Timothy S Black Financial Disclosure Report for Black, Timothy S

8/3/2019 Timothy S Black Financial Disclosure Report for Black, Timothy S

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A o i 0 I FIN A N C IA L D ISC L OSU R E R E PO R T R c p o , t R e q u i r e dby t h e E . th i c sin Government Act of 1978R o y . 1 / 2 o l o I FOR CALENDAR YEA R 2009 : 5 u . s . c , o / , p . L I O t - / lOI . P e r s o n R e p o r t i n g ( l a s t n a m e . f i r s t , m i d d l e i n i t i a l ) 2. Court or Organizat ion 3 . D a t e o f R e p o r t

Black , T imothy S . U.S. Distr ict Court , Ohio 05/15/2010

4 . T i t l e ( A r t i c l e Il l j u d g e s i n d i c a t e a c t i v e o r s e n i o r s h a t u s ; 5 a . R e p o r t T y p e ( c h e c k a p p r o p r i a t e b p e ) 6. Repor t ing Per iodr m g i s t r a t e ju d g e s i n d i c a t e f u l l - o r p a r d - t i m e ) [ ] N om i n a t i o n , D a t e 01/01/2009U.S.Mag is t ra t e Judge fu l l t ime [] Initial [] A n n u a l [] Final to12/31/2009

5b . [] A mend e d R ep o r t7, Chambers or Office Address 8. On lhe basis of the infomalloa contained in this Repor t and anymodll ~cat tons per ta ining there to , I t h , I n m y o p i n i o n , In c o m p l i a n c e7] 6 United Sta tes Courthouse with applicable laws and regulat ions.100 East Fifth StreelCincinnat i , OH 45202 Reviewing Officer Dale

IMPORTA NT NOTES: The inst ruct ions accom panying this form must be fol loweg Com plete all parts,checking the NONE box for each part where you have no re portable informatio~ Sign on iast page.

I . P O S I T I O N S . ~ e r o , ,, g ~ a ~ u . a o . t ) ,: , e e r ,. + - ~ J o / f a ~ . s instructions.)NONE (No repor table posi t ions . )

P O S I T I O N N A M E O F O R G A N IZA T IO N / E N T IT YI.2.

~ N O N E (No repor table agreements , )~ PARSES A~ TERMS

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F I NANCI AL DI S CL OS URE RE P ORT N.=, alp . . . . R e ~ o ~ , g]

D . t, o r R e p o ,Page 2 o f 6 m a c ~ , T i m o l h y S . 0 5 / 1 5 t 2 0 1 0

I I 1 . N O N - IN V E S T M E N T I N C O M E . tRo.o.ing in~i~idu.: .~ ,~, .... ~ . o o r ~ , . 1 7 - 2 ~ o [ l . t i , ~ i ~ s , . . . i o n . ~A. Fi lers Non-lnvestment Income

N O N E (No reportable non-investment income.)D A T E S O U R C E A N D T YP E I N C O M E( y o u r s , n o t s p o u s e s)

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B . S p o u s e s N o n - I n v e s tm e n t I n c o m e - lf ro. ~tre married during nF portion of the reponing j,ear, complete this sectior~( D o l l a r a m o u n t n o t r e q u i r e d e x c e p t f o r h o n o r a r i a . )---] NONE (No reportable non-investment income.)

DATE SOURCE AND TYPEI. 2009 se l f -emp loyed , p a r t - time t u to r ; p a r t -t ime em p loyee , Mane verd i Res id ence Club

IV . REIMBU RSEMENTS - ,run ,~ , . o t io .. I,~,g.~ooa..~o~.~,.-( I n c lu d e ~ t h o s e t o s p o u s e a n d d e p e n d e n t c h i l d r e n ; ~ e e p p . 2 5 - 2 7 o f f i li n g i n s tr u c t i o n s .)

[~ N O N E (No repor table re imbursements . )S O U R C E D A T E S L O C A T I O N PURPQSE ITEMS PAID OR PROVIDED

I. Cincinnat i Bar Associa t ion, Febrtmry 19-21, 2009 Lexington, KY leg a l e d u c a t io n fo o d an d lo d g in g225 E. Fifth St., Cincinnati,O 1 1 4 5 2 0 22. T he Ju stic e I nstitu te fo r th e Ju ly 1 9-26 , 2009 Tuscany, I ta ly l ega l educa t ion t r a n spo r t a li on , f ood & lodg ingLegal Pro fession, 201 E. 5thSt . , Cincinnat i , OH 45202


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F I N A N C I A L D I SC L O S U R E R E P O R TPage 3 of 6 B l a c k , T | m o t h y S . 0 5 1 1 5 / 2 0 1 0

V . G I F T S . a n a , ~ , , , h , ~ , , o , , . . . . .. ~ dependent children; ,et pp. 28-31 of fding i~tructlon~)N O N E (No reportable g~s.)

~ DESCRIPTION1 .2.3.4.5.

