Professional Documents
Culture Documents
1/2011
Report Reqtdred b) the Ethics in Government Act ofl978 (5 U.S.C. app..~" I01-I11)
[] Initial
7. Chamber~ or Office Addrt~s Room 7614, U. S. Courthouse 601 Market Street Philadelphia, PA 19106
8. On the basis of the information contained in this Report and any modifications pertaining thereto, it is, in my opinion, in compliance svith applicable laws and regulations. Reviewing Officer Date
IMPORTANT NOTES: The instructions accompanying this form must be followe,t Complete all parts,
checking the NONE box for each part where you have no reportable information. Sign on last page.
POSITION
NAME OF ORGANIZATION/ENTITY
2. 3. 4. 5.
II. AGREEMENTS. ~Re~,o,,ing indi,idaal only; see ~,~,. t 4-16 of ~lin~ instructions.)
D
I. 2/03 2. 2010 3.
DATE
Pennsylvania Employee Retirement System
Goldber_q, Mitchell S.
III. NON-INVESTMENT INCOME. (,epo,ing individual andspouse; seepp. 17-24 of filing instructions.)
A. Filers Non-Investment Income D
NONE
INCOME
(yours, not spouses) $2,500.00 $3,583.33 $13,818.00
Drexel law School - Payment for teaching Trust Distribution Pennsylvania Employee Retirement System
B. Spouses Non-Investment Income - if you were married during any portion of the reporting.lear, complete this section.
(Dollar amount not required except for honoraria.)
1.2010 2. 3. 4.
3. 4. 5.
V. GIFTS. ancludes ,hose to spouse ond dependen, children; see pp. 28-31 of filing instructions.)
[-~ NONE (No reportable gifts.)
SOURCE
I. 2. 3. 4. 5.
DESCRIPTION
VALUE
VI. LIABILITIES. (includes those of spouse and dependent children; see pp. 32-33 of filing instructions.)
NONE (No reportable liabilities.)
CREDITOR
I. 2. 3. 4. 5.
DESCRIPTION
VALUE CODE
VI I. INVESTMENTS and TRUSTS - income, value, transactions (Includes those of spouse and dependent children; seepp. 34-60 offiling instructions.)
NONE (No reportable income, assets, or transactions.)
Description of Assets Income during Gross value at end of reporting period Transactions during repening period
(including trust assets) Place "(X)" after each asset exempt from prior disclosure
(2) (3) (4) Date Value Gain mn,ddd/yy Code 2 Code (J-P) (A-H)
transaction)
Trust - I/3 Interest - property located in Stewart, FL American Fund # I - 529 - age or risk based - no control 3. 4. 5. 6. 7. 8. 9. 10. I1. 12. 13. 14. 15. 16.
17.
M K K
American Fund #2 - 529 - age or risk based - no control American Fund #3 - 529 - age or risk based - no control American Fund #4 - 529 - age or risk based - no control
Morgan Stanley Smith Barney #1 - Commor stocks & options:
Redeemed K T Redeemed
K K
(part)
Bank Deposit Program #BDP Baxter Intl. Inc. Bristol Myers Squibb Co. HCP Inc. Kimberly Clark Corp. Metlife Inc. Microsoft Corp. Pepsico Inc. Sysco Inc. WaI-Mart Stores Inc.
CVS Caremark Corp. Stock
Interest
K K K J K K J J K
T T T T T T T T T
Buy Buy
05/10/10 02/03/I 0
J J
Buy Buy
02/18/10 02/03/10
K K
Sold
04/22110 K
I. Income Gain Codes: (See Columns B I and D4) 2. Value Codes (See Columns CI and D3) 3. Value Mcthod Codes [See Column C2}
A -$ 1.000 or less F =$50.001 - $100.0~0 J =$15,000 or less N -$250.001 - $500.0~O P3 $25.000.0~)1 - $50.000.000 Q =Apprai:,al U =B~,k Value
B =$1,001 - $2,500 G =$10~.001 - $1.0~0,0~0 K -$15,0~1 - $50,0~0 O =$500,001 - $1,000.0~0 R =Co~t (Real Estate Only) V :Olhcr
C =$2,501 - $5,000 H I =$ 1.0~9.0~ I - SS.0~).0O0 L=$50,001 - S 100.000 PI =$1,0~0.001 - $5,0~0.090 P4 =More than $50.(~).0~0 S =Asses,meal W =Estimated
D =$5,001 - $15.000 H2 =More than $5,000,00~ M =$100.0~1 - $250,0~) P2 -$5.000.1~| T =Cash Market
E =$15,001 - $50,000
VII. INVESTMENTS and TRUSTS - income, ,at.e, transactions (Includes those of spouse and dependent children; see pp. 34-60 of filing instructions.)
