Henry L Adams Financial Disclosure Report for 2004
Category:Financial Disclosure
Number of Pages:15
Date Created:January 5, 2006
Date Uploaded to the Library:November 13, 2013
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A0-10 Government Act i978 Rev.1/2004 FOR CALENDAR YEAR2004 U.S.C. app. 101-lll) Person Reporting (Last name, First name, Middle initial) Court Organization Date Report Adams, Henry Middle District ofFlorida 5/13/2005 Title (Article III Judges indicate active senior status; ReportType (check appropriate type) Reporting Period magistrate judges indicate full-or part-time) Nomination, Date 11112004 U.S. District Judge (Active) Initial @Annual Final 12/31/2004 Chambers Office Address the basis the information contained this Report and any U.S. Courthouse modifications pertaining thereto, is, opinion, compliance with applicable laws and regulations. 300 Hogan Street, Ste.11200 Jacksonville, Florida 32202 instructions accompanying this form must followed. Complete all parts, checking the NONE box for each part POSITIONS. (Reporting individual only; see pp. 9-13 filing instructions) NONE -(No reportable positions.) POSITION NAME ORGANIZATfON/ENTITY (Reporting individual only; see pp. 14-16 filing instructions) II. AGREEMENTS. NONE -(No reportable agreements.) PARTIES AND TERMS ...,, o(1)2: c:l> ;oz01("") f>l ....... ....... :::0 ::.:: ;:i:,.. -!;> c.n Spouse's Non-Investment Income-(Ifyou were married during any portion the reporting year, please complete this section. Dollar amount not required except for honoraria.) NONE -(No reportable non-investment income.) AND TYPE 2004 State Florida -Salary IV. REilvtBURSEMENTS transportation, lodging, food, entertainment. (Includes those spouse and dependent children. See pp. 25-27 instructions.) NONE (No such reportable reimbursements.) SOURCE DESCRIPTION May -22 Miami, Florida -National Federal Sentencing Guideline Seminar (Transportation, Meals Parking) June -25 Orlando, Florida -Judicial Roundtable Panel (Transportation, Meals Hotel) GIFTS. NONE (Includes those spouse and dependent children. See pp. 28-31 instructions.) -(No such reportable gifts.) SOURCE DESCRIPTION VI. LIABILITIES. (Includes those spouse and dependent children. See pp. 32-34 instructions.) NONE -(No reportable liabilities.) CREDITOR BankAmerica VISA Credit Card DESCRIPTION VALUE CODE First Union MasterCard Credit Card Chase MasterCard Credit Card Pag oflO Name Person Reporting Adams, Henry Date Report 5/13/2005 VII. INVESTMENTS and TRUS -income, value, transcations (includes tl1ose the spouse and depend ent children. See pp. 34-57 filing instructions.) Description Assets (including trust assets) Income during reporting period Gross value end reporting period Transactions during reporting period not exempt from disclosure (I) (2) (I) (2) (2) (3) (4) (5) Type (e.g. Place "(X)" after each asset exempt Date:Value Value Value Gain Identity Amount Typefrom prior disclosure Code2 Method buy, sell, Month-Code div. Code2 Code buyer/sellerrent. Code merger, Day (Q-W) transaction) (A-H) int.) (J-P) (J-P) (A-H) (if private redemption) DNONE (No reportable income, assets, transactions) Security Life Ins. Co. n/k/a Nationwide None None Aetna Life Annuity Co. n/k/a ING None None None Aetna Life Annuity Co. n/k/a ING None Gov't Employees Credit Union Interest None Buy 3/20 Buy 4/21 Buy 5/20 10. Buy 6/20 11. Buy 7/21 12. 13. Buy 8/20 14. Buy 9/22 15. Buy 10/20 16. Buy 11/20 17. Buy 12/18 18. Buy 12/22 Income/Gain Codes: $1,000 less =SJ,001-$2,500 $2,50!