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8/3/2019 Norman H Stahl Financial Disclosure Report for 2010
1/46
AO 10Rev. 1/2011FINANCIAL DISCLOSURE REPOR T
FOR CALENDAR YEAR 2010Report Re quired by the Ethics
in Government Act of 1978(5 U.S .C . app. .~ .~" I01-111)
I . Person Reporting (last name, f irst, middle initial)S t a h l, No r m a n H.
4. Ti t l e (Ar t ic le I I I judges ind ica te ac t ive o r s en io r s t a tus ;magi s t r a t e ju dges i ndi cat e f u l l - or par ~-f i me)S en i o r S t a t us
7. Cham bers or Of f ice AddressUS Court o f Appeals1 Cour thouse W ay, Sui te 8730Boston, Massachuset t s 02210
2. Court or OrganizationU S Co urt of Appeals - Is t Circuit
3. Date of Repor t05/15/701 I
5a. Report Type (check appropriate q,pe)] N o m i n a t i o n , D a t e[] Initial [] A .... I [] Final5b. [] Amended Report8.On the basis of the information contained in this Report and anymodifications pertaining thereto, it is, in my opinion, in compliance
, ,v i th app l icable l aws and r egula t ions .
Reviewing Officer Date
6. Report ing Per iod01/01/2010
to12/31/2010
I M P O R T A N T N O T E S : The instruct ions accom panying th is form must be fo l lowetL Com plete a l l parts ,checking the INONE box for each part where you ha ve no repo rtable information. Sign on last page.
1 . P O S I T I O N S . m e p o r ~ n g i n d i v i d . a l o n t y ; s e e p p . 9 - t ~ of filing instructionx)~] N O N E (No reportable positions.)
POSITION NAME OF ORGANIZATION/ENTITY
2. B o a r d M e m b e r T uf t s M ed i c a l C en t e r B o ar d o f G o ven o r s
3.
4.5.
I I . A G R E E M E N T S . r R e ~ , o r a n g individual only; see pp. 14-16 of filing instructio.x)NONE (No reportable agreements.)
D A T EI.
2.
3.
PARTIES AND TERMS
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N a m e o f P e r so n R e p o r t i n gStahl, Norman H.
D a t e o f R e p o r t05/15/2011
I I I . N O N - I N V E S T M E N T I N C O M E . (Reporang indi , iduala.dspouse: seep~A. Filers Non-lnvestment Income[- ~ NONE non-investment income.)N o reportable
D A T E SOURCE AND TYPE
2.3.4.
INCOME(yours , not spouses)
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 p ort ion of the report ing year, complete this sec t ion .(Dollar amount not required exce pt for honoraria.)
~] (N o re porta b le incom e .)ONE n on - in ves tmen tDATE SOURCE AND TYPE
I.2.
3.
4.
I V . R E I M B U R S E M E N T S - transportation, lodging, food, entertainmen~( I n c l u d e s t h o s e t o 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 . 2 5 - 2 7 o f f i l in g i n s t r u c t i o n s . )
~] NONE (No reportable reimbursements.)
2.3.4.5.
SOURCE DATES LOCATION PURPOSE ITEM S PAID OR PROV IDED
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N a m e o f P e r s o n R e p o r t i n gStahl, Norman H .
D a t e o f R e p o r t05/15/201 I
V . G I F T S . (Includes those to spouse and dependent children; see pp. 28-31 of.fillng instructions.)N O N E (No reportable gifts.)
SOURCEI.2.
3.
4.
5.
DESCRIPTION VALUE
V I . L I A B I L I T I E S . a n e l u d e s t h o s e o , ~ s p o ~ e a , d d e p e n d e n t e h U d , e n ; s e e p p . 3 2 - ~ ~ o f ~ l l n g i ,~ t r u c t i o ,~ )N O N E (No reportable liabilities.)
CREDITOR DESCRIPTIO NI.2.
3.
4.5.
VALUECODE
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N a m e o f P e r s o n R e p o r t i n gS t .a h l , N o r m a n H .
Date of R e p o r t05/15/2011
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, transaction~ (Includes those of spouse and dependent children; see pp. 34-60 of filing instructions.)---J N O N E (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( i ncl udi ng t r u st asse t s)
P l a c e " ( X ) " a f t e r e a c h a s s e texem pt from prior disclosure
I n c o m e d u r i n g Gr oss v al u e a t endr epor t i ng per i od o f r e p o r t i n g p e r i o d
(l ) (2 ) (i )A m o u n t T y p e ( e . g ., V a l u e ValueC o d e I d i v . , r e n t , C o d e 2 M e t ho d( A - H ) o r i n t . ) ( J - P ) C o d e 3( Q - W )
T y p e ( e .g . ,b u y , s e l l,
r e d e m p t i o n )D a t e V a l u e G a i n I d e n t i t y o f
m n d d d ~ 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 -I l l ( i f p r iva tet r a n s a c t i o n )
1 . /09Ashland House Associates2. C m n S t k, E x x o n M o b i l3. Cmn S tk , Peps ico4. C m n S t k, E x x o n M o b i l5. Shrs, Europacific Growth Fund - IRA6. Shrs, Washington Mutual Investors Fund -IR A7. Shrs, Europacific Growth Fund - IRA8. Shrs, Washington Mutual Investors Fund -IR A9. Ck g Acct , M ar thas V in yard Sav in g s(formerly Cooperat ive Bk)1 0 . Massachuset ts St Bond 6%, 11/1/101 1 . Massachuset ts Bay Trans Auth Bond 5 .5%,3/11/I 11 2 . D ighton & Rehob o th MA Bond 4 . 75%,5/1/131 3 . W e n h a m M A B o n d 4 . 9 % , 6 / I / 171 4 . C m n S t k , K e l l o g g C o1 5 . C m n S t k , K e l l o g g C o1 6 . MM Acct, Ci t izens Bank1 7 . Cm n Stk , Char les Schwab Co rp
E Distribution M WA D i vi d en d K T
B D ividend K TN o n e M T
AB
B
B
A
A
D ividend L T Sold( p a a )Div id en d L T Sold(pan)D ividend K T So ld(p an )Div id en d K T Sold( p a a )
Interest J T
Interest Sold
12/01/10 J C
12/01/101 J C
12/01/10 J B
12/01/10 J B
06/24/10 K A
B
B
B
Interest K
Interest K
Interest K
TT
TN o n e K T
AA
Dividend KInterest K
T
T
Buy(addl) 01/13/10 J
D ividend K Buy(addl) 03/05/10 J
I . Income Gain Codes: A = $ 1.000 o r less B = $ 1,001 - $ 2.500 C =$2.501 - $5.0~0 D =$5.00I - $15.0~)(See Columns BI and 1)4) F = $ 50.001 - $ 10~.000 G = $100.091 - $1.000.000 HI =$1.009.0~1 - $5.000.000 112 =More than $5.0~0.00g
2 . V a lue Codes J = $ 15 .0(~1 ~ less K = $15 .001 - $ 50.000 L = SS0.0~l - $ 100.000 M -$100.001 - $250.0130( S e e C o l u m n s C l a n d D 3 ) N= $250.0g l-$500 .000 O=$50~.001-$1.000.00~ Pl $1.0g0.1001-$5.000.099 P2 $5.0P~.001-$25.0(~.00~
P3 =$25.000.001 - $ 50.000.000 P4 =More than $ 50.000.0003. Value Method Code~ Q =Appraisal R -~Sost (Real E~tatc Only) S =As ~$s m e n ! T ~2ash Mark~(See C olum n C 2) U = Book V alue V = O l h . . . "r W E s t i m a t e d
E =$ 1 5 .0 0 1 - $ 5 0 ,0 0 0
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N a m e o f P e r s o n R e p o r t in gStahl, Norman H.
Date of Repot/05/15/2011
V I I . I N V E S T M E N T S a n d T R U S T S - incom e, val.e, ~a~ac,io.s a.cl.des ,hose olspo .....d dependent chi ldren; see p p . 3 4 - 6 0 of f i l ing ins truc t ions .)N O N E (No reportable income, assets, or transactions.)
D e s crip t io n o f As se ts I n co m e d ur in g( i ncl u di ng t r u st asse~) r epor t i ng per i od
~ (1) (2)Place "(X)" after each asset ~, Amount T y p e ( e . g . ,
e x e m p t f r o m p r i o r d i s c l o s ur e C o d e I di v . , r en t ,( A-H) or i n t . )
Gr oss v al u e a t endo f r e p o r t i n g p e r i o dO) (2)
Value ValueCode 2 Method(J -P) Code 3( Q - W )
Tr ansact i ons du r i ng r epor t i ng per i od
(I) (2) (3) (4) (5 )T y p e ( e . g . , D a t e Value Gain I d e n t i t y o fbuy, sell, rnm !dd~y Code 2 C ode I buyer/seller
r e d e m p t i o n ) ( J - P ) (A-H) ( i f p r i v a t et r a n s a c t i o n )
1 8 .
1 9 .
20 .21 .22 .23 .24 .25 .26 .
27 .28 .29 .
Cmn Stk, Charles Schwab Corp A Div idend
B u y 06/22/10(addl)S o l d 10/01/10(pail)S o l d 10/05/10
( p a r t )B uy 06/04/10(addl)B uy 06/14/10(addl)B u y 06/22/10(addl)B u y 08/09/I 0(addl)B u y 08/30/10(addl)
S o l d 09/21/10(pail)S o l d 09/23/10(pail)S o l d 10/01/10(pail)S o l d 10/05/10
JJ
J
J
J
J
J
J
J
JJJ
30 .31 .32 .33 .34 .
Cmn Stk, Pepsico C Dividend LCmn Stk, EBAY Inc. None Buy 01/27/10(addl)
Buy 01/28/10(addl)Buy 02/09/10
(addl)Buy 04/27/I 0(addl)
JJJJ
I . Income Gain Codes: A =$1.000 or less B -$1,001 - $2.500 C = $ 2.501 - $ 5 .000 D = $ 5 ,001 - $ 15 ,000(Se e C o lu m n s BI a n d D4 ) F =$50.001 - $ 100,000 G =$100.001 - $1.000.000 I I I =$1.000.001 - $5.000.000 112 =More than $5.000.000
2 . V a lue Codes J = S I 5 . 0 0 0 o r less K = $15,001 - $ 50.000 L :$ 50.001 - $100,0~} M =$ 10~,001 - $250.0(~(Se e C o lu m n s C I a n d D3 ) N -$250.001 - $500.000 O =$5 00.001 - $1,000.000 P I =$ 1 ,0 00 .0 01 - $ 5 .0 00 .0 00 P 2 = $ 5. 0C O .0 01 - $ 25 .0 00 .0 00
P3 = $25.000.001 - $ 50.000.000 P 4 = M ore lhan $ 50.000.0003. V a lue Method Codes Q =Appraisa l R =C ost (R eal E stalc O nly) S = Assessm en t T = C a s h Market
LSce Column C2) U - Bo o k Va lu e V = O lher W E s t i m a t e d
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 i n gStahl, Norman H .
D a t e o f R e p o r t05/15/2011
V I I . I N V E S T M E N T S a n d T R U S T S - incom e, ,alue, ~a~ a.io~ a.cludes,hose o/sp .. . . . .d dependent chi ldren; s e e p l ~ 3 4 - 6 0 of f i l ing ins truc t ion~)N O N E (No reportable income, assets, or transactions.)
A. B. C. D.Description of Assets Incom e during Gross value at end Transactions during reporting period(including trust assets) r e p o rt i n g p er i o d o f r e p or t i n g pe r i o d
(1) (2) (I) (2) (I) (2) (3) (4) (5 )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 . , Value Value T y p e ( e . g . , D a t e Value Gain I d e n t i t y o f
exem pt from prior disclosure i Code I d i v . , r e n t , Code 2 M e t ho d buy, sell, m m ! d d ? y y Code 2 C ode I buyer/seller(A-H) o r i n t . ) ( J - P ) Code 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 r a n s a c t i o n )
35 .
37 .38 .39 .40 .41 .42 .43 .
44 .45 .
46 .47 .48 .49 .50 .51 .
L a s V e g a s N V G O 5 % 4 / 1 / 1 5 B o n dL owel l MA GO 5% 1 2/1 5 /1 5 BondMethuen MA G O 5% 1 0 /15 /1 4 BondCmn S tk , Adob e Sy s t ems
A InterestB Interest
N o n eN o n e
K
K
K
B uy 05/25/10( a d d l )S o ld 07/08/I 0(part)S o ld 07/14/10( p a r t )S o ld 07/28/10( p a r t )S o ld 07/29/10(part)S o ld 08/16/10(par t )S o l d 08/19/10(part)S o ld 09/21/10(part)S o ld 09/22/10(part)S o ld 10/15/10(part)
T
So ldT Buy(addl)
Buy(addl)B uy
( ad d l )B uy( ad d l )
05/26/10
02/04/10
03/19/10
04/12/10
05/05/10
J
J
J
JJ
J
J
J
J
J
K
JJJJ
AA
A
I . Income Gain Codes: A $1,000 or less B = $ 1,001 . $ 2.500 C = $ 2.501 - $ 5 ,0~0 D-$5,001 - $15.000(See Columns B I and D4 ) F = $ 5 0 . 0 0 1 - $ 1 0 0 , 0 0 0 G =$ 100.001 - $ 1.0~0.000 I I I =$ 1.000,001 - $5.000.000 1 1 2 = M ore Ihan $5.0~0.000
2 . V a lue Codes J = $ 1 5 . 0 0 0 o r h . " s s K -$ 15 .001 - $ 50.0~0 L = $ 50.001 - $ 100.000 M =$ 100.001 - $250.000( Se e C olum ns C I a nd D 3) N $2 50 .0 (} 1-$ 50 0.0 00 O =$ 500.001-$ 1,000.00(I P I = $1.000.001 - $ 5.0 0 0 . 0 0 ~ P2 = $5.0~).0~ I "$25.000-000
P3 =$25.0~3.001 - $50.0~0.000 P4 =More than $50.009,0003. V a lue Method Codes Q -Appraisal R C o s t (Re a l Es ta te On ly ) S ~Assessmcm T =Cash Market(See Column C2I U = B ook V alue V O l h cr W -Estimatod
E =$15,0~1 - $50.000
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N a m e o f P e r s o n R e p o r t i n gStahl, Norman H .
