8/3/2019 George Z Singal Financial Disclosure Report for 2010
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A O 1 0Rev. 1/2011
FINANCIAL DISCLOSURE REPORT
FOR CALENDAR YEAR 2010
Report R equired by the Ethics
in Government Act o f 1978
(5 U.S.C. app. ,~,101-111)
: I . Person Reporting (las t name, firs t , middle ini t ia l)
S i n g a l , G e o r g e Z .
4 . Ti t le (Arl ic le I I I judgt~ indicate ac t ive or senior s ta tus;magistrate judges indicate full- or parl- time)
Ju dge (Ac t i v e )
: 7 . C h a m b e r s o r Of f i c e A d d r e s s
U.S. Distr ic t Cour t156 Fe de ra l S t r e e tPo r t lan d , M ain e 041 01
2 . Cou r t o r Organ iza t ion
U.S. Di s t r i c t Cou r t Ma i ne
3. Date of Repor t
0 4 1 2 9 1 2 0 1 1
5a. Report Type (check appropriate q,’pe)
] N o m i n a t i o n , D a t e
[] Initial [] Annual [] Final
5b. [] Amended Report
8.On the basis of the information contained in this Report and any
modifications pertaining thereto, it is, in my opinion, in compliancew i t h a p p l i c a b l e l a w s a n d r e g u l a t i o n s .
Reviewing Off icer Date
6 . R e p o r t i n g P e r i o d
OI/OI/2010
to
12/31/2010
IMPO RTAN T N OTES: The instructions accompanying th is form m ust be fo llowed Com plete ali parts,
checking the NONE box for each part where you have no reportable information. Sign on last pag~
I . P 0 S I T I 0 N S . ~ R e p o r ~ n g i n d l v i d u o l o n l y ; s e e p p . 9 - t 3 o f f i l in g instructions.)
D N O N E (No reportablepositions.)
P O S I T I O N
1 . B oa rd o f V i s i to r s
2. Ch a i rm a n , B rody Awa rd
3. B oa rd o f D i re c to r s
4.
5.
NAME OF ORGANIZATION/ENTITY
Uni v e r s i t y o f Ma i ne La w Sch oo l , Po r t l a nd , Ma i ne
Col b y Co l l e ge , W a t e rv i l l e , Ma i ne
Fe de ra l Ju dge s Assoc i a t i on
I I. A G R E E M E N T S . m , p o m n g individual only; seepp. 14-16 of filing instructions.)
[~ NONE (No reportable agreements.)
DATE PARTIES AND TERMS
8/3/2019 George Z Singal Financial Disclosure Report for 2010
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FINANCIAL DISCLOSURE REPOR T
Page 2 of 10
N a m e o f P e r s o n R e p o r t i n g
Singal, George Z.
D a t e o f R e p o r t
0 4 /29/20 1 I
I I I. N O N - IN V E S T M E N T I N C O M E . (Reportlnglndi,’idualandspouse;seeplx 17-24offilinginstructions.)
A. Filer’s Non-lnvestment Income
[-~ NONE non- inves tment income. )N o reportable
D A T E SOURCE AND TYPE
2.
3.
4.
INCOME
( y o u r s , n o t s p o u s e ’ s )
B . S p o u s e ’ s N o n - I n v e s t m e n t I n c o m e - I f you were m arried during any port ion of the report ing year, comple te this sect ion .
(Dollar amount not required except for honoraria.)
D N O N E (No repor table income.)on- inves tment
1 . 2 0 1 0
2.
3.
4.
DATE SOURCE AND TYPE
Socia l Worker , CHCS, Bangor , Maine
I V . R E I M B U R S E M E N T S --transportation, Iodglng, food, entertalnment~
(Includes those to spouse and depende nt children: see pp. 2~-27 of filing instructions.)
~ (No reportable reimbursements.)O NE
S O U R C E
1 . F e de ra l Ju d ge s A ss oc ia ti on
2.
3.
4.
5.
