Camp Laurie Smith Financial Disclosure Report for 2009

8/3/2019 Camp Laurie Smith Financial Disclosure Report for 2009

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~o~o [FINANCIAL DISCLOSURE REPORT ~4,on ~eq~a by ~e Ea, i,~R e ~ . 1 / zo I o FOR CALENDAR YEAR 20 09

L P e r s o n R e p o r t i n g ( la s t n a m e , f i r ~ middle initial) 2 . C o u r t o r O r g a n i z a t i o n 3 . D a t ~ o f R e p o r tSmith Camp, Laurie U.S. Dis tr ict Cota-~ - Nebraska 03116 / 20 I 0

4 . T it i e ( A r f i c l : m ju dg e~ in di c a t e a c t i v e o r ~ m i o r s t a ~ m ; 5 a. R e p or t T yp e ( c h ec k a p pr o pr i a t e t y pe ) 6. Reporting Periodm a g i , S - a t e j u d g e s indicate ful l - or part-time) I[--[ Nom~ttiot~ D a t ~ 01/01/2009U.S. District Judge - Active [] Initial~ ~ Annual [] Final to

5b . [ ] Amendexl Report7 . C h a m b ~ r ~ o r O f f ic e A d d r e s s 8. On the bnls of the infom tt ion contaha~d ha th b Re por t a n d a n ymodificetionl pertaining thereto, it Ii, In m~ ~pinion, ha com pliance

| 11 Sot l th ]Sth Plaza with appl icable lawl and regulat ionl .Sui te 321 0Oll laha, N~ 68102 Reviewing Off icer Date

I M P O R T A N T N O T E S : The instructions accompan~g ~ form must be followed. Complete all parts,checking the NO NE box for each part where you have n o reportab le informalon. Sign on last pag~

I. POSITIONS. 0~,~[--] N O N E (N o reportable posit ions.)

POSITION ~IAME OF ORGANIZATION/ENTITYI. Director Oma ha Rot a ~ /

I I . A G R E E M E N T S . ac,,~,ni,,s ~,,~.,t o,a~; ,,, ~ I4-16 of fillng lnstrt~tions.) N O N E ( N o r e p o r t a b l e a g r e e m e n t s .)

DATE PARTIES AND TERM S!.


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FINANCIAL DISCLOSURE REPOR T IN a m e o f P e n o n R e p o rt l ~ ! Dat e o f Re por~Page 2 o f 7 ~ S m ~ C a m p , L a u r i e 0311~010

IH. NO~-~ESTMENT ~CO~. ~ ~ ~o~,~,~ ~z-z~ */~s ~o~)A. Fliers Non-Inve s~en t Incom e

NONE ~o reputable non-inv~ent income.)~ SOURCE A~ T~E ~COM E~o~, ~t ~s)

1.2.3.4.

B . S p o u s e s N o n - I n v e s t m e n t I n c o m e - If you v~re married d~ring any portion of the reporting year, complet~ this section.(Dollar arnou~t no t re~Iuired excep t for honorar ia . )

~] NONE (No r e p o r ta b l e n o n - i n v e s tm e n t i n c o m e . )DATE SOURCE AND TYPE

1.2.3.4.

IV. REIM BURSEM ENTS - t.~,,~io~. ~ ,d g~ g , Io~ e~ .~ ,~ .~(Includes th~eto s~e and dependent c~ild~n; see pp. 2~-27 of filing ~t~tio~.)

NO ~ ~o reportable reimbursement.)8Q URCE ~ LOCATION PU~OSE ITEMS PAID OR PRODDED

I.2.3.4.5.


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FINANCIAL DISCLOSURE REPORT ~a=,, of Person Reporting Date of ReportP a g e 3 o f 7 S m i t h C a m p , L a u r ie 0 3 / 1 6 / 2 0 1 0

V. GIFTS. a~,a~ ,~,oN O N E ( N o r e p o r t a b l e g~s.)

SOURCE DESCRIPTION VALUEi.2.3.4.5.

NONE (No reportable liabilities.)CREDITOR

I.2.3.4.5.


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FINANCIAL DISCLOSURE REPOR T ~ame o f Per~oa Report i ng Da t e o f Repor tPage 4 of 7 Smith Camp, Laurie 03/16/2010

N O N E ~ o repo~able income, ~sets, or ~tiom.)A. B. C. D.

