Rosanna M Peterson Financial Disclosure Report for Peterson, Rosanna M

Embed Size (px)

Citation preview

  • 8/3/2019 Rosanna M Peterson Financial Disclosure Report for Peterson, Rosanna M

    1/16

    AO IOR e v .FINANCIAL DISCLOSURE REPOR T

    FOR CALENDAR YEAR 2010Report Required by the Ethi~in Government Act of 1978(5 U . S . C . app . [ 101-111}

    1 . P e r s o n R e p o r t in g ( l a s t n a m e , f i r s t , m i d d l e I n i t i a l )P e t e r so n , R o s a ~ n a M .

    4. Title (Atl:kle I I I Judge~ Indicate active or senior s t a tu s ;magi s t ra t e j , ~ges i ndi ca t e full - o r pa r t - t ime)U . S . District Judg

    7. L - hamb~r~ o r Ome A ddressU.S. Dis~ic~ Court for the Eastern District of WA920 W. Pdve~ideSpokane WA 99210

    C o u r t o r O r g a n L ~ a t lo nU. S. District Court

    R e p o r t T ~ p (chtck appropriate ~/pe)] No min a t io n . Date[] Initiil [] Annual [] Fin~5b. [] AmendcdReportS.On the basis of~e lufo~tflon ontaln~ In this Re~ and any

    m~lfl~llo~ pe~alnlng tbe~ it ~ in my opinion, In ~ m p l l a ~with appUcsble la~ and r~ulatlo~.

    Rev~ewLng Ofl]cer Date

    3. Date of R e p o r t5 1 1 1 / 2 0 1 1

    6. Reporting Period0 1 / 0 1 / 2 0 1 0

    to1 2 / 3 1 / 2 0 1 0

    I M P O R T A N T N O T E S : ~e i n n ruc a om a c c om pa n f i n g ~ l * form m us t be fo i l owe ~L Com pl e t e a ll pa r t *,checking the NON E box for each pa rt where yOu has~ no reportable information. ~gn on last page.

    I. POSITIONS. rR,po,~,r~ (No reportable posi t ions.)O N E

    POSITION

    2.

    3.

    4.

    5.

    N A ME O F OR G A N IZA T ION /E N T IT Y

    I I . A G R E E M E N T S . ~aom,,~ ~.~d,, t o ,~:~ (No repor table agreements .)O N E

    D A T E pt~RTIES AND TERMS

  • 8/3/2019 Rosanna M Peterson Financial Disclosure Report for Peterson, Rosanna M

    2/16

    FINANCIAL DISCLOSURE REPORTPage 2 of 8

    N a m e o ! P e r s o n R e p o r t l u gPeterson, Rosanna M.

    D a t e o 1 R e p o r t5 I I 1 / 2 0 1 1

    IIl. N O N-I NVE S TM E NT I NC O M E . cR . ~ o , ~ .~A. Fliers N o n - ln ves tm en t I n c o m e

    ~ N O N E non-im~ent income.)o reportablesaUCE AND ~E I~ICOME( y o u r s , n o t s p o u s e s )

    B. Spouses Non-Investment Income - t /yo. ,~,e ma,,~a d~,~,t .~po,~on of the reporting)tar, complete thl~ sectlot~(Dollar amount not required except for honoraria .)

    ~] NO NE ( No re p o r t a b l e i nc ome . )o n - in ves tm en t

    1.20102.

    3.4.

    DATE SOURCE AND TYPEW a s h i n g to n S t a te U n i v e r s it y - T e a c h i n g

    I V . R E IM B U R S E M E N T S - ~po.~,~ Zo,~, ,~./oo,~,n,o~,m,n,(lnclude.r those to spouse and dependent children; see pp. 2J-27 of fi ling Instructlon~ )~] N ON E (N o r epor tab le r e imbur sem ents .)

    2.

    3 .4.

    5.

    S O U R C E D A TE S _ L O C A T I O N pURPOSE ITEMS P A ID O R P R O V I D E D

  • 8/3/2019 Rosanna M Peterson Financial Disclosure Report for Peterson, Rosanna M

    3/16

    FINANCIAL DISCLOSURE REPORTPage 3 of 8

    D a t e o f R e p o r t5 / I 1 / 2 0 1 1

    ~] N O N E 0 go reportable g~ft~.)S O U R C E DESCRIPTION

    I.2 .

    4.5.

    ~] N O N E ( N o reportable liabilities.)C R E D I T O R DESCRIPTION

    i.