DATE~S L O C A T I O N
5 / 2 1 / I 0 - 5 / 2 4 / 1 0 W a s h i n g t o n , D . C . m e e t i n g
PURPOSE ITEMS PAID OR PROVIDED
l o d g in g , m e a l s a n d t r a n s p o r t a t i o n
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FINANCIAL DISCLOSURE REPORT
P a g e 3 o f 1 0
Name of Person Report ing
S i n g a l , G e o r g e Z .
Date of R e p o r t
04/29/201 I
V . G I F T S . a n c l u d ~ , h o , , o s p . .. .. . d dependent children: see p p . 2 8 - 3 1 offillng instructions.)
N O N E (No reportable g if ts .)
SO U R C E D E SC R IP T IO N
I.
2.
3.
4.
5.
VALUE
V I . L I A B I L I T I E S . a n c l u d ~ t h o s e o / s p o u , o n d d e p e n d e n t c h i ld r e n : see p p . 3 2 - 3 3 of filing instrucdon~)
NONE (No reportable liabilities.)
CREDITOR DESCRIPTION
1 .
2.
3.
4.
5.
VALUECODE
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FINANCIAL DISCLOSURE REPORT
Page 4 of 10
Na m e o f P e r s o n R e p o r t in g
S i n g a l , G e o r g e Z .
D a t e o f R e p o r t
04/ 2 9 / 2 01 1
V l I . l N V E S T M E N T S a n d T R U S T S - i n c o m e , value, tr .... t i o n s ( in c l u d e s t h o s e of s p o u s e a n d dependent c h i l d r e n : se e p p . 3 4 - 6 0 of fi ling i n s t r u c t i o n $ ~ )
D (No reportable assets, orONE income, transactions.)
A. B. D .
D e s c r i p t i o n o f A s s e ts I n c o m e d u r i n g T r a n s a c t i o n s d u r i n g r e p o r t in g p e r i o d
( i n c l u d i n g t r u s t a s s e t s ) r e p o r t i n g p e r i o d
(t ) (2 )
[ A m o u n t T y p e ( e . g .,C o d e 1 d i v . , r e n t ,( A - H ) o r i n t . )
P l a c e " ( X ) " a f t e r e a c h a s s e t
exempt f rom pr ior d i sclosure
I. A m g e n I n c . C o m m o n S t o c k No n e
2. C i s c o S y s te m s C o m m o n S t o c k No n e
3. E x x o n M o b i l C o r p . C o m m o n S t o c k A Di v i de nd
4. In t e l Corp . Com m on St ock A Di v i de nd
5. A m e r i ca n F u n d s S m a l l C a p F u n d A Di v i de nd
6. Fra nk l i n Sm a l l Ca p Fu nd A Di v i de nd
7. Te m pl e t on Fore i gn Fu nd A Di v i de nd
8. U.S . T r easur y No te A Di v i de nd
9. G e n e r a l E l e c tr i c C o . C o m m o n S t o c k A Di v i de nd
1 0 . H e r s h e y F o o d s C o r p . C o m m o n S t o ck A Di v i de nd
I I . Mi croso f t Corp . Com m on St ock A Di v i de nd
1 2 . P e p s i co C o m m o n S t o ck A Di v i de nd
1 3 . P r o c t o r a n d G a m b l e C o . C o m m o n S t o c k A Di v i de nd
1 4 . V o d o f o n e A D R C o m m o n S t o c k A Div id en d
1 5 . Pf i z e r Inc . Com m on St ock A Di v i de nd
1 6 . R M A T a x F r e e F u n dA Interes t
1 7 . Ma i ne St a t e Hou s i ng B ond A Interes t
G r o s s v a l u e a t e n d
o f r e p o r t i n g p e r i o d
