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FINANCIAL DISCLOSURE REPORT

FOR CALENDAR YEAR 2009
2. Court or Organization U.S. DISTRICT COURT, N.D. lL So. Report Type (check appropriate t~pe) [] Nominatioo, [] Initial Date [] Annual [] Final

Rev. 1/2010

neport Required by the Ethics in Governmenl Act of 1978

(s u.s.c, app..~.~ IOl-l l O

3. Date of Report 04/21/2010 6. Reporting Period 01/01/2009 to 12/31/2009

1. Person Reporting (last name. first, middle inltia[) DER-YEGHIAYAN, SAMUEL 4. Title (Article II1 judge.s indicate active or senior status; magistrate judges indicate full- or part-time) U.S, DISTRICTJUDOE-ACTIVE

5b. ~-], Amended Relx~r~ 7. Chambers or Office Address 219 S. DEARBORN, CHAMBERS 1988 CHICAGO, ILLINOIS 60604 8. Oa 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. Date

Reviewing Officer

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

I. POSITIONS. (Reporting individual only; seepp, 9-13 of filing in~trueio.~.)

[] NONE (No reportable positions.) POSITION NAME OF ORGANIZATIQN/ENTITY

II. AGREEMENTS. (Repoffing indiPidual only; see pp. 14-16 of fding instructions.)
~ NONE (No reportable agreements.) PARTIES AND TE~S

Der-Yeghiayan, Samuel

FINANCIAL DISCLOSURE REPORT Page 2 of 6

] Name of Person Reporting I ] DER-YEGHIAYAN, SAMUEL

Date of I~eport

04/21/2010

IH. NON-INVESTMENT INCOME. (Repor~ingindivldualandsp ....

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

;seepp. 17-24off!linginstructLons.)

DATE
1. 2. 3. 4.

SOURCE AND TYPE

INCOME
(yours, not spouses)

B. Spouses Non-Investment Income - tf you were married during an), portion of the reporling year, complete ~his
(Dollar amount ~ot required excep; for h~naroria.)

NONE ~o reportable non-investment income.) SOURCE AND TYPE

1. 2009 ....................................... .................... ] DIST.

2. 3. 4.

IV. REIMBURSEMENTS (Includes those to spouse a,~d dependent children; ~ee pp. 25-27 offiling instructions,)

NONE (No reportable reimbursements.)

SOURC[~
1. 2. 3. 4.

DATES

LOCATION

PURPOSE

ITEMS PAID OR PROVIDED

5,

FINANCIAL DISCLOSURE REPORT Page 3 of 6

] Nam of Per,0n Reporting

I

Date of R,port

DER-YEGHIAYAN, SAMUEL

04/21/2010

V. GIFTS. a.ct.a~ a,o,, ~o spo~,e a.a a.,,.a,, children; see pp. 28-31 of fillng instructions.)
NONE (No reportable gifts.)
SOURCE I. 2. 3. 4. 5. DESCRIPTION VALUE

VI. LIABILITIES. ~tnctud~s thos, of spouse ~a a~p~n&nt chitart~; s~e rp. ~-33 offding instructions.)
[~ NONE (No reportable liabilities.) CREDITOR I. 2. 3. 4. 5. CHASE BANK CITIBANK CAPITAL ONE CREDIT CARD LINE OF CREDIT / CREDIT CARD CREDIT CARD DESCRIPTION VALUE CODE K K J

FINANCIAL DISCLOSURE REPORT Page 4 of 6

VII. INVESTMENTS and TRUSTS - i,co .....
~]
A. Description of Assets (including trust assets) Place "IX)" after each asset cxcmpt from prior disclosure

N
DER-YEGHIAYAN, SAMUEL

04/2112010

l,,. t .....

dons (Includ,, tl, o~e of sp ..... nd dependent children; s,e pp. 3d-60 of fding in~truction.~)

NONE (No reportable income, assets, or transactions.)

B. Income during reporting period Amount Code I (A-It) Type (e.g., div., rent, orint.) C. Gross value at end of reporting period Value Code 2 CJ-P) Value Method , Code3 (Q-W) Type (e.g., buy, sell, redemption) D. Transactions during reporting period

| Date ] Value ] Gain [mm./d&yy I Code 2 [ Code 1 [ (J-P) CA-H) /

Identity of buyer/seller (ifprivate

I. 2, 3. 4. 5. 6. 7. 8.

13.

15.

FINANCIAL DISCLOSURE REPORT

Page 5 of 6

r~,~e of Person. Reporting

Dire o1" Report

DER-YEGtlIAYAN, SAMUEL

04/21/2010

VIII. ADDITIONAL INFORMATION OR EXPLANATIONS. andica,,par, oIRepo,~

FINANCIAL DISCLOSURE REPORT Page 6 of 6 IX. CERTIFICATION.

Name of Person Reporting DER-YEGltlAYAN, SAMUEL

Date of Report 04/21/20 l0

I certify 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 from outside employment and honoraria and the acceptance of gifts which have been reported arc in compliance with the provisions of 5 U.S.C. app. 501 et. seq., 5 U.S.C. 7353, and Judicial Conference regulations.

NOTE: ANY INDIVIDUAL WHO KNOWINGLY AI~,D WILFULLY FALSIFIES OR FALLS 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 Suitc 2-301 One Columbus Circle, N.E. Washington, D.C. 20544