Samuel P. King – 2005
Number of Pages:4
Date Created:December 1, 2006
Date Uploaded to the Library:November 10, 2014
Autogenerated text from PDF
Spouses Non-Investment Income -If you were married during any portion the reporting year, please complete this section. (dollar amount not required except for honoraria) l.--1 NONE (No reportable non-investment income.) IV. REIMBURSEMENTS transportation, lodging, food, entertainment. (Includes those spouse and dependent children. See pp. 25-27 Instructions.) SOURCE DESCRIPTION (No such reportable reimbursements.) VII. Page INVESTMENTS and TRUSTS --income, value, transactions (Includes those spouse and dependent children. See pp. 34-60 Instructions.) (No reportable income, assets, transactions.) Date Report ---i VIII. ADDITIONAL INFORMATION EXPLANATIONS (Indicate part Report.) 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 pennitting 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 NOTE: ANY INDIVIDUAL WHO KNOWINGLY WILFULLY FALSIFIES FAILS FILE THIS REPORT MAY SUBJECT CIVIL AND CRIMINAL SANCTIONS U.S.C. app. 104.) ..,. .