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Robert G Doumar Financial Disclosure Report for 2010

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  • 8/3/2019 Robert G Doumar Financial Disclosure Report for 2010

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    FINANCIAL DISCLOSURE REPORTFOR CALENDAR YEAR 2 010

    Report Required by the Ethicsin Government Act of 1978(5 U.S.C. app. 101-111)

    1 . Person R eport ing ( last name, f i rst , middle ini t ia l )D O U M A R , R O B E R T G .

    4. Tit le (Art ic le I11 judges ind ica te ac t ive o r sen io r s ta tus;magis t ra te judges indicate fu l l - or par t - t ime)S E N I O R U N I T E D S T A T E S D I S T R I C T J U D G E

    7. Chambers or Off ice AddressR o o m 4 2 0 U n i t e d S t a te s C o u r t h o u s e600 Granby St ree tNorfo lk , VA 23510

    2. Cour t or Organiza t ionU . S . D I S T R I C T C O U R T , E A S T E R N D I S T R I C T O FV I R G I N I A

    5a. Report Type (check appropriate type)

    ] Nom in ation, D ate[] Initial [] Annual [] Final5b. [] Amended Report8. On the bas i s of t he informat ion con ta ined in th i s Repor t and anymodifica t ions pe rta in ing the re to , i t is , in my op in ion , in compliancew i t h a p p l i c a b l e l a w s a n d r e g u l a t io n s .

    3. Date of R e p o r t8/3/2011

    6. Report ing Pe riod01/01/2010to12/31/2010

    Reviewing Off icer Date

    I M P O R T A N T N O T E S : The instructions accompanying this form must be foilowetL Complete all parts,checking the NONE box for each part where you have n o reportable information. Sign on last page.

    I. P O S I T I O N S . m e ~ , o n l n g i n d i v i a .a t o n l y ; s e e p p . 9 - 1 3 of filing instructions.)~ N O N E (No reportable positions.)

    POSITION NAME OF ORGANIZATION/ENTITY

    6.

    1 1 .

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    FINANCIAL DISCLOSURE REPORTPage 2 o f 19

    N a m e o f P e r so n R e p o r t i n gDOUMAR, ROBERT G.

    D a t e o f R e p o r t8/3/201 l

    I I . A G R E E M E N T S . (Reporting individual only; seepp. 14-16 of filing instruction~.)~-] N O N E (No reportable agreements,)

    DATE PARTIES AND TERMS

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    FINANCIAL DISCLOSURE REPORTPage 3 o f 19

    N a m e o f P e r so n R e p o r t i n gDOUMAR, ROBERT G.

    Date of Report

    8/3/2011

    I I I. N O N - IN V E S T M E N T I NC O M E . (Reporting individual andspouse; see pp. 17-24 of filing instructions.)A. Filers Non-Investment Income~ ] N O N E (No reportable non-investment income.)

    DATE SOURCE AND TYPE

    2.3.4.

    INCOME(yours, not spouses)

    B . S p o u s e s N o n - I n v e st m e n t I n c o m e - If you were married during any portion of the reporting year, complete this section.(Dollar amount not required except for honoraria.)

    ~] N O N E ( N o reportable non-investment income.)DATE SOURCE AND TYPE

    I V . R E I M B U R S E M E N T S -transportation, lodging, food, e n t e r t a i n m e n t .(Includes those to spouse and dependent chi ldren; see pp. 25-27 of f i l ing instruct ions .)

    ~] (No reportable reimbursements.)O NE

    2.3.4.5.

    SOURCE DATES LOCATION PURPOSE ITEMS PAID OR PROVIDED

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    FINANCIAL DISCLOSURE REPORTPage 4 o f 19

    N a m e o f P e r so n R e p o r t i n gDOUMAR, ROBERT G.

    Date of Report8/3/2011

    V . G I F T S . a n c l u d c s t h o s e t o W o u s e u n d dependent children; see p p . 2 8 - 3 1 of filing instructions.)N O N E ( N o reportable g~s .)

    SOURCE DESCRIPTION1 .2.3.4.5.

    VALUE

    V I . L I A B I L I T I E S . a n c l u d c s those of spouse and dependent children; see pp. 32-33 of J?ling instructions,)~ (No reportable l iabil it ies.)ONE

    CREDITOR DESCRIPTION VALUE CODE

    3.4.

    5.

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    FINANCIAL DISCLOSURE REPORTPage 5 o f 19

    Name of Person ReportingDOUMAR, ROBERT G.

    Date of Report8/3/201 l

    V I I . I N V E S T M E N T S a n d T R U S T S - income, value, transactions (Includes those of spouse and dependent children; see pp. 34-60 of fillng instructions.)D N O N E (No reportable income, assets, or transactions.)

    A. B. C.D e s c r i p t i o n o f A s s e t s In c o m e d u r in g G r o s s v a lu e a t e n d( i nc l ud i ng t rus t asse t s ) r e p o r t i n g p e r i o d o f r e p o r t i n g p e r i o d

    (1) (2) (1) (2)Place "(X)" after each asset A m o u n t Type (e.g., V a lu e V a lu e

    exempt from prior disclosure Code l d iv ., r e n t , Co d e 2 M e t h o d( A - H ) or i n t . ) (J-P) C o d e 3( Q - W )

    ( l)Type (e.g.,b u y , s e l l ,

    r e d e m p t i o n )

    T r a n s a c t i o n s d u r i n g r e p o r t i n g p e r i o d(2) (3) (4)

    Date V alu e G a inm m /d d/y y Co de 2 Code l

    (J-P) (A-H)

    (5 )Identity of

    b u y e r / s e l l er(if privatet r a n s a c t i o n )

    1 . ABBOTT LABS B D i v i d e n d K T Bu y 01/26/10 K2. AMERITRADE A I n t e r e s t J T3. A T & T A Dividend K T B u y 11/01/10 J4. BB&T - E Dividend M T5. B B & T CAPITAL TRUST D I n t e r e s t M T6. BANK OF AM ERICA A Dividend S o ld 01129/10 J loss7. BANK OF AM ERICA PREFERRED C Dividend L T8. BLACK ROCK LARGE CAP EQUITY9. BLACK ROCK NAT.BASIC EQUITY1 0 . BLACK ROCK PACIFIC NAT, ETC.

