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Joseph S Van Bokkelen Financial Disclosure Report for 2009

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    ~ci~ DISCLOSURE REPORT R~onReq~bytheZt~ic~inorernmf 1 9 7 8F O R C A L E N D A R Y E A R 2 0 0 9

    I M P O R T A N T N O T E S : I7~ instructions accompanying this form mu.s~ be followe~ Comple~ all parts,checking the NONE bax for each par~ where JaTu ha ~ no reportable informatio~ &gn on la~t pag~

    I. POSITIONS. ~a.o,-~,~i~oay~NO~ ~o r~ortableposi~om.)

    POS~ION N~ OF ORGA~ON~TI~I.2.3.4. .: -5 . ~ : ~ " .

    ~ ; .

    ~ NON ~o r~o~able a~eements.)~ P~S A~

    1.

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    INtmefPerson Reporting Date of ReportF I N A N C I A L D ISC L O SU RE R E PO R T[ V=nBok kelen , Joseph S.

    0 5 / 1 ~ / 2 0 1 0"Page 2 o f 9

    III. N O N- INVE STM ENT IN C O M E. a~ra,~ ~=~ =,a ,~=,; , ,, ~ xv - u o l yU ~,~ ~r ==~ ,~)A. Fliers Non-Investment Incom e

    NONE (No reportab le non-inves tment income.)DATE SOURCE AND TYPE I N C O M E(you rs, not spouses)

    1.2.3.4.

    B . S p o u s e s N o n - I n v e s tm e n t I n c o m e - If.you wire married during anypartion ef th~ reportirrg jmar, a~let~ tht, t section.09ol/ar amount not required except for honoraria.)

    D NONE (No reportab le non-inves tment income.)D A T E S O U R C E A N D T Y P E

    1. 2009 Westminster Presbyt~ian Church (Salary)

    2.3.4.

    IV . R E IM B U R SE M E N T S -(Ineludex those to spouse and dependent children; av~e pp. 25-27 of filing instructions,)

    NON E (7~ro repor table re imbu rsements .)SO U R C E D A T E S L O C A T I O N PIJR.POSE ITEMS PAID ORPROVIDED

    1.2.3.4.

    5.

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    F I N A N C I A L D IS C L O S U R E R E P O R T n .... f Per~ oa Repor f i a g [ Date of RepertPage 3 o f 9 Van Bekkelen , Joseph S.

    ]05/15 /2010

    N O ~ ~ o reportable ~fis.)

    I.2.3.4.5.

    [-~ N O N E ( N o reportable liabilities.)

    1.

    3.4.5.

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    FINANCIAL DISCLOSURE REPORT r~.=, of P.r~on Reporting [ Dtt. of Report"p~lg~ 4 of 9 Van Bokkelen, Joseph S.

    [05/15/2010

    V I I . I N V E S T M E N T S a n d T R U S T S - ~ ,~ , ,~ , ,t ~ t , , , ,,o ,~ ,~ an a~,~ ,~ ~ o~ e o.~s~ , . .. . . ,~ ,~ , . ,d , ,, t chUd~, ,~- ,~ ~ , ~ 0 o ! ~ t ~ , g ~ o ~ 7N O ~ ~ o repo~able income, ~sets, or ~a~ac~o~.)

    A. B. C. D.D~pfion of~ ~ome ~g ~ v~ue at ~d T~o~ ~d~ ~ng p~(incl~g ~t ~) ~o~g ~d~ of~o~g ~

    O) (2) 0) (2 ) O) (2) (3) (4) (5 )Place "~" ~ ~ch ~ ~oum T~ (e.g., V~ue V~ue T~ (e.g., Da~ V~ue Gain Id~fiW of~empt ~m prior ~sel~ ~e l ~v., ~n~ ~ 2 Me~ buy, ~ ~d~ ~e 2 C~e I buyw/seI~r(A-~ or inL) (J -P) ~e 3 ~empfion) (J-P) (A-~ 0f pfivam

    1. Gen~ Elec~c B Di~d~d Sold 09/16/09 J A

    2. Pro~ss ~er~ A Di~d~d J T

    3. AT&T A Di~d~d J T

    4. BP P~ A Di~d~d K T

    5. E~o~obil A Di~d~d Sold 10/13109 L D

    6. Vein A Divided Sold 09116/09 J A

    7. F~l~ ~h F~d A Divided Sold 09/16/09 K A

    8.

