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UNITED STATES HOUSE OF REPRESENTATIVES vou Ver ) . FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 2005 | Fwy Mente, ofan enone WY ams “EIS! ATIVE RESOURCE cENTE CHpeles TOSEAW — pecamcon’ Do sn 49 2er 36 ‘DUGMAY 22 AMT: 17 Appel wll, Lp Jord Be, PQ wontasus ae 2 ee = isco Site | DR resins Se Diss. a — | 1508 pera sal ne Scene a9) I Lverrion Benen | Sys in PRELIMINARY INFORMATION — ANSWER EACH OF THESE QUESTIONS [Del yeuge You spouse have ean one "i Dayou yeu spouse, ra Spartak deca ay parueereeterny camaro oak snisamineent oseans e yeaa anata Bris Senora argh omen ves] wo) [ace SS ese 1th of pn mai on bah We i yor same epee aid gona Eagar cryin ee renee ae 7 Pies cst ere pees wD L]| sereceiimemese = vel) vo] scanpits on sch Se 5 compl nd mach Schedule Vi. 1, Da you, yout pe, ra sependet ci cee sane |secetenmmiomanares tee, DQ mL] Semana ve) oD] TE iy have ay eone ane c act ines Cay 7 | Ryan atch seheade ves] of] 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 {RUSTE Sea wns BT ped ne nnn Grae fons Ong derancewocooaianvoceet veal] wold] Le o ETON tomoz ton pty et enon a en seen ranmconomasetet Yel] wf] 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%) aaa aap + ET TERTIFY tne dtcpan [Foe wade ons om bad ar ditched choses are tue, compicts 30 | / UY gir (oe Salih toa lng tome te bob SCHEDULE 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 | <7 OF 4p - NEY of Eteerons | ASsemaTicn) Peels! wARUOEK. seen one Senstauy Spouse tae Aten | Spouse Bie. HEE ‘Amount, For payments to charty in eu of honorarl, use Schedule CHAR 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 ‘This page may be copied more space is require.

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