raymond c clevenger iii financial disclosure report for 2010

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  • 8/3/2019 Raymond C Clevenger III Financial Disclosure Report for 2010

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    .4010Rev. 1 / 2 0 1 1FINANCIAL DISCLOSURE REPOR T

    FOR CALENDAR YEAR 2010Report Required by the E thicsin Government dct of 1978(5 U.S.C. app. 101-I11)

    i. Person Reporting (last name, first, middle initial)

    Report Type (check appropriate type)

    ~ N o m i n a t i o n . D a t e[] Initial [~ Aimual5b. [] Amended Report

    ] Fmal

    3. Date of Report

    6. Reporting Period

    7. Chambers or Office Address 8. On the basi~ of the information contained in this Report and anymodifications pertaining thereto, it is, in my opinion, in compliancewith applicable laws and regulations.

    Reviewing O fficer Date

    I M P O R T A N T N O T E S : The instruction~ accompanying this form must be followed Complete all part~,checking the NONE bo x for each part where you have n o reportable informatiot t Sign on las t pag~

    I. POSITIONS.Reporting indi,idual ,nly; .~c pp. 9-13 of fi l ing instrucl~m:~.)~/NONE (No reportablepoMtions,)

    2.34.

    5

    POSITION NAME OF OR, GAN1Z ATION,/ENTITY

    .~.

    II. A G R E E M E N T S . ~R.po.,.~ ~ .~i~..~~ N O N E (No reportable agreements.)

    I

    23.

    PARTIES AND TERMS

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    FINANCIAL DISCLOSURE REPORTPage 2 of.b /t ~

    Name o f Per son Reporting

    I II . N O N - I N V E S T M E N T I N C O M E . (~epor~g~div~a,d,po~e;,eepp. 17-24offdinginstructiotts.)A. Fliers Non-lnvestment Incom e~NONE (No reportable non-investment income..)

    DATE SOI.]RCE AND TY PE

    Da t e o f Re po r t

    2

    3

    4

    INCOME( y o u r s , n o t s p o u s e s }

    B . S p o u s e s N o n - ! n v e s t m e n t I n c o m e - tf ~.,,u were murrird during tny portion of the rl~ortlng year, complete this section.(Dol lar amount not required except for honoraria)

    N O N E (No reportab le non- investment income. )

    I2.

    D A T E SOURCE AND TYPE

    I V . R E I M B U R S E M E N T S - ,, , , ~ ,p , , , , ~ n o ~ . ~,,a~in~.:,,,,d. ,o,e,,oinm ,~( Includes those to spouse and d~pendent chi ldren; see ~p 23-27 ofJ i l ing mstruct ion~ , )

    NONE (No reportable reimbursements.)SOURCE DATES LOCATION PURPOSE

    3

    ITEMS PAID OR PROVIDED

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    FINANCIAL DISCLOSURE REPORTPage 3 of~ ~,~

    Name o f Person Report ing Date of Report

    V . G I / F T S . a . c , ~ d ~ ~o ,, spot, o.~deptndent children; see p p . 2 5 - 3 1 of f cling instructions.)~/NONE (No reportable gifts.)

    23.4

    SOURCE DESCRIPTION VALUE

    [~Z NO NE (No reportable liabilities.)GREDITOR DESCRIPTION

    I

    4.

    5

    YALUECODE

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    FINANCIAL DISCLOSURE REPORTP a g e 4 o f ~Name of Person Reporting Date o f Repor t

    V I I . I N V E S T M E N T S a n d T R U S T S - ~ c o ~ . , a t , , . ~ , o , ~ , a i o , , , . ( t . c t , d ~ t~o,, of ,po=, , ,d d epe, d,~t eM Idt,n; yt t pp. J#-60 of filing i~ttulfOnS.)~ NONE(N o reportable income, assets, or transactions.)

    DescrlpUon of Assets Income during(including tzus! assets) reposing p6od

    (I) (2)P lace "(X)" after each asse! A mo un t Type (e.g. .

    exempt from prior disclosure Code ] dw,. rent,(A-H) o r

    Gross value at end T ransactions during reporting periodof reporting period(I) (2 ) (I) (2 ) (3) (4) (5)

    Value Value Type (.g, Date Value Gain ldem~ry of"Code 2 Method buy, sell, mm/dd/yy Code 2 C ode I buyer/seller

    (J-P ) C ode 3 rdemptmn) U -P) (A-H) (if private(Q-W) transaction)

    T

    T

    TK

    Columns CI ~d D )) N =1250.~1 - 1500.000 O =1$00,~1 11.000.0~ Pl :$1.0~.001 - SL000.0~ P2 =$5,~0.001 - $25.000.000

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    FINANCIAL DISCLOSURE REPORTPage4/f ~9 ~ 3

    Name of Person Reporting

    V II. INV ESTMENTS and TRU S TS - i.co.,~ ..~ ,,o, ..,.oc,lo,.,:---q N O N E (No reportable income, assets, or transactions.)

