Rev 1/2010

ao w

FINANCIAL DISCLOSURE REPORT

FOR CALENDAR YEAR 2009

Report Required by the Ethic~

in Government Act of 1978 :5 ~.s.c. app. 10~-~I)

1. Pe~on Reporting (last name, first, middle mitial) Wflaon, Samuel G. 4. Title {Article 111 judges indicate achvc or senior status. magistrate judges red,care full- or par~-tlmc) Active

:l. Court or Organization United States District Court 5a. Report Type (check appropriate type) [] Nomination, [] Ioi~aI Date [] Annual Final

3. Date of Report 5/7/2010 6. Reporting Period 01/0|/2009 [] 12/31/2009

7, Chambers or Office Addreas P. O. Box 2421 Roanoke, VA 24010-2421

5b. [] Amended Report 8. On the basis ol the InIormotion contained in this Report and any modifications pertaining thereto, it I~, in my opinion, in compliance with applicable laws and regulations. Reviewing Officer Date

IMPORTANT NOTES: The instructions accompanying this form must be followed Complete all parts,
checking the NONE box for each part where yon have no reportable informatiot*. Sign on last page.

I. POSITIONS. c~e~o,~ individual only; Se. pp. 9o13 of filing insl~uctlon$.)

[-~ NONE (No reportable positions.) POSITION
1 2. 3. 4. 5. Member Board of Visitors

NAME OF ORGAN|ZATION/ENTITY
Wake Forest Universtty School of Law

NONE (No reportable agreements.) DATE PARTIES AND TERMS

1.

FINANCIAL DISCLOSURE REPORT Page 2 of 6

Name of Person Reporllag

Dale of Report 5/7/20 | 0

] Wilaon, Samuel G.
III. NON-INVESTMENT INCOME. ~Re~,~,g~n~i, tuula,,as~,o~e~ Seep~ ~-:~ o,~s,~ua~,~
A. Filers Non-lnvestment Income
NONE (No reportable non-investment income.) DATE
1. 2. 3. 4

SOURCE AND TYpE

INCOME
(yours, not spouses)

B. Spouses Non-Investment Income - if you were married d~rlng any portlon of the reporting year, complete this sectiog
(Dollar amount not required except for honorarm )

[~

NONE (No reportable non-investment income.)

DATE
I. 2

SOURCE AND TYPE

3.
4

IV. REIMBURSEMENTS - transportatiot~, lodging, food, ,nte.ainment~

(Include~ those to ~pouse and dependent children; see pp. 25-27 of filing Instructions.)

NONE (]go reportable reimbursements.)

SOURCE
I 2. 3 4. 5.

DATES

LOCATION

PURPOSE

ITEMS PAID OR PROVIDED

Name o! Person Reporting

Date of Report

PageFINANCIAL3 of 6 DISCLOSURE REPORT [ WU~o~, s~m.~ G.

[

5m2o ~o

NONE (No reportable gifts.)

1.

2. 3.
4. 5.

VI. LIABILITIES. a,~,,,~o,~ o/,~ ...... dd~o~,~ ~d,~,~r~. ~2-3~ o/~,~ ~,,,~o~
NONE (No reportable liabilities.) CREDITOR
1.

DESCRIPTION

VALUE CODE

2.
3. 4. 5.

FINANCIALDISCLOSURE REPORT Page 4 of 6 VII. INVEST MENTS and TRUSTS - ~,.,~..,

Name of Person Reporting

Date of Report 5/7/2010

NONE ~o reportable income, assets, or ~tio~.)

A D~scnpt,on of As~ (including ~st ~sets) Place "(X)" after e~h ~set cx~pt~ompnordisclos~e B. [ Income d~ng re~ing ~ , (i) ~ (2) Amour ~ X~ (.g., C~I div,~ng (A-}l) ormt) C. [ Gms~ value at end . of repoSing period i ~ [ (2) V~u ] Value ~ Code2 / M~h~ (J-P) [ C~e3 : ~) J J L L J M M L K T T T T T T T T T Sold (part) Sold 7/14/09 7/14/09 4/21/09 4/21/09 K K K K A B D T~sacfions d~ng re~mg ped~ (I) [ (2) (3) [ (4) Gain T~ (e g, ] Date Value buy, sell, ~m~d@~ Code2 C~el~ ~emption) (J-P) [ (A-H~ (5) Idenn~ of buyer/seller (if pfivale transac, io,)

I. 2. 3. : 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14.

Checking Savings Acc~ F~st Ci~zens Bm~ Sun Life Assurance Co. Canada, Shares (formerly Pohcy) Capital World Growth & Income Fund, Shares Smallcap World Fund, Shares Savings Account First Citizens Bank Capital World Growth & Income Fund, Shares Smallcap World Fund, Shares First Citizens Bank, Fixed Rate IRA Western-Southern Life Assurance Co. annuity

A A B A A B A A A

lnter~t Dividend Dividend Dividend Interest Dividend Dividend Interest Interest

(part)
Matured Buy

16 17.

FINANCIAL DISCLOSURE REPORT Page 5 of 6

N.m. orVe~oRR~o,~n~
W~aon, Samuel G.

D.teorR.~r,
5/7/2010

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS.

1. Item 14 on last years disclosure report was sold on 10/8/08 and the proceeds used on 10/21/08 to acquire the Fix~ Rate IRA that appears as Item 8 on this years report.

FINANCIAL DISCLOSURE REPORT I ~"~ o.e~on .*po~dn, hate otne~o. Page 6 of 6 5n/2o~o I WUao., Samuel a. IX. CERTIFICATION.
I certify that all information given above Onclndlng 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. ! further certify that earned income from outside employment 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 ~1tO KNo~,rlNGLY AND WILFULLY FALSIFIES OR FAILS TO FILE THIS REPORT MAY BE SUI~-ECT 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