monti l belot financial disclosure report for 2010

8/3/2019 Monti L Belot Financial Disclosure Report for 2010

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FINANCIAL DISCLOSURE REPORTFOR CALENDAR YEAR 20 10

Report Required by the Ethicsin Government Act of 1978(5 ,U.S. C . app. ,~ 101-111)

1 . P e r s o n R e p o r t i n g ( l a s t n a m e , f ir s t , m i d d l e i n i t ia l )Belot, Mon ti L.

4. Title (Article II1 judges indicate active or senior status;magistrate judges indicate full- or part-t ime)

U.S. Dis t r ic t Judge-Senior

7 . ch amb er s o r O f f i ce Ad d r es s111 U.S . Cour thouse4 01 N o r th Marke tWichi ta , Kansas 67202

2. Cour t or Organizat ionU .S . D i s t r ic t Cour t - Ka ns a s

3. Date of R e p o r t4/5/2011

5a. Repor t Type (check app ropr ia te type)] Nomination, D a t e[] Initial [] Annual [] Final5b. [] Amended Report8. On the bas i s of the informat ion contained in thi s Rep or t and anymodifications pertaining thereto~ it is, in my opinion, in compliancewith appl icab le laws and regulat ions.

Reviewing Officer Date

6. Repor t ing Per iod01/01/2010

to12/31/2010

IMPORTANT NOTES : The instructions accompa nying th is form must be fo l lowed. C omplete a l l parts ,checking the NONE box for each part where you have no reportable information. Sign on last page.

I . P O S I T I O N S . (Report ing individual only; see pp. 9 -13 o f fi ling instruct ions.)[~ NONE (N o reportable positions.)1 . Power o f a t to rney /execu tor2.3.

4.5.

POSITION N A M E O F O R G A N I Z A T I O N / E N T IT Y~ estate

I I . A G R E E M E N T S . (Reporting individual only; seepp. 14-16 of filing instructions.)~] N O N E (No reportable a greements.)

DATE PARTIES AND TERMS


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FINANCIAL DISCLOSURE REPORTPage 2 o f 8

N a m e o f P e r s o n R e p o r t i n gBe io t , Mont i Lo

D a t e o f R e p o r t4/5/2011

III. N O N - I N V E S T M E N T I N C O M E . ( R e p o . i n g individual and spouse; seepp. 17-24 of filing instructions.)A. Filers Non-lnvestment Income~] (No reportable income.)ONE non-investment

DATE SOURCE AND TYPE

2.3.4.

I N C O M E( 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 - l n v e s t m e n t I n c o m e - lf you were married during any portion of the reporting year, complete this section.(Dollar amoun t not required except for honoraria.)~ NONE (No reportable non-investment income.)

DATE SOURCE AND TYPE1 .2.3.4.

I V . R E I M B U R S E M E N T S - - tr.nsportat~n, lodging, food, entertainment.(Includes those to spouse and dependent children; see pp. 25 -27 off!ling instructions.)

NO NE (No reportable reimbursements.)SOURCE DATES LOCATION

1 .2.3.4.5.

P UR P OSE IT E M S PA ID O R P R O V ID ED


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N a m e o f P e r s o n R e p o r t i n gBelot , Mon t i L.

D a t e o f R e p o r t4/5/2011

V . G I F T S . (Includes those to sp ...... dependent children; seepp. 28- 31 of filing instructions.)

2.3.4.5.

N O N E (No reportable gifts.)SOURCE DESCRIPTION VALUE

V I . L I A B I L I T I E S . a n c l u d c s t h o s e o f s p o u s e a n d dependent children; see p p . 3 2 - 3 3 of filing instructions.)N O N E (No reportable liabilities.)

CREDITOR DESCRIPTION1 .2.3.

4.5.

V A L U E C O D E


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N a m e o f P e r s o n R e p o r t in gBelot , Mon t i L.

Date of Report4/5/2011

V I I . I 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 , v a l a e , transactions ( I n c l u d e s those of spouse and dependent children; see pp. 34-60 of filing instructions.)~] NONE income, assets, or transactions.)N o reportable

Descr ipt ion o f A s s e t s Income during Gioss va lue a t e n d(including trust asse t s )

Place "(X)" after each assete x e m p t f r o m p r i o r d i s c lo s u re

A m o u n t Type (e.g., V al u e V al u e Type (e.g., Date Value Gain I d e n t i t y o fCode 1 d i v . , r e n t , Code 2 M e t h o d . . . .. . . buy, sel l , m rrddd /y y Code 2 I Code 1 buyer/sellerA -H " .... e) or ~ n t ) ( J -P ) : Code 3 r e d m p t i o n ) ( J - P ) (A-H) : ( i f p r i v a t e(Q-W) t r a n s a c t i o n )

1. T. Rowe Price New Era2. Coca Cola Co.

3. Navy Federal Credit Union

4. W ells Fargo Bank , N.A.

5. U.S.A.A., Subscribers Savings Acct.6. Jackson Natl Life Ins.Co. IRA Annuity

JNL/Mellon Cptl Mgm7. The American Fund IRA

8. --Capital Income B uilders Fund

9. - -Capi ta l Wor ld Grow th & Income Fund Inc

1 0 . - -Investment Company of America

1 1 . - -Income Fund of Ame rica, Inc.