(t) (2)
Value V alue
C o d e 2 M e th o d
( J - P ) C o d e 3
( Q - W )
K T
K T
K T
K T
K T
J T
K T
J T
J T
J T
K T
K T
K T
K T
K T
J T
K T
(I ) (2) (3) (4) (5 )
T y p e ( e . g . , D a t e Value G a i n I d e n t i t y o f
b u y , s e l l , m m / d d / y y C o d e 2 C o d e I b u y e r / s e l l e r
r e d e m p t i o n ) ( J - P ) ( A - H ) ( i f p r i v a t e
t r a n s a c t i o n )
I . I nc ome Gai n Codes : A = $ 1.000 o r les s B = $ 1.001 - $ 2 .500 C = $ 2 .501 - $ 5 .000 D = $ 5.001 . $ 15 .000
( S¢ ¢ Co l u mns B I and 94 ) F = $50.001 - $ 100 .000 G = $ 100.001 - $ 1.000 .000 I I I =$1.000.001 - $5.000.000 1 1 2= M o r e 1hart $5.000.000
2 . V al u e Codes J -$15.0~O or less K = $ 15. 001 - $ 50 . 000 L =$50.001 - SI00.000 M = $ 100 . 001 -
( Sc c Co l u mns CI aod D 3) N $250 .0 0 1- $50 0 .0 0 0 O=$5 0 0 .0 0 1 -$1 .0 0 0 .0 0 0 P I =$ 1.0 00 .0 01 - $ 5. 00 0. 0~ 0 P 2 = $5 .0 00 .0 01 - $ 25 .0 00 -0O 0
P 3 = $ 2 5 . 0 O O . 0 O I - $ 5 0 . 0 0 0 .0 0 0 P4 = M o re t ha n $ 50 . 000 .000
3. Value Mclhod Codes Q = A p p ra i sal R ~ ’os ! ( R ea l l =s l a t c On l y ) S =A s s es s mc ~ l T =Cas h Mar k c l
(S c¢ C o h~mn C 2 ) U =B ook V al u e V - O the r W = E s t i ma l cd
E = $ 15. 001 - $ 50 . 000
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FINANCIAL DISCLOSURE REPORT
Page 5 of 10
N a m e o f P e r s o n R e p o r t i n g
S i n g a l , G e o r g e Z .
D a t e o f R e p o r t
04/29 /2011
V I I . I N V E S T M E N T S and TRUSTS - i n c o = e , r o t . e , ,~ . . . . , i o . ~ and. , t~ those of spouse ond dependent children; s e e p p . 3 4 - 6 0 of fil lng instructions.)
[] (N o re porta ble a sse ts , o r tra nsa ction s.)ONE income,
A I B. C.
Description of Assets Incom e during Gross va lu e a t en d
(including trust assets) rep orting p erio d o f re portin g p eriod
! (t) (2 ) (t) (2)
P l a c e " ( X ) " a f t e r e a c h a s s e t [ A m o u n t T y p e ( e . g ., V alue V a lu e
exempt from prior disclosure i C o d e I d l v . , r e n t , Code 2 M e th o d
~ l (A - H ) o r i n t . ) ( J - P ) Code 3
I ( Q - W )
1 8 . A u b u r n M a i n e B o n d A Interes t K T
1 9 . M a i n e H e a l t h B o n d A Interes t K T
20 . M a i n e H e a l t h B o n d A Interes t J T
21 . E u r o P a c i f i c G r o w t h Fu n d A D i v i d e n d K T
22 . P a i n e W e b b e r T a x F r e e Fu n d A Interes t J T
23. V a n g u a r d W h o l e M a r k e t F u n d B D i v i d e n d M T
24 . V a n g u a r d S & P F u n d A D i v i d e n d J T
25 . D r e yf u s P r e m i e r T h i r d Ce n t u r e Fu n d A D i v i d e n d J T
26 . B lu e H i l l Te r r a c e R e a l E s t a t e P a r tn e r s h ip A D i v i d e n d J W
27 . W o o d la n d M a n o r R e a l E s t a t e P a r tn e r s h ip A D i v i d e n d J W
