ao·io financial disclosre report report … · 111/2004 c 8. n he basis oflhe information...

10
v (S U..C app. §§101-111) r R 2. Cu o r Orgnir.tion Dsc Cour · Conecticut 3. Dt e of Reprt 516205 4. Ti tl e (Ac Ill Judge indicte acive or sei o r status; magistrate j udges i ndic a t e full- o pt- t im) i 6. Rrng Peiod 111/2004 C 8. O t e basis oflhe information contained i n lhis R eport ad any moifictio n s pe rtaining thertto. it i s , in my cpinion, in comp l ance wt applicl ' nd re u J ations. to 1 21/2004 __________ _ Oa! ___ _ _ ? Ö - •• • i IRTATNOT: T inst tucons accompag this fon mt be f ollw. Co111letc all par, cbking te NONE b ox fo eh p · _m y havcnorl iforto. Sig o l pg. , . - ·‘ I:· . - ' .. . .. ,- ) NA O OR.JI Ò ' ' ,.., o- c Z PARTIES hD'RMS - a y AO·IO Re.104· FINANCIAL DISCLOSUE REPORT FOR CALENDAR YEAR 2004 Report Required by the Ethics in Gvrltt Act of 1978 1. Pe son epning(ast nao P i nt nam, Middl e initi'1) Kvitz Mark R 5. Reportpe (checkapropr at tpe) 0 Nono" D U.S. Distict Judg· Atv 7. haben o OfcAd 141 Cuh St NcHa,C 0610 Q htitial O nnol Ric Ofer J. POSIIONS. (ong indvidual only; se pp. 9 13 of filin glnocoos) 0 NONE - (orlcpoitions) P ,Tse I. 2 Trte 3. Cutia I. AGREEMS. Tust # 1 ( Cild# 1 ' _,.- ( Reping idividual onlyse pp. 1416 oflii itc) ONO - (o rle oc.) c> :z rnn o> .., - -. g f I. Wiggn & D Pyt f ps intot and p rcnhip r e AuÕ $313,46, pa abl• in instllme ofvmyin 1nntt 2006 C

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• v

(S U.S.C app. §§ 101-111)

r R 2. Court o r Organir.ati on

District Court · Connecticut

3. Date of Report

51612005

4. Titl e (Article Ill Judges indicate active or senior status; magistrate judges indica te full- or part-time)

i 6. Reporting Period

111/2004

C 8. On the b asis oflhe information contained i n lhis Report and any modification s pertaining thertto. it is , in my cpinion, in comp liance witb applicabl¢ la 'S nn d reguJations.

to 1 213 1/2004

__________ _ Oa!O. ____ _

?. • - •• • i• IMPORTANT NOTES: The insttuctions accompanying this f onn must be followtd. Co111>letc all parts, cbocking the NONE b ox for eac h part

· m you havcnorcpot1ablc information . Sign on last page.

, . -

· • I:· . - ' ... .. , -)':

NAME OF OROAN17..AJJON/ENT!IY

'-''

, ...,, o­cn Z

PARTIES hND'fERMS

-

a y

AO·IO Rev.1/2004·

FINANCIAL DISCLOSURE REPORT

FOR CALENDAR YEAR 2004

Report Required by theEthics

in G·ovcrlllrltnt Act of 1978

1. Pe son eponing(Last namo, Pint name, Middle initi'11)

Kravitz, Mark R

5. ReportType (check appropr ate type)

0 Nomlnao"" Date U.S. District Judge· Active

7. hamben or Office Addles$

141 Church Stred

NcwHaven,CT 06510

Q htitial O nnol

Rc\icwing Officer.

J. POSITIONS. (Reporting individual only; see pp. 9 13 of filing ln ctioos)

0 NONE - (Norqiortablc positions.)

PQSIDON

,TrusteeI.

2 Trustee

3. Custodian

II. AGREEMENTS.

Trust # 1 (trust

Child# 1

'

_,,.-(Reporting iodividual only;see pp. 14-16 offili!ii iosttuctiom)

ONONE - (No reportable ogrccmenlS.)

c>­::x>z rn o> ...,, ­-.,

g ffi I. Wiggin & Dana. Paymentfor portnc:rship intcrcot and p rtncnhip real es1ate. Amoun $313,465,pa abl• in

installments ofvmying 1nX>Unts tlrough 2006.

C)

• l

SQURCE AND IDE CROSS INCOME

./

TYPE

NONE

SOURCE

I. NONE

51612005

SOURCE AND

I.