D a t e o f R e p o r t05/15/201 I
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 e o , . e , , a t . e , ~ a , ~ a c t i o , ~ (Includes those of spouse a n d d e p e n d e n t c h i l d r e n ; s e e ptx 3 4 - 6 0 o f f i li n g i n s t r u c t i o n s . )N O N E (No reportable income, assets, or transactions.)
D e s crip t io n o f As se ts I n co m e d ur in g( inc lud ing t rus t a s se t~) r epor t i ng per i od
, (t) (2)P l a c e " ( X ) " a f t e r e a c h a s s e t i Amou nt Type (e .g . ,
e x e m p t f r o m p r i o r d i s c l o s ur e i Code I di v . . r en t ,i (A-H) or i n t . )
Gr oss v al u e a t endo f r e p o r t i n g p e r i o d(1) (2 )
V a l u e V a l u eC o d e 2 M e t ho d
( J-P ) C o d e 3( Q - W )
(i )T y p e (e.g . ,buy, sell,
r e d e m p t i o n )
Tr ansact i ons du r i ng r epor t i ng per i od
(2) (3) (4) (5 )D a t e V a l u e Gai n Iden t i ty o f
m n dd d,~y C od e 2 C o d e I b u y er / se l l er( J-P ) ( A-H) ( i f p r iva te
t r ansact i on)
52 .53 .54 .
55 .56 .57 .58 .
C m n S t k , C e lg e n e None
Buy 06/28/101 J(addl)Buy 10II3/10 J(ad d l )So ld 03/03/10 J A( p a r t )Sold 05/11/10 J B(part)So ld 05 /12/10 J A(par l )So ld 05/14/10 J A(part)So ld 05/19/10 J B
59 .60 .
61 .62 .63 .64 .65 .66 .67 .
68 .
Cmn Stk, G oogle None K
Restricted Cash Acet , DSM Capita l PartnersL L C - IRACmn Stk, Adobe Systems - IRA
A I n t e r e s t ONone M
T Buy(ad d l )Buy(ad d l )
03/26/1004/30/10
T Buy 01/27/10(addl)Buy 02/04/I 0(addl)Buy 03/19/10(addl)Buy 04/06/10(addl)Buy 04/12/10(addl)Buy 04/30/10
(ad d l )Buy 05/04/10(addl)
JJ
JJ
JJ
J
J
J
I. Income Gain Codes :(Se e C o lu m n s BI a n d D4 )
2. V alue Codes|See Coh lmr Ls CI and D 3)
3. V alue Method Codes(See Column C2)
=$1,000 or less=$50.001 - $10~.000= $ 1 5 . 0 0 0 o ~ I , " ~ s- $ 2 5 0 . 0 0 1 - $ 5 0 Q . 0 O O
P3 =$25.000.001 - $ 50.000.0~0Q =Appraisal
-Book Va lue
B =$1,001 - $2.500G = $ I 0 0 . 0 0 1 - $1.000,000K =$15.001 -O= $ 5 0 0 . 0 0 1 - $ I .00~.000R = Cos t (Real Est a t e O n l y )V = O lhcr
C = $ 2 . 5 0 1 - $ 5 , 0 0 0I I I =$ 1 .0~0,001 - $5 .000 .000L =$ 5 0 .0 0 1 - $ 1 0 0 .0 0 0P I =$ 1 .0 0 0 .0 0 1 - $ 5 .0 0 0 ,0 0 0P 4 =M o r e th an $ 5 0 .0 0 0 .0 0 0S = Asscssmen!WEstimated
D = $ 5 . 0 01 - $15 .0~01 1 2 = M o r e t ha n $ 5 . 0 Q ~ . 0 0~M =$ 100 ,001 - $250,000P 2 = $ 5 .1 ) 0 0 ,0 0 1 - $ 2 5 ,0 0 0 .0 0 0T ~~h Markc~
E =$ 1 5 ,0 0 1 - $ 5 0 .0 0 0
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N a m e o f P e r s o n R e p o r t i n gStahl, Norman H .
D a t e o f R e p o r t05 /15 /201 I
V I I . I N V E S T M E N T S a n d T R U S T S - i .c o , ~ e , , a t u e , , r a , ~ a a i o , ~ ( t n c t a d e ~ t h o s e of spoase and dependent chitdren: see pp. 34-60 of filing instructions.)N O N E (No reportable income, assets, or transactions.)
Descr i p t i on of Asset s Tr ansact i ons du r i ng r epor t i ng per i od( inc lud ing t rus t a s se t . s )
P l a c e " ( X ) " a f t e r e a c h a s s e texempt from prior disclosure
I n co me d ur in g G ro s s va lue a t e n dre po rt in g p erio d o f re po rt in g p er io dO) (2) (i) (2) (i ) (2) (3) (4) (5 )
A m o u n t Typ ~ (e .g . , V a lue V a lue Type (e.g., D a t e V a l u e Gai n Iden t i ty o fC o d e I di v . , r en t , C o d e 2 M e th o d b uy , se ll , mm/ddhyy C o d e 2 C o d e I b u y er / se l l er( A-H) or i n t . ) ( J-P ) C o d e 3 r e d e m ptio n ) ( J-P ) ( A-H) ( i f p r iva te( Q - W ) t r ansact i on)
69 .70 .
71 .72 .73 .74 .75 .76 .77 .
78 .79 .80 .81 .82.83.84 .85 .
Cmn Stk , Celgene - IRA None
C m n S t k , G o o g l e - I R A N o n e
Buy 05/05/10 J(addl)Buy 06/28/10 J(addl)Buy 08/24/10 J
(ad d l )Sold 09/09/10 J(part)Buy 10/08/10 J(ad d l )Buy 10/12/10 J(ad d l )Buy 11/29/10 J(addl)Buy 12/16/10 J(ad d l )Buy 12/28/10 J(addl)So ld 02/18/10 J(part)Sold 03/03/10 J(part)Sold 03/17110 J(part)Sold 05/I I110 J(part)Sold 05112/10 J(part)Sold 0 5 1 1 4 1 1 0 K
T Buy 03/26110 J(ad d l )
Buy 04/27110 J(ad d l )
BBCCCD
I . Income Gain Codes: A = $1.000 or less B = $ 1,001 - $ 2.500 C = $ 2,501 - $ 5 ,000 D = $ 5.001 - $ 15 ,000(See C olum ns B I and D 4 ) F =$ 50.001 - $ 100.000 G =$ 100.001 - $ 1.000.000 I t I =$ 1.000,001 - $5.000.000 11 2 = M o r e t h a r t $ 5 . 0 0 0 . 0 0 0
2 . V a l u e C o d , , . . s J =$15.000 or less K =$15.001 - $50.000 L =$50.001 - $ 100.000 M =$ 100.001 - $ 250.000{Se e C o lu m n s C I a n d D3 ) N :$ 250.001 - $ 500,000 O = $500.001 - $1.000.000 P I = $ 1.000.001 - $ 5 .000,000 P2 =$5 .0(~.001 - $25,000.000
P3 =$25.000.001 - $ 50.000.000 P4 =More than $50.000.0003. V a lue Method Codes Q = Appraisal R = C os t ( R ea l E s t a t e O n ly) S =Asscssmenl T =Cash MarketISce Column C2) U = B ook V alue V =Oth e r W = E s t imated
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 i n gStahl, Norman H .
Date of R e p o r t05/15/201 I
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; seeptx 34-60 of filing instructions.)N O N E (No reportable income, assets, or transactions.)
Descr i p t i on of Asset s I n c o m e d u r i n g( 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, (i) (2)
Place "(X)" after each asset A m o u n t T y p e ( e . g . ,e x e m p t f r o m p r i o r d i s c l o s ur e C o d e di v . , r en t ,
(A-H) or i n t . )
Gr oss v al u e a t endo f r e p o r t i n g p e r i o d(]) (2 )
V a lue V a lueC o d e 2 M e t h o d
( J-P ) C o d e 3( Q - W )
(i )T y p e ( e .g . ,b u y , s e l l,r e d e m p t i o n )
Tr ansact i ons du r i ng r epor t i ng per i od
(2) (3) (4) (5 )D a t e Value Gain I d e n t i t y o f
m m/ dd hjy C od e 2 C ode I buye r/se ller( J - P ) (A-It) ( i f p r i v a t e
t r a n s a c t i o n )
86 .87 .88 .89 .90 .
91 .92 .
93 .94 .
Restricted Cash Acct , DSM Capita l Partners I A Div id en d NL L CMassachuset ts St Sch Bldg Auth Bond, 5%, A Interest K10/15/14Je f fe r son Cnty AI L td O b l ig Bond , 5 . 25%, A Interest J1/1/16Schwab C ash Reserve A Div id en d O
TTTT
Buy 0 4 1 3 0 1 1 0(addl)Buy 05/04/10(addl)Buy 05/14/10(addl)So ld 10/28/10(part)Buy I I/29/10(addl)
JJ
JJJ
95 . Cm n Stk , Abbo t Labs - IRA A Div id en d So ld 01/22/10 K(part)96 . Sold 01/25/10 K
CC
97 .98 .99 .1 0 0 .1 0 1 .
1 0 2 .
Cm n Stk , Co ca-Co la Co - IRA C Dividend Buy 02/17/10 K(ad d l )Buy 03/02/10 J(addl)Buy 03/03/10 J(addl)Buy 04/30/10 J(addl)So ld 08/24/10 J(part)Sold 08/27/10 J(par l )
I. Income Gain Codes :(Se e C o lu m n s BI a n d D4 )
2.V alue CodesISc e C o lum n s C I a n d D3 )
3. V alue Method Codes(~ c Column C2)
A =$1.000 or lessF =$50.0OI - $100,000N = $ 2 5 0 , 0 0 1 - $ 5 0 0 , 0 O OP 3 =$25.0~O.001 - $50,000.090Q=AppraisalU =Bo o k V a lue
B =$1,001 - $2.500G=$ 100.001 - $1.000.000K =$15.001 - $50.000O=$50~.001 - $1,000,000R = C os t ( R ea l E s t a t e O n ly)V =O ~hcr
C =$2.501 - $5,000II I =$1.0~0.001 - S5.0~0.000L =$5 0.001 - $100.000PI =$1,000,001 - $ 5.000.0~0P4 =More than $ 50.000.000S =AssessmentW = E s t imated
D =$5,001 - $ 1 5 . 0 0 0112 =Morc than $5,000.000M =$100.001 - $250.000P2 =$5.0~0.001 - $ 2 5 . 0 0 0 . 0 ~ OT =Cash Market
E =$15.001 - $ 5 0 . 0 0 0
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N a m e o f P e r s on R e p o r t in gStahl, Norman H .
D a t e o f R e p o r t05/15/201 I
V I I . I N V E S T M E N T S a n d T R U S T S - i nc ome , vatue, transactions (Includes those of spouse and dependent chi ldren; see pp. 34 -60 of fi l ing instruction~)N O N E (No reportable income, assets, or transactions.)
A. B. C. D.Description of Assets Incom e during Gross value at end Transactions during reporting period(including trust assets) r e p o rt i n g p e ri o d o f r e p o rt i n g p er i o d
(I ) (2 ) (I) (2) (I ) (2) (3) (4) (5 )P l a c e " ( X ) " a f t e r e a c h a s s e t I A m o u n t T y p e ( e . g . , V alue V alue T y p e ( e . g ., D a t e Value Gain I d e n t i ty o f
exempt from prior disclosure C ode I d i v . , r e n t , Code 2 M e t ho d buy, sell, m m /d d ~ y C ode 2 Code I buyer!seller(A-H) o r i n t . ) ( J - P ) C ode 3 ~:lem ption ) ( J - P ) (A-It) ( i f p r i v a t e[ (Q-W) t r a n s a c t i o n )
1 0 3 . B u y 10/14/10(addl)1 0 4 . S o l d 11/16/10( p a r t )1 0 5 . S o l d 12/14/10
( p a r t )1 0 6 . S o l d 12/16/10( p a r t )1 0 7 . S o l d 12/30/I 0( p a r t )108. Cmn Stk, Diageo PLC - IRA B Dividend L T B uy 02/10/10(addl)1 0 9 . B uy 05/10/10(addl)1 1 0 . B u y 05/19/10(addl)1 1 1 . S o l d 06/30/10( p a r t )1 1 2 . S o l d 07/22/10( p a r t )1 1 3 . S o l d 08/20/10(paa)1 1 4 . S o l d 08/23/10( p a r t )1 1 5 . B u y 12/06/10(addl)116. B uy 12/17/10(addl)1 1 7 . B u y 12/20/10(addl)118. Cmn Stk, K ellogg Co - IRA C Dividend L T S o l d 06/08/10
(part)1 1 9 . B uy 07/27/10(addl)
JJ
JJ
J
J
J
J
J
JJ
J
J
J
J
JJ
B
AAA
I . Income Gain Codes: A =$1.000 or less B =$ 1,001 - $2.500 C = $ 2 , 5 0 1 - $ 5 .1 3 0 0 D -$5.001 - $15,000(See Co lumns BI and lM) F=$50,001 -$100,000 G=$100.001-$1.000,000 III =$ 1.000,001 -$5.000.000 112 Morc than $ 5.000.000
2. Value Codes J = $ 1 . 5 . 0 0 0 o t l e s s K = $ 1 5 . 0 0 1 - $ 5 ;0 . 0 0 0 L =$50.001 - $100.0,00 M = $ 1 0 0 . 0 0 1 - $ 2 5 0 . t g 3 0ISe e C o lu m n s C I a n d D3 ) N = $25 0.001 - $5 00.000 O = $5 00.001 . $ 1.000.000 P I $1 .0 00 .1 30 1 - $ 5 .0 00 .0 00 P 2 = $ 5. 0( 10 .0 01 - $ 25 .0 00 .0 00
P3 =$25,000.001 - $50.000.000 P4 =More than $50.000.0003. Value Method Codes Q =Appraisal R =Cost (Real Es tate Only) S = A s s ~ s s r o c r t t T =Cash Markc~(See Column C2) U =Book Value V = O l h ~ " r W -Esllmalcd
E =$ 1 5 .0 ~ 1 - $ 5 0 .0 0 0
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N a m e o f P e r s o n R e p o r t i n gStahl, Norman H .
