donetta w ambrose financial disclosure report for 2010

8/3/2019 Donetta W Ambrose Financial Disclosure Report for 2010

1/7

FINANCIAL DISCLOSURE REPORTFOR CALENDAR YEAR 201 0Report Required by the Ethics

in Government Act of 1978(5 U.S,C. app. 101-I11)

1 . Person Reporting (last name, first , middle initial)A MBR O SE , D O N E T T A W.

4. Ti t le (Art icle I I l judges indicate a ct ive or senior s ta tus ;magistrate judges indicate full- or part-t ime)

U.S . DI S TRI C T JUDGE, S ENI OR S TATUS

7. Chambers or Office Address620 U . S. PO ST O F F I CE & CO U R T HO U SE7 00 G R A N T ST R E E TPITTSBURGH, PA 15219-1906

2. Court or Organizat ionU . S. D I ST . CT . WE ST E R N D I ST . PA

3. Date of Report04/27/2011

5a. Report Type (check appropriate type)] N o m i n a t i o n , Date[] Initial [] Annual [] Final5b. [] Amended Report8.On the basis of the information contained in this Report and any

modifications pertaining thereto, it is, in my opinion, in compliancewith applicable laws and regulations.

6. Repor t ing Per iod01/01/2010

to12/31/2010

Reviewing Officer Date

I M P O R T A N T N O T E S : 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.

I . P O S I T I O N S . (Reporting individual only; seepp. 9-13 of f!l ing instructions.)~ (No reportablepositions . )ONE

POSITION NAME OF OR GANIZATION/ENTITY1. M E M B E R B O A R D O F D I R E C T O R S - M A G E E W O M E N S H O S P I TA L

2. M E M B E R B O A R D O F D I R E C T O R S - M A G E E W O M E N S R E S E A R C H I N S T IT U T E

3.

4.5.

I I . A G R E E M E N T S . ( R e , o , i .g i n d i v i d u a l o n l y ; s e ~ p p . 1 4 - 1 6 of filing instructions.)~ (No reportable agreements.)ONE

_ D A T E PARTIES AND TERMS


2/7

FINANCIAL DISCLOSURE REPORTPage 2 of 7

N a m e o f P e rs o n R e p o r t i n gAMBROSE, DONETTA W.

D a t e o f R e p o r t04/27/2011

I I I . N O N - I N V E S T M E N T I N C O M E . ( R e p o r t i n g individual andspouse; seepp. 17-24 of filing instructions.)A. Filers Non-lnvestment Income[] (No reportable income.)ON E non- inves tment

DATE SOURCE AND TYPE INCOME( y o u r s , n o t s p o u s e s )1.2010 P ENNSY LV ANIA STATE EM P LOY EES R ETIR EM ENT SY STEM $24,527 .00

2.3.4.

B . S p o u s e s N o n - I n v e s t m e n t I n c o m e - if you were married during anyportion of the reporting year, complete this section.(Dollar amount not required except for honoraria.)

NONE (No reportable non-investment income.)

1.2010

2.20103.

4.

DATE SOURCE AND TYPES ELF EM P LOY ED ATTORNEY

AI GA - P ENS I ON

I V . R E I M B U R S E M E N T S - transportation, lodging, food, entertainment.(Includes those to spouse and dependent children; see pp. 25-2 7 o filling instructions.)

~ N O N E (No reportable reimbursements.)SOURCE DATES LOCATION PURPOSE ITEMS PAID OR PROVIDED

1. A M E R I C A N C O N F E R E N C E 5/2010 N E W Y O R K , N E W Y O R K C O N F E R E N C E S P E A K E R T R A N S P O R T , L O D G I N GINSTITUTE2. A M E R 1 C A N C O N F E R E N C E 10/2010 N EW Y OR K, N EW Y OR K C ON FE R EN CE SP EA KE R T RA NS PO R T, LO DG IN G

INSTITUTE3. AC AD. OF TRI AL 10/2010 F A R MI N G T O N , pa R E T R E A T F O O D

L A W Y E R S4. A LLEGH EN Y C OUN TY 6/2010 CHAMPION, PA BENCH/BAR LODGING, FOODB A R A S S O C I A T I O N5.


