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POSITION
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Report Required by the Ethics FINANCIAL DISCLOSURE REPORT AOJO in Government Act of 1978 Rev. 112010 FOR CALENDAR YEAR 2009 (5 US.C. app. §§ 101-i l l)
I. Person Reporting (last name, first, middle initial)
Matsumoto, Kiyo A.
2. Court or Organization
U.S. District Court (EDNY)
3. Date of Report
08/23/20!0
Title (Article IIIjudges indicate active or senior status; magistrate judges indicate full- or part-time)
Active Article III
Sa. Report Type (check appropriate type)
D Nomination, Date
D Initiai Annual
Sb. 0 Amended Report
Final
6. Reporting Period
01/0112009
to
!2/3 l/2009
I 7. Chambers or Office Address
United States Courthouse 225 Cadman Plaza East Brooklyn, NY 11201
8. On the basis of the information contained in this Report and any modifications pertaining thereto) it is, in my opinion, in compJfance with applicable laws and regulations.
Revie"'ing Officer_____ Date
l1l1PORTANT NOTES: The instructions accompanying this form must be followed. Complete all parts, checking the NONE box/or each part where you have no reportable information. Sign on last page.
I. POSITIONS. (Reporting individual only: m pp. 9-13 of filing instructions.)
D NONE (No reportable positions.)
NAME OF ORGANIZATION/ENTITY
I. Board member
2.
3.
4.
5.
"'
JJ. AGREEMENTS. (Repurting individual only; see pp. 14-16 of filing insrructiun>.) C)r ·-..,, ;:.,.. .:o o- c:::::[{] NONE (No reportable agreements.) (/):;i:: C") d1
c::.h N::o:;i:: AND TERJvlS ,..,,2
.c
OJ:> ..,,r- )>
1
ni r:;;iN2.
3.
-------------------------------------------------------
SOURCE
LOCATION PROVIPED
·---··------------------------------
------ · --- -- ----- --------------------------····--------
. -.
FINANCIAL DISCLOSURE REPORT
Page 2of6
Name of Person Reporting
Matsumoto, Kiyo A.
Date of Report
08/23/2010
IJI. N 0 N-INVESTMENT JN C 0 ME. (Reporting individual and spouse; see pp. 1 i-24 of filing instructions.)
A. Filer's Non-Investment Income
[{] NONE (No reportable non-investment income.)
SOURCE AND TYPE fNCOME (yours, not spouse's)
I.
2.
3.
4.
-B. Spouse's Non-Investment Income I/you were married during any portion oft/1e reporting year, complete tllis section.
(Dollar amount nol required except /Or honoraria.)
D NONE (No reportable non-investment income.)
AND TYPE
I. 2009
2.
3.
4.
IV. REIMBURSEMENTS --transporlOtlcn, /odging,food, entertaimMnL
(1ncludes those 10 spouse and dependent children: see pp. 25-27 ofjiling instructions.)
D NONE (iVo reportable reimbursements.)
I. ABA J/8-9/09 San Diego, CA
PURPOSE
Committee meeting
ITEMS PAID OR
Transportation, meals, lodging
2.
3.
4.
5.
ABA 7113-14/09 Chicago, IL Committee meeting Transportation, meals, lodging
E
LJA .. BILJTJES.
CREDITOR DESCRIPTION VALUE
·----------------------------- ---- ··-·----------------
' '
FINAJ.'l"CL.\L DISCLOSURE R
Page 3of6
PORT Name of Person Reporting
Matsumoto, Kiyo A.
Date of Report
08/23/2010
V, GIFTS, (Includes those to spouse and dependent children; see pp. 28-31 ojjiling instructions.)
[Z] NONE (No reportable gifts.)
SOlJRCE DESCRIPTION
1.
2.
3.
4.
5.
VI. (Includes 1/1ose of spouse and dependent children; see pp. 32-33 of!iling instruclions.)
[Z] NONE (No reportable liabilities.)
1.
2.
CODE
3.
4.
5.
11. !
i
i
i
c l{ IMemorial
I lllll1B!I
1 9. : '
1 12.
!
!
! :
I I I (2)
K
{!) I
I I
-------------------------
'
------··---
I !
'
..
FINANCIAL DISCLOSURE REPORT Page 4of6
Name of Person Reporting
Matsumoto, Kiyo A.
Date of Report
08/23/2010
VII. INVESTMENTS and TRUSTS - income, value, rransacrions (Includes tliose of spouse and dependent children; see pp. 34-60 of filing instructions.)
D NONE (No reporiable income, assets, or transactions.)
