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Judicial Watch • David Sam – 2012

David Sam – 2012

David Sam – 2012

Page 1: David Sam – 2012

Category:Federal Judges

Number of Pages:6

Date Created:January 3, 2014

Date Uploaded to the Library:May 22, 2014

Tags:David Sam, david, 2012, office, district, investment, spouse, Codes, reportable, disclosure, reporting, report, Federal Judge, financial, income, Judge


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Rev. 112013 
FOR CALENDAR YEAR 2012 U.S.C. app 101-111) 
1-Person Reporting (last name, first, middle initial) Sam, David Court Organization U.S. District Court, Dist. Date Report 05/10/2013 Title (Article III judges indicate active senior status; magistrate judges indicate full-or part-time) Senior U.S. District Judge  Sa. Report Type (check appropriate type) Nomination Date Initial [{] Annual Sb. Amended Report Final Reporting Period 01/01/2012 12/31/2012  
Frank Moss U.S. Courthouse 350 South Main Street, #441 Salt Lake City, 84101 Chambers Office Address 
IMPORT ANT NOTES: The instructions accompanying this form must followed. Complete all parts, checking the NONE box for each part where you have reportable information. POSIT!0NS. (Reporting individual only; see pp. 9-13 filing instructions.) 
[{]  NONE (No reportable positions.)  
POSITION  NAME ORGANIZATION/ENTITY 

II. AGREEMENTS. (Reporting individual only; see pp. 14-16 filing instructions.) 
[{] NONE (No reportable agreements.) 

PAR TIES AND TERMS 

05/10/2013

Ill. 0N-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) 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 

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

0511012013 GIFTS. (lnc/11des those spouse and dependent children; see pp. 28-31 filing instructions.) 
[{] NONE (No reportable gifts.) 
SOURCE DESCRIPTION VALUE 
VI. LIABILITIES. (Includes those spouse and dependent children; see pp. 32-33 instructions.) 
[{] NONE (No reportable liabilities.) 
CREDITOR DESCRIPTION VALUE CODE 

05/10/2013
Sam, David 
VII. INVESTMENTS and TRUSTS --income, va111e, transactions r1nc1udes those spouse and dependent children; see pp. 34-60 offiting instmctions.J NONE (No reportable income, assets, transactions.)  
Description Assets  Income during  Gross value end  Transactions during reporting period  
(including trnst assets)  reporting period reporting period  
 

(I) (I) (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,  Code2  Method  buy, sell,  mm/dd/yy  Code2  Code  buyer/seller  
(A-H) int.)  (J-P)  Code  redemption)  (J-P)  (A-H)  (if private  
(Q-W)  transaction)  

12. Barnes Banking Company (Y) 
Zions Bank Interest Income Gain Codes: =$1.000 less 41.001 -$2.500 =$2.501 -$5.000 =$5,001 -$15.000 =$15.001 -$50,000  
(Sec Columns and 04) 450.001 -$100.000 4100.001 -$1.000.000 =$1 ,000.001 -$5,000.000  112 =More than $5.000.000 Value Codes 415.000 Jess 415.001 -$50.000 =$50.00 -$I 00.000 =$100,001 -$250.000  
(Sec Columns and 03) =$250.001 -$500.000 =$500.00 -$1.000.000 =$1,000.001 -$5.000.000 =$5,000.001 -$25.000.000  
1'3 =$25.000,001 -$50,000.000  1'4 =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 
Sam, David 
05/10/2013

VIII. ADDITIONAL INFORMATION EXPLANATIONS. (Indicate part report.) 
This report was amended clarify Section 
VII. 2007, indicated accounts were closed and all funds consolidated into the Barnes Banking Company Account indicated after closed; 

05/10/2013
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: David Sain 
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, .E. Washington, D.C. 20544



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