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Judicial Watch • David Sam Financial Disclosure Report for 2003

David Sam Financial Disclosure Report for 2003

David Sam Financial Disclosure Report for 2003

Page 1: David Sam Financial Disclosure Report for 2003

Category:Financial Disclosure

Number of Pages:6

Date Created:February 3, 2005

Date Uploaded to the Library:November 13, 2013

Tags:David Sam, david, district, court, 2003, investment, IRS, Financial Disclosure, ICE, CIA, income, Judge


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bull; Government Act 1978 
Rev.1/2004 
Calendar Year 2003 U.S.C. app.  101-111) Date Report Person Reporting (Last name, First name, Middle initial) Court Organization 
Sam, David 	U.S. District Court, Dist. Ut. 
5/1212004 Title (Article Judges indicate active senior status; ReportType (check appropriate type) Reporting Period 
magistrate jud_ges 

indicate full-or part-time) Nomination, Date 
l/1!2003 
Senior U.S District Judge Initial Amual Final 
1213112003 	Chambers Office Address the basis the infonnation contained this Report and any modifications pertaining thereto, is, opinion, compliance with applicable laws and regulations. 
350 South Maiu Street, #441 
Reviewing Officer 	Date Salt Lake City, Utah 84101 
IMPORTANT NOTES: The instructions accompanying this form must followed. Complete all parts, checking the NONE box for each part where you have reportable infonnation. Sign last page.  POSIDONS. (Reporting individual only; sec pp. 9-13 of.filing instructions) 
 NONE --(No reportable positions.)  AGREEMENTS.  (Reporting individual only; sec pp. 14-16 offiling instructions)  
 NONE  -(Norcportableagrccments.)  l2m GUJG ::Dorn.f:'"" -at""  _...  -S!  rn0  

Name Person Reporting 
li'INANCIAL DISCLOSURE REPORT 

Date Report 
Sam, David 
5/1212004 
Ill. NON-INVESTMENT INCOME. (Reporting individual and spouse; see pp. 17-24 filing instructions) Filer's Non-Investment Incom 
 NONE -(No reportable non-investment income.) Spouse's Non-Investment Income -(Ifyou were matried during any portion the reporting year, please complete this section. (dollar amount not required except for honoraria)  
 NONE (No reportable non-investment income.) 
IV. REll.fBURSElfENTS transportation, lodging, food, entertainment.
(Includes those spouse and dependent children. See pp. 25-27 ofinstructions.) 
 NONE (Nosuchreportablereimbursements.) 

Name Person Reporting 

Date Report 
Sam, David 
511212004 GIFTS. (Includes those spouse and dependent children. See pp. 28-31 instructions.) 
 NONE -(No such reportable gifts.) LIABILITIES. (Includes those spouse and dependent children. See pp. 32-34 instructions.) li!I NONE (No reportable liabilities.) 

Date Report Name Person Reporting 

Sam, David 5/1212004 
-income, value, transcations (includes those the spouse and dependent cbildnm. See pp. 34-S7 filing instructiom.) 

VIL INVESTMENTS and '!RUSTS  
Description Assets (including trust assets)  Income during reporting period  Gross value end reporting period  Transactions during reporting period  

(1) (2) (1) (2) not exempt from disclosure 
Place ext after each asset exmqit from prior disclosure  Amount Codcl (A-H)  Type (e.g. div. n:nt. inl)  Value Code2 (J-P)  Value Method Code3 (Q-W)  Type (e.g. buy, sell, merger, redemption)  (2) Date: Mouth-Day  Value Code2 (J-P)  Gain (AHI  (S) Identity buyer/seller (ifprivale transaction)  
DNONE  (No reportable illcome, assets, tnmsaclions)  Chevron Oil "Gas Lease  Royalty 
112 int. oil, gas mineral rights None Consolitdatcd Edison Inc. (ED) None 
Enviornmcntal Remediation HLDG Corp. (ERHC) None 
.,... 
Enron Corp. (ENE) None Oracle Corp. (ORCL) None Income/Gain Codes:  -$1,000 or. less  ""Sl.001-$2,SOO  -S2.501-SS,OOO  ""$5,00 l-SlS,000  -SIS,001-SSO,OOO  
(See Columns and 04)  -$50.001-$100,000 SI00,001-Sl,000,000 $1,000,001-SS.000,000 ""More than SS;000,000 Value Codes: SlS;OOO less $15,001-SSO,OOO  =SS0,001-$100,000  =Sl00,001-$2SO,OOO  
(See ColllllDS and D3) $250,000-SSOO,OOO SS00,001-Sl,000,000   s1.ooo,001-ss.ooo,ooo S5,000,001-S2S,000,000 S25,000,001-$50,000.000 SMore than $50,000,000 Value Method Codes  =Appraisal Cost (Real Estate Only)  =Assessment Cash!Mm:ket  
(See Column C2)  =Book Value  =Other Estimated