Henry L Adams Financial Disclosure Report for 2010

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FINANCIAL DISCLOSURE REPORTFOR CALENDAR YEAR 201 0Report Required by the Ethics

in Government Act ~?f1978(5 U.S.C . app. ~q.~q lOl-l l l)

1 . Person Repor ting ( las t name, f ir s t , middle init ial)A d a m s , H e n r y L .

4. Tit le (Art icle I l l judges ind ica te act ive o r sen io r s ta tus;magis t ra te judges indicate fu l l - or par t - t ime)

U.S. Di s t r i c t Judge ( s en ior s t a tus )

7 . C h a m b e r s o r O f f ic e A d d r e s sB r y a n S i m p s o n U . S . C o u r t ho u s e300 N. Hogan S t ree t , S te . 11-200J ac k s onv i l l e , F l o r i da 3 2 2 0 2 - 42 45

2. Court or OrganizationM iddle D i s t r ic t o f Flor ida

3. Date of R e p o r t05/11/2011

5a . Report Type (check appropria te type )] Nomination, D a t e[] Initial [] Annual [] Final5b. [] Amended Report8. On the basis o f the in fo rma tion con ta ined in this Reportand anymodif ica t ions pe rta in ing the re to , i t is , in m y op in ion , in com pliancewith appl icab le l aws and regula t ions .

Reviewing Officer Date

6. Report ing Pe riod01/01/2010

to12/31/2010

I M P O R T A N T N O T E S : The instructions accompanying this form must be followed. Complete all parts,checking the NO NE box for each part where you have no reportable informa tion. Sign on last page.

I . P O S I T I O N S . m e p o m n g individual only; see pp. 9- 13 of f i l ing instructions.)~ (No reportableposit ions. )O N E

POSITION

2.

3:

4.5.

NAME OF ORGANIZATION/ENTITY

I I . A G R E E M E N T S . (Reporting individual only; seepp. 14-16 of filing instructions.)~] N O N E (No reportable agreements.)

DATE PARTIES AND TERMS


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FINANCIAL DISCLOSURE REPORTPage 2 o f 7

N a m e o f P e r s o n R e p o r t in gAdams, Henry L.

Date of Report05/11/2011

I l L N O N - I N V E S T M E N T I N C O M E . m eport i .g i .d iv id .al a .d spo.se; see pp. 17-24 of f!ling instructions.)A. Filers Non-Investment IncomeD ~o reportable income.)ONE non- inves tment

DATE SOURCE AND TYPE INCOME( your s , no t s pous e s )

1.2010 Sta t e o f Flor ida (Re t i rement ) $31,659.002.3.4.

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 - l f yoa were m arried during any portion of the reporting year, complete this section.(D ollar am ount not required except for honoraria.)

~ (N o reportable non- inves tment income. )ONEDATE SOURCE AND TYPE

1.2010 S t a te o f F l o r id a ( R e t ir e m e n t i n c o m e )2.3.4.

I V . R E I M B U R S E M E N T S -transportation, lodging, food, e n t e r ta i n m e n t(Includes those to spouse and dependent children; see pp. 25 -27 o filling instructions.)

N O N E (No reportable reimbursements.)SOURCE DATES LOCATION

1.2.3.4.5.

PURPOSE ITEM S PAID OR PROVIDED


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FINANCIAL DISCLOSURE REPORTP a g e 3 o f 7

N a m e o f P e r s o n R e p o r t in gA d a m s , H e n ry L .


V . G I F T S . a n c i u d e s those to spouse and dependent ehildren; see pp. 28-31 of filing instructions.)N O N E (No reportable gifts.)

SOURCE DESCRIPTIONI.2.3.4.5.

V A L U E

V I . L I A B I L I T I E S . a n c t u d e s t h o s e o l s p o u s e u . d dependent children; s e e p p . 3 2 - 3 3 of filing instructions.)~] N O N E (No reportable liabilities.)

CREDITOR1, Chas e M as te rCard2. B a n k o f A m e r i c a3.

4.5.

Credi t CardCredi t Card

DESCRIPTION V A L U E C O D EJJ


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D a t e o f R e p o r t05/11/2011

V I I . I N V E S T M E N T S a n d T R U S T S -- income, value, transactions (Includes those of spouse and dependent children; see pp. 34-60 of f!ling instructions.)N O N E (No reportable income, assets, or transactions.)

