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Judicial Watch • Eric F. Melgren – 2012

Eric F. Melgren – 2012

Eric F. Melgren – 2012

Page 1: Eric F. Melgren – 2012

Category:Federal Judges

Number of Pages:6

Date Created:January 3, 2014

Date Uploaded to the Library:May 22, 2014

Tags:Eric F Melgren, melgren, conference, 2012, states, united, court, investment, spouse, Codes, reportable, disclosure, reporting, report, Federal Judge, financial, income, Judge


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Rev. 112013 
FOR CALENDAR YEAR 2012 U.S.C. app.  101-111) Person Reporting (last name, first, middle initial) Melgren, Eric Court Organization U.S. District Court, Kansas Date Report 05/02/2013 Title (Article Ill judges indicate active senior status; magistrate judges indicate full-or part-time) U.S. District Judge -Active  Sa. Report Type (check appropriate type) Nomination Date Initial [{] Annual Sb. Amended Report Final Reporting Period 01/01/2012 12/31/2012 Chambers Office Address 
Hon. Eric :Melgren 
United States Courthouse 
401 Market 
Wichita, Kansas 67202 

/MPO ANT NOTES: The instructions accompanying this form must followed. Complete all parts, checking the NONE box for each part where you have reportable information. POSITJ 0NS. (Reporting individual only; see pp. 9-13 NONE (No reportable positions.)  instructions.)  
POSITION  NAME ORGANIZATION/ENTITY  Executive Committee, President  Wesley Brown American Inn Court 

II. AGREEMENTS. (Reporting individual only; see pp. 14-16 filing instructions.) 
[{] NONE (No reportable agreements.) 

PARTIES AND TERMS 

- 

Melgren, Eric 
05/02/2013
Ill. NON-INVESTMENT ME. (Reporting individual and spouse; see pp. 
17-24 filing instructions.) Filer's Non-Investment Income 
[{]  NONE (No reportable non-investment income.)  

 SOURCE AND TYPE  INCOME (yours, not spouse's) Spouse's Non-Investment Income

(Dollar amounl not required except for honoraria.) 
[{] NONE (No reportable non-investment income.) 

SOURCE AND TYPE 

IV. REIMBURSEMENTS -transportation, lodging, food, entertainment 
(Includes those spouse and dependent children; see pp. 25-27 {filing instructions.) NONE (No reportable reimbursements.) 
SOURCE  DATES  LOCATION  PURPOSE  ITEMS PAID PROVIDED  American Conference  01/26/12 -01/27/12  New York,  Panelist Disability  Transportation, Lodging  
Institute  Insurance Conference  

Melgren, Eric 
05/02/2013 GIFTS. (Includes those spouse and dependent children; see pp. 28-31 filing instmctions.) 
[2] NONE (No reportable gifts.) 
SOURCE 

VALUE NONE (No reportable liabilities.) 
CREDITOR 

VALUE CODE Department Education Student Loan Bank America Credit Card 

Melgren, Eric 
05/02/2013

VII. INVESTMENTS and TRUSTS --income, value, transactions r1nc111des those spouse and dependent children; see PP 14-60 filing instructions.) NONE (No reportable income, assets, transactions.)  
Description Assets  Income during  Gross value end  Transactions during reporting period  
(including trnst assets)  reporting pe1iod reporting period  

(1) (2) (I) (I) (2) (3) (4) (5) 
Place "(X)" after each asset 
Amount Type (e.g., Value Value Type (e.g., Date Value Gain Identity 
Code
exempt from prior disclosure 
div., rent, Code2 Method buy, sell, mm/dd/yy Code2 Code buyer/seller 
(A-H) int.) (J-P) Code3 redemption) (A-H) (ifprivate 
(Q-W) transaction) Income Gnin Codes: =$1.000 less =$1.001 -$2.500 =$2.501 -$5.000  0=$5,001-$15.000 =$I 5.001 -$50.000  
(Sec Cohnnns 13I nnd D4) =$50.00 -$I 00.000 =$100.001 -$1.000.000  Ill =$1.000.001 -$5.000.000  M2=More Ihan $5.000.000 Value Codes =$15.000 less =$15.001 -$50.000  L=$50.001 -$100.000 =$100.001 -$250.000  
(SccCohmms nnd 03) =$250.00 -$500.000  0=$500,00 -$1.000.000 =$t.000.001 -$5,000.000 =$5.000.001 -$25,000.000 =$25.000.00  $50.000.000 =More than $50.000,000 Value Mc1hod Codes =Appraisal =Cos! (Real ES!aie Only) =Assessment  T=Cash Market  
(Sec Column C2) =Book Value =Other =Estimated  

Name Person Reporting 
Date Report 
Melgren, Eric 
05/02/2013

Melgren, Eric 
05/02/2013
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: Eric Melgren 
NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILLFULLY FALSIFIES FAILS FILE THIS 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



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