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Judicial Watch • David Sam Financial Disclosure Report for 2005

David Sam Financial Disclosure Report for 2005

David Sam Financial Disclosure Report for 2005

Page 1: David Sam Financial Disclosure Report for 2005

Category:Financial Disclosure

Number of Pages:6

Date Created:February 21, 2007

Date Uploaded to the Library:November 13, 2013

Tags:David Sam, Royalty, david, 2005, investment, IRS, Financial Disclosure, ICE, CIA, income, Judge


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Rev. 112006 Person Reporting (last name, first, middle initial) Sam, David Court Organization U.S. District Court, Dist. Date Report 05/09/2006 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 Fma! Reporting Period 01/01/2005 12/31/2005  
Sb. Amended Report Chambers Office Address Frank Moss U.S. Courthouse 350 South Main Street, #441 Salt Lake City, 8410 the basis the information contained this Report and any modifications pertaining thereto, is, opinion, compliance with applicable laws and regulations. Reviewing Officer Date  

IMPORTANT NOTES: The instructions accompanying this form must followed. Complete all parts, checking the NONE box for each part where you have reportable information. Sign last page. POSITIONS. (Reporting individual only; see pp. 9-13 instructions.) IKJ NONE (No reportable positions.)  
II. AGREEMENTS. (Reporting individual only; see pp. 14-16 instructions.) IKJ NONE (No reportable agreements.)  
(f) ,-..,.,  ;::;J. rri (."")  ::;:: JO> ....D  ::u (") <  

III. N-INVESTMENT ME. (Reporting individual and spouse; see pp. 17-U instructions.) Filer's Non-Investment Income 
(K] NONE (No reportable non-investment income.) Spouse's Non-Investment Income -Jfyou were married during any portion the reporting year, complete this section. (Dollar amount not required except/or honoraria.) 
(K] NONE (No reportable non-investment income.) 
AND IDE 
IV. REIMBURSEMENTS -transportation, lodging,food, entertainment (Includes those spouse and dependent children. See pp. 25-27 instn1ctions.) 
(K] NONE (No reportable reimbursements.) 
(yours, not spouse's) 

Name Person Reporting 

Sam, David 
V GIFTS. (Includes those spouse and dependent children. See pp. 28-31 instructions.) 
 NONE (No reportable gifts.) 

Name Person Reporting 
0510912006
Sam, David 
VII. INVESTMENTS and TRUSTS -income, value, transactions (includes those the spouse and dependent children. See PP. 34-57 filing instructions) NONE (No reportable income, assets, transactions.) 
Description Assets (including trust assets) 
Place "(X}" after each asset exempt from prior disclosure Income during reporting period Gross value end reporting period Transactions during reporting period  
(I)  (2)  (I}  (2)  (I} not exempt from disclosure  
Amount Code (A-H)  Type(e.g. div., rent, int)  Value Code (J-P)  Value Method Code (Q-W)  Type(e.g. buy, sell, merger, redemption)  (2) Date Month Day  (3) Value Code (J-P)  (4) Gain Code (A-H)  (5) Identity buyer/seller (if private transaction) Chevron Oil Gas Lease  Royalty 1/2 int. oil, gas mineral rights  None Consolidated Edison Inc. (ED)  None Environmental Remediation HLDG Corp. (ERHC)  None Enron Corp. (ENE)  None Oracle Corp. (ORCL)  None Flying Oil Gas lease  Royalty Quinex Oil Co.  Royalty Paso Oil  Royalty  
10. Red Rock Oil Co.  Royalty  
11. Devon Energy  Royalty  
12. Mountain America Credit Union  Interest  
13. Wells Fargo Bank  Interest  
14. Central Bank Utah  Interest  
15. Zions First National Bank  Interest  
16. Beneficial Life  Interest  
17. Income Gain Codes: =Sl,000 less =Sl,001 -S2,500 =S2,SO -$5,000 =$5,001 -SIS,000 =SIS,001 -SS0,000  
(SeeColumns and 04)  F=SS0,001-SIOO,OOO  G=SI00,001-$1,000,000  HI=$1.000,001 -SS,000,000 =More than SS,000,000 Value Codes  J=SIS,000 less  K=SIS,001 -SS0,000  L=$50,001  $100,000 =SI 00,00 -$250,000  
(SecColumns and DJ) =$250,001 -SS00,000 =SS00,001-$1,000,000 =Sl,000,001-SS,000,000 =SS,000,001 -$25,000,000 Value Method Codes =S25,ooo,oo -sso.000.000 =Cost (Real Estate Only) =More than SS0,000,000 =Cash Market  
(See Column C2)  Q=Appraisal  Y=Olher =Ass essment  
U=Book Value  W=Estimated the purchase new home 2006. 

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 
FILING INSTRUCTIONS 
Mail signed original and additional copies to: 
Committee Financial Disclosure Administrative Office the United States Courts Suite 2-301 
Washington, D.C. 20544



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