Richard T Haik Financial Disclosure Report for 2010

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  • 8/3/2019 Richard T Haik Financial Disclosure Report for 2010

    1/11

    Rev. 1/2011FINANCIAL DISCLOSURE REPORT

    FOR CALENDAR YEAR 201 0Report Required by the Ethics

    in Government Act of 1978(5 U.S.C. app. 101-111)

    I . P e r s o n R e p o r t i n g ( l a s t n a m e , f i r s t, m i d d l e initial)Haik. Richard T.

    4 . T i t l e ( A r t i c l e I I I j u d g e s i n d i c a t e a c t i v e o r s e n i o r s t a t u s ;magistrate judges indicate full- or part-time)

    2. Court or O r g a n i z a t i o nWe stern District of Lo uisiana

    5a. Report Type (check appropr ia te t y pe)] Nomination, D a t eU.S. District Judge - Active

    7 . C h a m b e r s o r O f f ic e A d d r e s s800 Lafayette StreetSui te 4200Lafayette, LA 705 01

    i [] Initial [] Annual [] Final5b. [] Amended Report8 . O n t h e b a s i s o f th e i n f o r m a t i o n c o n t a i n e d i n t h i s R e p o r t a n d a n ym o d i f i c a t io n s p e r t a i n i n g t h e r e t o , i t i s , i n m y o p i n i o n , i n c o m p l i a n c ewith applicable laws and regulations.

    Reviewing Off ic er Date

    3. Date of Report05/12/201 I

    6. Repo r ting Per iod01/01/2010

    to12/31/2010

    I M P O R T A N T N O T E S : The instructions accompanying this form must be followe,! Com plete a l l parts ,checking the NONE box for each part where you have no reportable information. Sign on last page.

    I . P O S I T I O N S . (Reporting individual only; see pp. 9-13 of f il ing instructions. )[~ N O N E ( N o reportable positions.)

    POSITIONI. President2.3.

    4.5.

    N A M E O F O R G A N I Z A T IO N / E N T I TYColone l J . George & S . Saloom Hannie Co mm uni ty Hom e , Inc.

    I I . A G R E E M E N T S . (Reporting indi,idual only; seepp. 14-16 of filing instructions.)~-] N O N E (No reportable agreements.)

    DATE PARTIES AND TERMS

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    FINANCIAL DISCLOSURE REPORTPage 2 o f 11

    N a m e o 1 " P e r s o n R e p o r t in gHa ik , R i c ha r d T .

    D a t e o f R e p o r t05/12/201 I

    1 1 1 . N O N - I N V E S T M E N T I N C O M E . t R e p o ~ i n g individual and spouse; seepp. 17 -24 of filing instructions.)A. Flier s Non-Investme nt Inco me

    ~ (N o reportable income.)ONE non-investm entDATE SOURCE AND TYPE

    2.

    3.

    4.

    INCOM E( you r s , no t s pous e s )

    B . S p o u s e s N o n - ln v e s tm e n t I n c o m e - If you were married during any portion of the reporting)ear, complete this section.(Dollar amount not required except for honoraria.)

    N O N E ( N o reportable non-investment income.)DATE SOURCE AND TYPE

    I.

    2.

    3.

    4.

    I V . R E I M B U R S E M E N T S - transportation, lodging, food, entertainmen~(Includes those to spouse and depe ndent children; see pp. 25-27 of filing instructions.)~-~ N O N E (No reportable reimbursemen ts.)

    3.

    4.

    5.

    SOURCE DATES LOCATION

    L o u i s i a n a S t a t e 1 3 a t 7/15/10 Sandestin, FLAssociat ion

    PURPOSES e m i n a r S p e a k e r

    ITEM S PAID OR PROV IDEDTravel , lodging, and meals

  • 8/3/2019 Richard T Haik Financial Disclosure Report for 2010

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    FINANCIAL DISCLOSURE REPORTPage 3 o f 11

    N a m e o f P e r s o n R e p o r t in gHaik , R ichard T.

