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FINANCIAL DISCLOSURE REPORT


FOR CALENDAR YEAR 2009
2, Court or Organization ~ I 0th Cir. 5a. Report Type (cheek approprial type) [] Nomination, Date [] A ..... I [] Final

Report Req~i,e,t

in Government Act of 1978 (s u.s.c, app. ~~ 10)-111)

1. Person Reporting (l~st natae, first, middle initial) |tohnes, Jerome A. 4. Title (Article llI judges indicate ~ctive or senior staltts; magistrate judges it~dicate full- or part-time) U.S. Circuit Judge

3. Date of Report 04/29/2010 6. Reporting Period 01/01/2009 to 12/31/2009

[] htitial

5b. [] Amended Report 7. Chambers or Office Address LI.S. Cou[thotlse 215 Dean A. McGee Ave., iLm. 315 Oklaito~!tJa City, OK 73102 8. On lh~ bas~s of the information contained in this Report and any urodifications pertaining thereto, it is, in my ~pinion, in compliance with applicable laws and regulations. R~viewing Officer ... Date

IMPORTANT NOTES: Tl~e htstructions accompanyhtg this form must be followed. Complete atl parts, checkh~g the NONE box for each part where you have no reportable iaformation. Sign on last page.

I. POSITIONS. (Reporting i,,dividual only; see pp. 9-13 o1~tili,lgi,,structions.)


[--NONE (No reportable positions.)
POSITION i 2 3. 4 5. Director (Board of Directors) Director (Board of Direclors) Trustee (Board of Trustees) Trustee (Board of Trustees) Director (Board of Directors) NAM]~ OF ORGANIZATION!ENTITY City Rescue Mission Oklahoma Medical Research Fotmdation Oklahoma City National Memorial Foundation Oklahoma City Museum of Art Make-A-Wish Foundation of Oklahoma

NONE (No reportable agreements.) ~ PARTIES AND TERMS

2.

Holmes, Jerome A.

FINANCIAL DISCLOSURE REPORT


Page 2 of 6

Name of Persou Reporting

Date of Report

lIl. NON-INVESTMENT INCOME. o+~,o,~,~


A. Fliers Non-Investment Income
~ NONE

(No reportable non-investment income.)


~ SOURCE AND TYPE INCOME
(yours, not spouses)

B. Spollsels Non-lnvestlnent l.llcolile - lyyou were married during any portion of the reporting year, complete this section. Dollar amount not required excepl f(~r honoraria,)

NONE (No reportable non-investment income.) DATE


I.

SOl JRCE AND TYPE

IV. REIMBURSEMENTS .......


~

sportation, lodging.food ........ i ...... ~

.Includes those to spouse and dependent children." se~ t)P- 25-27 of filing instru~lions.)

NONE (No reportable reimbursements.) SOURCE .DATES


Feb. 18-20, 2009

LOCATION
South Bend, IA

PURPOSE
Moot Court Competition

ITEMS PAID OR PROVIDED


Travel, lodging, meats

1.

Notre Dame University Law School

3. 4. 5.

FINANCIAL DISCLOSURE REPORT


Page 3 of 6

Nanle of P ..... Reportir~g

DateofRepor!

tlolmes, Jerome A.

04/29/2010
[

]
V. G IFTS. a, ~l,,de,. ~hose ,o .~,o,,~ ,,~ d~p~,,a~,, child .....
~ NONE (No reportable g~s.) DESCRIPTION
see

pp. 28-31 of fllin~, instru,rions.)

2 3 4. 5.

NONE (~o reportable liabililies.)

CREDITOR
t. 2. 3. B~k of America Ba~k or America Credit Card (No. l) Credit Card (No. 2)

DESCRIPTION

VALUE ~0~E
K K

5.

FINANCIAL DISCLOSURE REPORT Page 4 of 6 VII. INVESTMENTS and TRUSTS --; ...........

ltohnes, Jerome A.

04/29/2010

NONE (No reportable income, assets, or transactions.)


Description of Assets (including tros(, assets) Place "(X)" after each asset pl fro~ prior disclc, sorc B. h~,come during reporting perto~ Amount Code l (A-H) Typc (e.g., [ C. Gross value at end of reporting period Vahle [ Vatue Code2 Code3 (Q-W) Type (e.g., redempti~.m) D. Transactions during ~epor~mg period

Dale

Value] Gain (J-P) (A-H/ transaction)

1.

3.

14.

I0. 11. 12.

13. 14.
15. 16. 17.

FINANCIAL DISCLOSURE REPORT Page 5 of 6

~a,.e of Person Relaorting


ilolmes, Jerome A.

Date of Report

04/29/2010

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS.


Part I: Filer notes for fi.tture reference that his Board term with City Rescue Mission naturally expired in August 2009 and his Board term with the Oklahoma City National Memorial Foundation naturally expired in December 2009. These two organizauons will not appear on next years form (i.e,, FDR 2010). Part VI, Line I: The liability amount of the item previously listed here -- Sallie Mae. Promissory Note - Student Lo~n -- is no longer reportable (i.e, it does not ex teed $10,000).

FINANCIAL DISCLOSURE REPORT Page 6 of 6

Namo of Person Reporting

Date of Report

~nlmes, Jerome A.

04/29/2010

IX. CERTIFICATION.
I certify that all information given above (including information pertaining to my spouse and minor or dependent children, if any) is accnrate, true, and complete to the best of my knowledge and bclief~ and that any information not reported was withheld because it met applicable statutory provisions permitting non-disclosure. I further eertiiy that earned income from outside cmploymen~ aud honoraria and the acceptance of gifts which have I~een reported are in compliance with the provisions of 5 U.S.C, app. 501 et. seq., 5 U.S.C. 7353, and Judicial Conference regulations.

NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND W1LFULLY FALSIFIES OR FAILS TO FILE THIS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (5 U.S.C. app. 104)

FILING IN STRUCT1ONS Mail signed original and 3 additional copies to: Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C, 20544

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