Norman K Moon Financial Disclosure Report for 2010

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  • 8/3/2019 Norman K Moon Financial Disclosure Report for 2010

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    AO 10Rev. 1 /2011

    FINANCIAL DISCLOSURE REPORTFOR CALENDAR Y EAR 2010

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

    1 . Pe r son R epor t i ng ( l a s t name , f i r s t, m idd l e initial)M o o n , N o r m a n K .

    4. Tit le (Artic le 111 judges indicate active or senior status;m a g i s t r a t e j u d g e s i n d i c a t e f u l l - o r p a r t - t i m e )

    U. S. Dis t r ic t Judge ( senior s ta tus)

    7 . C h am b er s o r Of f i ce Ad d r es sP . O . B o x 6 5 7Lyn c h b urg , V A 245 05

    2 . C o u r t o r O r g a n i z a t io nW estern District of Virginia

    5a. Report Type (check appropriate type)

    ] Nominat ion , Date[] Initial [] Annual [] Final5b. [] AmendedReport8. O n t h e b a s i s o f t h e i n f o r m a t i on c on t a i ne d i n t h i s R e po r t a nd a nym o d i f i ca t i ons pe r t a i n i ng t h e r e t o , it is, in m y o p i n i o n , i n co m p l i an ce

    w i t h a p p l i c a b le l a w s a n d r e g u l a t i o n s .

    Rev i ewi n g Of f i cer Date

    3. Date of R e p o r t05/12/2011

    6 . R e por t i ng Pe r i od01 /01 /201 0to12/31/2010

    IMPORTA NT NOTES : The instructions accompan ying this form must be fol lowe~L C omplete al l parts,checking the NONE box for each part where you hav e no reportable information. Sign on last page.

    I . P O S I T I O N S . (Reporting individual only; see pp. 9-13 of fi ling instructions.)~] N O N E ( N o reportable positions.)

    POSITION

    2.

    3.

    4.

    5.

    NAME OF ORGANIZATION/ENTITY

    I I . A G R E E M E N T S . ( R e p o r t in g i n d ~ v U u a t o n l y ; s e e p p . 1 4 - 1 6 of filing instructions.)N O N E (No reportable agreem ents.)

    1.20092.3.

    DATE PARTIES AND TERMSV irg in i a S u p p le m e n ta l R e t i re m e n t S y s t e m ( n o c o n t r o l )

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    FINANCIAL DISCLOSURE REPOR TPage 2 of 7

    N a m e o f P e r s o n R e p o r t in gMoon , Norman K.

    Date of Report05/12/2011

    I I I . N O N - I N V E S T M E N T I N C O M E . t g e p o r t l n g i n d i v i d u a l a n d s p o u s e ; s e e p p . 1 7 - 2 4 o f ~ l in g instructions.)A. Filers l~on-ln vestment Incom eD (No reportable non-investment income.)ONE

    DATE SOURCE AND TYPE INCOME(yours, not spouses)1. 2010 V i r g i n i a S u p p l e m e n t a l R e t i r e m e n t S y s t e m $ 1 1 1 , 7 1 4 . 0 0

    2.

    3.4.

    B . S p o u s e s N o n - I n v e s tm e n t I n c o m e - if you were married during any portion of the reporting year, complete this section.(Dollar amount not required except for honoraria.)[~] N O N E ( N o reportable non-investment income.)

    DATE SOURCE AND TYPEI.

    2.

    3.

    4.

    I V . R E I M B U R S E M E N T S --transportation, Iodglng, food, entertainmen~(Includes those to spouse and de pendent children; see pp. 2 5-27 o filling instructions.)

    N O N E (N o reportable reimbursements.)SOURCE DATES LOCATION

    1 .2.3.4.5.

    PURPOSE ITEMS PAID OR PROVIDE

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    FINANCIAL DISCLOSURE REPORTP a g e 3 o f 7

    N a m e o f P e r s o n R e p o r t i n gM o o n , N o r m a n K .

    Dat e o f Rep o r t05/12/2011

    V . G I F T S . a n c ~ u d e s , h o s e t o s p o u s e o n d d e p e n d e n , children; see p p . 2 8 - 3 1 of filing instructions.)N O N E ( N o reportab le gifts.)

    S O U R C E D E S C R I P T I O N1 .2.3.4.5.

    VALUE

    V I . L I A B I L I T I E S . a n c l u d e s t h os e o l s p o u s e ond dependent children; see pp. 32-33 of filing instructions.)N O N E ( N o reportable liabilities.)