    A. B. C. D.D e s c . , 6 p d o n o f A s s e t s Income dunng Gross value at end Transactions during repotting period(including trust assets) report ing peri od of reporti ng peri od

    (I) (2| (I) (2) ~ 1 ) (2) (3) (4) (5 )P l a c e " I X ) " a f te r e a c h a s s e t A m o u n t Type (e.g, Value Value T y p e (e.g., Date Value Gain [de:nlity O l"e x e m p t f r o m p r i o r d i sc l o s u r e Code ! d a y . , r e n t . Code 2 Medmd buy, sell. mm/ddiyy Code 2 Code I buycrtseller(A-H) o r i n t . ) [ J - P ) C ode 3 redemption) ( J - P ) (A-H) 0f private

    ( Q - W ) u a n s a c t i o n )

    AAAA

    I Income Gain Codea A =$1,000 o( less B =$1.001 - $~.500 C =S 2.50! - $5,000(See Co l u m n s B I and 04 ) F : $$0 ,0 0 1 - $ I 0 0 . 0 0 0 G = $ 1 00, 001 - $ I , O00, O00 HI =$1.000.001 - $~,000,000

    2, Value Codes I =$1.1,.000 or l~s K =$1 $.001 - 5S0.000 L =$50.001 - $100.00~(See Columm CI a n d D3 ) N=$250.001 - 1)00.000 O -$~,00.001 - $1.000.000 Pl ~$i .O00.OOt - 55.1300.000

    P3 =$25.000,001 - 150.000.000 pa =Mt~IJian $50,000.000] Value Me~.~t Codn 0 -Appraisal R =Cost (Re~I Estate Only) S ~Ais~ssnlent1S(Colt~mn C 2) U =Book Value V =Other W :Estimated

    D =$5.001 - illtt2 =More than $5.000.000M =$100.001 -P2 -SS.000.001 - $25.000.000T =Cas h Mtrktt

    E = $ 1 5 , 0 0 1 - $ ~ f o . o o o

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    FINANCIAL DISCLOSURE REPORTP a g e / (o f ~ t )Name of Person Reporting Date of Reporf

    V I I . I N V E S T M E N T S a n d T R U S T S - - i..,m...,,~,,,.N O N E (No reportable income, assets, or transactions.)

    A B. C.Description of Assets Income during Gross value at end(including trust assets) reporting period o f r e p o r t i n g p e r i o d(i) (2 ) (i) (2)

    P l a c e " ( X ) " a f te r e a c h a s s e t ~ J ~ ] o u n t T y p e ( e . g . , V a lu e V a lu eexempt from prior disclosure Code I d i v . , r e n t , Code 2 M e t h o d(A-H) o r in t . ) ( J - P ) Code 3

    T y p ebuy, sell,

    r e d e m p t i o t t )

    Transactions dursng reporting period

    (2) ( 3 ) (4) ( 5 )Dale Value Gain Identity o fmm/dd/yy Code 2 Code I buyer/seller

    ( J - P ) [ A - H ) (if privatetra.saction)

    (~lo k2 F~4 3- T5.67

    A.SOlOSOt~A - ~ - L

    A ,

    .1)~"3 - 7 -pig i

    TTTTT

    Value M~ Cod~ Q =Appra;.I R =Cote (R~I hmte Only) S =A~s~smem I =Ca*h Market(See Colum~t C 2) U "B~k Vilut V -O~er W =~ttmated

    E =115,O01 - $50.000

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    FINANCIAL DISCLOSURE REPORTPage t ~ o f ~ ,"! . ~le R w~er, - ~

    Dale of Repor!

    V II. INV ESTMENTS and TIN O N E (No reportable inco~r .. assets, or transactions.)

