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Judicial Watch • Sharon L Blackburn Financial Disclosure Report for 2004

Sharon L Blackburn Financial Disclosure Report for 2004

Sharon L Blackburn Financial Disclosure Report for 2004

Page 1: Sharon L Blackburn Financial Disclosure Report for 2004

Category:Financial Disclosure

Number of Pages:6

Date Created:January 5, 2006

Date Uploaded to the Library:November 13, 2013

Tags:Birmingham, Blackbum, Sharon L Blackburn, Sharon, trust, 2004, dividend, IRS, Financial Disclosure, ICE, CIA, financial, income, Judge


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A0-10 Rev. 1/2004 Government Act 1978 FOR CALENDAR YEAR 2004 U.S.C. app.  IOl-111) Person Reporting (Last name, First name, Middle initial) 
Blackburn, Sharon 	Title (Article III Judges indicate active senior status; magistrate judges indicate full-or part-time) 
U.S. District Judge -Active Chambers Office Address 
581 Hugo Black Courthouse 1729 5th Avenue North Birmingham, 35203 Court Organization Date Report  
U.S. District Court -ND/AL  5/16/2005 ReportType (check appropriate type) Reporting Period Nomination,  Date  1/1/2004 Initial  @Annual Fina!  
12/31/2004 the basis the information contained this Report and any modifications pertaining thereto, is, opinion, compliance with applicable laws and regulations. 
IMPORTANT NOTES: The instructions accompanying this form must followed. Complete all parts, checking the NONE box for each part where you have reportable information. Sign last page. POSITIONS. (Reporting individual only; see pp. 9-13 filing instructions) NONE  -(No reportable positions.)  
POSITION  NAME ORGANIZATION/ENTITY  Board Directors  Leadership Birmingham President's Advisory Council 	Birmingham Southern College 
(Reporting individual only; see pp. 14-16 filing instructions) 
II. AGREEMENTS. 
 NONE -(No reportable agreements.) 
PARTIES AND TERMS 
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Name Person Reporting 
Date Report 
Blackburn, Sharon 
III. NON-INVESTMENT INCOME. (Reporting individual and spouse; see pp. 17-24 filing instructions) Filer's Non-Investment Income 
 NONE -(No reportable non-investment income.) 

SOURCE AND TYPE GROSS INCOME 

(yours, not spouse's) Spouse's Non-Investment Income(Ifyou were married during any portion the reporting year, please complete this section. Dollar amount not required except for honoraria.) NONE (No reportable non-investment income.)

SOURCE AND TYPE 

IV. 
 NONE GIFTS.  NONE  (Includes those spouse and dependent children. See pp. 28-31 instructions.) -(No such reportable gifts.)  SOURCE  DESCRIPTION  

VI. LIABILITIES. (Includes those spouse and dependent children. See pp. 32-34 instmctions.) NONE -(No reportable liabilities.)  CREDITOR Citibank Visa  Credit Card  DESCRIPTION  VALUE CODE 
Chase Manhattan Mortgage Mortgage Vacation Home 
Thrift Savings Plan Personal Loan 

Date Repo11 
Name Person Reporting 
Blackbum, Sharon 
5116/2005 
INVESTMENTS and TRUSTS --income, value, transcations (includes those the spouse and dependent children. See pp. 34-57 filing instructions.) 
VI.I. 
Transactions during reporting period  
Income during  Gross value end  
Description Assets  reporting period  reporting period  
(including trust assets) not exempt from disclosure (2) (I) (2) (2) 
Place "(X)" after each asset exempt 
Type (e.g.
Value Value Date: Value Gain Identity 
Amount Type 
from prior disclosure buy, sell, Month 
Code div. rent. Code Method Code Code buyer/seller -H) int.) (J-P) Code Day (J-P) (A-H) (if private 
merger, (Q-W) transaction)
redemption) 
DNONE (No reportable income, assets. transactions) B'ham Fed. Employees Credit Union Acct. :t<  Interest IRA -Fed. Kemper Life Ins. Fixed Annuity  Interest IRA -SunAmerica Flexible Premium Annuity  Interest IRA -Fidelity Guar. Life Ins. Fixed Annuity  Interest IRA -Merrill Lynch Global Allocations Mutual Fund  Interest  Sell  08-03 PaineWebber, Inc. -Trust PaineWebb.er, Inc. -Trust PaineWebber, Inc. -Trust  Dividend Dividend Dividend Bear Stean,is High Yield Mutual Fund  Dividend  

----- Income/Gain Codes: (See Columns and D4) $1,000 less $50,001-$100,000 $1,001-$2,500 $100,001-$1,000,000 $2,501-$5,000 $1.000,001-$5,000,000   -------- - - --. $5.001-$15,000 $15.001-$50,000 More than $5,000,000 Value Codes: $15.000 less $15,001-$50,000 $50,001-$100,000 $100,001-$250,000  
(See Columns and D3) $250,000-$500,000 $25,000,001-$50.000.000 $500.001-$1,000,000 $1,000,001-$5.000,000 $More than $50,000,000 $5,000,001-$25.000,000 Value Method Codes  =Appraisal  =Cost (Real Estate Only) Assessment Cash/Market  
(See Column C.2)  =Book Value  =Other  =Estimated  

Blackbum, Sharon  5/16/2005  

... 
Dt. 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.  501 et. seq., U.S.C.  7353, and Judicial Conference regulations. 
Signature. 
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 Administrative Office the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544