~ N O N E (No repo r table l iabi f i ties . )~ DESCRIPTION

1 . ~ ey ban k ~ed i t ~ n e2. US Dep t . o f Educa t i on - Win . D . Fo rd student loan~ ................ IFede~l Di~t ~an Prog~m3. Am e r i ~ n E xp r e s s credit ~d4.5.


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F I N A N C I A L D I SC L O S U R E R E P O R T s .... f P e r so n R e p o r t l a g D a t e o f R e p o r ~Page 4 of 6 Bla ck, Timothy S. 05/15/2010VII. I N V E S T M E N T S a n d TRUSTS - i n ~ o . e , ~ * t .e ,~ N ONE (No reportable income, assets, or tra.sactions.).......... ~. - .................... ~ ........ ~ .................... ~. " ...............

D e s c ~ p t i o n o f A s ~ t s ; I n .me du r ing Gross va lue a~ ~d Tran~c t i ons dur i ng r e~n i ng ~ f i od( inc luding ~s~ asse t s) [ r e p o r t i n g p e r i o d orating period[ (I) (2) (I) (2) "- - (1~--" (2) ~ 3) [ {4) ...... (5 ~ . . . . . . .Pl ac e "~ )" a f t e r ~ch ~ ] A m o u n t T~ (e .g ., Value Value T ~ ( c . ~ . , Date[ Va~e Gain I d e n t i t y o f

e x e m p t f r o m p r i o r d i ~ lo s u r e ~ C o ~ 1 d i v . , r e n t , C ~ e 2 M e~ od buy , se ll mm/d~ Cod~ 2 ~dc I buy~/~Her(A-H) ~ o r i n t . ) ( ~ - P ) Co~ 3 ~emp t ion ).................. i L (~W) ~ [ I ran~ct ion) I

I , Fi fth Th i rd Bank a c~ un t s A interest J T2. Fifth Third Bank ( IRA - cash) none K T3. Vangu a rd Windso r Fund ( IRA) non e K T4 . TIAA-CREF n o n e L T

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2 . V a l~ C~c s J =$15.0~ o~ l~s K = $ 1 5 . ~ 1 - 1 5 ~ . ~ L =$50,001 - $1~.0~ M = $ 1 0 0 . ~ 1 - $ ~ 0 . ~( ~ C o l u m n s C I ~ D 3 ) N =$250 .~1 - $5~ .0~ O -$5~.001 - $ I.~.~ PI -$1.~,~1 - $5.0~,~ ~ =$5.~.~1 - S25,~.~3, Vai~ ~hod C~s Q ~ A p p r a i ~ a l R ~ost ~Rcal ~a~ ~ly) S " A s s ~ s s m e ~ T ~ash


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FINANCIAL DISCLOSURE REPORT s ....f P . . . .. R , p o ~ t l n gP a g e 5 o f 6 m a c k , T i m o t h y S . 0 5 / I 5 / 2 0 1

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS.


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F I N A N C I A L D I SC L O S U R E R E P O R T r~ ....t ~ , r s o n ~ o . ~ g o . , , o~ a ~Page 6 of 6 m a c k , T i m o t h y S . 0 5 1 1 5 / 2 0 1 0I X . CE R T I F I CAT I ON.

1 c e r t i fy t h a t a l l In f o rm a t i o n g i v e n a b ov e ( i n c l u d i n g I n f o rm a t i o n p e r t a i n i n g t o m y s p ou s e a n d m i no r o r d e p e n d e n t c h i l d r e n , i f a ny ) I sa c c u r a t e , tr u e , a n d c o mp l e t e t o t h e be s t e f my kn o wl e dg e a n d be l i e f , a n d t h a t a n y i n f o r ma t i o n n o t r e po r t e d wa s w i t hhe l d be c au s e i t me t a pp l i c ab le s t a t u t o r yp r o v i s i o n s p e rm i t t in g n on - d i s c lo s u r e .

I f u r th e r c e r t i fy t h 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 em p l o ymen t a n d ho 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 | ft s wh i c h h av e be e n r e po r t e d a r e I ncom pl iance w i th the p rov i s ions of 5 U .S .C . app . 501 e t . seq . , 5 U .S .C . 7353, and Jud ic ia l Confe ren ce regu l a t ion s .

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NOTE: ANY INDIVIDUAL W HO K NOW INGLY AND W ILFULLY FALSIFIES OR FALLS TO FILE TI t lS REPORT M AY BE SUBJECT T O CIVILAND CRIMINAL SANCTIONS (5 U .S .C . app . 104)

FILING INSTRUCTIONSM a i l s i g n e d o r i g i n a l a n d 3 a d d i t io n a l c o p i e s t o :

C o m m i tt e e o n F i n a n c i a l D is c l o s u r eAdm in i s t r a t iv e Of f i c e o f th e U n i t e d S t a t e s Cou r t sSu i t e 2 -301On e C o l u m b u s C i r c le , N . E .W as h i n g t o n , D . C . 2 054 4

Timothy S Black Financial Disclosure Report for Black, Timothy S

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