NameoCPen;on Reporting FINANCIAL DISCLOSURE REPORT Date of Report

Knvitz, Mark R

UL NON-INVESTMENT INCOME. (Reporting individual and spouse; ... pp. 17-24 offiling instructions)

A. Filer's Non-Investment Income

0 NONE - (Noreporiablenon-invC$tmenlincome.)

(yours. not spou.sc'a)

I. 2004 Wiggin& Dana, p0$t�Juae 2003 payments for partnership interest and interest $186,700 in partnership real estate.sec Agreements

.

B. Spouse's Non-Investment Income-(If youweremonied duringany portion of the reponing year, pleaseCOO>plote this secilon.Dollaramount not i<quired except li>rhoooraria.)

NONE · (No reportable oon-im·estmentincome.)

,

IV. REIMBURSEMENTS -innspo<1lltioa, lodgins. food, entertainment

(Includesthose to spouse and dcpendmt children. See pp. 25-27 of insttuetions.)

!!! NONE · (No such reponable reimbur>erncnts.)

QESCRJP11QN

NONE

Date of Report

516/2005

'-,

FINANCIAL DISCLOSURE REPORT NamoofPcnon Reporting

Kravit., Muir R

V. GIFTS. Onctudesllme ro spousc and dc;icodcnt childn:a. See pp. 21-J 1 ofinslructions.)

:;a NONE . (Nosuch n:polt>blc gifts.)

SO!!RCR QESCRIPTION

I.

VI. LIABILITIES. (lncludes those of spouse and depoodcntchildren. Soo pp. 32-34 of instructions.)

ftii5NONE <No n:po<table 1iabmues.J •

VA!.!!EqID•CREP!IO!I I. NONE

Name of Person Reportin g

Kra vi tz, Mark R Da w of Report

SJtS/2005 - mcome. \-.IJ.tC , Lransc:alions (iDCludos t bose o r the s pouse and dtpc«idc m childrctt. Sec pp . .. 57 offllina imct\lctioos . )

I.

2 .

3.

4.

s .

6 .

7.

8.

9.

10.

11.

12.

13.

14.

IS.

A.

BEU. SOUTH COMMON S TOCK

CIBC'OSYSCOMMONSTOCK

NA SDAQ 100 TRU (QQQ)

THlRD AVENUE VALVE FUND

THlRD A VENUE REAL ESTA TE VALUE

FIDELITY CASH RESERVES

F ID E LITY CASH MANAGEMENT ACCOUNT

CONN. BOND DUE 3/15/04

NAUGATUCK BOND DUE8/15/04

WATllRBURY CT SPEC. CAPITAL BOND DVE 4/01/05

C ON N. BOND DUE 4/JS/05

CONNTAXOBUGBONDDUE 10/01/0S

CONN. BONDDVE06/15110

GUILFORD SA VINOS BANK

PQ CORPORATION

1 6. IRA# l(ROLL-OVER IRA, CREATED 711/03)

17. -FIDEUTY CASH RESERVES

18 . -FIDEUTY DIVERSIFIED INTL FUND

B. Income dwini

repoiting period

(I) (2) (I) (2)

"'"'""' Code! (A-H)

A

A

D

D

B

A

A

A

G

B

A

lm.)

Dividend

Dividend

Dividend

i

Dividend

Dividend

Dividend

1

1

i

M

L

0

L

K

1

Interest ,, K.

lnt<=I L

lnt=st K

......... J

Dividend P2

lnt<=I M

Dividend L

T

T

T

T

T

T

T

T

T

T

T

T

v

T

D.

Type (e .g. buy, s<l l 1n«$Cf", ttdcmprion)

NONE

NONE

NONE

BUY

BUY

NONE

NONE

(2)

6/08

12114

REDEEME 3/04

REDEEME 8/04

NONE

NONE

NONE

NONE

NONE

(J)

K

L

K

1

GNn Code I (Ml)

.

