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FINANCIAL DISCLOSURE REPORT

FOR CALENDAR YEAR 2009
2. Court or Organization U.S. District Court - Kansas St. Report Type (check appropriate type) [] Nomination, Date [] Annual [] Final

Report Required by the Ethics

in Government Act ofl978

(~ u.s.c, app. 1o1.111)

3. Date of Report 5/4/2010 6. Reporting Period 01/01/2009 tn 12/31/2009

!. Person Reporting (last name, first, middle initial) Belot, Monti L. 4. Title (A.rtlole III judges indicate active or senior status; magistrate judges indicate full- or part-time) U.S. DistfctJudg-Senior

[] Initial

5b. [] Amended Report 7. Chambers or Office Address 111 U.S. Cod~thollse 401 North Market Wichita, Kansas 67202 8. On the basis of the information contained in this Report and any modifications pertnining thereto, it ix, in my opinion, in compliance with applicable laws and regulations. Reviewing Officer Date

iMPORTANT NOTES: The instructions accompanying thls form must be followed. Complete all par~s,
checking the NONE box for each part where you have no reportable information. Sign on la.st page.

I. POSITIONS. ~R,po,t~g i.~,~.~ o~; .,, pp. ~-~ of1"~i.g i.,~r~,~o~,.)

[--] NONE (No reportable positions.) POSITION
1. Attorney-in-fact

NAME OF ORGANIZATION/ENTITY
Power of Atlomey #1

NONE ~o reportable agreements.) ~ PARTIES AND TERMS

~~

I.

Belot, Monti L.

FINANCIAL DISCLOSURE REPORT Page 2 of 8

N=~., of r~r,o, r~porti.g B~ot, Montl L.

D.te of R, po. 5/4/2010

HI. NON-INVESTMENT INC OME. (Reporting i~ldiv~glual and st~ouse; see pp. 17-2~ of filing it~struction$,)
A. Filers Non-Investment Income NONE (No reportable non-investment income.) DATE
1. 2. 3.
4,

SOURCE AND TYPE

(yours, not spouses)

B. Spouses Non-Investment Income - if you were married during any portion of the reporting year, complete thi~ section.
(Dollar amount not required e.xc~pt for honoraria.)

~~ NONE (No reportable non-investment income.,) ~

I. 2. 3. 4.

SOURCE AND TYPE

IV. REIMBURSEMENTS -,~..smn=tio.. to~g~n~,/ood, e.,e,~*i.,...~

(Includes t~ose to spouse and d~pendent children," see pp. 2.$-2 7 of filing instructions.)

NONE (No reportable reimbursements.)

SOURCE I. 2.
3. 4.

DATES

LOCATION

PURPOSE

ITEMS PAID OR PROVIDED

5.

FINANCIAL DISCLOSURE REPORT Page 3 of 8

Nam, of Pet$oa Reporting

Dat. of Report

Belot, Montt L.

5/4/2010

V. GIFTS. a, aua~, ~o~ ,o ,~ .... ~ a~ ~a~ ~, vv. 2~- ~ ~ o~ ~,~ NONE ~o reportable ~fis.) ~
I.

DESCRIPTION

3.

5.

VI. LIABILITIES. anat-, ~o~ ofspo,~, NONE ~o reportable liabilities.) CREDITOR

1.
2.

3.
4. 5.

FINANCIAL DISCLOSURE REPORT

Page 4 of 8

Name of Person Reporting

I [

Date of Report 514/2010

Be 0% Moot| L.

NO]XE (No reportable income, assets, or transactions.)

A. Description of Assets (including trust assets) Place "(X)" after each asset exempt from prior disclosure B. Income during reporting period (t) (2) Amount Type (e.g., Code 1 div., rent, (A-H) or int.) C. (]ross velue at end of reporting period Value Code 2 (.LP) Value Method Code 3 (Q-W) T T T T T T T Type (e.g., buy, sell, redemption) I D. Traos~:tion~ during reporting period

D~te Value mm/dd!yy Code 2 (J-P)

Gain Code 1 (A-I l)

Identity of buyer/seller (if private transaction)

1, 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17.

T. Rowe Price New Era Coca Cola Co. /,laW Federal Credit Union Centenial Money Market Fund US.A.A.. Subscribers Savings Acct, Jackson Natl Life Ins.Co. IRA Annuity J-NI.,,Wlelinn Cptl Mgm The American Fund IRA --Capital Income Builders Fund --Capital World Growth & Income Fund Inc. --Investment Company of America -Income Fund of America, Inc. American Forerunner IRA -Loomis Sayles SmalICap --Harris Oakmatklntemational --Harris Oakmark Focused Value Portfolio --FI InternationaI Stock Portfolio --Davis Venture Value

A A A A A A F

Di,ddend Dividend Interest Dividend Dividend Dividend Dividend

.1 ~ J J J L N

Dividend

3. Va]~ Me~ C~es

Q =A~istl

R ~o~ (R~t Estale Only)

S =~s~mem

T ~sb Market

FINANCIAL DISCLOSURE REPORT Page 5 of 8 VII. INVESTMENTS and TRUSTS - i=o,,~ ,n~,,., .....
~

N~me of Per,onReporting

D~eotReport

Baot, r~|ont~ L.

