Patricia A Gaughan Financial Disclosure Report for 2009

8/3/2019 Patricia A Gaughan Financial Disclosure Report for 2009

http://slidepdf.com/reader/full/patricia-a-gaughan-financial-disclosure-report-for-2009 1/6

~o ~’o~. F I N A N C I A L D I S C L O S U R E REPORTi n Go vern men t A c t o f 1 9 7 8R e v . 1 / 2 o ]o FO R C A LEN D A R Y EA R 2009

I . P e r ~ n R e p e r r i n g ( l a s t n a m e . f i ~ t . m i d d l e i n i t i a l ) [ 2 . C o u r t o r O r g a n f T ~ a d o n 3 . D a t e o f R e ~ : n ~

Gaughan. Patr ic ia A. U.S. DL~tr ie t Cour t , N.D. Ohio 5/13/2010

I M P O R T A N T N O T E S : T l~e tns t r uaiom accom panying th is for m must be fo l lowed. Com ple te a ll par ts ,

checking the NONE box for each part where you have no reportabl~ information. Sign on last page,

I . P O S I T I O N S . ~,~.~ t~.~a o.~; .. r~. ~.~ of filing I.,tr.~[o,,.)

[---] N O N E (No r epor table posi t ion s.)

P O S IT IO N N A M E O F O R G A N IZA TIO N /E N TITY

I. Member - Board of Director~ CSAHS/Universi ty Hospi ta l

2. Membe r - Board of Directors Para]egal Studies AdvisorS’ Bo a rd U rsu l ine C o l l ege

3. Membe r - Board of Directors Leu k emia & Lymph om a Soc ie ty

4, Member - Board of D i~t .c tor~ Magnif icat High Schoo l

I I. A G R E E M E N T S . ~ s . ~ o ~ . ~ t . a i . i a ~ a o a ~ ; . . ~ . ~ ~.~ o ffa~ t~,,.~

~ N O ~ (N o r e p o r t a b le a g r e e m e n t s . )

PARSES A~ ~RMS

I. 1978 PERS - man~to~ ~bllc r~i~ment pl~ ~vefing s~te ~d I~fl public employ~s (SE~ap 145 of the OhioRevi~ C~) ~ ~



FINANCIAL DISCLO~ ~PORT

Iage 2 of 6 Gau~an, Patr~a A .

[

S / 1 3 ~ 0 1 0

III. NON-I~ESTME~ IN CO~. 1~,~ ~i~ ~,~; ~, ~. ~-~ o/~u~

A . F il e r ’s N o n - I n v e s t m e n t I n co m e

N O ~ ( N o r e p o r t a b l e n o n - i n v e s t m e n t i n c o m e . )

SO~CE A~ ~E(y~, not

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 In c o m e . ~ f y o a w e r e m a r r ~ d d u r t n g a n y p o r t l o n o f th e r e p o r t t n g y e a r , c o m p l e : e t h i ~ s t c ~ l o n .

(Dollar amount n ot required except for hon oraria.)

D N O N E ( N o r e p o r t ab le n o n - i n v e st m e n t i n c o m e . )

D A T E S O U R C E A N D T Y P E

I . 2009 St, Raphael Church (adrainis trarlon)

2.

3.

4.

I V . R E I M B U R S E M E N T S - ~,~n,~t~,,, Iodglng, fo~, c n l e r l a l n m e ~ .

(Include~t t~se to s~a~ de~ndent children: se~ pp. 25-27 of filing i~tlo~.)

N O N E (No repor table re imbursements .)

~ ~ L O C A T I O N P U R P O S E ~MS PAID OR PRODDED

I.

2.

3.

4.

5,



Nam e of Person Report ing Date of Report

P a g e F I N A N C I A L 3 o f 6 D I S C L O S U R E R E P O R T [ G a u g h a n , P a t r ld a A .5 / 1 3 / 2 0 1 0

V . G I F T S . a . ~ . , ~h o, o 1o , ~ o ~ , , ~ . ~ ~.~t ~ r ~ ; , ~ o ~ . ~ . J ~ o f ~ ~ , ~ o , ~ . ~

[] NONE (No reportable g~s.)

I.

2.

3.

4.

5.



