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,4O 10 Rev.

1/2011

FINANCIAL DISCLOSURE REPORT FOR CALENDAR YEAR 2010


2. Court or Organization I 0th Circuit
5a. Report Type (check appropriate type)

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

I. Person Reporting (last name, first, middle initial) Holmes, Jerome A.


4. Title (Article III judges indicate active or senior status; magistrate judges indicate full- or part-time)

3. Dale of Report" 05/04/201 I 6. Reporting Period 01/01/2010 to 12/31/2010

] U.S. Circuit Judge

Nomination, [] Initial

Date [] Annual [] Final

5b. [] Amended Report


7. Chambers or Office Address

U.S. Courlhouse 215 Dean A. McGee Ave., Rm. 315 Oklahoma City, OK 73102

8.On the basis of the information eontained in this Report and any modifications pertaining thereto, it is, in my opinion, in compliance with applicable laws and regulations.
Revie~sJng Officer Date

IMPORTANT NOTES: The instructions accompanying thls form must be followed. Complete all parts,
checking the NONE box for each part where you have no reportable information. Sign on last page.

I. POSITIONS. CRepo.ing individual only; seepp. 9-13 of filing instructions.)


D NONE (No reportable positions.)
POSITION
I. 2. 3. 4. 5. Director (Board of Directors) Trustee (Board of Trustees) Director and Vice-Chair (Board of Directors) Director (Board of Directors)

NAME OF ORGANIZATION/ENTITY
Oklahoma Medical Research Foundation Oklahoma City Museum of Art Make-A-Wish Foundation of Oklahoma Rokary Club of Oklahoma City (Club 29)

II. AGREEMENTS. (Reporting individual only; see pp. 14-16 of filing instructions.)
~] NONE (No reportable agreements.) DATE PARTIES AND TERMS

Holmes, Jerome A.

FINANCIAL DISCLOSURE REPORT Page 2 of 6

Name of Person Reporting Holmes, Jerome A.

Date of Report 05/04/2011

II1. NON-INVESTMENT INCOME. t~cpo.i.g indi,,idual ond~pouse; seepp. 17-24 of ~li.~ instructions.)
A. Filers Non-Investment Income
~

NONE (No reportable non-investment income.)


DATE SOURCE AND TYPE

INCOME
(yours, not spouses)

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

NONE (No rep.ortable non-investment income.) DATE SOURCE AND TYPE

2. 3. 4.

IV. REIMBURSEMENTS - transportation, lodging, food, entertainment


(Includes those to spouse and dependent children," see pp. 25-27 of flling instructions.)

NONE (No reportable reimbursements.)

SOURCE
I. 2. 3. 4. 5.

DATES

LOCATION

PURPOSE

ITEMS PAID OR PROVIDED

FINANCIAL DISCLOSURE REPORT Page 3 of 6

Name of Person Reporting Holmes, Jerome A.

Date of Report 05/04/201 I

V. GIFTS. ancludes ,hose ,o spouse and dependen, children; see pp. 28-31 of filing instructions.)
D NONE (No reportable gifts.)
SOURCE
Dan Anthony, Manager for Glenna Goodacre 2. 3. 4. 5.

DESCRIPTION Glenna Goodacre Coin Collectible Sacagawea Terra Cotta

VALUE $350.00

VI. LIABILITIES. a.dudes those of spouse and dependent children; see pp. 32-33 of filing instructions.)
~-~

NONE (No reportable liabilities.) CREDITOR DESCRIPTION


Credit Card (No. 1)

VALUECODE J

I. 2. 3. 4. 5.

Bank of America

FINANCIAL DISCLOSURE REPORT Page 4 of 6

Name of Person Reporting Holmes, Jerome A.

Date of Report 05/04/2011

VII. INVESTMENTS and TRUSTS - ~nco,,,,, ,,.I,,., tr..s~caons anclud, s ,hos, o/s~,o.se ~nd d~p~nde.t children; see pp. 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 C. Gross value at end of reporting period Transactions during reporting period

O)
Amount Code I (A-H)

(2)
Type (e.g., div., rent, or int.)

(i)
Value Code 2 (J-P)

(2)
Value Method Code 3 Type (e.g., buy, sell, redemption)

(2)

(3)

(4)
Gain Code I (A-H)

Date Value mm/d~yy Code2 (J-P)

(Q-W)

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

3.
4.

5.

6.

7.

8.

9.

10.

11.

13.

14.

15.

16.

17.

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

A :$1,000 or less F = $ 50.1)01 - $ I DO.0~ J =$15.000 or less N =$250.001 - $500,0DO P3 =$25.0DO.DOI - $50.000.090 Q =Appraisal U =Book Value

B =$1.001 - $2,500 G = $1 D0,D01 - $ I ,DO0.DO0 K =$15.001 - $50,DOO O =$5DO,DOI - $ I,DOO.DOO R =Cost (Real Estate Only) V =Other

C =$2,501 - $S,DO0 H 1 =$ I .DO0,001 - $ 5.DO~.DO0 L =$50.001 $ I OO.DOO PI =$1,DO0,00I - $5,000,DO0 P4 =More Ihan $50.DO0,0~0 S =As~ssmcnl W =Estimated

D =$S,DOI - $1S.OO0 H 2 = M ore than $5.0~.DO0 M $ I DO.DO I - $250.000 P2 =$5,DOO,DOI - $25,DO0.000 T -Cash Markcl

E =$15.DOI - $50.DO0

FINANCIAL DISCLOSURE REPORT Page 5 of 6

Name of Person Reporling Holmes, Jerome A.

Date of Report 05/04/2011

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. (Indicate part of report.)


Part I, Line 3: In addition to service as a Director, Filer was elected Vice-Chair of the Make-A-Wish Foundation of Oklahoma Board of Directors in August 2010. Part VI, Line 2: The charge-account balance on Bank of America Credit Card, No. 2, is no longer at a reportable amount. Therefore, the entry with respect to this card is omitted.

FINANCIAL DISCLOSURE REPORT Page 6 of 6 IX. CERTIFICATION.

Name of Person Reporting Holmes, Jerome A.

Date of Report 05/04/201 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 ~thheld 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 ~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.

Signature: S/Jerome A. Holmes

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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