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Judicial Watch • Catherine C Blake Financial Disclosure Report for 2003

Catherine C Blake Financial Disclosure Report for 2003

Catherine C Blake Financial Disclosure Report for 2003

Page 1: Catherine C Blake Financial Disclosure Report for 2003

Category:Financial Disclosure

Number of Pages:5

Date Created:March 30, 2005

Date Uploaded to the Library:November 13, 2013

Tags:Cedes, Blake, Catherine C Blake, CATHERINE, children, dependent, 2003, TRUSTS, IRS, Financial Disclosure, ICE, CIA, income, Judge


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NONE (No reportable non-investment income.) 
Spouse's Non-Investment rcome-If you were married during any portion the reporting year, please complete this section. (dollar amount not required except for bonoraria) NOI"E (No reportable non-investment income.) 

2003 honoraria 
Bristc 1-Myers Squibb Company $1, 000 Bc:.ltimoc:-e -S' 000 2003 Self-employed (doctor) 
Name Person Reporting 
r.. 
BLAKE, CATHERINE 
IV. REIMBURSEMENTS transportation, lodging, food, entertainment
(Includes those spouse and dependent children. See pp. 25-27 Instructions.) 
SOURCE 	DESCRIPTION NONE (No such reportable reimbursements.) 
Dale Report 
5-17-2004 
FREE Foundation  9-14,  2003  Montana-Toxic  Tort Seminar  (travel,  food,  lodging) 	GIFfS. (Includes those spouse and dependent children. See pp. 28-31 Instructions.) DESCRIPTION VALUE 
NONE (No such reportable gifts.) 
VI. LIABILITIBS. (Includes those spouse and dependent children See pp. 32-33 Instructions.) 
NONE (No reportable liabilities.) 
[;] 
VALUE CODE* *Value Codes:  J=S15,000 less  K==15,0D1-50,000  L=-$50,001-$100,000  M:=S:l00,001-$250,000  
N=S250,00 $5 00, 000  0=$500,001-$1,000,000  Pl=l,000,001-$5,000,000  
P2=S5,000,001-$25,000,000  P3=25,000,00J-50,000,000.  P4=50,000,001 more  

,,. 
Name Person Rqioning 
Date ofReport
BLAKE, CATHERINE 
5-17-2004 
VII. 	Page INVESTMENTS and TRUSTS income, value, transactions (Includes those 
spouse and dependent children. Seepp. 34-S7of Instructions.)  lneome.IGain Codes: (See Col. B1,D4)  A=SJ ,000 less F=S:S0,001-SI 00,000  B=Sl ,001-2,500 G=Sl OD,00!-$1,000,000  C=S2,501-S5,000 H1""$l,000,001-S5,000,000  D=S5,00l-Sl5,000 H2'=More than S5,000,000  E==S 15,00 -SS0,000  Value Codes: {See Col. Cl, D3)   .1=$1 ,000 iess K=SIS,OOl-$50,000 N=S250,001-S:500 ,000 O=S.50[! ,OD 1-S:l ,000,0DD P3=$25,00:J,DO!-S:50,000,000  L=S.50.001-SlOO,OOG Pl=Sl ,000,00 l-5.000,000 P4=More than 5:50,000,000 00,00 -S:250 ,000 P2=$5,000,001 $25,000,000  
Value JViefnod Cocies: O='An::iraisal Col. C:!) O=Sciok value  R=Cos: (real estate only) V"'O!h::;  S=?.ssessment W='Estirr.:ited  T=C::.sh1Marker  

Name Person Reporting Dale Report 
VII. Paga( INVESTl1ENTS and TRUSTS:_ income, value, transactions (Includes tlioseof 
spouse and dependent children. See pp. 34-57 Instructioni.T
NONE (No reportable income,
;:J ::JI :4tVi:4 +v--+-l'k..t
e.. 
'!>r.!l .;>l.1 L{!c.. wlh A-i 1w1 uLu. ""D .:r 33it
lncorne/G:im Codes: A=SJ,00() less B=Sl ,OOJ-$2.500 C"'$2,50l-S:5.000 D=S5,00tSl5,000(See Col. Bl, D-f1 F=SS0,001-$100,000 G=$1 OC:,001-Sl ,000,000 Hl=J,ODO,OO! SS,000,000 H2=More than S5,000,000 
Value Cedes: J-SLS,OOOm less K=Sl5,00!-S50,000 L=i50.00 00,000 !"1-S i00.W l-S250,000 (See Col. Cl, N='S:Z50,0C SS00,000 0=$500,00 i-Sl ,000,000 Pl=Sl ,000, 001 -J:S,OOO,OOD P2=S5 ,OOO,OO!-S25,000,000 P3=S25,00ti,OG l-50,000,000 P4=Mort than S50,000,00D 
V.::due hiethod Cedes: QJ... ppra!sal r,:eal :'.:..3tt oniy) S=Assessment
(See Cot. C2) U=3ool: value ..... vf':::EstlxateC 
Name Pemon Reponing  Date Report  
BLAKE,  CATHERINE  5-17-2004  

VIIl. ADDITIONAL INFORMATION EXPLANATIONS (lndicate partofReport.) 
Part VII line 14, First Union became Wachovia. 
Part VII line 	Inadvertent failure disclose in prior years additional whole life insurance policy 
IX. CERTIFICATION. certify that a11 information given above (including infonnation pertaining spouse and minor dependent children. any) accurate, true, and complete the best knowledge and belief, and that any information not reported was withheld because met applicable statutory provisions permitting non-disclosure. further certify that earned income from outside employment and honoraria and the acceptance gifts which have been reported are compliance 501 et. seq., U.S.C.  7353 and Judicial Conference regulations.
 
Date 
NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES FAILS FILE THIS REPORT MAY SUBJECT CIVIL AND CRIMINAL SANCTIONS U.S.C. App.,  104.) 
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