1 2 . American Forerunner IRA

1 3 . --Loomis Sayles Small Cap

1 4 . --Harris Oakmark Intemational

1 5 . --H arris Oakmark Focused Value Portfo lio

1 6 . --FI Internat ional Stock Portfo lio

A Dividend J T

A Dividend J T

A I n t e r e s t J T

A I n t e r e s t J T

B Dividend J TD Dividend L T

D Dividend N T Sold 02/19/10 J( p a r t )

A Dividend Sold 10/14/10 J

A

A

1 7 . - -Dav i s Venture Va lue

i ; i ne0mc Gain COdes: A =$1,000 or less( See C ol um ns B! and I M) F =$50,001 - $100,000

2. Value Codes J =$15,000 or less(See Co lumns C I and D3) N =$250,001 - $500,000

P3 =$ 25,000,001 - $50,000,0003. Value Method Codes Q =A p p ra i s al

(See Co lumn C2 ) U = B ook Va lue

=$i~001 : $2,500 C ~$2,501 - $5,000~ $ i o 0 ~ o o i i $ 1 ; o o o , 0 0 0 . . . .. ~ i : ~ i ; o 0 o , 0 o t : $ ~ , o 0 0 , o o oK = $15~00! : $50,000 L $50,001 - $100,000O =$500,001 - $1,000,000 P1 =$1,000,001 - $5,000;000

P4 =More than $50,000,000=Cost (Real Estate Only) S --Assessment=Other W =Estimated

D =$5,001 - $15,000H2 =Mo re than $5,000,000M =$ 100,001 - $250~000P2 =$ 5,000,001 - $25;000,000T = C a s h M a r k e t

E =$15,001 -$50,000


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N a m e o f P e r s o n R e p o r t in gBelot , Mon t i L.

Date of Report4/5/201 l

V I I . I 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 , v a l u e , transactions (Includes those of spouse and dependent children; see pp. 34-60 of filing instructions.)[] N O N E (No reportable income, assets, or transactions.)

A. B. C. D.Descrip t ion of A ssets . . . . . . .. . . .. . Income dur ing Gross value at end : Transactions during reporting period(including trust assets) reporting period of repo~ ting period

~1) (2) (1} (2) (1 ) (2) (3) (4) (5)Place "(X )" after each asset A m ount Type (e .g , Va l ue V al u e Type (e.g., Date V a l u e G a i n Identity of

exempt from prior disclosure Code I d iv re n t Code 2 Method b u y . sd L m ~ d d / y y C o d e 2 C o d e 1 buyer/seller(A-H) o r i n t . ) ( J - P ) Code 3 redem p tion) ( ~ - P ) ( A - I f f ! (if private(Q-W) transaction)

1 8 . - -BlackRock Stra tegic Value1 9 . - -Amer ican Funds Growth- Income

20 .21 .

22 .23 .24 .

25 .26 .27 .28 .

29 .3 0.3 1.

3 2.

3 3 .3 4.

- -American Funds Grow th

Coca-Cola~Westar Energy~l~~Eaton Vance Balanced Fun~

Wells Fargo Bank, N.A.~

T. Rowe Price New H orizons Fund

W addel l & Reed Advisors Science andTechnology FundW addel l & Reed Advisors Accumulative AFundMerr i l l Lyn ch C MA M o n ey Fu n dAmerican B alanced Fund - Class A

USAA Subsc r ibe rs Sav ings Acc t .

A Dividend J

A Dividend J

A Dividend JA I n t e r e s t J

E Dividend M

E Dividend M

E Dividend M

A I n t e r e s t

A Dividend L

A Dividend

T R e d e e m e d 07/30/10 M(part)T R e d e e m e d 07/30/10 M( p a r t )

Sold 02/23/10 K. A

T R e d e e m e d 01 / 04 / 1 0 J( p a r t )Redeemed 01/21/10 J( p a r t )R e d e e m e d 01121/10 J

(part)Redeemed 1 02/01 / 1 0 J( p ~ )Redeemed 05/12/10 K(part)

T

1. inc0m e G ain C odes: A =$1,000 Or less B =$ i~ 001 : $2i500( See C ol um ns BI and D4) Z =$50;00] - $100,000 G ~$]00100i - $1,000,000

2. V alue Codes J = $ 15,000 or less K =$15,001 - $50,000(See Co lumns C I .and D3) N =$250,001 ~ $500,000 O =$500,001 , $1,000,000P3 = $25,000,00t ~ $50,000,0003. Va lue Melh od Codes Q =A p p ra i sa l R =Cost (Real Estate Only)(See Co lumn C2 ) U = B ook Va lue V ~O th cr

C =$2,501 - $5,000H 1 =$ !,000,001 - $5,000,000L =$50,001 - $100,000PI =$1,000,001 - $5,000,000P4 -More than $50,000,000S - Assessmen tW = Es t ima ted

D =$5,001 -$15,000H2 =More than $5,000,000M= $ 100,001 - $ 2 50 ,000P2 =$5,000,001- $25,000,000T = Cash Marke t

E =$15,001- $50,000


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FINANCIAL DISCLOSURE REPORTPage 6 of 8

N a m e o f P e r s o n R e p o r t i n gBelot , Mon t i L.