28 . D r e y f u s S & P F u n d A D i v i d e n d K T
29 . W Y E A D i v i d e n d K T
30. A IG N o n e J T
31. BP A D i v i d e n d
32. E M C N o n e J T
33. X O MA D i v i d e n d K T
34. D NA N o n e J T
(I)
Type (e.g.,
b u y , s e l l ,
r e d e m p t i o n )
Transactions during reporting period
(2) (3) (4) (5 )
D a t e V a l u e Gain I d e n t i t y o f
m m ] d d ~ y C o de 2 C o d e I buyer/sel ler
( J - P ) (A-H) ( i f p r i v a t e
S o l d 05/19/10 J C
I . I nc ome Gai n Codes : A = $ 1.000 or les s B = $ 1,001 - $ 2 .500 C =$2.501 - $5.000 D =$5,001 - $15.000
(5¢c C olum ns B I an d D 4 ) F = $50.001 - $10~,000 G = $I 00.0O 1 - $1,0~0.0~0 111 :$1 .000.001 - $5 ,000.000 112 =More than $5.0(~.000
2 . Va l ue C o d e s J =$15.0¢0 or less K = $ 15.001 - $ 50.000 L = $ 50 .001 - $ 100.000 M = $ 100.001 - $ 250 .0~0
( S ¢ c C o l u m ~ C I a n d D 3 ) N $ 25 0.0 0 1 - $ 50 0 .00 0 O = $500.001 . $1 ,000.000 p I = $1.000.001 - $5.000.000 P2 =$5.000,001 - $25,000,00~
P3 =$25.000,001 - $50.000,000 P4 :More than $50.000.000
3. V al u e Met h od Codes Q A p p r a i s a l R =Cost ( Real Estate Only) S :Asscssmc’n! T = C a sh M a xk c~
I Sc c Co l u mn C2) O - Book Va lu e V = O ~hcr W =E s l i mat cd
E = $ 15, 001 - $ 50 . 000
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FINANCIAL DISCLOSURE REPORT
Page 6 of 10
N a m e o f P e r so n R e p o r t i n g
S i n g a l , G e o r g e Z .
Date of R e p o r t
0 4 1 2 9 1 2 0 1 I
V l l. IN V E S T M E N T S and TR U S T S - i . . .. o , v a J u , , , r .... t~ns(~nc~ude~th~se~fsp~useanddependentch~dren;seepp-~4~6~ling~nstructi~ns~)
D (No reportable income, assets, orO NE transactions.)
D e s c r i p t i o n o f A s s e t s T r a n s a c t i o n s d u r i n g r e p o r t in g p e r i o d
( i n c l u d i n g t r u s t a s s e t s )
P l a c e " ( X ) " a f t e r e a c h a s s e t
e x e m p t f ro m p r i o r d i sc l o s u r e
I n c o m e d u r i n g G r o s s v a lu e a t e n d
r e p o r t i n g p e r i o d o f r e po rt i n g p e r i o d
(O ( 2 ) (t) (2) (t) (2) (3) (4) (5 )
A m o u n t T y pe (e . g . , V alue V alue T y p e ( e . g ., D a t e Value G a i n I d e n t i t y o f
C o d e I d i v . , r e n t , C o d e 2 M e th o d b u y , s e l l, m m / d d h j y C o d e 2 C o d e I b u y e r / s e l l e r
( A - H ) o r i n t . ) ( J - P ) C o d e 3 r e d e m p t i o n ) ( J - P ) ( A - H ) ( i f p r i v a t e
( Q - W ) t ~ a n s a c t i o n )
35. G M H No n e
36. H D A Di v i de nd
37. I B M A Di v i de nd
38 . JDS U None
39. LU A Di v i de nd
40 . M SF T A D i v i d e n d
41 . S p r in t Nex te l No n e
42 . NT No n e
43 . PG A D i v i d e n d
44 . W C O M No n e
45 . P a i n e W e b b e r R e t ir e m e n t M o n e y F u n d A Di v i de nd