    2.

    4.5.

    VALUE CODE

  • 8/3/2019 Rosanna M Peterson Financial Disclosure Report for Peterson, Rosanna M

    4/16

    FINANCIAL DISCLOSURE REPORTPage 4 of 8

    D a t e o t R e p o r t5/I 1/2011

    N O N E ( N o repor tab le inc om e, asse ts , or t ransac t ions . )[ k k - r i p t i o n o f A s * e e l I n c o m e d u r in g

    (l) (2)Pl a ce "(X)" ~ ~xch ~ Am~ T ~ (e.g.,ex em p t ~ p f i ~ d i ~ lo~ r e C~ 1 div. , ~ t ,( A - H ) o r i n t . )

    G r o ~ $ v l l u ~ a t e n do f r q : ~ " t i n g I x : r i o d

    (t)C o ~ k : 2 M e t h o d

    (j.p) code 3

    T r a n t 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(t) (2) (3) (4)

    T y p e ( e . g . , D a t e Value Gainb ~ , * e l l , m m / d d t y y C o d a 2 C o d e I

    r e d e m p t i o n ) { J - P ) ( A - H )

    (5)Identity o f

    Imyr/~l l e r(if private

    transaction)

    I. Spokane Teachers Credi t Union CO

    2 . P arce l I S po kan e None

    3. Parcel 2 Spokane None

    4. CNA whole l i fe insurance None

    5. Chase B ank Account (Y)

    6. U .S . T r~ asurle s S ecurit ie s None

    7. U .S . G ov ernmen t B o nds None

    8. Costco None

    9. Ford Moto r Co i None1 0 . Cannondale (Y)

    I I . Allianz OCC R enaissance Fund No n e

    1 2 . Dreyfus Worldwide Growth None

    13. Gr o w t h Fun do f A m e xic a None

    1 4 . Investment Co, of America None

    ~ 5. John H ancock Lifesty le G row th None1 6 . W ashin gton M utua l In ves to rs F un d None1 7 . Am~cican High Income Trust (Y)

    J

    J

    J

    J

    J

    J

    K

    K

    J

    K

    T

    S o l d

    T

    T

    TTT

    T

    T

    T

    T

    T

    T

    05118/10 M F Robert Higdon

  • 8/3/2019 Rosanna M Peterson Financial Disclosure Report for Peterson, Rosanna M

    5/16

    FINANCIAL DISCLOSURE REPORTPage 5 of 8

    N a m e o f P e r s o n R e p o r t i n gFeterson, Roaanua M.

    D a t e o f R I m r t5 / I 1 / 2 0 1 1

    VII . INVESTMENTS an d TRU STSN O N E ( N o reportable income, assets , or transactions. )D~cripfion of Asset~ Income during

    (including trust tsse~s) reporting IxHodIt) (~)

    Gross value at endof r~,~ing period

    (2 )T r a n s a c t i o n s daring r e p o r t i n g p e r i o d

    (t) ~ 2 ) ( 3 ) ( 4 )Place "(X)" a~r each asset Amount Type (e.g.,

    excmlS f~m prior disclosure Code I div~ rent,(A-H) or inL)

    1 8 . S m a l I C a p W o r l d F u n d ( Y )

    1 9 . G r e a t e r S o u t h w e s t er n C o r p

    20 . P e r s h i n g M o n e y M a r k e t (Y )

    2 I . TIAA Traditional

    2 2 . CREF Stock

    2 3 . CREF Equity Index

    2 4 . C I L E F G l o b a l E q u i t i es

    2 5 . T-C S oc ia l C ho ice Eq -Rtmt

    2 6. T - C ln t l E q -R t m t

    2 7 . T -C I n tl E q I n d ex -R a r e r

    2 8 . T - C L a rg e C a p G r l n d ex -R t m t

    2 9 . T-CLargeCapVal-Rtmt

    3 0. T - C M i d -C a p G r- R t m t

    3 1 . T-CMid-Cap VaI-Rtmt

    3 2. T - C S in -C a p E q -R t m t

    3 3 . TIAA-CREF Equity Index Fund

    3 4 . TIAA Real Estate

    None N

    None M

    None J

    None KNone J1None J

    N o n e J

    N o n e J

    N o n e K

    N o n e K

    N o n e J

    N o n e J

    N o n e J

    None K

    Value Value Type (e.g., D a ~ e Value GainCode 2 Method buy, sell, mm/ d d / y y Code 2 Code I

