FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 2005 | *°"v=*by Members otter mec ul ND DELIVERED | Ferrers Geo ng (le CorTeR BMAY 10 PH IIS Li ti0__ Cot — eee is ARE MEL GS. 28 77 (oreo um ony Menberat ie US rig OP: ‘A $20 ponaty sal be sanssea nyone who files more than Stay ote. PRELIMINARY INFORMATION — ANSWER EACH OF THESE QUESTIONS Paaaersret somes” HO Se ee Fries Fracouiaia Sann LggF RAT AO) op EERE A) wh | Fiat re os ann sone fee eam snesoeronge a _ 1 yay nae ca core a eae Yi, Daye ley pean postr en lose | gesolstate now tan] ys per co] vo | eer om yee] moi] [17D yeu yur spss or dependant es phase sl 1, bid ea have any aporabe wgoaato aranganent Gatco, bl oD ce eT] »l paar esters this part must be answered and the ach questo tea i er 00) ea ep Yeo] *B2]| appropriate schedule attached for each "Yes" response. EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION — ANSWER EACH OF THESE QUESTIONS TWsTe Cons wag Gated Tas ard be Cannes or of Ol rat nwa ceed eno 5 SSE eee rene eal ac ne ee ee aces ae LJ | exeneron iy clued Kom his ep any ote eset, uneened ieee, wansactons ores a res a eo oats exe? ‘CERTIFICATION — THIS DOCUMENT MUST BE SIGNED BY THE REPORTING INDIVIDUAL AND DATED “hls Financial Disclosure Stemont is equlred by the Ethics in Government Act of 1078, as amerded.Tho Si pon writen eppleaten and wl be reviewed by the Commiton on Standard of Oficial Condo i designee. ‘rho knowingly and willy Sais to fla tis Yeport may bo subject to evil peli and erminal sanctens (See S USC. app. 4, § 104 and 18 USC. § 1001), Gwar ae wissak =| Vn GO | free Caoct tthe boot of ry towed and ele,‘SCHEDULE | — EARNED INCOME Unt he source, type, and amount of eared income fom any source (other than the filer’ curent employment bythe U.S. Goverment lating $200 or "more during the preceding calendar year For a spouse ist the Source anc amount of any honoraria; Ist ly the source for other spouse aimed Income exceeding $1,000. For payment to charity in eu of henorarle, use Scheduleno barens 6. Mtr ered «f ‘SCHEDULE Il — PAYMENTS MADE TO CHARITY IN LIEU OF HONORARIA 2705" LUstthe source, atvty (i.e. speech, appearance, oracle), date, and amount of any payment made by the eponsor of an evento @ charitable organization | in ie ofan honorarium. A separate confiental lit of chertes recetving such payments must be fled drecl withthe Commitee on Standards of Oficial Conduct. An envelope fo transiting the ist included in each Member’ fling package, ‘This page may be copied it more space le requre.