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1. Person Reporting (last name, first, middle initial) Rose, Thomas M. 4. Title (Article I11 judges indicate active or senior status; magistrate judges indicate full- or part-time) U.S. District Judge (active) 2. Court or Organization U.S. District Ct., S.D. Ohio 5a. Report Type (check appropriate type) ] Nomination,
[] Initial
Report Required by the Ethics in Government Act of 1978 (5 U.S.C. app. 101-111)
Date
[] Annual [] Final
7. Chambers or Office Address 200 West Second Street 9th Floor, Federal Building Dayton, OH 45402
8. On the basis of the information contained in this Report and any modifications pertaining thereto, it is, in my opinion, in compliance with applicable laws and regulations.
Reviewing Officer
Date
IMPORTANT NO TES: The instructions accompanying this form must be followe~L Complete all parts,
checking the NONE box for each part where you have no reportable information. Sign on last page.
1. Partner 2. Partner 3. 4. 5.
II. AGREEMENTS. mepora.g i.d~vidual o.ly; see pp. 14-16 of filing instructions.)
~-~ NONE (No reportable agreements.) DATE
1.1976 2.2005 3. PARTIES AND TERMS Public Employees Retirement System, no control, retirement Northwestern Mutual Individual retirement account - self directed (rolled from Ohio Deferred Comp Fund)
Rose, Thomas M.
IlL NON-INVESTMENT INCOME. tReponing individaal and spoa,e; see pp. 17-~4 of filing instructions.)
A. Filers Non-Investment Income
D
1. 2010 2. 3. 4.
DATE
INCOME
(yours, not spouses)
$76,557.00
B. Spouses Non-Investment Income - If you were married daring any portion of the reporting year, complete this section.
(Dollar amount not required except for honoraria.)
1.2010 2. 3. 4.
DATES
LOCATION
PURPOSE
V. GIFTS. ancludes those to spouse and dependent children; see pp. 28-31 of filing instructions.)
[] NONE (No reportable gifts.) SOURCE
1. 2. 3.
4.
DESCRIPTION
VALUE
5.
VI. LIABILITIES. aneiudes those olspo~e and dependent children; see pp. 32-33 of f!ling instructions.)
~]
1. 2. 3. 4. 5.
VALUECODE
VII. INVESTMENTS and TRU ST S - income, volue, trunsoctions (Includes those of spouse and dependent children; see pp. 34-60 of filing instructions.)
[]
Amcap Fund Inc. Class A Am Funds Small Cap World Fund Class A Am Funds Aim Mutual Fund Inc. Class A Am Funds Bond Fund of Am Inc. Class A Am Funds Capital World Bond Fund Class A Funds Euro Pacific Growth B Fd. Class A Am Funds Archer - Daniels - Midland Co. Babcock Wilcox Bank of Am Coop Pref Berkshire Health BP P L C ADR Sponsored BP P L C ADR Spon Central Fund of Canada LTD CL Chesepeake Corp Cisco System Inc. Citigroup Cap Trust
A A C B A A A A A A B A A A A A
Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend
K K K
L K K J J K
T T T T T T
Buy
K J K K J
J J J J J J
T T T T T T
Buy
J J J
1. Income Gain Codes: (See Columns B1 and D4) 2, Value Codes (See Columns CI and D3) 3, Value Method Codes (See Column C2)
A =$1.000 or less F =$50,001 - $100.000 J =$15_0~0 or less N =$250,001 - $500,000 P3 =$25,000.001 . $50,000,000 Q =Appraisal U =Book Value
B =$1.001 - $2,500 G =$100.001 - $1.000.000 K =$15.001 - $50.000 O =$500.001 - $1.000.000 R =Cost (Real Estate Only) V =Other
C =S2.501 - $5.000 HI =$1,000.091 -$5.~00.0~ L =$50.001 - $100.000 PI =$1,000.001 - $5,000,000 P4 =More than $50,000.000 S =Assessment W =Estimated
D =S5.001 - $15.000 H2 =More than M =$100.001 - $250.00~ P2 =$5,000,001 - $25,000,000 T =Cash Market
E =$15.001 - $50,000
VII. INVESTMENTS and TRU ST S - income, vulue, ~a.~uctio,~ (Includes those of spouse and dependent children; see pp. 34-60 of filing instructions.) [] NONE (No reportable income, assets, or transactions.)