A. Description of Assets
(including trust assets)
Place "(X)'" after each asset
ex.empt from prior disclosure
Citibank IRA & Savings Acct
! 2. HSBC(Accts)
' 3. Chase Bank, savings and checking (X)
' 4. New England Variable Life
i 5. Charitable Remainder Trust (Northern Trust Securi ties)
! 6. Partnership (El
7. Series EE Savings Bonds
I 8. Charles Schwab IRA/Accts (inc. cust. accts
Colgate Palmolive (common) (part ofitem 8 above)
: 10. Procter & Gamble (common) (part of item 8 above)
11. Hewlett Packard (common) (part of item 8 above)
Time Warner (common) (part of item 8 above)
i 13. Diversified Investment Thrift Plan
I 14. NY S tate Edu. Fund: Moderate Ar.e Opt., Conserv. Growth
15. Bank of America: savings and checking
16.
17.
}. Income Gain Codes: A =$1,000 ur less (See Columns a I and 04)
2. Value Codes (See Columns Ct and 03)
F •$l0,001 - SI00.000
J=Sl5,000orlcss
N =S250.001 -$500.000
B.
lncomc during
reporting period
(l) (2)! Amount Type (e.g., i Code l
Lv.• !""'1!,
(A-H) or int.)
B Interest
A Interest
A Interest
B Interest
E lnt./Div.
D Rent
A Interest
B Interest
A lnt./Div.
A lnt./Div.
A Int.ID iv.
A Int.ID iv.
B Int./Div.
A Interest
A Interest
C. Gross value at end
of reporting period
(!) Value Value
Code2 Method
(J-P) Code3
(Q-W)
T
J T
J T
L T
N T
L w
J T
K T
J T
J T
J T
J T
M T
J T
J T
D. Transactions during reporting period
(2) (3) i (4) (5) Type(e.g., Date
I Value
I Gain Identity of
buy, sell, mm/ddlyy Code 2 Code I buyer/seller redemption) (J-P) (A-If) (ifprivate
transaction)
Open 06109109 J
Matured 811109 J (part)
Sold 09104109 J A (part)
Sold 09/04/09 J (part)
Sold 09104/09 J (part)
Sold 09104109 J (part)
Sold 08/30/09 J (part)
Open 07/24/09 J
··--- --·-----
=S 1,001 - 12,500
a-s100,001- s1,ooo.ooo
K =i 15.00 I - $50,000
o ssoo.001 • s1,000.000
c =$2.501 - $5.000
111 -s1.ooo.001. ss.000,000
L =$50,00 I -$ t 00,000
D =$5,001 -StJ,000
H2 =More 1haa $5,000,00-0
M =$I 00.001 • $250,000
P2 =$5.000,00 I · 525.000,000
E=Sll,001-$50.000
Pl aS25.000,00t - $50.000,000
Pl =$1,000,001 -SS.000,000
P4 =Mor< lhon $50.000.000
S-Assess:ncnt3. Value Method Cod Q ""Apprais I i (See Column C2) U ··Book Value
R ost (Real Est:it¢ Only) V =Orher
T =Cash Market W =-Estimated
··-·--··-···-- ····----·-·
I
oftj.;·"
college-bound.)JI
' .
Name of Person Reporting Date of Report FINANCIAL DISCLOSURE REPORT
Page 5of6 Matsumoto, Kjyo A. 08123/2010
VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. (Jndicate parto/Report)
Part VII Investments and Trusts:
Item 3: Chase Bank accounrs were opened as part of mortgage refinance.
Item 5: Charitable Remainder Trust/ Northern Trust Securities: Market value as of 12/31/09: $321,913.80 Dodge & Cox Income: $155,496.36 Vanguard GNMA: $77,904.10 Vanguard Longterm lnvmt. Grade: $73,595.49
Items 7-11 and l4: These bonds and accounts held in the name were liquidated to pay for college tuition and related expenses. The "part" designation is used because all of the EE bonds were not matured and because othe members' accounts were not liquidated.
Item 15: Bank of America accounts were opened for use by
Signature. ___ _
,.
FINANCIAL DISCLOSURE REPORT
Page 6of6
Name of Person Reporting Date of Report
Matsumoto, Kiyo A. 08/23/2010
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-disclosnre.
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 ct. 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)
FILING INSTRUCTIONS
Mail signed original and 3 additional copies to:
Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N .E. Washington, D.C. 20544
11vf PORTANT
POSITION AME ORGANIZATION/ENTITY
coop:lf,'.1'0i ;t1V V'' ; c;difilM
(J)
----- ------------------------------ ----- -----··· -----
-------- -----------------
Residential
Report Required by 1he E1hics AOJO Fll'\TANCIAL DISCLOSURE REPORT in Government Act oj 1978 Rev. 1!2010 FOR CALENDAR YEAR 2009 (5 U.S.C. app. §§ 101-1/ 1)
I. Person Reporting (last name, first, middle initial)
Matsumoto, Kiyo A.