-$5,000 $5,00J-$15,000 $15,001-$50,000 (See Columns and 04) $50,001-$100,000 00,001-S ,000,000 S!.OOO,OOJ-$5,000,000 More than $5,000,000 Value Codes: $15,000 less $15,001-$50,000 $50,001-$100,000 $J00,001-S250,000 (See Columns and D3) $250,000-$500,000 S500,001-S 1,000,000 SI.OOO,OOl-S5,000,000 $5,000,00J-$25,000,000 P"-' $25,000,001-SS0,000,000 =$More than $50,000,000 Value Method Codes .'ppraisal =Cost (Real Estate Only) ""' Assessmcnl Cash/Market (See Column C2) Book Value "'Other =Estimated ------ Date Report Name Person Reporting Adams, Henry 511312005 VII. INVESTMENTS and TRUSTS -income, value, transcations (includes those the spouse and dependent children. See pp. 34-57 filing instructions.) lncome during Gross value end Transactions during reporting period Description Assets reporting period reporting period (including trust assets) not exempt from disclosure (I) (1) (2) {I) (2) (3) (5)Place "(X)" after each asset exempt Type (e.g. Amount Type (e.g. Value Value from prior disclosure Date: Value Gain Identity Code2 Code buyer/sellerCodc2 Method buy, sell, Month-Code div. rent. int.) Code3 merger, Day (J-P) (A-H) (if private redemption) transaction) (Q-W) Parcel Jax., None None Parcel Jax., None None20. Parcel Jax., None None 21. 22. Dreyfus (Mutual fund) Dividend Delhaize America, Inc. flea Food Lion, Inc. Dividend None (Common Stock) 36. Anheuser-Busch Companies, Inc. (Common Stock) Income/Gain Codes: $1,000 Jess Sl,001-$2,500 S2,50J-$5,000 $5,001-$15,000 $15,001-$50,000 (See Columns and D4) $50,001-$100,000 Sl00,001-$1,000,000 Sl,000,001-$5,000,000 =More than $5,000,000 Value Codes: (See Columns and 03) Value Method Codes (See Column C2) 1'3 $15,000 less $250,000-$500,000 $25,000,001-$50,000,000 =Appraisal =Book Value J.: S!5,001-S50,000 $500,001-$1,000,0()0 c Cost (Real Estate Only) --Other $50,001-$100,000 Sl,000,00!-$5.000,000 $More than $50,000,000 Assessment =Estimated $JOO,OO!-S250,000 $5,000,001-$25,000,000 Cash/Market - -_J Date Report Name Person Reporting Adams, Henry 5/13/2005 VIL INVESTMENTS and TRUSTS -income, value, transcations (includes those the spouse and dependent children. See pp. 34-57 filing instructions.) Income during Gross value end Transactions during reporting period Description Assets reporting period reporting period (including trust assets) not exempt from disclosure (I) (2) (1) (2) (I) (2) (5) Place "(X)" after each asset exempt Type (e.g. Amount Type (e.g. Value Value Date: Value Gain Identity from prior disclosure Code2 Method buy, sell, Month-buyer/seller Code div. rent. Code2 Code (A-H) int.) (J-P) Code3 Day (J-P) (A-H) (if private merger, (Q-W) redemption) transaction) Anheuser-Busch (cont'd) Buy 01/09 38. Dividend Buy 03/09 Dividend Buy 06/09 Dividend Buy 09/09 J40. Dividend Buy 12/09 J41. Anheuser-Busch Companies, Inc. (Common Stock)(Trust) 42. 44. Buy 01109 Dividend Buy 03109 Dividend Buy 06/09 45. 46. Dividend Buy 09/09 47. Dividend Buy 12/09 48. Buy 12/09 50. Microsoft, Inc. (Common stock) Buy 01106 51. Buy 01/06 52. Buy 02/06 Buy 03/08 54. Buy 04/06 Income/Gain Codes: (See Columns and 04) Value Codes: (See Columns and 03) Value Method Codes (See Column Cl) $!,000 less $50,001-$100,000 $15,000 less $'.!50,000-$500,000 $25,000,001-$50,000,000 Appraisal Book Value =Sl,001-$2,500 SlOO,OOl-Sl,000,000 Sl5,00l-S50,000 $500,(1-Sl,OOO,OOO '"Cost (Real Estate Only) =Other $2,501-$5,000 SJ,OOO,OOl-$5,000,000 S50,00J-$100,000 