financial disclosure report report required …...financial disclosure report in government act of...
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NAME OF ORQANIZA TIQN!F,'l7lTY
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PARTIES A.WP JERMS
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Report Required by the Eth ksAQ..lD FINANCIAL DISCLOSURE REPORT
in Government Act of 1978Rev. J/2604
Calendar Year 2003 (5 U.S.C. app. §§ IOHll)
I, Person Reporting (Lasr :uune, Fi:cst naiue, Middle initial) 2. Coort or Organization 3, Date of R:port
F AJRCHILD, THOMAS E US COURT OF APPEALS 7TH ClR. 4/16.'2304
4, Title (Arci le Ill Judges indk:ate active or senior status; 5. Repm�Type {check approprlate type) 6. Reporting Peric1
n1agistmte judges indicate ful1 or part time) Q Nomlnation. Date l!l/2003
U.S. CIRCU!T JUDGE, SENIOR 0 lniW>! @Annual 0 Fbml
to
!213112003
7. Charnbeffi or Office Address 8, Cb the 'asis (lfthe information contained in this Report and any
560 UNffED STATES COURTHOUSE modifications pertaintn!fthereto, ir is, in my opinion, in compliance with applicable laws and regulations.
!20 NORTil HENRY STREET
MADISON, W1SCONSIN 53703 Reviewing. Officer
[M!'ORTA'\;7 NOTES: The instructions acoompanying this form must be followed, Complete all parts., ch eckin g the NONE box for each part Sign on last page:
I. POSITIONS. (Re;x>rting individual only see pp. 9 13 of fl.ling instructions)
0 NONE - (No reportable positions.)
I. Member of Council until 5112i03; becam:c "emeritus" American Law Institute & non voting t11at date
2.
II. ....\GREEMENTS. (Reporting individual only; see pp, 14 16 offiling instructicns)
ONE . (No reportable agreements.)
I. None, except for statutrny retirement benefits as a retired employee of the State of Wisconsin, disclosed unikr m
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Name of Person Reporting Date of Report FINANCIAL DISCLOSURE REPORT
FAJRCHILD, THOMAS E
III. NON-INVESTMENT INCOME. (Reporting individual and spouse; see pp. 17-24 offiling instructions)
A. Filer's Non-Investment Income
D NONE - (No reportable non-Jnvestment income.)
SOURCE AND TYPE
I. Pension-State of WI, Dept of Employee Trust Funds
4116/2004
GROSS INCOME
(yours, not spouse's)
$8,456.60
B. Spouse1s Non-Investment Income - (Ifyou were married during any portion of the reporting year, please complete this section. (dollar amount not required except for honoraria)
NONE - (No reportable non-investment income,)
SOURCE "lD TYPE
l.
N, REJMB URSEMENTS - transportation, lodging, food, entertainment.
(Includes those to spouse and dependent children. See pp. 25-27 of instructions.}
li'J NONE (No such reportable reimbursements.) -
SOURCE DESCRIPTION
DESCRJPTJQ)'i
CREDITOR DESCRIPTION
I
VALUE CODE
F NAl"CIAL DISCLOSl:RE REPORT Nun1e-0f Person Reporting
FAIRCHILD, TI!O',,;AS E
V. GIFTS. {lnc;udes those t;l spouse and dependent children. See pp. 28-3 l of instructions.)
0 NO:Nc - (No such reportable gifts.)
I. S,tandard Club of Chicago r continue to be an honcrary men1ber of the Standard Club of Chicago (cont. Part Vlll)
..
VI, LIABILITIES. (Includes those of spouse and dependent children. Se< pp. 32-34 of instructions.)
NONE - (No reportable liabilities.)
Date of Report,
4il6120G4
I.
A B
B. c.
(1) (2) (2) {l) !f uulh dlscJosure
(2) (3) (4) (5)
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I -'
,, c D E ...,.
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FINANCIAL DISCLOSURE REPORT Date cf Reper:Name of Person RePortfog:
Page 1 of3 FA!RCHIW, THOMAS E 411612004
VII. INVEST TS and TRUSTS
A.
Desi;ription of Assets (in1,;ludiog trust asrers)
Place "{Xf' af:cr encll asS<::t exempt froot pdor disc-lo:n
DNONE {No report:lble income, assets, ortrwsactions)
l. f & J Bank cf Southern Wisconsin
2. Univ. of \Ill Credit Uni en Checking
3. Univ. of\VJ Credit Unicn, fuv s Mf.M
4. Fann Enterprise, OR. 8127 n9 $ l l 8,526
5. Addition to Farm, Adjoining Land 8/:/91 $82,000
6. Addition to Farm Ho-use '83 9 -8
· , C st S82,428
7. Pipeline and Other Jn1provements
8. Share of Perso al Property
9. Calves
lO. Calves
11. Yearlings
12. 112 'hare, funn Blue Mounds, wr 12117180 $49,500
B. 112 share addition 811919 l $13,500
14. Undivided 1/5 Share ofFa.'Tll.land, Lowell. rN
15. Sarasota County Bond
16. Strong Money l&:t. Fund, Milwaukee, Vvl
17. MFS Muni Bond Fund Shares
i8. City of Madison !vfnnona Terrace Bond
l. lnconie!Galn Code:>: -· SLOOO or less.