    ( . I - p ) Code 3 r e d e m p t i o n ) (J-P) (.A-H )(~.w)

    T

    T

    T

    TT

    TT

    T

    TT

    TT

    TT

    I d e n t i t y ofb u y e r / s e l l e r

    ( i f p t i ~ a t et r a n s a c t i o n )

    I . I . ,~ ~m e G a i n C o d e s : A =$1 .000 0 le .~ B = 1 1 , 1 ~ 1 - 1 " 2 , ~ 0 0 C - $ 2 .50 1 - $ S ,0 ~ 0 D -~5,~1 - $ 1 5 . ~

  • 8/3/2019 Rosanna M Peterson Financial Disclosure Report for Peterson, Rosanna M

    6/16

    FINANCIAL DISCLOSURE REPORTPage 6 of 8

    D a t e ~ f R e p o r t5/I 1/2011

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

    Description of Assets I n c o m e d u r i n g

    U)Plac~ "(X)" ~e~ ~ch ~t ~t T~ (g. ,exempt ~ ~ dlsclos~e ~: I div., ~( A - H ) o ~ i ~ . )

    G r o s s valu~ at ~o f r q x ~ i n g p e r i o dV a I ~ e ValueC o d e 2 Me~(J-P) C~ 3

    Tra n sa c t io n s d u r in g re p o a in g p e r io d

    3 5 . C R E F B o n d M a r k e t N o n e

    3 6 . C R E F l n f l L i n k e d B o n d N o n e

    3 7 . C R E F M o n e y M a r k e t N o n e

    3 8 . TIAA-CREF Money Marke t N o n e

    3 9 . T I A A - C R E F I n t l E q I d x - l n s t ( X ) N o n e

    40 . TIAA-CREF Lg-Cap Gr ldx-lns t (X) None

    41 . T I A A - C R E F Lg-Cap VaI-Prem (X) None! 42.I A A - C R E F M i d - C ~ p G r - P r e m (X ) None

    1 4 3 . T I A A -C REF M i d .C a pVa I -P r e m ( X ) : N o n e

    4 4 . T I A A - C R E F S ~ i a l C h E q - P r e m ( X ) N o n e

    4 5 . C I L E F G r o w t h ( X ) N o n e

    4 6 . C R E F S t o c k I R A D i s t r i b u t i o n ( X ) D l D i s ~ r l b u f i o n

    4 7 . Alliance Bernste ln Weal th M gt (X) None

    48 . U S A A [nt l S tocks/funds (X) None4 9 . U S A A L a r g e C a p s t o c k . s / f i a n d s (X ) N o n e

    5 0 . U S A A T a x a b l e b o n d s & C D ( X ) N o n e5 1 . U S A A C a s h/M o n e y M a r k e t ] None

    L

    L

    J

    J

    K

    J

    K

    J

    J

    K

    J

    J

    J

    K

    L

    J

    K

    T

    T

    T

    T

    TT

    T

    TT

    TT

    T Distributed( p a r t )TTT

    TT

    04/22/10

    I

    I . In c o m e G a i n C o d e s : A "$1,0~0 or le~, B "51,001 $2~00 C -$ 2, 501 - $ 5 . ~ D -$$,~ - $1 ~,~

    (5~ C o l~ a C 2 ) U -B~k V a l ~ V ~ W "E~

  • 8/3/2019 Rosanna M Peterson Financial Disclosure Report for Peterson, Rosanna M

    7/16

    FINANCIAL DISCLOSURE REPORTPage 7 of 8 5 ! 1 1 / 2 0 1 1

    VIII. ADDITIONAL INFORM ATION OR EXPLANATIONS.Section VII . l ine 1: Spokane Teachers Credi t Union interest decreased to an mnount that is nol repor tableSection VII , l ine I0: Caaaon d*le s tock Ix-came wo~ llalessSect ion V ll, line 1 7:Section VII . l ine 18:Section VII . l ine 19:Sect ion Vll. line 46 :Section VII . l ine 47:Section VII , l ine 48:Section VII . l ine 49:Section VII . l ine 50:Section VII , l ine 51:

    T h i s a s s e t w a s e x c h a n g e d f o r a d i ff e r e n t a s s e t w h i c h i s ll s t~ d o n t h is r e p o r tThis asset wa s exchanged for a different asset w hich is lis ted on this repor tGreater Southw~tern hecarr~ wo~lhlessThis was a one time dislribution from an IRA. but the IRA accounl still r~tains valueAlliance had not ,appca~d on the previous ycaga r~portThis was n~ wly acqub~d in the asset exchange involving the American H igh lnt~r~t T rust and the Small Cap World FundThis was ne wly acquired in the asse t exchange involving the American High Inlerest Trust a nd t h e Sma ll Ca p Wor ld Fu ndThis was n ewly acquired in the asset excluange involving th~ American High Interest Trusl and the Sm all Cap Wo rld FundThis was newly created with the funds previously in the Pcrshing aceotmt

  • 8/3/2019 Rosanna M Peterson Financial Disclosure Report for Peterson, Rosanna M

    8/16

    FINANCIAL DISCLOSURE REPORTPage 8 of 8

    D a t e o f R e p o r t5 1 1 1 / 2 0 1 1

    IX. CERTIFICATION. I cer t i fy tha t a ll Informat ion given above ( Including informat ion per t a ining to my spouse and minor or dependent chi ldren , i f any) I saccurate , ~rue, and complete to the best of my knowledge and belief, and that any informat ion not repor ted was withheld because i t met applicable s tatutoryprov~ions perm it t ing no n-disclosure .I fur ther cer t i fy tha t earned income from outs ide employment and honorar ia and the acceptance of gif t s which have been repor ted are In

    compliance wi th the provis ions of 5 U.S.C . app. 501 el . seq., $ U.S.C. 7353, and Judicial Conference regulat ions .

    S l g n a t u r ~

    N O T E : AN 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 L L Y F A L ~ IF W _ , S O R F A L L S T O F I L E T H I S R E P O R T M A Y B E S U B J E C T T O C I V I LA[~D CRIMINAL SANCTIONS (5 U.S.C. app. 104)

    Co mmit t ee o n F in an c ia l Disc lo sureA dmini s t r a tiv e O ff ice o f t h e U ni t e d S t a t e s C ou r t sS ui t e 2-301O n e C o l um b u s C i r c t e , N . E .W a s h in g t o n , D . C . 2 0 5 4 4

  • 8/3/2019 Rosanna M Peterson Financial Disclosure Report for Peterson, Rosanna M

    9/16

    FINANCIAL DISCLOSURE REPORTFOR CALENDAR Y EAR 2010Report Required by the Ethi~in Government Act of 1978(5 U.S. app. I01.111)

    I . Person Reporting (last name, first , middle initial)P a t e r s o n , R o s an n a M .

    4. T i t l e ( A r t i c le 1 1 1 j u d g e s i n d i c a t e a c t i v e o r s e n i o r s t a t u s ;magistrstc judges indicate full- or part- t ime)U.S . Dis t r i c t J udge

    7 . C h a m b e r s o r O f f i c e A d d r e s sU.S . Dis t r i c t C our t f o r th e Eas te r n Dis t r i c t o f W A9 2 0 W . R iv e r s ideS p o k a n e W A 9 9 2 10

    2 . Court o r Organizat ionU.S . Dis t r i c t C our t

    5a. Repor t Type ( check appr opr i a t e t ype)] N o m i n a t i o n , D a t e[] Initial [] Annual [] Final

    3 . Da te o f Repor t8/22/2011

    6 . Repor t ing Per iod0 1 /0 1 /2 0 1 0to12/31/2010

    5 b . [] A m e n d e d R e p o r ~8 . On the bas is of the Informat ion conta ined in this Repo r t and anymod i f i c a t ions pe r ta in ing the re to , I t is , in my op in ion , in c ompl ianc ew i t h a p p i k a b l e l a w s a n d r e g u l a t l o n a .

    R e v i e w i n g O f f i ce r Date

    I M P O R T A N T N O T E S : The instructions accompanying this form must be followed~ Complete all parts,checking the NONE b ox for each part where you have no reportable informatiom Sign on last pag~

    N O N E ( N o reportable p ositions.)P O S I T I O N

    I.Z3.

    4.5.

    NAME OF ORGANIZATION/ENTITY

    I I . A G R E E M E N T S . ~ R ~ o . i ~ g ~nmp~duat on l . v; see pp . 14-16 o f fd ln~N O N E ( N o reportable agreements.)

    I.PARTIES AND TERMS

  • 8/3/2019 Rosanna M Peterson Financial Disclosure Report for Peterson, Rosanna M

    10/16

    FINANCIAL DISCLOSURE REPORTPage 2 of 8N a m e o f P e r s o n R e p o r t i n gPeterson, Rosanna M.