4 6. U . S. T re as ur y N ot e B Interes t
47 . B a nk Am e r i ca Not e B Interes t
48 . Hou se h o l d Fi na nce Not e B Interes t
49 . Fra nk l i n Sm a l l Ca p Growt h Fu nd No n e
50 . H a r t f o rd M i d C a p F u n d A D i v i d e n d
51 . Ge ne ra l Mi l l sNot e A Interes t
K T
K T
K T
J T
J T
J T
J T
J T
J T
J T
J T
K T
K T
K T
J T
J T
K T
I . I nc ome Gai n Codes : A = $1,000 or less B = $ 1,001 - $ 2 ,500 C = $2 .501 - $ 5 ,000 D =$5.001 - $15,000
(S e e C olu m ns BI a nd D 4 ) F =$50,001. $100,000 G =$100.001 - $1,000.000 I t l =$1 .0 0 0 ,0 0 1 . $5 .0 0 0 .0 0 0 112 =More than $5.000.000
2 . Va hl c C o d e s J = $15.000 ~ I~-.-s K = $15.001 - $ 50 .000 L = $50.0O I - $ 100,000 M =$100.001 - $250.000
( See Co l u mns CI and D 3) N = $2 50 .001 - $ 500 .000 O -$ 500 .001 - $ 1 ,000 .000 P I = $ 1.000 .001 - $ 5 .000 ,000 P2 =$5.000.001 - $25.000.000
P3 =$25.000.00 1 - $50.000.000 P4 = More than $50.000,000
3 . Va l ue M e t ho d C o d e s Q = A p p ra i sa l R :=Cost (Real [.state Only) S ~Asscssmt mt T =Cas h Mar k c l
( See Co l u mn C2) U - B o o k V a l u e V -O~ h er W = E s t i ma t e d
E =$15.001 - $50 .0 0 0
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FINANCIAL DISCLOSURE REPOR T
Page 7 of I0
N a m e o f P e r s o n R e p o r t i n g
Singal, George Z.
D a t e o f R e p o r t
04/29/201 I
V I I. I N V E S T M E N T S a nd T R U S T S - income, vo l~e, , ro ,~o~ io ,~ anclud ~ those o l sp . . .. . . d de pe nde n t c hi l dr e n; s e e p p . 3 . t - 6 0 o f f i l i n g i n s t r u c t i o n s . )
D ( N o r e p o r t a b le i n c o m e , a s s e t s , o rONE t r a n s a c t i o n s . )
A. B. C.
D e s c r i p t i o n o f A s s e t s I n c o m e d u r in g G r o s s v a lu e a t e n d
( i n c l u d i n g t r u s t a s s e t s ) t~ po r t ing pe r iod o f r e p o r t i n g p e r i o d
(I) (2) (I) (2)
Place "(X)" after each asset ] A m o u n t T y p e ( e .g . , V a lu e V a lu e
e x e m p t f r o m p r i o r d i s c l o s u r e [ Code I d iv . , r e n t , C o d e 2 M e t h o d
I (A -H ) o r in t .) ( J - P ) C o d e 3
52. Boeing Note A I n t e r e s t K T
53. Agere Common Stock A Dividend J T
54 . AT an d T Co m m on St oc k A Div idend J T
55. AvayaComm on Stock A Div idend J T
56. Bel lSouth Common Stock A Dividend J T
57. C o m c a s t C o m m o n S t o ck A Di v i de nd J T
5 8 . Lucent Common Stock A Dividend J T
5 9 . NCRCorp. Common Stock A Dividend J T
6 0 . Q w e s t Common Stock A Dividend J T
61. Verizon Common Stock A Dividend J T
62. Stanley Works Common Stock A Dividend J T
6 3. A b b i n g t o n Tanker A Dividend J T
64. Double HullTanker A Dividend J T
6 5 . I-Shares EWJ A Dividend J T
6 6 . MMM A Di v i de nd J T