(SeeCol:w:uts. 3; a'ld 04! ? • SSQ,001-$100,000 a
2 Value Co::. s: J ,., 5 5,000 or less K
(Sec Columr.s Ct aud D.J) " ""£250,000-t500,00G 0
Pl "'- :S25,000,COJ-$SQ.:ll.i0,000
3. V:otv.::l,.kthotl COO.et Q "'-Apprais:o. R
D. fnccme during Gross \'fuue a: end of Transactio:is C·.u<ng reporting period
repmting period rep.c:-t:::ig ;::<mod
(1) not e"effil:'li
Amm.llit Type (e.g. Value va:ue Type (e.g. Date: Value Gain Identity of Code'! :iiv. rent <>r C()(!e 2 Met:hod b:J)', &ell, Mcnth- Code2 Com l buyer:seller
A·H) int.) (J-P) Codes merger, o,,,. (J-P) (A-H) (ifp:ivnte
(Q-W) reden:;>tion) ltanS&tion)
A lnlllrest K T
A b:terest K T
A Dividend K T
c Ren M R
L R
L R
J w
l w
Sell 08/0S J •• Cook Livestock
Sell 08120 J .. Cook Livestook .
Sell 12/22 l .. Cook Livestock:
c Rent*** K R
J R
B Rent L w
A Interest l T
A Dividend L T
A Dividend
A Intere t l T
j
•$2,501·SS,OOO = $S,OO!· HS,iJOO
""$100,00l·SLOJG,OOl.1 Hl = $l,OCC,V\ll..S5,00J,C>GQ H2 W.:m?: than $5,000,000=
""s1s,ci;:-sso,m:m L ""$5Q,DDl-Sl\:11,:JOO �.{ =-S l 00,'...l(l l-$250,000
""'SSOD.0-Jl..Sl ,000,000 Pl ""s1 ,ooo,ou; .s5,ooo.oc;; P2 = $5,C'OO,OO'l .S25,000,000
P4 000-$Mor;; tha.TJ. SSO::XD,000
""'C::s! (Real Estate Only) s =Assessment T Cas.Vl4arke!=
See Co!u:1:n C2) l' ""Book v '.Lte V =Other \V =E.s:irr.a!ed
A
(1)
B c
(I) (2) (1) r.c:r.
{2) {3} v.i. ..
D
(1..;
E
($}
.
. -
I
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FINc\.NCIAL DISCLOSURE REPORT
.Page 2 of3 Name of Person Reporting:
FALl<CHILD, 'THOMAS E
Date of Report
4/l6/2004
- income, value, s (includes thost of !he spoosc and dependent ch.'.ld."efl. See pp. 3 -57 of fili.rig irwtrnc!ions.) VII INVESTMENTS and TRUSTS
'19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29,
30.
31.
32.
33.
34.
35.
36,
A.
Descrlpticn of As.sets (it;_cl'..ldlng: trust assets)
Place (X)" aft:rr each asset exempt E.-c:n ;.;ior iisc'.osure
Community Bank
Illinois Health Fae. Bond· Fairview
Baron Asset Fund
Harbor Capital A.pp. Fund
Strong Opportunity Fund
Strong Growr.h Fund
Vanguard Index Fund
-· -·
International Focus (Formerly Credit Suisse)
Artisan Funds - lntnl.
Illinois Health Facilities - Bea:;on Bond
Wis. Edoc. City Rehab., Oshkosll Bond
\Vis. Rev. Masonic Village Bond
Wauwatosa RDA Bond
Carlton Cove Bond, HUlltsville, AL
Chartiers Valley, PA Bond
NJ. Economic Development Authority Bond
lll. HF A Chestnut Square Glen Bond
Wis. HEFA United Bond
B. Income duri
reportillg period
(2)
Ammmt Typ<:: (e.g. Code 1 div. rent. or {A·Hl mt.) ..
A Interest
A Interest
None
A Dividend
None
None
A Dividend
A Dividend
A Dividend
A lnterest
A Jnterest
A Interest
A Interest
A Interest
A Interest
A Interest-
A Interest
A interest
c. D. Gross ;.nlue a: end of Trru:sactions d:uing epcrting period ;eponing period
lft::n e:-;eJ:Jp'. disclosure
Value Type (e.g. Date: Vaine C(lde2 Method buy, sell, Month- COOe2 (J.P) Ccde3 merger, Dey (J·P)
(Q-V.1 redemption) .
