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AO I0 Rev.

1/2011

FINANCIAL DISCLOSURE REPORT FOR CALENDAR YEAR 2010


2. Court or Organization U.S. Courts
5a. Report Type (check appropriate type) Nomination, ] [] Initial Date [] Annual [] Final

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

I. Person Reporting (last name, first, middle initial) Shanstrom, Jack D. 4. Title (Article III judge~ indicate active or senior status; magistrate judges indicate full- or part-time)

3. Date of Report 06/01/2011 6. RepoSing Period 01/0112010 to 12/31/2010

Senior Status

5b. [] Amended Report 7. Chambers or Office Address P.O. Box 985 Billings, MT 59103-0985 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. Revie,~ing Officer Date

IMPORTANT NOTES: The instrucaons accompanying this form mast be followe~ Complete all parts,
checking the NONE box for each part where you have no reportable information. Sign on last page.

I. POSITIONS. tR,vo,~,g i.dlvla, at o.~,~ see VV. 9-t3 of filing instructiong)


NONE (No reportable positions.)
POSITION
I. 2. 3. 4.

NAME OF ORGANIZATION/ENTITY

11. AGREEMENTS. me~,orn,,g i,,alv~a, at o,,ty," ~eeVp. U-t6 of filing instructions.)


NONE (No reportable agreements.)

DATE
I. 2. 3.

PARTIES AND TERMS

Shanstrom, Jack D.

FINANCIAL DISCLOSURE REPORT Page 2 of 9

Name of Person Reporting Shanstrom, Jack D.

Date of Report 06/01/201 I

I11. NON-INVESTMENT INCOME. tRepo,l.g inZivlduol ondsp ....: see pp. 17-2~ of~lin~ i.s,ru~,ion~)
A. Filers Non-Investment Income
--] NONE (No reportable non-investment income.)

DATE
1. 2010 2. 3. 4.

SOURCE AND TYPE


Public Employees Retirement System

INCOME (yours, not spouses)


$53,840.28

B. Spouses Non-Investment Income - If you were married during any portion of the reporting year, complete this section.
(Dollar amount not required except for honoraria.)

NONE (No reportable non-investment income.) DATE


1.2010 2. 3. 4. Teachers Retirement

SOURCE AND TYPE

IV. REIMBURSEMENTS - transportation, Iodglng, food, entertainment.


(Includes those to spouse and dependent children; see pp. 25-27 of filing instructions.)

~]

NONE (No reportable reimbursements.)


SOURCE DATES LOCATION PURPOSE ITEMS PAID OR PROVIDED

2. 3. 4. 5.

FINANCIAL DISCLOSURE REPORT Page 3 of 9

Name of Person Reporting Shansgrom, Jack D.

Date of Report 06/01/2011

V. GIFTS. anet~d,~ ,hose to sp ...... d dependent children: see pp. 28-31of filing lnstructiong)
NONE (No reportable gifts.) SOURCE
I. 2. 3.
4.

DESCRIPTION

VALUE

5.

V I. L I A B I L I T I E S. anctudes those of spouse and dependent children; see plx 32-33 of filing instr uctlong)
NONE (No reportable liabilities.) CREDITOR
1. 2. 3. 4. 5.

DESCRIPTION

VALUECODE

FINANCIAL DISCLOSURE REPORT Page 4 of 9

Name of Person Reporting Shanstrom, Jack D.

Date of Report 06/01/2011

A. Description of Assets (including ~rost assets) Place "(X)" after each asset exempt from prior disciosure

B. Income during reporting period i (I) (2) i Amount Type (e.g., div., rent, I Code I i (A-H) or int.)

C. Gross value at end of reporting period (I) Value Code 2 (J-P) 12) Value Method Code 3 (I) Type (e.g., buy, sell, redemption)

Transactions during rel~rting period (2) (3) (4) Date Value Gain nurddclhyy Code 2 Code I (J-P) {A-H) (5) Identity of buyer/seller (if private transaction)

I. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17.

US Bancorp Del sharesF"7~! Microsoft Corp share~"~] Municpal bond - MT St V Health fac Auth Municipal bond - MT Fac Fin Authority AAPL shares ~,::~ ANTF shares -~ AAPL shares -~<~ VYOG shares -~"~ ~::~ TNK shares -!~ ORCL shares-~ ORCL shares WFC shares i~.~[~ Microsoft shares-~li~ IRA Costco shaes ~- IRA AT&T stock ~ - IRA PSEC ~i~~ IRA Target shares -~~" ~:3~:~

A A C B A A A A A

Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend None

J J K K J J J J J

T T T T T T T T T

Buy Buy Buy (addl) Buy Buy Buy Sold

04/12/10 04/20/10 04/28/10 06/03/10 08/10/10 12/16/10 12/17/10 12/23/10

K J K J J J J J
A

A A A A A A A

Distribution Dividend Dividend Dividend Dividend Dividend Dividend J J J J J J T T T T T T

