kristi k dubose financial disclosure report for 2009

8/3/2019 Kristi K DuBose Financial Disclosure Report for 2009

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FINANCIAL DISCLOSURE REPORT [ N,me ofrer~oa Reportia~: [ D a ~ e o fPage 2 of 6[ DuBose, Kristi K. I

~/07~010

III. NON-~ST~NT ~C O~. ~o~ in~a.~t ~ ~ ~ ~. ~ 7-~ o/~A. Filers Non-Investment ~come

NONE ~o reportable non-investment income.)~ SO~E A~ ~E I N C O M E(you~, not

I.2.3.4.

B . S p o u s e s N o n - I n v e s t m e n t I n c o m e - tf )o~ a~tre married during an),portion of the reporting ),tar, complete this secliot~(Dol lar amounl not required excep t for honorar ia)

[] NONE (No reportable non-investment income.)D A T E SOURCE AND TYPE

I. 2009 self-employed -utility power products distributor2.3.4.

I V . R E I M B U R S E M E N T S -~ort.ao~ inaVng,/ooa, ~ . ~ . e ~(lnclude~ those to .vpot~e and depende nt children: see pp. 25-27 of f!ltng ir~tructtons.)

NONE (No reportable reimbursements.)SOURCE ~ LOCATION pURPOSE ITEMS PAID OR PROVIDED

1.2.3.4.5.


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Name of Person Reporting DateFINANCIAL DISCLOSURE REPORT[ DuB es~, Kri$fi K.age 3 of 6 o 4 / O T n O a o

[~] N O N E ( N o reportable gif ts.)SOU RCE DESCRIPTION VACUE

1.2.3.4.5.

VI. LIABILITIES. a.a.~, ~o~ o/~ ~.~ ~.~ ~kitz,,~. ~ o ~ ~ . ~ 2 . ~ o~n,~ instruction~)[~] N O N E ( N o reportable liabili t ies.)

CREDITOR DESCRIPTION VALUE CODE1.2.3.4,

5.


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FI N A N C IA L D I SC LO SU R E R EPO R T n . m e o f P ~ - , o n r .p o ~ n gPage 4 of 6 DuBo,e, ~ti ~ ~ / 0 7 / 2 0 1 0VII. INVES TMENTS and T RU S TS - ~ ...... ~ ~ a~t~ ,~ os~, ~ ~,~ ~it~ ,~ r~. ~-~0 osf~z ~.~

NONE ~o re~rtable income. ~sels. or tr~sactio~.)~ ~ .. c. D.

(~cluding t~t a~ts) r~g ~ of ~ ~(0 (~) (0 (~) 0) (~) (~)

ex~pt ~ pfi~ discl~ C~ 1 ~v~ ~ C~o 2 M~ b~, ~1~ m~d~ C~ 2 ~ I b~/~ger(A-~ ~ i n t . ) { J - P ) ~ 3 ~fi~) ( J - P ) (A-~ (if pilate

1 . Regions B ank - CD B In.res t L T ~n 7 /10/09 L2. Regio~ B ank - CD A ~t e r ~t L T3. R e gi o ~ B a n k - 1 ~ N o n e J T4. T~ Bon~ N o n e K T B u y J u . s .5. ~wocable t~ t # 1 H o n e6.

7 .g .9.1 0 .1 1 .1 2 .

1 3 .

1 5 .

1 6 .

1 7 ,


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I NameofPr~nReportingI V.,.o~.~FINANCIALDISCLOSUREREPORT [ D~o~ , ~ :~ i K.age 5 of 6 ~ / 0 7 ~ 0 ~ oVIII. ~DITIONAL INFO~ATION OR EXPL~ATIONS. tt~.,,~,l,,m~)

1) Part Vll #5 - Revocable Trust #1 is unfunded.2) Part V II #4 these are purchased on a monthly basis.


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FINANCIAL DISCLOSURE REPORT ~.me of Person Reporting Date of ReportPage 6 of 6 e.eo~, K r l s ti K . 0 4 / 0 7 / 2 0 1 0IX. CERTIFICATION.

I certify that all information given above (including Information pertaining to my spouse and minor or dependent children, If any) isaccurate, true, and com plete to the best of my knowledge and belief, and that any information not reported wax withheld because it met applicable statutoryprovisions permitting non-disclosure.I furthcr certify that earned income from outside employm ent and honoraria and the acc eptance of gifts which have been reported are incompliance with the provisions of 5 U .S.C. app, 501 eL seq., 5 U ,S.C. 7353, and Judicial Conference regulations.

Signature

NOT E: AN Y INDIV IDU AL W t i O K NOW ING LY AND W ILF U LLY F A LS IFIES OR F ALLS T O F ILE T H IS R EPOR T MAY B E S U B J EC T T O C IV ILAN D CRIMINA L SANC TIONS (5 U.S.C. app. 104)

FILING INSTRUCTIONSMail signed original and 3 additional copies to:

Com mittee on Financial DisclosureAdm inistrative O ffice of the U nited States CourtsSuite 2-301One C olumbus Circle, N.E.W ashington, D.C. 20544

kristi k dubose financial disclosure report for 2009

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