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FI_NAN CIAL DIS CLOSURE REP O RT

FOR CALE~ YEAR 2009
2. Court or Organization N.D. of Cali[brnia 5:~. Report Type (check appropriate type) [] Nomination, Date "LL.J~7 Annual

Report Required by the Ethics

in Government Act of1978

~Revi)J}.!~

(~ c(s.c, app. ff.{ lO1-111)

3. Date of Report 04/28/2010 6. Reporting Period 01/01/2009 to 1213 [/2009

1. Person Reporting (last name, first, middle initial) JENSEN, DeIwen L. 4. Title (Article II[ judges indicate active or senior status; magistrate judges indicate full- or part-time) U.S, DistfictJudge-Sexfior

[] Iaifiai

[] Final

5b. [] Amended Report 7. Chambers or Office Address U.S, District Cottrt i 301 Clay Street Oakland, CA 94612 8. On the basix of the information contained in Ibis Report and any modifications pertaining thereto, it is, in my opinion, in compliance with applicable laws and regulations. Reviewing Officer Date

IAIPORTA~VT 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.

I. POSITIONS. ~,po~i,g individual only; see pp. 9-13 of filing instructions.)

NONE (No reportablepositions.) POSITION
l.

NAME OF ORGANIZATION/ENTITY

3.

~1:

~i
F~q

II. AGREEMENTS. (Reporting indi~idual onl)5" see pp. 14-.16 o~f!ling instructions,)
NONE (?o reportable agreements) DATE
1.

PARTIES AND TERMS

2.

Jensen, Delwen L.

FINANCIAL DISCLOSURE REPORT Page 2 of 6

N~=~ of Persott Reporting JENNEN, Delwen L.

[ Date of Report

04/28/2010

HI. NON-LNVESTMENT INCOME. mepo,a.g i~ivla,~ ~,u ,p ....

A. Filers Non-Investment Income NONE (No reportable non-investment income.)

+,,.,pp. I 7-24 oI~ai.g i,~e,~o.~)

DATE
I. 2009 2. 3. 4.

SOURCE ANq3 TYPE

A ameda County Employees Retirement Association

INCOME
(yours, not spouses) $59,682.72

B. Spouses Non-Investment Income - lf ),ou were married during any portion of the repotting year, complele tlr~ sectiom
(Dollar amount not required ~cept for honorar~z.)

NONE (No reportable non-invesmtent incomeO

$Q~CE AN~ T~E

1.

2. 3,

~xv. REIMBURSEMENTS - ~.,,.po.,.,io.. ~o~gl.g, ~oo~, .,,,~,.i .... ~

(Includes those to spouse and dependent children; see pp. 25-27 of filing instructions.)

NONE (No reportable reimbursements.)

~
1. 2. 3. 4. 5.

DATES

LOCATION

PURPOSE

ITEMS PAID OR PROVIDED

FINANCIAL DISCLOSURE REPORT Page 3 of 6

~ ....

fP .....Reporting

DateofReport

s~.~s~N, Delwen L,
I

04/28/2010

V. GIFTS. anc+,,d+ t+o:.: ,o ~. ....... d dependent children; ~ee pp. 28-31 of f!tlng instructions.> NONE (No reportable gifts.)
SOURCE
l.

DESCRIPTION

3.
4, 5.

[~

NONE (No reportable liabilities..)

CREDITOR
1. 2. 3. 4. 5.

Dg,~CRIPTION

VALUE CQDE

FINANCIAL DISCLOSURE REPORT Page 4 of 6

Name of Person Reporting

Date of Report [

JEr~sEr~, Del~ven L.

04/28/2010

VII. INVEST MENTS an d TRU STS -i ..... e, value, tr ...... lions (Includes those of sp ..... d dependent children; ~ee pp. 34-60 of filing instructing:)
[] NONE (No reportable income, assets, or transactions.)
Description of Assets (including trust assets) Place "IX)" aRer each asset exempt from prier disclosure Income during i reporting period (1) 12) Amount Type (e.g., Code div., rent, (A-H) or int.) Gross value at et~d of reporting period (I) " {2) Value Value Code 2 Method (.~-"P) , Code 3 [ /Q-W) (1) Type (e.g., buy, sell, redemption) Transactions during reposing period (2) (3) i (4) Date I Value mmtdd/yy I Code 2 ! (J-P) ~

i
i

Gum Code 1 IA-H) i.~

Identity of buyer/seller (if private t ...... tion)

1.

Balak Deposits - Bank of the West

Interest

2. 3.

Savings Account - 1 st United Services CU

Interest

14, I5. 16.

FIN A~NCIAL DISCLOSUI~E REPORT Page 5 of 6

~ ....

fp ....

Reporting

Date of Report

,mNSEN, Delwen L.

04/28/2010

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS.

FINANCIAL DISCLOSURE REPORT

Page 6 of 6 IX. CERTIFICATION.

Name of Person Reporting

Date of Report

04/28/201o

I certi~" that all information given above (including infi~rmation 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 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.

Signalure

NOTE: ANY INDIVIDUAL ~,VHO KNOWINGLY AND WII,FULLY FALSIFIES OR F&ILS TO FILE THIS REPORT MAY BE SUBJECT TO CIVIL AND CRIMINAL SAaNCTIONS (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