A. B. C, D.Description of Assets Incom e d urin g G ross value a t en d Transactions during reporting period( inc luding t rus t asse ts ) reporttng period of reporting pe riod

O) (2 ) (1) (2) (l ) (2) (3) (4) (5 )Place "(X)" after each asset Amount Type (e.g., Va l ue V a l u e Type (e.g., D a t e Value G a i n Identity of

exempt f rom pr ior d isc losure C o d e 1 div.. rent. Code 2 Method buy. se l l , m m /d d/yy Co de 2 Code 1 buyer/ se l le r(A-H) o r i n t . ) ( J - P ) Code 3 redempt ion) (J-P) (A -H ) (if priva te( Q - W ) t r a n s a c t i o n )

T

T

T

T

T

T

S

S

S

T

T

T

T

T

T

T

T

1. Na t i onw i de R e t i r em en t S o l u t i ons , I nc . B D i v i d e n d L

2. 1N G B D i v i d e n d L

3. IN G B D i v i d e n d M

4. G ov t E m pl oyees C r ed i t U n i on A In te re st K

5. D u v a l F e d e r a l C r e d i t U n i o n A In te re st J

6. F e d e r a te d M u t u a l F u n d s B D i v i d e n d M

7. Parce l 1 , Jax . , FL ($25,000.00) N o n e J

8. Parce l 2 , Jax . , FL ($1 ,980.00) N o n e J

9. Parce l 3 , Jax . , FL ($2 ,810.00) N o n e J

1 0 . D re y fu s M u t u a l F u n d A D i v i d e n d J

1 1 . D e l h a iz e A m e r i c a , I n c . ( A D R ) A D i v i d e n d J

1 2 . M i c r o s o f t , I n c . ( C o m m o n s t o c k) A D i v i d e n d J

1 3 . A T& T ( C o m m o n s t o c k) A D i v i d e n d J

1 4 . J oh ns on & J oh ns on ( C om m on s t oc k ) B D i v i d e n d K

1 5 . A l c a t e l L u c e n t (A D R ) N o n e J

1 6 . P f i z e r , I n c . (C o m m o n s t o c k) A D i v i d e n d J1 7 . C oc a - C ol a , I nc . ( C om m on s t oc k ) ( C us t od i a l A D i v i d e n d J

a c c o u n t )

1. In c o m e G a i n Co d es : A =$1 ;000 or less B =$1,001 - $2,500 C =$2,501 - $5,000 D =$5,001 - $15,000( See Colunms B I and 0 4) F =$50,001 - $ 100,000 G = $1 00 ,0 01 - $1 ,0 00 ,0 00 H 1 = $1 ,0 00 ,0 01 - $ 5,00 0,0 00 H2 =More than $5,000,0002. V alue Co d es J = $15,000 or less K = $15,001 - $50,000 L =$ 50;00 !" $ 100,000 M =$ 100,001 - $250,000( Se e Co lu mn s C 1 a nd D3) N -$ 250 ,00 1 - $5 00, 000 O = $5 00 ,0 01 - $ 1,0 00 ,0 00 P 1 = $1 ,0 00 ,00 1 - $5,0 00 ,0 00 P2 = $5,000,001 - $25,000,000

P3 =$25,000,001 - $50.000,000 P4 =Mo re than $50,000;0003. Value Method Codes Q =Ap p r a i sa l R = Cos t ( R eal E s t a t e Only ) S = A s s e s s m e n t T = Cas h Mar ket( See Column C2 ) U = Book Value V = O t he r W = E s t imated

E =$15,001 - $50,000


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N a m e o f P e r s o n R e p o r t i n gA d a m s , H e n r y L .


VII. I N V E S T M E N T S a n d T R U S T S - i n c o m e , v a l . e , transactions (Includes those of spouse and dependent children; seepp. 34-60 of filing instructions.)N O N E (No reportable income, assets, or transactions.)