    D a t e o f R e p o r t8/22/2011

    I l L N O N - I N V E S T M E N T I N C O M E . m e ~ o , , I n g i n d l~ i d a a ia n d s ~ o a s ; s e e p p . i V - Z 4 o / ~ i in g in s ,, u e tl o n ~ )A. Filers Non-Investm ent Incom e~] N O N E ( N o reportable non-investment income.)

    D A T _ E SOURCE AND TYPE

    2.

    3.4,

    INCOME( y o u r s , n o t s p o u s e s )

    B . S p o u s e s N o n - In v e s t m e n t I n c o m e - ~ f y o u .~ married daring any portion of the reportlng year, complete this sectlon( D o l l a r a m o u n t n o t r e q u i r e d e ~ c c e p t f o r h o n o r a r i a .)

    H O N E ( N o reportable non-investment income.)

    1 .20102.3.4.

    . S O U R C E A N D T Y P EWashington State U n i v e r s i t y - - T eac h i n g

    I V . R E I M B U R S E M E N T S - ,, ~ , ~ p o r t o t io n , l o d g l ~ g . ~ o o d , e n t e r t a ln m e n L(Includes those to spouse and dependent children; see pp. 25-27 of filing ins~sctlons.)[~] N O N E ( N o reportable reimbursements.)

    2.3.4.5.

    SOURCE DATES LOCATION PURPOSE ITEMS PAID OR PROVIDED

  • 8/3/2019 Rosanna M Peterson Financial Disclosure Report for Peterson, Rosanna M

    11/16

    FINANCIAL DISCLOSURE REPORTPage 3 of 8N a m e o f P e r so n R e p o r t i n gPeterson, Rosnnna M .

    D a t a o f R e p o r t8/22/2011

    V. GIFTS. a,~,d~ ,~o,e ,o ,~ome and d e p e n d e n t c M l d , e n ~N O N E ~ o reportable g~s.)

    S O ~ C EI.2.B .4,

    V I . L I A B I L I T I E S . a n c ~ u d ~ , # , o , e o ~ o ~ o , d dependent children; ,ee p p . 3 2 - 3 J of f iling in~trnction~)N O N E O g o reportable liabiliti~.)

    CREDITOR D E S C R I P T I O N!.2.3.4.5,

    V A L U E C O D E

  • 8/3/2019 Rosanna M Peterson Financial Disclosure Report for Peterson, Rosanna M

    12/16

    FINANCIAL DISCLOSURE REPORTPage 4 of 8

    N ame o f Pe r son Repor t ingP e t e r s o n , R o s a n n a M .

    D a t e o f R e p o r t8/22/2011

    N O N E ( N o reportable income, assets, or transactions.)D c ~ c r i p d o n o f A s s e L s( i n c l u d i n g t rus t asse t s )

    P i a n o "(X)" a~r each as s etexempt f r om pr ior d i s c los ur o

    Inc ome du r ingr ~ p o r f i n g p ~ r i o d(I) (2)A m o u n t T y p e ( e , g . ,C o d e I d i v . , r e n t ,IA - H ) o r i n t . )

    Gr os s vague at endo f r e p o r t i n g p o u n d-il)V a l u e V a l u eC o d e 2 M e th o d

    ( J - P ) Code 3( Q - W )

    D oT 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

    (t )T y p e ( e . g . ,bu y, se l l ,r edempt ion)

    ( 2 )D a t em n d d d / y y

    (3) (4) [ ( 5 )Value GainI I d e n t i t y o fC o d e 2 [ C o d e I b u y e r l s c l l c r(J-P) [ ( A - H ) ( i fpdvatnt r a n s a c t i o n )

    !. Spokane Teachers Credit Union (Y)

    2. CNA who l e l i f e i n sur an ce N o n e J T

    3 . C h a s e B a n k A c c o u n t ( Y )4. U .S. T r easur i es Secur i t i es None J T5. U.S. Governm ent Bonds None J T

    6. Costco None J T

    7 . F o r d Motor Co None J T

    8. C a n n o n d a l e (Y )9. Allianz O C C R e n a i s s a n c e F u n d None J1 0 . D r e y f u s W o r l d w i d e G r o w t h None J TI I . G r o w t h F u n d o f A me r i c a None K T1 2 . Investment Co. of America None K T

