I

~ev. 1/2010

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FINANCIAL DISCLOSURE REPORT ]

FOR CALENDAR YEAR 2009
2. Conrt or Organization

Repo,~R~u~eS~ytheZt~i~i. o,~r~
0 v.s.c. ~p. lo1-1H)
3. Date of Report

1. Person Reporting (last name, first, middle initial)

4. Title (~cl~ I~ j~gos in~cato ac~vo or s~or ~;

5a. Report ~ (ch~ ~p~a~ ~)

6, R~po~g Pe~od

7. Ch~b~s or Office Addr~

8. On ~e b~ of ~e ~fo~afi~ c~ i~ ~ Report ~nd ~y modffi~fio~ ~ ~ere~, it i& ~ my opinion, iu compliance

R~g ~eer

Date

1MPOR TANT NO TES: The ins~ruc~ns accompanying this form must be follow~ Complete all parts,
checking the NONE box for each part where you have no reportable information. Sign on last page.

L POSITIONS. (~.s,~
~NO~ ~o reportablepositio~.)

POSITION
1,

NAME OF OR~ANIZA~ON~NT!~

4.

s.

~NO~ ~o reportable agreements.)

DATE
1.

P~ES

Keith, Damon J.

FINANCIAL DISCLOSUKE REPORT

Page 2 of 6

Nase of Person Reporting

A. Filers Non-Investment Income

~NO~ ~o reportable non-inves~ent income.)

DATE
1. 2. 3. 4.

SO~CE AND ~E

~CO~
@ou~, not spouses)

B. Spouses Non-Investm ent Income - lf you were married during any portion of the reporting year, complete this section.
(Z~ollar amount n~t required except for honoraria.)

[~ NONE (No reporcable non-investment income.) DATE

1.
2

SOURCE AND TYPE

3.

IV. REIMBURSEMENTS -+,,,~+or~+.. ~si.~,Zaod, ~e.~ .... ~

(Includes those to spouse and dependent children; see t~p. 25-27 of fillng instructions.)

[~NONE (No reportable reimbursemencs.)

SOURCE
1. 2. 3. 4. 5.

DATES

LOCATION

PL~POSE

ITEMS PAID OR PROVIDED

FINANCIAL DISCLOSURE REPORT Page 3 of 6

Name of Person Reporting

Date of Report

/~,,,/,. ,O,q.~o,o 0".

I

Oo-/~//~o~

~NO~ ~o repoaabte ~fls.) ~

1, 2.
3.

DES~ON

4. 5.

~//NONE (No reportable liabilities.) CREDITOR

1. 2.

DESCRIPTION

VALUE CODE

3.
4.

5.

FINANCIAL DISCLOSURE REPORT ~ .... rP~o. aepor~.~ Page 4 of 6 ~~ ~ ~~ ~

[ D.,eo, mpor~ I

I
D. T~a~ons d~ng ~o~ing p~od O) T~e (e.g., buy, s~H, ~dempdon) ~) Da~ n~d~ O) l (~) Valu~ Gain Code 2 C~de l {J-F) (A-H) Id~fiW (if private

VII. ~S T~NT S and TRUSTS - ~o~,, ~ ~ ..... uo.~ (I~l~d~ those q sVouse aria ~V~ndem chil~en; see pp. 34~0 offing
~ NO~ (No repo~able income, ~sets, or ~a~actions.)
A. Description of Asse~ (~olu~ng a~ assets} Phee "~)= ~r each asset ~x~pt ~om prior discl~ur~ B, Income ~fing repo~ng p~ O) (~) ~ount T~ (~g., C~ 1 div., renL (A-H) ar ~) C. Gross value at ~nd of ~po~ng period (D Value Code 2 (J=P) (2) V~e M~ Code 3

lO,
11.

13. ]4. 15.

T6.
17.

I. Income Gain Codes: 2. V~ue ~d~

A =$I.000 or less J =$15,0~ o~ I~

B =$1.00 ] - $Z~500 K ~$15.~I - $50.000

C ~$2,50! - $5.000 L =$50,~1 - $1 ~,0~

D =$5.00t - $15,000 M =$100,~l - $250,~

E =$15)001 - $50.000

FINANCIAL DISCLOSURE REPORT

Page 6 of 6 IX. CERTIFICATION.

~ .... fP .... Reporting

DateofReport

I certify that all information given above 0ncluding information pertaining to my spouse and minor or dependent children, if any) is accurate, true, and complete to the best of my knowledge and bdief, and that any information not reported was withheld because it met applicable statutory provisions permitting non-disclosur~ I further certify that earned income from outside employment and honoraria and the acceptance of gifts which have been reported are in compliance with the provisions of S U.S.C. app. 501 eL seq., 5 U.S.C. 7353, and Judicial Conference regulations.

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

FILING INSTRUCTIONS 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