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Name of Person Reporting

Date of Report

FINANCIAL DISCLOSURE REPORT (cont'd)

IV. REIMBURSEMENTS and GIFTS

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transportation, lodging, food, entertainment. (Includes those to spouse and dependent children; use the parentheticals (S)" and "(DC)" to indicate reportable reimbursements and gifts received by spouse and dependent children, respectively. See pp.13-15 of Instructions.) SOURCE DESCRIPTION

NONE (No such reportable reimbursements or gifts)

1

EXEMPT

2

3

4

5

6

7

V. OTHER GIFTS. (Includes those to spouse and dependent children; use the parentheticals (S)" and "(DC) to indicate other gifts received by spouse and dependent children, respectively. See pp.15-16 of Instructions.) SOURCE

DESCRIPTION

VALUE

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VI. LIABILITIES. (Includes those of spouse and dependent children; Indicate where applicable, person responsible for liability by using the parenthetical (S) for separate liability of spouse, (J)" for joint liability of reporting individual and spouse, and "(DC)" for liability of a dependent child. See pp.16-18 of Instructions.)

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L $50,001 to $100,000

M- $100,001 to $250,000

J

K

J

FINANCIAL DISCLOSURE REPORT (cont'd)

Name of Person Reporting
Thomas K. Moore

Date of Report

10/26/91

VII. INVESTMENTS and TRUSTS - income, value, transactions. (Includes those of spouse and dependent children; see pp. 18-27 of Instructions.)

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-$250,001 to $500,000 Q-Appraisal

B-$1,001 to $2,500

F-$50,001 to $100,000

to $50,000

-$500,001 to $1,000,000 R-Cost (real estate only)

C-$2,501 to 5,000R
G-$100,001 to $1,000,000
L-350,001 to $100,000
P-More than $1,000,000
8-Assessment

D $5,001 to $15,000
B-More than $1,000,000
H-$100,001 to $250,000

T-Cash/Market

FINANCIAL DISCLOSURE REPORT (cont'd)

Name of Person Reporting
Thomas K. Moore

Date of Report 10/26/91

VIII. ADDITIONAL INFORMATION or EXPLANATIONS.

(Indicate part of Report.)

PART II: I will receive payments of about $20,000 from former clients pursuant to a
Chapter 11 Bankruptcy Plan, informal agreement and court action.

PART VI: The loan guarantee is left over from a partnership, Cranmore Leasing; the loan was to finance a dock and marina project which was never completed; all my interest has has been assigned to my partner.

PART VII: The M.V. "Mila" sank in January 1990, was salvaged, and was sold in 1990 on a contract completed in 1991.

IX. CERTIFICATION.

In compliance with the provisions of 28 U.S.C. § 455 and of Advisory Opinion No. 57 of the Advisory Committee on Judicial Activities, and to the best of my knowledge at the time after reasonable inquiry, I did not perform any adjudicatory function in any litigation during the period covered by this report in which I, my spouse, or my minor or dependent children had a financial interest, as defined in Canon 3C(3)(c), in the outcome of such litigation.

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.A. app. 7, § 501 et. seq., 5 U.S.C. § 7353 and Judicial Conference regulations.

Signature

таки

Date

10/26/91

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.A. APP. 6, § 104, AND 18 U.S.C. § 1001.)

FILING INSTRUCTIONS:

Mail signed original and 3 additional copies to:

Judicial Ethics Committee
Administrative Office of the
United States Courts
Washington, DC 20544

Attached to the Questionnaire for Judicial Nominees

FINANCIAL STATEMENT

NET WORTH

THOMAS K. MOORE

October 1, 1991

Provide a complete, current financial net worth statement which itemizes in detail all assets (including bank accounts, real estate, securities, trusts, investments, and other financial holdings) all liabilities (including debts. mortgages, loans, and other financial obligations) of yourself, your spouse, and other immediate members of your household.

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