Documentos de Académico
Documentos de Profesional
Documentos de Cultura
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Rev. ~/*.010
,~o/0
Rt,[~ortRequircdbytheEthi~"
in Government Act of 1978
I. Person Reporting (last name, Iust, middle initial) Smith, Norman R. ,4. "1 itie (Article Ill judges indicate active or ~nior slatu~; magistrate judges indicate full. or part-time) Circuit Judge-Active
[] Initial
5b. [] Amended Report 7. Chambers or Office Address g0] East Sherman Pocatello, Idaho 83201 8. ()n the basis of lhe information contained in this Repnrl and any modillcations pertaining thereto, i~ ix, in my opinion, in compliance w~th applicable laws and regulations. Reviewing Officer Date
IMPOR TA NT NO TES: The instructions accompanying thi~ form must be followed Complete all parts, checking the NONE box for each part where yau ha~e no reportable information. Sign on last page-
II. AGREEMENTS. t Reporting indivldual onlA,; see pp. 14-16 of filing in,~truc~ivr~)
~] NONE (No reporlable agreements.) DATE 1. 1995 State of Idaho Retirement. no control PARTIES AND TERMS
Smith, Norman R.
05/01/2010
(No reportable
DATE
non-investment income.) SOURCE AND TYpE INCOME (yours, not spouses) $ It),150.0~) $16,813.96
Idaho State Umversity, wages State of Idaho, retirement University of Idaho, wages
B. Spouses N on-! nvestment Income - if you were marricd during any portion of the reporting.rear, complete this section. ~] NONE
(~o reporlable
DATE
non-investment income.) SOURCE AND TYPE Idaho School District No. 25. wages Public Employees Retirement System, retirernent
1. 2009 2. 2009
4.
2. 3. 4. 5.
DateofRepor~
Page 3 of 6
Smith, Norman R.
05/01/2010
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3.
4. 5
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1. 2. 3.
5.
Oa,e or R~ort
05/01~010
~ .......... ~.~ (Includes thost of s~ ....~ depeMent children; see pp. 34-60 of f!li~g l~tru~ion.{.) ~ ........ ~ ..... c? .................... i~ ..................
ir~sac6ons during rcB~ni~g i~riod ~) Ty~ (e.g.. buy, sell. rcdcmpion) ~2) (3) ~) Value Gain Date ~m~dd~ Code 2 Code I ~ 0-P) ~A-It) ttansaclion) ~) Idcnlily ol buyer/seller (ifptivalc
~ ofr~po~ing ~fi~ (~) ; (~) O) (2) i Amount Ty~ (eg,. ~ Value ~ Value ~ Code 1 ; div.. cent. ] C~ 2 Method ~ (A-Hi octaL) (LP) ] C~c3 (Q-W)
I.
Interest
2. 3. 4. 5, 6. 7.
Gcnworth Lit~ and Annuity Ins. Co. (annuity conlract) SEI-US Employees Credit Union PERSI Choice Plan retirement account Principal Life Insurance - Universal Life Policy Principal Lit~ Insurance - Universal Life Policy
D A A
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Smith, Norman R.
0510112010
o_~Jol/2olo
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 kno~dedge and belief, and thzt 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
NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FALLS TO FILE Tills REPORT MAY BE SUIKIECiIO AND CRIMINAL SANCTIONS (5 U.S.C. app. 104)
FILING INSTRUCTIONS Mail signed original and 3 additional copies to: Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544