~ption of~ ~me d~g Gr~ v~ at ~d T~cfiom d~ng ~g ~(~lu~g ~t ~e~) ~ng ~ of ~o~ng ~(0 (2 ) O) (2 ) (t) ~) (3) (4) (5 )~a~ "~ ~er ~h ~ last T~ (e.g~ Value V~ T~ (e.g., ~ V~ue Gain Id~fiW of

(A-~ ~in~) ( J - P ) C~e 3 ~mpSon) (JP) I (A-~ (if~v~

I . F i d ~ l i ~ A d v . ~ d C ~ T D ~d~ ~Id 9 / 1 7 / 0 9 PI G

2 . M~h~ Mu~ ~ E ~t O T

3. Lincoh B~:fit Life ~nui~ E Inter O T

4. Li~oh B~fit Lif~ ~ ~6~mcnt)B In~t M T

5. E~on B ~ L T

6. GE B Dividend K T

7. IBM B Dividcnd M T

8. ~h~ Bro~ge Ac~t (~a Non J TAc~: - C~h Accost)

9. - D~n~y A Di~d~ K T

1 0 . - Hon~eH B ~vi~ L T

I I. - - B ~ [ n g A ~vid~nd J T

1 2 . -- LEN (Q~ A L~) A Divi~nd K T

1 3 . - NSM ~ a t l S c m i c o n d u c ~ ) A ~vidCnd I T

1 4 . -- ~I ~ M~gmCnt) B Dividend K T

1 5 . F~ Accost B In~st O T

1 7 . U.S. Alli~ V~able ~ Non~ O T


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I . I n c o m e G = i ~ C o d ~ : A -$1.000 or I~ B = S 1 ,0 0 | - $ 2 .5 0 0 C = 1 2 . 5 0 1 - $ 5 , 0 0 0 D = $ 5 . 0 0 1 - $ 1 5 , 0 0 0 E = $ 1 ~ . ~ 0 1 - $ ~ 0 , 0 0 0(See Cdur~ns BI and D 4) F --$50 ,~01 - $100,000 G = $100 .0~ l - $ 1 .0 (~,000 H I ~1.000,00l - $5,000.060 H.2 ~M ore than $5.000.0~02. V ~ l = e C o d ~ J -$15.000 or I~.,a K = $ 1 5 , 0 0 1 - $ . ;0 . 0 0 0 L = 5 5 0 , 0 0 1 - $ 1 0 0 . 0 0 0 M =~100 .~31 ~ $ 2 ~ 0 . 0 0 0(S ~ C o I ~ ( :1 a n d D 3 ) N

~ 3 - $ 2 5 , 0 0 0 , 0 0 1 - $ 5 0 , 0 ( ~ 3 ,0 { } 0 P4 =M ore than $~0,0~0,0003. V.tue M~th0d ~ Q -Appr, L~d R . - C o s t ~ E . ~ue On l y ) S -A~sesunent 1" =Cash Market(See Colurna C2) U


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Iame of Person Reporting Dste o f Repo~FINANCIAL DISCLOSUREREPORTI S m i th C ~ m p , L a u r iea g e 6 o f 7 o 3 / 1 6 7 2 o l o

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS.


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FINANCIAL DISCLOSURE REPORT Name of re.on Reporting I Date of I~portPage 7 o f 7 S m i th C a m p , L a u r ie[

0 3 / 1 6 / 2 0 1 0IX. CERTIFICATION.

I cer t i fy tha t a l l Information given abov e ( Inc ludIng In formation per ta ining to m y spouse and mino r or dependent chlldreu, i f any) Isaccura te , true , and comple te to the best o f my know ledge and b e lie f , and tha t any Infomation no t repor ted was w ithhe ld because i t met applicab le s ta tutoryprovis ions permitt ing non-d isc losure.I fur ther cer t i fy tha t earned income from outs ide employment and honorar ia and the acceptance o f g i l ts which have been repor ted a re incom pliance with the provis ions of 5 U .S.C. app . 501 et . seq . , 5 U.S.C. 7353, and Judicial Conference regulat ions .

N O T E : AN Y I N D I V I D U AL W H O K N O W I N G LY AN D W I LF U LLY F ALSI FI E S O R F AI LS T O FI LE T H I S RE PO R T M AY BE SU B JE C T T O C I V I LAND CR IM INAL SANCTIONS (5 U.S.C. app. 104)

FILING INSTRUCTIONSM a i l s ig n e d o r ig in a l a n d 3 a d d i t ion a l c op ie s to :

C o m m i t te e o n F i n a n c ia l D i s c l o s u reA d m in i s tr a t ive O f f i c e o f th e U n i t e d S ta te s Cou r t sS u i t e 2 - 3 0 1One Columbus Circle, N.E.W a s h in g t o n , D . C . 2 0 5 4 4

Camp Laurie Smith Financial Disclosure Report for 2009

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