USVI Public Records

Document text

1 IMITPn QTATPQ l-lOl IQP OF RPPRFQPMTATIX/PQ CALENDAR YEAR 2010 FINANCIAL DISCLOSURE STATEMENT FORM A pa9e 1 of 5 For use by Members, officers, and employees Donna M Christensen 202-225-1790 1AND DELIVERED (Full Name) (Daytime Telephone) lAy^ ATfVE RESOURCE" Cf.Mt Filer Status Report Type g Member of the U.S. House of Representatives State: VI District: AL EJ Annual (May 15) Amendment Officer Or Employee Employing Office: Termination Date: Termination OFFICt OF TIIlIC A $200.$etttfB9i&htt(Pm be assessed against anyone who files more than 30 days late. Ur \ ENIA'IYU PRELIMINARY INFORMATION - ANSWER EACH OF THESE QUESTIONS Did you or your spouse have "earned" income (e.g., salaries or fees) of $200 I- or more from any source In the reporting period? Yes ^ No If yes, complete and attach Schedule 1. Did you, your spouse, or a dependent child receive any reportable gift in VI. the reporting period (I.e., aggregating more than $335 and not otherwise Yes I No |7| exempt)? ' 1 If yes, complete and attach Schedule VI. Did any individual or organisation make a donation to charity In lieu of paying II- you for a speech, appearance, or article in the reporting period? Yes [] No @ If yes, complete and attach Schedule II. Did you, your spouse, or a dependent child receive any reportable travel or VII. reimbursements for travel in the reporting period (worth more than $335 Yes CT No [~j from one source)? If yes, complete and attach Schedule VII. Did you, your spouse, or a dependent child receive "unearned'' income of more than $200 in the reporting period or hold any reportable asset worth Yes j^j No 1 more than $1 ,000 at the end of the period? If yes, complete and attach Schedule III. Did you hold any reportable positions on or before the date of filing in the VIII. current calendar year? Yes Q No g If yes, complete and attach Schedule VIII. Did you, your spouse, or dependent child purchase, sell, or exchange any IV. reportable asset in a transaction exceeding $1,000 during the reporting Yes I I No t/| period? LJ m If yes, complete and attach Schedule IV. Did you have any reportable agreement or arrangement with an outside IX. entity? Yes No g If yes, complete and attach Schedule IX. Did you, your spouse, or a dependent child have any reportable liability (more V. than $10,000) during the reporting period? Yes g No [] If yes, complete and attach Schedule V. Each question in this part must be answered and the appropriate schedule attached for each "Yes" response. EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION ANSWER EACH OF THESE QUESTIONS Trusts- Detalls regarding "Quatlfted Blind Trusts" approved by the Committee on Ethics and certain other "excepted trusts" need not be disclosed. Have you excluded from this report details of such a trust benefiting you, your spouse, or dependent child? Yes Nog Exemptions- Have you excluded from this report any other assets, "unearned" Income, transactions, or liabilities of a spouse or dependent child because they meet all three tests for exemption? Do not answer "yes" unless you have first consulted with the Committee on Ethics. Yes No@ SCHEDULE 1 - EARNED INCOME Name Donna M Christensen List the source, type, and amount of earned income from any source (other than the filer's current employment by the U.S. Government) totaling $200 or more during the preceding calendar year. For a spouse, list the source and amount of any honoraria; list only the source for other spouse earned income exceeding $1,000. Source Type Amount Armed Forces Retirement Pension SPOUSE N/A Survivor Benefit SPOUSE N/A SCHEDULE III - ASSETS AND "UNEARNED" INCOME Name Donna M Christensen BLOCK A BLOCK B BLOCK C BLOCK D BLOCK E Asset and/or Income Source Identify (a) each asset held for investment or production of income with a fair market value exceeding $1,000 at the end of the reporting period, and (b) any other reportable asset or sources of income which generated more than $200 in "unearned" income during the year. Provide complete names of stocks and mutual funds (do not use ticker symbols.) For all IRAs and other retirement plans (such as 401 (k) plans) that are self-directed (t.e.,plans in which you have the power, even if not exercised, to select the specific investments), provide the value for each asset held in the account that exceeds the reporting