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Judicial Watch • Sam A Crow Financial Disclosure Report for 2004

Sam A Crow Financial Disclosure Report for 2004

Sam A Crow Financial Disclosure Report for 2004

Page 1: Sam A Crow Financial Disclosure Report for 2004

Category:Financial Disclosure

Number of Pages:6

Date Created:January 5, 2006

Date Uploaded to the Library:November 23, 2013

Tags:Noreportablenon, NameofPersonReporting, Topeka, Sam A Crow, kansas, trust, united, 2004, dividend, IRS, Financial Disclosure, ICE, CIA, 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) Filer's Non-Investment Income  NONE -(Noreportablenon-investmmtincomc.)  SOURCE AND TYPE  GROSS INCOME (yoms, notspouse's) Spouse'1Non-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 lntcr'est MarbtFuod West.em Raoun:cs Dividend 
10. Photographic Science Inc. Nooe 
Securiy DistributOf' Inc. Dividend 
12. New York Life Jns. Co. (acc:t) lntcr'est 
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. 
NO'IE: 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



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