    1 I. CADBURY-SCHW EPS (NOW DR.PEPPER)1 2 . CAMPOSTELLA SELF-STORAGE

    E Dividend O TNone N TNone M T

    A DividendA Distribution J T

    Sold 01/ 29/ 10

    held in Merr i l l Lyn chIRAh e l d i n M e r r i ll L y n c hIRAh e l d i n M e r r i ll L y n c hIRAl o s s

    1 3 . CAPITALONE FINANCIAL A Dividend K T1 4 . CENTURY LINK, fm ly CENTURY TELE,INC. Dividend L T

    C Distribution L W

    1 6 . CHESAPEAKE ENERGY A Dividend K T1 7 . CHINA M EDICALTECH. None K T B uy 1 2 / 0 1 1 1 0 J

    I. I n co m e G a i n Co d es :( S ee Colu mns B I and D4 )

    2.Valu e Codes( S ee ( o lu mns C I and D3 )

    3. V al ue Met h o d Co d esiS e Colu mn C2 )

    =$1,000 or less=$50,001 - $100,000=$15,000 or less=$250,001 - $500,000

    P3 =$25,000,001 - $50,000,000=Appraisal= Bo o k V a l ue

    B =$1,001 - $2,500G =$100,001 - $1,000,000K =$| 5 ,001 - $ 50,000O =$500.001 - $ 1 ,000,000R =Cost (Real Estate Only)V = O t h e r

    C =$2,501 - $5,000H 1 =$1,000,001 - $5,000.000L =$50,001 - $ | 00,000P 1 =$ 1,000,001 - $ 5,000,000P4 =More than $50,000,000S =As s es s mentW =E s l imatc d

    D =$ 5,001 - $15,000H2 =More than $5,000,000M =$ 100,001 - $250,000P2 =$5,000,001 - $25,000,000T = C a s h M a r k e t

    E =$15,001 - $50,000

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    FINANCIAL DISCLOSURE REPORTPage 6 o f 19

    N a m e o f P e r s on R e p o r t i n gDOUMAR, ROBERT G.

    Date of Report8/3/2011

    V I I . I N V E S T M E N T S a n d T R U S T S - income, value, transactions (Includes those of spouse and dependent children; see pp. 34-60 of filing instructions.)~ N O N E (No reportable income, assets, or transactions.)

    A. B, C.Desc r ip t ion of Assets In com e d urin g G ro ss value a t en d( inc luding t rus t asse ts ) reporting period of reporting period

    ( 1 ) ( 2 ) (1) (2)P lace " (X )" afte r each asse t Am ount Type (e.g., V a lu e V alu e

    exempt f rom pr ior d isc losu re Code 1 div ., rent, Co de 2 Method(A-H) o r i n t . ) ( J - P ) Code 3(Q-W)

    C I S CO S Y S T E M S N o n e K T8 .19 .20 .

    21 .22 .23 .24 .25 .26 .27 .28 .29 .30 .31 .32 .33 .34 .

    Transac t ions dur ing repor t ing per iod(i ) (2) (3)Type (e.g., D a t e V a l u e

    buy, se l l , mrrddd/yy Code 2redempt ion) (J-P)

    C I T I G R O U P P R E F E R R E D ( t r a n s fe r toC i ti g r o u p C o m m o n S t o c kC L E V E L A N D C L I F F S , n a m e c h a n g e d t o AC L I FF S NA T U R A L R E S O U R C E S

    BO N O C O - P H I L L I P S

    N o n e L T

    D i v i d e n d J T

    D i v i d e n d K TC O N S T E L L A T I O N E N E R G Y G R O U P A D i v i d e n d K T

    B uy 09 /01 /10

    CORNING A D i v i d e n d K TC SX C O R P . A D i v i d e n d K TD E V O N E N E R G Y A D i v i d e n d K TD I E B O L D A D i v i d e n d K T

    B uy 11/01/10 K

    D O L L A R T R E E S T O R E SInterest N WN o n e L TN o n e L W

    D i v i d e n d M WDOW CHEMICALD U P O NTECOLABEL PAS O

    BCAA

    D i v i d e n dD i v i d e n dD i v i d e n dD i v i d e n d

    KLJ

    J

    T

    T

    T

    T

    (4 ) (5 )Gain Identity of

    Code 1 buyer/ se l le r(A-H) (if private

    transaction)

    Merr i l l Lynch I RA

    I. Income Gain (?odes:( S ee Colu mns B I and D 4 )

    2.V at ue Co d es( S ee Colu mns C I and D3 )

    3. V al ue Met h o d Co d es(See Column (?2)

    A = $ 1 , 000 o r I css=$50,001 - $100.000=$ t 5,000 or less

    N =$250,001 - $500.000P3 -$25.000.001 - $50.000.000Q =AppraisalU =B ook Valu e

    B =$1 ,0 0 1 - $2 .5 0 0G =$1 0 0 ,0 0 1 - $I .0 0 0 ,00 0K -$ 15 ,001-$ 50 ,000O=$ 5 0 0 ,0 0 1 - $1 ,0 0 0 ,0 00R =Cos t ( R eal E s t a t e Only )V :O~ hcr

    C =$2,501- $5,000HI =$1,000,001- $5,000,000L=$5 0 ,0 0 1 - $1 0 0 ,0 0 0PI =$1,000.001- $5.000.000P4 =More than $50,000,000S =As s es s mentW =Estimated

    D =$5.001- $15,000H2 =More than $5,000,000M=$ 1 0 0 .0 0 1 - $2 5 0 ,0 00P2 = $5,000,001- $25,000,000T =Cas h Mar k c t

    E = $1 5 .0 0 1 - $5 0 .0 0 0

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    FINANCIAL DISCLOSURE REPORTPage 7 o f 19

    Name of Person ReportingDOUMAR, ROBERT G.

    Date of Report8/3/2011

    V I I . I N V E S T M E N T S a n d T R U S T S - income, value, transactions (Includes those of spouse and dependent children; see pp. 3,I-60 of filing instructions.)N O N E (No reportable income, assets, or transactions.)