D a t e o f R e p o r t05/15/201 I
V II. INV ESTM ENTS and TRUSTS - i ....... ,alue, transactions (Includes those of sp ......d dependent ch ildren; see pp . 3 4-60 of f i l ing ins truc t ions .)N O N E (No reportable income, assets, or transactions.)
Descr i p t i on of Asset s( i ncl udi ng t r u st asse t s)
P l a c e " ( X ) " a f t e r e a c h a s s e texem pt from prior disclosure
Income d urin g G r o ss va lue a t e n dr epor t i ng per i od o f r e p o r t i n g p e r i o d
(1) (2) (1) (2)! Amou nt Type (e .g . , V a l u e V a l u eC o d e I di v . , r en t , C o d e 2 M e t h o di (A-H) o r in t .) ( J-P ) C o d e 3( Q - W )
Tr ansact i ons du r i ng r epor t i ng per i od
O) (2) (3) (4)Type (e.g., D a t e V a l u e Gai nbuy, sel l , mm/dd~y C o d e 2 C o d e I
r e d e m p tio n ) (J-P ) ( A-H)
(5 )Iden t i ty o f
b u y er / se l l er( i f p r iva te
t r ansact i on)
1 2 0 .
1 2 1 .
1 2 2 .
1 2 3 . C mn S t k , M c D o n a l d s - I R A1 2 4 .
1 2 5 .
1 2 6 .
1 2 7 .
1 2 8 .
1 2 9 .130.
1 3 1 .
132. Cmn Stk , Netf l ix.com - IRA
1 3 3 .
1 3 4 .
1 3 5 .
1 3 6 .
D i vi d en d
None
S o ld 08/17/10 J( p an )S o ld 10/01/10 J( p a a )S o ld 10/28/10 J( p a d )
T S o ld 02/01/10 J A( p a d )S o ld 02/03/10 J A( p a d )S o ld 06/03/10 J A( p a d )S o ld 06/08/I 0 J A(pad)Sold 06/09/10 J A( p a d )S o ld 06/15/10 J A( p a n )Sold 06/21/10 J A(paN)Sold 07/07/10 J A( p an )Sold 08/25110 J A( p a d )Sold 02/18110 J C( p a d )Sold 03104110 J D( p an )S o ld 03109/10 J B(paN)Sold 03125/10 J D( p an )S o ld 03/29/10 J D( p a d )
I. Income Gain Codes :(Se e C o lu m n s BI a n d D4 )
2. V alue Codes(Se e C o lu m n s C I a n d D3 )
3. Value bdclhod Codes(See Column C2)
A =$1.000 or lessF mS50.001 - $100.000J =S 15.000 or lessN =$250.001 - $500.000P3 =$25.000.0OI - $50.000.090Q =AppraisalU = B ook V alue
B =$ 1 .0 0 1 - $ 2 .5 0 0G =$ 100.001 - $1.000.000K =$ 1 5 .0 0 1 - $ 5 0 .0 0 0O $50~.0OI-$1.000.00~R -~ S o s ! ( R e a l E s t a t e O n l y )V = 0 1 hcr
C =$2.501 - $5,000I I I = $ 1 . 0 0 0 , 0 0 1 - $ 5 , 0 0 0 . 0 0 0L =$5 0.001 - $109.000PI = $1.000.00l - $5 .000.000P4 =M arc than $50.000.(X)0
S = A s s c s s n k n !W - Es t im a te d
D = $ 5 , 0 9 1 - $ I 5 , 0 ( 1 01 1 2 = M a r c t h a nM = $ I 0 0 . 0 0 1 - $ 2 5 0 . 0 ( } 0P2 =$5 .00) .001 - $25,000.O00T -~azh Markc~
E =$ 1 5 ,0 0 1 - $ 5 0 .0 0 0
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N a m e o f P e r s o n R e p o r t i n gStahl, Norman H .
Date of Report05/15/2011
V II. INVESTM ENTS and TRUSTS - i .co~,e ,N O N E (No reportable income, assets, or transactions.)
Description of Asset s I n c o m e d u r i n g( inc lud ing t rus t a s se t , s ) r epor t i ng per i od
i O) (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 Type (e .g . ,
e x e m p t f r o m p r i o r d i s c l o s ur e ~ Code 1 di v . , r en t ,: ! (A-I I ) or i n t . )
Gr oss v al u e a t endo f r e p o r t i n g p e r i o d
(I) (2)V a l u e V a l u e
C o d e 2 M e th o d( J-P ) C o d e 3( Q - W )
Tr ansact i ons du r i ng r epor t i ng per i od
(I) (2) (3) (4) (5 )T y p e ( e . g . , D a t e Value Gain I d e n t i t y o fbuy, se ll, m m /dd/yy C ode 2 C ode I buyer/seller
r e d e m p t i o n ) ( J - P ) (A-H) ( i f p r i v a t et r a n s a c t i o n )
1 3 7 .
1 3 8 .
1 3 9 .
1 4 0 .
1 4 1 .
Sold 03/30/10 J A(pan)S o l d 04/05/10 J C(pa~)Sold 04/14/10 J C(pan)S o l d 04/26/10 J C(paa)Sold 05/24/10 K D
142 . Cmn Stk , Nes t l e SA - IRA1 4 3 . Cmn Stk, Scripps Networks In teractive-IR A1 4 4 .1 4 5 .
1 4 6 .1 4 7 .1 4 8 .
1 4 9 .
1 5 0 .1 5 1 .152.
15 3. Cmn Stk , Char les Schwab Co rp - IRA
B Dividend
A Dividend
A Dividend
LL
TT So ld 01/07 /10(part)
So ld 01/11/10(part)So ld 01/20/10(part)Buy 02/17/10(ad d l )So ld 06/15 /10(part)Buy 08/24/10(ad d l )Buy 08/27/10(ad d l )So ld 11/02/10(part)S o l d 1 1/04/10( p a r t )S o l d 1 1/17/10
( p a r t )S o l d 04/07/10(part)
JJJ
JJJJJJ
JJ
B
B
B
cCcB
I . Income Gain Codes: A =$1.000 or less B =$1,001 - $2,500 C =$2,501 - $5 ,0~) D =$ 5,001 - $15.000(Se e C o lu m n s BI a n d D4 ) F =$50,001 - $ 10~.000 G =$100,001 - $1.000.000 Ill =$1.000,001 - $5 .000.000 112 =More than $5.000.000
2 . V a lue Codes J = $ 15 .000 o r le ss K = $15.001 - $ 50.00~ L =$ 50.0O I - $ 10~.00~ M =$10~.001 - $ 250.000ISe e C o lu m n s C I a n d D3 ) N $250 .001-$500.000 O =$500.001 . $1,000.000 p I = $ 1, 00 0. 00 1 - $ 5 .0 00 .0 00 p 2 = $ 5 .0 0) .0 01 - $ 2 5, 00 0. 00 0
P3 =$25.000.001 - $50,090.00) P4 =More than $50.000.0003. V alue M ethod C odes Q = Appraisal R =C ost (Real [ . .s tale Only) S = A s s ~ s s n~ - ~ l T =Cash Markcl
(See Cohlmn C2) U = B ook V alue V = O ther W = E s t imated
E =$15.0~1 - $50,000
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N a m e o f P e r s o n R e p o r t i n gStahl, Norman H .
D a t e o f R e p o r t0 5 / 1 5 / 2 0 1 1
V I I . I N V E S T M E N T S a n d T R U S T S - i . c o m e , v a l u e , transactions (Includes those of spouse and dependent chi ldren; seepp. 34-60 of fi l ing instructions.)N O N E (No reportable income, assets, or transactions.)
A. B. C. D.Description of Assets Income during Gross value at end Transactions during reporting period(including trust assets) reporting period o f r e p o r t i n g p e r i o d
[ (I) (2) (I) (2) (I) (2) (3) (4) (5 )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 alue T y p e ( e . g . , D a t e Value Gain I d e n t i t y o f
exem pt from prior disclosure ] Code I d i v . , r e n t , Code 2 M e t ho d buy, sell, m m ! d d ! y y Code 2 C ode I buyer/seller(A-H) o r i n t . ) ( J - P ) Code 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 r a n s a c t i o n )
1 5 4 .1 5 5 .
1 5 6 .1 5 7 .1 5 8 .1 5 9 .1 6 0 .
1 6 1 .1 6 2 .
B uy 06/04/10 J( a d d l )
B uy 0 6 1 1 4 1 1 0 J( a d d l )
B uy 06/22110 J( a d d l )B uy 08/09/I 0 J( a d d l )B uy 08/23/10 J( a d d i )B uy 08/30/10 J
( a d d l )S o ld 09/21/10 K(part)S o ld 09/23/10 J(part)Sold 10/05/10 K
1 6 3 .1 6 4 .
1 6 5 .
1 6 6 .
1 6 7 .1 6 8 .
1 6 9 .
1 7 0 .
Cmn Stk, Time W arner - IRA C D i vi d en d M T B uy 01/11/10( a d d l )B uy 01/27/10( a d d l )B uy 01/28/10
( a d d l )B uy 02/09/10
( a d d l )S o ld 03/05/10(part)S o ld 04/08/10(part)S o ld 04/09/I 0(part)S o ld 04/20/I 0(part)
JJ
J
J
J
J
J
J
CcB
B
I. Income Gain Codes :(Scc Columns BI and D4)
2. V alue Codes(Se e C o lu m n s C I a n d D3 )
3. V alue Method Codes(Scc Cohmm C21
A =$1.000 or lessF =$50.001 - $100,000J =$15.0~0 or lessN =$250.001 - $500.0~0P 3 = $ 2 5 , 0 0 0 . 0 0 1 - $50,0~0,000Q = AppraisalU - Bo o k Va lu e
B =$1.001 - $2.500G =$100.001 - $1.000.000K =$15.0OI - $50.000O -$500.001 - $1.000.000R =:Cost (Real E s tate Only)V = O ther
C = $ 2 . 5 0 1 -11 1 =$1,000,001 - $5.0~O.000L =$50.1)O1 - $100.0OOP I =$ 1 .0 0 0 .CO I - $ 5 .0 0 0 ,0 0 0P 4 =M o r e th an $ 5 0 .0 0 0 .0 0 0S =Asscssmcxl!W - E s t i m a t e d
D =$5,001 - $15,000112 =More than $5.000,000M =$100.001 - $250.000P2 =$5.000.001 - $25.000.000T = C~h Mark 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 i n gStahl, Norman H .
Date of R e p o r t05 /15 /201 I
V II. INVESTM ENTS and TRUSTS -inco ..... I . e , t ransact ion~ ( lnclude~ those of spouse an d depend ent chi ldren; see pp. 34-60 of f i l ing inst ruct ions .)N O N E (No reportable income, assets, or transactions.)
