A010

FINANCIAL DISCLOSURE REPORT

1/2olo

Report 22equired by the Edtic~" mGove,Actof197,~ .......

FOR CALENDAR YEAR 2009

~. Court or Organization Court o[Ap~al~ (gth Cir.) So. Repo~t T)pe {check appropriate ~pe

(~ us.c -/,~, U/O/-l/J)

3. D~I~ of R~porl 05/I 1/2010 6. Repo~ting Period 01/01/2009

I. Peesnn IR.eportin~ (l~t name. fir:~l. ~fiddle initi~l) Hawkins, Michael D. 4. Title (A~icle I11 judge~ indicate active or se~fior ~tatus; naa$~trate judges indicate full- ar pa~ time) U S. Circuit Judge- Senior

~ Imtiat

~ Annual

7. Chambers or Office Address

5b. ~ Amended Repo~ 8. On the bzsis of the information conlainetl in Ihis Reporl modifications perlzining thereto, il

401 W. Washington St., Rm 510 Phocmx, ~ 85003-2151

Reviewing Officer ...............................

Dzle ..................

L$tPORT:.4NT NOTES: The instructions accompanying this farm must beJ?fflowed Complete ull parts,
che,king the NONE box fiJr each pttrt where you have no reportable information. Sign an last page.

NONE (No reportable positions.) POSITION NAtvlE OF ORGANIZATI()N/ENTITY

1 I. A G R E E M E N T S. m,v,,,.",g inai,.idu=t ant.v; see pp. t4- I ~ offitin.~ in*tr u,tion.*.)

~ NONE (No reportable a~reements.) DATE
I. 2009 See Section VIII

PARTIES AND TERMS

Hawkins, Michael D

FINANCIAL DISCLOSURE REPORT Page 2 of 6

~ .... ~P ..... Repom,~ m,,.k~,,s, m~c~e~ D.

0~/~ ~a0~0

11 I. NON-I NV ESTMENT 1 N COME. cg,po,,;,g iodividuM and sp .....

A. Filers Non-Investment lncome NONE (No reportable non-investment income.) DATE
1. 12/31/09 lhomson West Publishing

; see pp. 17-24 o/filing i ..........ion.sO

SOURCE AND TYPE

$6,934.06

(yours, not spouses)

3 4_

B. Spouses Non-l~veslme~i Income - tfyo. were morried during gny ponion of the reporting )ear, complete thi.~ section. (Dollar am ~ nt not r ,quirede.~cpt fi~r honorarm l

N ONE (No reportable non-investment income.) DATE SOURCE AND TYPE

Business Income - Small Business Owner (Execmive Recoiler)

I. 12131109 2. 3 4.

IV. REI MBU RSEMENTS -(/n~ !ucte~ th

~]

NONE (No reportable reimbursements.)

~
I. 2. 3. Former t.aw Clerk

DATES
April 17-19, 2009

LOCATION
Long Island, NY

PURPOSE
Perform a Wedding

ITEMS PAID OR PROVIDED

Transportation, Lodging, Meals, Taxi

5.

FINANCIAL DISCLOSURE REPORT Page 3 of 6

~ ..... f r. .... U~por,i.~ m,,,,t..~. ~,m,ae~ o.

t,.,e or ~wor~ o~ ~o~o [

NONE ~Vo reportable gifts.)

SOURCE
1. 2. 3.
4. 5.

DESCRIPTION

V1. LI A B ! LIT1 ES. ~.ef.d~, ,no,e .s *p .......

~ NONE (No reportable liabilities..)

d depend ....hildre.; see PI" 32-33 ~[Jiling instruction~.)

CREDITOR
I. Northern "frost Bank of Afzona Credit Line

DESCRIPTION

~ALUE COI?E
J

3.
4.

5.

FINANCIAL DISCLOSURE REPORT

N .....f P .....R~porling Ha~vkins, Michael D. I 05/11/2010

Page 4 of 6 VII. IN VESTMENTS and TRUSTS -i ........

~,,., t ..... ~,~o.s ~.a.~,,~ ,~ .... .~ ..... a a,~,~.a.., ~i~,~; ~.~ ~. ~-~o

NONE (No reportable income, assets, or transactions.)

0ncluding l~Sl assets) Place "{ X)" after each asset exempt from pfor disclosure ~

tcpomng ~riod : Amount Type (c g, Code I div.. ~cn~, , ~A-H) : or int,) ~,

of reporting period Value Code 2 IJ.P) Value I Me~ho~ Code 3 (Q-W) ~)~ ~c g, buy. sell redemption) I)atc Value Gain mm/dd~:yv C~c 2 (J-P) : (A-H) : Idcntily {ifp~ivate transacllo~;)

1. 2.

Equi~ Value - ~] Business 401 K - Northern Trust Bank of Arizona

None E Distribuli0n

10. 11 12. 13
14. 15,

16. 17.

FINANCIAL DISCLOSURE REPORT

Pagc 5 0[6

r~ .... f P ..... Reporting tla~vkins, Michael D.

Dale or Reporl 05/11/2010

VIll. ADDITIONAl. INFORMATION OR EXPLANATIONS.

Part II Coat. -- Agreement among Ke~in OMalley, Jay Grenig, William Lee, Sidney Stcin and Michael Dab. Ilawkins for Ihe preparanon and e&ting cff publication Federal Jury Praclice and Instructions.

FINANCIAL DISCLOSURE REPORT Page 6 of 6

I Ilawkins, Michael D.

05II1/2010

IX. CERTIFICATION.
I certify that all information given above (including information pertaining to my spouse and minor or dependent children, if an)) is accurate, true. and complete to the best of my knowledge and belief, and that any information not reported was withheld because it met applicable statutory provisions 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 with the provisions of 5 U.S.C. app. 501 et. seq., 5 U.S.C. 7353, and Judicial Conference regulations.

NOTE: ANY INDIVIDUAL WIlt KNOWINGLY AND WILFULLY FAI,SIFIES OR FAILS TO FILE TillS REPORT MAY BE SUBJECT TO CIVIL AND CRI~,1INAL SANCTIONS (5 U.S.C. app. 104)

FILING INSTRUCTIONS Mail sigt~cd original and 3 additional copies Committee on Financial Disclosure Adminislralivc Ot]]ce of the United States Courts Suile 2-301 One Columbus Circle, Washington, D.C. 20544