    A. B. C.Descr ipt ion o f As se t s I n co m e d u r i n g Gr o s s va l u e a t e nd

    (i n clu d in g tr u s t a s s e ts ) r ep o r tin g p e r iod o f r ep o r t i n g p e r i od(1) (2) O) (2 ) (I ) (2) (3)P l a c e " ( X ) " a f t e r e a c h a s s e t A m o u n t T y p e ( e . g ., V a l u e V a l u e T y p e ( e . g ., D a t e V a l u e

    ex emp t f r om p r i o r d i s c lo su r e C od e I d iv . , r en t , Co d e 2 M ethod bu y , s e l l, mreddd/y~" Co de 2( A- H ) or in t . ) (J -P) Code 3 r e de mpt i o n ) (J-P)( Q - W )

    3 5 . ~ : , , ,~J , : ] None M W3 6 . EMERSON ELECTRIC B Dividend K T37 . ENVEST, 11 None L W3 8 . EOG RESOURCES, INC. A Dividend M T3 9 . EXXON MOBIL B Dividend L T Bu y 0 9 / 0 1 / 1 0 J4 0 . EWZ -I SHARES BRAZIL C Dividend L T4 1 . ENTERPRISE PRODUCTS B D i s t r i b u t i o n K T Bu y 0 9 / 3 0 / 1 0 K4 2 . FAIRFIELD ASSOCIATES C D i s t r i b u t i o n K T4 3 . C R e n t N W4 4 . GOLDMAN SACHS B Dividend M T Bu y 0 9 / 3 0 / 1 0 J(addl)45 . GREATER CHINA FUND A Dividend M T Bu y 04116110 K4 6 . GRUPO TELEVISA A Dividend K T47 . HALL1BURTON B Dividend Sold 10/28/10 K48 . HARTFORD FINANCIAL None Sold 01/05 /10 J4 9 . HOST HOTELS & RESORTS None J T Bu y 0 3 / 1 1 / 1 0 J5 0 . C D i s t r i b u t i o n L W5 1. IN GE RS OL L R AN D A Dividend K T

    T r a n s a c t i o n s d u r i n g r ep o r t i n g p e r i od

    ( 4 ) ( 5 )G a i n I d e n t i t y o f

    C o d e I b u y e r / s e l l e r( A - H ) ( i f pr iva te

    t r an sac t i on )

    Merrill Lynch/pers .lRA

    loss

    I. I n c o m e G a i n C o d e s : A = $1 ,000 o r le ss B = $ 1 ,001 - $ 2,500 C = $ 2,501 - $ 5,000 D = $ 5,001 - $ 15,000(See Columns BI and D4) F =$50,001 - $I00,000 G = $1 00, 00 1 - $I, 00 0,0 00 HI =$ 1,00 0, 00 1 - $5,0 00 ,0 00 H 2 =More than $ 5 ,000 ,000

    2. V a l u e C o d e s J ~$ 15 ,000 o r le ss K = $ 15,001 - $50,000 L = $ 50,001 - $ 100,000 M = $ 100,001 - $ 250.000(See Column s C[ and D3) N ~$250,00 | - $5~),0~0 O = $500 ,001 - $ 1,000 ,000 P I = $1 ,000,001 - $ 5,000,000 P 2 = $5,000,001 - $25,000,000

    P3 =$25,000,001 - $50,000,000 P4 =More than $50,000,0003 . V a l ue Met h o d Co d es Q =Appraisal R =Cost (Real Estate Only) S =Assessment T -Cash MarketIScc Colunm C2) U = Bo o k V a l ue V = O t h e r W =Estimated

    E =$15,001 - $50,000

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    FINANCIAL DISCLOSURE REPORTPage 8 o f 19

    Name of Person ReportingDOUMAR, ROBERT G.

    Date of Report8/3/201 l

    V I I . I N V E S T M E N T S a n d T R U S T S - income, value, transactions (Includes those of spouse and dependent children; see pp. 34-60 of filing instructions.)~] N O N E (No reportable income, assets, or transactions.)

    A. B. C,Description of Assets Income dur ing Gross value a t end

    (in clud in g trust a sse ts) reporting pe riod of reporting period( 1 ) ( 2 ) (1) (2)

    Place " (X )" after each asse t Am ount Type (e .g., V a lu e V a lu eexempt from prior disclosure Code I div., rent, Code 2 Method(A-H) o r i n t , ) (J-P) Code 3

    (Q-W)

    52. INT EL CO RP . A D i v i d e n d K T53 . ITT IN DUS TRIES A D i v i d e n d54 . J A C O B S E NG I N E E R I N G G R O U P N one J T55 . ~ N o n e M W56 . K E Y C O R P C A P X A Distr ibution K T57 . K I ND E R M O R G A N E N E R G Y P R T N R C Distr ibution I L T58 . L A K E WO O D P L A Z A N one K W59 . M c M INN P L A ZA B Dist r ibut ion J T60. M E R CK A D i v i d e n d K T61 . M I C R O S O F T A D i v i d e n d J T6 2. M F S T O TA L R E TU R N F UN D B D i v i d e n d L T63. M O TO R O LA N one J T64 . N V I D I A C O R P . N one K T65 . N O R F O L K S O U T H E R N B D i v i d e n d L T66 . O N E O K P A R T N E R S C Dist r ibut ion L T67 . P E N N V A . R E S O U R C E P A R T N E R S B Dist r ibut ion K T6 8. P IN EL AN D ST AT IO N N one K W

    T r a n s a c t i o n s d u r i n g r e p o r t i n g p e r i o d

    O) (2) (3)Type (e.g., D a t e V a l u eb u y , s e l l , mm/dd/yy C o d e 2

    redemption) (J-P)

    Do n a t e d

    B u y 01/15/10 J

    B u y 02/01/10 K

    (4 ) (5 )G a i n Identity of

    C o d e 1 b u y e r / s e l l e r( A - H ) (if private

    t r a n s a c t i o n )

    charitable foundation

    Reinvest d iv idends

    I . I n co m e G a i n Co d es : A = $ 1,000 or less B = $ 1 ,001 - $2,500 C = $ 2,501 - $ 5,000 D = $ 5,001 - $ 15.000( S ee Colu mns B I and D4 ) F =$50,001 o $100,000 G =$ 100,001 - $ 1,000,000 H 1 = $1,000,001 - $ 5,000,000 H2 =M ore th an $5,000,00 02. V a lue Co d es J = $15,000 o r le ss K = $ 15,001 - $50,000 L =$50,001 - $ 100,000 M :$ 100,001 - $250,000

    ( S ee Colu mns CI and D3 ) N = $ 250.001 - $500,000 O = $500,001 - $ 1 ,000,000 P I = $ 1,000,001 - $ 5,000,000 P 2 = $ 5,000,001 - $ 25,000,000P3 = $25,000,001 - $50.000,000 P4 =More than $50,000,0003 . V a l ue Met h o d Co d es Q =Appraisal R ~Cost (Real Estale Only) S =Assessmcr~t T =Cas h Mar k et( S ee Colu mn C2 ) U = Bo o k V a l ue V = O t h e r W = Est i m a t ed

    E = $ 15 , 001 - $ 50 , 000

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    FINANCIAL DISCLOSURE REPORTPage 9 o f ! 9

    Name of Person ReportingDOUMAR, ROBERT G.