NONE (No reportable income, assets, or transactions.)
Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure Income during reporting period 0) Amount Code I (A-H) (2) Type (e.g., div., rent, or int.)
Gross value at end
redemption)
(2) (3) (4) Date Value Gain mm/dd/yy Code 2 Code I (A-H) 0-P)
18.
19.
02/03/10
20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34.
Berkshire Hathaway Fin. Corp. Pepsico Inc. Morgan Stanley Smith Barney GSE Bonds: Federal Home Loan Mortgage Corp. Morgan Stanley Smith Barney Certificates of Deposit: Ally Bank-UT (Formerly GMAC Bank) #1 Ally Bank-UT (Formerly GMAC Bank) #2 Ally Bank-UT Formerly GMAC Bank) #3 Morgan Stanley Smith Barney #2 Financial: Management Acct. IShares TR S&P 500 Index Fd Powershares QQQTR Ser I Capital Income Builder Fund Growth Fund of America Class A Exxon Mobil Corp LMP Shot-Term bond Fund Class C
B B
Interest Interest
K K
Interest
Buy
04/07/10
A A A
K K K
T T T
K K K
Sold
02/25/I 0
J J J J
I. Income Gain Codes: (See Columns B I and D4) 2. Value Codes (SeeColumnsCI and D3) 3. Value Method Codes ISce Column C2)
A =$1,000 or less F =$50.1)01 - $100,000 J =$15,000 or less N-$250.001 - $50~,000 P3 -$25.000,001 - $50,000,000 Q =Appraisal U =Book Value
B =$1.001 - $2,500 G =$100.001 - $1.000.0~ K =$15,001 - $50,000 O $500,001 - $1,000.090 R =Cost (Real Estale Only) V =Other
C =$2,501 - $5,000 It I =$1,000,001 - $5,000,0~0 L =$50.001 - $10~.000 PI =$1,000,001 - $5.000,0~0 P4 =More than $50.0~0,000 S =Assessment W =Estimated
D =$5,001 - $15,000 H2 =More than $5.000,0~) M =$100,001 - $250,00~ P2-$5,000,001 -$25,000.000 T =Cash Market
E =$15,001 - $50,000
VII. INVESTMENTS and TRUSTS - inco,.e, ,,.l.e, ,r.n,ac,io.s ancl.de, those oIspo~.e ~nd depende.t children; see pp. 34-60 of filing instructions.)
NONE (No reportable income, assets, or transactions.)
Description of Assets (including trus! assets) Place "(X)" after each asset exempt from prior disclosure Income during reporting period Gross value at end of reporting period Transactions during reporting period
O)
Amount Code I (A-H)
(2)
Type (e.g., div., rent, or int.)
(l)
Value Code 2 (J-P)
(2)
Value Method Code 3 (Q-W)
(5)
Gain Code I Identity of buyer/seller (if privale transection)
(J-p)
(A-H)
35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51.
Wells Fargo #1 - Harford Annuity: AMR Blue Chip Income and Growth AMR Global Growth AIM Mid Cap Core Equity Fund F-T Small-Mid Cap Growth AMR Growth-lncome Newell Rubbermaid Inc. NWL Oppenheimer Fund- Retirement IRA Sirius XM Radio, Inc. - Stock Wells Fargo #2 - Hartford Annuity: AMR Growth-lncome AMR Blue Chip Income and Growth F-T Small-Mid CapGrowth AIM Mid Cap Core Equity Fund AMR Global Growth Annuities, Savings & Checking Accounts: ING Annuity & Life Ins. (Y) None None None None None Sold Sold Sold Sold Sold 03/i 1/10 J 03/11/I 0 03/I 1/10 03/I 1/10 03/I 1/10 J J J J A A A A A None None None None None None None J J T T J J
J
T T T T Sold 08/02/10 J A
I. Income Gain Codes: (see Columns B I and D4) 2. Value Codes (See Columns C I and D3) 3. Value Method Codes (see Column C2)
A -$1,000 or less F =$50.001 - $10~.0~ J =$15.000 or less N =$250.001 - $500.000 P3 =$25,000.001 o $50.000.000 Q =Appraisal U =Book Value
B =$1,0~1 - $2,500 G =$100,001 - $1,000,0(~ K -$15,001 - $50,000 O =$500,001 - $1,000,000 R =Cost (Real Estale Only) V =Other
C =$2,501 - $5,000 HI =$1,000.001 - $5,000,000 L $50,001 - $ 100,0~O PI =$1,000,001 - $5,000,000 P4 =More than $50,000,000 S =Assessmcnl W =Estimated
D =$5,001 - $15,000 H2 =More than $5.0~0,0~ M =$ 100,001 - $250.000 P2 =$5,0003)01 - $25,000.000 T =Cash Market
E =$15,001 - $50.000
VII. INVESTMENTS and TRUSTS - inco,.e, valae, transactions (Includes those of spouse and dependent children; see pp. 34-60 of filing instructions.)
