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~o ~o I FINANCIAL DISCLOSURE REPORT geportin GovernmentRequiredActbY theof Roy. t/2010 FOR CALENDAR YEAR 2009 (~ u.s.c, app. ~,~ I01-111)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 ~ s t , m i d d l e i n i t i a l ) 2 . C o u r t o r O r g a n i z a t io n 3 , D a t e o f R e p o r tM O N T G O M E R Y , A N N D . U.S. D ISTRIC T C O URT - M N 05 /04!2010

4 . T it l e ( A r t i c le I 1 t j u dg es i n di c at e a ct i v e o r s e nio r s t a tu s; 5 a. R ep or t T ~ p e ( c ho ck ~ pp ro pr ia te t y pe ) 6, Repor t i ng Per i odm a g i s t r a te j u d g e s i n d i c a t e f u l l - o r p a r t - t i m e ) [ ] N o m i n a t i o n , D a t e 01 /01 /2009A RTIC LE I I I J UD G E - A C TIVE I-1 Ini t ial ~Annual ~ Final to12 /31 /20095 b . [] A m e n d e d R e p o r t

7 . C h a m b e r s o r Off ice Address 8. On the basis of the information contained i n th i s Repor t and anym o d i f i c a t i o n s pe r ta in ing the re to , i i s , i n m y o p i n i o n , i n compliance13 W U .S , COU RT HOU SE wilb applicable laws and regulations.30 0 SO UTH FO URTH STREETMI~rNEAPOLIS, MN 55415 Rev iewing Off i cer D a t e

I M P O R T A N T N O T E S : The instructions accompanying this form must be followed. Complete all parts ,checking the NONE box for each p art where you have no reportable information. Sign on last page.

~ N O N E (N o reportable posi tions.)P O S I T I O N N A M E O F O R G A N I Z A T I O N / E N T IT Y

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~ NONE (No reportable agreements.)DATE PARTIES AND TERMS

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FINANCIAL DISCLOSURE REPORTameo .... Iage 2 of 7 ] MONTGOM ERY, ANN D. 0 5 / 0 4 1 2 0 1 0III . NON-INVE STM E NT INCOME . ta~orti .gA. Filers Non-Investment Income

NONE (No reportable non-investment income.)~ DATE SOURCE AND TYPE INCOME(yours , no t spouse s )

I.

B . S p o u s e s N o n - I n v e st m e n t I n c o m e - i f you ~per married d~ring any portion of d~e rep orling year, complete this sec t io~( D o l l a r a m o u n t n o t r e q u i r e d e x c e p t f o r h o n o r a r i a ~ )[~] NONE (No reportable non-investment income.)

DATE SOURCE AND TYPEI . 2009 Arthur , Chapman, Ket te r ing , Smetak & Pikala Law Firm

I V . R E IM B U R SE M E N T S -( I n c l u d e s t h o s e t o s p o u s e 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 . 2 5 - 2 7 o f f il i n g i n s tr u c t i a n s . )r---] NONE (No reportable reimbursements.)

SOUKCE DATES LOCATION PURPOSE ITEMS PAID OR PROVIDED1 . American Bar Associa t ion March 4 - March 6 , San Francisco, CA 2 3rd A nn ual Natio nal Tr an sp or tatio n, lo dg in g, me als2009 Ins t i tu t e on Whi te C ollarCrime2. In te rna t iona l Judic ia l A pr il 5 - A pr il 9 , S tra.sbo urg , Fran ce Fi r s t Rene C a s s i n Semina r Transportation, lodging, meals, tuit ionA c a d e m y 2009 on In te rnat ional HumanRigh l s Law3. A mer i can C on f e r e nc e Apr i l 29 - Apr i l 30, San Francisco, CA A C 1 1 9 d ~ S e mi -A n n u al B ad T r an s p o rt at io n , lo d g i ng , me al slnsl i tu te 2009 | : ai th Li t igat ion Con fe rence

A mer i can C on f e r e nc e lvlay 27 - May 28, Chicago, IL ACI Employmen~ Trade Transpor ta ti on, t od ging, meal~Ins t i tu te 2009 Secre t P ro tec t ion &Li t igat ion Confe rence

8/3/2019 Ann D Montgomery Financial Disclosure Report for 2009

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FINANCIAL DISCLOSURE REPORT . ~ a m e o f P e r s o n R e p o r t in g D a t . o f R e p o r tP a g e 3 o f 7 M ONTGOM ERY, ANN D. 0 5 /04 /2010