67. V a n g u a r d T a x F r e e F u n d D Di v i de nd L T
6 8 . Home Depot Inc. Common Stock A Dividend J T
T r a n s a c t i o n s d u r i n g r e p o r t i n g p e r i o d
(I) (2) (3) (4) ( 5 )
T y p e ( e . g ., D a t e V a l u e Gain I d e n t i t y o f
buy, se l l , mm/d d P /y C ode 2 C o de I buyer /se l le r
redemption) (J-P) ( A - H ) ( i f p r i v a t e
t r a n s a c t i o n )
I . I nc ome Gai n Codes : A =$1,000 or l e s s B = $ 1,001 - $ 2 ,500 C = $ 2,501 - $ 5 .000 D = $5.001 - $ 15 .000
( Sc ¢ Co l u mns B I and D 4 ) F =$ 50 .001 - $ 100 .000 G = $100 .001 - $ 1.000.000 II1 =$1.000.001 - $5.000.000 112 =More than $5.000.000
2. Va lu e C od~ J = $ 1 5 . 0 0 0 o ~ " l e s s K = $ 13 .001 - $ 50 . 000 L =$50.001 - $ 100.000 M =$ 100 .001 - $ 2 50 .000
( See Co l u mns CI and D 3) N = $ 2 50.001 - $500 .000 O =$500 .001 - $ 1.000.000 PI ~$1.000.001 - $5.000.000 P 2 =$ 5 .0 0 0 .COI . $25 .0 0 0 .0 ~
P3 =$25.000.001 - $50.000,0~0 P4 ~M o re t ha n $ 50 . 000 . 000
3 . Va l ue M e t ho d C o d e s Q = A p p ra i sa l R ==Cost (Real E state Only) S = Asscssmcn ! T ~ Cas h Mar k e t
t Sc e Co l u mn C2) U =B ook V al u e V = O ~hcr W = E s t i ma t e d
E = $ 1 5 . 0 0 1 - $ 5 0 . 0 0 0
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FINANCIAL DISCLOSURE REPORT
Page 8 of 10
N a m e o f P e r s o n R e p o r t in g
Singal, George Z.
D a t e o f R e p o r t
04/29/201 I
VII. INVESTMENTS and TRUSTS - in ...... o l . e , tr .... t l o n s ( In c l u d e s t h o s e o f s p o u s e a n d d e p e n d e n t c h i l d r e n ; s e e p p . 3 4 - 60 o f f i li n g i n s t r u c t l o n ~ )
---] NONE (No reportable income, assets, or transactions.)
D e s c r i p t i o n o f A s s e t s T r a n s a c t i o n s d u r i n g r e p o r t i n g p e r i o d
( inc lud ing t rus t a s se ts )
P l a c e " ( X ) " a f t e r e a c h a s s e t
exempt from prior disclosure
I n c o m e d u r i n g
r e p o r t i n g p e r i o d
( 1 ) ( 2 )
Amount T y p e ( e . g . ,
C o d e I d i v . , r e n t ,( A - H ) o r in t . )
G r o s s v a l u e a t e n d
o f r e p o r t i n g p e r i o d
(t) (2)
V a lu e V a lu e
C o d e 2 M e th o d
( J - P ) C o d e 3
(i )T y p e (e , g . ,buy , se l l ,
r e d e m p t i o n )
(2) (3) (4) ( 5 )
D a t e V a l u e Gai n " I d e n t i t y o f
m m / d d / y y C o d e 2 C o d e I b u y e r ! s e l l e r
( J - P ) ( A - H ) ( i f p r i v a t e
t r ansac t ion )
69 . VodofoneComm on Stock
70. J o h n s o n & J o h n s o n
7 1. Pac if ic Gas & El ec t ri c
A
A
A
Dividend
Dividend
Dividend
J
K
J
T
T
T
Buy
Buy
02 / 1 6 / 1 0
0 2 /24 /10
K
J
t . I nc ome Gai n C o d e s :
{S ¢¢ C o l umn s BI a n d 13 4)
2 . Va l ue C o d e s
(S e e C o l u r rm. s C I a n d
3 . Va l ue M ct ho d C o d e s
" ( S ~ c C o l u m n C 2 1