    D a l e o f R e p o r t05/12/201 I

    V . G I F T S . a n c l . d e ~ , h o s o , o ~ p o u s e a n d d . , e n d e n , children; s e e p p . 2 8 - 3 1 of filing instructions.)N O N E (No reportab le gifts.)

    SOURCE DESCRIPTION1 .2.3.4.

    5.

    VALUE

    V I . L I A B I L I T I E S . a n c l . d e ~ , h o s e o l s p o .s e a n d d e p e n d e n , children; see pp. 3 2 - 3 3 of fillng instructions.)D N O N E (No reportable liabilities.)

    CREDITOR DESCRIPTION1 . St. Landry Bank and Trust Com pany - Bank loan to purchase investment in BPL Visions, LLC f orm erly TheSee N ote in Par t VIII. McGeHee Group , LLC2. USAA Federa l Savings Bank - See N ote Bank loan to p urchase res idential rental prope rty Jin Part VIII.3.4.5.

    V A L U E C O D EJ

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    N a m e o f P e r s o n R e p o r t in gHaik , R ichard T.

    D a t e o f R e p o r t05/12/2011

    V I I . I N V E S T M E N T S a n d T R U S T S - income, ,.alue, transactions a.ctudes those of spouse and depen dent children; see pp. 34-60 of filing instructions.)N O N E (No reportable income, assets, or transactions.)

    A. B. C.D e s c r i p t i o n o f A s s e t s Income du ring G r o s s v a l u e a t e n d( i n c l u d i n g t r u s t a s s e t s ) r e p o r t i n g p e r i o d o f r e p o r t i n g p e r i o d

    (1) (2) (1) (2)P l a c e " ( X ) " a f t e r e a c h a s s e t A m o u n t T y p e ( e .g ., Value Valueexem pt from prior disclosure Code I d i v . , r e n t , C o d e 2 M e t h o d( A - H ) o r i n t . ) ( J - p ) C o d e 3( Q - W )

    0)T y p e ( e . g .,b u y , s e l l ,

    r e d e m p t i o n )

    Transactions during reporling period(2) (3) (4)

    D a t e Value G a i nm m / d d / y y Code2 C o d e I(J-P) (A -H )

    (5 )I d e n t i ty o fbuyer/seller( i f p r i v a t et r a n s a c t i o n )

    I. Iberia Bank Accounts A Interest K T2. Farmers Merchants Bank & Trust Account A Interest J T

    3. GulfCo ast Bank CDs Account A Interest L T4. Capi tal One Bank, N A C Ds A ccount C5. Regions Bank CDs Account A6. Hom e Bank CDs Account A

    Interest M TInterest M TInterest K T

    7. Farmers M erchants Bank & Trust CDsAccount8. Capital One Bank, N A Accou nts9. Midsouth Bank, NA Accou nts

    1 0 . Regions Bank AccountsII. Brokerage Account #11 2 . - - Diamond Offsho re Dri ll ing , Inc. Com m onStock1 3 . - - Iber iabank Corp Co mm on Stock1 4 . - -Rowan Cos Inc . Com mo n Stock

    A Interest J TC Interest K TA Interest K TA Interest K T

    A DividendA Dividend

    No n e

    JJ

    J

    T

    T

    T

    1 5 . --Edward Jones Money Market Account

    1 6 . Brokerage Account #21 7 . --San Juan Basin Royalty Trust

    Dividend K T

    Interest T

    I . Income Gain Codes: A :$1,DO0 or less B =$1,001 - $2,500 C =$2,5 01 - $5 ,000 D =$5.DO1 - $15,000(See Colum ns B I and D4) F ~$50,DOI - $ IDO.000 G = $ 1 D O , 0 0 1 - $ 1. D O O , D O 0 HI =$1,DOO.001 - $5.000,000 t t2 =More than $5.000.000