thresholds. For retirement accounts which are not self-directed, provide only the name of the institution holding the account and its value at the end of the reporting period. For rental or other real property held for Investment, provide a complete address. Year-End Value of Asset at close of reporting year. If you use a valuation method other than fair market value, please specify the method used. If an asset was sold and is included only because it is generated income, the value should be "None." Type of Income Check all columns that apply. For retirement accounts that do not allow you to choose specific Investments or that generate tax-deferred income (such as 401 (k) plans or IRAs), you may check the "None" column. Dividends, interest, and capital gains, even if reinvested, must be disclosed as income. Check "None" if the asset generated no Income during the reporting period. Amount of Income For retirement accounts that do not allow you to choose specific investments or that generate tax-deferred income (such as 401 (k) plans or IRAs), you may check the "None" column. For all other assets, Indicate the category of income by checking the appropriate box below. Dividends, interest, and capital gains, even if reinvested, must be disclosed as income. Check "None" if no income was earned or generated. Transaction Indicate if asset had purchases (P), sales (S), or exchanges (E) exceeding $1,000 in reporting year. For an ownership interest in a privately-held business that is not publically traded, state the name of the business, the nature of its activities, and its geographic location in Block A. Exclude: Your personal residence, including second homes and vacation homes (unless there was rental income during the reporting .197 ACRES OF LAND 40ED EST. LAGRANGE, VI $1,001 - $15,000 NONE OFFICE BUILDING #42 COMPANY STREET, VI $250,001 - $500,000 NONE t OFFICE BUILDING 102 EST. RICHMOND, VI $250,001 - $500,000 RENT $42,000 SCHEDULE V - LIABILITIES Name Donna M Christensen Report liabilities of over $10,000 owed to any one creditor at any time during the reporting period by you, your spouse, or dependent child. Mark the highest amount owed during the year. Exclude: Any mortgage on your personal residence (unless all or part of it is rented out); loans secured by automobiles, household furniture, or appliances; and liabilities owed to a spouse, or the child, parent, or sibling of you or your spouse. Report "revolving charge accounts" (i.e., credit cards) only if the balance at the close of the preceding calendar year exceeded $10,000. SP, DC, JT Creditor Date Liability Incurred Type of Liability Amount of Liability First Bank ST. CROIX, VIRGIN ISLANDS MORTGAGE: 102 EST. RICHMOND, ST. CROIX VI $100,001 -$250,000 FIRST BANK ST. CROIX, VIRGIN ISLANDS MORTGAGE: E31 EST. QUESTA VERDE ST. CROIX VI $15,001 -$50,000 FEDERAL TAXES FEDERAL GOVERNMENT $15,001 -$50,000 Virgin Islands Property Tax Virgin Islands Government $2,500- $5,000 SCHEDULE VII - TRAVEL PAYMENTS AND REIMBURSEMENTS Name Donna M Christensen Identify the source and list travel itinerary, dates, and nature of expenses provided for travel and travel-related expenses totaling more than $335 received by you, your spouse, or a dependent child during the reporting period. Indicate whether a family member accompanied the traveler at the sponsor's expense, and the amount of time, if any, mat was not at the sponsor's expense. Disclosure is required regardless of whether the expenses were reimbursed or paid directly by the sponsor. Exclude: Travel-related expenses provided by federal, state, and local governments, or by a foreign government required to be separately reported under the Foreign Gifts and Decorations Act (5 U.S.C § 7342); political travel that is required to be reported under the Federal Election Campaign Act; travel provided to a spouse or dependent child that is totally independent of his or her relationship to you. Source Date(s) Point of Departure-- Destination-Point of Return Lodging? (Y/N) Food? (Y/N) Was a Family Member Included? (Y/N) Days not at sponsor's expense CBC INSTITUTE AUGUST 12,2010- AUGUST 1^ 9010 STX-MEM-STX Y N N NONE UNIVERSITY OF SOUTHERN CALIFORNIA SEPT 9- SEPT 10,2010 STX-LA-STT Y Y N NONE CAMBRIDGE, MA NAACP- BRANCH 2047 JAN 28- JAN 29 DC-BOSTON Y Y N NONE CONGRESSIONAL BLACK CAUCUS APRIL 18- 19, 2010 STT-SC-DC Y N N NONE