=$1,000 or less
=$50,001 - $100,000
J ~ $ 1 5 . 0 0 0 o ~ " l e - - _ . s
=$250,001 - $500.000
P3 =$25,000.001 - $50.000.0~0
Q =Appraisal
= Book Value
B = $ l , 0 0 t - $ 2 . 5 0 0
G = $ I00 . 001 - $ 1 . 000 , 000
K =$15.001 - $50,000
0 =$50~.001 - $1.000.000
R = C o s t (RcM E s t a t e O n l y )
V =Ot h er
C = $ 2 , 501 - $ 5 , 000
I I I = $ 1 . 0 0 0 . 0 ~ I - $ 5 , 0 0 0 . 0 ~ 0
L =$50.0~1 - $100.000
PI =$1.0(X).001 - $ 5 , 0 ( 3 0 , 0 0 0
P 4 = M o r e t h a n $ 5 0 . 0 0 0 . ~
S =Ass.cssment
W = E s t i ma t e d
D ~$5.001 - $ 1 5 . 0 ~ 0
1 1 2 =Morc lhan $5.000,000
M =$ 1 0 ~ .0 0 1 - $25 0 .0 ~
P 2 = $ 5 . 0 ~ O . 0 0 1 - $25 .0 ~ .0 ~ 1
T ~C a sh M a rk e t
E = $ 15, 001- $ 50 , 000
8/3/2019 George Z Singal Financial Disclosure Report for 2010
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FINANCIAL DISCLOSURE REPORT
P a g e 9 o f 1 0
Na m e o f P e r s o n R e p o r t in g
S i n g a l , G e o r g e Z .
D a t e o f R e p o r ~
04/29/2011
V I I I. A D D I T I O N A L I N F O R M A T I O N O R E X P L A N A T I O N S . (lndicatepartofrepor~)
8/3/2019 George Z Singal Financial Disclosure Report for 2010
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FINANCIAL DISCLOSURE REPORT
Page 10 ofl0
Na m e o f P e r s o n R e p o r t i n g
S i n g a l , G e o r g e Z .
Date of Repor t
04/2 912 01 I
IX. CERTIFICATION.
I c e r t if y t h a t a ll i n f o r m a t i o n g i v e n a b o v e ( i n c l u d i n g i n f o r m a t i o n p e r t a i n i n g t o m y s p o u s e a n d m i n o r o r d e p e n d e n t c h i l d r e n , if a n y ) i sa c c u r a t e , tr u e , a n d c o m p l e t e t o t h e b e s t o f m y k n o w l e d g e a n d b e l i e f , a n d t h a t a n y i n f o r m a t i o n n o t r e p o r t e d w a s w it h h e l d b e c a u s e i t m e t a p p l i c a b l e s t a t u t o r y
p r o v i s i o n s p e r m i t ti n g n o n - d i s c l o s u r e .
! f u r t h e r c e r t i fy t h a t e a r n e d i n c o m e f r o m o u t s i d e e m p l o y m e n t a n d h o n o r a r i a a n d t h e a c c e p t a n c e o f g i f t s w h i c h h a v e b e e n r e p o r t e d a r e i nc ompl i anc e ~ v i t h t he p r ov i s i ons o f 5 U . S . C . app . § 50 1 e t . s eq , 5 U . S . C . § 73 53 , and J u d i c i a l C onf e r enc e r egu l a t i ons .
Signatur e: S] G eorge Z. Singal
N O T E : A N Y I N D IV I D U A L W H O K N O W I N G L Y A N D W I L F U L L Y F A L S I F IE S O R F A L L S T O F I L E T H I S R E P O R T M A Y B E S U B J E C T T O C I V I LA N D C R I M I N A L S A N C T I O N S ( 5 U . S. C . a p p . § 1 0 4 )
Comm ittee on Financial Disclosure
Administrativ e Office of the United States CourtsS u i te 2 - 3 0 1
One Columb us Circle, N.E.
W ashington, D.C. 20544