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FINANCIAL DISCLOSURE REPORT
~
Report R~quired by the Ethics
in Government Act of 1978,
FOR CALENDAR Y-EAR 2009 2. Court or Organization U.S. District Court, District of Oregon
5. Report Type (cheek appropriate type) /
(5 u.s.c. ,~pp. 10]-110 3. Date of Report 5/6/10
6. Reporting Period
~~ Person Reporting (Last name, first, middle initial} i Mosman, Michael W.
4. Title (Article llIjudges indicate actwe or senior status." raagistrate judges indicate full- or part-time)
~ United States District Judge (Article III) - Active
i Chambers or Office Address 17.
i! US Cottrthouse, Rm. 1615
-8.
Nomination, Date Initial X Annual Final
January 1, 2009 - December 3 t, 2009
On the basis of the information contained in this Report and any modifications pertaining thereto, it is, in my opinion, in compliance with applicable laws and regulations.
i t000 SW Third Avenue i Portland, OR 97204
Reviewing Officer
Date
1MPORTANT NOTES. The instructions accompanying this form must be followed. Complete al! parts, checking the NONE box for eachpart whereyou have no reportable information. Sign on tastpage.
I. POSITIONS. (Reporting individual only; seepp. 9-13 of Instructions.)
POSITION [i NONE (No reportable positions.) United States Courts NAME OF ORGANIZaTION/ENTITY
~....
1 United States District Judge
----
~_~
,.."
II. AGREEMENTS. (Reporting individual only: see pp, t4-t6 of Instructions.)
DATE iX~
I
rct
...1
PARTIES AND TERMS
NONE (No reportable agreements.)
III. NON-INVESTMENT INCOME. (Reporting individual and spouse: see pp. 1744of Instructions.) DATE SOURCE AND TYPE A. Fliers Non-Investment Income i X i NONE (No reportable non-investment income.) 1 2 3
GROSS INCOME
$ $
B. sp~se~on-lnvestment Income - If you were married during any portion of the reporting year, please complete this section. (dollar amount not required except for honoraria) ! NONE (No reportable non-investment income.) 1 2 2009 West Linn Family Health Center
Mosman, Michael W.
FINANCIAL DISCLOSURE REPORT
i Name of Person Reporting
! Michael W. Mosman
Date of Repot/
,~
5/6/10
IV. REIMBURSEMENTS -- transportation, lodging, food, entertainment.
(Includes those to spouse and dependent children. See pp. 25-27 of lnstructions.) SOURCE NONE (No such reportable rehnbursements.) DESCRIPTION
iX[
2 3 4 5 6 7 V. GIFTS. (lncfudes those to spouse and dependent children. See pp. 28-31 of lmtructions.) SOURCE ~- X ! 1 2 3 4 NONE (No such reportable gifts.) $ $ $ $ DESCRIPTION VALUE
I. LIABILITIES. (Includes those of spouse and dependent children See pp. 32-33 of Instructions.)
CREDITOR X 1 2 3 4 NONE (No reportable liabilities.) DESCRIPTION VALUE CODE*
L=$50,001-$100,000 ~*Va-i~ ~odes: J=$15,000 or-iess ~=$1--~,001-S50,000 N=$250,001 -$500,000 0=$500,001 -$1,000,000 P3=25,000,001-50,000,000 P2=$5,00_~_0~001-$25,_~00__0,000
M=$100,001-$250,000 P I=$1,000,001 -$5,000,000 P4=50,000,001 or more __
" FINANCIAL
DISCLOSURE REPORT
Na~ of Person Reporting .......
Date of Report
Michael W. Mosman
5/6/10
VII. Page 1 INVESTMENTS and TRUSTS -- income, value, transactions (Includes those of
spouse and dependent children. See pp. 34-57 of Instructions.) A. ,Des.er!ption of Assets. (mcmamg trust assets) B. Income during ~--reporting period - (1) (2) Type (e.g., Amt. div., Codel rent or (A-H) int.~t C. ~ Gross value , at end of reporting period ~--~-i)--]--~) -] Value Value [ Method ~t Code2 I Code3 (Q-W) I A i Interest ] K , T D. Transactions during reporting period (1) [ If not exempt from disclosure [--(2)-~- ~/(a])u Type (5) (e.g., O(4m)n Identity of buy, sell, [ Date: e buyer/seller merger, !Month-i Code2 redemption)! Day ~ (J-F) (A-H) . (if private transaction) Code