,, ., __ ,.... _ ._ _ ,.. .. , . - "' -·' · " '

FINANCIAL DISCLOSURE REPORT

Pagel o{S

VII. INVESTMENTS and TRUSTS

Ttao.sactions during reportfoc period Ocsaiptiooof Auel$ (W>ciudlo1tnnt W<'IS)

(5)Pbcc ·oey after each asset cxempe Type (e.g. Value Vafuc C>.1tc: Valtic ldeOO!yof from prior di&clON'll div. renL or Cod&2 Method Month· CO<lcl blyedscllcr(J.P) "CodcJ Day {l·P) (if private (Q-W) """"'°°")

A T

A T

A Dstribution

D

A

D

A

A

T

I. in Codes: 'A ·,-SI.COOer less B · sl,OOl·'.12)00 C •.$2,SOl·Sl,000 ,D • S5.00l·SI l.000 E ; .. ',001 .$50,000 • S,1.(Soe Cdumns Bl and 04) 'F x$50,00l·SI00,000 0 •SIOO.OOl·Sl.000,000 . HI •Sl,0®,001 SS,000,000 H2 -More lhar.i S:S,000,000 ·:-. ..

2. V11fuc Codes: · J • SU,000 orlei! K cSlS,001-SSO,OOO .

L •S50.00l-it00,000 .M • SIOO,OOl·S250.000 {See Columng Cl 411Ml OJ) N - S2SO,OOO-S OO.OOO 0 - SSOO.OOJ-Sl.000,000 Pl .. 51,000,001-ss.ooo .. ooo p� • SS,000,00J-$25.000,000

P3 •S::!S.OOO,OOJ-SS-0,000,000 P4 • S fort than.SS0.000,000 l. VaJucMctbodCod:s Q •AppOlis>I R •C0&(RealEoa100aly) S •AMcssmcnl T aC.Sf�ke<

N 1 111 0 oC Pcnon Reporting D a te of Report

S/61200S

A.

D ¥ iptiJa c-. ... ...... 1

1 9. -SPART AN S OO INDEX

20. -PIDl!UTY CONTRAFUND

21. -FIDEUTY PURITAN FUND

22. -FIDl!UTY VAWE FUND

23 . -.AMSRICAN CAPIT .U.S'TRA TEGIES

24 . -1HIRD A VENUI! V AW!! l'VND

2S. IRA#2

26. -JANUS OLYM P US FUND

27. CUSTODIAN ACCT # I

2&. -FIDEUTY CASH MANAOEM&IT ACCOUNT

29. -SPAil.TAN SOO INDEX FUND

30. -1HJJU> A VENUE V .u.UE FT.IND

31. - PQ CORP. STOCK

32. TRUST# I

33. -JANUS TWENTY

34. JANUS OLYMPUS FUND

3S. -FIDWTY CASH MANAGEMENT ACCOUNT

36. -TRUST HELD PQ CORP. COMMON STOCK

A -- S 1.000 or less 8

F 0

I l

I c.i . ... U • Dool: V""' y --·-

L c. Gros& - • CDd ..

..,,..,.. period ._,;og period

(I) (2) (I) (7)

-· 'fype div. rent. ot Codo l Mclhod

(A·IQ r.t . )

A Dividend L T

Dividend K T

A Dividmd K T

Dirida>d K T

A Distn� T

Dlsulbu tlon M T

A Dlsllibu on 1 T

Dividend I(

A Diwidcll d , 1 T

,,..

A DIJ1ribu�0n K T

E Dividend M v

A O ls trlbutlon K

A D!smbution K T

A In- K T

Dividend N

•$ 1 ,00l Sl.SOO c

•OIJKY

.

•Esl•mtf!ili

0.

(I) """ """""'

(2) (l) (4) (SJ vo1 .. Gain

buy, •oil. Codol Code! bu)at .. 0er (l·P) (/\-HJ (it private

Ctamactioa)

BUY 12/02 L

BUY 11/JO L

D E

FINANCIAL DISCLOSURE REPORT Page 2 of 5 Ktaviu, Matk R

VII. INVESTMENTS and TRUSTS --.... .u...1no-.M11a...,..,r..._...,..,..,..,......idq>adtol.-... s....,.:u-,,.a111mwm........_1

or Assm:

Plloo W after c.ach ltSSC1.ecttnpt &om prior dlJClop,n

1. ID in Codn: . (SceCatu:rnnsBl 111d 04) •sso,001.s100.ooo ••

:?. Vnh.r CCldct: J • S!.S,OOOorlc&s K

{See Co uml\ICI ind Dl) 11 • mo,ooo.ssoo.ooo 0

Pl •�5,000,00J-SS0,000,000

3. VaJiae: Me!Md C«lcs Q •App>Oal R

(Sec C2)

_.....,.

