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Judicial Watch • Donetta W. Ambrose – 2004

Donetta W. Ambrose – 2004

Donetta W. Ambrose – 2004

Page 1: Donetta W. Ambrose – 2004

Category:Federal Judges

Number of Pages:3

Date Created:September 8, 2013

Date Uploaded to the Library:May 21, 2014

Tags:MAGEE, WOMENS, Donetta W Ambrose, children, office, dependent, 2004, INVESTMENTS, investment, spouse, TRUSTS, Codes, reporting, report, Federal Judge, income, Judge


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Person Reporting (Last name, first, middle initial) AMBROSE, DONETTA Court Organization DIST. 
CT. WEST. DIST. Date Report 51912005 Title (Article Ill judges indicate active senior status; magistrate judges indicate fall-or part-time) Chiefll. 
District .Judl!e 5.Report Type (check appropriate type) Nomination, Date Initial __x_ Annual Final-- Reporting 
Period 1/1/2004 12/31/2004 Chambers Office Address 620 Post Office Courthouse 700 Grant Street Pittsburgh, 15219-1906 8.0n 
the basis the information contained this Report and any modifications pertainin thereto, is, opimon,in 
compliance with applicab laws and regulat10ns. 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.} POSITION NAME NONE (No 
reportable positions.) TRUSTEE NEW PENNSYLVANIA MEMBER BOARD DIRECTORS -MAGEE 
WOMENS HOSPITAL MEMBER BOARD DIRECTORS-MAGEE WOMENS HEALTH FOUNDATION 
 
II. AGREEMENTS. (Reporting individual only; see pp. 14-16 oflnstructums.) DATE PARTIES AND TERMS 
NONE (No reportable agreements.) 2004 Commonwealth Penns Ivania Blue Cross/Blue Shield Retired ees Health Care ii!nefit Pia 
-r, 
 
C:l> 
III. 
 
NON-INVESTMENT ME. (Reporting individual and spouse; see pp. 17-24 InstrudionJ!i-Z:. 
DATE SOURCE AND TYPE -ri 
 
Filers Non-Investment Income NONE (No reportable non-investment income.) 2004 State Retirement 
21,251 
 
Spouses Non-Investment Income -If you were married during any portion the reporting year, please complete 
2004.txt[9/6/2013 12:44:58 AM] 
this 
section. (dollar amount not required except for honoraria) 
NONE (No reportable non-investment income.) 
 
 
2004 Law Practice Date Report 5/9/2005 
VII. Page INVESTMENTS and TRUSTS --income, value, transactions (Includes those spouse and dependent children. See pp. 34-57 Instructions.) Income/Gain Codes: A=$1,000 less B=$1,001-$2,500 C=$2,501-$5,000 D=$5,001-$15,000 E=$ 5,001$50,000 (See Col. Bl, 04) F=$50,001-$100,000 0=$100,001-$1,000,000 Hl=$1,000,001-$5,000,000 H2=More than $5,000,000 Value Codes: J=$15,000 less K=$15,001-$50,000 
2004.txt[9/8/2013 6:42:00 PM] 
L=$50,00I-$100,000 M=$J00,001-$250,000 (See Col. Cl, 03) N=$250,001-$500,000 0=$500,001-$1,000,000 Pl=$1,000,001-$5,000,000 P2=$5,000,001-$25 ,000,000 P3=$25,000,001-$50,000,000 P4=More than $50,000,000 Date Report 5/9/2005 
VII. 
2004.txt[9/6/2013 1:16:39 PM] Value Codes: J=$15,000 less K=$15, 001-$50,000 L=$50,001-$100,000 M=$100,00 l-$250,000 (See Col. CI, 03) N=$250,00 l-$500,000 0=$500,00 I-$ !,000,000 Pl=$!,000,00!-$5,000,000 P2=$5,000,001$25,000,000 P3=$25,000,001-$50,000,000 P4=More than $50,000,000 Date Report 5/9/2005 
 
VII. 
 
children. See pp. 34-57 Instructions.) 
Income/Gain Codes: A=$1,000 less B=$1,00l-$2,500 C=$2,501-$5,000 D=$5,001-$15,000 E=$ 5,001-$50,000 
(See Col. Bl, 04) F=$50,001-$100,000 G=$100,001-$1,000,000 H1=$1,000,001-$5,000,000 H2=More than 
$5,000,000 Value Codes: J=$15,000 less K=$15,00J-$50,000 L=$50,001-$100,000 M=$100,001-$250,000 (See Col. Cl, 
D3) N=$250,001-$500,000 0=$500,001-$1,000,000 Pl=$1,000,001-$5,000,000 P2=$5,000,001$25,000,000 
P3=$25,000,001-$50,000,000 P4=More than $50,000,000 
Date Report 5/9/2005 
 
VII. 
 
children. See pp. 34-57 Instructions.) 
2004.txt[9/6/2013 12:44:58 AM] Income/Gain Codes: A=$I,OOO less B=$1,001-$2,500 C=$2,501-$5,000 0=$5,001-$15,000 E=$15,00!$50,000 
(See Col. Bl, D4) F=$50,00!-$100,000 G=$!00,001-$1,000,000 H!=$1,000,001-$5,000,000 H2=More than 
$5,000,000 Value Codes: J=$15,000 less K=$15,00!-$50,000 L=$50,00I-$100,000 M=$100,001-$250,000 (See Col. Cl, 
D3) N=$250,001-$500,000 0=$500,001-$1,000,000 =$1,000,00I-$5,000,000 P2=$5,000,001$25,000,000 
P3=$25,000,001-$50,000,000 P4=More than $50,000,000 
Date Report 5/9/2005 
 
VII. 
 
children. See pp. 34-57of Instructions.) 
 
 
VIII. ADDITIONAL INFORMATION EXPLANATIONS (Indicate part Report.) Income/Gain Codes: 
A=$1,000 less B=$1,001-$2,500 C=$2,501-$5 ,000 D=$5,001-$15,000 E=$ 5,001-$50,000 (See Col. Bl, D4) 
F=$50,001-$100,000 G=$100,001-$1,000,000 =$1,000,001-$5,000,000 H2=More than $5,000,000 Value Codes: J=$ 5,000 less K=$15,001-$50,000 L=$50,001-$100,000 M=$100,001-$250,000 (See Col. Cl, 
D3) N=$250,00l-$500,000 0=$500,00I-$1,000,000 PI=$1,000,00I-$5,000,000 P2=$5,000,001$25,000,000 
P3=$25,000,001-$50,000,000 P4=More than $50,000,000 
1 1>  
 
2004.txt[9/8/2013 6:42:00 PM] 
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 NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES FAILS FILE THIS REPORT MAYBE SUBJECT CIVIL AND CRIMINAL SANCTIONS U.S.C. App., 
104.) FILING INSTRUCTIONS: Mail and additional to: Committee Financial Disclosure Administrative Office the United States Courts Suite 2-301 One Columbus Circle, N.E. 
 
D.C. 20544 
2004.txt[9/6/2013 12:44:58 AM] 
 
2004.txt[9/6/2013 1:16:39 PM] 
2004.txt[9/8/2013 6:42:00 PM]



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