S:4~OlO

-,o,- (tnctua,s those of st ......d dependent c~itdre~; see pp. Jt.t;O of fit;nz i~lructlo~.J
[ C, Gross value at end of repo~ng period O) (~) Value Value 2~e 2 Me~M (I-P) Code 3 (Q-~ D. Transac6o~ ~ring ~e~ng ~riod 0) T~e (.g., buy, sell, tedemptlon) (~) Date ~ (3) (4) Value Gain ~2 Code I (A-It) (J-P) (~) Idenfi~ of buyer/seller (ffpdvate ~ansac6on)

NO~ (No reportable income, assets, or transactions.)

A. De~cription of~e~ (i~l~iag ~st ~seB) Place "(X)" ager ~ch asset exempt from pri~ disclos~e B. Income during rcpoalng pefi~ 0) (~) ~ount T~ (e.g., C~e 1 div., r~k (A-~ or int.)

18. 19, 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34.

--BibCock Strate~c Value --Amebean Funds Growth-lncome --American Funds Growth Affiliated Funds: Coca-Cola:. Westar Energy, Eaton Vance Balanced Fund T. Rowe Price New Horizons Fund V,addell & Reed Advisors Science ;and Technology Fund Waddell & Reed Advisors Accumulative A Fund Merrill Lyach CMA Money Fund American Balanced Fund - Class A A A A A E F F A C Dividend Dividend Dividend Dividend Dividend Dividend Dividend Interest Dividend J J J M M N K L T T T T T T T T Redeemed (part) Redeemed Redeemed 01/14/09 02"02/09 03/06/09 03/11/09 04/01/09 04108/09 Sold 07/27/09 Sold 07/27/09

(pan)

(par0

Redeemed

(pan)

Redeemed (par1) Redeemed

(par0

1. Incom Gala Codes:

A =$1,000 c~ less

B =$1.1301 - $2,500

C -$2,501 - $5,090

D =$~.,001 - $15,~00

E =$15,~1 - $ 50.~0

Name of Person Reporting

Date of Report ]

PageFINANCIAL6 of 8 DISCLOSURE REPORT

Belot, Monet L.

5/4/2o10

vii. hNVESTMENTS and TRUSTS -i ....... tu,, t ..... tlortr (Includesatoseof spouse and dependenl children: $ee pp. 3*-60of fiting insUuctionsj
[-"] NONE {"No reportable income, assets, or transactions.)
A. Desc:iption of Asscts (including trust assets) Place "(X)" after each asset exempt from prior disclosure B. Income during reportistg period C. Gross value at end of reporting period D. Transactions during reporting p~riod

(l)
,Mnount Code I (A-H)

(2)
Type (e.g., div., rent, or int)

(0
Value Code 2 (.I.P)

(2)
Value Me:hod Code 3 (Q-W)

O)
Type (e.g, buy, sell, redemption)

(2)
Dat~ mm/dd/yy

(3)
Value Code 2 (J-P)

(4)
Gain Code I (A-H) ldemity of buyer/seller (if private transaction)

35. 36.

Redeemed (part) Redeemed

05/01/09 06/01/09

J J

(part) 37.
38. 39. 40. 41.

Redeemed (parO
Redeemed

07/01/09
08/03/09 09/01/09 10/01/09 11102/09

J
J J J J

(part)

Redeemed (part) Redeemed (part) Redeemed

(part) 42. 43.

44. 45. 46. 47.

Redeemed

(p~)
USAA Subscribers Savings Acct.
New York Life Ins. Yew York Life Ins. Hew York Life Ins. lX~ew York Life Ins.

12/01/09

A
A A A A

Dividend
Dividend Dividend Dividend Dividend

J
I J J K

T
T T T T

3. Value Me~od C~e~

Q -Appr~i~[

g ~ost (Real Estate Only)

S -~ssmem

FINANCIAL DISCLOSURE REPORT Page 7 of 8

Name of Person Reporting

Date of Report

Belot, Montl L.

5/4,2OLO [

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS.

FINANCIAL DISCLOSURE REPORT

Name of Person Reporting

Date of Report

Page 8 of 8 ] Belot, ~on~i ~.

IX. CERTIFICATION.

5/4~010

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

Signature

NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE TillS REPORT bIAY 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