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1, Person Reporting (hst name. firsL middle initi,d) VAN SICKLE.. FRED 4. Title (Article llI judges indical* active or setlot status: magistrate judges indicate full- or part-time) SENIOR DISTRICTJ-u-DGE
Sb. [] Amended Repo~ 8. On the basis of the hffomalion contained in this Report tttd any modllicationx pertaining thereto, it I.% in my opinion, In complianc with applicable laws and regulationr~ Revie~Lng Officer Date
Ii~IPORTANT NOTES: The instructions accompan.ling this form must be follo,,,ed. Complete all parts,
checking the NONE box for each part where.you have no reportable information. Sign on last pag~
NAME OF ORGANIZATION/ENTITY
[7]
1.
Date of Report
III. NON-INVESTMENT INCOME. ~R,~,,#ng indi,~dual and spouse; ~ pp. 17-24 o/J~7i.g instruction~.)
A. Fliers Non-Investment Income NONE (No reportable non-investment income.) DATE 1, 2009 2. 3. 4. SOURCE AND TYPE
Washington State Jtdieial Retirement
2. 3. 4.
NONE (No reportable reimbursemenCs.) ~ 1. 2. 3. 4. 5. DATES LQ~ATION P~POSE I~MS PAID 0R PROV~ED
Date of Report
07/12/2010
V. GIFTS. a~.~.,,ho,. 1o svo. .... a dependent children; ~e~ pp. 28-31 of f!ling instructions.)
[~] NONE (Ab reportable SO~CE
1. 2. 3. 4. 5.
DESCRIP~ON
[~
CREDITOR
1. 2. 3. 4.
DESCRIPTION
5.
Date of Reporl I
[ VA~ s~cr~,,
~,, , .... ~o~ a.~,. 1~o.~
C. Gro~$ v~u~ at end of te~t~g V~lue C~e2 (J-P) Value Me~ Code ~ (Q-W)
07/~z~20~0
GaiB Code 1
1.
Dividend
2.
Mut~l ~lifi~ Fun~ I~ Now Mut~l Quest F~md Mulual Sha~s fired, I~
Dividend
R~eemed
120~09
3.
Dividend
4.
Dividend
5.
AT&T
Dividend
5.
Exx~obil
Dividend
7.
Boeing
~vidend
8.
Dividend
9.
Divid~
10.
Tdephono de Mexico
Bristol Mye~
Divided
11.
Dividend
Sold
03,~0/~
12. 13.
B A
Divided
Divided
14.
Interest
i5~
Hewlet~ Packart
Dividend
I 6.
Eric Tel
Dividend
17.
Dividend
A -$!,000 ~r less
C -$L501 - S5,~
D -$5,~1 - $15.~
E ~S 15.~1 - $50,~
U =~k Vah~
V~
W =Estium~
Dale of Repot/
07/1212010
VH. IN~STMENTS and TRUSTS - i.~.., ,,~., ,~io., a~a. ,~o... oy.v .... ..a d~ndent ~ildrtn; ~e pp. 34-60 of fit;rig inx~caon.t)
NO~ ~o reportable income, asse~, or transactions.)
A, D~fion of A~ets (i~lu~g ~t as~tsJ Place "(X)" a~ ~c~ as~t exit ~m pfi~ ~closme B. ~me d~g re~ ~ri~ C. Gm~ value at end ofxepo~g ~6~ D. T~cti~s ~g report~g ~fi~
(t)
Amour Co~ 1 (A-H)
(2)
T~ {e.g.. ~v.. rent, or ~)
(I)
V~ue ~2 O-P}
(2)
~lue Me~ Code 3 (Q-%3
0)
T~ (e.g., buy, sell re~fion)
(2)
Da~ ~d~
(3) I (4)
Val~ [ G~n C~e 2 ~ C~ 1 (J-P) (A-H)
(5)
Id~aty of b~er/~er {if~ivate ~ns~rion)
18.
latel
Dividend
19.
RMPI Account
Interest
B B A
A A
K L J
K J
T T T
T T
25.
26.
A
A
Interest
Dividend
J
K
T
T
A A A
J J dr
1. lv, c~ae Gain Cod~: (~ Coltm~ BI and ~) (See Coltmum C I and D3) 3. V~lue M~ C~e~
B -$1,~01 - 12.5~ G -$1~.~1 - SI,~.0@ O =$5~.~1 - $ I .~.~ R ~o~l (Real E~ate Only)
C =![2.501 - $5.~ HI ~1.~.~1 $5,~.~ P I ~ I.~,~ I - $5,~,~ P~ -More tb~ $50,0~.~ S =,As~ssm~t
Date otR~pori
07/1Z:20~ 0
Date of Repor~
07/12/21)10
I certify that all information given above (including information pertaining to my spouse and minor or dependent children, |fany) ix accurate, true, and complete to the best of my knowledge and belief, and that any information not reported ,va~ ~ithheld because it met applicable statutolT pro,,~sions permitting non-disclosure. I further certify that earned income from outside employment and honoraria and the acceptance of gifts which have been reported are in compliance ~-ith the provisions of 5 II.S.C. app. 501 eL seq., $ U.S.C. 7353, and Judicial Conference regulations.
NOTE: ANY 1NDI~qDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FALLS 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: Colmuittee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544