UNITED STATES HOUSE OF REPRESENTATIVES vou Ver ) .
FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 2005 | Fwy Mente, ofan enone WY ams
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PRELIMINARY INFORMATION — ANSWER EACH OF THESE QUESTIONS
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Each question in this part must be answered and the
appropriate schedule attached for each "Yes" response.
EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION — ANSWER EACH OF THESE QUESTIONS
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CERTIFICATION — THIS DOCUMENT MUST BE SIGNED BY THE REPORTING INDIVIDUAL AND DATED
‘Ths Financial Disclosure Statement is required by the Ethics in Government Aet of 1978, as amonded. The Statement wil be avalible t any requesting person
upon writen appsication and wl be rovawod by the Commitee on Standarés of Offell Conduct ots designee. Any indviual who knowingly and wily fltis,
of wha knowingly and willy falls fo flats report may be subject to ol panalos soe ea! sanctions (See 5 U.S.C. app. 4, § 104 and 18 USC. § 100%)
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TERTIFY tne dtcpan [Foe wade ons om
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Salih toa lng tome te bobSCHEDULE I — EARNED INCOME
CHRALE. TOSERD
Name 99 Cte con
exceeding $1,000
List the source, type, ane amount of earned income fom ary souro (other than te fla’ current employment by the U.S, Government totaling $200 oF
‘more during th preceding calendar year. Fora spouse ist the source and amount of any honorara ist only the source for other spouse eamed income
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Spouse Bie. HEE
‘Amount,
For payments to charty in eu of honorarl, use ScheduleCHAR TEE
on Name espe cow.
SCHEDULE Il — PAYMENTS MADE TO CHARITY IN LIEU OF HONORARIA
Lint the source, activ (e., speech, appearance, or article), date, and amount of any payment made by the sponsor of an event fo a chastableorganzation|
in iu of an honorarium. A separate confidential st of chares receiving such payments must be led drt wih the Commitee on Standards of Offa
‘Concict. An envelope for trensmiting the st is inckded in each Member ing package.
‘Source
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