Donetta W. Ambrose – 2005
Category:Federal Judges
Number of Pages:4
Date Created:September 8, 2013
Date Uploaded to the Library:May 21, 2014
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Person Reporting (last name, first, middle initial) AMBROSE, DONETTA Court Organization DIST. CT. WEST. DIST. Date Report 04/27/2006 Title (Article judges indicate active senior status; magistrate judges indicate full-or part-lime) Chief U.S. District Judge Sa. Report Type (check appropriate type) Nomination, Date Initial Annual Final Reporting Period 0110112005 12/31/2005 Sb. Amended Report Chambers Office Address 620 Post Office Court 700 Grant Street Pittsburgh, 15219-1906 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. POSJTJ0NS. (Reporting individual only; see pp. 9-13 instructions.) NONE (No reportable positions.) TRUSTEE YMCA -NEW KENSINGTON, PENNSYLVANIA 2.MEMBER BOARD DIRECTORS -MAGEE WOMENS HOSPITAL MEMBER BOARD DIRECTORS -MAGEE WOMENS .,., II. AGREEMENTS. (Reporting individual only; see pp. 14-16 instructions.) O:::;: 1-: NONE (No reportable agreements.) (/) - PARTIES TERMS 2005 Commonwealth Pennsylvania Blue Cross/Blue Shield Retired Employees Health Care Benefit Plarr l_.J AMBROSE, DONEIT Page of7 Ill. NON-INVESTMENT COME. (Reporting individual and spouse; see pp. 17-24 instructions.) Filers Non-Investment Income NONE (No reportable non-investment income.) INCOME (yours, not spouses) 2005 Law Practice 2005 AIGA 21,251 -transportation, lodging, food, entertainment New York Intellectural Properties Law Association 3/2005 -Dinner New York, New York AMBROSE, DONETI Page of7 GIFTS. (Includes those spouse and dependent children. See pp.18-31 instructions.) [RJ NONE (No reportable gifts.) Margin Account Line Credit Business Loan Business Loan AMBROSE, DONETIA Page of7 VII. INVESTMENTS and TRUSTS income, value, transactions (includes those the spouse and dependent chitdren. see PP. 14-s7 offtlinc instructions) NONE (No reportable income, assets, transactions.) Description Assets Income during Gross value end Transactions during reporting period (including trust assets) reporting period reporting period not exempt from disclosure Type(e.g. buy, sell, merger, redemption) (2) Date Month-Day (3) Value Code (J-P) (4) Gain Code (A-H) (5) Identity buyer/seller (if private transaction) (2) (I) (2) Place (X) after each asset Amount Type(e.g. Value Value exempt from prior disclosure Code div., rent, Code Method (A-H) int.) (J-P) Code )Income Gain Codes: =$1,000 less B-$1,001 -$2,500 -$2,501 -$5,000 =$5,001 -$15,000 =$15,001 -$50,000 (See Columns and 04) =$50,00 -$100,000 100,00 1,000,000 =$1,000,001-S5,000,000 =More than $5,000,000 Value Codes 15,000 less K=$15,001 -$50,000 =$50,001 -$100,000 =$100,001 -$250,000 (See Columns and D3) =$250,00 -$500,000 =$500,001 -SI,000,000 =$1,000,001 -$5,000,000 =$5,000.001 -$25,000,000 Value Method Codes =$25,000.001 -$50,000,000 =Cost (Real Estate Ouly) =More than $50.000,000 T=Cash Market =Appraisal =Assessment (See Column C2) V==Other =Book Value W=Estimated AMBROSE, DONETI Page of7 VII. INVESTMENTS and TRUSTS income, value, transactions (includes those the spouse and dependent children. see PP. 34-57 filing instructions) NONE (No reportable income, assets, transactions.) Description Assets Income during Gross value end Transactions during reporting period (including trust assets) reporting period reporting period (2) (I) (2) Place (X) after each asset Amount Type(e.g. Value Value Type(e.g. exempt from prior disclosure Code div., rent, Code Method buy, sell, (A-H) int.) (J-P) Code merger, redemption) not exempt from disclosure (2) (3) (4) (5) Date Value Gain Identity Month Code Code buyer/seller Day (J-P) (A-H) (if private transaction) Income Gain Codes: =$1,000 less =$1,00 -$2,500 =$2,50 -$5,000 =$5,001 -$15,000 =$15,001 $50,000 (See Columns and 04) =$50,001 -$100,000 =$100,001 -Sl,000,000 =$1,000,001 -$5,000,000 =More than $5,000,000 Value Codes =$15,000 less =$15,00 -$50,000 L=$50,001-$100,000 =$100,001 $250,000 (See Columns and DJ) =$250,00 -$500,000 =$500,001 -$1,000,000 =$1,000,001 -$5,000,000 =$5,000,001 -$25,000,000 Value Method Codes =$25,000,001 -$50,000,000 =Cost (Real Estate Only) =More than $50,000,000 T=Cash Market (See Column C2) =Appraisal =Other =Assessment =Book Value W=Estimated AMBROSE, DONEIT Page of? VIII. ADDITIONAL INFORMATION EXPLANATIONS. (lndicate parto/Report.) AMBROSE, DONETI Page of7 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 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