    Date of Report8/3/201 l

    V I I . I N V E S T M E N T S a n d T R U S T S - income, value, transactions (Includes those of spouse and dependent children; seepp. 34-60 of filing instructions.)~-~ N O N E (No reportable income, assets, or transactions.)

    A. B. C.Description of Assets Income dur ing Gross value a t end

    (including trust assets) reporting period of reporting period(l ) (2 ) (1) (2) (I )Place "(X)" after each asset A mo un t T yp e (e .g ., V a l u e Value Type (e .g.,exempt from prior disclosure C o d e 1 div., rent, Code 2 Method buy, se l l ,(A-H) o r i n t . ) (J-P) Code 3 redem ption)

    (Q-W)

    69 . P L A I N S A L L A M E R I C A N P I P E L I N E C Di s t r i b u t i o n L T

    70 . L~..~..~:..~.....,~ ~..~, ~

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    FINANCIAL DISCLOSURE REPORTPage 10 o f 19

    Name of Person ReportingDOUMAR, ROBERT G.

    Date of Report8/3/2011

    V I I . I N V E S T M E N T S a n d T R U S T S - i n c o, .e , v o t a e, t r a n s a c ti o n s a n c t a a e s t h o s e o f s r o .s e a n a ~ p e n U e n t children; see pp. 3 4 - 6 0 of f i l ing ins t ruct ions . )

    86 .

    87 .

    88 .

    89 .

    90 .

    91 .

    92 .

    93 .

    94 .

    N O N E (No reportable income, assets, or transactions.)A. B~

    D e s c r i p t i o n o f A s s e t s I n c o m e d u r i n g( in c lu d in g tru s t a s se ts ) re p o r t in g p e r io d

    (l) (2)Place "(X)" after each asset A m o u n t Type (e.g.,

    exempt from pr ior disclosure C o d e 1 div., r e n t ,( A - H ) o r in t . )

    G r o s s v a l u e a t e n do f r e p o r t i n g p e r i o d(l) (2) (l )

    Value Value Type (e.g.,C o d e 2 M e t l x o d b uy , se l l ,

    (J- P ) Co d e 3 re d e m p t i o n )( Q - W )

    T r a n s a c t i o n s d u r i n g r e p o r t i n g p e r i o d

    ( 2 ) (3) (4)D a t e V a l u e Gainm m / d d / y y C o d e 2 Code 1

    (J-P) (A-H)Identity of

    buyedseller(if private

    t r a n s a c t i o n )

    TOWNEBANK CONVERTIBLE NOTE

    UBS Finan cial - mone y ma rk e t A

    I n t e r e s t M T

    None J TI n t e r e s t J T

    W E D M O R E P L A C E None J WW E L L S FA R G O No n e LW O R L D A C C E P T A N C E G R P

    W I N D S T R E A M C O R P . A

    None K TNone O W

    Dividend J T

    95 .

    96 .97 . A i r P r o d u c t s C h e m . A Di vi de nd

    ,I98 . Alexandria, Va. Const. Pub. B Interest99. Altria Group A Dividend100. Amazon None101. Apache A Dividend

    JK

    J

    JJ

    T

    T B u yT

    T B u yT B u y

    01/04/10

    01/04/1001/04/10

    JJ

    I . I n co m e G a i n Co d es : A =$1,000 or less B = $ 1,001 - $ 2,500 C = $ 2,501 - $ 5,000( See Co l um n s B I an d D 4) F =$50,001 - $100.000 G =$ 1 00 ,0 01 - $ 1, 00 0, 00 0 H 1 = $ I ~0 00 ,0 01 - $ 5,0 00 ,0 002, V a lue Co d es J = $15.000 o r le ss K =$15,001 - $50,000 L =$50,001 - $ 100,000( See Co l um n s CI an d D 3) N =$250.001 * $500.000 O =$ 50 0,0 01 - $ 1.0 00,0 00 P 1 = $1 ,00 0,00 1 - $5 ,0 00 ,0 00

    P3 =$25.000.1)01 - $50,000,000 P4 =More than $ 50,000,0003 . V a l ue Met h o d Co d es Q =Appraisal R = Co st ( Rea l Es i a t e O n l y ) S = A ssessm en t( Sc Co l un m C2) U = Bo o k V a l ue V = O t h e r W = Est i m a t ed

    D =$5,001 - $15,000H2 =More than $5,000,000M = $ 1 0 0 , 00 1 - $250,000P2 =$ 5,000,001 - $25,000,000T = C a s h M a r k e t

    E = $ 15 , 001 - $ 50 , 000

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    FINANCIAL DISCLOSURE REPORTP a g e ! 1 o f ! 9

    Name of Person ReportingDOUMAR, ROBERT G.

    Date of Report8/3/2011

    V I I . I N V E S T M E N T S a n d T R U S T S - i n c o m e , v a t . e , tro,,sactio,s (Includes those of spouse and dependent children; see pp. 34-60 of filing instructions.)[~ N O N E (No reportable income, assets, or transactions.)

    D e s c r i p t i o n o f A s s e t s Income during( i n c l u d i n g t r u s t a s s e t s ) r e p o r t i n g p e r i o d

    (i) (2)P l a c e " ( X ) " a f t e r e a c h a s s e t A m o un t T y pe ( e . g . ,e x e m p t fr o m p r i o r d i s c l o s u r e Code I d i v . , r e n t ,( A - H ) o r i n t . )

    1 0 2 . A T & T A D i v i d e n d1 0 3 . A u t o m a t ic D a t a P r o c e s s i n g A D i v i d e n d1 0 4 . B B & T B D i v i d e n d105. BI3&T - c h e c k i n g / m o n e y m a r k e t A Interest106. Bax te r I n t e rn . A D i v i d e n d1 0 7 . B l a c k R o c k V a . M u n i . T r . A D i v i d e n d108 . Br i s t o l Mye r s S q ui bb A D i v i d e n d109 . CBS Corp . A Di vi de nd1 1 0 . CM A T a x E x e m p t s B o n d s A Interest

