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1/2011
Report Required by the Ethics in Government Act of 1978 (5 U.S.C. app. 101-111)
7. Chambers or Office Address 303 Customs House 701 Broadway Nashville, TN 37203
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 NOTES: The instructions accompanying this form must be followea~ Complete all parts,
checking the NONE box for each part where you have no reportable information. Sign on last page.
Merritt, Gilbert S.
III. NON-INVESTMENT INCOME. (~epo.ing individual and spouse; seepp. 17-24 offillng instructions.)
A. Filers Non-lnvestment Income ~] NONE(No reportable non-investment income.) DATE SOURCE AND TYPE
2. 3. 4.
B. Spouses Non-Investment Income - if you were married during anyportion of the reporting year, complete this section.
(Dollar amount not required except for honoraria.)
DATES
LOCATION
PURPOSE
. ~JllP g Oo (Includes those to spouse and dependent children; see pp. 28-31 of filing instructions.)
DESCRIPTION
VALUE
VI. LIABILITIES. anctudes those olspouse und dependent children; see pp. 32-33 of filing instructions.)
NONE (No reportable liabilities.) CREDITOR Union Planters Bank, Nashville, TN
2. 3. 4. 5.
DESCRIPTION
Mortgage on Cookeville Commons Shopping Center (See VII, line 7)
VALUE CODE
PI
VII. INVESTMENTS and TRUSTS - i.come, valae, transactions (Includes those of spouse and dependent children; seepp. 34-60 of filing instructions.)
[~] 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 (l) Amount Code 1 (A-H) (2) Type (e.g., div., rent, or int.) C. Gross value at end of reporting period (1) (2) Value Value Code 2 (J-P) Method Code 3 (Q-W) (1) Type (e.g., buy, sell, redemption) (2) (3) (4) Date Value mm/dd/yy Gain (5) Identity of buyer/seller (if private transaction) Transactions during reporting period
Southern Properties & Co. (See below) (A) Westgate Shopping Center, Nashville, (B) White Castle, Nashville, TN (C) 3 rental houses, Nashville, TN (D) Cash -- interest bearing, SunTrust, Nashville, TN Check & savings acct. SunTrust, Nashville, Cookeville Commons Shop. Ctr., Cookeville, TN Art collection -- paintings Airplane SunTrust Bank Account Berkshire Hathaway Heartland Express Sigma Aldrich SyscoCorp. Tech DataCorp. U.S. Treas. Bills Nashville Bank & Trust
A A A A C A C B
G E
E
Rent Rent
Rent
P1 N
N
W W
W
D A G
M L PI
M M M M M L M M N K
T T W
W W T T T T T T T T Sold (part) 11/05/10 Sold 01/20/10
A Chuck Armstrong
1. Income Gain Codes: (See Columns B I 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 =$15,000 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 =Morethan $5,000,000 M=$|00,001 -$250,000 P2 =$5,000,001- $25,000,000 T =Cash Markct
E =$15,001- $50,000
VII. INVES TMENTS and TRU S TS - income, ~ulue, transactions (Includes those of spouse and dependent children; see pp. 34-60 of fillng instructions.)
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 (1) Amount Code I (A-H) (2) Type (e.g., div., rent, or int.) C. Gross value at end of reporting period (1) Value Code 2 (J-P) (2) Value Method Code 3 (Q-W) (1) Type (e.g., buy, sell, redemption) D. Transactions during reporting period (2) Date mm/dd/yy (3) (4) Value Gain Code 2 Code 1 (J-P) (A-H) t (5) Identity of buyer/seller (if private transaction)
18.
Vanguard Fund
D A
Interest None
O K
T W
Vanguard Fund
19. NBT Holdings 20. 21. 22. 23. 24. U.S. Treasury Bills and Notes/see attached+
1. Income Gain Codes: (See Columns B I 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 = $15,000 or les s 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
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.
Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544
AO 10 Rev. 1/2011
Report Required by the Ethics in Government Act of 1978 (5 U.S.C. app. I01-111)
1. Person Reporting (last name, first, middle initial) Merritt, Gilbert S. "4. Title (Article Ill judges indicate active or senior status; magistrate judges indicate full- or part-time) Senior Circuit Judge
7. Chambers or Office Address 303 Customs House 701 Broadway Nashville, TN 37203
8. On lhe 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
1MPOR TANT NO TES: The instructions accompanying this form must be followed. Complete all parts,
checking the NONE box for each part where you have no reportable informatiot~ Sign on last page.
