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Date. ____ _
POSTITOp! NAMEQFORGANlZA1!QN/ENTlTY
. PARTIES AND TI!RMS
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.Report Required by the Ethics FINANCL
SOURCE Arm TYPE GROSS INCOME
SOURCE AND TYPE
SOURCE
313112004
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Name of Person Reporting Date of Report FINANCIAL DISCLOSLKE REPORT
Beem-, Robort R .
fil NON-ll\'-VESTIVIE. INCOME. (Reportiniin
SOURCE DESCR'119N
CREPITOR DESCRIPTION
.,
VAL!JECQDE
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313112004
TINAl'lCLU. DISCLOSl:"RE REPORT Nrur:eorPersonReporting Date of Report
V. GiliTS. r.oc1uaes llrose to spouse aru1 aepom:lent cbildren. s.. pp. 2s-i 1 of instructions.)
NOl'fE · (Nosuehreporttlblegillll.)
l. The Rainier Club, S01lttle, WA 2003 Honorary metnlrerohip••
The Harbor Club, Seattle, WA
VL LIABJill1ES. (lneludesthaseofspouseanddependentchild=. Scepp. 32-34ofir.s!rutilolls.}
li2l NONE . (No reportable lialliliti
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Fll'JANCIAL DISCLOSURE REPORT Narne of PerSon Reporting Date offupcrt Pagel of4 Beezert Robert R 3/3i/2004
VIl. JNVES1MENTS and TRUSTS
Descrip!im or ( ludll!g wets)
?bee "(X.)" a."ter each uset t · Vom prior disclosure
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Americml Tekphone, Cornmm
Bell South, Common
Verizon C:Ommunicalioos, Cotilmon
SBC Communicatkms, lne., Common
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FINANCL4.L DISCLOSURE REPORT Page 2 of 4
Name of Person Reporting
Beezer, Robert R
Dute of RepQrt
313112004
Vil. INVEST.\'IENTS lllld 'IRUSTS
20.
21.
23.
24.
25.
26.
28.
29.
33.
35.
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Description oi Am:ts { Iuding trust wets) -
Place "(X)• after ea{:h a$$Ct ftom prior dise!Osure
Edison Intematiooal, Common
A.."'gon, Comrr.on
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FL'\fANCIAL DISCLOSt:RE REPORT Date of Ri:port Name of Person Reportmg ·Page3 of4 l B..,,,..., Robert R 3f.UIZC04
VIl. lNVESTMENTS and TRUSTS
.
37.
38.
39 .
40.
41.
42.
43.
44.
45,
46.
47.
48.
49.
50.
51.
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FINA."l"CIAL DISCLOSURE REPORT - Na-me-ofPcrsonRcportir:g Date of Report Page 4 of 4 Be
SeePartVlllB
1. Jnc('lmc(Gafo·.cO:!t;:'s: A "'> $1.JJ(IO: OC>_less: ll -Sl,lltllcs:;t,500 - c ,;..$2:,snJ-s . da·. (S:::e-Colura.t1$_B1.®.i100- H!' •Sl,O(!!l,OU1"SS�;oo ·. m M""':iliiioi>,ffilO;
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I Name of Person Re;>orting Date of Report FINANCIAL DISCLOSURE REPORT · Beev:r, o1:ertR 3131!2004
VllI. ADDUIO!.'[ALINFORMATION ORE."XPLANATIONS
•*These memberships are limited to signing prh·ileges and permit use of club facilities. Tuey do not have a fixed monetary value but ch -ls estimated to have a value in cxc of$250.00
&phmation for Pan VII: Inveritrnents and Trusts
A. Dividend reinveso:nents resul:ed in the the receipt of additkmal shares from tho following firms during oalmdar year 2003 as fo11ows:
E Funds (IRA) Mem1l Lynch Municipal Bond Fund Tri Continental Corporation T. Rowe P:ice, New Era Fnod
-B. On November 17;2003,N:Llndustries effeetedaspinoffundcrwhichKronos Worldwideslulres were distributed tolhe NL shareholders on a 1:2 basis.
C. RobertR Beezer is named as trustee under the terms of a last wµJ. ma testa.me:+tcstablisbing Trust #1. During 2000, tm: truStreceived income in an amount afJn Code E.
As ofDe
.. A..1.'i'CL;U,
Signatnre-------.,.----------- Date ·----------�
Name of Person Reporting Dateof onlih--.i DISCLOSURE REPORT 3/3\1';2004
IX. CERTIFICATION.
I certify that all information given above (including information pertaining to my spouse and ininor 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 witl:held because it met applicable statutory provisions permitting non-disclosure.
I further certify that earned income from outside emplo'yment and honoraria and 1be acceptance of gifts wbich have been reported are in compliance with the provisions of5 U.S.C. § 501 et. seq., 5 U.S.C. § 7353, and Judicial Conference:regulations.
NOTE: &"TY INDIVIDUAL WHO KNO\VlNGL Y AND WILFULLY FALSIFIES ORF AJLS TO FILE lHIS REPORT MAY BE SUBJECT TO CIVIL Af-11) CRIMINAL SANCTIONS (5 U.S.C. app. § 104)
FlLING INSTRUCTIONS
Mail signed original alld 3 additional copies to:
Conm:tittee onFimmcial Dil>closu:re Administrative Office of the United States Courts
Suite2-301 One Columbus Circle, N.:E.
Washington, D.C. 20544