    9. ~S R~ch F~d ~=s A A Di~d~d Sold 09/16/09 J A

    10. J~ Worldwide F~d A Di~d~d Sold 10/13/09 K D

    11.

    12.

    13 .

    14 .

    15.

    16.

    17 . Comm~i~ Hosp. Re~t A~{

    1 . I n c o m e G a i n C o d e s : A =$1,000 or le~ B = $I.001 - $2,500(St* ~lamm BI m ad D4) F . $ 5 0 , 0 0 1 - $ 1 0 0 , 0 0 0 G -$ 100,001 - $1.000,000 HI ~1.000.001 - 15,000,000 H 2 = M o r e t it a n 1 5 , 0 0 0 , 0 0 02. V a l u e C o d e r J,=$15,000 or le~s K = $ 1 5 , 0 0 1 - 1 5 0 , 0 0 0 L = $ 5 0 , 0 0 1 - $ 1 0 0 , O O 0 M =$100,001 * $ 2 5 0 , 0 0 0(S~: Colmrm~ Cl and D3) N =$ 250,001 - 1500,000 0 =$ 500,001. $ 1,000,000 pl = 11,000,001.15,000,000 P 2 = $ 5 , 0 0 0 , 0 0 1 - $ 2 $ , 0 0 0 , 0 0 0P3 =$25,000,001.150,000,000 P4 -More ~ $ 5~,000,0003. Val~ Method Cod~ Q =Appmlsal R,.,C~tt fP.~I Estate Only) S -A.mez.m-~m T ~ Market(See Co[um~ C2) U = B o o k V a l u e: V -O i ler W - E . ~ l : n a t ~ d

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    F I N A N C I A L D IS C L O S U R E R E P O R TPage 5 o f 9 V . n B o ~ e l e ~ J o s ~ h S.

    ]0 5 / 1 5 n 0 1 0

    VIL ~ST~S and TRUSTS -~,. ~t,~NO~ ~o repomable income, ~set$, or ~amac~o~.)

    0ncl~g ~t ~) r~ng ~ of~ p~d0) (2)P~ "~" ~ ~ ~ ~m T~ (e.~, V~ae V~ T~ (e.g., Da~ V alu e G ~ n I~ of

    ~e~ ~ p~ ~l~ ~ l ~v., ~ ~e 2 Me~ ~, ~, ~ ~e 2 ~ l b~(A-~ ~ ~) (J-P) ~ 3 ~d~on) (J -P) (A-~ 0fpd~m

    18 . -Fid*li~ Con~ Gm~ A Di~d~d K T

    19. -Fid*li~ Gm~ ~d ~*omo A Di~d~d J T

    20. Pr~Ch~ch ~t

    21. -Fideli~ ~ui~ ~mme F~d A DMd~d K T

    ~. -Fideli~ US Bond Ind= A Di~d~d J T

    23. ~ ~ui~le-~

    24. -EQ~i~ 5~ ~x A Divided J T

    25. A G

    26. ~nial Mon~ ~ct A ~ J T

    27. -~S ~ H Em~g~g ~ ~ A A Di~d~d K T

    28. -~S ~ H Eme~g G~ CI~s B A DMd~d J T

    29. -MFS Global ~ F~d ~ A A Di~d~d K T

    30. -MFS SmMI ~p World F~d Cl~s A A Divld~d K T

    32 . -EQ~m F~m A Di~d~d L T

    33 .34. -E~ Mo~ ~ Bond F~d A Di~d=d K T

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    FINANCIAL DISCLOSURE REPORT r~ ....fP .... R e p o r d n g I D a t e o f R e p o r tPage 6 of 9 van Bokkelen, Joseph S.

    [05/15/2010

    NO~ ~o r~o~able income, ~se~, or ~ac~o~.)~ B. ~. D.