    2. Valuc Code s J = $ 1 5 , D O 0 o r l e s s K = $15,D01 - $ 50,000 L = $ 5 0 , 0 0 1 - $ I D O , D O 0 M - $ I D O , D O 1 - $ 2 5 0 .0 0 0( Se e C o lu m ns C I and D3 ) N =$ 25 0.0 01 - $ 50 0,0 00 O =$ 500 ,00 1 - $1 ,00 0,D O0 P I = $1 ,D O0 .00 1 - $5 ,0 00.0 00 P2 -$5,000.001 - $25.000.000

    P3 =$25.000.001 - $5 0.000.000 P4 =M ore than $50,000.0003. Value Method Co des Q =Ap praisal R = Co st (Re al E state Only ) S = Asse ssm ent T =Cash M arket(See Column C2) U =Boo k Value V =O lhcr W =Eslim ate d

    E =$15.001- $50,DO0

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    FINANCIAL D ISCLOSURE REPORTPage 5 of 11

    N a m e o f P e r s o n R e p o r t in gHaik , R i ch ard T .

    D a t e o f R e p o r t05/12/2011

    V I I . I N V E S T M E N T S a n d T R U S T S - i n c o m e , v a l . e , tr a n s a c t io n s dnctudes those of spouse a n d d e p e n d e n t c h i l d r e n ; s e e p p . 3 4 - 6 0 of filing instructions.)N O N E ( N o reportable income, assets, or transactions.)

    D e s c r i p ti o n o f A s s e t s Income du ring( i n c l u d i n g t m s t a s s e t s ) r e p o r t i n g p e r i o d

    (i) (2 )Place "(X)" after each asset A m o u n t Type (e.g.,

    exempt from prior disclosure Code l div . , r en t ,( A - H ) or int.)

    Gross v alue at endo f r e p o r t i n g p e r i o dO) (2)Value Value

    C o d e 2 M e th o d(J-P) C o d e 3

    ( Q - W )

    (i )T y p e ( e . g .,

    b uy , s e l l.r edem p t ion )

    T r a n s a c t i o n s d u r i n g r e p o r t in g p e r io d(:,) (3) (4)

    D a t e Value G a i nm m / d d / y y Code2 C o d e I

    (J-P) (A-H)

    (5 )Idemity ofbuyer/seller( i f p r i v a t e

    t r a n s a c t i o n )

    1 8 .

    20 .21 .22 .23 .24 .25 .

    26 .27 .28 .29 .30 .31 .32 .

    33 .34 .

    -Xerox Capital Trust Capital Securities A Interest J T-Camden Co unty , NJ Po l lut ion ControlBonds-Capital Projects Fin Auth FL Bo nds-Charlton Cou nty , G A So lid W as teRevenue Bonds- -DWS Managed Municipal Bond Fund-Hudson Cou nty , N J Sol id Was te RevenueBonds--Ohio State Solid Waste Disposal RevenueBonds-Por t of Ne w Orleans , LA Bo ard ofCommis s ioners- -Puma m Ta x E x e m pt In come--St. Paul, MN Port Au thority IndustrialRevenue Bonds--Allegheny County, PA Hospital Bonds- -Angola , IND Healthcare Facs Re venueBonds- -Ben Hill County , GA Re venue Bonds--Bibb County, GA De velopm ent AuthorityBonds

    A Interest

    Interest T

    R e d e e m e d 1 2 / 0 1 / 1 0 J A

    AA

    Interestlnt./Div.