NONE (No reportable income, assets, or transactions.)
A.
Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure
B.
Income during reporting period (I) Amount Code I (A-H) (2) Type (e.g., div., rent, or int.)
C.
Gross value at end of reporting period (I) Value Code 2 (J-P) (2) Value Method Code 3 (Q-W) (I) Type (e.g., buy, sell, redemption)
D.
Transactions during reporting period (2) (3) (4) Date Value Gain mm/dd/yy Code 2 i Code 1 (J-P) (A-H) i (5) Identity of buyer/seller (if private transaction)
52.
53.
Interest
None
J
J
I. Income Gain Codes: (See Columns BI and 194) 2. Value Codes (See Columns C I and D3) 3. Value Method Codes (See Column C2)
A =$1,000 or less F =$50,001 - $100.000 J -$15.0~0 or less N =$250,001 - $500,000 P3 =$25,000,001 - $50,000,000 Q =Appraisal U =Book Value
B =$1.001 - $2,500 G =$100,001 - $1,0OO,000 K = $15,001 - $50.000 O =$500,001 - $1,000,000 R -Cost (Real Estale Only) V Other
C =$2,501 - $5,000 HI -$1.000.001 - $5.090.000 L =$50.0~ I - $ 100,000 PI =$1.000.001 - $5,000,000 P4 -More than $50,000.000 S =As~cssmenl W ~Estimated
D = S5,001 - $15.000 H2 =More than $5,000.000 M =5100,001 - $250.000 P2 =$5.000.001 - $25,000.000 T =Cash Markcl
E =$15.001 - $50,000
1 certify that all information given above (including information pertaining to my spouse and minor or dependent children, if any) 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 ~vhich 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 WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE THIS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (5 U.S.C. app. 104)
Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544
I
I. Person Reporting (last name, first, middle initial) Goldberg,, Mitchell S.
Report Required by the Ethics in Government Act of 1978 (5 U.S.C. app. ~ IOl-I l l)
4. Title (Article 111 judges indicate active or senior status; magistrate judges indicate full- or pan-time)
7. Chambers or Office Address Room 7614, U. S. Courthouse 601 Market Street Philadelphia, PA 19106
8. On the basis of the information contained in this Report and any modifications pertaining thereto, it is, in my opinion, in compliance with applicable laws and regulations.
Reviewing Officer
Date
IMPOR TA NT NO TES: The instructions accompanying this form must be followed Complete all parts,
checking the NONE box for each part where you have no reportable information. Sign on last page.
2. 3. 4. 5.
II. AGREEMENTS. (Reporting individual only; see pp. 14-16 of filing instruction~)
D
Goldberq, Mitchell S. A
I II. NON-INVESTMENT INCOME. (Reporting indi,idual andspouse; seepp. 17-24 of filing instructions.)
A. Filers Non-Investment Income D NONE (No reportable non-investment income.) DATE
I. 2010 2. 2010 3.2010 4.
INCOME
(yours, not spouses) $2,500.00 $3,583.33 $13,818.00
B. Spouses Non-Investment Income - if you were married during any portion of the reporting year, complete this section.
(Dollar omount not required except for honoraria.)
DATE
1.2010 2. 3. 4.
3. 4. 5.
V. GIFTS. ancludes,l, ose ,o s~,o,,se ~nd de~,ende,, children; see pp. 28-31 of filing instructions-)
NONE (No reportable g~s.)
