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Judicial Watch • Sam A. Crow – 2004

Sam A. Crow – 2004

Sam A. Crow – 2004

Page 1: Sam A. Crow – 2004

Category:Federal Judges

Number of Pages:6

Date Created:January 5, 2006

Date Uploaded to the Library:October 08, 2014

Tags:Noreportablenon, NameofPersonReporting, Topeka, Sam A Crow, kansas, trust, office, united, 2004, spouse, dividend, disclosure, reporting, report, Federal Judge, income, Judge


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Report Requirecl llythe Ethics 
FOR CALENDAR YEAR 2004 u.s.c. pp. I 101-111) Penon.Reporting(Lastname. First name, Middle initial) Court Or:gani7.ation Crow,SamA U.S. Distric:t Court (Kansas) Date ofReport 312312005 Trtle (.Arlicle Judges indicate active senior status; ReportType (check appropriate type) 
magistrate judges indicate full. part-ne) Nomination, 12110/1981 
U.S. Dislric:t Senioc Judge Initial Final Reporting Period 
11112004 1213112004 Chambers Office Address the basis the infonnation contained this Reportand any modifications patainingthereto. is, opinion. compliance 
444 QuincY 
with applicable laws and .regulations. Topeka, Kamas 66683 
   .... 
 
NOTES: The inslnlctioos acccmpallying1his fonn must followed. Complete all parts. cbeckingthe NONE box foe each part hveno reportable infiinnation. Signon last page. POSmONS. (Rqlor1ingindiviclual oo1y, see pp. 9-13 filing instructions) 
 NONE -(Noreportabtepositioos.) 
.POSITION NAME ORGANIZATION/ENTITY 
._,., ::0 
::i=.. ....., 
C/)4 
c::: :to> 
;:oz mrr.0 
 NONE -(Non:portableagrec:mems.) 	o)> orting individual and spouse; see pp. 17-24 offiiingim!ructiom) Filers Non-Investment Income NONE -(Noreportablenon-investmmtincomc.) SOURCE AND TYPE GROSS INCOME (yoms, notspouses) Spouse1Non-Investmentlncom6fyouweremuriedduringanyportionof1bereportingyear,pleasecomplcte1hissection.Dollaramouotnot 
required except for honoraria.) NONE -(Noreportablenon-inwstmcmtincomc.) 
SOURCE AND TYPE 
 
IV. 	REIMBURSEMENTS-1ramportation, todging.food, (Includes 1hose f.o spouse and dependent childn:o. See pp. 2S-27 imtnu:tiCDL) 
 NONE (Nosuduepcxtablereimhursemeds..) 
 
SOUR.CE 	DESCRIPTION GIFTS. (Includesthosetoanddependentcbildreo. Seepp. 28-31 ofinstructioos.) NONE -(No such reportable gifts.) SOUR.CE DESCRIPTION 
 
VI. LIABilXIIBS. (Includes t1iose spouse anc1 clcpcndeot cbildn:n. See pp. 32-34 otinstructions.) 
VALUE CODE 
 
vn. INVESTMENTS and TRUSTS-income.value, tnnscatiom(includesthoseofdicspouscaoddcpendcntcbilclrcn. Sccpp.34-S7offilingimtructions.) 
Dcscriplion Assets (mc!uding trust assctl) Place (JC) after each aact cxanpt fitm pri disclosure Income during n:pmtiog period (I) (2) 1)pc (e.g. Codel div. nmt. Gross value encl n:pmtilgperiod (1) (2) Value Value Codc2 Mctbocl (1) Type (e.g. buy.sell, Tumadions duringn:portingperiod not (2) (3) Dale: Value MonthCodc2 Codel Idi:nlil buyaiscllcr 
 
{A-H) int) (J-P) Coclc3 mcrga; Dayn:demption) 
(J-P) (if private 
(Q-W) transaction) 
DNONE (Nonopodablc income. assets. crlmmcti.om) :Remal Property, Topeka, Kansas Rent sold2003 
United Municipal Bond Fund Inc. Dividend 
Sec:urities FundServ. Dividend Comput.ct-Comolc:s, Inc. None_ Topsy Jntermliooal Nooe 
Techtranlndus1rics None Templeton Growth Fund Dividend USAAManagcmeot TaxExanptMoney lntcrest MarbtFuod West.em Raoun:cs Dividend 
10. Photographic Science Inc. Nooe 
Securiy DistributOf Inc. Dividend 
12. New York Life Jns. Co. (acc:t) lntcrest 
Commerce Bank Trust (accounts) 
Capital Ciy Bank (account) Interest 
 
15. The Fidelil.yMutual Ins. Co. (account) Interest 
 
 
 
Crow, SamA 
IX. CERTIFICATION. certify that all information given above (including information pertaining spouse and minor dependent children, ifany) accwate, 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 ofgifts which have been reported are compliance with the provisions U.S.C.  501 seq., U.S.C.  7353, and Judicial Conference resrulations. 
NOIE: ANY INDIVIDUAL WHO FAILS FILE TIIlS REPORT MAY SUBJECT CIVIL AND CRIMINAL SANCTIONS U.S.C. app.  104) 
FILING INSTRUCTIONS 
Mail signed original and additional copies to: 
Committee Disclosure 
Administrative Office the United States Courts 
Suitel-301 
One Columbus Circle, N.E. 
Washington, D.C. 20544