    J

    J

    TT

    Interest T

    Interest TInterest T

    A Int./Div. J TA

    A

    InterestInterest

    TR e d e e m e d 11/15/10 J AR e d e e m e d 10/I/10 J AR e d e e m e d 05/05/I 0 K B

    A InterestB Interest

    - -Cambr ia County , PA Revenue Bonds AInterest K TInterest J T

    --Ce ntral Arizona Irrigation & DrainiageDistrict Bonds--Co nnecticut Developm ent AuthorityBonds

    AB

    Interest J TInterest K T

    Partial Redm 06/01/10 J A

    I . Income Gain Codes: A =$ 1,000 o r less B =$ 1.001 - $2,500 C =$ 2,501 - $5 ,000 D =$5 .001 - $ 15 ,000(See Colum ns B I and D4) F =$50,001 - $100.000 G =$100.001 - $1.000,000 HI =$1 ,0~ ,001 - $ 5 .000 .000 H2 =More than $5.000.000

    2. Value Co des J = $15.0~(I or less K =$15 .001 - $ 50.000 L -$50.001 - $ 109.000 M = $ 100.001 - $250.000(See Columns CI and D3) N =$250.001 - $500.000 O=$500 .001.$1.000 .000 p I =$ 1 .000.001 - $5.000.090 P2 $ 5 .000 .001-$25 .000 .000

    P3 =$25.000.001 - $50.000.000 P4 =Mo re than $50.000.0~03. Valu e M etho d C o des Q =Appraisal R =C ost (Real Estate Only) S =A:,~zssmcnt T =Cash Market

    (See Colunm C2) U =Book V alue V -Other W =E~.tlmalcd

    E =$15.001 - $50.000

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    FINANCIAL DISCLOSURE REPORTPage 6 o f 11

    N a m e o f P e r s o n R e p o r t in gt l a i k , R i ch ard T .

    D a t e o f R e p o r t05/12/2011

    V I I . I N V E S T M E N T S a n d T R U S T S - in c ome, ralue , t ran sac t ion s ( I n c ludes those o f spouse an d depen den t c h i ldren ; seepp . 34 -60 o f f i lin g in s truc t ion s . )N O N E ( N o reportable income, assets, or transactions.)

    D e s c r i p t i o n o f A s s e t s Income du ring( i n c l u d i n g t r u s t a s s e t s ) r e p o r t i n g p e r i o d

    (i) (2)P l a c e " ( X ) " a f t e r e a c h a s s e t A m o u n t T y p e ( e .g .,e x e m p t f ro m p r io r d i s c l o s u r e C o d e I d i v . , r e n t ,( A - H ) o r i n t . )

    Gross v alue at endo f r e p o r t i n g p e r i o d(i) (2)Value ValueC o d e 2 M e t h o d

    (J-P) Code .3( Q - W )

    (i )T y p e ( e . g .,b u y , s e l l ,r e d e m p t i o n )

    T r a n s a c t i o n s d u r i n g r e p o r ti n g p e r i o d(2) (3) (4) (5 )

    D a t e Value 1 G a in Identity o fmm/dd/yy Cod e 2 ! Cod e 1 buyer/seller

    ( J P) I (A-H ) (if private] transaction)

    35 . -Crawford County , GA Developm ent B InterestAuthority Bonds36 . -Denham Spr ings -Livings ton Hous ing A InterestBonds37 . -Eas t Carrol Par ish , LA Law Enforcem ent A Interest

    Bonds38 . -Escambia Cou nty , FL Health Facs Bonds A Interest

    R e d e e me d 05/17/10 JR e d e e me d 08/02/10 J

    TR ede em e d 03/01 /10 J

    AA

    A

    39 . -H a mm on d -Tan g ipa h oa H om e M or tgage A InterestBonds40 . -Hancock Cou nty , TN Health Ed Bonds A Interest

    TRedeemed 08/20/10 J A

    41 . -Lafayette, LA Pu blic Trust Fin Auth A InterestBonds42 . - -Langhome M anor Boro , PA Higher A InterestEducation Bonds43 . --Lou isiana State U niversity B onds A Interest

