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8/3/2019 Sickle Fred Van Financial Disclosure Report for 2010
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A O 1 0Rev. 1 /2011FINANCIAL DISCLOSURE REPORT
FOR CALENDAR YEAR 2010Report Re quired by the Ethics
in Government Act o fl978(5 U.S .C. app. ,~ ,~ 101-111)
I. Person Repor t ing ( l a s t name , f i r s t, m idd le initial)VAN S IC KLE, , F R ED
4. Tit le (Art ic le I II judges indica te ac t ive o r s e n i o r s tatus;magistrate judges indicate full- or part- t ime)SE NIOR DIST RIC T J U DGE
7. Chambers or Office Address7 N. W en at ch ee Av en u e , S u i t e 3 1 0W e n a t c h e e , W A 9 8 8 0 1
2. Court or Organ iza t ionU . S . D IS T R I C T C O U R T
3. Date of Repor t06/12/201 I
5a. Report Type (check appropriate q,pe)] N o m i n a t i o n , D a te[] Initial [] Annual [] Final5b. [] Amended Report8.On the basis of the information contained in this Report and anymodifications pertaining thereto, it is, in my opinion, in compliancew i t h a p p l i c a b l e l a w s a n d r e g u l a t i o n s .
Reviev, ing Of f ice r Date
6 . Repor t ing Per iod01/01 /2010
to12/31/2010
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 part where you have no reportable informat ion. Sign on last page.
I . P O S I T I O N S . t R o ~ , o , ~ n g individual only; see pp. 9-13 of fillng instructions.)~ NONE(No reportableposi t ions. )
POSITION
2.3.
4.5.
NAM E OF ORG ANIZATION/ENTITY
I I . A G R E E M E N T S . ( R e p o r a n g individual only; seepp. 14-16 of filing instructions.)~] N O N E (No reportable agreements.)
DATE PARTIES AND TERMS
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N a m e o f P e r s o n R e p o r l i n gVAN SICKLE,, FRED
D a t e o f R e p o r t06 /12 /2011
I II . N O N - I N V E S T M E N T I N C O M E . (Reportingindividualand~poase;seepp. 17-24 of filing instructions.)A. Filers Non-Investm ent Incom e[] NONE non-investment income.)N o reportable
DATE SOURCE AND TYPE INCOME(yours, not spouses)
I. 2010 W ash i n g t o n S t a t e Ju d i c i a l R et i r emen t 5 5 5 ,766 .002.3.
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 - i f y o u were married during any portlon of the reportlng year, complele this section.(Dol l ar am ount not re quire d e xce pt f or honoraria . )D (No reportable income.)O NE non-investment
DATE SOURCE AND TYPE1 .20 1 0 S ta t e o f W a s h i n g t o n R e t i r e m e n t2.3.4.
I V . R E I M B U R S E M E N T S - transportation, lodging, food, enter ta inmenL( Incl ude s those to spouse and de pe nde nt chi l dre n; se e pp. 25-27 of f i l ing instruct ions. )
NONE (No reportable reimbursements.)SOURCE _DATES LOCATION
I.2.3.4.5.
