Está en la página 1de 6

.

- [

Rev. ~/*.010

,~o/0

FINANCIAL DISCLOSURE REPORT


FOR CALENDAR YEAR 2009
2. Courl or Organization United States Court of" Appeals tor the Ninth Circuit 5a. Report Type (check appropriate type} [] Nomination, Date [] A .... t [] Final

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

3. Date of Repor~ 05A)1/2010 6. Reporting Peri~l 01/01/2009 t~ 12/3112009

[] 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-

I. POSITION S. a+e+o.i~g i+.,,,,ia::t o++~: ~~ ~,~. 9.. of fding instructions.)


~-] NONE (No reportable positions.) POSITION 1. 2. 3. 4. 5. 6. Adjunct Faculty Member Adjunct Faculty Member Member of College of Business AdvisoD" Board Member of Deparm~ent of Pamlegal Studies Advisory Board Member of Visiting Committee Member of Planning Committee NAME OF ORGANIZATION/ENTITY idaho State University College of Bu.~iness University of Idaho College of Idaho State University Idaho Slate University University of Idaho College of Law Idaho State Tax Institute

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.

FINANCIAL DISCLOSURE REPORT Page 2 of 6


[ Smith, Norman R. [

05/01/2010

III. NON-INVESTMENT INCOME. ~R~po,,i,~


A. Filers Non-Investment lncmne [~ NONE

(No reportable
DATE

non-investment income.) SOURCE AND TYpE INCOME (yours, not spouses) $ It),150.0~) $16,813.96

I. 2009 2. 2009 3. 2009 4.

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.

IV. REIMBURSEMENTS .....


(l~cludes those" to .Waus~: ~nd dependent children: see pp 25-27 ~f filing inst~wtio~ ) ~ NONE (NO reportable reimbursements.) SOURCE I. Idaho State Bar Associalion DATES March 5-7, 20~9 LOCATION Boise, Idaho PURPOSE Trial Skills Academy Teach ITEMS PAID OR PROVIDED "f~s~tion. mcals, I~gtng

2. 3. 4. 5.

FINANCIAL DISCLOSURE REPORT

N .... trPerson Reporting

DateofRepor~

Page 3 of 6

Smith, Norman R.

05/01/2010

[~

NON E (No reportable girls.) ~ DESCRIPTION VALUE

3.
4. 5

[~

NONE (No reportable liabilities.) CRED|TOR DESCRIPTION VALUE CODE

1. 2. 3.

5.

FINANCIAL DISCLOSURE REPORT Page 4 of 6


VII. IN VESTMENTS an d TRUSTS -i .........

N .... tPerson Repoaing


Smith. Norman R.

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

N ONE (No reportable income, assets, or transactions.)


Description or Assc~ (including I~st ~ts) Ilacc "(X)" after each ~l c~cmpl f~m prior disclosure Income during reporting ~riod ) Gross ~aluc at end

........... ,x. " ...............

~ 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.

Key Bank Choking Account

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

Interest Interest Interest None None

~ 3

"]" T Distributed 08/31/09 J State of Idaho

J J

T [

10. II. 12. 13.


14.

15. 16. 17.

FINANCIAL DISCLOSURE REPORT Page 5 of 6

Smith, Norman R.

0510112010

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS.


None

FINANCIAL DISCLOSURE REPORT Page 6 of 6 IX. CERTIFICATION.

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

También podría gustarte