18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34.
Comm Vault Sys Exelon Corp Fomento Economico Mexicano Huntington Bancshares Ishares Tr DJ Sel Div Indx Ishares Tr Ftse Znhua IDX Ishares TR S&P Global 100 J.P. Morgan Chase McDermott Microsoft Corp Napoleon Ohio SD Nat City Cap PNC Newell Rubbermaid Inc Northridge Ohio SD Oracle SPDR Index SHS FDS Mideast Africa
A A A A A A A A A A A A A A A A A
Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Interest Dividend Dividend Dividend Dividend Dividend Dividend Dividend
J J J K J K K J J J K J J J J J J
T T T T T T T T T T T T T T T T T
Buy Buy
12/15/10 10/13/10
J J
Buy Buy
10/13/10 12/15/i0
J J
Buy Buy
06/25/10 10/13/10
K J
Buy Buy
03/23/10 12/15/10
J J
1, Income Gain Codes: (See Columns B1 and ~) 2. Value Codes ~See Columns CI and D3I 3. Value Mcthod Codes (See Column C2)
A =$l.000 or less F =$50.001 - $100.000 J =$15.000 or less N =$250.001 - $500,000 P3 =$25,000.001 - $50.000.000 Q =Appraisal U =Book Value
B =$1.001 - $2,500 G =$100.001 - $1.000.000 K =$15.001 - $50.000 O =$500.001 - $1.000.000 R =Cost (Real Estate Only) V =Other
C =$2.501 - $5.000 H 1 =$1.000.001 - $5.000.000 L =$50.001 - $100.000 PI =$1,000.001 - $5,000.000 P4 =More than $50.000.000 S =Assessment W =Estimated
D =$5.001 - $15.000 H2 =More than $5.000.000 M =$100.001 - $250.000 P2 =$5.000.001 - $25.000.000 T --Cash Market
E =$15.001 - $50.000
VII. INVESTMENT S an d TRU STS - i.co~,., v.t.e, ~a.~.cao.~ a.a~de$ tho~e oS ~po,~e .nd depe.dent children; see pp. 34-60 of f!ling instructions.)
---] NONE
~o reportable
Springfield Ohio SD Wilmington Ohio Water Rev Bond Wisdomtree Trust Emg Mkts $American Muni Power Oh
@$Buckeye Ohio TOB Settlem BE Fing Auth Asset $Celina Ohio $Centerville Ohio Hlth Ca Bethany Luthem Vlg Proj $Centerville Ohio Hlth Ca Bethany Lutherar Vlg. Proj $Clyde Green Springs Obligation Bond $Cuyahoga Cnty Ohio Hosp Ref &Impt Revenue Bonds Fairfield Co Hosp. Franklin Co Health Care Bond
A A A B
A A A B A A A A
J J J K K K
T T T T T T
T
Buy Buy
03/23/10 06/25/10
J J
J K J J
J
T T
T T T Buy 12/10/10 J
$Franklin County Ohio Hea Care Facs $Franklin Ohio Pub Imps General Obligation Bonds Franklin City (Warren Co) Ohio General Electric $Hamilton Cnty Ohio Hlth
A A A A B
J J K J K
T T T T T Buy 12/15/10 J
E =$15,001- $50,000
21Val~ Cod~ .............. (See Columns CI and 03) 3, Value Method Codes (See Column C2)
:" ...... K--$15,00i , $50;000 O =$500.001~ $ li000:000 N =$250,00 i ;SS00;~ ...... P3 ~$25i~0~00i : $50.000,000 .... R =Cost (Rea! Estate Only) Q =AppraiSal : v =Other U =B~k ~i~e
VII. INVESTMENTS and TRUSTS - ineo,.e, value, ~a.$actions anctude$ those olspouse and dependent children; see pp. 34-60 of f!llng instructions.)