    G r o s s v a l u e a t e n do f r e p o r t i n g p e r i o d(1) (2) ( 1 ) (2) (3)Value Value T y p e ( e . g . , D a te ValueC o d e 2 M e th o d b u y , s e l l , m m / d d / y y C o d e 2

    (J-P) C o d e 3 (J-P)(Q-W)

    J TJ TL TK TK T B uy 09/21/10 KJ T B uy 01/04/10 JJ TJ TJ T

    redemption)

    Transactions during reporting period

    11 I . Ce l e ge ne Corp . N o n e112. Cnook, Lt d . A Di vi de ndI 13 . Chevron A Di vi de nd1 1 4 . C o c a - C o l a A Di vi de nd1 1 5 . C o m c a s t A Di vi de ndI 16 . Com . Ba nke r s Trus t , f o rm e r l y Esse x Ba nk N o n e117 . Cos tco Wholes a l e A Di vi de nd1 1 8 . C V S C a r e m a r k A Di vi de nd

    J TJ TJ TJ TJ TK TJ T

    J T

    B uy 04/30/I 0B uy 01/04/10

    JJ

    ( 4 ) (5 )G a i n Identity ofC o d e 1 buyer/se l le r( A - H ) (if private

    transaction)

    1. Income Gain Codes: A = $ 1.000 o r less B = $1 .001 - $ 2.500 C =$2.501 - $5,000( See Co l um n s BI an d D 4) F = $ 50.001 - $ 100.000 G = $ 100.001 - $ 1.000.000 HI =$1,000.001 - $5,000,000

    2. Va lue Co des J = $ 15.000 o r le ss K =$15.001 - $50,000 L =$50,001 - $ 100,000(See Columns C I and D3) N = $250.001 - $500.000 O = $500.001 - $ 1.000.000 PI =$1.000,001 - $5.000.000P3 =$25,000.001 - $50.000,000 P 4 -M o r e t h an $ 50 .000 .0003. Value Method Codes Q =Appraisal R = Co st ( Rea l E s t a t e O n l y ) S = A ssessm en t( See Co l um n C2/ U = Bo o k V a l ue V = O t h e r W =Eslimated

    D = $ 5 .001 -$ 15 , 000H 2 =M or e~an$5 ,0 0 0 ,O0 0M= $ 100 , 001- $ 250 , 000P2 =$5,000,001 - $25,000,000T = Cash Mar ke t

    E =$15.001 - $50,000

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    FINANCIAL DISCLOSURE REPORTPage 12 of 19

    Name of Person ReportingDOUMAR, ROBERT G.

    Date of Report8/3/2011

    V I I . I N V E S T M E N T S a n d T R U S T S -income, value, transactions (Includes those of spouse and dependent children; seepp. 34-60 of fillng instructlon~)--] N O N E (No reportable income, assets, or transactions.)

    A. B. C.D e s c r i p t i o n o f A s s e t s Income during Gross value at end( i n c l u d i n g t r u s t a s s e t s ) r e p o r t i n g p e r i o d of reporting period(1) (2) (1) (2) (i ) (2) (3)Place "(x)" a f te r each asse t A m o u n t T y p e ( e . g ., Value Value T y p e ( e .g . , D a te Valuee x e m p t fr o m p r i o r d i s c l o s u r e Code I d i v . , r e n t , Code 2 M e th o d b u y , s e l l , m m /d d / y y C o d e 2( A - H ) o r i n t . ) ( J - P ) Code 3 r e d e m p t i o n ) (J-P)(Q-W)

    119. M or gan-Stanley D ean W it te r T r us t P r emium C Di vi de nd J TIncom e Trus t ~i ~120. Morga n - S t a n l e y De a n W i t t e r Ta x Exe m pt D Interes t M TSec.D121. De n t sp l y In t . A D i v i d e n d J T1 2 2 . D i a g e o P L C A D i v i d e n d K T123. D i v e r s if i e d I n v e s t m e n t G r o u p ( I n v e s tm e n t A Di vi de nd J WCl ub)124. Ea t on Va nce Gr t r Ch.Gw t h A D i v i d e n d J T1 2 5 . E m e r s o n E l e c t r ic A D i v i d e n d J T1 2 6 . E n d o P h a r m a . H o ld i n g s N o n e J T B uy 01/04/10 J1 2 7 . E x x o n M o b i l A D i v i d e n d J T B uy 01/04/10 J1 2 8 . F a ir m o n t C o m m . , n o w F a i r p o i n t C o m m . N one J T129. Ford Motor Co. None 2 T B uy 12/17/10 J1 3 0 . G e n e r a l M i l ls A D i v i d e n d J T1 3 1 . G e n u i n e P a r t s C o . A D i v i d e n d J T1 3 2 . G o l d m a n S a c h s A D i v i d e n d J T1 3 3 . G u a r d i a n L i f e I n s u r a n c e C o . A Interes t J T1 3 4 . H o m e D e p o t B D i v i d e n d K T B uy 01/04/10 K1 3 5 . I B M A D i v i d e n d J T

    Transactions during reporting period(4 ) (5 )G a i n Identity of

    C o d e I buyer/se l le r( A - H ) (if private

    transaction)

    I . I n co m e G a i n Co d es : A = $1 ,000 o r less B = $ 1,001 - $ 2,500 C = $2,501 $5,000 D = $5.001 - $ 15,000(See Columns B I a nd D4) F =$50,001 - $100,000 G =$ 100,001 - $ 1 ,000,000 H 1 =$ 1,000,001 - $5,000,000 H 2 = Mo r e ~ an $ 5 , 000 , 0002. V alue Codes J =$ t 5,000 or les s K =$15.001 - $50.000 L =$50,001 - $ 100,000 M =$100,001 - $250,000( See Co l um n s C I an d D 3) N =$250,001 - $500,00~) O =$500,001 - $1,000,000 Pl ~$1,000,001 - $5,000,000 P2 = $5,000,001 - $25,000.000

    P3 ~$25.000,001 $50,000~000 p4 =More th an $50,000,0003 . V a l ue Met h o d Ced es Q =Appraisal R =Cost (Real Esta le Only) S = A ssessm en t T = Cash Mar ke t( See Co l um n C2) U =Book Value V = Ol hc r W =Estimated

    E =$15.001 - $50.000

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    Name of Person ReportingDOUMAR, ROBERT G.

    Date of Report8/3/2011

    V I I . I N V E S T M E N T S a n d T R U S T S - i n c o m e , v ,t ~ , , t r , n ~ , c t~ o n s a , a u a , s t h o s , o l s p o u s , u , d a e p e n ~ n t ~ . i t~ r , n ; s e ~ ~ . ~ - ~ O o i n k i n g instructions.)[~ N O N E (No reportable income, assets, or transactions.)

