Documentos de Académico
Documentos de Profesional
Documentos de Cultura
1/2011
Report Required by the Ethics in Government Act ofl978 (5 U.S.C. app..~.~ 101-111)
I. Person Reporting (last name, first, middle initial) Viken, Jeffrey L. 4. Title (Article III judges indicate active or senior status; magistrate judges indicate full- or pard-time)
7. Chambers or Office Address _515 Ninth Street, Room 318 Rapid City, SD 57701
8. On the basis of the information contained in this Report and any modifications pertaining thereto, it is, in my opinion, in compliance svith applicable laws and regulations.
Reviewing Officer
Date
IMPORTANT NOTES: The instructions accompanying thls form must be followed Complete ali parts,
checking the NONE box for each part where you have no reportable informatiot~ Sign on last page.
2. 3. 4. 5.
II. AGREEMENTS. ~Repo,i,g ~.dividuat o,ly: se, pp. t4-t6 oS#U,g ins~ruc,ions.S
[~] NONE (No reportable agreements.) DATE PARTIES AND TERMS
Viken, Jeffrey L.
111. NON-INVESTMENT INCOME. (Reporangindi,.i~aalondspoa~e;seepp. 17-24 of filing instruction~.) A. Filers Non-Investment Income ~] NONE (No reportable non-investment income.) DATE SOURCE AND TYPE
INCOME (yours, not spouses)
2.
3. 4.
B. S p o u s e s N o n-I n vest m e n t I n c o m e - tfyou were marrled during 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. (Include~ those to spouse and dependent children; see pp. 28-31of fillng instructlon~)
NONE (No reportable g~s.) SOURCE
I. 2. 3. 4.
DESCRIPTION
VALUE
5.
VI. LIABILITIES. ancludes ,hose of spouse ~nd dependent children; see pp. 32-33 of fillng instructions.)
D
1. 2. 3. 4. 5.
CREDITOR
Black Hills Federal Credit Union Bank signature line
DESCRIPTION
VALUECODE
J
VI I. INV ESTMENTS and TRU STS - inco,~o, val.e, ,~a,~aaions ancl.des ,hose of spo.se and depe.dent children; see pp. 34-60 of filing instructions.)
(2)
Date mm/dd/yy
(3)
Value Code 2 (J-P)
(4)
Gain Code I (A-H)
(5)
Identity of buyer/seller (if private transaction)
None
3.
4.
5. 6.
7.
8. 9.
10.
I1.
12.
13.
14.
15.
16.
17.
I. Income Gain Codes: (Scc Columns BI and D4) 2. Value Codes IScc Cohmms CI and D3) 3. Value Method Codes (Sc Column C2)
A =$1,000 or less F =$50,001 - $100,000 J = $15.000 or less N =$250.001 - $500.000 P3 =$25.0OO.001 - $50.000,000 Q =Appraisal U =Book Value
B =$1,001 - $2,500 G ~$100.0OI - $1,000,000 g = $15,001 - $ 50.000 O =$500,001 - $1.0OO.000 R ::Cost (.Real Estate Only) V =Olher
C =$2,501 - $5,000 Ill =$1.000,001 - $5.000.000 L =$50.001 - $ 100.0OO PI =$1.000.001 - $5.000,000 P4 =More than $50.0OO.0OD S =Ass.essn~:nt W =Estimated
D =$5,0OI - $15.000 112 =More than $5,000.1~0 M ~$ 100.001 - $250.000 P2 -$5.000.001 - $25,000.000 T =Cash Market
E =$15.001 - $50.000
Dale of Report
Viken, Jeffrey L.
04/26/2011
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. 1 further certify that earned income from outside employment and honoraria and the acceptance of gifts ~vhich 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