NTE STATES HOUSE OF REPRESENTATIVES = Re
FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 2005 | £0" v## by Members, ofcars, and amployans D
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| 19te Liphtecrte bf
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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 Aiearome 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 ScheduleSCHEDULE 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
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| FD-cwa Mawes ear
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itl Paco Mandate inne | |X | | | I
For addons assets and unearned income, usenext page.
Vsec prracHner