    K

    J

    J

    TTT

    44 . - -Montgom ery-Southside , AL Revenue B InterestBonds45 . --N ew Jersey Health Care Facilities Bonds B Interest46 . - -S t . Paul , MN Por t Author i ty Bonds A Interest

    K

    JJ

    TTT

    Redeemed 07/01/10(part) A

    47 . - -St . Paul , MN Por t Auth Hsg & Red A Interest J48 . --St. Tamm any Parish, LA Ho spital Bonds A Interest J49 . - -Savannah, GA Econom ic Developm ent A InterestAuthority Bonds50 . - -Shrevepor t , LA Water & Sewer Revenue A InterestBonds51 . --Sumner, IL Healthcare Facilities Revenue A InterestBonds

    J

    J

    J

    T

    TT

    1. Incom e Gain C o des: A =$1,000 o r less B =$1.001 - $2,500 C =$2,5 01 - $5 ,000 D =$5.001 - $15 ,000{ Se e C olu rans B I and D4 ) F =$ 50 .0 01 - $ 10 0.0 (~ G =$1 00.0~1 - $1,0~O.0~O H 1 = $1 ,00~,001 - $5 .0{~,0~ H2 =M ore than $5 ,0~,0~O

    2. Value C odes J =$ 15 ,000 or le ss K = $15.001 - 550.000 L = $50,001 - $ 1 00,000 M = $ 1 0 0 , 0 O I - $ 2 5 0 , 1 ) 0 0(See Columns CI and D3) N =5250.001 - 5500.000 O 5500.001 -$1 .000.000 p I = $ 1, 00 0. 00 1 . $ 5 ,~ 00 ,0 00 P 2 = $ 5, 00 0, 00 1 - $ 25 ,0 00 .0 00

    P3 -525.000,001 - $50.000.000 P4 =More than $50.000.0003. Value Method Co des Q =Ap praisal R :Cost ( Real E>lalc Only) S =As s es sment T =Cash Market{Se e C o lum n C 2) U =B o o k Value V O t h e r W =E stimalcd

    E = $ 1 5 , 0 0 1 - $ 5 0 . 0 0 0

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    FINANCIAL DISCLOSURE REPORTPage 7 of 11

    N a m e o f P e r s o n R e p o r t i n gHaik , R i ch ard T .

    D a l e o f R e p o r t05/12/2011

    V I I . I N V E S T M E N T S a n d T R U S T S - income, ralue, transactions (Includes those of spouse and dependent chitdren; seepp. 34-60 of fi l ing instructions.)N O N E (No reportable income, assets, or transactions.)

    D e s c r i p ti o n o f A s s e t s Income du ring( i n c l u d i n g t r u s t a s s e t s ) r e p o r t i n g p e r i o d

    O) (2)P l a c e " ( X ) " a f t e r e a c h a s s e t A m o u n t T y p e ( e . g . ,exem pt from prior disclosure Code I d i v . , r e n t ,( A - H ) o r i n t . )

    G r o s s v a l u e a t e n do f r e p o r t i n g p e r i o d

    (I) (2)Value ValueC o d e 2 M e t h o d(J-P) C o d e 3( Q - W )

    T y p e ( e . g .,b u y , s e l l ,

    r e d e m p t i o n )

    T r a n s a c t i o n s d u r i n g r e p o r ti n g p e r i o d(2) (3) (4)

    D a t e Value Gainmm/dd/yy Code 2 Code 1

    ( J - P ) ( A - H )

    (5 )Identity ofbuyer/seller( i f p r i v a t e

    t r a n s a c t i o n )

    52. -Tillman County , OK Revenue Bo nds B Interest53 . -Ver izo n Co m m u nic a t io n s Co m m o n S to c k A Dividend

    J TT

    54 . -Tj iwi Kim ia Int l F inance C o S enior No tes N o n e55 . - Tr i com S A G ua r ant e e d N o t e N o n e

    JJ

    TT

    56 . -Cab lev i s ion SA Note s57 . - W i l li am s C o m m u n i ca ti o n s G r o u p