    CREDITOR DESCRIPTION1 .2.3.4.5.,

    VALUE CODE

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    FINANCIAL DISCLOSURE REPOR TPage 4 of 7

    N a m e o f P e r s o n R e p o r t in gM o o n , N o r m an K .

    Date of Report05/12/2011

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

    D e s c r i p t i o n o f A s s e t s I n c o m e d u r i n g( in clud in g tr us t a s s e t s ) r e p o r t in g p e r io d

    (l) (2 )Place "(X)" after each asset A m o u n t Type (e.g.,

    exempt from prior disclosure C o d e 1 d i v . , r e n t ,( A - H ) o r i n t . )

    1 . Lynchburg, VA, Lot None2. SunTrust Bank (Accounts), Lynchburg, VA C I n t e r e s t3. W achovia B ank (Accounts ) Lynchburg, VA C I n t e r e s t4. BB &T (Accounts) Lynchb urg, VA C I n t e r e s t5. Ba nk of America (Accounts) C I n t e r e s t6. BB& T Common Stock C Dividend7. Exxon Mo bi l Common Stock A Dividend8. Bristol Myers Squibb Common Stock A Dividend9. Amherst Count y,. VA prop erty Parcel #1 None10. Amherst County, VA property Parcel #2 None1 1 . Abbott Laboratories Common Stock A Dividend1 2 . Cisco Systems Common Stock None

    13. Coca ColaCommon Stock A Dividend1 4 . AT&TCommon Stock A Dividend1 5 . Disney Common Stock A D i v i d e n d1 6. Three Corn COMS Common Stock None

    1 7. State Farm Life Insurance Policies A Dividend

    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(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 )L W

    M T

    L TM T

    L T

    L T

    K T

    K T

    J w

    J wJ T

    K T

    J T

    J T

    J T

    K T

    T r a n s a c t io n s d u r in g r e p o r t i n g p e r i o d

    ( 1 ) (2) (3) (4) ( 5 )Type (e .g ., Date Value Gain Ident i ty of

    buy, se ll , m m /d d /yy C o d e 2 Code 1 buyer/sel lerr edempt ion) (J-P) [ (A-H) (if private

    transaction)

    Sold 04/12/10 J A

    1 . In co me Ga in Co d e s : A =$1,000 or less B =$1 ,001 - $2,500 C =$2,501 - $5,000 D =$5,001 - $15,000( Se e C ol um n s 1 31 a nd D 4) F =$ 50 ,0 01 - $1 00 ,00 0 G = $I 00, 001 - $ 1, 000, 000 HI =$ 1, 000, 001 - $ 5, 000, 000 H2 =More than $5,000,000

    2. Value Co d e s J = $1 5,000 o r le ss K = $1 5.001 - $50,000 L = $50,001 - $I 00.000 M = $100,001 - $250,000( S e e C o l u m n s C I a n d D 3 ) N =$250,001 - $500,000 O =$500,001 - $1 ,000,000 PI -$1,000,001 - $5,000,000 P2 =$5,000,001 o $25,000,000

    P3 = $25.000.001 - $50.000,000 P4 -More than $50,000,0003 . Va lue M e tho d Co d e s Q = Ap p ra isa l R =Cost (R ea l Es ta te Only) S =Assc ssm ent T = C a s h M a r k e t(See Colum n C2) U =Book V alue V = O t h e r W = E s t i m a t e d

    E ~$15,001- $50.000

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    FINANCIAL DISCLOSURE REPORTPage 5 of 7

    N a m e o f P e r s o n R e p o r t in gMoon, Norman K.

    Date of Report05/12/2011

    V I I . I N V E S T M E N T S a nd T R U S T S - i n c o , . e , v a l u e , t ra n s a c t io n s a n c t u d e s t h o s e of spo use ond a e v e n d e n t children; see pp. 3 4 - 6 0 of filing instructions.)N O l l E (No reportable income, assets, or transactions.)