2. Court or Organizadon
U.S. DistrictCourt (EDNY)
3. Date of Report
06il 0/2010
4. Title (Article III judges indicate active or senior status; magistrate judges indicate fuH- or part-time)
Active Article Ill
Sa. Report Type (check appropriate type)
D Nomination, Date
D Initial fl] Annual D Final
6. Reporting Period
Oli0li2009 to
12/J li2009 Sb. D Amended Report
7. Chambers or Office Address
1.:nited States Courthouse 225 Cadman Plaza East Brooklyn, NY 11201
8. On the basis of the information contained in this Report and any modifications pertaining thereto, it is, jn my opinion, in compliance with applicable laws and regulations.
Revie.wing Officer Date
NOTES: The instructions accompanying this form ""'st be followed. Compll'le a/J parts, checking the NONE box for each part ,.·here you have no reportable information. Sign on las/ page.
J. POSJTJONS. (Reporti11g individual only; see pp. 9-13 of filing instructio11s.j
?'\ONE (No reportable positions.)
OF
], Board member
2.
3.
4.
5. "' =
CJ ,-: ;
a c_ =
::::.0 rn
C.':-- ' (n::
= 0
IJ. AGllEEJVlENTS. (Reporting indil'idual on(1•; see pp. 14-16 ofjili11g instructio11s.)
JZ ">JONE (No reportable agreements.)
c:-:.: .. r;:; t o);.· -..1r·
r
)>
rn
< m
°Tl 0 PARTIES AND TERMS n
r-1 0
2.
3. ---·------- _........... _, -... ___ ____ .._____
INCOME
SOURCE
ms1r1u ... ·1ivns.j
SO\.IRCE LOCATION PROVJDED
---------
Name of Person Reporting Date of Report FINANCIAL DISCLOSURE REPORT
Matsumoto, Kiyo A. 06i10!2010Page 2of6
Ill. N 0N-INVESTMENT IN COl\tlE. (Reporting indMdual and spouse; see pp. 17-24 of filing instructions.)
A. Filer's Non-Investment Income
[{] NONE (No reportable non-investment income.)
SOURCE AND TYPE
2.
3.
4.
(yours, not spouse's}
B. Spouse's Non-Investment Income - lfyou were married during any portion of the reporting year, complete this section.
(Dollar amounl not required except fOr honoraria.)
D NONE (No reportable non-investment income.)
AND T':{PE
I. 2009
2.
3.
4.
IV. REIJVIBURSEJ\'IENTS -- transportution, lodging,Jood, •ntertuinment.
(lncludes !hose to spo11se and dependent children; Sl'e pp. 25-27 af_liling
D NONE (No reportable reimbr.irsements.)
I. ABA
2. ABA
3.
4.
5.
1/8-9/09
7/13-14109
Sau Diego, CA
Chicago, IL
PURPOSE
Committee Me ting
Committee Meeting
TTEMS PAID OR
Transponation, meals, lodging
Transportation, meals, lodging
---··-··----
SOURCE DESCRIPTION
----------------------
--······---·· ·------- ----- ---------
CREDITOR DESCRIPTION
---- ------- ---- ----
---- ---- ----- ----- ----- ---- .. --- --------- ----- ---- ----
FINANCIAL DISCLOSURE REPORT
Page 3of6
Name of Person Reporting
Matsumoto, Kiyo A.
\l. GIFTS. (1m..:Judes those to spouse and dependent ehildrenj see pp. 23-31 of filing instructions.)
[ZJ NONE (No reportable g/fis.)
l.
2.
3.
4_
5.
,,___ -----
Date of Report
06/10/2010
--·--·-- ____________ .. __ ,, _____ .. __ ,, -- _ .... __
VJ. LIABJLJTJES. (Includes those of spouse and dependent c/1i/dmi; see pp. 32-33 of jiiing instructions.)
[{] NONE (No reportable liabilities.)
VALUE CODE
]_
2. -·--- .... ___ ---
3.
4_
5_
--------------·--·------.------------� --------
i 0'?�1!ngp
e(�t · ·:-w·· (2) (l) -(2_) __ ! -(3 _) ___ (4-)--,
--··----···----------__ -( -H)_j int.)- -(
-J- _P_) _, �� = t:i__
I
:
i
! I Parmership ;"]
17. i '·;:::;fJ{£1£{
'
i 114.
I
----···· ------- ------ ·--- ····--
' .
!
I I I
'
I !
:
FINANCIAL DISCLOSURE REPORT Page 4of6
Name of Person Reporting
Matsumoto, Kiyo A.