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FINANCIAL DISCLOSURE REPORT Name of P ..... R e p o r t i n g D a t e o f R e p o r tPage 4 of 7 M O N T G O M E R Y , A N N D . 0 5 / 0 4 / 2 0 1 0

~ N O N E ( N o reportable g~s.)SOURCE DESCRIPTION VALUE

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[~ N O N E (]go reportable liabilities.)CREDITOR DESCRIPTION VALUE CODE

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N a m e o f P e r s o n R e p o r t J n gP a g e F I N A N C I A L 5 o f 7 D I S C L O S U R E R E P O R T MONTGOMERY, A N N D . I

N O N E ~o reportable income, assets, or transactions,)A. ~ B. C, ~Description of As~ts ~ Income during ~ Gross va[~ at ~nd , ~ Transactions( ind,d ing ~s t asse ts ) ~ r ~ o a i n g ~ r i ~ ] of r~o~ing ~r iod

P l a + e " ( X ) " a f t e r e m h a s s e t A m o u n t V~e (e .g . , + Value [ Value Iexempt from pri~ di~Iosure C ~ e 1 d i v . , r e n t , ~ Code 2 [ Meth~ b a y , s e l l , m ~ + ~ I C o d e 2 [ ~ d e 1 / buyer/seller

1 . US Banco~ A In t er esl J T2. Nortch Sys tem - Common Stock No n e J T3. MiBnesota Sta te Judge Ret i rement Plan No n e K U4. 1\4 In te res t in farm land in Meeke r Coun ty, A ke n t L SM N5. N eurogen C o rp . H W P - C ommon S t ock No n e J T6. Linco l n L i f e V a r i ab le A n nu i t y Fund No n e K T7. All iance Berns te in Balanced Weal th C D iv i d end M . TS t ra t eg i e s8 . Blackroek Global Al loca t ion - IRA C D iv i d end M T

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( S e e C o l u m n C 2 ) IJ =Book Value V = O the r W q~ s t h~ a t cd

8/3/2019 Ann D Montgomery Financial Disclosure Report for 2009

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FINANCIAL DISCLOSURE REPORT N ~ , .~ o f P ~ o ~ ~ , ~ p o ~ - t ~ , ~ [ ~ a , ~ o f R e p o t ,Page 6 of 7 M O N T G O M E R Y , A N N D . I o ~ , o ~ , = o . o

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Sec t i on VI I : No . 4 - It em 4 i s r ea l e s tat e ow ned i n commo n w i t h~ T he a s s es s e d t ax v a lu e i s app rox ima te ly $79 ,3 00 ; t he cu r r en t v a lu e may ac tu a ll y bel ess than tha t but my shar~, in any ev ent , wo uld be less than $20 ,00 ~J i . . .. . .

8/3/2019 Ann D Montgomery Financial Disclosure Report for 2009

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F I N A N C IA L D I SC L O S U R E R E P O R T N a m e o f P e r s o n R e p o r t i n g D a t e o f R e p o r tPage 7 of 7 M O N T G O M E R Y , A N N D . 0 5 / 0 4 / 2 0 1 0

IX. C ER TIFIC A TIO N .! c e r t i f y t ha t a l l i n f o rma t i on g i v en abov e ( i nc lu d ing i n f o rma t i on pe r ta i n i ng t o my spou se and mino r o r de pen den t ch i l d r en , i f any ) i saccu ra t e , t r u e , and compl e t e t o t he bes t o f my kno wledg e and be l i e f , and t ha t any i n f o rma t i on no t r ep o r t ed w as w i t hhe l d becau se i t me t app l i cabl e s tatu t o ryp r o v i s i o n s p e r m i t ti n g n o n - d l s c lo s u r e .I f u r the r ce r t i f y t ha t earned i n come f rom ou t s i de employmen t and hono ra r ia and t he accep tance o f g i f t s wh ich h av e been r epo r t ed a r e i ncompl iance w i t h t he p ro v i s i ons o f 5 U .S .C. app . 501 e t . s eq . , $ U .S .C. 73 53 , and Ju d i c ia l Conf e r e nce r eg u la ti ons .

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N O T E : A N Y IN D I V I D U A L W H O K N O W I N G L Y A N D W 1 L F U L L Y B E S U B J E C T T O C I V I LA N D C R I M I N A L S A N C T I O N S ( 5 U . S . C . ap p . 1 0 4 )

F I L IN G I N S T R U C T I O N SM a i l si g n e d o r i g i n a l an d 3 a d d i t i o n a l c o p i e s t o :

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