    1 3 . J o h n H a n c o c k L i f e st y l e G r o w t h None J1 4 . W ashington Mu lual Investors Fund

    1 5 . American High Income Trust (Y)

    N o n e

    1 6 . Small Cap W o r l d F u n d ( Y )

    1 7 . G r ea te r Sou th w es te r n .C or p ( Y)

    AF ~ $ 5 0 . 0 0 1 -J =$ |5 ,000 or l es sN -S 25 0 , 0OI - $500.000P3 =S25,000,001 - $50.000.000U - B o o k V n l u e

    B-$1 , 001 - S 2 . 5 00G-S 100,0OI - $1,000.000K=SI5.001 - $50,000O-S500.001 - St ,000,000R =Cost (Real Esta te Only)V = O t h e r

    C = S 2 , 5 01 - $ 5 . 0 0 0HI =SI.000,001 - SS.00O,000L = $ 5 0 , 0 0 1 - S I00 .000P l = S l ,O 0 0 . O O ] - S 5 , 0 0 0 . 0 0 0

    P 4 = M o r e llusn S 5 0 , 0 0 0 . 0 0 0S = A s s 4 ~ s m e n tW = Es t i ma t e d

    D =$5.001 - SI5,000H2 = M o ~e t ha nM =$100.001 - $ 2 5 0 , 0 0 0P 2 -$5,0~0,001 - $ 2 5 . 0 0 0 , 0 0 0T =Cash M~kel

    E = S I 5 , 0 0 1 - $ 5 0 , 0 0 0

  • 8/3/2019 Rosanna M Peterson Financial Disclosure Report for Peterson, Rosanna M

    13/16

    FINANCIAL DISCLOSURE REPORTPage 5 of gN ame o f Pe r son Repor t ing

    P a t e r s o n , R o g a n n a M .D n t e o f R e p o r t

    8/22/2011

    V I I . IN V E S T M E N T S a nd TR U S T S - ~, ,eo , , , , , value, t ,ansact lons(includesthusof,pouseandd ependentchlldren;,eepi~ 34-60off l ilngins~ruc~ion&)[] HONE( N o 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 l u d i n g t r u s t a s s e t s )

    P l a c n " ( X ) " a f t e r e a c h a s s e texempt f r om pr ior d i s c los ur e

    1 8 . P er s h ing Money Mar k e t ( Y)1 9 . TIAA T r a d i t i o n a l20 . e R EF S t o c k2 1 . CREF Equ i t y I ndex22 . C R E F Globa l Eq ui t i es23 . T - C S o c i a l C h o i c e E q . R t m !2 4. T -C In tl E q* R lm t25 . T - C I n t l E q ln d e x - R t m t26 . T - C L a r g e C a p G r I n d e x -R t m t27 . T - C L a r g e C a p V a I - R l m t2 8. T -C M id -C ap G r- Rtm t

    29 . T - C M i d - C a p V a l - R t m t30 . T - ~ S m - C a p E q - R t m t31 . T I A A - C R E F E q u i ty I n d e x F u n d32 . T I A A R e a l E s t a te 33 . C R E F B o n d M a r k e t34 . C R E F I n P I L i n k e d B o n d

    I n c o m e d u r in gr e p o r t in g p ~ r i o d(I) [ 12)Amount ] Type (e .g . ,C o d e ! d i v . , r e n t ,( A - H ) o r i n t . )

    G m 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(I) [ (2)

    Value ValueC o d e 2 M e th o d

    ( J - P ) C o d e 3( Q - W )

    None N T

    None M T

    None J T

    None K T

    None J T

    None J T

    None J T

    None J T

    None K T

    None K T

    N o n e J TNone J TNone J TNone K T

    None L T

    None L T

    Do

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

    T y p e ( e . g . , D a t e Valuel ]Gain I d e m i t y o fbu y , se ll , m m/dd /y y C o d e 2 C o d e I bu yer /se l l e rredempt ion) ( J - P ) ( A - H ) (ifpfivalen m z ~ c l i o n )

    I . I n c o m e G a i n C o d e s :( S e e C o l u m n s B I a ~ l I ) 4 )2 . V a l u e C o d e ~

    ( S e e C o l m m ~ C I a o d D 3 )3 . V a l n e M e t h od C e ~ e ~

    ( S e e C o h a r ~ C 2 )

    "A=SI,000 or lessF - - $ 5 0,001 - S l O 0 , O 0 0J=S 15,000 or l e ~ sN-$250,001 P3 -$25,000.001 - 550,000,000Q~Appra isa lU = B o o k Va l u e