    58 . - -Money Marke t Fund Inve s tmen t Share s

    59 . - -Har tf o rd Income Share s Fund, Inc . MutualFund ( Y)

    60 . - -MFS Mul t imarke t Income Trus t M utualF u n d61 . - -San Juan Basin Roy alty Tru st Units

    62 . - -At Home C orp Subo rdinated N o t e s

    63 . - -Cap i t al Incom e B ui lde r Fund A

    64 . - -R ap ide s F in Auth LA R evenu e Cl eco

    65 . - -Regions FinancialCorp

    66 . - -LA Sta t e Gas & Fue l s Tax Se t A R evenue

    A I n t e r e s t J

    N o n e JA Dividend K

    A

    A

    A

    B

    AA

    Dividend J TRoyalty J T

    N o n e J TDividend K TInterest K T

    Dividend J TInterest J T

    T R e d e e me d(part)TT Sold(part)

    10/08/10 J A

    I 1/10/10 M

    67 . --Seligman National Municipal Fund68 . - -Home Bancorp , Inc . Stock

    AA

    Int./Div.Interest

    JJ

    TT

    I. Inco m e G ain C o dcs: A =$1,000 or Icss B =$ 1,001 - $2,500 C = $2,501 - $5 ,000 D =$5.001 - $15.0OO(See Columns BI and D- l) F = $ 5 0 . 0 0 1 - S 1 0 0 , 0 ~ 0 G =$100,001 - $1,000,000 HI =$1 ,000.001 - $5,000,000 H2 -More than $5,000,000

    2. Value Codes J = $15,00) or k~.s K -$15 ,001 - $50 ,000 L =$50.001 - $ 100,000 M =$ 100,001 - $250.000(Sc Columns CI and D3) N =$250.001 - $500.000 O = $5 00 .0 01 - $ 1,0 00 .0 00 P I = $1 ,0 00 .0 01 - $ 5, 00 0,0 00 P2 -$5,000.001 - $25,000.000

    P3 =$25.000.0OI - $5 0.000.000 P4 =Mo re than $50.000.0003. Value Method Co des Q =A ppraisal R =Co st (Real Eslale Only) S =As s es sment T =Cash Market

    (See Column C2) U =Bo ,. ,k Value V =Other W =Estimated

    E = $ 1 5 . 0 0 1 - $ 5 0 , 0 0 0

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    N a m e o f P e r s o n R e p o r t in gHaik , R i ch ard T .

    D a t e o f R e p o r t05/I 2/201 I

    V I I . I N V E S T M E N T S a n d T R U S T S - i . c o . , o , , .a t u e , t r a . s a c , io . s a . c l u d e ~ t h o s e o I ~ p o . ~ e a n d d e p e . d e . t children; s e e p p . 3 4 - 6 0 of filing instructions.)N O N E (No reportable income, assets, or transactions.)

    De s c r i p ti o n o f As s e t s In com e du r ing( inc lu ding tru s t as se ts ) re p o rting p e rio d

    (]) (2)Place "(X)" after each asset A m o u n t Type (e.g..

    exempt from prior disclosure Code I div. , rent,( A - H ) or int.)

    Gross v alue at endo f r e po r t in g p e r i od(1) (2)

    V alu e V alu eC o d e 2 M e t h o d

    ( J -P ) C o d e 3( Q - W )

    Type (e.g.,b uy , s e l l,

    r edem p t ion )

    Transactions dur ing repo r ting p er iod

    (2) (3) (4)D a t e Value Gain

    m m /dd/y y C ode 2 Code 1( J - P ) ( A - H )

    Identity ofbuyer /se l le r

    ( i f pr ivateWansaction)

    69 . --Ultra Pure Tech nologies , Inc. Stock None J

    70 . --Louis iana Public Faci l i t ies Auth Rev A I n t e r e s t KBonds71 . - -Ka t y Texa s lnp dt Sch o o l Di st r i c t Bo nds None K