Buy

I. Income Gain Codes: (See Columns B I and D4 ) 2. Value Codea (See Columns CI and D3) 3. Value Method Codes ISee Column C2)

A =$1,000 or less F =$50.001 - $ 100.000 J =$15.000 o~" less N ~$250.001 - $500.000 P3 =$25.000.001 - $50.0OI.000 Q ~Appraisal U =Book Value

B =$1,001 - $2,500 G =$100.001 - $1,000.0~0 K =$15.001 - $50.000 O =$500.001 - $1.000.000 R -Cost (Real Estate Only) V =Oth~"r

C =$2.501 - $5.000 I I I =$ 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 =Asscssmcm W Estimated

D =$5.001 - $15.000 112 =M ore than $5,000.000 M =$100.001 - $250.1300 P2 =$5.000.001 - $25.000.000 T =Cash Market

E =$15,001 - $50.000

FINANCIAL DISCLOSURE REPORT Page 5 of 9 VII. INVESTMENTS an d TRU STS -i ....


e,

Name of Person Reporting Shanstrom, Jack D.

Date of Report 06/01/201 I

value, transactions anclude~ those of spouse and dependent children; see pr~ 3 4-60 of J~/ing instructions.)

[~

NONE

reportable income, assets, or transactions.)


Income during reporting period " (I) (2) Type (e.g., div., rent, or int.) iI Amount I Code I i (A-H) Gross value at end of reporting period O) (2) Value Value Code 2 Method (J-P) Code 3 (I) Type (e.g., buy, sell, redemption) Transactions during reporting period (2) (3) (4) Date Value mm/dci/sy Code 2 (J-P) (5) Identity of buyer!seller (if private transaction)

Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure

Gain Code I (A-H)

18.

NWL shares-~

Dividend

J J
J

T T
T

19.

SIRI stock-~

Dividend

20.

Touch America stock

Dividend

21.

Wal Mart stock-

Dividend

22.

3M stock

Dividend

23.

Gannett stock-

Dividend

24.

Home Depot stock-

Dividend

j
J

T
T

25.

Lowes stock

Dividend

26.

Avon stock ~,~i

Dividend

J J J J J
J

T T T T T
T

27.

Kimberly Clark stock-

Dividend

28.

Sara Lee stock Amgen stock-

Dividend

29.
30.

Dividend

AstraZeneca stock-

Dividend

31.

GlaxoSmithKline stock-

Dividend

32.

Johnson & Johnson stock-~/~

Dividend

j J J

T T T

33.

EliLilly stock-

Dividend

34.

Pfizer stock-

Dividend

I. Income Gain Codes: (See Columns BI and D4) 2. Value COd~ (S~c Column.~ CI and D3) 3. Value Method Codes (See Column C2)

A =$1.000 or less l= =$50,0~1 - $10~,0O0 J =$15.000 o~ le~s N =$250.001 - $500.0~0 P3 =$25.000.001 - $50.000.000 Q =Appraisal U =Book Value

B =$1,001 - $2.500 G =$100.001 - $1,000.0~0 K =$15.0OI - $50.000 O =$500.001 - $1.0O0.000 R ~ost (Real Estate Only) V =Otho"

C =$2.501 - $5,000 Ill =$1.000.001 - $5.00Q.000 L =$50.0~1 - $10O.00O PI =$1.000.001 - $5.000,0~0 P4 =More than $50.000.000 S =Assessment W =Estimated

D =$5.001 - $15,000 112 =More than $5.000.000 M =$100.0Ol - $250.000 P2 =$5.0(30.001 - $25.000.0~3 T =Cash Market

E =$15,001 - $50.000

FINANCIAL DISCLOSURE REPORT Page 6 of 9

Name of Person Reporting Shanstrom, Jack D.

Date of Report 06/01/201 I

i,,e, VII. INVESTMENTS and TRUSTS - i,,c ...... transactions (include~ those of sp ......
D

d dependent

children; see pp. 34-60 of filing instructlon~.)

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


A. Deseription of Assets (including trust assets) Place "CA)" alter each asset exempt from prior disclosure B. Income during reporting period i (I) (2) ! Amount i Code I (A-H) Type (e.g., div., rent, or int.) C. Gross value at end of reporting period (I) (2) Value Value Method Code 2 Code3 (J-P) Tmnsactlons during reporting period

(I) Type (e.g., buy, sell, redemption)

(2) (3) (4) Value Gain Date mm/ddh/y Code 2 Code I (J-P) (A-H)

(Q-W)
35. Wyeth stock-~ A Dividend J T

(5) Identity of buyer/seller (if private transaction)

36. 37. 38. 39. 40. 41. 42.