A. B. C. D.Descr i p t i on of Asset s I n c o m e d u r i n g Gr oss v al u e a t end Tr ansact i ons du r i ng r epor t i ng per i od( i ncl udi ng t r u st asse t s) r epor t i ng per i od o f r e p o r t i n g p e r i o d
i (I) (2) (I) (2) (I) (2) (3) (4) (5 )Place "(X)" after each asset ! Amou nt T y p e ( e . g . , V a l u e V a l u e Type (e.g., D a t e V a l u e Gai n Iden t i ty o fe x e m p t f r o m p r i o r d i s c l o s ur e ! C o d e 1 di v . , r en t , C o d e 2 M e th o d b uy , se ll . mm/dd~ C o d e 2 C o d e I b u y er / se l l er(A-H) or i n t . ) ( J-P ) C o d e 3 r e d e m p t i o n ) (J-P ) ( A-H) (ifprivate
! ( Q - W ) t r ansact i on)
1 7 1 . Sold 08/27/10 J A(part)1 7 2 . Buy 10/0g /10 J(ad d l )1 7 3 . Buy 10/12/10 J
(ad d l )1 7 4 . So ld 10/28/10 K D(part)1 7 5 . Buy 11/29/10 J(ad d l )176 . Cmn Stk , W al-M ar t Sto res - IRA A Div id en d Buy 04/14/10 J(ad d l )1 7 7 . So ld 04/29/10 K( p a r t )178. So ld 04/30/10 J(part)1 7 9 . So ld 05/04/10 J(part)1 8 0 . So ld 05/05/10 .I(part)181. So ld 05/18/10 .I(part)1 8 2 . So ld 06/04 /10 K(part)1 8 3 . So ld 06/07 /10 K A184 . M assachuse t t s S t Dev Fin Bo n d , 5 %, 9 /1 /19 A Interest K T185 . Cm n Stk , Abbo t Labs A D ividend So ld 01/22/10 J B(part)1 8 6 . So ld 01/25/10 J A187. Cm n S tk , N es t le SA A D ividend K T Sold 06/28/10 J(part)
I . Income Gain Codes: A = $1.000 or less B = $ 1,001 - $ 2,500 C = $ 2,501 - $ 5 ,000 D =$ 5.001 - $15.000(See Columns BI and 1)4) F =$ 50.001 - $100,00O G = $100.001 - $1.000.000 I I I = $1 .0 00 ,0 01 - $ 5 .0 00 .0 00 1 12 = Mo re th an $ 5. 0~ 0. 00 0
2. Value Codes J = $ 15 .000 o r le ss K = $15.001 - $ 50.000 L = $ 50,001 - $ 100.000 M =$100.001 - $250.000(SccColumnsCI and D 3) N = $25 0.0O I -$ 500.000 O = $5 00.001 o $1.000.000 PI =$1.000,001 -$5.000.000 P2 $5.000.001 -$25.000.000
P3 = $ 2 5 , 0 0 0 . ~ 3 1 - $50.00~.000 P4 : M o r e Ihzn $ 5 0 . 0 0 0 . 0 0 03. V a lue Method Codes Q = Appraisal R = C os t ( R ea l E s t a t e O n ly) S :Assessment T -C~h Ma rkc ~(Se e C o lu n m C 2 ) U = B ook V alue V = O lher W :Eslimatcd
E =$ 1 5 .0 0 1 - $ 5 0 .0 0 0
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N a m e o f P e r s o n R e p o r t i n gStahl, Norman H .
Date of R e p o r t05/15/2011
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; seepp 34-60 of filing instructiong)N O N E (No reportable income, assets, or transactions.)
A. B. C. D.Description of Assets Income during Gross value at end Transactions during repo rting period(including trust assets) relmrting period o f r e p o r t i n g p e r i o dI ( 1 ) ( 2 ) (I) (2) (I ) (2) (3) (4) (5 )
P l a c e " ( X ) " a f t e r e a c h a s s e t Amount T y p e ( e . g . , Value Value T y p e ( e . g . , D a t e Value Gain I d e n t i t y o fexempt from prior disclosure C ode I d i v . , r e n t , Code 2 M e t h od buy, sell, m m / d d ~ y y Code 2 C ode I buyer/se ller] (A-H) o r i n t . ) ( J - P ) Code 3 r e d e m p t i o n ) ( J - P ) (A-II) ( i f p r i v a t e] ( Q - W ) tran~ction)
1 8 8 . C m n S t k , Q u a lc o m m N o n e So ld 02/04 /10(part)1 8 9 . So ld 02/I 1/10(part)1 9 0 . So ld 02/12/10
J
191. Cm n Stk , Hasbro In c - IRA B D ividend L T So ld 01/15 /10(part)1 9 2 . So ld 03/04 /10(part)1 9 3 . So ld 03/05/10(part)1 9 4 . Sold 03/29/10(part)1 9 5 . So ld 03/30/10(part)1 9 6 . So ld 04/19/10(part)1 9 7 . Sold 05/18/10
(part)1 9 8 . Sold 05/26/10
(part)1 9 9 . Sold 05/27/10(part)200. So ld 06/16 /10(part)201. Sold 06/24/10( p a r t )202. So ld 06/25/10( p a r t )203. So ld 06/30/10
( p a r t )204. So ld 08/18/I0( p a r t )
JJJ
JJJ
JJJ
JJJJJ
ACB
CB
C
BB
B
CCB
CB
I . Income Gain Codes: A =$1,000 or less [:1 =$1,001 - $ 2 , 5 0 0 C = $2.501 - $ 5 ,000 D = $ 5.001 - $ 15 ,000(Se e C o lu m n s BI a n d D4 ) F =$50,001 - $ 100,000 G =$100.001 - $1,000.0~0 III =$ 1,000,001 - $ 5 .000.000 112 =More than $5,000.000
2. Value Codes J = $ 15 .000 o r le ss K = $15.001 - $ 50.000 L =$50.001 o $100.000 M =$100.001 - $250.000(Se e C o lu m r~ C I a n d D3 ) N = $250.001 - $ 500.000 O =$5 00,001 - $1,000,000 P I = $ 1. 00 0. 00 1 - $5 .0 00 .0 00 P 2 = $ 5. 00 0, ~O I - $ 25 .0 00 .0 00
P3 =$25,000.001 - $ 50.000.000 P4 =More than $ 50.000.0003. Value Mc~hod Codes Q =App~isal R =~osl (Rea l [ :s tate Only) S =Ass,essmcn! T ~sh Markcl
(See C o hlm n C 2) U -B~o k V alue V = O ther W -E stim a ted
= $ 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 i n gStahl, Norman H .
D a t e o f R e p o r t05/15/201 I
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 filing instructionsONO NE (No reportable income, assets, or transactions.)
A. B. C. D.Descr i p t i on of Asset s I n c o m e d u r i n g Gr oss v al u e a t end Tr ansact i ons du r i ng r epor t i ng per i od(including trust assets) r epor t i ng per i od o f r e p o r t i n g p e r i o d
i (1) (21 (I) (2) (I) (2) (3) (4) (5 )Place "(X)" after each asset i Amou nt T y p e ( e . g . , V a l u e V a l u e Type (e.g., D a t e V a l u e Gai n Iden t i ty o fe x e m p t f r o m p r i o r d i s c l o s ur e ! Code I di v . , r en t , C o d e 2 M e tho d b uy, se l l, mm/dd? yy C o d e 2 C o d e I b u y er / se l l er[ (A-H) o r in t .) ( J-P ) C o d e 3 r e d e m p tio n ) (J-P ) (A-II) ( i f p r iva te[ ( Q -W ) tra n s a ctio n )
205.206.207. Cmn Stk, EBAY Inc - IRA208.209.210.211.212.213.
214.215.216.217.218.219.220.221.
None
S o l d 09/13/10 J B( p a r t )S o l d 11/02/10 J B( p a r t )
T B u y 01/27/10 J(addl)B uy 01/28 /10 J(addl)B uy 02/09/10 J(addl)B u y 02/15/10 J(addl)B uy 02/16/10 J(addl)
S o l d 03/17/10 J B( p a r t )S o l d 03/25/10 J A( p a r t )B uy 04/27/10 J(addl)B u y 05/07/10 J(addl)B uy 05/25/10 J(addl)
S o l d 07/08/10 J( p a r t )S o l d 07/14/10 J( p a r t )S o l d 07/22/10 J( p a r t )S o l d 07/27/10 J
( p a r t )S o l d 07/28/10 J( p a r t )
I . Income Gain Codes: A = $1,000 or less B = $ 1,001 - $ 2,500 C $2 ,501 - $5 .000 D $5 ,0 0 1 - $1 5 ,0 0 0(Se e C o lu m n s B I a n d 0 4 ) F =$ 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 th a n $ 5 , 0 0 0 , 0 0 0
2. Value Co&s l = S 15.000 o r less K = $15.001 - $50,000 L = $ 5 0 . 0 0 1 - S 1 0 0 . 0 0 0 M = S 1 0 0 . 0 0 1 - $ 2 5 0 . 0 0 0(Se e C o lu m n s C I a n d D3 ) N =$250,001 - $ 500.000 O =$5 00.001 - $1,000.(3~0 P I =$ 1, 00 0, 00 1 - $ 5 .0 (I O. 09 0 P 2 = $5 .0 00 ,0 01 - $2 5, 00 0, 00 0
P3 =$25,000,001 o $50,000,000 P 4 = ? - . l o r e t h a n $ 5 0 . 0 D 0 , 0 0 03. V a lue Method Codes Q = Appraisal R ~os t (R ea l Es ta te On ly) S =Asscssn~:nt T =Cash Market(S~:e Column C2) U = B ook V alue V =O ~hcr W E s t i m a t ed
E =$ 1 5 ,0 0 1 - $ 5 0 .0 0 0
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FINANCIAL DISCLOSURE REPORTPage 17 of 46 Ia m e o f P e r s o n R e p o r t i n gStahl, Norman H . D a t e o f R e p o r t0 5 / 1 5 / 2 0 1 1
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 e o . ,e , , , a l u e , , , a , ~ u e t i o n s a . c l a d e $ t h o s e o / , p o . , . a n d dependent children; s e e p p . 3 4 - 6 0 of f i l ing instruct ions.)N O N E (No reportable income, assets, or transactions.)
D e s crip t io n o f As se ts I n co m e d ur in g(including trust assets) r epor t i ng per i od
( 1 ) (2 )Place " (X)* a f t e r each a s se t i Amou nt T y p e (e.g.,
e x e m p t f r o m p r i o r d i s c l o s ur e i Code I di v . , r en t ,i (A-It) or i n t . )
Gr oss v al u e a t endo f r e p o r t i n g p e r i o d( 1 ) ( 2 )
V a lue V a lueC o d e 2 M e tho d
( J-P ) C o d e 3
Tr ansact i ons du r i ng r epor t i ng per i od
( 1 ) ( 2 ) ( 3 ) ( 4 ) (5)T y p e ( e .g . , D a t e Value Gain I d e n t i t y o f
buy, sell, m m / d d , 3 r y C ode 2 C ode I buyer!sellerr e d e m p t i o n ) ( J - P ) (A-H) ( i f p r i v a t et r a n s a c t i o n )
222.223.
224.225.226.227.228.229.230.231.232.233.
234.235 . Cm n S tk , Gi lead Sciences Inc - IRA236.237.
238.
No n e
So ld 07/29/10 J(part)So ld 08/04 /10 J(part)So ld 08/16 /10 J(part)S o ld 08/19 /10 J(part)Sold 08/20/10 J(part)So ld 09/21/10 J(part)So ld 09/22/10 J(part)So ld 10/12/10 J(part)So ld 10/14/10 J(part)Sold 10/15/10 J(part)So ld 10/28/10 J(part)So ld 11/02/10 J(part)Buy 12/29 /10 J(ad d l )Buy 03/22/10 J(ad d l )So ld 04/22/10 K(part)So ld 04/23/I 0 J(part)Sold 04/27/10 L
AAB
AA
AB
A
I. Income Gain Codes :(Se e C o lu m n s BI a n d D4 )
2. V alue Codes(See Columrts CI and D3)
3 . V alue Method Codes(See Column C2)
A -$1.000 or le ssF =$50.001 - $ 100.000J =$15.0(10 or lessN =$250.001 - $500.000P 3 = $ 2 5 . 0 0 0 . 0 0 1 - $50.000.000Q = AppraisalO = B ook V alue
B -$1.001 - $2.500G =$100.001 - $1.0~0.000K =$15.001 - $ 5 0 . 0 0 0O =$500.001 - $1R ~Cost {Real Es talc Only)V = O ther
C =$2.501 - $5.000I I I =$ 1.000,001 - $ 5 . 0 0 0 . 0 0 0L =$50.001 . $100.000PI =$1.000.001 - $5.000.000P4 =More than $50.000.000S = A s s c s s m c f l tW = E s t imated
D =$5.001 - $15.000112 =More than $5.000.000M =$1(30.001 - $250.000P2 =$5 .000.001 - $25,000.000T -C~sh Market
E =$ 1 5 ,0 0 1 - $ 5 0 .0 0 0
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FINANCIAL DISCLOSURE REPOR TPage 18 of 46
N a m e o f P e r s o n R e p o r t i n gStahl, Norman H .
D a t e o f R e p o r l05/15/201
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 o t u e , t r a n s a c t i o n s ~ lnc tude s thos e of s pous e a n d dependent ch ildren; s e e p p . 3 4 - 6 0 of filing instructions.)N O N E (No reportable income, assets, or transactions.)
Descr i p t i on of Asset s Tr ansact i ons du r i ng r epor t i ng per i od(including trust assets)
P l a c e " ( X ) " a f t e r e a c h a s s e texem pt from prior disclosure
Income d urin g G r o s s va lue a t e n dr epor t i ng per i od o f r e p o r t i n g p e r i o d
(I) (2) (1) (2) (I ) (2) (3) (4) (5 )A m o u n t Ty p e (e .g . , V a lue V a lue Type (e.g., D a t e V a l u e G ain Iden t i ty o fC o d e 1 d iv. , re n t , C o d e 2 M e th o d b uy , s e ll , m m / d d : 3 r y C o d e 2 C o d e I b u y er / se l l er
(A-H) or 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 iva te( Q - W ) t r ansact i on)
239. Cmn S tk , Qualcom m Inc - IRA A Div id en d Sold 02/04/10 K(part)240. So ld 02/10/10 J(part)241. Sold 02/11/10 J
(part)242. Sold 02/12/10 K243. Cmn S tk , Weight Watcher s - IRA A Div id en d Buy 01/26/10(addl)244. Sold 02/26/10(part)245. So ld 03/16 /10(part)246. So ld 03/18/10(part)247. So ld 03/19/10!(part)248. Sold 03/22/10
J
JJJK
J249. Cm n S tk , Uni lever - IRA C Div id en d M T Buy 01/12/10(ad d l )25 0. Buy 02/10/10(ad d l )251. Buy 04/20/10(addl)252. Buy 05/03/10(addl)253. Buy 05/10/10(addl)254. Buy 05/17/10
(ad d l )~255. Buy 05/19/10(ad d l )
J
J
J
J
J
J
J
I . Income Gain Codes: A $1.000 or less B -$1.001 - $2.500 C =$2.501 - $5,000 D =$5 .001 - $15.000(See Columns B1 and D4) f $5 0 . 0 0 1 -$1 0 0 . 00 0 G = $1 00 .00 1 . $ 1.0 00 .0 00 I I I = $1 .0 00 .00 1 - $ 5.0 00 .00 0 112 = Mo re tha n $ 5.00 0.000
2. Value Codes J = $ 1 5 . 0 ~ 0 o ~ h . ~ s K = $15 .001 - $ 50.000 L = $50.001 - $ 100.000 M =$100.001 - $250.000(Scc Cob,runs CI and D 3) N -$250.001 - $500.000 O =$500.001 - $1.000.000 PI -$1.000.001 - $5,000.000 P2 =$5 .000.001 - $25.000.000
P3 =$25.0~0.001 - $50.000~090 P4 =More than $50.000.0003. V a lue M lhod Codes Q -Appraisal R =Cosl (Rcal Es tate Only) S =Assessment T -~2ash Market{See Column C2) U = B ook V alue V = Olh cr W = E s l imatcd
E = $ 1 5 . 0 0 1 - $ 5 0 . 0 0 0
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FINANCIAL DISCLOSURE REPORTPage 19 of 46
N a m e o f P e r s o n R e p o r t i n gS t a h l , N o r m a n H .
