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NTE STATES HOUSE OF REPRESENTATIVES = Re FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 2005 | £0" v## by Members, ofcars, and amployans D | Ovvmd A. feneete ee | 19te Liphtecrte bf jen, £2 bI07F™ _ pez Gee oe ye yeni So = oo Chon = (Oe PRELIMINARY INFORMATION — ANSWER EACH OF THESE QUESTIONS 7. Datu yor poise havea oe TW Oey, your spaume oa copenn eae ay fous 200 ormote torn any source te i r o EOISLATIVE Resounce centeR ” TaN MAY IT aM - 1s AE BE thas NO 7 #200 penny shal be anvnsed ‘against anyone who files more than ‘0 days lat, iceman sac Seal SEEN Serratemec congas BM — Yes] nol srendanien ssi EN" | Wien comp ch oan mania apenas ame baa oi er eps a eer i te ay Lipman ¢ giarreeess Sree oe wf] | Sepesiatrereant ce Sertet i me ae voL] i RRR SSRS EE ai vo] wl] i Did you, your spouse, oF a depen cid receive earned” ‘Vil. Did you hold any reportable positons on er below fe | ome inte taninararerrosertoaey YeePR] Nol ]| guoeimannecues comet Ye fd Some iegtenter Meee ann PRS eal Kno tyes, complete ¢ tech Sed a 5 ” — _ I} bias siean oped at pha Bea tye eguovetoaraaonn cade a erg Ser ryan ocea wisn ate oO | ‘$1,000 dunng the reportng period? ‘Yes| No| yes, complete and attach fue Yes} No| Ae Ne cee eww 7 ee Tonio rat gnas as eper ARTn y waiae Satmeaet Lode aire rei eects part must be answered and the tet Sepia Sasa vesEX] "oC _approprate schedule attachad for each “Yes" response. EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION — ANSWER EACH OF THESE QUESTIONS TRUSTS orton ie Tun apa ta Gnenn Suni of ON Ot angatinane wean met yes] no Eerdetved Have You eta is fp Sea such arnt nat yu, ou spite, Spenet as? EXEMETON Yr ys cee po anor ate eee ese, ar ii ta pte ed cbc ay vel] wo) CERTIFICATION — THIS DOCUMENT MUST BE SIGNED BY THE REPORTING INDIVIDUAL AND DATED. “This Fnancal Disclosure Statement ls quired bythe Ethos in Governmont Act of 1678, as amended. The Statement wil bo avaiable to any requesting person tipon writen applcabon and wil bo ‘eviwed by the Corsmites on Standards of Offical Conauc rf designe. Any indwidul who kroulngly a wily tlic, Cr who knowingly and wily fas to Bo tls report may bo subject to iv penales ar erinel sanctions (See 5 U.S.C. app. 4, §104 and 18 U.S.C. § 1001 ermremne=| Aten Aiea rome Ltrs whee Ze List the source, ype, and amount of eamed income trom any source (other than the flrs current emlayment bythe U.S. Government totaling $200 or ‘more ducing the prececing calendar year Fora spouse, lst the source and amount of any hancrava it onl the saure for other spouse earned income rceoding $1, SCHEDULE | — EARNED INCOME Source ‘Amount Paera 3 Mazel? Ses} pte fencsee| Thiciry His Soho! For payments tochary in bu of honcraia, use Schedule SCHEDULE Ill — ASSETS AND “UNEARNED” INCOME sae Iran sls po 5-07 Asset andor Income Source Value of Asset ‘Type ‘Amount of income [Transaction aor (a) ogc asset nel or irwaiment | elon of repaing year, of Income Foe rotromant pans er account that | inet Tt you use a valuation method | check all cotumne tat ppl. other than fair market ve Lavo bla aeset il not Blase speciy memettaguses. | | generat any income ssn ‘an asset was sold and ie | Sere a we Incase ony berate # gonerted income, th vale shou bo None” UR Sorermertraienet pga (ceca Peon Ferm ee) EXOEPTED TRUST Ritencier | ssa. s100e00 2, DWIDENOS Pe, | emo Sone eee ET [sr jets TT ba) Cy | a ne eer reco CT x Bebe a vtwa ot ul eSnasl Beas RCL 4 sores | Fhewme tease K Cal r } | FD-cwa Mawes ear t itl Paco Mandate inne | |X | | | I For addons assets and unearned income, usenext page. Vsec prracHner

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