J T
J T
K T
K T
K T
J T
J T
J T
J T
J T
Red-emp 03/0J J
Rcd<:mp 11113 l
J T
J T
J T Partial 12/03 l Rede
J T
J T
l T Buy 03113
Gain Cede l (A·H)
r;rer.:ity cf bJJ'er:s:eHer (i'.i;:-ivate tra.'lsa.et:on)
ls suer
1ssuer
Issuer
U,S. Bancorp
t
C.::xies: - Sl,ODDcr1ess ""'$2,50 l-SS,000 S5,00l-S15,QOO
(See Co1i.:;1'-"1S Bl .a'HI .:g; ? """!50,0CI-S1011,00G G ""s:co,:xi J .s i ,000,000 HI • Sl,000,001-15.000,000 H2 =.More than £5,000,GOC
2. Vahte Codes: "'i15J1CO :;r iess K Sl5,001-$50,000 l. "" $50,001 -$100,000 M "'SHl!.\G'Dl-$250,0DO
(See Columns Cl a.ttd D."j '1 = i25fJ.2'1JD-S5':'.DJJO<'.i 0 = S500,00l·Sl,OOO,OOO Pl ... $) ,000,001-$5,D00,00{1 P2 -= $5,000,00l-S25,000,000
P3 = $:?.5,D0C>,001-S:SC,O!K1,000 P4 ""'$11une than $50,000,000
3. V J11e t>. \11o-o;I Code<- Q "".A.pp�s.d R "'Cost (Real Eslale Ody) s "" Assessment T "' C:ish/Mnrket
s C::,Junw C2) u = Bco Vz!ui; v o&,,. w "'Esfun:ued ----------- .... ___ .. __
{l) (2)
B
F
c
c. I
T
(1) ttom disclosure
{2) (5)
D
(J P)
FL'\"�.\NCIAL DISCLOSURE REPORT Date of Report Name of Person Reporting
.Page3 of3 4/16/2004FAIRCHILD, THOMAS E
- income, value, 1 ons (lneludo.s those of the spoitse and tl\::pendot children. See pp. J.4 51 of filing instructions.) VIL INVESTMENIS and TRUSTS
A.
Oescriptfon of Assets fm.?:lud.ingtrust assets)
Place "(Xr after each aw:t ex em pl: from prior dis(:l(lsure
B. Income during
reporting peri«i
Type (e g.Arnow-.! Ch·. ren:. or Code;
D. Gtvs,<;_t<altte at e:id of l 'Transactions <luring reporcil'lg pe::io:irep g :ie:i::.d
If not ex:!mpl(2)( :) (3) (4)
Value D.a.:e:Value Typ' (e.g, !dentlty of Code2
Value Gau buy, sell, Mocth·Method I buyer/sellerCode2 Code l
Code 3 merger, Day {if private {J·P} (MQ(A ·fl) i.'1t.} reC.emplfon) transaction)(Q-Wl
None JOnalaska CDA Bond Buy lll12 U.S. Bancorp37.
or less = 1,001.i2::sJO "'$2,50l t5,DOO "":$5,00l·.$15,000 (S c C.:-.t::t>..ns Bl w.J..d.D4) S50,001-s10 ,oao G = $1{10,0Ui-Sl,OOD,000 Hl • Sl,000,001-$5,000,000 H2 =More than S:i,OOD,000
2. Vake C::des: =$15.0000tlcs K =$15,D01..S50,000 L • 150,0%$100,000 M = $100,001-$250,000
(Sf!c Cc.lm1ms Cl llnd DJ) N = S250:,000-$:$C ,;)O::; :) = $500,DiJl-Sl,000,000 Pl • Sl,000,001-15,000,000 P2 = $5,000,001-$25,000,000
P3 $25,01.lO,O :i-$3:\0DO.OOC P4 "'St-Jore that1 $50,000,000
3. V;iiue Metllod Codco, Q "'-Appvisa; R =Cost (R<::ai Es tale Only) s "' A:J:ses:smet1t T "" Cashilvf.arke!
Cclmnr. c:n L =BoJk Value v "":Jthec \\! =.Estimated
4116/2004
. Name of Person Reporting Dare of Report FINA!'i'CIAL DISCLOSLlm REPORT
FAIRCHILD, THOMAS E
(Indicate part of Report.) VIII. ADDITIONAL INFOR.\1ATION OR EXPLANATIONS
(cont fror:: Part V. Gifts), . . And paid dues of $125. I made no use of the privileges in 2003.
(Explanation for Pa."t VU. Investments and Trusts footnotes)
* Line 4 applies to lim;:s 4 through l L * Gain included in fann inoome.
*** Rent in line 11 includes line 12.
Date_£.._.,_/.//p'"T-',/tJ"-+-<j: __
411612004
NnxeofPernon Reporting C.ute of Report . J!INA..NCIAL DISCLOSURE REPORT
FAIRCHILD, THOMAS E
IX. CERTIFICATION.
I certify that all information given above (including info=tion 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 emplo menr and honoraria and the acceptance of gifts which have been reported are in compliance with the provisions of 5 U.S.C. § 501 et seq., 5 U.S.C. § 7353, and Judicial Conference regulations.
Signature
NOTE: ANY INDIVIDUAL WHO KNO\VINGL Y AND WILFULLY FALSIFIES OR FAILS TO FILE TI:lIS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (5 U.S.C. app. § 104)
FILING lNSTRUCTIONS
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