Documente Academic
Documente Profesional
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Rev. m002
ReporlRequiredbythvl~thics
in Government Act of 1978, (s u.s.c. ~pp., ~1ot-]I0
3. Date of Report
Benson, Dee V. 4. Title (Article Ill judges indicate active or senior status;
magistrale judges indicate full- or part-timej
United States District Court - Utah 5, ReporIType (check appropriate type) __Nomination, Date __Initial ~X Annual __Final
8. On the basis of the infomation contained in this Report and any modifications pertaining therelo, it is, in my opinion, in compliance with applicable laws and regulations,
!350 South Main Street #251 Salt Lake City, Utah 84101
Reviewing Officer
Date
1MPORTANT NOTES: The instructions accompanying this form must be followed Complete all parts, checking the NONE box for each part where you have no reportable information. Sign on last page.
NAME OF ORGANIZATION/ENTITY
[~
I
2 3
II. AGREEMENTS. (Reporting individual only; see pp. 14-16 of Instructions.) DATE
~
2
III. NON-INVESTMENT INCOME. (neporti.g ma~iduot a~a spou~e: see pp. 17-24 of lnstructions.)
DATE SOURCE AND TYPE
~
I 2 3 4 5
$ 1,975.00
$ $
Benson, Dee V.
Date of Report
~OURCE
DESCRI PT I ON
~
1
X~
V, GIFTS, (Includes those to spouse and dependent children. See pp. 28-31 of Instructions.)
~]
1 2 3 4
S_Q_OURCE
NONE (No such reportable gifts.)
DESCRIPTION
VALUE
VI. LIABILITIES, (Includes those o/spouse and dependent children See pp. 32-33 of Instructions.)
CREDITOR NONE (No reportable liabilities.) DESCRIPTION VALUE CODE*
N=$250,001"$500,000
Dale of Report
Benson, Dee V. [
05/1 1/20~o
VII. Page 1 INVESTMENTS and TRUSTS -- income, value, transactions a,c~ua, s ,ho.~e o.~
spot~e and dependenl children. See pp. 34-57 of lnstructtons.) A. B. C. (incluclmgDescriptintrustfAssetSassets) h~comedt~ing Grossat endValUeof reporting period reporting period (2) (1) (2) (1) (1) exemptfr6m prior disclosure. D. Transactions during reporting period If not exempt from disclosure
~e.~.,
Value
Type
(e.~... Date: ~3) (~) Value buy, seu, merger, Month- Code2 redemption) Day (J-P)
~n
Codel (A-H)
__-~ NONE (No reportable income, assets, IRA-Fidelity Investments Mutual Fund - Megellan A Dividend J T
10
13
15
Income!Gain Codes: A=$1,000 or less B--$1,001-$2,500 (SeeCol. B1,134) F=$50,001-$10~,000 G---$I00,001-$1,000,000 Value Codes: J=$15,000 or less K=$15 001-$50 000 (SeeCol. CI, D3) N=$250,001-$500000 O=$50~ 001-$I000,000 P3=$25,000,001-$~0,000,000 Value Method Codes: Q=Appraisal R=Cost (real estate only) (See Cal. C2) U=Book value V=Ot.her
C=$2,501-$5,000 H1---$1,000,001-$5,000,000 L~$50,001- $100.000 P1=$1,000,001-$5,000 000 P4=More than $50,000~000 S=Assessment W=Estimated
Dam of Report
Benson, Dee V.
05111/2010
IX. CERTIFICATION.
I certi~ that all information given above (including information pertaining to my spouse and minor or dependent children, if any) is accurate, true, and complete to the best of my knowledge and belief, and that any information not reported was withheld because it met applicable statutory provisions permitting non-disclosure. I further certify that earned income fi-om outside employmem and honoraria and the acceptance of gifts which have been reported are in compliance with the provisions of 5 U.S.C. app., 501 et. seq., 5 U.S.C. 7353 and Judicial Conference regulations.
Signature
NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE THIS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SANCTIONS (5 U.S.C. App., 104.)
FILING INSTRUCTIONS: Mail signed original and 3 additional copies to: Committee on Financial Disclosure Administrative Office of the United States Courts Suite 2-301 One Columbus Circle, N.E. Washington, D.C. 20544