    (~el~g ~t ~) ~ng ~ af~o~g p~( ~ ) ( 2 ) ( ~ ) ( 2 ) O) (2 ) (a) (4) (5 )PI~ "~" ~ ~ ~ ~nt T~ (e.~ Value V~ ue T~ (e.g~ Da~ Value G ~n Id~fiW of

    35. -EQ/Allianee Be~in Q~i~ Bond A Divided K T

    3 6 . -EQ~q~ 5~ ~x A Divided L T3 7 . AG ~w~ ~

    ~ 3 8 .39. -~S Gro~ Opp. F~d A A Difid~d L T40. -~S Mid C~ F~d A A Divided K T41. -~S S~e ~ F~d A A Divided J T42.

    43. -~S N~ Diseov~ F~d A A Difid~d K T~. Cenf i~ B ~k A ~t J T45. Fideli~ Fund ~h R~ A ~rest J T46. P~ples B~ A ~m~st J T47 . ~m~t L ~e~ ~, B~ona A R~t J WT~hip, Mic~48 .

    49.

    50.

    51.

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    Name of Person Reporting

    [

    Date ef ReportFINANCIAL DISCLOSURE REPORT [Vail Bokkelell, Joseph S. 05/15/2010~ P a g e 7 o f 9

    V I I . I N V E S T M E N T S a n d T R U S T S - ~ .~ , , , , , , ~ ~ , , ~ , ,~ o , , , a ~ a ~ u , ~ , ,o af spoase and dependent cMIdre.n; s pp. .~4-6# o f f cling kmru c.t lons.)N O N E ( N o reportable income, a~se~, or trar~actior~.)

    A. B. C. D.De~iption of Assets Income dur~g Gn~ value at ~nd Transactions dtuing rcpor~g p~od

    ( i n c l u d i n g t r u s t a s s e ~ s ) rn0or~g l~iod of ~o~ng per iod(~) ~2) (~) (2) ~) (2) ~3) (4)P l a c e " ( X ) " a ! ~ e a c h a s s e t A m o u n t T y p e ( e . g - , V a lu e V a lu e T y p e ( e .g . , D a t e V a l u e G a i n I d e n t i t y ~ fe x e m p t f n ~ p ~ r d i ~ l e su r e C o d e I d ~ v . , r e n t , C o d ~ 2 Me ~ o d b u y , s d l, r n m / d d . ~ y y C o d e 2 C o d ~ i b u y c r / s c t I ~ r( A - H ) e r i n t ) (J -P ) C o d e 3 r u l ~ q ~ t i o n ) ( J - P ) ( A - H ) ( i f p r i v a t e

    52 ,

    53 .

    5 8 .

    6 0 .~1 .

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    FINANCIAL DISCLOSURE REPORT s ....f P . . . . Repot,: w , ~ o f~ p o ~ Page 8 of ~ Van Be " kkelea, Joseph S. 05/15/2010VIII. ADDITIONAL INFORMATION OR EXPLANATIONS.

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    FINANCIAL DISCLOSURE REPORT Name of Pertoa Reporting ] Date of RepertPage 9 of 9 van Bokkelen, Joseph S . I 0 5 1 1 5 / 2 0 1 0IX. C E R T I F I C A T I O N .

    I certify that all information given above (in uding information pertaining to my spouse and minor or dependent ch ildren, if any) isaccurate, true, and com plete to the best of my knowledge and belief, and that any information not reported was withheld bceau se it met applicable statutoryprovisions permitting non-disclosure.

    I further certify that earned income from ou tside employ ment and honoraria and the acceptance of gift~ wh ich have been reported are incompliance with th e provisions of 5 U.S.C. app. 501 et. seq, 5 U.S.C . 7353, and Ju dicial C onference regulations.

    Sign:

    N O TE : A N Y IN DIV IDU A L W H O KN O W IN G L Y A N D W IL FU L L Y FA L ~ M A Y B E SU B JE C T TO C IV ILA N D C R IM IN A L S A N C TIO N S (5 U ~ . C . a pp . 104 )

    FILING INSTRUCTIONSMail signed original and 3 additional copies to:

    C omm ittee on Financial Disclosu reA dm inistrative O ffice oft.he U nited S tates C ourtsSuite 2-301O n E C o l u m b u s C i rc lE , N . E .W ashington , D.C. 20544


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