Spyderco Caly 3 (sharpened to a "convex" edge)
Fenix L1D CE
Keychain: Victorinox Manager II SAK (and a straight pin stuck in the fob/sheath), Sharpie, Zebra F-301 pen, Arc AAA-P light, Uncle Bill's Sliver Gripper Tweezers
Palm Centro
Wallet (not shown: a couple bandaids and hand wipes, mostly for the kids)
Moleskine planner notebook
and my newest addition: reading glasses

I don't always carry the moleskine and glasses. I often carry a full-sized pen, but the little Zebra is fine to write with, even just using the business half.

I almost always carry the Spyderco, but the little SAK does most of the cutting to keep the Spyderco sharp and out of sight.

I usually carry the Fenix light only if I'm going to be out at night or somewhere inside that could go dark. The Arc light (and my phone) are enough light in a pinch. I've been close to getting a bright AAA Fenix (L0D or LD01) to replace both the bigger Fenix and the dimmer Arc.

I'm always considering replacing the little SAK, since the pen and tweezers are almost useless. The Phillips head driver and scissors on it are perfect though and the blade isn't bad. Plus it's black.