Date of Report
06/10/2010
VII. INVESTlVIENTS and TRUSTS - income, va111e, arrc1udes those of spouse and dependent children; see PP· 34-60of1mng i11s1rucriom.> transacttom
0 NONE (No reportable income. assets. or transactions.)
A. ! 13. c. · ·-----···--·· D.
Description of Asser.s (including trust assets)
j Income during Gross value at end of repor ing period
Transactions during re p
orting period
Place "(X)" after each assetexempt from prior disclosure
: Amount ! Type (e.g., Value Value Type (e.g. , Date
I v.·alue Gain
! Code] div., rent.. Ct>de 2 Method buy, sell, rrun/ddJyy Code 2 Code I
· __or __ ! (J-P) . . . . 1 (A-H) - .---·
I. Citibank IRA and Savings Acct B Interest K
: 2. HSBC (Accts) A Interest J
3. Chase Bank A Interest J
! 4. New England Variable Life B !merest L
i 5. Charitable Remainder Trust (Nonhem Trust E Jnt./Div. N Securities)
6. Memorial D Rent L
Series EE Savings Bonds A Interest J
8. Charles Schwab IRA/Accts (inc. cust. ace ts B Interest K
i 9. Colgate Palmo love (common) (pan of IRA, A lnt./Div. J Item 8 above)
10. Procter & Gamb le (common) (pan of IRA, A lnt.1Uiv. Jitem 8 above)
I! Hewlett Packard (common) (part of IRA, A lnt./Div. Jitem)
12. Time Warner (common) (part of IRA. item 8 A lnt./Drv. Jabove)
!3. Diversified Investment Thrift Plan B lntJDiv. M
NY State Education Fund A Interest J
15. Bank of America A Interest J
16.
17.
I. lncome G.Jin Codes:
(See Columns Bl and 04) 2. Value Codes
(Sec Calumn:i Cl and DJ)
3. Value Method Codes ; {See Coiumn C2) t__ _
A =$1.000 or less F =SS0,001 · St00.000
i "'S ! 5,000 or less N •$150,001 - $500,000
P3 •125,000.001 · S50.000,000
Q =Appmis.:il U · ·,8<.-ok Value:-
8 =$1,00 I · 12,500
G =$100.001 · S!,000.000
K =!15,001 · Sl0.000
0 =Sl00,001 · $1.000.0C<l
R "'Cost 1.Rc:il Esl:lte Only)V ::::Otber
T
T
T
T
T
w
T Matured(part)
T Sold (part)
T Sold(part)
T Sold (part)
T Sold(part)
T
T
T Sold(part)
T
C =:S.2 ..:50 l . S.S,000H ! =l! ,000,001 · $5,000.000 L =$50.001 - $!00.000
Pt =l!,000.001 -$5,000.000
P4 =More than S50,00IJ,UOO
S =As.sessmer.t V-/·.....E:;timared
8/J /09 J
09104109 J A
09104109 J
09/04/09 J
09/04/09 J
J
08/30/09 J
D =$5,001 - l tS.000
H2 =More than $5,000,000
M =$100.fJOt · $250.000
P2 =$5.000,001 -125.000,000
T ""Cash !\·farket
(5) Identity of
buyeri:)eJle
(\fprivatetransaction)
E =$15 ..001 - SS0,000
of:; 'Jl\'1'.\·<:·Jwere forlSJcollege of?lf u arid'Ti'ecaiise ' j (i accounts
u
FINANCIAL DISCLOSURE REPORT
Page 5of6
Name of Person Reporting
Matsumoto, Kiyo A.
Date of Report
06110/2010
VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. (lndicatepano/Report)
Part V[l Investments and Trusts
Items 7-1land14: These bonds and accounts held in the name designation is used because all EE bonds were not mat red
liquidated to pay our other members' were not liquidated.
Item 5: Charitable Remainder Tr st/Northern Trust Securities: Market value as of 12/31/09: $321,913.80 Dodge & Cox Income: $155,496.36 Vanguard GN!v!A: $77,904.10 Vanguard Longterm lnvmt. Grade: $73,595.49
tuition and related expenses. The "part"
Page 6of6
IX. CERTIFICATION.
provisions permitting non-disclosure.
Date of Report Name of Person ReportingFTNA._'l\ICIAL DISCLOSURE REPORT
Matsumoto, Kiyo A. 06/!0/2010
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
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 prnvisions of 5 U.S.C. app. § 501 et. seq., S 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 CRJMINAL SANCTIONS (5 U.S.C. app. § 104)
FILING fNSTRUCTIONS
Mail signed original and 3 additional copies to:
Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544