PURPOSE ITEMS PAID OR PROVIDED
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FINANCIAL DISCLOSURE REPORTPage 4 of 7
N a m e o f P e r ,z o n R e p o r t in gVAN SICKLE,, FRED
D a t e o f R e p o ~06/12/20
V I I . I N V E S T M E N T S a n d T R U S T S - i .co,~e, , .al . . , t .a,~c,io,~ (Includes those of spouse and dependent children; see pp. 3 4 - 6 0 of f i l ing ins truc t ions .)1~ NONE incom e , or tra nsa ctions.)eportable assets,
D e s c r i p t i o n o f A s s e t s T r a n s a c t i o n s d u r i n g r e p o r t i n g p e r i o d( i n c l u d i n g t r u s t a s s e t s )
P l a c e " ( X ) " a f I ~ r e a c h a s s e texempt from prior disclosure
I. W a s h M u t u a l I n v e s t o r s F u n d2. N o w M u t u a l Q u e s t F u n d , I R A
3. M u t u a l S h a r e s f u n d , I R A
4. W i n d s o r F u n d , I R A
5. A T & T
6. E x x o n / M o b i l
7. B o e i n g
8. F r a n k l in T a x F r e e H i g h Y i e l d
9. Royal Dutch Petrol
1 0 . T e l e p h o n o d e M e x i c o
I 1 . M i c r o s o f t
1 2 . S t . Ju d e M e d1 3 . W a s h T r u s t Sa v i n g s
1 4 . Hewlet t Packart
1 5 . Eric Tel
1 6 . Johnson & J o h n s o n
1 7 . I n t e l
I n c o m e d u r i n g G r o s s v a l u e a t e n dr 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
(D (2 ) (D (2)A m o u n t T y p e ( e . g . , V a l u e V a l u eC o d e I d i v . , r e n t , Co d e 2 M e th o d(A-|I) o r in t . ) ( J - P ) C o d e 3( Q - W )
A Dividend K T
C Dividend K T
B Dividend K T
A Dividend K T
B Dividend K T
A Dividend K T
A Dividend K T
C Dividend L T
A Dividend K T
A Dividend J T
B Dividend L T
A Dividend K T
A Interest J T
A Dividend K T
A Dividend J T
B Dividend L T
B Dividend K T
(I) (2) (3) (4) (5 )T y p o ( e . g . , D a t e Value Gain I d e n t i t y o fbuy, sell, m m / d d h y y Code 2 Co d e I b uye r/se lle r
r e d e m p t i o n ) ( J - P ) (A-H) ( i f p r i v a t et r a n s a c t i o n )
Redeemed 12/27/10 J( p a r t ) A
I . In c o m e Ga i n Co d es : A = $ 1.000 o r les s B = $ 1,001 - $ 2.500 C $2,50 1 - $5,0 0 0 D =$5,001 - $15.000( Sc e Co lu m ns B I a nd 1) 4 ) F - $ 5 0.0 01 - $ 10 0.0 00 G = $ ~ 0 0 . 0 0 1 - $ 1 . 0 0 0 . 0 0 0 1 1 1 = $ 1 .0 0 0 .0 ~ I - $5 .0 0 0 .0 0 0 1 1 2 = M o r e th a n $ 5 . 00 0 . 00 0
2, V a l u e C o d e s J =$15 . 000 o l e~ K =$15.~)1 - $50.000 L = $ 50,001 - S100.000 M =$ 100.001 - $250.000( See Co l u m n s CI an d D 3) N = $250.001 - $500.000 O =$ 500.001 - $ 1.000.000 P I = $ 1. 00 0. 00 1 - $5 .0 00 .0 00 P 2 = $ 5. 00 0. 00 1 - $2 5. 00 0. 00 0
P3 =$ 25.000.001 - $50.000.000 P4 = M o re t h a n3. Value Mlhod Codes Q =Appraisal R -~Sost (R cal I-sta te Only) S =A ssc ssm c m T = C ~ h M a r k c t( See Co l u m n C2) U =Book Value V = O ~ h t r W =Esl im a t ed
E =$ 1 5 , 0 0 1 - $ 5 0 . 0 0 0
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N a m e o f P e r s o n R e p o r t in gVAN SICKLE,, FRED
D a t e o f R e p o r t06/12/201 I
V 1 I . I N V E S T M E N T S a n d T R U S T S - in c o m e . , a l, e . ~ a ~ o c a o ,~ a n c l ,d ~ t h o s e o /s p o ~ s e o n ~ d e p e n d e n t children; see p p . 3 4 - 6 0 o f f i li n g i n s t r u c t i o n s . )[] (N o re por t ab l e a s s e t s , o rONE i n c o m e , t r an s ac t ion s . )