    D e s c r i p ti o n o f A s s e t s Income during(including trust assets) reporting period

    (2)Place "(X)" after each asset A m o u n t T y p e ( e .g .,e x e m p t f r o m p r io r d i s c l o s ur e C o d e 1 div., rent,( A - H ) or int.)

    136 . In t e r ca p i t a l In sd .Mun . Incom e137. l n t e r ca p i ta l In sd .Mu n .Trus t138 . In t e r ca p i t a l Qua l i t y Mun i T R1 3 9 . J o h n s o n & J o h n s o n1 4 0 . K e l l o g g141 . L i fe P tnrs Hold ing1 4 2 . M c D o n a l d s1 4 3 . M e r r i l l L y n c h B a s i c V a l u e F u n d144. ML Le e Acq ui s i t i on Fund 89145. ML Ve n t ure Pa r t ne r s (LP87)1 4 6 . M e d t r o n ic1 4 7 . M e r c k1 4 8 . M i c r o so f t149 . Amer i t rade1 5 0 . M o s a i c C o .15 I . N or fo l k S out he rn

    152. N uva s i ve , Inc .

    C InterestC InterestC InterestA D i v i d e n dA D i v i d e n dA D i v i d e n dA D i v i d e n dA D i v i d e n dA In te r es tA D is t r ibu t ion

    G r o s s v a l u e a t e n do f r e p o r t i n g p e r i o dO) (2) O) (2) (3)Value Value T y p e ( e . g ., D a t e ValueC o d e 2 M e th o d b u y , s e l l , m m / d d / y y C o d e 2

    (J-P) C o d e 3 (J-P)(Q-W)

    K TK TL TJ TJ TJ T B uy 01/04/10 JK TJ TJ TJ T

    r e de mpt ion)

    T r a n s a c t i o n s d u r i n g r e p o r t in g p e r i o d

    A D i v i d e n d K TB D i v i d e n d K TA D i v i d e n d K TA D i v i d e n d J TA D i v i d e n d J TA D i v i d e n d J T

    N one J T

    B uy 03/30/10

    B uy 01/04/I 01

    ( 4 ) ( 5 )G a i n Identity ofC o d e 1 buyer/se l le r( A - H ) (if private

    transaction)

    Tr ans f r d to M er r i l lL ync h

    1. I n co me Ga i n C e d e s :( See Co l um n s BI an d D 4)

    2.Value Codes(See Columns C I and

    3. Value Method CodesI Sce Co l um n C2)

    A = $ 1, 000 o r l e ssF =$50,001- $100,000J = $ 15 , 000o r l cssN =$250.001- $500,000P 3= $ 25 .000~ 01-$ 50 , 000 , 000Q =App ~i~lU = Bo o k V a l ue

    B = $ 1 .001- $ 2 .500G =$100,001- $1,000,000K =$15,001 -$50,000O=$500,001 - $1,000,000R ~ Co st ( Rca l Es t a l e O n l y )V ~ O t h e r

    C =$2,501 - $5,000H 1 = $1 ,000,001 - $5,1300,000L =$50,001 - $ 100,000P I =$ 1,000,001 - $5,000,000P4 =More than $50,000,000S = As s e s s me n tW =Estimated

    D = $ 5 , 001 -$ 15 , 000H2 =More~han $5,000,000M= $ 100 , 001 -$ 250 , 000P2 =$5,000,001- $25,000,000T = Cash Mar kct

    E = $ 15 , 001- $ 50 , 000

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    FINANCIAL DISCLOSURE REPORTPage 14 of 19

    Name of Person ReportingDOUMAR, ROBERT 43.

    Date of Report8/3/201 I

    V I I . I N V E S T M E N T S a n d T R U S T S - i .c o m e , ~ a r . ,r o . ~ a c t io n ~ a ~ d u d e s t h o s e o y $ ~ , o u s e a . a a c p e n d ~ . , children; see pp. 3 4 - 6 0 of f i l ing ins t ruct ions . )N O N E (No reportable income, assets, or transactions.)

    A. B. C.D e s c r i p t i o n o f A s s e t s I n c o m e d u r i n g G r o s s v a l u e a t e n d

    (in c lu d in g tru s t a s s e t s ) re p o r tin g p e r io d o f r e p o r t i n g p e r i o d(1) (2) (1 ) (2 )

    Place "(X)" after each asset A m o u n t Type (e.g., V a l u e V a l u e Type (e.g.,exempt from prior disclosure Code ! d i v . , r e n t , C o d e 2 M e th o d b u y , s e l l ,( A - H ) o r in t . ) ( J - P ) C o d e 3 r e d e m p t i o n )

    ( Q - W )

    153 . P a t t e r s on A Dividend J T Bu y154. Petrelo A Dividend J T Bu y155. Pf izer A Dividend J T156. Phill ip Morr is A Dividend J T157. Proctor & Gam ble A Dividend J T158. Schlum berger A Dividend K T159. Stercycle A Dividend J T Bu y160. Tesco A Dividend K T161. United Techs Corp. A Dividend K T162. USTIhc A Dividend K T163. VA State PBA Pub. B I n t e r e s t K T Bu y164. VA CLG Bldg. Va. B I n t e r e s t K T Bu y165. VA State Res. Auth. B I n t e r e s t K T Bu y1 6 6 . V F C o r p . A Dividend J T167. Ver i zon Comm . A Dividend J T168 . Vodafone A Dividend J T169. W algreen Co. A Dividend J T Bu y

    T r a n s a c t i o n s d u r i n g r e p o r t i n g p e r i o d

    (2) (3) (4)D a t e V a l u e G a i nm m M d / yy Co d e 2 Code I

    ( J - P ) ( A - H )

    ( 5 )Identity of

    107/27/10 J01 /04 /10 J

    01/04/10 J

    01/04/10 K01/04/10 K01/04/10 K

    09/21/10 J

    buyer / se l ler(if private

    transaction)

