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Judicial Watch • Monti L. Belot – 2012

Monti L. Belot – 2012

Monti L. Belot – 2012

Page 1: Monti L. Belot – 2012

Category:Federal Judges

Number of Pages:7

Date Created:January 3, 2014

Date Uploaded to the Library:May 22, 2014

Tags:Minors, Uniform, Monti, Belot, Monti L Belot, 2012, spouse, Codes, dividend, reportable, disclosure, reporting, report, Federal Judge, financial, income, Judge


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Rev. 112013 
FOR CALENDAR YEAR 2012 U.S.C. app. 9 101-111) Person Reporting (last name, first, middle initial) 
Belot, Monti Title (Article Ill judges indicate active senior status; 
magistrate judges indicate full-or part-time) 
U.S. District Judge-Senior Chambers Office Address 
111 U.S. Courthouse 
401 North Market 
Wichita, Kansas 67202 Court Organization Date Report 
U.S. District Court -Kansas 
0413012013 
Sa. Report Type (check appropriate type) Reporting Period 
Nomination Date 
01/01/2012
Initial Annual Final [{] 
12/31/2012 
Sb. Amended Report 
IMPORT ANT NOTES: The instructions accompanying this form must followed. Complete all parts, checking the NONE box for each part where you have reportable information. POSITJ ONS. (Reporting individual only; see pp. 9-13 filing instructions.) 
[{]  NONE (No reportable positions.)  
POSITION  NAME ORGANIZATION/ENTITY 
II. AGREEMENTS. (Reporting individual only; see pp. 14-16 filing instructions.j 
[{] NONE (No reportable agreements.) 

PARTIES AND TERMS 

Ill. NON-INVESTMENT COME. (Reporting individual and spouse; see pp. 17-24 filing instructions.) Filer's Non-Investment Income [{] NONE (No reportable non-investment income.)  
SOURCE AND TYPE  INCOME (yours, not spouse's) Spouse'S Non-Investment Income -If you were married during any portion the reporting year, complete this section. (Dollar amount not required except for honoraria.) 
[{] NONE (No reportable non-investment income.) 

SOURCE AND TYPE 

IV, REIMBURSEMENTS -transportation, lodging, food, entertainment. (Includes those spouse and dependent children; see pp. 25-27 filing instructions.) 

[{] NONE (No reportable reimbursements.) SOURCE DATES LOCATION PURPOSE ITEMS PAID PROVIDED 

Belot, Monti 
04/30/2013 GIFTS. (Includes those spouse and dependent children; see pp. 28-31 filing instructions.) 
[{] NONE (No reportable gifts.) 
SOURCE DESCRIPTION 

VJ. LIABILITIES. (Includes those spouse and dependent children; see pp. 32-33 filing instructions.) 
[{] NONE (No reportable liabilities.) 
VALUE CODE 

Belot, Monti 
04/30/2013
VII. INVESTMENTS and TRUSTS income, vatue, transactions r1nc1udes those spouse and dependent children; see PP 34-60 fitinc instructions.) NONE (No reportable income, assets, transactions.) 
Description Assets Income during Gross value end Transactions during reporting period (including trust assets) reporting period ofreporting period 
(2) (I) (I) (4) (5) 
Place "(X)" after each asset Amount Type (e.g., Value Value Type (e.g., Date Value Gain Identity exempt from prior disclosure div., rent, Code Method buy, sell, mm/dd/yy Code Code buyer/seller
Code 
(A-H) int.) 
Code3 redemption) 
(A-H) (if private transaction) Rowe Price New Era Dividend Coca Cola Co. Dividend 
Navy Federal Credit Union Interest 
Wells Fargo Bank, N.A. Interest 
U.S.A.A., Subscriber's Savings Acct. Dividend 
Jackson Nat'! Life Ins.Co. IRA Annuity Dividend JNL/Mellon Cpt'l Mgm ncome Gain Codes: =$1.000 less  B41.001 -$2.500 =$2.501 -$5.000  0=$5.001 -$15.000 =$15.00 -$50.000  
(Sec Columns and 04) =$50.001 -$100.000 I00.00I -$1.000.000  Ill =$1.000.001 $5.000.000  112 =More than $5.000.000 Value Codes =$t 5.000 Jess =$15.001 -$50.000 =$50.00 I00.000 =$!00.001 -$250.000  
(Sec Columns and D3) =$250.001 -$500.000 =$500.00 -$1.000.000 =$1.000.001 -$5.000.000 =$5.000.001 -$25.000.000  
1'3 =$25.000.001 -$50.000.000 =More than $50.000.000 Value Method Codes =Appraisal =Cost (Real Estate Only) =Assessment =Cash Market  
(Sec Column C2) =Book Value =Othcr =Estimated  