Date of R e p o r t05/15/201 I
VI I. INVE STME NTS and TRUSTS - income, ralue, tr .... t ion~ (Includes those of sp ...... d dependen t ch ildren; s eepp . 34-60 o f f i l ing ins truc tlons~)N O N E (No reportable income, assets, or transactions.)
D e s crip t io n o f As se ts I n co m e d ur in g( 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
i (i) (2)P l a c e " ( X ) " a l ~ e r e a c h a s s e t ! A m o u n t T y p e ( e .g . ,e x e m p t f ro m p r i o r d i s c lo s u r e i C o d e 1 d i v . , r e n t ,
i (A-H) o r i n t . )
G r o s s v a l u e a t e n do f r e p o r t i n g p e r i o d(]) (2)
V a l u e V a l u eC o d e 2 M e t ho d
( J-P ) C o d e 3
Tr ansact i ons du r i ng r epor t i ng per i od
(I) (2) (3) (4)T y p e ( e . g ., D a t e Value G a i nb u y , s e l l, m m /d d: ~ y C o d e 2 C o d e I
r e d e m p t i o n ) (J-P ) ( A-H)
(5 )I d e n t i t y o f
buyer/seller( i f p r i v a t e
t r a n s a c t i o n )
25 6 .25 7 .
258.25 9 .260. Cm n S tk , Sherwin-Wil l iams C o . - IRA261.262.263.264.
265.
D ividend
So ld 07/22/10 J( p a a )Buy 10/22/10 J(ad d l )Buy 11/29/101 J
(ad d l )Buy 12/03/10 J(ad d l )Buy 03/19/10 J(ad d l )So ld 05/07/I 0 K(part)S o ld 06/01/10 J(part)So ld 06/08/I 0 J(part)So ld 06/23/10 J(part)So ld 06/24/I 0 K
B
B
B
C
C266 . Cm n Stk , Co s tco W ho lesa le Co rp - IRA A D ividend
: 267.:268 .269.270.271.
2 7 2 . C m n S t k , Gartn er In c - IRA N o n e
K Buy 0 4 1 1 3 1 1 0 J(ad d l )Buy 0 4 1 1 5 1 1 0 J(ad d l )Buy 04/20/10 J(ad d l )Buy 04/26/10 J(ad d l )So ld 11/17/10 K(part)Sold 12/09/10 J(part)So ld 102/17/I 0 J(part)
DCB
I . In co m e G a in C o d es : A = $ 1,0 0 0 o r le ss B $1,001 - $2.500 C = $ 2 ,5 0 1 - $ 5 ,0 0 0 D =$ 5 ,0 0 1 - $ 1 5 .0 0 0( S e e C o lum ns B I a n d D 4) F = $5 0 .0 0 1 - $ 1 0 0 ,0 0 0 G = $1 0 0 .0 0 1 - $ 1 .0 0 0 .0 0 0 I l l = $ 1 , 000 , 001 - $ 5 . 000 . 000 1 1 2 =M o r e th an $ 5 .0 0 0 .0 0 0
2 . V a l u e C o d a l ~$15,000 or l~s K = $ 1 5 . 1 ) 0 1 - $ 5 0 . 0 0 0 L =$ 5 0 .0 ~ 1 - $ 1 0 0 .0 0 ~ M = $ 10~ . 00l - $ 250 . 0~ 0I S e c C o l um l t s C I a n d D 3 1 N =$ 2 5 0.0 0 1 - $ 5 0 0 .0 0 ) O = $ 5 00 .0 0 1 - $ 1 .0 0O .0 ~) P I =$ 1 .0 0 0 .0 0 1 - $ 5 ,0 0 0 ,0 0 0 P 2 =$ 5 .0 ~ 0 ,0 0 1 - $ 2 5 ,0 0 0 .0 0 0
P 3 =$ 2 5 .0 0 0 .0 0 1 - $ 5 0 .0 90 .0 0 0 P 4 =M o r e th an $ 5 0 .0 0 0 .0 0 03 . V a l u e M e t h o d C o d e s Q = A p p r a i s a l R -~ ? o s t ( R ea l E s l a l e O n ly ) S = A s s cs s mc n l T =C~h Markel
I S c e Co lu mn C2 ) U - B o o k V a l ue V =Oih~n" W = E s t i m a t ed
E = $ 1 5 , 0 0 1 - $ 5 0 . 0 0 0
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N a m e o f P e r s o n R e p o r t i n gStahl, Norman H .
Date of Report05/15/2011
V I I . I N V E S T M E N T S a n d T R U S T S - i . .. . o , vatue, ~ra~uaio,~ a.ct~d~s those of spouse a.d de~,e.de., children; s e e p p . 3 4 - 6 0 of fillng instructiong)N O N E (No reportable income, assets, or transactions.)
Descr i p t i on of Asset s Tr ansact i ons du r i ng r epor t i ng per i od( i ncl udi ng t r u st asse t s)
P l a c e " ( X ) " a f t e r e a c h a s s e texempt from prior disclosure
I n c o m e d u r i n g Gr oss v al u e a t endr epor t i ng per i od o f r e p o r t i n g p e r i o d(I) (2) (I) (2) ( I ) (2) (3) (4) ( 5 )
A m o u n t T y p e ( e . g . , V a l u e V a l u e Type (e.g., D a t e V a l u e G ain Iden t i ty o fC o d e I di v . , r en t , C o d e 2 M e th o d buy, sel l , mm!dd.~ C o d e 2 C o d e I b u y er / se l l er(A-H) or i n t . ) ( J-P ) C o d e 3 r e d e m p t i o n ) (J-P ) (A-H ) (if p r iva te
( Q - W ) t r ansact i on)
273.274.
275.276.277.278.279.280.
S o ld 0 3 1 0 4 1 1 0 J A(part)S o ld I0/29/I0 J D(part)S o l d I 1/10/10 J C(part)S o l d I 1/30/I0 J C(part)S o l d 12/01/10 J B(part)S o ld 12/07/10 J C(part)S o ld 12/08/10 J B(part)S o l d 12/13/10 J C
281. Cmn S tk , M cCo rmick Co In c - IRA
282.283.
A Dividend Sold 04/12/10 J A( p a r t )S o l d 0 4 / 1 3 / 1 0 J B( p a r t )S o l d 0 4 / 1 5 / 1 0 K C
284. Cm n S tk , Alcon Inc - IRA285.286. Bi l ler ica Mass Bon d 2 .5%, 11/01/10287. Town ofBrain t ree M A 5%, 05 /15 /19288. Houston Tex ARPT Sys R ev 5%, 07/01/21289. Massachusetts St Wtr 5 % , 08/01/21
None
A I n t e r e s t
A I n t e r e s t KA I n t e r e s t KA I n t e r e s t K
So ld(part)So ldSo ld
TTT
01/05/10 J C01/06/10 K D06/24/I 0 K
I . Incom e Gain C o des: A -$ 1.000 or tess B = $ 1,001 - $ 2.500 C = $ 2,501 - $ 5 ,000 D =$5,001 - $15,000(Se e C o lu m n s BI a n d D4 ) F =$50.001 - $ 100.000 G =$100.001 . $1.000.000 III =$1,000.001 - $5.000.000 112 =More lhan $5.000.000
2. V a lue Code~ J = $15.000 o r le~s K = $15 .001 - $ 50.000 L =$50.001 - $ 100,000 M =$100.001 - $250.000(Se e C o lu m n s C I a n d D3 ) N = $250.001 - $ 500.000 O =$500.001 - $1.000.000 P I = $1,0(10.001 - $5 .000.000 P2 =$5.000,001 o $25.000.000
P3 = $25.000.0O I - $ 50.000.000 P 4 =M ore than $ 50.000.0(X)3. Value Mclhod Codes Q = Appraisal R = C os t ( R ea l E s t a t e O n ly) S =As.~ssmcn! T =Cash Market(Se e C o lm n n C 2 ) U = B ook V alue V =Olht"r W = E s l imated
E = $ 1 5 . 0 0 1 - $ 5 0 , 0 0 0
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N a m e o f P e r so n R e p o r t i n gStahl, Norman H .
Date of R e p o r t05/15/201 I
V II. INVESTM ENTS and TRUSTS -inc ...... l u e , t ransact ions (Includes those of spouse and dependent chi ldren; seepp. 34-60 of f i l ing inst ruct ions .)N O N E (No reportable income, assets, or transactions.)
Descr i p t i on of Asset s I n c o m e d u r in g(including trust assets) r epor t i ng per i od
I O) (2)Place "(X)" after each asset i A m o u n t T y p e ( e . g . ,
e x e m p t f r o m p r i o r d i s cl o s u r e ! Code I di v . , r en t ,i (A-H) or in t .}
Gr oss v al u e a t endo f r e p o r t i n g p e r i o d(I) (2)
V a l u e V a l u eC o d e 2 M e t h o d
( J-P ) C o d e 3( Q - W )
Tr ansact i ons du r i ng r epor t i ng per i od
(I) (2) (3) (4) (5 )T y p e ( e . g . , D a t e Value Gain I d e n t i D o f
buy, sell, m m / d d / ~ Code 2 C ode I buyer/selle rr 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 )
290. Cmn Stk, Alcon Inc None So ld(part) 01/05/10 J291. S o ld 01106/10 J
B
2 9 2 . C m n S t k , C o c a C o l a C o m p a n y293.294.29 5 .296.297 . Cmn S tk , Co s tco W ho lesa le Co rp2 9 8 . C m n S t k , D i a g e o P L C
299.300.
1301.302. Cmn S tk , Gar tner I nc303. Cmn S tk , Gi lead Sciences Inc304.305.306.
A D i vi d en d
A D i vi d en d
A D i vi d en d
NoneNone
K T Buy(ad d l )Buy(ad d l )Buy(ad d l )So ld(part)So ld(part)
J T So ld(part)K T Buy(addl)
So ld(part)So ld(part)Buy(ad d l )
K T
02/18/1003/03/100 4 1 3 0 1 1 008/2711012/14/1012/09/1005/19/10
07/22/1008/23/1012/17/10
JJJJJ
JJ
JJJ
Buy 03/22/10 J(addl)So ld : 04/22/10 J(part)So ld 04/23/10 J(part)So ld !04/27/10 K
AAB
AA
I . Income Gain Codes:(See Columns BI and
2. Value CodesI s e e C o lu m n s C I a n d D3 )
3. V alue Method Codes[See Column C2)
A =$1,0O0 or lessF=$50.0~1 - $100,000J =$15.0~0 or lessN =S250,001 - $500,000P 3 =$25.0~.001 - $ 50,0(10.000Q = A p p r a i s alU =Book Value
B=$1,001 - $2.500G =$100.001 - $1,0~0.000K =$15,001 - $50.0~O =$500.0~1 - $1.00~.000R =Cost {Real Es tate Only)V =O~ h e r
=$2.501 - $5,000I =$ 1.000,001 - $5.0~0.0~0:$S0.001 - $100,000
P4 =More than $5 0.000.000=Assessment
W = E s t imated
D =$5.001 - $ 1 5 . 0 0 0112 =More than $5.000.00~M =$100,001 -P2 =$5,000,001 - $ 2 5 . 0 ~ O . 0 O OT =Cash Market
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 i n gStahl, Norman H .
D a t e o f R e p o r t05/15/201 I
V I I . IN V E S T M E N T S a n d T R U S T S - in c o ,, e. ~ o lu e , t r a n s a c t i o ,~ a n c t u d , ~ t h o s e of spouseand dependent children; see pp. 34-60 of f i l ing inst ruct ions .)N O N E (No reportable income, assets, or transactions.)
D e s crip t io n o f As se ts I n co m e d ur in g( i ncl udi ng t r u st asse t s) r epor t i ng per i od
~ O) (2)Place "(X)" after each asset l Amou nt T y p e ( e . g . ,
e x e m p t f r o m p r i o r d i s c l o s ur e [ Code I di v . , r en t ,I I (A-H) or i n t . )
Gr oss v al u e a t endof r epor t i ng per i od
(1) (2)Value Value
C o d e 2 M e tho d( J-P ) C o d e 3
( Q - W )
Tr ansact i ons du r i ng r epor t i ng per i od
(I) (2) (3) (4)Type (e.g., D a t e V a l u e G ainbuy, sel l , m m / d d h i y C o d e 2 C o d e I
r e d e m p t i o n ) (J-P ) (A-H )
(5 )Iden t i ty o f
b u y er / se l l er( i f p r iva te
t r ansact i on)
3 0 7 . C m n S t k , H a s b ro I n c A D ividend308.309.