Sl,000,001-$5,000,000 $More than $50 ,000,000 Assesmenr Estimated $5,00J-$ 15,000 More than $5,000,000 $100,00J-$250,000 $5.000,00l-S25,000,000 =Cash/Market $15,001-$50,000 ------__j VII. INVESTMENTS and TRUSTS -income, value, transcations (includes those the spouse and dependent children. See pp. 34-57 filing instructions.) Income during Gross value end Transactions during reporting period Description Assets reporting period reporting period (including trust assets) not exempt from disclosure (I) (2) (!) (2) (1) (3) (4) (5) Place "(X)" after each asset exem Amount Type Value Value Type (e.g. Date: Value Gain Identity from prior disclosure Code div. rent. Code Method buy, sell, Month- Code Code buyer/seller (A-H) int.} (J-P) Code (Q-W) merger, redemption) Day (J-P) (A-H) (if private transaction) Buy 05106 55. Microsoft (cont'd) Buy 06108 56. Buy 07/07 58. 71. Fording, Inc. (Common stock) Dividend None 72. Pancanadian Energy Corp. (Common stock) Dividend None Income/Gain Codes: $1,000 less =$1,001-$2,500 S'.!,501-$5,000 $5,00J-$15,000 $15,001-$50,000 (See Columns and 04) $50.001-$100,000 SI00,00!-$1,000,000 $],000,00J-$5,000,000 More than $5,000,000 Value Codes: $15,000 less $15,001-$50,000 $50,00l-$100,000 $100,001-$250,000 See Columns and D3) $250,000-$500,000 $500,001-Sl,OOO,OOO SJ,000,001-$5.000,000 1'2 $5,000,001-$25,000,000 P"-' "$25,000,001-$50,000,000 1'4 SMore than $50,000,000 Value Method Codes Appraisal Cost (Real Estate Onlyj "' Assessment Cash/Market (See Column C2j =Book Valu =Other =Estimated Date Report Name Person Reporting Adams, Henry 5/13/2005 VII. INVESTMENTS and TRUSTS -income, value, transcations (includes those the spouse and dependent children. See pp. 34-57 filing instructions.) Income during Gross value end Transactions during reporting period Description Assets reporting period reporting period (including trust assets) (!) (2) (!) (2) (I) not exempt from disclosure (2) (3) (4) (5) Place "(X)" after each asset exempt from prior disclosure Amount Code Type (e.g. div. rent. Value Code2 Value Method Type (e.g. buy, sell, Date: Month- Vahie Code2 Gain Code! Identity buyer/seller -H) int.) (J-P) Code3 (Q-W) merger, redemption) Day (J-P) (A-H) (if private transaction) ATT (Common stock) Buy 01/05 74. Buy 01/23 Buy 01/30 Dividend Buy 02102 Buy 03105 78. Buy 04/02 Buy 04/30 80. 81. Dividend Buy 05/03 82. Buy 06104 83. Buy 07/02 84. Buy 07/30 85. Dividend Buy 08/02 86. Buy 09/03 87. Buy 10/01 88. Dividend Buy 11/01 89. Buy 11/05 90. Buy 12/06 IncomeiGain Codes: $1,000 less ,001-$2,500 $2,501-$5,000 $5,00J-$15,000 $15,001-$50,000 iSee Columns andD4) $50,00-$!00,000 SIOO,OOJ-$1,000,000 Sl,000,001-$5,000,000 =More than $5,000,000 Value Codes: $15,000 less $15,001-$50,000 S50,001-S 100,000 $100,00l-S250,000 (Sec Columns and D3) $500,00J-Sl ,000,000 =SJ ,000,001-S5,000,000 $5,000,001-$25,000,000 $250,000-$5.00,000 $25,000,001-$50,000,000 =$More than $50,000,000 Value Method Codes Appraisal Cost (Real Estate Only) =--= Assessment Cash/Market (See Colunu1 C2) =Book Value =Other =Estimated Date Report Name ofPerson Reporting Adams, Henry 511312005 VII. INVESTMENTS and TRUSTS --income, value, transcations (includes those the spouse and dependent children. See pp. 34-57 filing instructions.) Income during Gross value end Transactions during reporting period Description Assets reporting period reporting period (including trust assets) (I) (2) (1) (1) Ifnot exempt from disclosure (2) (3) (4) (5) Place "(X)" after each asset exempt Amount Type (e.g. Value Value Type (e.g. Date: Value Gain Identity fi'om prior disclosure Code div. rent. Code2 Method buy, sell, Month- Code Code buyer/seller (A-H) int.) (J-P) Code3 merger, Day (J-P) (A-H) (if private (Q-W) redemption) transaction) ATT (cont'd) Buy 12/31 91. Johnson Johnson (Common stock)(Trust)(Custodial) Buy 01/07 Buy 04/07 97. Buy 05/07 98. Dividend Buy 06/08 99. Buy 06/08 100. Buy 07/07 IOI. Buy 08/09 102. 