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8/3/2019 Tucker L Melancon Financial Disclosure Report for 2009
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A n l 0 I FINANCIAL DISCLOSURE RE PORT R e p o r t R c q . i r e , t b > , t h e r . t h i c sin Government Act of 1978
F O R C A L E N D A R Y E A R 2 0 0 9 0 u.zc. app ~ lO1-11
Melangon, Tucker L, USDC fo~ W DisPel o~ LA 08/1212010
4. Title (~ic~e III judg~ indicate active ~w senk~ s~; 5~. Repo~ T)’pe (ch~ck app~fiate t~) 6. Reporting Periodmagistrate judges indicate ~l]- o~
~ Nominatio~ Date 0110112009
Article 111 J udge~ Senior Status ~ Initial ~ Anmml ~ Final to12/31/2009
5h. ~ Amgnded
modiHcaH ons pertaining ~he~e)o, i) is, tn my op inion, in800 Lafay¢l~ Slreet with app licable taws and r~lations,
Suite 4700
Lafay~t~, LA 70501Revl~wlng ()ffi~er Da~e
IM POR TA N T N O TE St T t~e instructions aeem,p#nylng this form must be folio wed , Complete ail partschecMng t~e NON~ box for each part where yaU have no reportable info~m~o~ ~ign on last page.
~ N O N E (N o reportable po.~itions.)
POSITION N A ME O F OR GA N IZA TION / EN TITY
1 , B o ar d M e m b e r N a t i o n a l C o a l i t io n i b r C a n c e r S u ~ i v o r s h i p
2,
3,
4.
5.
II. AGREEMENTS. ! ~ e , o , + ’ , + + , a i , . + # , a , , , t ,; , , ~ , ~ , . u - t + o . ~ . ~ t + , , x i , ~ , , . + n , , = . j
N O N E (No reportable agreements.)
PAR’I’I ES AND Tg~MS
3.
8/3/2019 Tucker L Melancon Financial Disclosure Report for 2009
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P.qge M elancou, Tucker L. 0 8 t 1 2 / 2 0 1 0
[II. N ON-INVESTMENT INCOME. ~ R~r~ng i~d, ’~id~l~, ,~
A. Filer’s Non-Investment Income
NONE (No reportable no~-investment income.~
DATE SOURCE AND TYPE INCOME( y o u r s , not spouse’s)
1.20~) New ~’ork Lit;z insurance Company - Annuity $ 2 6 _ 3 3 0 . 0 0
2.
3.
4.
B . S p o u s e ’ s ~on-lnvestment Income - ~f~ou w~ ~arr i~’d dur ing an )’por~io~, ~ lhe re ,eo~, t in~ .Fear , comp lete ~h~s sectlo~.
(Dollar amou~tl ~ot required excerpt for It,~oraria.)
[~] NONE (No reportable non-i~estment income.)
DATE SOURCE AND TYPE
1,2009 Selt’.em o loyed/Sculptor
2.
3.
4.
IV. REIMBURSEMENTS -( I n c l u d e s t h o s e t o s p o t ~ ’ ~ a ~ d d e p e n d e n t c h i l d r t’ n : s e e p p . 2 5 - 2 7 ¢ ~ f ! li ~ g it~.~trl~clio~t~.)
~ NONE (~o rel;ot’tttble reimburseme~tt.~’.)
SOURCE ~ LOCATION PURPOSE ITEMS PAID OR PROVIDED
l. National Coalition for Cancer 1 / 2 8 / 0 9Sun.’ivorship ares
2 . National Coalilion for Cancer 5 / 1 3 1 0 9 - 5 / 1 5 1 0 9 Washington DC Board of Directors Mtg Lc<Igiag, meats, and taxi £aresSurvi~’orship
3. National Coalition fi~r Cancer 9 /16/09 - 9 /1 7/0 9 Washington DC Board of Directors Mtg L o d g i n g , m e a l s , a n d t m , ~ i t ~ . re sSurvivorship
4.
5.
8/3/2019 Tucker L Melancon Financial Disclosure Report for 2009
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FINANCIAL DISCLOSURE REPORT~.. ~,,~o~ ~--,~ ~.~. o~,~I
age 3 of 8 M e l a n e o n , T ~ c k e r b . 08/1~2010
W. G[.~S. ¢Includes tk~ to ~use and dependent children; see p9. 28-31 of fih~g t~rut’aon~)
N O N E ~ o reportable
~ DESCRIPTION VAL~
1
2.
3,
4.
5.
~-~ N O N E (No reportable liabH~lies.)
CREDITOR DESCRIPTION V A L U E C O D E
I.
2.
3.
4.
8/3/2019 Tucker L Melancon Financial Disclosure Report for 2009
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N a m e o f p e r s o n R e p o r t in gINANCIAL DISCLOSURE REPORT
[ Melancon. Tuck er L.