    A. B. C, D.De scrip tio n o f Asse ts In co m e d urin g Gro ss va lue a t e n d Tran sactio n s d urin g rep o rtin g p erio d( including t rust asset s) re po rtin g perio d o f repo rtin g perio d

    ( 1 ) ( 2 ) (1) (2) (I ) (2) (3) (4) ( 5 )Place " (X)" af ter each asset Amount Type (e.g., Value Value Typ e (e .g ., Date Value Gain Ident i ty ofexempt f rom pr ior d i sc losure Code 1 div., rent , C o d e 2 Method buy, sel l , m m / dd / yy C o d e 2 Code 1 buyer/sel ler(A-H) o r i n t . ) ( J - P ) C o d e 3 r e d e mp t i o n ) ( J - P ) (A-H) (if p riva te( Q - W } t ransaction)

    1 8 . Minnesota Mutua l L ife Insurance Pol icy A D i v i d e n d1 9 . Fir s t Colony Life Insurance Pol icy A D i v i d e n d20 . Equitable L ife Insurance Pol icy A In ter es t21 . Metr opo l i tan Li f e Insur ance Po l icy A D i v i d e n d22 . L i f e o f V i r g i n i a P o l i c y A D i v i d e n d23 . U S A A M o n e y M a r k e t F u n d A In ter es t24 . B a n k o f t h e J a m e s ( J a m e s R i v e r B a n k ) A In ter es t(Accounts)25 .

    J TJ T

    J T

    J TJ TK TL T

    26 .27 .28 .29 .30 .31 .

    I . Incom e Gain Cod es : A =$ 1,000 or less B -$ 1,001 - $2,500 C =$2,501 - $5,000 D =$5,001 - $15,000(S ee Co lum n s B I a nd D4) F -$50. 001 - $1 00,000 G = $1 00, 00l - $ 1, 000, 000 HI =$ 1, 000, 001 - $ 5, 000, 000 H2 =More than $5,000,0002. V alue Codes J =$15,000 or less K $15,001-$50,000 L = $50,001 - $1 00,000 M =$1 00,001 - $250,000(See Colum ns C I and D3) N =$250,001 - $500,000 O $500,001-$1,000,000 P 1 = $ 1, 00 0, 00 1 - $ 5, 00 0, 00 0 p 2 =$ 5, 00 0, 00 1 - $ 25 ,0 00 ,0 00

    P 3 = $25,000,001 - $50,000.000 P 4 = M o re tha n $50,000,0003. V alue M elh od Codes Q = Ap p ra isa l R =Cost (R ea l Es ta te Only) S = A s s e s s m e n t T = C a s h M a r k e t(See Colum n C2) U =Book V ah le V =Oth er W = E s t i m a t e d

    E =$15,001- $50,000

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    FINANCIAL DISCLOSURE REPORTPage 6 of 7

    N a m e o f P e r s o n R e p o r t in gM o o n , N o r m a n K .

    D a t e o f R e por t05/12/201 l

    V III . ADDITIONAL INFORM ATION OR EXPLANATIONS.

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    FINANCIAL DISCLOSURE REPORTPage 7 o f 7

    Nam e o f P e r so n Rep o r t i n gM o o n , N o r m a n K .

    Dat e o f Rep o r t05/12/201 l

    IX. CERTIFICATION.1 c e r t if y t h a t a ll i n f o r m a t i o n g i v e n a b o v e ( i n c l ud i n g i n f o r m a t i o n p e r t a i n i n g t o m y s p o u s e a n d m i n o r o r d e p e n d e n t c hi l d r e n , i f a n y ) i sa c cu r a te , t r ue , a n d c o m p l e t e t o t h e b e s t o f m y k n o w l e d g e a n d b e l i e f , a n d t h a t a n y i n f o r m a t i o n n o t r e p o r t e d w a s w i t h h e l d b e c a u se i t m e t a p p l i ca b l e s t a t ut o r yp r o v i s i o n s p e r m i t ti n g n o n - d i s cl o s u re .I f ur t h e r ce r t i 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 ce p t a n c e o f g i f t s w h i c h h a v e b e e n r e p o r t e d a r e i nc o m p l i an c e wi t h t h e p r o v i s i o n s o f 5 U.S .C . ap p . 5 0 1 e t . s eq . , 5 U.S .C . 7 35 3 , an d J u d i c i a l C o n f e r en c e r eg u l a t i o n s .

    Signa ture: S/Norman K. Mo on

    N O T E : A N Y I N D I V ID U A L W H O K N O W I N GL Y A N D W I LF U L L Y F A L S IF I E 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 VI LA N D C R I M I N A L S A N C T I O N S ( 5 U . S . C . a p p . 1 0 4)

    C o m m i t te e o n F i n a n c ia l D i s cl o s u r eA d m i n i s t ra t i v e O f f i ce o f t h e U n i t e d S t a t e s C o u r tsSuite 2-301O n e C o l u m b u s C i r cl e , N . E .W a s h i n g t o n , D . C . 2 0 5 44