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1. Perso~ ReportSng (last name. first, mid,tie initiM) Besesa. Francisco A 4. Title (~icle m j~es indicate ac~ve or se~fior s~m~~ magistrate judges indicate full- or ACTIVEU.S. DIST~JUDGE
8. On the b~sk~ ot the info~nztion t~n~ined in ~is Rept~ ~nd ~n~ m~ificatio~ pe~i~ng thertto, it is, in my opinion, h* compliame with zpplie~ble ~s ~nd r~latlo~. Reviewing O~ter Date
IMPORTANT NOTES: The instructions aceorapanying this form must be followed. Complete art parts, checking the NONE box for each part where you have tzo reportable information. Sign an last page.
~,
1.
2.
EXECUTOR
Besosa, Francisco A.
] [
Da~, 05/11~010
SO~CE A~ TYPE
B. Spouses Non-Investment Income - if you we,, ,~r~ied during any portion of the reporting year. omplete this section. (Dollar art~ount not t~quired except for honoraria.) ~] NONE (No repoJTable non-investment income.) DATE 1. 2009 2.2fgOt3 SOI3RCE AND TYPE PUERTO RICO GENERAl. COURT OF JUSTICE - SUPERIOR COURT JUDGE - SALARY DOCq-O JURIS, IN(_. - BAR REVIEW COURSE INSTRIJC_ IOR - DIVIDEND INCOME AND PROFESSIONAL FEES
3. 4.
NONE (No reportable reimbursements.) ~ 1. 2. 3. 4. 5. _DATE~ LOCATION PURPOSE ITEMS PAID OR PROVIDED
Page 3 of 8 [ Besosa, Fraaci~coA. V. GIFTS. (Includes those to sp ..... d dependent children; see pp. 28-31 of filing instructions.)
NONE (No reportable 8i~s.) SOURCE 1. 2. 3. 4. 5. DESCRIPTION VA1,1
2. ! 3, ..4 5. 6. 7. 8. 9. 10.
Oriental Group - Diver.sifted Growth IRA Filial Amor Corp - common stock Share in FAIIBU. S. 1:.. Docto Jwis, Inc. - common stock ESTATES #I, #2, and #4 (see lines 7-17) - GNMA unit 094 -Lehman Bros. Grantor Tr. Mgt. Tr - GNMA unit 093 - GNMA unit 084
None None None None None None None None None None Noue None None None None lnt./Div.
L l_ K K N K K K K K K K K k I L
T T "1" T T T T T T T T see note in part VIII see note in part VIII see note in part VIII
13. - GNMA unit 083 14. 15. !6. 17. - GNMA unit 081 - PR Cocrunonweal~ lndl. Dev_ Co. Rev. Rdfg - |P, ltsg Bk & Fin Agy. Sing Faro Mtg - Money Market Fund
B~o~a, r,-~ctsco A.
o5:~ ~0~o
VII. INVESTMENTS and TRUSTS -- i ........ ~, ~o~o.~ t~.~z~, ~o~o o~ ..... .a ~,V,.d~., ~Ur~.: ~, vv. ~ ~-~o o~ ~i.x i ..... ~,,.~
~ NONE (No reportable income, assets, or transactions.)
. ~ ...........
Gross va~ue at cad of ~fing pefi~ Value Code 2 (J-P) Value Method Code 3 Q-W) T T T T T T T T
T
" ...........
[ ~ Identit~ of
buyerfse er
l)ate
ou~dtUyy
(a-II) ,~ orint.) i None None None None None None Nt~ne None
None
tetlemplionl
ESTATE #3 (see line 18) - George ~mian t-und of tloston CI - A Brokerage Account #1 - GNMA ~t 050 (Y) - GNNIA unit 051 (Y) - GNMA unit 052 - GNNIA unit 053 - GNrMA unit 054
- GNMA unit 055
K K N K K K K K
K
Sold Sold
112/15/~) 12/15/09
K K
A A
- GNMA unit 056 (Y) - GNMA nnit 057 (Y) - GNMA unit OSg GNMA unit 050 - GNMA unit 060 (Y) - GNMA unit DO -STOCKS of PR AAA (X) - PR Sales Tax FING Corps {Y)
K K K K K K N N
T "r T q T T U U
Sold Sold
03/05/{O 03/05/[Y)
K K
A A
Buy Sold
03/05/09 0310510-)
VII. INVESIWIENTS and TRUSTS -- ;. ....... ~.. ,r .... no., a,,a~a, ,~o~, o:,~ ..... ~ ~op~,~., ~h,~,.; ,,o rp. J4.~o
NONE (No repo~able income, assets, or transactions.)
Des~ption of As~ inclu~ng ~s~ assets) Prate "(g)" after eac~ asset exempt from pdor discl~ure Income during repo~ng ~ri~ Gross ~alue at end of reposing pen~ Transactions during re~ng
(i) ....... (2) Amounl Cr~le 1 (A-It) ~ Type (c.g. div.. ~ent. ori,,))
~i)
V~ue Code 2 (J-P)
(2)
Value Method Code 3 (Q-~V)
(4)
Gain C~le I {A-II)
(5)
Idcn~ty of buyerl~er (ifph~ale ~ansacdon)
Page 7 of 8
Par~ V1 1 and 2) The margin loan u, as paid with the GNMA sales p, ocee~. Part VII ] I are the only shareholders. These shares are not publicly traded 3) This is a closely held corporation in wiffch 6) Estates #1, #2, and #4 are invested in one account in Sant,-mder Securities. 8) Lehman Bros. Grantor Tr. Mgt. was sold during 2007 for $1,430.12. This tzansaction was erroneously omitted in the 20~)7 FDR. 13) .3NMA unit 083 was erruneously omitted in the 2008 FDR. 16) PR llsg Bk & Fin Agy. Sing Fam Mtg was sold on December 3, 2007 for $9,180. Tiffs traz~saction was erroneously omitted in the 20~17 FDR 3 I) (3NMA unit 060 was sold on November 13. 2008 for the amount of $25,557.25 and accrued interest of $45.81 for a grand total of $25,603.06. This ~ansaction was erroneously orrtitted in the 2008 FDR. 34) PR Sales Tax Fing CoW was purchased on Febcua~ 05, 2008 for .$325,581.10. This tr,u~sacfion was erroneously omitted ia the 2008 FDR.
Date of Report
1 cer~y that all information given above (including information pertaining tn my spouse and minor nr dependent chihlcen, if any) is accurate, true, and complete to the best of my knowledge and belief, and that any information not reported was withheld because it me! applicable statuto~, provisions p~rmitting non.disclosure. 1 further certify that ear-ned income from outside employment and honoraria and the acceptance of gifLs which have been reported are in compliance with the provisions of 5 U.S.C. app. 501 el. seq., 5 U.S.C. 7353, and Judicial Conference regulations.
Signature_
NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND W1LFULL~" FALSIFIES OR FALLS TO FILE TIHS REPORI MAY BE SUBJECT TO CIVIL AND CRIMU~/AL SANCTIONS (5 U.S.C. app. 104)
FILING INSTRUCTIONS Mail signed original and 3 additional copies to: Commitlee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544