(o.g. Value Value Codo I

(J-P) CodcJ (Q-W)

A

A

M

A

A T

T

E v

-n.so1-ss.ooo •S100,001.SI.000.000 HI •Sl,000,001.SS.OOO.OOO

• SIS,001-SSO,OOO

• SSOO.OOl·Si,000,000

•Cost(Rcol ...,..,. Ooly)

L • SS0.001·$100,000

Pl •$1,000,001 SS.000,000

P.C cSMort tNn SS0,000,000

5 •Asscssmet'll \V

___ ._..period

'fype <•·•· DG!o: ldentityolMonlll

mcrge:r. DoyredC1t1pdon)

•U,001.SIS,000 · IS,001-SSO,OOO H2 •MolO ila• $$ ,000.000

M •$100,001.SZSO,OOO

!':! • Sl,000,001.sll,OOO.OOO

T •Cuh/Mlfto1

Name o f Pcnon Reporti ng Date ofR.cpon

A.

37. TRUST#2

38. -JANUS 1WOOY

39. -FIDE UIY CASH MANAGEMENT ACCOUNT

4 0 . -TRUST HELD PQ CORP. COMMON S TOCK

41. TRUST#J

42. -TRUST HELD PQ CORP. COMMON S TOCK

43. -AM E RICAN INTI.GROUP COMMON STOCK

44. -cHARTER ON!! FINANCIAL COMMON

-GENERAL ELECTRIC COMMON STOCK

46. -MBNA COMMON STOCK

47. -NEXTEL COMMON STOCK

48 . -ORACL6 COMMON STO CK

49. -JANUS W ORLD WIDE MUTUAL FUND

S-0. -FIDEUTY CASH RESERVES

SI. -FIDEUTY CASH MANAGEMENT ACCOUNT

52. -FIDELITY NEW MARKETS INCOME FUND

53. -FIDEUTY SMAIL CAP STOCK FUND

FIDEUTY MID CAP STOCK FUND

Q

u - Boot Vaiac

B

y

Kravitl, Mark R 51612005

B. c

RpO nmg period "P"'ti"I period (I) (2) (1) (2)

..._... 1')11< . v.i. .. Code I div, red. Oil Mc<llod (A.JI) int.) (J-1') -OwkJ

(Q-W)

A Dimoution K

A Dividend J T

c Dividend M v

. , . ./

I! Divid en d 0 v

Dividend

(I)

......... ""°"""ioo)

SOLD

D.

(Z) D81c:

D1y

4121

ll oot exempt

(3) (4) Valuo o.m

Ccdc2 Code! (J-1') (A.ff)

J B

. ....

(S) ldeulityof

A Dividend I T MERGER- 9/01 c

Dividend

A Di vidend J T

Dividend . , J T

. r

A D i viclcitd I T

Distnbution J T

A lnlemt K T

A Interest l

A Dis moution l T BUY 12127

A Di.51noulion J BUY 12127 J

A DiSlnbulion BUY 1 2127

D E

•O\it -i::-;...e.

.•

FINANCIAL DISCLOSURE REPORT

Page 3 ofS

Oescris>«m or Assc:u (inclndingtrusl mc1S)

Plxe Wallet..dt""'=mi>< fiom prior disdosin

STOCK

45.

(SEECOMMENT)

54.

-1. ·btcomeGaiD Codes: A -$1P'JO orless

(Seo Cd"""" 91 "'4 DC)

:?. v,111.: Codes:

.(See CoW:inl1$ Cl DDd OJ)

3. V:ah.e li.Ceihod Cocks

(Seo Cdumm C21

F -m,OOl.SI00.000

i -StS.OOOotkss

N -$250,000-SlOO,OOO

Pl -s s.000,001-sso,ooo.ooo

•A

0

K

0

R

Income durin.f Gtots vallJCl 11 end or

(e.g. vai.. Code2

T

A J T

1).,,. (e.g. buy• ..U.

Toosacdoos !biog rq>Ortillgperiod

Mo.Cb· bu)u/scllcr (if' private lran$�oa)

J SALE

A K T

A

A

T

J

T .