DalePage 4 of 8
o 8 / ~ : ~ 2 0 ~ 0
VII . I N V E S T M E N T S a nd T R U S T S - i , , ~ o ~ . , . ~ t ~ . , . . . . . . , ~ o ~ a ~ a ~ , ~ , ~ , ~ o ~ . ~ o ~ o ~ . .. . d d , ~ , ~ , ~ . h ~ t ~ , ,~ ; ~ ~ . ~ ~ o ~ # ~
~ NONE (No reportable income, a~sets, or transactions0
....................................... X .....................................6~ .....................~ ......................................... . . . . . . . . . . . . . . . . . . . . . . .
D ~ r i p t i o n o f A s ~ l I n ¢ o m ~ d ~ n g G~oss value at ~nd of T ~ n s a c f i o n s d u ~ n g r e ~ i n g( i n d u d ~ g ~ s t ~ s c ~ ) ] ~ ¢ p o~ i~ g ~ fi ~ ’ r ¢ ~ mi n g p ~ io d
~ < ~ ) ~ ~ ) ~ . . . . <~) v ~ . . . . . . ~ V - [ - ~ - ~ [ - - ~ ~ . . . . . . . . . ~- .........
e x ~ m p ~ ~ o m p r i o r d i s c l ~ u r e ’
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ . . . . . . . ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ . . . . . ~ ......... . . . . . . . . . . . . . . . . . . . . . .
I. Common Stock Southeast Central LA Premi None J Wum Finance Co
2. Common Stock Life Insurance Co of Alaba A Dividend J T
3. Working Interest - JR R~hing #1 , DeSoto P None J Wa~sh, LA
4. Working Interest - B ribing #1, DeSoto Par None J Wish, LA
5. Working Interest - Ark-LA-Tex, DeSoto P A Distribution J Warsih, LA
6. Royalty [nt - Silver Pines, DeSoto Parish, A Royalty J WLA
7. Royal~ Int - G risby Petroleum, DeSoto Par A Royal~ J Wish. LA
8 . Royal~ Int - Be~ Petioles, DeSoto Pari A Royalty J Wsh, LA
9. Royal~ lut - Silver Oak, DeSoto Pa~sh, LA B Royalty J W
10 . Chase Acct IRA (TLM):
!1 . -JP M organ Liquid Assent D I n t . / D i v . L T
12 . -Cisco Systems None J T
13 . -Int’l Business Machines N o n e K T
1 4 . -Worldsource Inc None J T
15 . Chase Acct (DKM):
1 6. -WGL Holdings lne A Dividend Sold 1 0 / 2 0 J
1 7 . -JP Mo~’gan Liquid Asset MMK T A lnt./Div. Sold 1 1 1 1 9 K
8/3/2019 Tucker L Melancon Financial Disclosure Report for 2009
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FINANCIAL DISCLOSURE REPO RT NameofPer~o . Report ing] Date of Reporl
Page 5 of 8 Melancnn, Tucker L.
[
08/12/2010
VI I. INVESTM ENTS and TRU S T S - ~. .... ~ v a l u e . I r a . . . .. tlottv ancludes those o f ~ p o u s e a n d d e p e n d e m c M l d r e n ; s ee p ~ 3 4 - 6 0 o f f l l l n g i n s t r u c t o r )
~ NONE ~Vo reportable income, assets, or transactions.)
. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . ~ . . . . . . . . . . . . . . . . .. . . . . . . . . . .~ . . . . . . . . . . . . . . . . ~ . . . . . .. . . . .. r ......... : . . . . . . . . . . . . . . . . . . . ~ ................................................................................." ¯ I ~. ! D .D~cfipUon of As~
~Income d~ng G~ss vnlue at ~d of I]ransactions during r~aing
( i n c l u d ~ g t r u s t ~ e L S ) ~ re~ing ~d ~ r~aing peri~~ .....................~ ............................. ~
P l a c e " ( X ) " a f t e r e a c h ~ s e t [ A m o u n t T~ (e,g., Value ~ Value i T~ (e.~, D~e Value [ Gain [ l d e n l iW o f~ x e m p t f r o m p 6 o r d i s c l o s l~ e [ C o d e I di ..... t, ~ ~e 2 i Meth~ ! b u y , ~ 1 1 , M o n th - C~e 2 [ C~e¯ (A-ll) o r i n t . ) ~ ( J - P ) [ Code 3 r e d e m p t i o n ) D ay (J-P) ] (a-tl)
18 . -Janus Research Fund A l n t . ! O i v . Sold 1 0 / 2 0 J
1 9 . -Jan~ E nte~rise Fund A Int.~iv. Sold 1 0 / 2 0 J
20. -JanusG IobalLifeSeience A lnt./Div. Sold 1 0 / 2 0 J
21. -Jan~ G lobaITechnology Fund A I n t . l D i v . Sold 1 0 / 2 0 J
22. Chase Retirement Aect (DKM ):
23. -Chase SEP/IRA Money Market (SEP): A I n t . / D i v . Sold 1 0 / 2 0 K
2 4 . -Janus E nterprise I,und (IRA) A I n t . / D i v . Sold 1 0 / 2 0 J
25. -JanusContrarian Life (IRA) A lnt./Div. Sold 1 0 / 2 0 J
26. -Janus G lobal Life Science (IRA) A l n t . / D i v . Sold 1 0 / 2 0 J