NAME OF ORGANIZATION/ENTITY
Southern Properties & Co ~]~ real estate partnership)
Merritt, Gilbert S. A
2. 3. 4.
B. Spouses Non-lnvestment Income - If you were married during any portion of the reporting year, complete this section.
(Dollar amount not required except for honoraria.)
DATES
LOCATION
PURPOSE
V. GIFTS. a, cl,dcs those to spouse and dependent children; see pp. 28-31 of filing instructions.)
[~] NONE (No reportable gifts.)
SOURCE
!. 2. 3. 4. 5.
DESCRIPTION
VALUE
VI. LIABILITIES. a.cl.des those olspo,se and depe.dent children; see pp. 32-33 of filing instructions.)
[]
DESCRIPTION
Mortgage on Cookeville Commons Shopping Center (See VII, line 7)
VALUE CODE
P1
2. 3. 4. 5.
VII. INVESTMENTS and TRUSTS - income, value, transactions (Includes those of spouse and dependent children; seepp. 34-60 of fillng instructions.)
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 (1) Amount Code 1 (A-H) (2) Type (e.g., div., rent, or int.) C. Gross value at end of reporting period (1) (2) Value Value Code 2 Method Code 3 (J-P) (Q-W) D. Transactions during reporting period (1) Type (e.g., buy, sell, redemption) (2) Date mm/dd/yy (3) (4) Value Gain Code 2 Code 1 (J-P) (A-H) (5) Identity of buyer/seller (if private transaction)
Southern Properties & Co. (See below) (A) Westgate Shopping Center, Nashville, (B) White Castle, Nashville, TN (C) 3 rental houses, Nashville, TN (D) Cash -- interest bearing, SunTrust, Nashville, TN Check & savings acct. SunTrust, Nashville, Cookeville Commons Shop. Ctr., Cookeville, TN Art collection -- paintings Airplane SunTrust Bank Account Berkshire Hathaway Heartland Express Sigma Aldrich Sysco Corp. Tech DataCorp. U.S. Treas. Bills Nashville Bank & Trust A A A A C A
C
G E E D A G
Rent Rent Rent Interest Interest Rent None None None Dividend Dividend Dividend Dividend Dividend
Interest
P1 N N M L PI M M M M M L M M
N
W W W T T W W W T T T T T T
T
Sold
01/20/10
Chuck Armstrong
(part)
Sold
11/05/10
Interest
I. Income Gain Codes: (See Columns B 1 and 1)4) 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 =$15,000 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 o $25,000,000 T =Cash Market
E =$15,001 - $50,000
VII. INVESTMENTS and TRUSTS - inco,.e, vatae, transactions (Includes those of spouse and dependent children; see pp. 34-60 of filing instructions.)
NONE (No reportable income, assets, or transactions.)
Description of Assets (including trust assets)
B. Income during reporting period (1) Amount Code 1 {A-H) (2) Type (e.g., div., rent, or int.)
C. Gross value at end of reporting period (1) Value Code 2 (J-P) (2) Value Method Code 3 (Q-W) (11 Type (e.g., buy, sell, redemption)
D. Transactions during reporting period (2) Date mm/dd/yy (3) (4) Value Gain Code 2 Code l (J-P) (A-H) (5) Identity of buyer/seller (if private transaction)
18. 19.
20.
Vanguard Fund NBT Holdings U.S. Treasury Bills and Notes/see attached+
D A
Interest None
0 K
T W
Vanguard Fund
21.
22.
123.
24.
I. Income Gain Codes: (See Columns 131 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 - $I00,000 J =$15,000 or less N =$250,00I o $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 0 =$500,001 - $1,000,000 R =Cost (Real Estate Only) V =Other
C =$2,501 - $5,000 H I =$1,000,001 - $5,000,000 L =$50,001 - $ 100,000 PI -$t,O00,O01 - $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
IX. CERTIFICATION.
1 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.
Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544