    I. In co m e G a in Co d e s: A = $1,000 or less B = $ 1.001 - $2,500 C =$2,501 - $5,000 D =$ 5,001 - $15,000( See Co l um n s B I an d D 4) F =$50,001 - $100,000 G =$ 100.001 - $ 1,000,000 H 1 = $ 1, 00 0, 00 1 - $5 ,0 00 .0 00 H 2 = M o re th a n $ 5 ,0 00 ,~ 002. V alu Codes J =$15,000 or less K = $15,001 - $50,000 L =$ 50,001 - $ 100,000 M = $ 100,001 - $250,000( See Co l um n s CI an d D 3) N =$250,00| - $500,000 O =$ 500,001 - $1,000,000 PI =$1,000,001 - $5,000,000 P2 =$ 5,000,001 - $25,000,000

    P3 = $25,000.001 - $50.000,000 P 4 = M o re th an $ 50,090,0003. Value Method Codes Q =Appraisal R =Cost (Real Estate Only) S = A ssessm en t T = Cash Mar ke t( See Co l um n C2) U = Bo o k V a l ue V ~ O l h cr W ~Estimated

    E = $ 15 , 001 - $ 50 , 000

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    FINANCIAL DISCLOSURE REPORTPage 1 5 of 19

    N a m e o f P e r s o n R e p o r t in gDOUMAR, ROBERT G.

    Date of Report8/3/2011

    V I I . IN V E S T M E N T S a n d T R U S T S - i . c o , . e , v a t . e , t r .. s a c t i o . s O . a u d ~ s , l .o s ~ o/spouse a . d a ~ W . a e n t children; ~ e e p p . 3 4 - 6 0 of filing instructions.)[~] N O N E (No reportable income, assets, or transactions.)

    A. B, C,D e scriptio n o f A sse ts In co m e durin g Gross va lue a t end

    ( including trust assets) report ing period of r e por t i ng pe r iod(1) (2) (1) (2)P la ce "(X )" a fter e a ch asse t A m ount Type (e.g. , V a lue V alu ee xe mpt f r om pr ior di s c los ur e Code I div. , rent , Co d e 2 M e thod(A-H) o r i n t . ) (J-P) Code 3

    (Q-W)

    1 7 0 . W is c o n s i n E n e r g y C o r p .171.17 2 . A pple , I nc .

    1 7 3 . A T & T1 7 4 . B H P B i l l i to n L i d A D R1 7 5 . B o e i n g C o m p a n y176 . Ca t e rp i l l a r , Inc . De l177 . Ce l ge ne Corp . Corn1 7 8 . C h e s a p e a k e E n e r g y O k l a17 9 . Cisc o Sys tems , Inc . Cor n1 8 0 . C o c a - C o la C o m .1 8 1 . C o s t c o W h o l e s a l e C o r p182. CVS Ca re m a rk Corp .1 8 3 . D i a g e o P L C S P S D A D R1 8 4 . E x x o n M o b i l C o r p . C o r n185. Ge ne ra l El e c t r i c

    (l)Type (e.g,,

    b u y , s e l l ,r e d e m p t i o n )

    T r a n s a c t i o n s d u r i n g r e p o r t i n g p e r i o d

    (2) (3) (4)D a t e V a l u e G a i n

    mm/dd/yy Code2 C o d e I(J-P) ( A - H )

    (5)| d e n t i t y o f

    b u y e r / s e l l e r(if private

    t r a n s a c t i o n )

    A D i v i d e n d J B uy 01/04/10 J

    186. Ishares MSCI Malays ia

    I . Income Gain Codes: A =$1,000 or less B =$1,001 - $2,500 C = $2,501 - $ 5,000 D = $5,001 - $ 15,000(See Column s B I and D4) F = $ 5 0 , 0 0 1 - $ I O 0 , O ~ O G =$ 100,001 - $1 .000,000 H I =$ 1,000,001 - $ 5,000,000 H2 =More than $5,000,0002. V alu e Cod es J = $15.000 or less K = $15,001 - $50.000 L =$50.001 - $ 100,000 M = $100,001 - $250,000( See Co l um n s CI an d D 3) N =$250,001 - $500.000 O - $5 00 .0 01 . $1 ,0 00,0 00 P I = $1 ,00 0.001 - $5,000 ,D 00 P2 =$5,000,001 - $25,000,000P3 =$ 25,000,001 - $50.000,000 P4 =Mo re than $50,000,0003. Value Method C~3es Q =Appraisal R =Cost (ReM Estate Only) S = As s e s s me n t T = ( a s h M a r k e tISce Column C2) U = B o o k V a l u e V = O t h e r W =Est imated

    E =$15,001 - $50.000

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    FINANCIAL DISCLOSURE REPORTPage ! 6 o f 19

    N a m e o f P e r s o n R e p o r t i n gDOUMAR, ROBERT G.

    Date of Report8/3/201 I

    V I I . I N V E S T M E N T S a n d T R U S T S - i n c o m e , v a l u e , transactions (Includes those of spouse and dependent children; see pp. 34-60 of fillng instructions.)~ N O N E (No reportable income, assets, or transactions.)

    D e s c r i p t i o n o f A s s e t s I n c o m e d u r i n g( in c lud in g t rus t a s se t s ) r e p o r t i n g p e r i o d(1) (2)

    P|ace "(X)" after each asset A m o u n t Type (e.g.,exempt from prior disclosure C o d e 1 d i v . , r e n t ,( A - H ) o r in t . )

    187 . Johnson & Johnson Cor n1 8 8 . JP M o r g a n C h a s e & C o .189. Ka ydon Corp .

    1 9 0 . L a fa r g e A D R N e w191. Ma ra t hon Oi l Corp .192. Me d t ron i c , Inc . Corn19 3 . M ED M C Elec t r M at l s Inc.1 9 4 . N o b l e C o r p . N a m e n - A K T1 9 5 . N o rt h r o p G r u m m o n C o r p .1 9 6 . N o v a r is A D R197. N ucor Corp198 . Ora c l e Corp . $0 .01 De l1 9 9 . P e t rl e o B i n s V t g . S P D A D R200. Po t a sh Corp . S a ska t che w a n2 0 1 . S e a s p a n C o r p .202 . The rmo Fi s he r Scien t i f i c

    G r o s s v a l u e a t e n do f r e p o r t i n g p e r i o d(1) (2)

    V a l u e V a l u eC o d e 2 M e t h o d

    ( J - P ) C o d e 3( Q - W )

    T r a n s a c t i o n s d u r i n g r e p o r t i n g p e r i o d(4) ( 5 )

    G a i n Identity ofC o d e 1 b u y e r / s e l l e r( A - H ) (if private

    transaction)

    (i ) (2) ( 3 )Type (e.g., D a t e V a l u eb u y , se l l , m m /d d /y y C o d e 2

    r e d e m p t i o n ) ( J - P )