310.311.
312.313.314. Cmn S tk , McCorm ick & Co lnc A Div id en d315.
T S o l d 03/04/10 J A( p a r t )S o l d 03/29/10 J B( p a r t )S o l d 06/21/10 J B
( p a r t )S o l d 06/24/10 J B( p a r t )S o l d 06/25 /10 J A( p a r t )S o l d 06/30/10 J A( p a r t )
S o l d 11/03/10 J B( p a r t )So ld 04/13/10 J A(parl )Sold 04/15 /10 J B
3 1 6 . C m n S t k , M c D o n a l d s C o r p317.
318.319.320. Cmn S tk , N et f l ix lnc321.
322.323.
B Dividend T S o l d 02/01/10 J A( p a r t )Sold 06/08/10 J A(pa~)S o l d 06/15/10 J A( p a r t )S o l d 07/07/10 J A( p a r t )Sold 02/18/10 J B( p a r t )S o l d 03/09/10 J B( p a r t )Sold 03/30/10 J C
( p a r t )S o l d 05/11110 J B( p a r t )
I. Income Gain Codes :( S e e C o l um m B I a n d D 4 )
2. V alue Codes(Se e C o lu m n s C I a n d D3 )
3. V alue Method CodeslSe e C o lu m n C 2 )
=$1 .0 0 0 o r le s s=$50.001- $100.000=$15.000orle~s=$250.001- $500.000
P3 =$25.000.001- $50.0110.000Q=Appraisal
Book Value
B $1,001 - $2,500G =$100,001 - $1,000.000K =$15.001 - $50.000O =$50~.001 - $1.000.000R ~osl (Real Estate O n l y )V = O ~ h c r
C $2 .501- $5 .000III =$1.0~.001- $5.0~).000L -$50.001 -PI -$1.000.001 - $5.000.000P 4 =More than $50.000.090
D =$5.001 - SI5,000112 =More than $5.000,~00P2 -$5.0~O.001 - $25.000.000T =C~sh Markcl
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 i n gSl ahl , N o r m a n H .
D a t e o f R e p o r t05/15/2011
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; seepp. 34-60 of filing instruction~)N O N E (No reportable income, assets, or transactions.)
Descr i p t i on of Asset s Tr ansact i ons du r i ng r epor t i ng per i od(including trust asse~.)
P l a c e " ( X ) " a f t e r e a c h a s s e texem pt from prior disclosure
I n c o m e d u r i n g Gr oss v al u e a t endr epor t i ng p~r i od o f r e p o r t i n g p e r i o d
(I) (2) (I) (2) (I) (2) (3) (4) (5 )A m o u n t T y p e ( e . g . , V a l u e V a l u e Type (e.g., D a t e V a l u e G ain I dent i ~y ofC o d e I d iv.. re n t , C o d e 2 M e tho d b uy , se ll , m m ! d d / y y C o d e 2 C o d e I b u y er / se l l er(A-H) or 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 iva te
( Q - W ) t r ansact i on)
324.
325.
S o l d 05/13/10 J B(paa)S o l d 06/11/10 J C
326.327.328.329.330.331.332.
333.
Cmn Stk, Scripps NTWK A Div id en d K T S o ld 01/11/10 J B(part)Buy 08/24/10 J(ad d l )So ld 11/17/10 J B(part)
Cm n Stk , Sherwin -W i l li ams Co A Div id en d Buy 03/19/10 J(addl)So ld 05/07/10 J A(part)S o ld 06/08/10 J B(part)So ld 06/23/[0 J A(part)So ld 06/24110 J B
334.335.336.337.338.339.340.
Cmn Stk, Time W arner lnc A Dividend T Buy 01/11/10(ad d l )Buy 01/27/10(addl)Buy 02/09/10(ad d l )So ld 03/05/10(part)So ld 04/08/10(part)So ld 04/20/10(part)Buy 10/21/10(addl)
JJ
JJJJJ
AAA
I . Incomc Gain Codes: A = $1.000 or less B = $ 1,001 - $ 2.500 C $2 ,501 - $5 ,000 D =$5 ,001 - $15.000(Se e C o lu m n s BI a n d D4 ) F =$50,001 - $10~,00O G =$100,001 - $1.000.0~0 111 =$1.0~0,001 - $5.000,000 112 =More than $5.000.000
2. V a lue C odes J = $ 15.000 o r le ss K = $ 1 5 . 0 0 1 - $ 5 0 . 1 K ~ ) L =$ 50.0~1 - $ 10~.0(~ M =$ 100,001 - $ 250.000~S ec Co lum ns CI an d D 31 N =$ 25 0.0 0| - $ 50 0.0 00 0 $500 ,001-$1 .000 .0~0 P I =$1.0~O.001 - $5,000,000 P2=$5,000,001-$25.000.00~
P3 =$25,000.0OI - $50,000.0~0 P4 =More than $ 50.00~.0003. V a lue M e~hod C odes Q = Appraisa l R ~Sost lRcal Es tate Only) S = A s s , c s s m c r t t T = Cash Mark ~lSce Column C2) U =B4:~k Value V = O ther W - Es t im a te d
E = $ 1 5 . 09 1 - $ 5 0 . 0 0 0
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N a m e o f P e ~ o n R e p o r t in gStahl, Norman H .
D a t e o f R e p o r t05/15/201 I
V I I . I N V E S T M E N T S a n d T R U S T S - i ,, c o, ,, . , .a l, ,e , ~ a ~ c , io ~ a , d , a 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 . 34-60 of f i l ing ins tructions .)N O N E (No reportable income, assets, or transactions.)
A. B. D.Description of Assets Income during Transactions during reporting period(including trust assets) reporting period
O) (2)~ , A m o u n t T y p e ( e . g . ,C ode I d i v . , r e n t ,( A - H ) or i n t . )
P l a c e " ( X ) " a f t e r e a c h a s s e texem pt from prior disclosure
Gr oss v al u e a t endo f r e p o r t i n g p e r i o d
(t) (2)V a lue V a lue
C o d e 2 M e tho d( J-P ) C o d e 3(Q-w)
(~ )T y p e ( e . g . ,
buy, sell,r e d e m p t i o n )
(2) (3) (4) (5 )D a t e Value Gain I d e n t i t y o f
mrn/dd~/y Code 2 C ode I buyer/seller( J - P ) (A-H) ( i f p r i v a t e
t r a n . ~ c t i o n )
341.342.
3 4 3 . C m n S t k , U n i l e ve r344.345.346. Cmn Stk, W aI-Marl Stores, Inc347.348.349.
350.351.
A Dividend K
A Dividend
S o l d 10/28/10 i J B( p a r t )B uy 11/29/10 J
(addl)T B u y 04/20/10 J
(addl)B u y 05/10/10 J(addl)B uy 11/29/10 J(addl)
S o l d 04/29/10! J A( p a r , )S o l d 04/30/10 J A( p a r t )S o l d 05/04/10 J A( p a r t )S o l d 05/05/10 J A( p a r t )S o l d 05/18/10 J A( p a r t )S o l d 06/07/l 0 J A
352. Cm n S tk , Weight Wa tcher s In t l I nc353.354.355.
Dividend Sold 06/16/10(part)Sold 03/18/10(part)So ld 03/19/10(part)Sold 03/22/10
JJJJ
356. MM Acct, HS Mgm t Partners - IRA357. MM Acct, HS Mgmt Parlners
AB
Int./Div.Div id en d
JJ
TT
I. Income Gain Codes :(Se e C o lu m n s BI a n d D4 )
2. Value Codcs(Se e C o lu m n s C I a n d D3 )
3. V alue Method Codes(See Column C2)
A = $ 1 . 0 0 0 or l e s sF =$50,001 - $10~.000J = $ 1 5 , 0 0 0 or l e ~ sN = $ 2 5 0 . 0 0 1 - $ 5 0 ~ . 0 0 0P 3 =$25,000.0~1 -Q = A p p r a i s a lU = B ook V alue
B =$1,001 - $2,500G =$100,001 - $1,000.000K =$15.001 - $50.0~10 = S 5 0 0 , 0 0 1 - SI,000.000R ~os t (R ea l Es ta te On ly)V = O ~ her
C = $ 2 .501 -I11 =$1.000.001 - $5.000,000L =$50.001 - $100.00~PI =$1.000.001 - $5.000.000P4 =Mo re than $50.00~.000W = E s t imated
D =$ 5,001 - $15,000112 =More than $5.009,000M =$ 10~,001 - $250.000P2 =$ 5.0~0.001 - $ 25,000.000T = C ~ h M a r k o
E =515.001 - 550,000
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N a m e o f P e r s o n R e p o r t i n gStahl, Norman H .
D a t e o f R e p o r t05/15/2011
N O N E (No reportable income, assets, or transactions.)Descr i p t i on of Asset s
( including trust asset~)
P l a c e " I X ) " a f t e r e a c h a s s e texem pt from prior disclosure
I n c o m e d u r i n greporting periodO) (2)A m o u n t T y p e ( e .g .,C o d e I di v . , r en t ,(AdD o r i n t . )
Gr oss v al u e a t endo f r e p o r t i n g p e r i o d
(I) (2)V a l u e V a l u e
C o d e 2 M e t h o d(J-P) C o d e 3(Q-w)
Tr ansact i ons du r i ng r epor t i ng per i od
(1 ) (2) (3) (4)T y p e ( e . g ., D a t e V a l u e G ainbuy, sel l , mnddd~ C o d e 2 C o d e I
r e d e m p t i o n ) ( J-P ) ( A-H)I d e n t i t y o f
buyer/seller( i f p r i v a t e
t r a n s a c t i o n )
358. Cmn Stk, Adobe Systems Inc None J B uy 03/19/10 J359.360.
3 6 1 . C m n S t k , Am a x o n . c o m I n c None
Buy 05 /04110(ad d l )Buy 06/28/10
(addl)Buy 03/24/10
JJJ
362.363.
364 . Cm n Stk , An heuser-Busch In Bev Dividend
Buy 06/11/10(ad d l )So ld 11/08/10(part)Buy 03/18/10
JJJ
365.366.
367.3 6 8 . C m n S t k , C e l g e n e C o r p None
Buy 03/30/10(ad d l )Buy 04/29/10(ad d l )Sold I I/I 1/10(part)Buy 03/30/10
J
J
JJ
369.370.
So ld 05/14/10 J(part)Sold 05/19/10 J
371. Cmn Stk, Coca Cola Company A Dividend J B uy 03/I 1/10 J372.373.374 . Cmn Stk , Co s tco W ho lesa le Co rp A Dividend
Buy 04130110(addl)So ld 09/23/I 0(part)Buy 0 3 1 1 0 1 1 0
JJJ
I. Income Gain Codes :(Se e C o lu m n s BI a n d
2. V alue CodesISee Columm C! a n d D 3 )
3. V alue Method CodesISc Cohmm C2]
A $1.000 or lessF =$50,001 - $ 100,000J =S 15,000 or le~sN =$25 0.001 - $ 5 0 0 . 0 0 0P 3 = $25.O~0.001 - $50.000.000Q = AppraisalU - Bo o k Va lu e
B =$1,001 - $ 2 , 5 0 0G =$100.001 - $1.090.000K =$15.001 - $50.000O =$500.001 - $1.000.000R =C o s t (Re a l Es ta te O n l y )V -Olher
C =$2,501 - $5,000Ill =$1,000,00l - $5,000.000L =S50.001 - SI00.000P I = $ I , O 0 0 . D O I -P4 =More than $ 50.000.0~0W = E s t imated
D =$ 5,001 - $15,000t l2 :More than $ 5.000.000M = $ 1 0 0 . 0 0 1 - $ 2 5 0 .0 ( ~ OP2 =$ 5.000.001 - $25,000.000T =Cash Markc~
E = $ 15 .001 - $ 50 .000
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V I I . I N V E S T M E N T S a n d T R U S T S - i . c or . . , , a tu e , . a , , . u . l o . ~ andudes thosof spouse and dependent chiIdren; seepp . 34 -60 of filing instructions.)N O N E (No reportable income, assets, or transactions.)
Description of Assets Income during(including trust assets) reporting period
(0P 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 . ,exempt from prior disclosure ! Code I d i v . , r e n t ,~ ! ( A - H ) o r i n t . )
Gross value at endo f r e p o r t i n g p e r i o dO) {2)V alue V alue
Code 2 M e t ho d( J - P ) Code 3
Transactions during repo rting period
O) (2) (3) (4) O)T y p e ( e . g ., D a t e V a l u e G a i n I d e n t i t y o fb u y , s e l l , m m / d d / y y C od e 2 C o d e I b u y e r ! s e l l e rr e d e m p t i o n ) ( J - P ) ( A - t l ) ( i f p r i v a t e
t r a n s a c t i o n )
375.
3 7 6 . C mn S t k , D a r d en R es t aur an t s I n c A Dividend
Buy 04/29110 J(ad d l )Buy 03119/10 J
377 . S o ld I I112110 J A
3 7 8 . C m n S t k , D i a g e o P L C A D i vi d en d J B uy 03/05/10 J379 .380. C m n S tk , W a lt D isn ey C o No n e
S o l d 11/17/10 J( p a r t )B u y 09/24/I 0 J
381.3 8 2 . C m n S t k , E b a y l n c N o n e
Buy 10/15/I0 J(ad d l )Buy 03/05/I 0 J
383. Sold 03/17/10 J( p a r t )384. Buy 05/07/10 J(ad d l )385. So ld 07/28/10 J(part)386. So ld(part) 08/20/10 J387. So ld ! 10/15/10 J(part)388. Cmn S tk , GAP Inc A Div id en d Buy !03/24/10 J389.
