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Judicial Watch • David Sam Financial Disclosure Report for 2010

David Sam Financial Disclosure Report for 2010

David Sam Financial Disclosure Report for 2010

Page 1: David Sam Financial Disclosure Report for 2010

Category:Financial Disclosure

Number of Pages:6

Date Created:November 5, 2013

Date Uploaded to the Library:November 13, 2013

Tags:David Sam, david, 2010, investment, EPA, IRS, Financial Disclosure, ICE, CIA, income, Judge


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Rev. 1120/ 
Repori Required /he /hies Go'ernment Act 1978 FOR CALENDAR YEAR 2010 U.S.C. opp. /01-111) Person Reporting (last name, first, middle initial) Court Organization 
Sam, David U.S. District Court, Dist. Title (Article Ill judges indicate active senior status; Sa. Report Type (check appropriate type) 
magistrate judges indicate full-or pan-time) 
Nomination, Date 

Senior U.S. District Judge 
Initial Annual Final 
Sb. Amended Repon Dale Report 
05/11/2011 Reporting Period 
01/01/2010 
12/31/2010 Chambers Office Address the basis the information contained this Report and any modifications pertaining thereto, is, opinion, compliance 
with applicable laws and regulations. 
Frank Moss U.S. Courthouse 
350 South Main Street, #441 
Salt Lake City, 84101 
Revie,."ing Officer Date 
IMPORT ANT TES: The instructions accompanying this fonn 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 filing instructions.) 
[{]  NONE (No reportable positions.)  
POSITION  NAME ORGANIZA TION!ENTITY 
II. AGREEMENTS. (Reporting individual only; see pp. U-16 filing instructions.) 
[{] NONE (No reportable agreements.) 

PARTIES AND TERMS 

Sam, David 

Name Penon Reporting 
Date Report 
Sam, David 
05/11/2011 
III. NON-INVESTMENT INCOME. (Reportingindfridual and spouse;mpp.17-Uofjilinginstructions.) Filer's Non-Investment Income [2J NONE (No reportable non-investment income.)  
SOURCE AND TYPE  INCOME (yours, not spouse's) Spouse's Non-Investment Income -I/you were married during any portion the reporting year, complete this section. 
(Dollar amount not required except for honoraria.) 
[2] NONE (No reportable non-investment income.) 

SOURCE AND TYPE 

IV, REIMBURSEMENTS -transportation, lodging.food, en/ertainmeni 
(Includes those spouse and dependent children; see pp. 25-27 filing instructions.) 
[2J NONE (No reportable reimbursements.) SOURCE DATES LOCATION PURPOSE ITEMS PAID PROVIDED GIFTS. (Includes 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 

Datt Rrport 
Name Person Reporting 
05/11/2011
Sam, David 
VII. INVESTMENTS and TRUSTS -incomt!, valut!, transactions (Includes thost! ofspoust! and dependent children; see PP 34-60 filing instructions.) NONE (No reportable income, assets, transactions.)  
Description Assets  Income during  Gross value end  Transactions during reporting period  
(including trust assets)  reporting period reporting period  

(I) (2) (I) (2) (3) (4) 
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,  mmldd/yy  Code2  Code  buyer/seller  
(A-H) int.)  (J-P)  CodeJ  redemption)  (J-P)  (A-H)  (if private  
(Q-W)  transaction) Income Gain Codes: 1.000 less =$1,001 -$2.500 =$2,501  $5.000 =$5.001. $15.000 =$15.001 -$50.000  
(See Columns and 04) =$50.001 -$100.000 =$100.001-$1.000.000  Ill =$1.000.001 -SS.000.000  112 =More 1han $5.000.000 Value Codes 15.000 less =$15.00  $50.000 =$50.001  SI00.000 =SI00.001 -$250.000  
(Sec Columns and DJ) =$250.00 -$500.000 =SS00.00 1.000.000 =Sl.000.001 -SS.000.000 =SS.000.001 -$25.000.000 =$25.000.001 -Sl0.000.000 =More 1hao $50.000.000 Value Mc1hod Codes =Appr.iisal =Cost (Real Es1a1c Only) =Assessment  Ta.sh Markr..1  
(Sec Column C2) =!look Value =Other =:=Estimated  

Name Person Reporting 
Dale Report 
05/11/2011 
VIII. ADDITIONAL INFORMATION EXPLANATIONS. (lndicatepartofreport.) 
This report was amended clarify Section VII. 2007, indicated accounts were closed and all funds consolidated into the Barnes Banking Company Account indicated after 

Dale Report 
Name Penon Reporting 
05/11/2011
Sam, Dnid 
IX. CERTIFICATION. certify that all information gi'en abon (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 Sam 
NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES FAILS FILE THJS 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