J T J

•SJ.00141..SCll C .•S2.$01-SS,000 ... .OOl-SJS.000 •$1S,001.Sl0.000

-s100.001-s1.ooo.ooo Ill •Sl,000,001.SS,000,000 H2 •More than $5, 000. 000

• SIS.001-$$0,000 .I. • SlO.OOl·SI00,000 M •S100,001-S:tS0.000

• S-'oo.001.s1. ooo.ooo Pl -s1.000.001-ss.ooo,ooo P2 • SS,000,001-S2S,000,000

p; -!Men .... 150.000,000

• Cost (R"'1 £auoOnly) s _......,._ T -c�w-=

w

N ame of P rso n Reportlng

Kravitz. MaTk R Date of Rcpon

S/612005 VII. INVESTMENTS and TRUSTS - mcome, ...i .. . · -""'<""'odes those or11>e '"""" and depcnck111 childteu. s.c w . 34-51 or ru;.g in.<rn.coons.J

A. a c

irq>oniog period ....... period

(I} (2) (1) (2) (I} rr rux cxunp t 6'om .. . ... (2) (J ) (•} (S)

AmOUI• 'l)'l)O Dote: Valuo Galo ldenlily of i Codel buy, sci Month. Code2 Codel inl.) • Code) IJ'IC flct"• O.y ·(J-1') (A·ll) ndcmpfloa)

55. FIDELITY SHORT TERM BOND FUND Interest J T BUY 12127 J

56. FIDELITY FIITY FUND Oistnbution I T BUY 12127 1

51. VANGUARD lNTER·TERM BOND INDEX FUND Dimi>ution 1 BUY 12127

58. TRUST#4

59. -TRUST llEl.D PQ CORP. COMMON STOCK c 0 v

60. -JANUS 1WENTY FUND Distrib ution 1 T

61. -FIDEUTY CASH MANAGEMENT Interest 1 T U

62. TRUST#S

63. -TRUST HEID PQ COMMON STOCK Dividend

64. -AMERICAN INn OROUP COMMON STOCK Dividend 1 SOLD 412 1 B

65. -BELL SOUTH COMMON STOCK A Dividend , 1 T

/'

66. -CHARTER ONE FINANCIAL COMMON A "

Dividen d 1 T MERGER· 9/01 1 S

f!I. -MBNA COMMON STOCK A Dividend 1 T

68. -NEXTEL COMMON STOCK Dividend

69. -ORACL E COMMON STOCK A Dividend 1 T

70. -SP AR TAN 500 INDEX A Distribution T

71. -FIDELITY CASH RESERVES A Interest L T

72. -JANUS WORLDWIDE MUTUAL FUND A Distribution I T

: A • S l ,OOO or less: .' ' ..

.c Sl,OOl ·S2, SOO : c D . E

F G

,J K

- N 0

Q { Sc, Coiun:n C2 ) u c Rool: Val1>e v c O U 1 et \V c. F.11;1 iinlllNf

FINANCIAL DISCLOSURE REPORT

Page4ofS

D. tkseriptioa of Aucti J.n.oomedwing Gross 'taluc at encl or "f'ransactions during rqxirtina period

( nctuding1rust auets)

Pl1co ·cxrafter each usct exempt Ce.i.. v..... Value 1)pc (e.g. ftom prior d sclOS\ltC Code I div. rmt. or Mell>od

buycrlscller(A·H) (J.P) (ifpriwtc

(Q-W) traimetion)

A

A

A T 1

Di�d5"a·

A

A ACCO NT(SEE COMMENT)

B 0 v

A T 1

c STOCK ALE

A 1 T

1

·1. lnoome/GainCodes: · B • $2,SOl-SS,000 ss.001.su,ooo $15,00J..SSO,OOO

'.(See ColumnsBl am! 04) ·•.$50,001·SI00,000 cSIOO.OOl-Sl,000.000 : HI • Sl,000,00l.$5,000,000 H2 •M0<¢ than SS,000.000 ·

l. Voloe Codel: •SIS,OOOotless -s.1s,1?Q1.tso,oci:o L •SS0,001.SIOO,OOO M •SI00,001-$250,000

(SecColunw Cl ond 03) cs2so.ooo.ssoo,ooo c SS00.001-$1,000,000 .p, : Sl,000,00l-SS.000,000 Pl css. 000.001.sis.ooo,ooo

p; -m.000.001.sso.ooo.ooo P ... SMore tltan SJ0,000,()t)(l

;i. Vduc tvicdxid Coder; -�· R -C<»: (Reol C-C Only) s · merit T •C'ula!M:tk:ct

A.

Nan1< of PCl$Oll Reporti ng

Kr>vitz, Murlc R.

B. c. D.

D at e of Report

S/612005

Gross value 11 end ot ._,qpcriod RpOrling period

(I ) (2) { I) (2) (I) U 1IOl e:Jtem;lt rrnm .....

