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Judicial Watch • Cindy K. Jorgenson – 2012

Cindy K. Jorgenson – 2012

Cindy K. Jorgenson – 2012

Page 1: Cindy K. Jorgenson – 2012

Category:Federal Judges

Number of Pages:6

Date Created:January 3, 2014

Date Uploaded to the Library:May 22, 2014

Tags:Jorgenson, Cindy K Jorgenson, Cindy, officials, arizona, Retirement, 2012, office, filing, spouse, reportable, reporting, report, Federal Judge, income, Judge


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Rev. 112013 
FOR CALENDAR YEAR 2012 U.S.C. app. JO 1-111) Person Reporting (last name, first, middle initial) Jorgenson, Cindy Court Organization U.S.District Court, Arizona Date Report 04/24/2013 Title (Article III judges indicate active senior status; magistrate judges indicate full-or part-time) U.S. District Judge-active  Sa. Report Type (check appropriate type) Nomination Date Initial [{] Annual Sb. Amended Report Final Reporting Period 01/01/2012 12/31/2012 Chambers Office Address 
405 Congress, Suite 5180 Tucson, Arizona 85701-5033 
IMPORTANT NOTES: The instructions accompanying this form must followed. Complete all parts, checking the NONE box for each part where you have reportable information. POSITJ ONS. (Reporting individual only; see pp. 9-13 filing instructions.) 
[{]  NONE (No reportable positions.)  
POSITION  NAME ORGANIZATION/ENTITY 

JJ. AGREEMENTS. (Reporting individual only; see pp. 14-16 filing instructions.) NONE (No reportable agreements.) 

PARTIES AND TERMS 201 Arizona Elected Officials Retirment Plan, control 

Jorgenson, Cindy 
04/24/2013
Ill. N-INVESTMENT ME. (Reporting individual and spouse; see pp. 17-24 filing instructions.) Filer's Non-Investment Income NONE (No reportable non-investment income.) 

SOURCE AND TYPE INCOME 
(yours, not spouse's) 2012 Arizona Elected Officials Retirement Plan $26,328.24 Spouse's Non-Investment Income you were married during any portion the reporting year, complete this section.
(Dollar amount not required except.for honoraria.) NONE (No reportable non-investment income.) 

SOURCE AND TYPE 2012 Arizona Public Safety Retirement System (Retired) 
2012 Arizona State Retirement System 

IV. REJMB URSEMENTS transportation, lodging, food, entertainment. 
(Includes those spouse and dependent children; see pp. 25-27 filing instructions.) 
[{] NONE (No reportable reimbursements.) 
SOURCE DATES LOCATION PURPOSE ITEMS PAID PROVIDED 

Jorgenson, Cindy 
04/24/2013 GIFTS. (Includes those spouse and dependent children; see pp. 28-31 
instructions.) 
[{] NONE (No reportable gifts.) 
SOURCE DESCRIPTION VALUE 
VJ. LIABILITIES. (Includes those spouse and dependent children; see pp. 32-33 filing instructions.) 
[{] NONE (No reportable liabilities.) 
DESCRIPTION VALUE CODE 

04/2412013 
VII. INVESTMENTS and TRUSTS --income, vatue, transactions r1ncludes those spouse and dependent c1tudren; see PP 34-60 filing instmctions.J NONE (No reportable income, assets, transactions.)  

 Income during  Gross value end  Transactions during reporting period  
(including tmst assets)  reporting period reporting period  

(I) (2) (2) (2) 
(4) (5) 
Place "(X)" after each asset  Amount  Type (e.g.,  Value  Value  Type (e.g.,  Date  Value  Gain  Identity  
exempt from prior disclosure  Code  div., rent,  Code  Method  buy, sell,  mm/dd/yy  Code  Code  buyer/seller  
(A-H) int.)  (J-P)  Code3  redemption)  (J-P)  (A-H)  (if pri vate  

(See Columns and 03) =$250.00 -$500,000  0=$500,00 -$1.000.000 =$1.000.00t -$5,000.000  1'2 =$5,000.001 -$25,000,000 =$25.000.001 -$50.000.000 =More than $50.000.000 Value Method Codes =Appraisal =Cost (Real Estate Only) =Assessment =Cash Market  
(Sec Column C2) =Book Value =Other =Estimated  

Date Report 
Jorgenson, Cindy 
04/24/2013
VIII. ADDITIONAL INFORMATION EXPLANATIONS. (lndicale parlofreport.) 

Jorgenson, Cindy 
04/24/2013
IX. CERTIFICATION. certify that all information given above (including information 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 with the provisions U.S.C. app.  501 et. seq., U.S.C.  7353, and Judicial Conference regulations.  

Signature: Cindy Jorgenson 
NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILLFULLY FALSIFIES FAILS FILE THIS REPORT MAY SUBJECT CIVIL AND CRIMINAL SANCTIONS U.S.C. app.  104) 

Committee Financial Disclosure Administrative Office the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544