Estimated

D =$5.001 - ill tt2 =More than $5.000.000 M =$100.001 P2 -SS.000.001 - $25.000.000 T =Cash Mtrktt

E =$15,001 - $~fo.ooo

FINANCIAL DISCLOSURE REPORT Page/(of~ t)

Name of Person Reporting

Date of Reporf

VII. INVESTMENTS a nd TRUSTS -- i..,m...,,~,,,.


NONE (No reportable income, assets, or transactions.)
A Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure B. Income during reporting period (i) ~J~]ount Code I (A-H) (2) Type (e.g., div., rent, or int.) C. Gross value at end of reporting period (i) (2) Value Value Code 2 Method (J-P) Code 3 Transactions dursng reporting period (2) Dale mm/dd/yy (3) (4) Value Gain Code 2 Code I (J-P) [A-H) (5) Identity of buyer/seller (if private tra.saction)

Type buy, sell, redemptiott)

(~lo k2 F~4
5. 6
7

3- T

A.
SOlO

SOt~

A-~-L

A,

T T T .1)~"3 -7- T T
pig i

E =115,O01 - $50.000

Value M~ Cod~ (See Colum~t C2)

Q =Appra;.I U "B~k Vilut

R =Cote (R~I hmte Only) V -O~er

S =A~s~smem W =~ttmated

I =Ca*h Market

FINANCIAL DISCLOSURE REPORT Page t~ of~, "!

Dale of Repor!

. ~le R w~er,

-~

VII. INVESTMENTS and TI


NONE (No reportable inco~r .. assets, or transactions.)
A. Description of Assets ~including trust assets) Piece "(X)" ~fier each asset extrnpt from prior disclosure B. Income during reporting period ~l) Amount Code I (A-H) 12) Type (e g,, div, rent. or mr.) C Gross value at end of reporting period (0 Value Code 2 (J-P) (2) Value Method Code 3 Q-W) Transactions during reporling period

(I) Type (e g.,


buy, sell,
redemption)

(2) Date mm/dd,yy

(3) (~) Value Gain Code 2 Code I (J-P) (A-H)

(~) IdcntiPi of buyertseller (if private transaction)

3- T

~- T
3T

Z~

D =$5,001 - $I 5.000 (See Columns B I and D4) 2 Value Cod~ tS~: Columns C! and D3) 3 Value Method Codm (See Colum~l H2 =More fl~an $S.OO0,O00 M -$100.001 - 12~0,~ P2 =$5.~,~1 - ~25.0~.~ T =Cash Market V =0~

E =115.001 - $50.0(~)

FINANCIAL DISCLOSURE REPORT Page/(~of~ ~ ~

Date of Report

VII. INVESTMENTS an d TR U STS - ~,,.,,,,,. ~,t,o. ,r,,,,.,,,~o,,.,. a,,,.t,~o., t~o.,o o/,.~,,,,~.e ,,,a ffepe,,dent cllildrtn: .vee pp. 3-60 offiling ittvtructiot~)
NONE (No reportable income, assets, or transactions.)
A Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure B. Income during reporting p=iod (i) (2) Amount Type (e.g., Code I div, rent, (A-H) ot Jut.) C. Gross value at end of reporting period (U ~2) Value Value Code 2 Method (J-P) Code 3 (Q-W) (i) Type (g., buy, sell, redemption) D. Transactio.s dun.g reporting period (~) (3) (4) Date Value Gain mm/dd/yy Code 2 Code I (J-P) (A-II) (5) Idcntily of buyer/seller (if private U=~sacdon)

o-

3-

E =$ t ~,001 - $50.000

Value Mc~ C~

Q "Ap~=is=l

R =Cost {Real Es~te Only)

S =Assessment

T =Cash Market

FINANCIAL pag--f~iet~i~o L~, DISCLOSURF REPORT


VII. INVESTMENTS and TRUSTS -

Name of Person Reporting

NONE (No reportable income, assets, or transactions.)


A. Dcscdplion of Assets (including ~rust assets) Place "|X)" after each asse~ exempt from prior disclosure B. Income duri.g reporting period Gross value at end of reporting period Traasactio,s during reporting period

(I)
Amount Code I
(A-H)

(2)
Type (.go div., rum,
or tnL)

(I)
Value Code 2.
(J-P)

O)
Value Method
Code 3

O)
Type (e.g., bu~, sell,
rodemptio.)