    72 . --Frontier Comm unications Corp Stock (X ) A Dividend J

    73 . --Rivus Bond Fund (X) A Dividend J74 . Individual Retirem ent Account # 1 D Dividend N

    TT Bu y

    T Bu y

    TTT

    09/09/I 0

    12/07/I 0

    7 5 . --Americ an Bala nced Fund7 6. - -A me r ic a n M u t u a l Fu nd

    77 . --Capital World Growth & Income Fund78 . --Euro pacific Growth Fund79 . --Growth Fund of America80 . - - Incom e Fund of Am erica81 . --New Perspective Fund

    82 . - -W a s h i ngt o n Mu tu a l Inve s t or s Fu nd

    83 . - -Am er ic a n F u nd s Sh Term Bo nd F u nd

    84 . Colonel J. George & S. Saloom H annie85 . BPL Visions , LLC former ly The McGeHeeGroup , LLC

    None M WNone M W

    I . Income Gain Codes: A =$1.0~0 or less B -$ 1 .091 - $ 2,5 00 C =$2,5 01 - $5 ,000 D =$5,0~1 - $15,000~S~e Co lu m ns B I and I)4) F =$5 0.0~1 - $ 10~,0~0 G =$10~.0~1 - $ 1,0(K I.0~ H I =$1.0~.001 - $5,000,000 H2 =M orn than $5,0~,000

    2. Value Co des J = $15.000 o r less K - $15 ,001 - $50.000 L =$50.001 - $ 100,000 M =$ 100,001 - $250,0~O(See Colum ns C I and D3) N =$250.001 - $500,000 O =$500.001 - $1,000.00~ PI =$1,000,001 - $5,000,000 P2 =$5,000,001 - $25,000.000p3 =$25,000,001 . $50.000.000 P4 Mo re than $50.0~0,000

    3. Value Method Co des Q =Ap praisal R =C osl (Real Estate Onlyl S =A~essment T =Cash M arket(See Column C2) U =Boo k Value V Other W =Estimated

    E =$15,1)01 - $5 0.000

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    FINANCIAL DISCLOSURE REPORTPage 9 o f 11

    N a m e o f P e r s o n R e p o r t in gHaik , R i ch ard T .

    D a l e o f R e p o r l0 5 / 1 2 / 2 0 1 1

    V I I . I N V E S T M E N T S a n d T R U S T S - income, value, transactions (Includes those of spouse and dependent children; see pp. 34-60 of filing instructions.)[] (No rep ortable income, asse ts , or t ransact ions . )ONE

    A. B. C.De s c r i p ti o n o f As s e t s Inco m e du ring G ro s s v alu e at e nd

    ( i n c l u d i n g t r u s t a s s e t s ) r e p o r t i n g p e r i o d o f r e p o r t i n g p e r i o dO ) ( 2 ) ( 1 ) ( 2 )

    P l a c e " ( X ) " a f t e r e a c h a s s e t Amount T y p e ( e . g . , Value Valueexempt from prior disclosure C o d e I div ., re nt, C ode 2 M e t h o d

    ( A - H ) or int.) ( J -P ) C o d e 3( Q - W )

    (i)T y p e ( e . g .,b uy , s e l l,

    r e d e m p t i o n )

    Transactions dur ing repo r ting p er iod

    ( 2 ) ( 3 ) ( 4 )Date Value Gain

    m m / d d / y y C o d e 2 Code l{ J - P ) (A -H )

    ( 5 )I d e n t i t y o f

    b u y e r / s e l l e r( i f p r i v a t e

    t r a n s a c t i o n )

    86 . O x fo rd P artne rs , L LC (X ) N o ne J W87 . Gordon G lobal Inve s tmen t s , LLC N o n e J W B uy 01/10/10 J

    88 . 1/3 Interest in Proper ty Located in None J WVer milion Parish, LA (X)

    S e e N o t e I in Part V III.