3/7

FINANCIAL DISCLOSURE REPORTP a ge 3 o f 7

N a m e o f P e r s o n R e p o r t in gAMBROSE, DONETTA W.

Date of Report04/27/2011

V . G I F T S . (Includes those to spouse and dependent children; see pp. 28-31 of filing instructions.)N O N E (No reportable gifts.)

SOURCE1.2.3.4.5.

DESCRIPTION VALUE

V I . L I A B I L I T I E S . a , c l , , a e s t h o s e o l s p o ~ s e o n d dependent children; see p p . 3 2 - 3 3 of filing instructions.)D NONE (No reportable liabilities.)

CREDITOR1 ." FI RS T NATI ONAL B ANK B U S I N E S S L O A N

2. FI RS T C OM M ONWEALTH B ANK B U S I N E S S L O A N3.

4.5.

DESCRIPTION VALUE CODELM


4/7


Name of Person Report ingAMBROSE, DONETTA W.


V I I . I N V E S T M E N T S a n d T R U S T S - income, value, transactions (Includes those of spouse and dependent children; seepp. 34-60 of filing instructions.)~ NONE(No reportable income, assets , or transactions . )

5.6.

7.

8.

9.

11 .

15 .

Descr ip t ion o f Asse t s I n c o m e d u r i n g Gross va lue a t end( inc lud ing t rus t a s se t s ) r epo r t ing pe r iod of repor t ing per iod

i I) (2 ) (1 ) (2)P l a c e " ( X ) " a f t e r e a c h a s s e t Amo unt Type(e .g., Value Valueexempt from prior disclosure

Transac t ions dur ing r epo r t ing pe r iod

(Q-W)

(1). , (2) (3) (4) (5 )Type (e.g., D a t e Value Gain Identity of

Code 1 buyer/seller( A - I - F ! ( i f p r i v a t e

t r a n s a c t i o n )

ALLEGHENY CO US GVT FCU C I n t e r e s t L TFIRST NATIONAL BANK (X ) A I n t e r e s t J TCOMMERICAL RENTAL NEWK ENSI NGTON WESTMOR EL AND COPAMORGAN STANL EY (Y)

Rent M R

1 6 ,

1. Income Gain Codes:(S ee Co lumns B I aud D 4)

2.Value Codes(S ee Co lumns CI and D 3)

3. Value Method Codes(S ee Co lumn C2 )

A=$i~000 or tessF =$50,001 - $100,000J=$15,000 or lessN =$250,001 - $500,000P3=$25~000,001 - $50,000,000Q=AppraisalU =B ook Value

B --$i~001 : $2,500 C = $2;501 - $5,000 D =$5,001 - $15,000G =$i00~00t - $i~000~000 H 1 =$ i~000~001 - $5,000,000 H2 =M0re than $51000,000K =$15,001 r $50,000 L =$50~00]- $100~000 M = $100,001 - $250,000O =$500,001 - $1,000,000 P 1 = $ 1, 00 0, 00 1 - $5 ,0 00 ,0 00 P 2 = $ 5, 00 0, 00 1 - $2 5, 00 0. 00 0

P4 =More thar~ $50,000,000R =Cost (Real Estate On!y) S =Assessment T =Cash Marke tV =O ther W =Estimated

E =$15,001- $50,000


5/7


N a m e o f P e r s o n R e p o r t in gAMBROSE, DONETTA W.

D a t e o f R e p o r t04/27/2011

V I I . I N V E S T M E N T S a n d T R U S T S - i n c o , ~ e , v a l a e , t r a n s a c t i o n s ( Includes those o f spouse and depend ent children; see p p . 3 4 - 6 0 of filing instructions.)NONE (No reportable income, assets, or transactions.)