F I N A N C I A L D I S C L O S U RE REPORT D. ot R, o.P a g e 4 o f 6 G,u~a,. Pa~lda A. ~ / 1 3 / 2 0 1 0

N O N E (No repor table i~ome, asse ts , or ~a~ac t ions. )

~ of A~ts I n c o ~ d u n g ~ ~ v~u~ at eM Tran~cti~s d~ng ~ng

Pla~"~)’~h~t A m o u mI

Ty~(..g.. /VMu¢ i V~u¢ Ty~(~.g.. [ D~I Vfl~ [ G~m [ I~ntity~fex~mptf~p~di~l~u~ ~el J div..~nt. I C~2 ] Mcth~ buy.~l l . [m~d~y C~e2 C~II

I. K~ybank N~i~ A~iation Savin~ A lnt~st J TAc~nt~

~. ~i~ Fcd~ Savings ~king ~unt~ A In tc~st J T

3. 1~ - Ew~en Fun~ - ~uity 1~ A I n ~ e s t J TF u n d

4. I ~ - M B N A A m e r ic a B ~ k A l n t e ~ s t J Tc~h~i~lent

5. IRA - C h a ~ O n e B ~ k ~ s h ~ u i v a le n t A I n t e n t J T

6. O h i o P E R S R e t i~ m e n t F u n d N on e L T

~. I ~ - C o l u m n s L i f e I n su r a n c e C o . A In t~s~ J T~fe~ Annuit)~

8. I ~ - P h ~ n i x 1 1 0 m o M f o ~ e x i b lo ~ n u i t y A Inte~st J T

9. S EP/~A ~tnam Voyager Fund ~ B~ A D ivid en d J T

1 0 . No,op G~mmaa C~tion ~mmonA D i v i ~ n d J TSt~k

1 2 .

1 5 .

1 6 .

1 7 .



F IN A N C I A L D I S C L O S U R E REPORT

I G aughan ,Pat r ic . l a A .5 / 1 3 / 2 0 1 0P a g e 5 o f 6

V H I . A D D I T IO N A L I N F O R M A T IO N O R E X P L A N A T IO N S .



N a r a e o f P e r s o n R e l :~ r t i r tg D a l e c t f R e p o r tF I N A N C I A L D I S C L O S U R E R E PO R T ]Page 6 of 6 G a u g h a n , P a t r i ci a A . 5 / 1 3 / 2 0 1 0

I X , C E R T I F I C A T I O N ,

I cert i fy that a l l informat ion given above ( including informat ion perta ining to my spouse and minor or dependent chi ldren, Lf any) [s

a c c ura te , t rue , a nd c o m p l e t e t o t he bes t o f m y kno w l edge a nd be l i e f , a nd t ha t a ny i n f o rm a t io n no t r ep o r t ed wa s w i t hhe ld be c a use i t m et a p p l i c a b l e s t a tu t o ryprov i s ions pe rm i t ting non-d i s c los ure .

I f u r ther c er t i fy t ha t ea rned i nc o m e f ro m o u t s i de em p l o y m ent a nd ho no ra r i a a nd t he a c c ep t a nc e o f g l f ~ whi c h ha v e be en r ep o r t ed a r e i ncompl iance with the provisions of 5 U.S.C. app. § 501 et . seq. , $ U.S.C. § "/353 , and Judicia l Conference regulat ions.

N O T E : A N Y I N D M D U A L W i l O K N O W I N G L Y A N D W I L F U L L Y F A L S I F I E S O R F A I L S T O F I L E T H I S R F ~ P O R T M A Y B E S U B J E C T T O C I VI LA N D C R I M I N A L S A N C T I O N S ( 5 U . S .C . a p p . § I 0 4 )

F I L IN G I N S T R U C T IO N S

Mail s igned o r ig ina l and 3 ad di t iona l cop ies to :

C o m m i tt e e o n F i n a n c ia l D i s c lo s u r eA d m i n is t ra t iv e O f f ic e o f t h e U n i te d S t a t e s C o u r t sSu i t e 2 - 3 0 1O n e C o l u m b u s C i r c l e , N . E .W a s h i ng t o n , D . C . 2 0 5 4 4

Patricia A Gaughan Financial Disclosure Report for 2009

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