2 7 . -Janus GlobalTechnology Fund (IRA) A I n t . / D i v . Sold 1 0 / 2 0 J
2 8 . -Traasamerica Life Ins Annuity (IRA) None L T B uy 1 0 ! 2 0 L
29. Whole Life - Trust #1 None Closed 3/09 J N/A - See Add’l Info# 1
3 0 . Chase Premier Savings (DKM/TLM):
3 1 . -Chase Premier Savings A I n t . / D i v . J T
3 2 . Capital O ne Savings (DKM /TLM) B l n t . / D i v . L T
3 3 . GM AC Bank Savings (DKM/TLM ) A l n t . / D i v . Transferred 05/18 K GM AC Bank name cha( t o l in e 3 7 ) nge
3 4 . LA Midslream Gas Serv LLC - Lease Bonus E Distribution J W See Note 2 in Part VIIIas, DeSoIo Parish LA
3. Value Methyl C~le.~ Q =App~is~l R ~t (Rcnl ~la~Only)
(See Column C2) U =~k Valu~ V ~her W =E ~lim~tcd
8/3/2019 Tucker L Melancon Financial Disclosure Report for 2009
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Page 6 of 8 ; " ,l e t ~ , n ,~ o ~ , T u c k e r L . 08/12/2010
V I I . IN V E S T M E N T S a nd T R U S T S - ~ . . . . ~ , . ~ , ~ . . . . . a o ~ , ~ , . t ~ a ~ , , ~ , o ~ , ~ / ~ , ~ a ~ , , ~ , ~ ~ u ~ , ,~ ; ,, ,
N O N E (No reportab& income, assets, or transactions.)
D ~ d p t io a o f A s ~ e i ~ ~ Income d~ng ~ o ~ s v a l u e a ~ ~ n d o f : T~cl{o~ during ~ing p~[ repoaing ~6~ re~ain8 ~od ~
P l ~ e ~ " ( X ) " a f t e r e a ch ~ s e I l Amoui,t I Tp (~.~., Value ’ V~lu~ T~ ({.~., I Dat~ i Valuee x e l n p r f r o m p f i o r d i s c lo s u r e [ Co~ I ~ d i v . . r ~ K C~le2 M eih~ b~,s¢ll, M on~- [ C~e2 ~ C~e
i ( , ~ - i ~ ) ~ -, , t o r i n t . ) Q - P ) C~e 3 rCde~ion) l~y (J-P) ~ (A-H) ( i f p r i v a t e
............................................................ [ ...... 1 ......................................................... £ ........... ~ .......... t .... Z ..................... "
35. Swepi LP - Lease B on~, DeSoto Parish, L3 D Distribulion [ j W See Note 2 in P~t VII
3 6 . Petrohawk - Le~e B onus, DeSoto Parish, E Distfibnlion ~ W See No~e 2 in Paa VIIILA
3 7 . Atly B~k~ffLM) B Inl.~iv. K T Tr~sfe~ed 05/18 K P~vioustyGMAC Ba
(~om line 33) nk38.
8/3/2019 Tucker L Melancon Financial Disclosure Report for 2009
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~(~ 7 0~" ~ Melnn¢on, TuCker L.
VIII . ADDITIONAL INFORMATION OR EXPL ANATIONS.
P a r t 1 - P o s i t i o n sPart Vlf - Investments and Trast, Line 30
During 2009 , Judge M elancon was removed as a trtt~tee from the Trust #l~ Trust and therefore no longer holds this position at December 31,2009
#2Part VII - Investments and ]’rust, Lines 33 and 36
This investment income was a one time receipt ofa least~ borers. There is oo value placed on the lease bonus and no asset was purchased or acquired.
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FINANCIAL DISCLOSURE REPORT [ NameofPer~onReporting
] iage 8 of 8 Melancon, Tucker L. 08/t2/2010
IX. CERTIFICATION.
I certify that all information given above (including information pertaining to my spouse and minor or dependeot ch ildren, if any) isaccurate, lrue, and comp lete to the best of my knowledge and belief, and that any information not reported was withh old because it met applicable stalutoryprovisions permitting non-disclosure.
I further certify thai earned income from outside employmenl and honoraria and file acceptance of gif|s which have been reported are incomp liance wi|h the provisions of 5 UoS.C. app. § 50 1 et. seq., 5 U.S.C. § 7353. and Judicial Conference regulations.
Signatnr
NO TE: ANY INDIVIDUAL WHO KNO WINGLY AND WILFULLY FALSIFIES O R FALLS TO FILE TH IS REPOR T MAY B E SUBJ ECT TO CIVILAND CRIMINA.L SANCTIONS (5 U.S.C. app. § 104)
FILING INSTRUCTION S
M ail signed original and 3 additional copies to:
Committee on Financial DisclosureAdm inistrative O ffice of the United States CourtsSuite 2-30 1O ne Columbus Circle, N.E .Washington, D.C. 2 0544