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Judicial Watch • Susan H Black Financial Disclosure Report for 2010

Susan H Black Financial Disclosure Report for 2010

Susan H Black Financial Disclosure Report for 2010

Page 1: Susan H Black Financial Disclosure Report for 2010

Category:Financial Disclosure

Number of Pages:8

Date Created:November 11, 2013

Date Uploaded to the Library:November 13, 2013

Tags:Jacksonville, Susan H Black, BLACK, Parcel, SUSAN, Estate, 2010, EPA, IRS, Financial Disclosure, ICE, CIA, financial, income, Judge


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Government Act 1978 
Rev 
FOR CALENDAR YEAR 2010 U.S.C. app.  101-111) Person Reporting (last name, first, middle initial) Black, Susan Court Organization Court Appeals Date Report 05/06/2011 Title (Article III judges indicate active senior status; magistrate judges indicate full-or part-time) Circuit Judge-Active  Sa. Report Type (check appropriate type) Nomination, Date Initial [{] Annual Sb. Amended Report Final Reporting Period 01/01/2010 12/31/2010 Chambers Office Address 300 Hogan Street Suite 14-150 Jacksonville, 32202-4258 the basis the information contained this Report and any modifications pertaining thereto, is, opinion, compliance with applicable laws and regulations. Reviewing Officer Date  

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. POSITI NS. (Reporting individual only; see pp. 9-13 filing instructions.) 	NONE (No reportable positions.) POSITION NAME ORGANIZATION/ENTITY 
Trustee 	-Life Ins. Trust (Part VIII) 

II. AGREEMENTS. (Reporting individual only; see pp.14-16 filing instructions.) 
[{] NONE (No reportable agreements.) 

PARTIES AND TERMS 

Black, Susan 

Date Report 
05/06/2011
Black, Susan 
III. N-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) 2010 Duke University School Law-appellate practice course 500.00 Spouse's Non-Investment Income -If you were married during any portion the reporting year, complete this section. 
(Doi/or amount not required except for honoraria.) NONE (No reportable non-investment income.) SOURCE AND TYPE 2010 Self-employed president travel agency 
2.2010 Self-employed real estate broker 
3.2010 Self-employed owner limo service 
IV. REIMBURSEMENTS -transportation, lodging,food, entertainment. 
(Includes those spouse and dependent children; see pp. 25-27 filing instructions.) NONE (No reportable reimbursements.) SOURCE DATES LOCATION PURPOSE ITEMS PAID PROVIDED Duke University Nov 14-16 2010 Durham, Teach Airfare, hotel University Florida Feb 2010 Gainesville, Roundtable Meals 

Date Report 
05/06/2011
Black, Susan GIFTS. (Includes those spouse and dependent children; see pp. 28-31 filing instructions.) 
[{] 	NONE (No reportable gifts.) SOURCE DESCRIPTION VALUE 
VI. LIABILITIES. (Includes those spouse and dependent children; see pp. 32-33 filing instructions.) 	NONE (No reportable liabilities.) CREDITOR DESCRIPTION VALUE CODE 
Bank America Mortgage-Parcel (Part VII, line 13) 
SunTrust Bank Mortgage-Parcel (Part VII, line 29) 
Mercantile Bank Mortgage-Parcel (Part VII, line 18) 

Date Report
Black, Susan 
05/06/2011 
VII. INVESTMENTS and TRUSTS income, value, transactions (Includes those spouse and dependent children; see PP 34-60 filing instructions.) NONE (No reportable income, assets, transactions.) 

Date Report 
Black, Susan 
05/06/2011 
VII. INVESTMENTS and income, value, transactions (Includes those spouse and dependent children; see PP 34-60 filing instructions.) NONE (No reportable income, assets, transactions.) 
Description Assets Income during 
(including trust assets) 

Place ''(X)" after each asset 
exempt fro Ill prior disclosure 

AH) 
18. 
Real Estate Parcel. Jacksonville, Rent 

19. 
Loan-S.K. Hong Inc Interest Redeemed 07/16/10 

(part) 
20. 
Loan-Smith None Closed 12/31/10 

21. 
Loan-Bragg None Closed 12/31/I Income Gain Codes: =$1,000 less =$1,001 -$2,500 =$2,501 -$5,000 =$5,001 -$15,000 =$15,001 -$50,000  
(See Columns and D4) =$50,001 -$100,000 =$100,001 -$1,000,000 =$1,000,001 -$5,000,000 =More than $5,000,000 Value Codes =$15,000oress =$15,001 -$50,000 =$50,00 -$0,000  M"'$100,001 -$250,000  
(Sec Columns and D3)  N=$250,00 -$500,000 =$500,001 -$1,000,000 =$1,000,001 $5,000,000  ?2=$5,000,001 -$25,000,000 =$25,000,001 -$50,000,000 =More than $50,000,000 Value Method Codes =Appraisal =Cost (Real Estate Only) =Assessment  T=Cash Market  
(Sec Column C2) =Book Value  V=Other =Estimated  

VII. INVESTMENTS and income, value, transactions (Includes those spouse and dependent children; see PP 34-60 filing instructions.) NONE (No reportable income, assets, transactions.) 
35. Loan-Gibson Interest 
Bank America account None 
37. Real Estate Parcel. Jacksonville, None 
38. Loan-Black 
Interest 
Loan-Black 
Interest 
40. Real Estate Parcel. Jacksonville, 
None 
Buy
02/16/10 
RoryPire Income Gain Codes: =$1,000 less  8=$1,001 -$2,500  C=$2,501 -$5,000 =$5,001 -$15,000 =$15,001 -$50,000  
(See Columns and D4) =$50,001 -$100,000 =$100,00l. $1,000,000  lll .;$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  
(See Columns and D3) =$250,00I -$500,000 =$500,001 -$1,000,000 =$1,000,001 -$5,000,000  P2=$5,000,00I -$25,000,000 =$25,000,001 -$50,000,000 =More than $50,000,000 Value Method Codes =Appraisal =Cost (Real Estate Only)  S-=Assessment =Cash Markel  
(See Column C2) =Book Value =Other =Estimated  

Name Person Reporting 
Date Report 
Black, Susan 
05/06/2011 
VIII. ADDITIONAL INFORMATION EXPLANATIONS. (lndicatepartofreport.) Part 

Life Insurance Trust -not listed Part VII, unfunded trust. 

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: Susan Black 
NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY 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