    A. B. CD e s c r i p t io n o f Assets Income during Gross value at end~including trust assets) reporting period o f r e p o r t i n g p e r i o d

    ~l) 12) (0 (2)P i e c e "(X)" ~fier e a c h a s s e t A m o u n t T y p e ( e g , , Value Value

    e x t r n p t from prior disclosure Code I div, rent. Code 2 M e t h o d(A-H) or m r . ) ( J - P ) Code 3Q - W )

    ( I)T y p e ( e g . ,buy, sell,

    redemption)

    T r a n s a c t i o n s d u r i n g r e p o r l i n g p e r i o d

    (2) (3) (~) (~ )D a t e V a l u e G a i n I d c n t i P i o f

    m m / d d , y y C o d e 2 C o d e I b u y e r t s e l l e r( J - P ) ( A - H ) ( i f p r i v a t e

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

    3- T~- T3- T

    Z~ T

    ( S e e Columns B I and D4)2 Va l u e Co d ~

    tS~: Columns C! an d D3)3 Value Method Codm

    (See Colum~l V=0~

    D =$5,0 0 1 - $ I 5 . 0 0 0H2 =More f l~an $S.OO0,O00M -$100.001 - 12~0,~P2 =$5.~,~1 - ~25.0~.~T = Ca sh Market

    E = 1 1 5 . 0 0 1 - $ 5 0 . 0 ( ~ )

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    FINANCIAL DISCLOSURE REPORTPage/(~of~ ~ ~

    Date o f Repor t

    V I I . I N V E S T M E N T S a n d T R U S T S - ~,,.,,,,,. ~,t,o. ,r ,,,,.,,,~o,,.,. a,,,.t,~o., t~o .,o o/,.~,,,,~.e ,,,a ffepe,,dent cllildrtn: .vee p p . 3 - 6 0 o f f i l in g i t t v tr u c t i o t ~ )N O N E (No reportable income, assets, or transactions.)

    A B. C. D.D e s c r i p t i o n o f A s s e t s Income during Gross value at end Transactio.s dun.g reporting p e r i o d(including trust assets) reporting p = i o d of reporting period(i) (2) (U ~2) (i ) (~) (3) (4) (5 )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 . , V a lu e V a l u e T y p e (g., D a t e V a l u e G a i n Idcnt i ly o fe x e m p t f r o m p r io r d i s c lo s u r e Code I div, rent, C o d e 2 Method b u y , s e l l, mm/dd/yy C o d e 2 Code I b u y e r / s e l l e r(A-H) o t J u t . ) ( J - P ) C o d e 3 redemption) ( J - P ) (A-II) (if private

    ( Q - W ) U = ~ s a c d o n )

    o-

    3-

    Value Mc~ C~ Q "Ap~=is=l R = Cost {Real Es~te O n l y ) S =Assessment T =Cash Market

    E =$ t ~,001 - $50 .000

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    FINANCIALp a g - - f ~ ie t ~ i~ o L ~ , D I S C L O S U R F R E P O R T ra m e o f P e r s o n R e p o r t i n g

    V II. INV ESTMENTS and TRUSTS -N O N E (No reportable income, assets, or transactions.)

    A. B.D c s c d p l i o n o f A s s e t s I n c o m e d u r i . g G r o s s v a l u e a t e n d

    ( i n c l u d i n g ~ 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(I) (2) (I) O)

    P l a c e " | X ) " a f t e r e a c h a s s e ~ A m o u n t T y p e ( g o V a l u e V a l u ee x e m p t f ro m p r i o r d i sc l o s u r e C o d e I d i v ., r u m , C o d e 2 . M e th o d

    (A-H) or tnL) (J-P ) Code 3

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

    b u ~ , s e l l,rodemptio.)

    T r a a s a c t i o , s d u r i n g r e p o r t i n g p e r i o d

    (z) O) (4) (s )D a t e V a l u e G a i n IdcntiP/of

    m m / d d / y y C o d e 2 C o d e I b u y e r / s e l l e r[J-P) (A.H) (if private

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

    6

    17

    1-

    ( S e e C o l u n , n s B I z n d D 4 ) F -$50.~1 $1 ~.~ ~ G =g I ~,001 % I ,~0.~ H I =$1 .~0 ,~1 - $5 ,0~ ,~0 H 2 =Mo ~ d ~n $S .~ ,~E = $ ! $.ool - 15o.0oo

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    FINANCIAL DISCLOSURE REPORTPa g e ~ o f ~ d > Na me o f Pe rso n Re po r t ing

    V I I . I N V E S T M E N T S a n d T i t U S T S - ~ , ,. ,, m , . , ,, .. ,~ - . ,, ,, ,. , o , - , ~ , . . , ,. . , .N O N E (No reportable inco, :: , assets, or transactions.)

