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Goldsmith Mark a

Goldsmith Mark a

Page 1: Goldsmith Mark a

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Number of Pages:7

Date Created:December 1, 2012

Date Uploaded to the Library:February 20, 2014

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Government Act 1978
Rev. 112012 
FOR CALENDAR YEAR 2011 S.C. app.  JOJ-l Person Reporting (last name, first, middle initial) Goldsmith, Mark Court Organization U.S. District Court for the Eastern District Michigan Date Report 05/10/2012 Title (Article Ill judges indicate active senior status; magistrate JUdges indicate full-or part-time) United States District Judge Active  Sa. Report Type (check appropriate type) Nomination Dale lmlial [Z] Annual fmal Sb. Amended Report Reporting Period 01/01/2011 12/31/2011 Chambers Office Address 
U.S.Courthouse 
600Church Street 
Flint 48502 

IMPORTANT NOTES: The instructions accompanying this form must followed. Complete all parts, checking the NONE box for each part where you have reportable information. Insert signature last page. POSITIONS. (Reporting individual only; see pp. 9-13 filing ins/rue/ions.)  NONE (No reportable positions.)  
POSITION  NAME ORGANIZATION/ENTITY  Member executive board directors  Wayne State University Center for the Study ofCil!zenship 

II. AGREEMENTS. (Reporting individual only; see pp. 14-16 filing instrucJions.) NONE (No reportable agreements.) 

PAR TIES AND TERMS 2004 Agreement with Honigman Miller Schwartz and Cohn (former firm) separat10n fi"om firm 2004 Honigman Miller Schwartz and Cohn Income Deferral and Profit Sharing Plan 401 Plan) 

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) 2011  Honigman Miller Schwartz and Cohn separation agreement  $53,855.00 Spouse's Non-Investment Income -I/you were married during any portion the reporting year, complete this section. 
(Dollar amount not required except for honorarw) NONE (No reportable non-investment income.)  

 SOURCE AND TYPE 2011  self-employed social worker  

IV REIMBURSEMENTS -transportation, lodging, food, entertainment. 
(Includes those spouse and dependem children. see 25-27 ft/mg mstruct1un;) [{] NONE (No reportable reimbursements.) 
SOURCE DATES LOCATION PURPOSE ITEMS PAID PROVIDED 

Date Report 
05/10/2012
Goldsmith, Mark GIFTS. (Includes those spouse and dependent children; see pp. 28-31 filing instructions.) 
[2] NONE (No reportable gifts.) 
SOURCE DESCRIPTION VALUE 

VJ. LJABJLJTJES. (Includes those spouse and dependent children; see pp. 32-33 filing instructions.) NONE (No reportable liabilities.) CREDITOR DESCRIPTION VALUE CODE Ally Car lease 

VII. INVESTMENTS and TRUSTS --income, value, transactions r1nc111des those spouse and dependent children; see PP 34-60 filing ins1ruc1ions.J NONE (No reportable income, assets, transactions.)  
Descnpt1on Assets  Income durmg  Gross value end  Transactions during reporting penod  
(including trust assets)  reporting period reporting penod  

(2) (!) (2) (I) (2) (3) (4) (5) 
Place "(X)" after each asset 
Amount Type (e.g., Value Value Type 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) ormt.) 
Code3 redemption) (J-P) (A-H) (ifpnvate 
transaction) Invesco Charter flea AIM Charter (IRA-A Dividend Brok Acct #I) Calamos Growth (IRA-Brok Acct# Dividend  Income Gam Codes ,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 =$1.000,001 -$5,000,000 =More than $5,000,000 Value Codes =$15.000 less =$15.001 -$50.000 =$50.001 -$100,000 =$100.001 -$250,000  
(Sec Columns and D3) =$250,00 -$500.000 =$500.001 -$1,000.000 =$1,000,001 -$5,000,000 =$5,000.001 -$25,000,000 =$25.000.00 -$50.000.000 =More lhan $50,000.000 Value Method Codes =Appraisal =CoSI (Real Estate Only) =Assessment =Cash Market  
(Sec Colnmn C2) =Book Value =Other =Estimated  

Date Report 
Goldsmith, Mark 
05110/2012 
VII. INVESTMENTS and TRUSTS --income, value, transactions r1nc1udes those spouse and dependent children; see PP 14-60 filing instructions.) NONE (No reportable income, assets, transactions.) 
Description Assets Income dunng Gross value end Transactions dunng reporting penod (including trust assets) reporting period ofreporting period 
(2) (I) (I) (2) (3) 
Place "(X)" after each asset 
Amount Type g., Value Value Type g., Date Value Garn Identity 
Code
exempt from pnor disclosure 
div., rent, Code Method buy, sell, mm/dd/yy Code Code buyer/seller 
(A-H) mt) 
Code3 redemption) (J-P) (A-H) (ifpnvate 
transaction) Income Gam Codes =$1 .000 less =$1,001 -$2.500 =$2,501 -$5,000 =$5,001 -$15,000  I:, =$15,00 -$50.000  
(Sec Columns and 04) =$50.001 -$100.000 =$100.001 -$1,000.000 =$1,000,001 -$5,000,000 =More than $5,000.000 Value Codes =$I 000 less  K=$15,001-$50.000 =$50,001 -$100.000 =$100 001 -$250 000  
(Sec Columns and D3) =$250.001 -$500.000  0=$500,001 -$1,000.000 =$1,000,001 -$5,000,000 45,000.001 -$25,000.000 =$25.000.001 -$50.000.000 =More Jhan $50,000.000 Value Method Codes  Q=AppraJSal =Cost (Real Eslatc Only) =Assessment =Cash Market  
(Sec Column C2) =Book Value =Other =Estimated  

Name Person Reporting 
Date Report 
05/10/2012
Goldsmith, Mark 

VIII. ADDITIONAL INFORMATION EXPLANATIONS. (Jndicatepartofreport.) 
Part VII lines 7-10 are the assets the Honigman Miller Schwartz and Cohn Income Deferral and Profit Sharmg Plan. 
The reference Part Vil line "ING life insurance policy" the same policy identified the 2010 Report, Part Vil Jme 25. 

Date Report 
Goldsmith, Mark 
05/10/2012 
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: Mark Goldsmith 
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