    B- $ 1 . o 0 1 - $ 2 . ~ , o 0G-SI00,001 - $1,000,000K-SIS,001 - $50,oooO-550o.001 - SlR = C o s t ( R e a l E s ta t e O n b j )v

    C -$2,501 - S 5 . 0 0 0HI =SI,000.001 - S 5 . 0 0 0 , 0 0 0

    L = $ . T O . 0 0 1 - S I 0 0 .0 0 0PI ~SI,000,001 - $5.000,000P 4 - M o ~ l h a n $ : . .~ . 0 0 0 . 0 0 0W ~ E ~ i m at ed

    D = S5 . 0 0 1 - $ 15 . 0 o 0H2 = M o re t ha n S5 , 0 0 0 . 00 0

    M -$100,001 - $ 2 5 0 . 0 0 0P2 =$5.000.001 - $25,000.000T ~Co~E Marke t

    E = S I 5 , 0 0 1 - $ 5 0 , 0 0 0

  • 8/3/2019 Rosanna M Peterson Financial Disclosure Report for Peterson, Rosanna M

    14/16

    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 gPeterson, Rosanna M.

    Date of Report8/22/2011

    V I I . IN V E S T M E N T S a n d T R U S T S - i n ~ m e ~ v a ~ u e ~ t r a n s n c d ~ n s ( ~ n ~ u d ~ s t h ~ s e ~ f s p ~ u s e a n d d e ~ e n d e n t ~ h i ~ d r ~ n ; s e e p p ~ 3 4 ~ 6 ~ f ~ n g ~ n s t r u c t l ~ r ~ )[--] N O N E ( N o 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 lu 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 texempt f r om pr ior d i s c los ure

    Income duringr e p o r t i n g p e r i o d~mount I Type (e.g . ,2 o d e I d i e . , r e n t ,(A-H) o r i n t . )

    (I )T y p e ( e . g . ,b u y , s e l l,r e d e m p t i o n )

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

    Date ! Value G a i n i dcnt l ty o fm m / d d /y y C o d e 2 C o d e I bu yer /se l l e r{ J - P ) ( A-H) ( i f p r i v a t e

    t r a n s a c t i o n )

    35 . C R E F M o n e y M a r k e t None J3 6 . T I A A - C R E F Money Marke t3 7 . TIAA-CREF Int l FXl Idx - lns t (X)

    N o n e J TNone K T

    3 8 . T I A A - C R E F L g - C a p G r I d x - l n s t ( X )

    3 9 . T I A A - C R E ~ L g - C a p V a l - P r e m ( X )N o n e JN o n e K

    T

    T4 0 . T I A A - C R E F M i d - C a p G r - P r e m (X ) N o n e J4 1. T I A A - C R E F M i d - C a p V a l - P r e m ( X ) N o n e J T42 . T I A A - C R E F S o c i a l C h E q - P r e m ( X )43 . C R E F G r o w t h ( X )

    None K T

    None J T

    4 4. C R E F S to c k IR A D i st ri bu t io n ( X )45 . A l l ia n c e B e m s t e in W e a l th M g t ( X )

    D D i s t r i b u t i o n J TN o n e J T

    Dis t r ib u ted 04/22/10 J(part)

    4 6 . U S A A ln t l S to c ks /f un d s (X ) None K T4 7. U S A A L a r g e C a p s t o c k s / f u n d s ( X ) N o n e L T4 8. U S AA T a xa bl e b on d s & C D ( X )

    1 4 9 . U S A A C a s h /M o n e y M a r k e tN o n e J TN o n e K T

    I. I n c o m e Ga i n C o d ~ :( S ee C o l u n m s B I an d D4 )

    2.V a l ue C o d e s( S e e C o l u m m C I a n d D 3 )3. Valu~ Method

    (~1:: Cotamn C2)

    A=$I .000 or le~sF -$50.001 - $100,000J-$1 5 , 000 o r l e ssN -$250,001 - $500.000P3 -S25.000,001 - $50.000.000Q-Ap p r a i sa lU - B~ok Value

    D -$5 . 001 -H 2 = M o r e t h an $5 . ~ 0 , 0~1M =SI00,O01 - $250.001)P2 =$5,000,001 - $25,000.000T - - C a s h M m ke t

    E -5 1 5 . ~ 1 $5 0 , 000

  • 8/3/2019 Rosanna M Peterson Financial Disclosure Report for Peterson, Rosanna M

    15/16

    FINANCIAL DISCLOSURE REPORTPage 7 of 8 Ia m e o f P e r s o n R e p o r l ln gPeterson, Rosnnna M . D , ~ t e o f R e p o r t8 / 2 2 / 2 0 1 1VIII. ADDITIONAL INFORM ATION OR EXPLANATIONS.