(2) (l) Type <•i. . Dole: Value

Code I Method boy.sci Codc2 (A-II) 0. , ) ) ""'F· o .,.

""'=prioo)

73. -THIRD AVENUE VALIJE MlmJAL FUND Distribution K T

74. -F!OEUIY CASH MANAGEMENT A lnter<SI K T A

/

. -

• cB • S l.OOl·s:?.lOO

(4) (') Ca.in Cod< I {Ml)

• • $15.001 -SSO. OOO

... '

FINANCIAL DISCLOSURE REPORT Pages ofS

VII. lNVES:rMENTS and TRUSTS

"'"""' 1-.r.ring T-&rilc ._,mapcdocl

(""'Wo''""'..,.,'>

Place W after cacb asset exempt """"'" Val,. V8luc Type (e.g.&om pjor disclosure div. rmt. ot Code2 -lh·

(S.P ·Cod�3 (l·P)(Q-W)

A

CCOUNT(SEECOMMENT)

Identityor bll.yalldler(ifpriva1c tr'al:t$ac:Cbt)

.r-

1. lncomdOain°'*"' ._A ·•Sl,OOOorlcss C • $2.501-SS,OOO D •SS.OOl-SIS.000: :

(See Columns Bl ...S [)4) 'F •SS0,001-SI00.000 G -SIOO.OOl-Sl.000,000 ,. 1( •$1$,001..S O,OOO

·HI ,•Sl,000.001-SS,000,000 Ill •Moo:-SS,000,000

2. Volut Codes; J •S1S.000orku L • SS0.001-S I000000 M •SI00,(l(ll.S2SO,OOO

(See Columns Cl andDJ) N •• S2so.ooo.ssoo.ooo 0 .•SS00.001-Sl .000,000 P1 • s 1.000.001.ss.ooo,ooo r2 -s.s.ooo.001.s2s,ooo,ooo

3. VahicMt:thodCodes (S.. Column C2)

P3 -ns.000.001.sso.ooo,ooo . . P• •.SMorc a..., sso.000.000

Q • AA'.W'isal R •Cost {Re:al Esr• Oni)') S s-A.!.scss1l'IClll T •Casbft.WW.

U •Boot.Value V •Otbet \I/ .. i!Aicmed

Name of P erso n Reportini --·----·

Kravi iz. Mark R

-.

.r

·--·

S/612005

.. ...

DateofReportFINANCIAL DISCLOSURE REPORT

-

VIII. ADDIDONAL INFORMATION OR EXPLANATIONS

VALUATION OFP Q CORPORATION COMMON SlOCK: THE VAWE OF PQ CORPORATION COMMON STOCK. A PRJV ATELY HEW COMPANY, IS ESTABLISHED ANNVAU.Y OR MOR.E FR EQUENT!. Y BY THE BOARD OF DIREClORS OF THE COMP ANY IN CONSULTATION wm! ITS ADVISERS. THE VALVE ESTABLISHED BVTHED!RllClORS IS THE VALUE THATIS USED FOR PURPOSES OF THE COMPANY'S REPURCHASE OF THE COMMON SlOCK OF SHAREHOLDERS.

LINES 51, 61 AND74 UST 'FIOELITY CASH MANAGEMENT ACCOUNT." THlS IS IDENTICAL TO THll "FIDELITY MONEY MARKET" ENTRY IN THE2003 REPORT BUT FOR CONSISTENCY, I HAVEUSEDTHE CASHMANAGEMENT ACCOUNTNOMENCLATlJRE. THERE HAS BEEN NO CHANGE IN THE INVESTMENT ITSELF

,...

··- - -·- -... .. ....

- ·

Name of Person Reporting

Kravitz, M a rk R ..

Sl61200S

---::,/'

FINANCIAL DISCLOSURE REPORT - .

-

. ,

...... . -.. ..

-.. . . . . ·-·-.

Dile of Report . . . - -

IX. CERTIFICATION.

Icertify that all information given above (including infoanation 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 starutory provisions pennitting 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. § 501 et. seq., 5 U.S.C. § 7353, and Judicial Conference regulations .

FILlNG 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

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Signature

NOTE: ANY INDNIDUAL WHO KNOWINGLY WILFULLY FALSIFIES OR FAlLS TO Fll.E TIUS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (SU.S.C. app ..§ 104)

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