390.
391.
Buy 04/05/10 J(ad d l )Buy 05/05/10 J
(addl)Buy 05/18/10 J(addl)
1. Income Gain Codes :(Se e C o lu m n s BI a n d D4 )
2. V alue Codes(Se e C o lu m n s C I a n d D3 )
3. V alue Method CodesISce Column C2)
A =$1,000 or les~F =$50,001 - $100,000J=$15.000 or lessN =$250.001 - $500,000P 3 =$25.000.001 - $50.000,000Q=AppraisalU =Bo o k V a lue
B=$1,001 - $2,500G =$100,001 - $1,000.0~)K =$15.C~1 - $50.000O =$500.001 - $1,000,000R =C o s t (Re a l E s t a t e On ly )V =Oth e r
C =$2.501 - $5,000II1 =$1.000,001 . $5.000.000L =$5 0.COI - $100.000PI =$1,000.001 - $ 5 , 0 0 0 , 0 0 0P4 =More than $50.000.000W = E s t imated
D =$ 5 .0 0 1 - $ 1 5 ,0 0 011 2 = M o r e t ha n $ 5 , 0 0 0 . 0 0 0M =$ 1 0 ~ .0 0 1 - $ 2 5 0 .0 0 0P2 =$5 .000 .001 - $25 .000 .1300T = C a s h M a r k c~
=$ 1 5 ,0 0 1 - $ 5 0 .0 ~ 0
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N a m e o f P e r s o n R e p o r t i n gStahl, Norman H .
D a t e o f R e p o r l05/15/2011
V I I . I N V E S T M E N T S a n d T R U S T S - i .c o m e . . . a lu . . .a . ~ o c t i o ~ a . c t u d ~ , h o s e o / s p o u s e o . d d e p e n d e ~ , children; s e e p p . 3 4 - 6 0 of filing instructions.)NO NE (No reportable income, assets, or transactions.)
A. B. C. D.Description of Assets Incom e during Gross value at end Transactions during repo rting period(including trust assets) reporting period o f r e p o r t i n g p e r i o d
(0 (2 ) (I) (2) (i ) (2) (3) (4) (5 )Place "(X)" atier each asset l A m o u n t T y p e ( e . g . , Value Value T y p e ( e . g . , D a t e Value Gain Identity ofexem pt from prior disclosure C ode I d i v . , r e n t , Code 2 M e t ho d buy, sell, m rr dd d~, y C od e 2 C o d e 1 buyer/seller( 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 r a n s a c t i o n )
392.393.
394 .
Buy 07/20/10 J(addl)So ld 09/23/10 J(part)Sold 10/05/10 J
395. Cmn Stk, Gartner, Inc None J Buy 03/15/10 J396 .397. Cmn S tk , Gi lead Sciences lnc None
Buy 04/05/10 J(addl)Buy 03/05/10 J
398.
399.
400.
Buy 04/05/10 J(ad d l )So ld 04/23/10 J(part)So ld 04/27 /10 J
4 0 1 . C m n S t k , G o o g l e I n c402.403. Cmn S tk , H anesbrands Inc404.4 0 5 .406.4 0 7 . C m n S t k , H a s b ro I n c408.
N o n e J Buy 03/18/10 J
None
Buy 06/14/10 J(addl)Buy 07/06/10 J
Dividend
Buy 08/03/ I0(addl)Buy 09/23/ I0(addl)Buy 12/14/10(ad d l )
T Buy 03/18/10
JJJJ
Buy 04/06/I 0 J(ad d l )
I. Income Gain Codes :(Se e C o lu m n s BI a n d D4 )
2. V alue CodeslSe e C o lu m n s C I a n d D3 )
3. V alue Method Codes(Se e C o lu n m C 2 )
=$1,000 or le~s=$50,001 - $100.00O=$15.000 or less=$250.001 - $500.000
P3 =$25.000.001 - $ 50.090.000=Appraisal=Bo o k V a lue
B =$1,001 - $2.500G =$100.001 - $1.0~0.000K =$15.001 - $50.0000 =$500.001 - $1.000.000R =Cost (Real [sta te Only)V =O~hcr
C =$2,501 - $5,000Itl =$1.000,001 - $5 .000.000L =$5 0.001 - $100.000PI =$1.000.001 - $5.000.1~0P4 =More than $ 50.00~.000W :Es t im a te d
D -$5.001 - $ 1 5 . 0 0 0112 =More than $5.000.000M =$100.001 - $ 2 5 0 . 0 0 0P2 =$ 5.000.001 - $25.000.000T =Cash Market
E =$ 1 5 .0 0 1 - $ 5 0 ,0 0 0
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Name of Per son R epor tingS t a h l , N o r m a n H .
D a t e o f R e p o r l05/15/201 I
V I I . I N V E S T M E N T S a n d T R U S T S - income, val .e, ~.n~actio.s anti .des ,hose o/ sp . . . . ..d dependent chi ldren; see p p . 3 4 - 6 0 of f i l ing ins truc t ions .)N O N E (No reportable income, assets, or transactions.)
D e s c r i p t i o n o f A s s e ts 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 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
exem pt from prior disclosure
I n c o m e d u r in g G r o s s v a l u e a t e n dr e p o r t i n g p er i o d o f r e po rt i n g p er i o d(i) (2) (0 (2) (i ) (2) (3) (4) (5 )A m o un t T y p e ( 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 fC o d e I d i v . , r e n t , C o d e 2 M e t ho d b u y , s e l l , m m /d d h / y C od e 2 C o d e I b u y e r / s e l l e r( A - I t ) o r i n t . ) ( J - P ) C od e 3 r e d e m pt 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 )
409 .410.41 I . Cmn Stk , HJ Hein z Co412.413. Cm n Stk , J Crew Gro up In c414 .
4 1 5 .416 .
N o n e
N o n e
So ld 06/21/10(part)So ld 06/25 /I0(part)
T Buy 10/12/10Buy 12/03/10(ad d l )Buy 08/25/10Buy 09/28/10(addl)Buy 10/26/10(addl)So ld 11/23/10
JJJJJJJJ
A
A
B4 1 7 . C m n S t k , K e l lo g g C o m p a n y
418. Cmn S tk , McCorm ick & Co Inc419 .420.
B Dividend
A Div id en d
T B uy 03/11/10
B uy 03122/10B uy 03/30/10
( a d d l )S o ld 04/15/10
JJJJ
4 2 1 . C m n S t k , M c D o n a l d s C o r p422.423.424. Cmn S tk , N es t le4 2 5 . C m n S t k , P a y ch e x I n c
A Div id en d J
A D ividend JA Distribution
T Buy 03/09/10 JS o ld 06/08/I 0(part)S o ld 09/23/10(part)B uy 03/08/10
JJJ
Buy 05/27/10 J
AA
I. Income Gain Codes :(Se e C o lu m n s BI a n d D4 )
2.Value Cod~(Se e C o lu m n s C I a n d D3 )
3. V alue Method Codes(See Column C2)
A =$1,000 or lessF =$50,001 - $ 1 0 0 , 0 0 0J =$15,000 o I~sN -$250,001 - $500.000P3 = $ 2 5 . 0 0 ~ , 0 0 1 - $ 5 0 . 0 ~ 0 . 0 0 0Q =AppraisalU = B ook V alue
B =$ 1 ,0 0 1 - $ 2 .5 0 0G =$ 1 0 0 .0 0 1 - $ 1 ,0 0 0 ,0 0 0K=$ 1 5 .0 0 1 - $ 5 0 .0 0 00 = $ 5 0 0 , 0 0 1 - $ 1 .0 0 0 .0 0 0R =Co s t ( R ea l E s t a t e O n ly )V =Or h , x
C$2.501 - $5.000I I I -$1 .000 .001 - $ 5 .000 .000L - $ 50 . 001 - $ 1 0 0 .0 0 0P I - $ 1 . 000 . 001 - $ 5 .0 0 0 .0 0 0P 4 =M o r e th an $ 5 0 ,0 0 0 .0 ~ 3S = A s s g s s m e n lW = E s l i m a t e d
D =$5,001 - $15.000112 =More l lmn $5.000.000M =$100.001 - $250.000P2 =$5 .000.001 - $25.000.000T =Cash Mm-kel
E =$15.001 - $50.000
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N a m e o f P e r s o n R e p o r l in gStahl, Norman H .
D a t e o f R e p o r t05/15/201 I
V I I . I N V E S T M E N T S a n d T R U S T S - income, value, transactions anclud~ those of spouse aria dependent children; see pl~ 34-60 of fillng instructions.)N O N E (No reportable income, assets, or transactions.)
A. B. C. D.Descr i p t i on of Asset s I n co me d ur in g G r o ss va lue a t e n d Tr ansact i ons du r i ng r epor t i ng per i od( i ncl udi ng t r u st asse t s) r epor t i ng per i od o f r e p o r t i n g p e r i o d
: 0) (2) (0 (2) (i ) (2) (3) (4) (5 )Place "(X)" after each asset A m o u n t Type ( g . , V a l u e V a l u e Type (e.g., D a l e V a l u e Gai n Iden t i ty o f
e x e m p t f r o m p r i o r d i s c l o s ur e C o d e 1 di v . , r en t , C o d e 2 M e tho d b uy , se ll , m m !d d hyy C o d e 2 C o d e 1 b u y er / se l l er( A-H) or in t .} ( J-P ) C o d e 3 r e d e m p tio n ) (J-P ) (A-|I) ( i f p r iva te( Q - W ) t r ansact i on)
4 26 .427 . Cm n Stk , Sco ffs M irac le Gro w In c428.429 .430. Cmn Stk , Scripps NTW K431. Cmn Stk, Sherwin W illiams Co432.
433.
434.
435 . Cmn Stk , Targ e t Co rp o ra t io n~436.
437.
438.
4 3 9 . C m n S t k , Ti m e W a r n e r l n c440.4 4 1 . C m n S t k , U n i l e ve r442 .
A Dis t r ibut ion J
A DividendA Dividend
A Dividend
A D i vi d en d
A D i vi d en d
S o ld 09/20/10
T B uy 04/30/I 0
B uy 05/04/10( a d d l )B uy 06/25/10( a d d l )
T B uy 03/19/10
B uy 03/19/10
S o ld 06/08/10(part)S o ld 06/23/10(part)S o ld 06/24/10
T B uy 06/10/10B uy 06/25/10( a d d l )B uy 07/01/10( a d d l )B uy 09/28/l 0( a d d l )
T B uy 03/05/I 0
S o ld 04/12/10(part)T B uy 03/15/10
B uy 05/10/10( ad d l )
JJ
JJJJ
JJJ
J
JJJ
JJ
JJ
A
AA
I. Income Gain Codes :(Se e C o lu m n s BI a n d D4 )
2. V alue Codes1 S C o lu m r~ C I a n d D3 )
3. V alue Method Codes(See Column C2)
A =$ 1.000 or lessF =$50.001 - $ 100.000J =$i 5.000 or lessN $250.001 - $500.000P 3 = $ 2 5 . 0 0 0 . 0 0 1 . $50.000.000Q Appra isa lU = B ook V alue
B =$1,001 - $2.500G =$100.001 - $1.000.000K $15.001 - $50.000O = $ 5 0 0 . 1 9 0 1 -R =C o s t (Re a l Es ta te O n l y )V -Other
C =$2.501 - $5,0~0I I I =$1,000,001 - $5 .000.000L =$50.001 - $100.0~OPI =$1,000,001 - $5,000,000P4 =More than $50,000,00)W = E s t imated
D =$5 .001 - $15.000112 =More lhan $5.000.000M =$100.001 - $ 2 5 0 . 0 ~ 0P2 =$5.000.001 o $25.000.000T ~sh Market
E = $ 1 5 . 0 0 1 - $50,000
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N a m e o f P e r s o n R e p o r t i n gStahl, Norman H .
Date of Report0 5 1 1 5 1 2 0 1 1
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; seepp~ 34-60 of fillng instructlons~)N O N E (No reportable income, assets, or transactions.)
A. B. C. D.Description of Assets Income during Gross value at end Transactions during reporting period(including trust assets) repo rting i~riod o f r e p o r t i n g p e r i o d
[ (1) (2) (t) (2) (1 ) (2) (3) (4) (5 )P l a c e " I 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 alue T y p e ( e . g . , D a t e Value Gain I d e n t i t y o f
exem pt from prior disclosure [ Code I d i v . , r e n t , Code 2 M e t ho d buy, se ll, m m/dd /yy Code 2 C ode I buyer/seller~ ( A - H ) o r i n t . ) ( J - P ) Code 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 r a n s a c t i o n )
443. Cm n Stk , W aI-M art Sto res , In c A Distribution Buy 03/05/10 J444 . So ld 0 4 1 2 9 1 1 0 J(part)4 4 5 . So ld 05 /05 /10 J
(part)4 4 6 . So ld 06/07/10 JA
447. Cmn Stk, W algreen Company None J T B u y 11 /17 /10 J448. Buy 12/31/10 J(ad d l )449. Cm n S tk , Weight Watcher s In t l lnc N o n e Buy 03/05/10 J450. S o ld 03/22/10 J A
451. Cmn Stk, Western Union Company A Dividend J T B u y 11/16/10 J45 2. Buy 11/22/10 J(addl)453. Cmn Stk, 3M Company A D i s t r i b u t i o n J T B u y 10/14/10 J45 4 . Buy 11/15/10(ad d l )45 5 . Buy 11/29/10(ad d l )456. MM Acct, HS Mgmt Partners (X) A Distribution J T
JJ
4 5 7 . C m n S t k , Am a z o n . c o m l n c N o n e K T Buy 03/04/10 J45 8 . Buy 06/I 1/10 J
(ad d l )45 9 . So ld 09/29/10 J(part)
I . Income Gain Codes: A = $1.000 or less B = $ 1,001 - $ 2.500 C = 52.501 - $ 5 ,000 D =$5 .001 - $15.000(See Columns B I and D4 ) F = $ 5 0 . 0 0 1 - $ 1 0 0 , 0 0 O G = $ 100.001 - $1.0~).000 l 11 =$ 1.0~0.001 - $5.0~.000 1 1 2 = M o r e t h a rt 5 5 . 0 0 0 . 0 0 0
2 . V a lue Codes J -$15.000 or less K =515.001 - $50.000 L =550.001 - 5100.000 M =$ 100.001 - $ 25 0.000(Se e C o lu m n s C I a n d D3 ) N =$250.001 - $500.000 O =$5 0~.001 - $1,009.00~ PI =51.000.001 - $5.000.000 P2 =$5 .000.001 - $25,000.00~
P3 =525.000.001 - $50.090.000 P 4 = l M o r e t h a n $ 5 0 . 0 0 < ) . 0 ~ X 13. Value Method Cod,.s Q -Appraisal R =:Cost (Real Es tate Only) S = A s s . c s s n ~ e n t T =Cash Markcl
( s e e C o h m m C 2 ) U - Bo o k Va lu e V = Olh cr W = E s t imated
E =515.001 - $50.000
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N a m e o f P e r s o n R e p o r t i n gStahl, Norman H .