103. 104. Dividend Buy Buy 09/07 09/07 105. Buy 10/07 106. 107. Buy Buy 11/08 12/07 108. Dividend Buy 12107 Jncome!Gain Codes: (See Columns and D4) Value Codes: (See Columns and 03) $1,000 less $50,001-$100,000 $15,000 less $250,000-$500,000 $1,00.1-$2,500 SlOO,OOl-S!,000,000 SlS,OOJ-$50,000 $500,001-Sl,OOO,OOO $2,501-$5,000 $5,001-$15,000 SJ,000,001-$5,000,000 =More than $5,000,000 $50,001-SlOO,OOO $!00,00J-S250,000 Sl,OOO,OO!-S5,000,000 $5,000,001-$25,000,000 $15,001-$50,000 Value Method Codes (See Column C2) =$25,000,001-$50,000,000 Appraisal =Book Value =Cost (Real Estate Only) =Other ------ =$More than $50,000,000 Assessment Cash/Market =Estimated Date Report Name Person Reporting Adams, Henry 511312005 VH. INVESTMENTS and TRUSTS --income, value, transcations (includes those the spouse and dependent children. See pp. 34-57 filing instructions.) Income during Gross value end Transactions during reporting period Description Assets reporting period reporting period (including trust assets) not exempt from disclosure (I) (2) (!) (2) (!) (2) (3) (4) (5) Place "(X)" after each asset exempt Type (e.g. Value Value Type (e.g. Date: Identity Amount Value Gain rrom prior disclosure div. rent. Code Method buy, sell, Month-buyer/seller Code Code Code -H) int.) (J-P) Code3 merger, Day (J-P) (A-H) (if private (Q-W) redemption) transaction) Lucent, Inc. (Common stock) None 109. Covad Inc. (Common stock) None 110. Pfizer, Inc. (Common stock) 111. Buy 01/22 112. 113. Buy 02/19 ll4. Dividend Buy 03105 ll5. Buy 03/18 116. Buy 04/22 117. Buy 05120 118. Dividend Buy 06/04 ll9. Buy 06/17 120. Buy 07/22 121. Buy 08119 122. Dividend Buy 09103 123. Buy 09/16 124. Buy 10/21 125. Buy 11/18 126. Dividend Buy 12/03 Income/Gain Codes: $1,000 less $1,00J-$2,500 $2,501-$5,000 $5,001-$15.000 $15,001-$50,000 (See Columns and DI) $50,001-$100,000 SJ00,001-$1,000,000 Sl,000,001-S5,000,000 =More than SS,000,000 Value Codes: $15,000 less. $15,001-$50,000 $50,001-$!00,000 $!00,00l-$250,000 (See Columns and D3) $250,000-$500.000 $500,001-S 1,000,000 $1,000,001-$5,000,000 1'2 $5,000,001-S25,000,000 !'3 =$25,000,001-$50,000.000 =$More than $50,000,000 Value Method Codes =Appraisal Cost (Real Estate Only) Assessment Cash.!Market (Se" Column Cl) =Book Value =Other =Estimated Income/Gain Codes: $1,000 less s1,00 l-$2,500 $2,501-$5,000 $5,001-$15,000 $15,001-$50,000 (See Columns and D4) $50,001-$100,000 00,00l-S1,000,000 Sl.000,001-$5,000,000 More than $5,000,000 Value Codes: $15,000 less $15,001-$50,000 $50,001-$100,000 $100,001-$250,000 (See Columns and 03) $250,000-$500,000 S500,00l-Sl,OOO,OOO Sl,000,001-$5,000.000 S5,000,001-S25,000,000 $25,000,001-$50,000.000 =$More than $50,000,000 Value Method Codes =Appraisal =Cost (Real Estate Only) Assessment CashiMarket (See Column =Book Value "Other =Estimated ------- Date Report Name Person Reporting Adams, Henry 5/l3/2005 Vil. INVESTMENTS and TRUSTS --income, value, transcations (includes those the spouse and dependent children. See pp. 34-57 filing instructions.) Income during