    S e c t i o n V i i , l in e I : S p o k a n e T e a c h e r s C r e d i t U n i o n i n t e r e s t d e c r e a s e d t o a n a m o u n t t h a t i s n o t r e p o r t a b l eS e c t i o n V I iS e c t i o n V l lSec t i o n V I ISec t i o n V I !S e c t i o n V I iSec t i o n V I ISec t i o n V I ISec t i o n V I ISec t i o n V I ISec t i o n V I I

    l i n e 1 0 : C a n n o n d a l e s t o c k b e c a m e w o r t h l e s sl i n e 17 : T h i s as se t was ex chan g ed f o r a d i f f e r en t as se t whi ch i s l i s t ed o n t h i s r ep o r tl i n e 18 : T h i s as se t was ex chan g ed f o r a d i f f e r en t as se t whi ch i s l is t ed o n t h i s r ep o r tl i n e 1 9 : G r e a t e r S o u t h w e s t e r n b e c a m e w o r t h l e s sl i n e 4 6 : T h i s was a o n e t i me d i s l r i but i o n f r o m an I R A , but t he I R A acco un t s t i l l r e t a i n s va l uel i n e 4 7 : A l l i an ce had n o t ap p ear ed o n t he p r ev i o us year s r ep o r tl i n e 4 8 : T h i s w a s n e w l y a c q u i r e d i n t h e a s s e t e x c h a n g e i n v o l v in g t h e A m e r i c a n H i g h I n t e r e s t T r u s t a n d t h e S m a l l C a p W o r l d F u n dl i n e 4 9 : T h i s w a s n e w l y a c q u i r e d i n t h e a s s e t e x c h a n g e i n v o l v in g t h e A m e r i c a n H i g h I n t e r e s t T r u s t a n d t h e S m a l l C a p W o r l d F u n dl i n e 5 0 : T h i s w a s n e w l y a c q u i r e d i n t h e a s s e t e x c h a n g e i n v o l v in g t h e A m e r i c a n H i g h I n t e r e s t T r u s t a n d t h e S m a l l C a p W o r l d F u n dl i n e 51 : T h i s was n ewl y c r ea t ed w i t h the f un d s p r ev i o us l y i n t he Per sh i n g acco un t

  • 8/3/2019 Rosanna M Peterson Financial Disclosure Report for Peterson, Rosanna M

    16/16

    FINANCIAL DISCLOSURE REPORT r~Bme o~Page 8 of 8 Peterson, R o s an n a M .

    IX. CERTIFICATION .

    D a t e o f R e p o r t8/22/2011

    i c e r t if y t h a t a l l in f o r m a t i o n g i v e n a b o v e ( i n c l u d i n g i n f o r m a t i o n p e r t a i n 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 l d r e n , i f a n y ) i sa c c u r a t e , t r u e , a n d c o m p l e t e to 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 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 t t i n g n o n - d i s c l o s u r e .I f u r th e r c e r t if y t h a t e a rn 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 ia a n d t h e a c c e p t a n c e o f g i f ts 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 no m p l i a n c e w i t h t h e p r o v i s i o n s o f 5 U . S . C . a p p . 5 0 1 e t . s e q . , 5 ( J .S . C . 7 3 5 3 , a n d J u d i c i a l C o n f e r e n c e r e g u l a t i o n s .

    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 G L Y A N D W I L F U L LY F A L S I F IE S O R F A L L S T O F I L E T H I S R E P O R T M A Y B E S U B J E C T T O C I V I LA N D C R I M I N A L S A N C T I O N S ( 5 U . S . C . a p p . 1 0 4 )

    F I LI N G I N S T R U C T I O N SMail s igned orig inal and 3 addit ional copies to:

    C o m m i t t e e o n F i n a n c i a l D i s c l o su r eA d m i n i s tr a t iv e O f f i c e o f t h e U n i t e d S t a t e s C o u r t sS u i t e 2 - 3 0 1O n e C o l u m b u s C i r c l e , N , E .W a s h in g t o n , D . C . 2 0 5 4 4