SOU RCE
I. 2. 3. 4. 5.
DESCRIPTION
VALUE
VI. LIABILITIES. ancludes ,hoso o:spouse ~nd dependen, children; see pp. 32-33 of fillng instructions.)
NONE (No reportable liabilities.) CREDITOR
I. 2. 3. 4. 5.
DESCRIPTION
VALUECODE
VII. INVESTMENTS and TRUSTS - income, ,atue, transactions (Includes those of spouse and dependent children; seepp. 34-60 of filing instructions.)
NONE (No reportable income, assets, or transactions.)
Description of Assets Income during Gross value at end of reporting period (I) Value Code 2 (J-P) (2) Value Method Code 3 Transactions during reporting period
Identity of
buyer/seller (if private transaction)
(Q-W) Trust - I/3 Interest - property located in Stewart, FL American Fund # I - 529 - age or risk based - no control 3. 4. 5. 6. 7. 8. 9. 10. II. 12. 13. 14. 15. 16. 17. American Fund #2 - 529 - age or risk based - no control American Fund #3 - 529 - age or risk based - no control American Fund #4 - 529 - age or risk based - no control Morgan Stanley Smith Barney #1 - Common stocks & options: Bank Deposit Program #BDP Baxter Intl. Inc. Bristol Myers Squibb Co. HCP Inc. Kimberly Clark Corp. Metlife Inc. Microsoft Corp. Pepsico Inc. Syscolnc. Wal-Mart Stores Inc. CVS Caremark Corp. Stock A A A Interest None None None None Dividend Dividend None None None
None
K K K K J K K J J K T T T T T T Sold : 04122110 K Buy Buy 02/18/10 K 02/03/10 K Buy Buy 05/I 0/I 0 J
02/03/10 J
I. Income Gain Codes: (See Columns B I and D4) 2. Value Codes tScc Columns CI and D3) 3. Value Method Codes (Sc Column C2)
A =$1,090 or less F-$50.001 J -S 15,000 or less N =$250.0OI - $500,000 P3 =$25,000,0OI - $50.000.000 Q =Appraisal U =Book Value
B =$1.001 - $2.500 G =$100,001 - $1.000.000 K =$15,001 - $50,000 O =$500,001 - $1,009.00~ R =Cost (Real Estate Only) V -Other
C =$2.501 - $5,000 H I =$ 1.000,001 - $5.000.000 L =$50.001 - $100,000 PI =$1.000,001 - $5.000,000 P4 =More than $50.000,000 S =Assessment W =Estimated
D =$5,001 - $15,000 H2 -More than $5.~O0,000 M $ 100,001 - $250,000 P2 =$5,000,001 - $25.000.000 T =Cash Market
E =$15.001- $50.0~O
VII. INVESTMENTS and TRUSTS - income, value, transactions (Includes those of ~pouse and dependent children; seepp. 34-60 of filing instruction~)
NONE (No reportable income, assets, or transactions.)
Description of Assets (including trust assets)
Place "(X)" after each asset
(2)
Type (e.g.,
Code I (A-H)
Code 2
(J-P)
(2) (3) (4) Date Value Gain mrrddd/yy Code 2 Code I (J-P) (A-H)
18.
19.
20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33.
Berkshire Hathaway Fin. Corp. Pepsico Inc. Morgan Stanley Smith Barney GSE Bonds: Federal Home Loan Mortgage Corp. Morgan Stanley Smith Barney Certificates of Deposit: Ally Bank-UT (Formerly GMAC Bank) #1 Ally Bank-UT (Formerly GMAC Bank) #2 Ally Bank-UT Formerly GMAC Bank) #3 Morgan Stanley Smith Barney #2 Financial: Management Acct. IShares TR S&P 500 Index Fd Powershares QQQ TR Ser I Capital Income Builder Fund Growth Fund of America Class A Exxon Mobil Corp
B B
Interest Interest
K K
Interest
Buy
04/07/10 K
A A A
K K K
T T T
K K K
Sold
02/25/I 0
Sold Sold
J J J J
Buy Buy
I. Income Gain Codes: (see Columns BI and IM) 2. Value Codes (See Columns CI and D3) 3. Value Method Codc~ (See Colunm C2)
A =$1,00~ or I~s F =$50.001 - $100.000 J =$15,00~ or less N =$250.0~1 - $500,000 P3 $25,000.001 - $50,000.000 Q =Appraisal U =Book Value
B =$1.001 - $2,500 G =$100.091 - $1,000.0~0 K -$15,001 - $50,000 O -$50~.001 - $1,000,00O R :Cost (Real Estate Only} V -Other
C =$2,501 - $5,000 HI =$1.000.001 - $5.000.000 L =$50,001 - $ 100,0~0 PI -$1,0~0,001 - $5,000,090 p4 = More than $50.0~0,000 S =Assessment W =Estimated
D =S5,001 - SI5.000 1t2 =More than $5.000.000 M =$ I 0~.001 - $250.000 P2 =$5.000.001 - $25,0~.00~ T =Cash Market
E =$15,001 - $50,000
FINANCIAL DISCLOSURE REPORT Page 6 of 9 VII. INVESTMENTS and TRUSTS - i.c ....