D a t e o f R e p o r t05/15/201 I
V I I . I N V E S T M E N T S a n d T R U S T S - i .c o m e , v u l u e . ~ a n s a c , i o u s a n c i a d e s , h o s e o / s p o u s e u n d d e p e n d e n t children; see pp. 3 4 - 6 0 of filing instructions.)N O N E (No reportable income, assets, or transactions.)
Descr i p t i on of Asset s Tr ansact i ons du r i ng r epor t i ng per i od( i n c l u d i n g 1 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
exempt from prior disclosure
Income d urin g G r o ss va lue a t e n dr epor t i ng per i od o f r e p o r t i n g p e r i o d
(I) (2} (1) (2) (I) (2) (3) (4) (5 )A m o u n t T y p e ( e .g . , V a l u e Value T y p e ( e . g . , D a t e Value G a i n I d e n t i t y o fC o d e 1 d iv. , r en t , C o d e 2 M e tho d b uy , se ll , m m / d d , , ~ y C o d e 2 C o d e 1 b u y er / se l l er( A-H) or i n t . ) ( J-P ) C o d e 3 r e d e m ptio n ) ( J-P ) ( A-H) ( i f p r iva te
( Q - W ) t r ansact i on)
460. Cmn Stk , Dard en Res tauran t s In c461.
462.463.464 .4 6 5 .
A Dividend
466.467. Cm n S tk , Anheuser -Busch InBev468.
469 .470.471.472.4 7 3 . C m n S t k , W a l t D i s n e y C o474 .4 7 5 .476 .
A Dividend
N o n e
Buy 01/22/10Buy 01/28/10(addl)Buy 05/03/10
(ad d l )Buy 06/29/10(addl)So ld 11/10/10( p a a )So ld 11/11/10(part)So ld 11/12/10
T Buy 03/18/10Buy 03/24/I 0(addl)Buy 04/06/10(addl)Buy 04/20/10(addl)Buy 04/26/10(ad d l )So ld 09/30/l 0(part)
T Buy 09/17/10Buy 09/24/10(addl)Buy 09/27/10
(ad d l )Buy 09/28/l 0(ad d l )
J
J
JJJ
JJJJ
JJJ
JJJJJ
AB
B
A
I. Income Gain Codes :(Se e C o lu m n s BI a n d D4 )
2. V alue CodesISe e C o lu m n s C I a n d
3. Value [,lcthod Codes(See Column C 2 )
=$1.000 or less=$50,001 - $100,009
J =$15.000 or less=$250.001 - $500.000
P3 = $ 2 5 , 0 0 0 . 0 0 1 - $50.000.000=Appraisal-Book Va lue
B =$1,001 - $2.500G =$100.001 - $1.000.000K -$15.001 - .$50.0000-$500.001 - $ 1.0~.000R =Cost (Real I :~tat O n l y )V =Olh e r
C =$2.501 - $5,0~0I I I =$ 1.0~,001 - $5.000 ,000L =$50.001 -PI =$1,000.001 - $ 5 . 0 0 0 , 0 0 0P4 =More lhan $ 50,000.000W - Es t im a te d
D =$5,001 - $15,000112 =More than $5.000.000M = $ 1 0 0 . 1 3 0 1 - $ 2 5 0 . 1 )0 0P2 =$5 .000.001 - $25,000.000T =C~h Markc~
E =$ 1 5 .0 ~ 1 - $ 5 0 ,0 0 0
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N a m e o f P e r s o n R e p o r t i n gStahl, Norman H .
D a t e o f R e p o r t05/15/2011
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 ~ m ~ v a l u e ~ t ~ a n s a c t i ~ n s ( I n c l u d ~ t h ~ s e ~ f s p ~ u s ~ a n d d e p ~ n d ~ n t c h i ~ d r e n ; s e e p p . 3 4 ~ 6 ~ f ~ i n g i n s t r u c t i ~ n s ~N O N E (No reportable income, assets, or transactions.)
A. B. C. D.Descr i p t i on of Asset s I n co me d ur in g G r o ss va lue a t e n d Tr ansact i ons du r i ng r epor t i ng per i od
( i ncl udi ng t r u st asse t s) re po rt in g p erio d o f re po rt in g p er io dI (I) (2) (I) (2 ) (I) (2 ) (3) (4) (5 )
Place "(X)" after each asset [ Amou nt T y p e ( e . g . , V a lue V a lue Type (e.g., D a t e V a l u e Gai n Iden t i ty o fe x e m p t f r o m p r i o r d i s c l o s ur e j Code I d iv., re n t , C o d e 2 M e tho d b uy, se l l. m m / d d ~ , y C o d e 2 C o d e 1 b u y er / se l l er
i (A-H) o r i n L ) ( 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 iva te! ( Q - W ) t r ansact i on)
477.
478 .
479. Cm n Stk , GAP ln c A Distribution
B uy 10/04/I 0( ad d l )S o ld 11/17/10( p an )B uy 03/23/10
J
J
J
A
480.481.482.483.484.485.
486.487.488.489.490.491.492.493.
Buy 03/24/10 J(addl)Buy 03/26/10 J(addl)Buy 04/01/10 J(addl)Buy 04/06/10 J(addl)Buy 04/28/10 J(addl)Buy 04/30/10 J(addl)Buy 05/12/10 J(addl)Buy 05/18/10 J(addl)Buy 06/28/10 J(addl)Buy 0 6 1 2 9 1 1 0 .I(addl)Buy 0 8 1 0 6 1 1 0 J(addl)Sold 08119/10 J(part)So ld 09/02110 J(part)Sold 09/22/10 J(part)
I . Income Gain Codes: A = $ 1.000 o r less B = $ 1,001 - $ 2.500 C = $2.501 - $ 5 .000 O = $ 5.001 - $ 15 .000(Se e C o lu m n s BI a n d D4 ) F = $ 50.001 . $ 100.000 G = $100.001 - $1.000.000 III =$ 1.000,001 . $5 .000.000 112 =More than $5.000.000
2 . V a lue Codes l = $ 15 .0~0 o r le ss K = $15 ,001 - $ 50.000 L = $50.001 - $ 100.000 M =$100.001 - $250.000(Se e C o lu m n s C I a n d D3 I N = $250,001 - $ 500.000 O = $500.001 - $1,000.000 P I = $ 1.000.0~1 . $ 5 .000,000 P2 =$5 .000.~OI - $ 25,000.000
P3 = $25,000.0O I - $ 50.000,000 P 4 = M ore than $ 50.000,0003. V alue M ethod C odes Q ~Appraisa l R = C os t ( R ea l E s t a t e O n ly) S =Assessment T =Cash Market
(See Column C2) U =Book Value V =Oth e r W = E s t imated
E = $ 1 5 , 0 0 1 -
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N a m e o f P e r s o n R e p o r t i n gStahl, Norman H .
Date of Reporl05/15/2011
V I I . I N V E S T M E N T S a n d T R U S T S - i .c o m e . . a t u e . ~ a . s ~ c , i o ~ a . d ~ e s , h o s e o / s p o u s e ~ . d ~ . p e . ~ e . , children; s e e p p . 3 4 - 6 0 o/filing instructions.)N O N E (No reportable income, assets, or transactions.)
Descr ipt ion o f As s e ts I n co m e d ur in g(in clud in g trust a ss e ts ) re p o rt in g p e rio d
i (i) (2)P l a c e " C 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 . ,e x e m p t f r o m p r i o r d i s c l o s ur e [ Code I di v . , r en t ,I ( A-H) or i n t . )
Gr oss v al u e a t endo f r e p o r t i n g p e r i o d(1) (2)
V a lue V a lueC o d e 2 M e t h o d
( J-P ) C o d e 3( Q - W )
(0Type (e.g. ,b u y , se l l ,
r e d e m p t i o n )
Tr ansact i ons du r i ng r epor t i ng per i od
(2) (3) (4) (5 )D a t e Value Gain I d e n t i t y o f
mm!dd/yy Code 2 C ode I buyer/seller( J - P ) (A-H) ( i f p r i v a t e
t r a n s a c t i o n )
494. S o ld 1 0 /0 5/1 0 K495 . Cmn S tk , H anesbrands Inc496.497 .498.499.500.
1501.502.
503. Cmn Stk, HJ Heinz Co504.505.
No n e K T B uy 07/06/10 J
506. Cmn Stk, J Crew G roup Inc
None
Buy 07/08/10(ad d l )Buy 07/22/10(ad d l )Buy 07/27/10(ad d l )Buy 08/02/I 0(ad d l )Buy 08/03/10(ad d l )Buy 09/23/10(ad d l )Buy 12/14/10(addl)
T B uy 10/08/10
JJJJJJJ
J
507.508.509.5 1 0 .
None
Buy 10/12/10(ad d l )Buy 12/03/10(ad d l )Buy 08/25/10
JJ
JBuy 08/27/10 J
(ad d l )Buy 09/01/10 J(addl)Buy 09/24/10 J
(ad d l )Buy 1 0 / 2 6 / 1 0 J(ad d l )
1. Income Gain Codes :(Se e C o lu m n s BI a n d D4 )
2. Va lu e C o &s(Se e C o lu m n s C I a n d D3 )
3. V alue Method Codes( S e e C o l u m n ~ )
A=$1,000 or lessF=$50,001 - $100,000J=$15,0~0 or lensN =$250.001 - $500.000P 3 =$25.000.001 - $50,000.090Q=AppraisalU =Bo o k V a lue
B =$1,001 - $ 2 , 5 0 0G =$100,001 - $1.000,000K =$15.001 - $50.000O=$500.001 - $1.000,000R = C o s t (Re a l Es la te On ly )V = O ~ h e r
C =$2,501 - $5,000I I I = $ 1 . 0 0 0 . 0 0 1 - $ 5 . 0 0 0 , 0 0 0L =$50.001 - $ 1 0 0 , 0 0 0PI :$1.000.001 - $5.000.000P4 =More than $50,000.000S = AsscssmcntW = E s t imated
D =$5.001 - $ 1 5 . 0 0 0112 =More than $5.000,000M =$100.001 - $ 2 5 0 . 0 0 0P2 -$5.000,001 - $25,000,000T ~ash Mark e t
E =$15.001 - $ 5 0 . 0 0 0
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N a m e o f P e r s o n R e p o r t in gStahl, Norman H.
D a t e o f R e p o r t05/15/201 I
V I I . I N V E S T M E N T S a n d T R U S T S - incomo, ,.aluo, ~ ..... i o ~ ( I n c l u d e s t h o s e of spouse a n d dependent ch ildren; see p p . 3 4 - 6 0 of f i l ing inst ruct ions0N O N E (No reportable income, assets, or transactions.)
Descr i p t i on of Asset s Tr ansact i ons du r i ng r epor t i ng per i od( i ncl udi ng t r u st asse t s)
P l a c e " ( X ) " a f t e r e a c h a s s e texempt from prior disclosure
I n co me d ur in g G r o ss va lue a t e n dr epor t i ng per i od o f r e p o r t i n g p e r i o d
(I) (2) (I) (2) (I) (2) (3) 14) (5 )A m o u n t Typo (e .g . , V a lue V a lue T y p e ( e . g . , D a t e V a l u e G ain Iden t i ty o fC o d e I di v . , r en t , C o d e 2 M e t h o d buy, sel l , mm!dd~ C o d e 2 C o d e I b u y er / se l l er(Aott) o r in t .) ( J-P ) C o d e 3 r e d e m ptio n ) ( J-P ) ( A-H) ( i f p r iva te
( Q - W ) t r ansact i on)
511.
512 .
S o ld 11/22/10 J A(part)S o ld 11/23/10 K D
513.
5 14 .5 15 .516.517.518.519.
520.521.522.
523.524.525.526.527.
Cmn Stk, Paychex Inc A Dividend B uy 05/27/10 JBuy 06/10/10 J(addl)Sold 09/17/10 J(part)So ld 09/20/10 J
Cmn Stk, Scotts Miracle Grow Co A Dividend K T B uy 04/30/10 J
C m n S l k , T a r g e t C o r p o r a t io n A Dividend
Buy 05/04/10(addl)Buy 05/07/10(addl)Buy 05/14