(z) Date
mm/dd/yy

O) Value
Code 2
[J-P)

(4) Gain
Code I
(A.H)

(s) IdcntiP/of
buyer/seller
(if private

transaction)

1-

17

E =$! $.ool - 15o.0oo (See Colun,ns B I znd D4) F -$50.~1 $1 ~.~ ~ G =g I ~,001 % I ,~0.~ H I =$1.~0,~1 - $5,0~,~0 H2 =Mo~ d~n $S.~,~

FINANCIAL DISCLOSURE REPORT Page ~of~d>

Name of Person Reporting

VII. INVESTMENTS and Tit USTS -~,,.,,m,. ,,,..,~-. ,,,,,.,o,-,~,..,,..,.


NONE (No reportable inco, ::, assets, or transactions.)
A Description o[ Assets (including trust assets) Place "IX)" after each asset exempt fcom prior disclosure B. Income during reporting period U) Amount Code I {A-H) (21 Type (e.g. div,, rent, or int.) C. Gross value at end of reporting period (|) Value Code 2 {J-P) (2) Value Method Code 3

D Transactions during repo~ng period (2) (3) Typ~ (e.g., Date Value buy, sell, mm/dd~y Code 2 redempttou) {J-P) (4)
Gain
Code I

O)
Identity of
buycr/sell~

{A-H)

(ffprivate
Ua~sacUon)

~D~-

~OL ~

I Income Gain Cod~ (S~ Columns BI and D4)

A -l.l.O00 o+ I~s F =~$0.~1 - ~I ~.~0

B =$|.001 - $-~.500 G =$l ~.~1 - $I ,~,0~

C =$2.~01 - $5.~ H l =$ I,~0,~I - 15.~,0~

D =~5,001 H2 =More

FINANCIAL DISCLOSURE REPORT Page/ofl~ ~ ~

Name of Person Reporting

Date of Repot!

VI I. INVESTMENTS an d TR U STS - in,,,.~, ,,,Z.o. ,.,,,,,,,c~o..~. W,,Z.do:, ,ho.,e ./ ,r.,,.~e .nd dependent children; see pp. 34-60 o]fili, t~, Instructions.) ~-~ NONE (No reportable income, assets, or transactions.)
A Descrip6on of Assets (including lrust assets) Place "IX)" afl~ each asse~ xempt from prior disclosure B. Income dunng reporting period II) (2) Amount Type (e.g., Code I div., rent, (A-H) or Jut) C. Gross value at end of reporting period (I) (2) Value Valu~ Code 2 Method (J-P) Code 3 (Q-W)
Transactions during reporting period

Type (e.g., buy. sell, redemp~ioa)

(_2) (3) Date Value mmldd/~ Code 2 (J-P)

(d) Gain Code I (A-H)

(5) Idomily of buyer/seller (if private u~,tsa~oo)

T- T

17.

I. Incom Gain Codes I.See Columns BI and D4) 2 Value Cod~ (See COIU,I~nS CI and D3) 3 Value M~ C~ {S~ Columa C2)

A =$1.000 o~ less F -$S0.001 - $100,000 J =$I$,D00 O~ less N -$230.0OI - $500.000

C =$2.501 - $5.000 H I =[ | .000.001 - $5,000.000 L =$50.001 - $100.000 PI =$1.000.001. $5.000.0(30 P4 -Mot~ d~a~ $50.000.600 W =Esumaled

E =$! S.O01 - $50.000

U =Boot Value

FINANCIAL DISCLOSURE REPORT Page~. of ~

Nam~ of Persoo Reporting

Date of Report

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS.

FINANCIAL DISCLOSURE REPORT

N,me of Person Reporting

D,tc of Report

IX. CERTIFICATION.
certify that all information given above (including information pertaining to my spouse and minor or dependent childreu, if any) is 1 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. ! further cerlify 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. ~pp. 501 eL seq., 5 U.S.C. 7353, and Judicial Conference regulations.

Signature

NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FALLS TO FILE THIS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (S U.S.C. app. 104)

Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544

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