D a t e o f R e p o r t4/5/201 l

V I I . I N V E S T M E N T S a n d T R U S T S - income, value, transactions (Includes those of spouse and dependent children; see pp. 34-60 of f i l ing instructions .)NO NE ( No reportable income, assets, or transactions.)

D e s c r i p t io n o f A s s e t s I n c o m e d u r i n g( inc lud ing t ru s t a s se t s ) r epo r t ing pe r iod

O) (2)P l a c e " C A ) " a f t e r e a c h a s s e t Amount Type (e.g.,exempt:fromprior disclosure C o d e 1 div . , ren t ,

( A - H ) or in t . )

G r o s s v a l u e a t e n d Transac t ions du r ing r epo r t ing pe r iod

Va l ue Va l ue Type (e.g., D a t e V a l u e G a i n Ident i~ ofCode 2 Method buy, sell, mm/dd/yy C o d e2 C o d e 1 buyer/seller

( J - P ) Code 3 redemption) ~ J - P ) (A-H) (if private(Q-W) t r a n s a c t i o n l

35 . New Yor k Life Ins. A Dividend Redeemed 04/09/10 J

36 . New Yor k Life Ins. A Dividend Redeemed 04/09/10 J

3 7. New Y ork Li fe Ins . A Dividend Redeemed 04/09/10 J

3 8. New Y ork Li fe Ins . A Dividend Redeemed 04/09/10 K

] ine0m ~ Ghif i ~0d~ si A =$L000 o r less B =$1,001 - $2,500( See C ol t m m s Bl and D4) F =$50,001 - $100,000 G =$ 1 00,00 i - $1,000,000

2 . Va lue Codes J =$15,000 or less K =$15,001 - $50,000( Se e C olu m ns C I an d D 3) N =$ 25 0,0 0t - $ 50 0,0 00 O =$500,001 - $1,000,000

P3 =$25,000,001 - $50,000,0003. Value Method Codes Q =A p p ra i sa l R =Cost (Real Estate Only)(See Co lunm C2 ) U = B ook Va lue V = O th er

c = $ 2 , 5 0 1 - $ 5 , 0 0 0 D = $ 5 , 0 0 1 - $ 1 5 ,0 0 0 E = S t S , 0 0 1 - $ 5 0 , 0 0 0H I =$1 ,000,001 - $5,000,000 H2 =Mo re than $5,0001000L =$50,001 - $100,000 M =$100 ,001 - $ 250,000P I = $ 1, 00 0, 00 1 - $ 5, 00 0 ,0 0 0 P 2 = $ 5, 00 0 ,0 0 1- $ 25 ,0 0 0, 00 0P4 =More than $50,000,000S = Assessmen t T = C a s h M a r k e tW = Est ima ted


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Name of Person Repor t ingB elo t , M ont i L .

D a t e o f R e p o r t4/5/2011

V I II . 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 . (lndicate part of report.)4. N a m e c ha n g e o n ly

1 2 . Rollover to Income Fund of A m er ica , Inc . and AT&T , Inc .24 . N e w a c c o u n t25.-38. These items are part o~ estate


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Name of Person Repor t ingB elo t , M ont i L .

Date of Report4/5/2011

IX. CERTIFICATION.1 c e r t i f y t h a t a ll i n fo 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 fo r m a t i o n p e r t a i n in 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 ld r e n , i f 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 fo r m a t io n n o t r e p o r t e d w a s w i th 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 tu t o r yp r o v i s i o n s p e r m i tt i n g n o n -d i s c l o s u r e .I f u r t h e r c e r ti f y 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 ncompl iance wi th the p rov i s ions o f 5 U.S .C. app . 501 e t . seq . , 5 U.S .C. 7353, and Jud ic ia l Conference regu la t ions .

Signature: S/Monti L . B e l o t

N O T E : A N Y I N D I V 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 LL Y F A L S I F IE S O R F A I L S T O F I LE 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 . ap p . 1 0 4 )

C om m i t tee on F inanc ia l D i sc losu reA dm in i s tr a t ive O f f i ce o f th e U ni t ed S ta t e s C our t sSui te 2-301O n e C o l u m bu s C i r cl e , N .E .Wash ing ton , D . C . 2 0 5 44

monti l belot financial disclosure report for 2010

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