Gross value end Transactions during reporting period Description Assets reporting period reporting period (including trust assets) Ifnot exempt from disclosure (I) (2) (I) (2) (2) (3) Place "(X)" after each asset exempt Amount Type (e.g. Value Value Type (e.g. Date: Value Gain Identity from prior disclosure buy, sell, Code div. rent. Code2 Method Month-Code Code buyer/seller (J-P) Code3 merger, Day(A -H) int.) (A-H) (if private (Q-W) redemption) transaction) Ford Motors (cont'd) Buy 05106 145. Dividend Buy 06/01 146. Buy 06/03 147. 148. Buy 07/08 149. Buy 08/05 150. Dividend Buy 09/01 151. Buy 09/02 152. Buy 10/07 153. Buy 11/04 154. Dividend Buy 12/01 155. Buy 12/02 Adams Communication, Inc. Dissolved 04/08 156. Tyson Foods (Common stock) 157. 158. Buy 01/29 159. Buy 02/26 160. Dividend Buy 03/15 161. Buy 03125 162. Buy 04129 Income/Gain Codes: $1,000 less $1,001-$2,500 $2,501-$5,000 $5,001-$15,000 $15,001-$50,000 (See Columns and D4) $50,001-$100,000 OO,OOJ-$1,000,000 SJ.000,001-SS,OOO,OOO More than $5,000,000 Value Codes: $15,000 less 15,001-$50,000 $50,001-$100,000 $100,001-$250,000 (See Columns and D3) $250,000-$500,000 S500,00J-$1,000,000 Sl.000,001-$5,000,000 $5,000,001-$25,000,000 1'3 $25,000,00I-S50,000,000 $More than $50,000,000 Value Method Codes =Appraisal Cost (Real Estate Only) Assessment Cash/Market (See Column C2) =Book Value =Other =Estimated VII. INVES1MENTS and TRUSTS --income, value, transcations (includes those the spouse and dependent children. See pp. 34-57 filing instructions.) Income during Gross value end Transactions during reporting period Description Assets reporting period reporting period (including trust assets) not exempt from disclosure (I} (2) (l) (2) (!) (2) (3) (4) (5) Place "(X)" after each asset exempt Type (e.g. Date: Amount Type (e.g. Value Value Value Gain Identity from prior disclosure buy, sell, Month- Code! div. rent. Code Method Code Code buyer/seller merger, -H) int.) (J-P) Code3 Day (J-P) (A-H) (if private redemption) transaction) Tyson (cont'd) Buy 05/27 163. 164. Dividend Buy 06115 165. Buy 06/24 Buy 07129 166. 167. Buy 09/01 Buy 09/20 Dividend 168. Buy 10/05 169. Buy 10/28 170. Buy 11/26 171. 172. Dividend Buy 12115 173. Buy 12/30 Income/Gain Codes: $1,000 Jess SJ,OOJ-$2,500 S2,50l-$5,000 $5.001-$15,000 $15,001-$50,000 (See Columns and D4) $50.(JOl-$100,000 $100,00J-Sl,000,000 .000,001-$5,000,000 More than ,000,000 Value Codes: 5,000 less S15,00!-$50,000 $50,001-SJ OO,OOO $!00,001-$250,000 (Sec Columns and D3) S250,000-S500,000 SSOO,OOl-Sl,000,000 SJ,OOO,OOJ-S5,000,000 $5.000,00l-S25,000,000 $25,000.001-$50,000,000 =$More than $50,000,000 Value Method Codes Appraisal =Cost (Real Estate Only) Assessment CashiMarkct (See Colunm =Book Value =Other =Estimated ---- Name Person Reporting Date Report Adams, Henry IX. CERTJFICATION. certify that all infonnation given above (including information pertaining spouse and minor dependent children, any) accurate, true, and complete the best knowledge and belief, and that any infonnation 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 U.S.C. et. seq., U.S.C. 7353, and Judicial Conference regulations. Signature Date NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES FAILS FILE THIS REPORT MAY SUBJECT CIVIL AND CRIMINAL SANCTIONS U.S.C. app. 104) FILING INSTRUCTIONS Mail signed original and additional copies to: Committee Financial Disclosure Administrative Office the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544