    A B. C.D e s c r i p t i o n o [ A s s e t s I n c o m e d u r i n g G ro 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 or t i n g p er i o d o f r e p or t i n g p e r i o d

    U) (2 1 (|) (2)P l a c e " I 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 . V a l u e V a l u e

    e x e m p t fc o m p r i o r d i s c l o s u r e C o d e 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 3T y p ~ ( e . g . ,buy, sell,

    r e d e m p t t o u )

    DT r a n s a c t i o n s d u r i n g r e p o ~ n g p e r i o d(2) (3) (4) O)

    D a t e V a l u e G a i n I d e n t i t y o fmm/dd~y Code 2 Code I buycr/sell~

    { J - P ) { A - H ) ( f f p r i v a t eUa~sacUon)

    ~D~-

    ~ O L ~

    I I n c o m e Gain C o d ~ A -l.l.O00 o + I~s B =$|.001 - $ - ~ . 5 0 0 C =$2.~01 - $5.~ D =~5,001( S ~ C o l u m n s B I a n d D 4 ) F = ~ $ 0 . ~ 1 - ~ I ~ . ~ 0 G =$l ~.~1 - $I ,~,0~ H l =$ I,~0,~I - 15.~,0~ H2 =More

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    FINANCIAL DISCLOSURE REPORTPage /o f l~ ~ ~Na me o f Pe rso n Re po rt ing Da t e o f Re po t !

    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 , , , .~ , , ,, Z . o . , . , ,, ,, ,, c ~ o . . ~ . W , , Z . d o : , , h o . , e . / ,r . , ,. ~ e . n d d ep en d en t ch il d r en ; s e e p p . 3 4 - 6 0 o]fili, t ~ , I n s t r u c t i o n s . )~ -~ N O N E (No reporta ble income, assets, or transactions.)

    A B. C .D e s c r i p 6 o n o f A s s e ts Income dunng G r o s s v a l u e a t e n d( i n c l u d i n g l 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 dII) (2) (I) (2)P l a c e " I X ) " a f l ~ e a c h a s s e ~ A m o u n t T y p e ( e . g . , Value Valu~ x e m p t f r o m p r i o r d i s c lo s u r e C o d e I d i v . , r e n t , C o d e 2 M e t h o d(A-H) o r J u t ) (J-P) C o d e 3( Q - W )

    Type (e.g.,buy. sell,

    redemp~ioa)

    Transactions during reporting period

    (_2) (3) (d) (5 )Date V a l u e Gain Idomi ly of

    mmldd/~ Code 2 Code I buyer/seller(J-P) (A-H) (if private

    u~,tsa~oo)

    1 7 .

    L

    T- T

    I. I n c o m Gain CodesI.See Columns BI and D 4 )

    2 Value Cod~(See C O I U , I ~ n S C I a n d D 3 )

    3 Value M~ C~{S ~ C o l u m a C 2 )

    A = $ 1 . 0 0 0 o ~ l e s sF - $ S 0 . 0 0 1 - $100,000J = $ I $ ,D 0 0 O ~ l e s sN -$230.0OI - $500.000

    U =Boot Value

    C =$2.501 - $5.000H I =[ | .000.001 - $5,000.000L =$50.001 - $100.000PI =$1.000.001. $5.000.0(30P4 -Mot~ d~a ~ $ 5 0 . 0 0 0 . 6 0 0W =E sumaled

    E = $ ! S . O 0 1 - $ 5 0 . 0 0 0

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    FINANCIAL DISCLOSURE REPORTPage~. of ~

    N a m ~ o f P e r s o o R e p o r t i n g D a t e o f R e p o r t

    VIII. ADDITIONAL INFORMATION OR EXPLANATIONS.

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    FINANCIAL DISCLOSURE REPORT N,me of Person Reporting

    IX. CERTIFICATION.

    D,tc o f R e p o r t

    1 certify that all information given above (including information pertaining to my spouse and minor or dependent childreu, if any) isaccurate, true, and complete to the best of m y knowledge and belief, and that any information not reported was wi thheld because it met applicable statutoryprovisions permitting non-disclosure.! further cerlify that earned income f rom outside employment and honoraria and the acceptance o f gifts whic h have been reported are incompliance with the provisions of 5 U.S.C . ~pp. 501 eL seq., 5 U .S.C. 73 53, and Judicial C onference regulations.

    Signature

    N O T E: AN Y IN DIV IDU AL W H O KN O W IN GLY AN D W ILF U LLY F ALS IF IES O R F ALLS TO F ILE TH IS R EPO R T M AY B E SU B J EC T TO C IV ILAND CRIMINAL S ANCT IONS (S U.S .C. app. 104)

    C ommittee on Financial DisclosureAdministrative O ffic e of the U nited States C ourtsSuite 2-301One Columbus Circle, N.E.Washington, D.C. 2054 4