Description of Assets Income dur ing( inc luding t rus t asse ts ) reporting period

(0 (2 )Place "(X)" after each asset Amount Type (e.g.,

exempt f rom pr ior d isc losure Code 1 div., rent,(A-H) o r i n t . )

Gross value a t end Transac t ions dur ing repor t ing per iodof reporting period(1) (2) (1 ) (2) (3) (4-) (5)

Va l ue V a l u e Type (e.g., Da t e V a l u e Gain Identity ofCode 2 Method buy, se l l , m m / d d / y y Code 2 Co d e 1 : . . . .. buyer/ se l le r

(J-P/ Code 3 redempt ion) (J-P) (A-H) (if private(Q-W ) t r a n s a c t i o n )

1 8 . Ford Mot o r s (Com m on s t ock) N o n e K1 9 . T y s o n F o o d s ( C o m m o n s t o c k) A Dividend J

20 . Conoco P hi l li ps (Cus tod ia l accoun0 A Dividend J21 . B a n k o f A m e r i c a ( C o m m o n s t o c k) A Dividend J22 . W R A d v i s o r s (C a s h m g m t ) A Dividend J23 . M otoro l a , Inc . (Comm on s tock) (cus tod ia l A Dividend Jaccount )24 . G ene ra l M i l ls , I nc . (Comm on s tock) A D i v i d e n d J25. Wachovia (X) A Interest J

TT

TTTTT Bu yT

10/06/10

11 In co m e G ain Cod es : A = $1,000 O r less B =$1,001 - $2,500( See Columns Bl and 1 ) 4 ) F =$50,001 - $100,000 G =$100,001 - $1,000,000

2. Va lue Co d es J = $15,000 or less K =$15,001 - $50,000( Sce Columns C I and D3 ) N = $250,001 - $500,000 O =$500,00 1 - $1,000,0 00

P3 =$25,000,001 - $50,000,0003. Value Method Codes Q =Ap p r a i sa l R = Cos t ( R eal E s t a t e Only )( See Column C2 ) U = Book Value V = Oth er

C =$2,501- $5,000 D =$5,001 - $15,000 E =$15,001 - $50,000HI =$1,000,001 .$510001000 H] --M0re than $5;000~00L = $ 5 0 , 0 0 1 = $ 1 0 0 0 0 0 M = $ 1 0 0 1 0 0 1 - $ 2 5 0 ;0 0 0P1 =$1,000,001 - $5,000,000 P2 = $5,000,001 - $25,000,000P4 =More than $50,000,000S = A s s es s ment T ~Caah Mar ketW = E s t imated


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V I I I . A D D I T I O N A L I N F O R M A T I O N O R E X P L A N A T I O N S . (lndicate part of report.)


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FINANCIAL DISCLOSURE REPORTPage 7 of 7

N a m e o f P e r so n R e p o r t i n gA d a m s , H e n r y L .

Date o f Report05/11/2011

IX. CERT IFICATION.1 c e r t i f y t ha t a l l in f o r m a t i o n g i v e n a b o v e ( i n c l u d i n g i n f o r m a t i o n p e r t a i n i n g t o m y s p o u s e a n d m i n o r o r d e p e n d e n t c h i ld r e n , i f a n y ) i s

a c c u r a t e , t r u e , a n d c o m p l e t e t o t he b e s t o f m y k n o w l e d g e a n d b e l i e f , a n d t h a t a n y i n f o r m a t i o n n o t r e p o r t e d w a s w i t h h e ld b e c a u s e i t m e t a p p l i c a b le s t a t u t o r yp r o v i s i o n s p e r m i t t i n g n o n - d i s c l o s u r e .I f u r th e r c e r ti f y t ha t e a r n e d i n c o m e f r o m o u t s i d e e m p l o y m e n t a n d h o n o r a r i a a n d t h e a c ce p t a n c e o f g i f t s w h i c h ha v e b e e n r e p o r t e d a r e i nc ompl ianc e wi th the p rovis ions o f 5 U. S. C. app . 501 e t . seq . , 5 U. S. C. 7353, and Jud ic ia l Confe renc e r egula t ions .

Signature: S/Henry L. Adam s

N O T E : A N Y IN D I V I D U A L W H O K N O W I N G L Y A N D W I L F U L L Y F A L S IF I E S O R F A I L S T O F IL E T H I S R E P O R T M A Y B E S U B J E CT T O C I V I LA N D C R I M I N A L S A N C T I O N S ( 5 U . S .C . a p p . 1 0 4 )

Committee on Financial DisclosureAdministrative Office of the United States CourtsSuite 2-301One Columbus Circle, N.E.Washington, D.C. 20544

Henry L Adams Financial Disclosure Report for 2010

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