    2 0 3 . T o w n e B a n k

    I. Income Gain Codes:( See Co lum n s B I an d D 4)

    2.Value Codes(See Columns C I and D3)

    3. Value Method Codes{See Column C2)

    A =$1,000 or lessF =$50,001 - $100,000J -$15,000 or lessN =$250,001 - $500,000P 3 = $ 2 5 . 0 0 0 , 0 0 1 - $ 5 0 . 0 0 0 , 0 0 0Q =AppraisalU = Bo o k V a l ue

    13 :$1,001 - $2.500G =$100.001 - $1,000,000K~$15,001 - $50,000O =$500,001 - $1,000,000R = Co s t { Rea l Es t a t e O n l y )V = O l h e r

    C =$2,501 - $5,000H 1 = $1,000,001 - $5,000,000L =$50,001 - $100,000P 1 =$1,000,001 - $5,000,000P4 =More than $50,000.000S = A ssessm en tW = Est i m a t ed

    D =$5,001 - $15,000H2 =More than $5,000,000M =$100,001 - $250,000P2 = $5,000,001 - $25,000,000T = Cash Mar ke t

    E =$15,001 - $50,000

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    FINANCIAL DISCLOSURE REPORTPage 17 of 19

    N a m e o f P e r s o n R e p o r t in gDOUMAR, ROBERT G.

    Date of Report8/3/201 I

    V I I . I N V E S T M E N T S a n d T R U S T S - i n c o m e , v a ~ u e , t r a n s a c t i o n s ( l n d u d es th o s e o f s p o u s e a n d dependent children; seepp. 34-60 of f i l ing ins t ruct ions . )N O N E (No reportable income, assets, or transactions.)

    D e s c r i p t i o n o f A s s e t s I n c o m e d u r i n g( in c lud in g t rus t a s se t s ) r e p o r t i n g p e r i o d(~) {2 )

    P l a c e "(X)" after each asset A m oun t Type (e.g.,exempt from prior disclosure Code l d i v . , r e n t ,

    ( A - H ) o r in t . )

    G r o s s v a l u e a t e n do f r e p o r t i n g p e r i o dO) (2)

    Value ValueC o d e 2 M e t h o d(J-P) C o d e 3

    ( Q - W )

    T r a n s a c t i o n s d u r i n g r e p o r t i n g p e r i o d(l ) (2) (3)

    Type (e .g., Date V a l u ebuy, se l l , m m /d d/yy Co de 2

    redemption) (J-P)

    (4 ) (5 )G a i n Identi~ of

    Code 1 buyer / se l ler(A -H) (if p riva te

    t ransaction)

    2 0 5 . V a l e S A206. Va sco D a t a S e cur i ty Int l

    2 0 7 . V e r i z o n C o m m .208. Vestas Win d Systems209. Z immerHold ings , Inc.210 . Zo lt ek Cos ln c.

    I. I n co m e G a i n Co d es :{ See Co l um n s BI an d D 4)

    2.Value Codes( See Co l um n s CI an d D 3)

    3.Value Mclhod Codes{ See Co l um n C2)

    A =$1,000 or lessF =$50.001 - $ 100,0~0J =$15.000 or lessN =$250,001 - $500,000P3 =$25,000,001 - $ 5 1 ) .0 0 0 .0 0 0Q :AppraisalU = Bo o k V a l ue

    B=$1,001 - $2,500G =$100,001 - $ 1.000,000K =$15,001 - $50,000O =$500,001 - $1,000,000R =Cost (Real Estate Only)V = O t h e r

    C =$2,501 - $5,000H l =$ 1,000,001 - $5,000,000L =$50,001 o $100,000P I =$ 1 ,000,001 - $ 5,000,000P4 -More than $50,000,000S = A ssessm en tW =Estimated

    O =$5,001 $15,000H2 =More than $5,000,000M =$1 00,001 - $250,000P2 =$5,000~001 - $25,000,000T = C a s h M a r k e t

    E = $ 15 , 001 - $ 50 , 000

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    FINANCIAL DISCLOSURE REPORTP a g e 1 8 o f 1 9

    Name of Person ReportingDOUMAR, ROBERT G.

    Date of Report

    8/3/2011

    V I I I . A D D I T I O N A L I N F O R M A T I O N O R E X P L A N A T I O N S . (lndicate part of report.)P A R T V I I - IN V E S T M E N T S

  • 8/3/2019 Robert G Doumar Financial Disclosure Report for 2010

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    FINANCIAL DISCLOSURE REPORTPage 19 of 19

    N a m e o f P e r s o n R e p o r t in gDOUMAR, ROBERT G.

    D a t e o f R e p o r t8/3/201 I

    IX. CERTIFICATION.1 c e r t i fy t h a t a l l in f o r m a t i o n g i v e n a b o v e ( i n c l u d i n g i n f o r m a t i o n p e r t a i n i n g t o m y s p o u s e a n d m i n o r o r d e p e n d e n t c h i l d r e n , i f a n y ) i s

    a c c u r a t e , tr u e , a n d c o m p l e t e t o th e b e s t o f m y k n o w l e d g e a n d b e l i e f , a n d t h a t a n y i n f o r m a t i o n n o t r e p o r t e d w a s w i t h h e l d b e c a u s e i t m e t a p p l i c a b l e s t a t u to r yp r o v i s i o n s p e r m i t ti n g n o n - d i s c lo s u r e .

    1 f u r t h e r c e r ti f y th a t e a r n e d i n c o m e f r o m o u t s i d e e m p l o y m e n t a n d h o n o r a r i a a n d t h e a c c e p t a n c e o f g i f t s w h i c h h a v e b e e n r e p o r t e d a r e i nc o m p l i a n c e w i t h t h e p r o v i s i o n s o f 5 U . S . C . a p p . 5 0 1 e t . s e q , 5 U . S . C . 7 3 5 3 , a n d J u d i c i a l C o n f e r e n c e r e g u l a t io n s .

    Signature: S[ R O B E R T G . D O U M A R

    N O T E : A N Y I N D I V I D U A L W H O K N O W I N G L Y A N D W 1 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 E P O R T M A Y B E S U B J E C T T O C I V I LAN D CRIMIN AL S AN CTION S (5 U.S .C. a pp . 104)

    Committee on Financial DisclosureAdministrative Office of the United States CourtsSuite 2-301One Columbus Circle, N.E.Washington, D.C. 20544