Dorothy Wright Nelson

Agreement — Director — ‘Western Justice Center Foundation

Agreement — 2004 — NAACEEP Yeamhory Anily, no

Reimbursement — Natonal Baha'i Asscxobl y, Director's Mecting — I weekend monthly, Transportation, Meals and Room

Income — 2003 — University of Nebraska - Scholar in Residence — LIS ia 4000 ————————————

Spouse's income — 2004 — State of California Judicial Retirement System ———

1 CERTIFICATION.

I certify that all information given above (Tncuding infaruatica pertaining to my sponse and minow or dependent children,

if any) is aamrate, true, and cuuplete 1o the best of my knowiedgt and belief, and that any infrrmation not cepted was

withheld becanse it met applicable Statuary provisions permitting eon-distlesore.

I further certify that earned incame from ouside cploymem and banana and the accTpame of gifts which have been

cepartad are in compliance with the grovisioas of 5 U.S.C. § 501 et seq, 5 U.S.C. § 7353, and Jadicial Qmitrence

Date ¥/ R¢ fos

’ .

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ANY INDIVID WED KNOWINGLY AND WILFULLY FALSIFIBS OR FAILS TO FILE THIS REPGRT MAY

EE SURIECT TO CIVIL AND CRIMINAL SANCTIONS (5 U.S.C. app. § 104)

FLING INSTRUCTIONS

Mail eigned onginal and 3 additiana) copies to:

Carmmmiaee on Finacial Discdoesare

Admimsrranve Office of the United States Courts

Suite 2-301

One Calnmibns Circle, NE,

Washington, D.C. 20544