NONE
(No reportable
52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68.
$Hamilton County Ohio Fats Rev Bond SHuber Hts (Montgomery Co) $Independence Ohio GO Juniper Networks SLorain County Ohio Hosp Ref & Impt Rev I Bonds Catholic Hltcr $Mahoning County Ohio Gen Obligation Bonds #$Mansfield (Richland Cnty Genl Oblig Bonds Mahoning Co. Ohio Hosp. Fac Bonds $Ohio St Bldg Auth Revenu Bonds $Ohio St Higher Edl Fac (Ohio Christian Univ Proj) Ohio St Higher Ed Ohio St Water Dev. Bonds Ross Cnty Ohio Hosp. Rev Bonds ThomburgValue Fund - A Excahnge in Sweney Cartwright Stock Cash Account Wiggins & Rose Stables L.L.P. Rental Prop. #1, Xenia OH
B B A A A B B A A B A A A A B
Interest Interest Interest Dividend Interest Interest Interest Dividend Interest Interest Dividend Dividend Dividend Dividend Interest None None
K K K J K K K K K K
Buy Redeemed
K J J
T T W
Distributed
02/22/10
1. Income Gain Codes: (See Columns B1 and D4) 2. Value Codes (See Columns CI and D3) 3. Value Method Codes (See Column C2)
A =$1,000 or tess F =$50.001 - $106.000 J =$15.000 or less N =$250,001 - $500.000 P3 =$25,000.001 - $50.000,000 Q =Appraisal U ~Book Value
B =$1.001 - $2.500 G =$100.001 - $1,000,000 K =$15.001 - $50.000 O =$500.001 - $1.000.000 R -~ost (Real Estate Only) V =Other
C =$2.501 - $5.000 H 1 =$1.000.001 - $5.000.000 L =$50.001 - $100.000 PI =$1.000,001 - $5.000.000 P4 =More than $50.000.000 S =Assessment W =Estimated
D =$5.001 - $15.000 H2 =More than $5.000.000 M =$100.001 - $250.000 P2 =$5.000.001 - $25.000.00~" T =Cash Markel
E =$15.001 - $50.000
VII. INVESTMENTS an d TRU STS - income, value, transactions (Includes those of spouse and dependent children; see pp. 34-60 of filing instructions.)
[]
69. 70. 71. 72. 73. 74. 75. 76. 77. 78. 79.
D Distribution
1~: ifi~me G~in Codes: iS~ 01umns BI arid D4) 2. Value Codes (See Columns CI and D3) 3. Value Mclhod Codes (See Column C2)
A ~$LO00 or le~s F =$50,001 - $100;000 J =$15.000 or less N =$250,001 - $500.000 P3 --$25.000.001 - $50,000,000 Q =Appraisal U :Book Value
G =$100.001 ~ $i,000~000 H1 =$1,000,001 ~ $5;000,000 K =$15,001-$50.000 L =$50;001 : $100;000 0 =$500,001 " $1,000,000 ............ p4 ~MOr~ thah $~i~OiOoo : R =Cost (Real Estate Only) S =A~seS~n~
H2 =More than $5.000,000 M =$100 001 = $250.000 OOl2 $25~000,000 : T =CashMarket ....
IX. CERTIFICATION.
I certify that all information given above (including information pertaining to my spouse and minor or dependent children, if any) is accurate, true, and complete to the best of my knowledge and belief, and that any information not reported was withheld because it met applicable statutory provisions permitting non-disclosure.
I further certify that earned income from outside employment and honoraria and the acceptance of gifts which have been reported are in compliance with the provisions of 5 U.S.C. app. 501 et. seq., 5 U.S.C. 7353, and Judicial Conference regulations.
NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE THIS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (5 U.S.C. app. 104)
Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544