His father was a traveling salesman who moved the family to Cleveland, Ohio, and Fox resided with his parents and sister Hattie until the age of 25.
[2] Early on, Fox became acquainted with John Stepan Zamecnik, who in 1907 was named music director of the newly opened Cleveland Hippodrome Theater.
It was during the same period Fox experienced an international hit with the publishing of "Nola," which was followed by "Lady of Spain" and "Neapolitan Nights," both of which also achieved acclaim.
Additionally, Sam Fox Publishing Company had representatives in offices in London, Paris, Berlin, Melbourne, and other cities worldwide.
Fox entered the Broadway field with the publishing in 1947 of the film score for "Brigadoon," followed by the prize winning "Man of La Mancha.