D e s c r ip t io n o f A s se ts In c o m e d u r in g( in c lu d in g tru s t a s se ts ) r e p o r t in g p e rio d
i (I) (2)P l a c e " ( X ) " a f te r e a c h a s s e t i A m o u n t T y p e (e.g.,e x e m p l f r o m p r i o r d i s c l o s u r e ] Code I d i v . , r e n t ,I ( A - H ) o r in t . )
18 . RMPI Account A Interest
19 . Numerica CU B Interest
20. America Movil A Dividend
21. Comcast Corp A Dividend
22. Procter& Gamble A Dividend
23. U.S. Bank A Dividend
24. Spokane School Dist 81 A Interest
25. NorlhCascades Bank Shares A Dividend
26. Tel Mex A Dividend
27. Port of Seattle A Interest
28. Wash St Health Care A Interest
G r o s s v a l u e a t e n do f r e p o r t i n g p e r i o d(i) (2)
V a lu e V a l u eC o d e 2 M e th o d
( J - P ) C o d e 3( Q - W )
K T
L T
L T
J T
K T
K T
J T
K T
J T
J T
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
( 1 ) (2) (3) (4) (5 )T y p e ( e . g . , D a te V a l u e G a i n I d e n t i t y o fb uy , s e l l , m m / d d / ~ y C o d e 2 C o d e I b uy e r / se l le r
r e d e m p t i o n ) ( J - P ) ( A - H ) ( i f p r i v a t et r a n s a c t i o n )
So l d 12/29/10 J D
I. In co m e G a in Co d es : A -$1.000 o r le ss B = $ 1,001 - $ 2.500 C = $ 2.501 - $ 5.000 D =$5.001 - $15.000( See Co l u m n s BI an d D 4 ) F =$50.001 -$100.000 G =$100.0OI - $1.000.000 I I I = $ 1 .0 0 0 . 0 0 1 - $5 . O ~ O . 0 O O 112 =More than $5.000.000
2. Value Codes J =$ 15.000 o r less K = $15.001 - $ 50.000 L = $50.001 - $100.000 M =$ 100.001 - $250.000( See Co l u m n s CI an d D 3) N = $250.001 - $500.000 O =$500.001 - $ 1.000.000 PI -$1.000.001 - $5.000,000 P2 = $5.000.001 - $25.000.000
P3 = $25.000.001 - $50.000,000 P4 =More than $50.000.0003. Value Method Codes Q =Appraisal R =Cost (Real Estate Only) S = A s s e s s mcn l T =Cazh M ar k e t( S~ e Co h t m n C2) U =Book Value V =Ot h e r W = E s t ima t e d
E = $ 1 5 . 0 01 - $ 5 0 .0 0 0
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N a m e o f P e r s o n R e p o r t in gVAN SICKLE,, FRED
D a t e o f R e p o r t0 6 / 1 : 2 / 2 0 1 I
VIII. ADDITIONAL INFORM ATION OR EXPLANATIONS.
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N a m e o f P e r so n R e p o r t i n gVAN SICKLE,, FRED
D a t e o f R e p o r t06/12/2011
IX. CERTIFICATION.I cer t if y tha t a l l information g iven above ( inc luding information per ta in ing to m y spo use and minor or d ependent ch i ldren, i f any) i s
accurate, true, and com plete to the best of my kn owledge and belief, and that any inform ation not reported w as withheld because it met applicable statutoryprov i s i ons permi t t ing non-di sc l osure .1 further cert i fy that earned income from outs ide employm ent and hon oraria and the acceptance of gi fts which have been reported are in
compliance with the provisions of 5 U.S.C. app. 5 01 e t . s eq . , 5 U . S . C. 7 35 3 , and Ju d i c ia l Con ference r egu la t i on s .
Signatu re: S[ FRED VAN SICKLE,
N O T E : A N Y IN D I V ID U A L W H O K N O W I N G L Y A N D W I L FU L L Y F A L S IF I E S O R F A L L S T O F I L E T H I S R E P O R T M A Y B E S U B J E C T T O C I V I LAND C R IM INAL S ANC TIO NS ( 5 U . S . C . a pp . 1 0 4)
Comm ittee on Financial DisclosureAdmin istrative Office of the United States Cour tsSuite 2-301One Columb us Circle, N.E.W ashingto n, D.C. 20544