value, transactions (Includes those of spouse and dependent children; see pp. 34-60 of filing instructions.)
O)
Amount Code I (A-H)
(2)
Type (e.g., div., rent. or int.)
35. 36.
Wells Fargo #1 - Harford Annuity: AMR Blue Chip Income and Growth None T
37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51.
AMRGlobal Growth AIM Mid Cap Core Equity Fund F-T Small-Mid CapGrowth AMR Growth-lncome Newell Rubbermaidlnc. NWL Oppenheimer Fund- Retirement IRA Sirius XM Radio, Inc. - Stock Wells Fargo #2 - Hartford Annuity: AMR Growth-lncome AMR Blue Chip Income and Growth F-T Small-MidCap Growth AIM Mid Cap Core Equity Fund AMR Global Growth Annuities, Savings & Checking Accounts: ING Annuity & Life Ins. (Y)
T
T T T
Sold T T
08/02/10 J
J J J J J
A A A A A
I. Income Gain Codes: (See Columns BI and 194) 2. Value Codes (See Columns CI and D3) 3. Value Method Codes (see Column C2)
A ~$1,000 or less F =$50.001 - $100.00~ J =$15,0~0 or less N =$250.001 - $50~.000 P3 :$25.00~.001 - $50.000.009 Q ~Appraisal U =Book Value
B =$1,001 - $2,500 G =$100.001 - $1.0~.099 K =$15.001 - $50.000 O =$500.001 - $1.009.0~0 R Cost (Real Estate Only) V =Other
C -$2,501 - $5,000 HI $1.009,001 - $5.0~0.000 L =$50,001 - $100.000 PI $1.00~.001 - $5.000,000 P4 =More than $50,000.000 S =Asscssnlent W =Estimated
D =$5.001 - $15,000 H2 =Mo~. than M =$100,001 - $250,0~0 P2 =$5,000,001 - $25.000,000 T =Cash Market
E =$15.001- $50,000
VI I. INVESTMENTS and TRU STS - income, value, transactions (Includes those of spouse and dependent children; see pp. 34-60 of filing instructions.)
~
(J)
Amount Code I (A-H)
(2)
Type (e.g., div., rent, or int.)
(i)
Value Code 2 (J-P) Value Method Code 3
(2) (3) (4) Date Value Gain mm/ddYyy Code 2 Code I (J-P) (A-H)
52.
53.
Interest
None
J
J
T
T
I. Income Gain Codes: (See Columns B I and D4) 2. Value Codc~ (See Columns C I and D3) 3. Value Method Codes (See Column C2)
A =$ 1.000 or Ins F =$50.001 - $100,000 J -$15.000 or less N ~$250.001 - $500.000 P3 $25.000.001-$50.000.000 Q =Appraisal U =Book Value
B =$1.001 - $2,500 G =$100.001 - $1,000.000 K =$15,001 - $50.000 O =$500.001 - $1,000.000 R =Cost (Real Estate Only) V =Olhcr
C =$2,501 - $5,000 H I ~$1,000,001 - $5.000,000 L =$50.001 - $100.000 PI =$1.000,001 - $5.000,000 P4 =More than $50,000.000 S =As~ssmcnt W =Estimated
D =$5,001 - $15,000 H2 =More than $5.000,000 M -$100.001 - $250,000 P2 =$5.000.001 - $25.000.000 T =Cash Market
E =$15,001 - $50,000
IX. CERTIFICATION.
I certify that all information given above (including information pertaining to my spouse and minor or dependent children, if any) 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 WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE THIS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (5 U.S.C. app. 104)
Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544