    I . Income Gain Codes: A =$1.000 or less B =$1 .001 - $2,500 C =$2.5 01 - $5 ,000 D =$5,001 - $15,090( Se e C o lu m ns B I and D4 ) F =$ 50 .0 01 - S I0 0.0 00 G = $1 00 .0 01 - $ 1,0 00 .0 00 H I = $1 .0 00 .0 01 - $ 5.0 00 ,0 00 H2 =More than $5.000.000

    2. Value C o des J =$ 15 .00~ o r less K = $15.001 - $50,0~) L =$50,001 - $ 100,000 M =$100.0~ I - $250.04~(SeeColurrms CI and D3) N-$250,001 - $500 ,000 O $ 500 ,00 1 - $1 ,0~0 ,(~9 P I ~$ 1,0 00 ,00 1 - $5 ,00 0,00 0 P2 =$5,000,0~1 - $25,000.0~1

    P3 $ 25 ,0~0.0~ I - $5 0.00~.000 P4 =M ore than $50,000,0003. Value Mcthod Codes Q =Ap praisal R Cost {Real Es tate Only) S =As s es sment T =Cash M arketISce Column C2) U ~Book Value V =Other W =Estimated

    E =$15,0~1 - $ 5 0 , 0 0 0

  • 8/3/2019 Richard T Haik Financial Disclosure Report for 2010

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    FINANCIAL DISCLOSURE REPORTPage 10 of 11

    N a m e o f P e r s o n R e p o r t in gHaik, Richard T.

    Date of R e p o r t05/I 2/201 I

    V III. ADDITIONAL INFORM ATION OR EX PLANATIONS. and~catepar, ofr~po,,.~Part VI, Line#1 - Lo an was paid in full on 11/24/20 10.Part VI , Line #2 -~i ~~ ~.~] so ld p rope rty in 2010 and p aid o ff this note , so no fu rther l iab ility ex is ts .Part Vll , Line#88 - This p roperty w as acquired through inheritance. There is no phy sical address fo r the prope rty.

  • 8/3/2019 Richard T Haik Financial Disclosure Report for 2010

    11/11

    FINANCIAL DISCLOSURE REPORTPage 11 o f II

    N a m e o f P e r s o n R e p o r t i n gHaik , R i ch ard T .

    Date of Report05/12/2011

    IX. CERTIFICATION.

    I c e r t i fy that al l in fo rmat ion g iven above ( including in fo rmat ion pe r ta in ing to m y s pou se and m inor o r depe nden t chi ldren , i f any) isaccu ra te , t r u e , and com ple te to the b e s t o f m y know ledge and be l ie f , and that any info rm at ion no t r epo r ted w as wi thhe ld b ecause i t m e t app l icab le s ta tu to ryp rov is ions pe rmi t t ing non -di sc lo su r e .

    I fu r the r c e r t ify that earned incom e f rom ou t s ide em plo~anent and honorar ia and the accep tance o f g i f ts w hich have b e en r epo r ted ar e incom pl iance wi th the p rov i s ions o f 5 U~.C. app . 50 1 e t . seq . , 5 U.S .C. 735 3 , and Judic ia l Confe r ence r egu la t ions .

    Signatur e: S] Richar d T. Haik

    N O T E : A N Y I N D I V I D U A L W H O K N O W I N G L Y A N D W I L F U L L Y F A L S IF I E S O R F A L L S T O F I L E TH I S RE P O R T M A Y B E S U B J E C T T O C I V I LA N D C R IMIN A L S A N C TIO N S ( 5 U . S . C . a pp . 10 4)

    Co m m ittee on Financial Disclosu reAdm inis tra tive O ff ice o f the U nited Sta tes Co urtsSui te 2-301O ne Co lum bus C i rcl e , N .E .Washington , D.C. 20544