... 
Belot, Monti 
0413012013
VII. INVESTMENTS and TRUSTS -income, value, transactions r1nc1udes those spouse and dependent children; see PP 34-60 filing instructions.) NONE (No reportable income, assets, transactions.)  
Description Assets  Income during  Gross value end  
(including trust assets)  reporting period reporting period  

Transactions during reporting period 
(I) 
(2) (3) (4) (5) 
Place "(X)" after each asset  Amount  Type (e.g.,  Value  Value  Type (e.g.,  Date  Value  Gain  Identity  
exempt from prior disclosure  Code  div., rent,  Code2  Method  buy, sell,  mm/dd/yy  Code2  Code  buyer/seller  
(A-H) int.)   (J-P)  Code  redemption)  (J-P)  (A-H)  (if private  

transaction) 
18.  Waddell Reed Advisors Science and Technology Fund  Dividend  Redeemed (part)  06106112  
19.  Coca-Cola (Uniform Gift Minors)  Dividend  
20.  Westar Energy (Uniform Gift Minors)  Dividend  
21.  Eaton Vance Balanced Fund (Uniform Gift Minors)  Dividend  
22.  Wells Fargo Bank, N.A. (Uniform Gift Minors)  Interest  
23.  
24.  
25. Income Gain Codes: =$1.000 less l,00 -$2.500  c=$2.501 $5.000  D=$5.001 -$15.000 =$15.00I $50,000  
(Sec Columns and 04) =$50,001 -$100,000 =$100.001 -$1.000.000  Ill =$1.000.001 -$5.000.000  112=More than $5.000.000 Value Codes  J=$15.000 less  K=$15.001 -$50.000 =$50.00t -$100.000 =$!00.001 -$250.000  
(Sec Columns and 03) =$250.001 -$500.000  0=$500.00t i.000.000  Pl=$1,000.00t -$5.000.000  P2=$5.000.001 -$25,000.000  
P3=$25.000.001 -$50.000.000  P4=More than $50.000.000 Value Method Codes =Appraisal =Cost (Real Estate Only) =Assessment  T=Cash Market  
(Sec Column C2)  U=Book Value  V=Othcr  V=Estimated 
Belot, Monti 
04/30/2013
VIII. ADDITIONAL INFORMATION EXPLANATIONS. (Jndicate partofreport.) Positions estate closed 

 

IX. CERTIFICATION. certify that all information given above (including information pertaining spouse and minor dependent children, any) accurate, true, and complete the best knowledge and belief, and that any information not reported was withheld because met applicable statutory provisions permitting non-disclosure. further certify that earned income from outside employment and honoraria and the acceptance gifts which have been reported are compliance with the provisions of5 U.S.C. app.  501 et. seq., U.S.C.  7353 and Judicial Conference regulations. 

Signature: Monti Belot 

NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILLFULLY FALSIFIES FAILS FILE THIS REPORT MAY SUBJECT CIVIL AND CRIMINAL SANCTIONS U.S.C. app.  104) 

Committee Financial Disclosure Administrative Office the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544