A. B. C. D.Description of Assets Incom e during Gross value at end Transactions during reporting period(including trust assets) reporting period o f rep orting period

(l) (2) O) (2) (1 ) (2) (3) (4) (5 )Place "(X )" after each asset Am ount Type (e.g., Value Value Type (e.g., D a t e Va l ue Ga i n Identity ofexempt from prior disclosure Code 1 div., rent, Code 2 Metbod buy, sell , mm/dd/yy Code 2 Code 1 buyer/seller(A-H) o r i n t . ) ( J - P ) Code 3 redemption) ( J - P ) (A-H) ( i f p r i v a t e

(Q-W) t r a n s a c t i o n )

(See Columns B 1 and D4) F =$50,001 - $100,000 G =$100,001 - $ 1,000,0002. Value Codes J =$15,000 or less K =$15,001 - $50,000( See Col umns CI and D3) N =$250,001 - $500,000 O =$ 500,001 - $1,000,000

P3 =$25,000,001 - $50,000,0003. Value Method Codes Q = Appra is a l R =Cost (Real Estate Only)(See Colunm C2) U =B ook Value V = Ot her

C =$2,501 - $5,000H i =$1,000,001 - $5,000.000L =$50,001 - $100,000P 1 = $ t ,000,001 - $5,000,000P4 = More than $50,000,000S =AssessmentW =Estimated

D =$5,001 - $15,000H2 =More than $5,000,000M -$ 100,00! - $250;000P2 =$5,000,001 - $25,000,000T =Cash Market

E =$15,001 - $50,000


6/7


N a m e o f P e r so n R e p o r t i n gA M B R O S E , D O N E T T A W .

D a t e o f R e p o r t04/27/2011

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. (lndlcate part of report.)PART VII - LINE 3COMMERCIAL RENTAL PROPER TY - NEW KENSINGTON, W ESTMORELAND COUNTY, PA 15068PURCHASED 5/96 - COST PLU S IMPROV EMENTS - $176,435

PART V II - LINE 4THERE WAS NO INCOME ASSICIATED WITH MORGAN STANLEY FOR THE YEAR 2010


7/7


Name of Person Report ingAMBROSE, DONETTA W.


IX. C ERTIFICATION.I c e r t if y t ha t a l l in f o r m a t i o n g i v e n a bo v e ( i n c l u d i n g i n f o r m a t i o n p e r t a in i n g t o m y s p o u s e a n d m i n o r o r d e p e n d e n t c h i l d r e n , i f a n y ) i s

accurate , t rue , and complete to the bes t o f my knowledge and bel i ef , and that any in format ion no t repor ted was wi thheld because i t met app l i cable s t a tu to ryprovi s ions permi t t ing non-d i sc losure.1 f u r t he r c e r ti f y tha t e a r n e d i n c o m e f r o m o u t s i d e e m p l o ym e n t a n d ho n o r a r i a a n d t he a c c e p t a n c e o f g i f ts wh i c h ha v e be e n r e p o r t e d a r e i ncomp l iance wi th the p rovi s ions o f 5 U.S.C. app . 501 et . seq ., 5 U.S.C. 7353, and Jud ic ia l Conference regula t ions .

Signatur e: $/DONETTA W. AMBROSE

NOTE: ANY INDIVIDUAL WHO KNOWINGLY AND WILFULLY FALSIFIES OR FAILS TO FILE THIS REPORT MAY BE SUBJECT TO CIVILAND CRIMINAL SANCTIONS (5 U.S.C. app. 104)

C om m i t tee on F inanc ia l Di sc losu reAdm inis t ra t ive Off ice of the Uni ted Sta tes Cour tsSuite 2-301One Colum bus Circle , N.E.Washing ton , D.C. 20544

donetta w ambrose financial disclosure report for 2010

Documents