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Judicial Watch • Delwen L Jensen Financial Disclosure Report for 2008

Delwen L Jensen Financial Disclosure Report for 2008

Delwen L Jensen Financial Disclosure Report for 2008

Page 1: Delwen L Jensen Financial Disclosure Report for 2008

Category:Financial Disclosure

Number of Pages:6

Date Created:October 21, 2009

Date Uploaded to the Library:November 13, 2013

Tags:Longs, Prnon, jensen, Delwen, Delwen L Jensen, united, 2008, EPA, Financial Disclosure, ICE, CIA, income, Judge


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III. NON-INVESTMENT INCOME. (Reportmg individual and spousc; supp. 17-U filing instructions.) Filer's Non-Investment Income NONE (No reportable non-investment income.) 

SOURCE AND TYPE INCOME 
(yours, not spouse's) 2008 Alameda County Employees Retirement Association $58,970.00 Spouse's Non-Investment Income -lfyou weu married during any portion the reporting year, complek this section. (Dollar amount not required aceptfor honoraria-) 
[{] NONE (No reportable non-investment income.) 

AND TYPE 

IV. REIMBURSEMENTS -transportation, lodging, food, murtainmenL (Includes those spouse and dependent children; see pp. 15-17 offiling instructions.) 
[{] NONE (No reportable reimbursements.) 

Nam< Prnon Reporting 
Dalt Rrporl 
JENSEN,-DeJwen 

05/12/2009 GIFTS. (Includes those spoWM and dependmt children; supp. 18-31 of/ding instructions.) 
[Z] 	NONE (No reportable gifts.) SOURCE DESCRIPTION VALUE 

VI. LIABILITIES. (Includes those ofspouu and depmdent children; supp. 31-33 filing instructions.) 
[Z] NONE (No reportable liabilities.) 

Nm Pnon Reporting 
Date Report 
JENSEN, Delweo 
05/12/2009 

VII. INVESTMENTS and TRUSTS -income, vatue, transactions onc1udes those spouse and dependen1 children; see pp. 14-60 flung instructions.) NONE (No reportable income, assets, transactions.)  
Income during  Gross value end  Transactions during reporting period  
reporting period  reporting period  
(I)  (2)  (I)  (2)  (I)  (2)  (3)  (4)  (5)  
Amount  Type (e.g.,  Value  Value  Type (e.g.,  Date  Value  Gain  Identity  
Code  div., rent,  Code  Method  buy, sell,  Month Code2  Code  buyer/seller  
(A-H) inl.)  (J-P)  Code3  redemplion)  Day  (J-P)  (A-H)  (if private  
(Q-W)  transaction)  

Description Assets (including trosl assets) 
Place "(X)" after each assel exempt from prior disclosure Bank Deposits -Dank the West 
Interest Longs Drugs -Common Stock Dividend Sold 09-22 
Savings Account United Services Interest 

10. 
12. 

13. 

14. 

16. 

17. Income Gain Codes:  A=Sl,OOOorless =Sl,001 -52,500 =S2,501  S5,000 =S5,00I  Sl5,000 =SIS,001 -S50,000  
(Se< Columns and D4) =S50,00I -SI00,000 =SI00,001  Sl, 000,000  Ill =Sl,000,00t -S5,000,000  112 =Mor< than S5,000,000 Value Codes  J=SI 5,000 less =SIS.DOI SS0,000 =SS0,001-SI00,000 =SI00,001-S250,000  
(Sec Columns. and DJ)  N=S250,00I -S500,000 =SS00,001 Sl,000,000 =Sl,000,00l -SS,000,000 =Ss,000,001 -S25,000,000 =S25,000,00I -550,000,000 =More 1han S,000,000 Value Method Codes  Q=Appraisal =Cos! (Rc:a) Estate Only) =Assessment =Cash Markel  
(Sec Column C2)  U=Book Value  V=01hcr  W=Estimated  

Namt Person Rtporting 
Dalt Report 
JENSEN, Delwen 
05/12/2009 

VIII. ADDITIONAL INFORMATION EXPLANATIONS. (lndicateparto/Report.) Longs Drug common stock sold when Longs was acquired CVS. 

Nmt Prnon Rtportin: 
Datt Rtport 
JENSEN, Delwen 
-05il 2/2009 
IX. CERTIFICATION. certify that 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. 

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

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



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