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Judicial Watch • Samuel G Wilson Financial Disclosure Report for 2009

Samuel G Wilson Financial Disclosure Report for 2009

Samuel G Wilson Financial Disclosure Report for 2009

Page 1: Samuel G Wilson Financial Disclosure Report for 2009

Category:Financial Disclosure

Number of Pages:6

Date Created:November 6, 2013

Date Uploaded to the Library:November 23, 2013

Tags:Wilaon, Smallcap, Samuel G Wilson, citizens, world, Samuel, shares, 2009, investment, EPA, dividend, IRS, Financial Disclosure, CIA, financial, income, Judge


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POSIT! ONS, (Reporting indMd1111/ only; see pp. 9-13 filing instructions.) NONE (No reportable positions.) 

II. AGREEMENTS. (Rtporting individual only; see pp. U-16 filing instruction!>.) 
[ZJ NONE (No reportable agreements.) 

III. N-INVESTMENT COME. (Reporting individ11al and spouse; see pp. 17-U filing instructions.) Filer's Non-Investment Income 
[{] NONE (No reportable non-investment income.) 

(yours, not spouse's) Spouse's Non-Investment Income I/you were married during any portion the reporting yeor, complete this section. (Dollar amount no/ required cxceplfor honorur1a) 
IZJ NONE (No reportable non-investment income.) 
IV. REIMBURSEMENTS -transportation, lodging, food, entertainmenL 
(Includes those spouse und dependent children; see pp. 25-27 offiling Instructions.) 
[ZJ NONE (No reportable reimbursements.) 
Name Penon Reporting 
Dale Report 
Wilaon, Samuel GIFTS. (Includes tlrose spouse and tkpendenI children; see pp. 2/J-31 filing U.Structions.) 
[Z] NONE (No reportable gifts.) 

VI. LIABILITIES. (Includes tlrose spouse and dependenI children; pp. 32-JJ o/filiJtg instrut:tions.) 
[Z] NONE (No reportable liabilities.) 

VII. INVESTMENTS and TRUSTS -inCtJllre, vo1 ....tronsactions r1nc1ut1u thos ofspous and dpentknt children;'" PP J-1..f,o filing instructim.1 NONE (No reportable income, assets, transactions.) 
---, 
Transactions durin
--::.ve:, reporting penod Descnphon Assets (includmg trust assets) rcportmg period 
'Amount 
reporting period
(2) 
(I) 
(2) 	(4)
Value 
Value
 

Type Date (!)
buy, sell, 
Place "(X)" after each asset ldennty Type (e.g 
Value Gain 
Code
exempt from pnor disclosure
Code 
Method mm/dd/yy Code Code (J-P) 
buyer/seller
(if private
(JP) 
Code 
(A-H)
(A-II) div rent, mt.) 
redemption)
J___ _J____
L________ ___ 	Checking Savings Accts First Citizens Interest 	
Sun Life Assurance Co. Canada, Shares Dividend (formerly Pohcy) 	
Capital World Growth Income Fund, Dividend Shares 	
Smallcap World Fund, Shares Dividend 	Savings Account First Citizens Bank Interest 	Capital World Growth Income Fund, 
Sold 
Sold (part) 7/14/09 Dividend 
Shares Smallcap World Fund, Shares Dividend 
7/14/09 
First Citizens Bank, fotcd Rate IRA Interest Matured 4/21/09 (part) 	
Western-Southern Life Assurance Co. Interest Buy 4/21/09 annuity 
10. 

11.  
12.  
13.  
14.  
JS. Income Cam Code!i-. :o.$.1,000 IC"5 SJ ,00  S2,500 =Sl,501 -SS.ODO =SS.OD  15,000 =Sl5,001. S0,000 =Sl0,001 -St00,000 =St 00,00 -SI ,000,000 t.000,001 -Sl,000.000 ... Mot!! than SS.000,000 Value Codes 2Sl5,000 IC3S -11 S.001  SS0.000 =sso.001 -1100.000 SI00.001  SZS0,000 (See Columns C'1 and 03) =S250,00! -SS00,000 =SS00,001 -$1 ,000,000 =Sl,000.001 -$5,000,000 =Sl,000,001 -szs.000.000 
(SccColum11sBI a.ndD4) =Sll.000,001 -1'0,000,000 "'fore than S50,00U,000 Vr.luc Method Code, "'Apprais.al ""Cost (Real Estetc Only) '="'Assemcnt =Cash Market (See Column Cl) =BooL Value =Other =Es11mated 

 
Name Person Reportln11 
Date Report 
Wilaon, Samuel 
51712010 
VIII. ADDITIONAL INFORMATION EXPLANATIONS. (lndkoteparto/ReporL) Item last year's disclosure report was sold 0/8/08 and the proceeds used 0/21 /08 acquire the Fixed Rate IRA that appears Item this year's report 

 

Nm Person Reporttnc 
Date Rep
Wllaon, Samuel 
sn12010 
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 bonoraria 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. 

NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES FAILS FILE THIS REPORT MAY SUBJECT CIVIL AND CRIMINAL SANCTIONS U.S.C. app.  104) 

FILING INSTRUCTIONS Mail signed original and additional copies to: Committee Financial Disclosure



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