Municipal bond - MT St V Health Care fac Bank of America shares C~hgroup sharesL~,~z "" MBIA shares US Bancorp sharesWachovia sharesWells Fargo shares

C A A A A A A B B B
A

Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend
Dividend

K J J J J J J J L L
J

T T T T T T T T T T
T

43. Municipal bond - Fed Home Ln BK -~ 44. Municipal bond - Fed Home Ln BK

45. Municipal bond - Fed Home Ln Big. ......* 46.


47.

Lee shares-~:~ :~
HRP shares!!

Buy Buy Buy Buy Buy

01/14/10 01/14/10 01/14/10 03/25/10 06/03/10

J J J J J

Dividend

48. 49. 50. 51.

PSEC shares FIBK shares ~!~ VYOG shares -~,i~ Ambase stock IRA

A A A A

Dividend Dividend Dividend Dividend

J J J J

T T T T

1. Income Gain Codes: (See C01umns B 1 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 - $10~.00O J :$15.000 or less N =$250.001 - $500.00) P3 =$25.000.001 - $50.0~).0~0 Q =Appraisal U =l:k~.k Value

B =$1,001 - $2.500 O =$100.0Ol - $1.000.090 K ~$15,0OI - $50.000 O ~$500,001 - $1,000.000 R =Cost (R~I Estate Only) V =Olher

C =$2.501 . $5.000 I I I =$1.000.001 - $5.000.000 L ~$50,001 - $100.000 PI =$1.0~0.001 - $5.000,000 P4 =Mote than $50.000.0~) S =Assessment W =Estimated

D =$5.001 . $15.000 112 =More l han $5.000.000 M =$100,001 - $250.0~X) P2 =$5.000.001 - $25.000.000 T =Cash Markcl

E =$15.001 - $50.000

FINANCIAL DISCLOSURE REPORT Page 7 of 9

Name of Person Reporting Shanstrom, Jack D.

Date of Report 06/01/:201 I

VII. INVESTMENTS and TRU STS - theory,, ,alue. ,r .... lncludes ,hose of sp ...... d del, enaent children; see pp. 34-60 of filing instructions.) ,io,~
NONE (No reportable income, assets, or transactions.)
A. Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure B. Income during reporting period (I) Amount Code I (A-H) (2) Typ~ (e.g., div., rent, or int.) C. Gross value at end of reporting period (I) (2) Value Value Method Code 2 (J-P) Code 3 (Q-W) (I) Type (e.g., buy, sell, redemption) D. Transactions during reporting period (2) (3) (4) Value Date mm/dd~yy Code 2 (J-P) (5) Identily of buyer/seller (if private transaction)

Gain Code I (A-H)

52.

Boeing stock -~ IRA

A A A A - IRA A A A A - IRA A A A

Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend Dividend

J J J J J J J J J J J

T T T T T T T T T T T

53. Coslco stock-~- IRA 54. 55. 56. 57. 58. 59. Motorola stock GE stock- IRA IRA

Hewlett Packard stock

Five Star Quality stock-~ - IRA STSA stock ~ - IRA HRP stock-IRA

60. Visteon Corp stock 61. 62. 63. Intel stock ~- IRA PSEC stock-IRA

I. Income Gain Codes: (See Columns B1 and D4) 2. Value Codes (See Columns CI and D3) 3. Value Method Codts (S~c Column C2)

A =$1,000 or less F =$50,001 - $100.0~0 l =$15.000 o~" less N =$250.001 - $500.0~0 P3 =$25.0Q~.001 - $50.0~1.090 Q =Appraisal U =Book Value

B =$I,001 - $2,500 O =$100.001 - $1.000.000 K =$15,001 - $50.000 O =$50~.001 - $1.0(~.0OO R =Cost (Real Estate Only) V =Ozhcr

C =$2,501 - $5.0Q0 Itl =$1.000.001 - $5.0~0,000 L =$50.0~1 - $10~.0OO PI ~$1.000.0~1 - $5,000.000 P4 =More than $50.0~0.0~0 S =Assessment W =Estimated

D =$5.001 - $15,0~0 112 =More than $5.000.000 M =$100.0QI - $250.000 P2 =$5.O00.001 - $25,0~0.00~ Y =Cash/vlarkd

E =$15,0~1 - SS0,O0O

FINANCIAL DISCLOSURE REPORT Page 8 of 9

Name of Person Reporting Shanstrom, Jack D.

Date of Report 06/01/201 I

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. (Indicate part of repor~)

FINANCIAL DISCLOSURE REPORT Page 9 of 9 IX. CERTIFICATION.

Name of Person Reporting Shanstrom, Jack D.

Date of Report 06/01/201 I

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.

Signature: S/Jack D. Shanstrom

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

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