[UNITED STATES HOUSE OF REPRESENTATIVES FORMA FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 2005, D DELIVERED me SOURCE CENTS PHI: 03 < (Ofge Use Only) 1% Member othe US, House of Representtves pri o7 i ay nal ar opine SoS ROAR TS TPS I jpunteapech params snes hnerpotre pete Yee mo (| mt beter Roemer coon ES ae We ys, complete and aah Sched fgets and wach Shed Vi _| Te Yu ae ors apse aa ham eal il ey epre poatlon on a Ba l g '% Rogunseuntersentyperasartaen-mosaneomcrsarh Yau Gy No [| Wi coreacheds yar? or omnes Sineetee mw tte pret? wm) “ome Fer comps ond ach eh _ tye, compints and tan Schedule Va i ey eeu of pee ci pO a SO Dake era neon aang wan - ceca acta matcn ses tats ve New | __ Fe. conpin nd atch Seba W. |, Baer eeu, 8 apn hi yoy Ta tor dn rapt pee Z Each question nhs pert must be enawered andthe appropie 1s, compa ad stash Shade V schedule attached foreach "Yes" response. EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION — ANSWER EACH OF THESE QUESTIONS: Truste- ‘Date reparcig “Ovaiid Bird Tron aproved bythe Commie on Sancarc of Oil Const ndcrain ober “exceed ‘wots ed nabs cecloved. Have you excluded om repot tals ouch «ws being ou Your epobe, dependant Exemptions have you excluded tom he repet any alia aes, "unearned coms, bene they meet rots exemption? CERTIFICATION ~ THIS DOCUMENT MUST BE SIGNED BY THE REPORTING INDIVIDUAL AND DATED. ‘pce res osoedby te Corie en Sars eel Sant ore cans ra knoe iy 36 OM or ‘int one ts eparnay bse a poate seca sencons (S00 SUG ap $1OeaTGUSCE HOT) eater 5 Eo | CERTIFY pat te srr have ra on Boonen tacos ects ‘Sin, conn over teat my tidy Soa‘SCHEDULE It- PAYMENTS MADE TO CHARITY IN LIEU OF HONORARIA. [7 narra [st ihe source, acviy (a, speech, appearance, o arice) date and amount of any payvent made bythe sponsor ofa eve Toe charlable organization a Tau Jotentonorerum. A seperate confidential tof chartesrecelving euch payments must be ed Sectly withthe Commitee on Standards of Ocal Conduct. An role for ranamiting heat is neuded in each Member’ ing packsge, ‘Source. I ‘Activity Date ‘Amount Diageo North America ‘Appearance Mar. 8,2005 | $1,000‘SCHEDULE Il - ASSETS AND “UNEARNED” INCOME Name John. Moa Tooke BoeKe Boeke ‘Asset and/or income Source Year-End | Type of Income Value of Ascot | ctw ian once selon otreportng | they et ners oy Sectywces” | eee ston ‘ter tantarmariat | Supe Peery (eho poe specs | Seamer Ferm net) Sertwes snarls” Inatinonhotng the scoout md prov i wiv tte and ot tne | nctaded ct because Imooring pated Foran ace bans batinctpunicyresedn | hingrré ene, ek Asate te nnare cine ness mats gaogapictocran,” | He vive shoe Forcier! itormaon voinerectarboos rte parang’ | one me xe Yur pron nonce ras hr a eta neon, {tive your spotas (Por capanent cabs 60s oy hes intreopon clan onthe ek 15 Srd Street NE Wash. DC, $500001- | RENT $15,001 - $50,000 Units 2, 4,5 & two garage units $1,000,000 ‘905 E Capitol St SE, Wash. $250001- | RENT {$5,001 - $15,000 DC, 50% interest rental unit | $500,000 | - Park Lake Woods Gondo $100,001- | RENT $5,001 - $15,000 Rontal, units 88, 98, Maltland, | $250,000 | A 22108 Via Tuscany, Winter Park '$500,001- | None, personal] NONE FL $1,000,000 __ residence Lot 21 & 22, Chetola Estates, $500,001- | None, personal | NONE Blowing Rock, NC $1,000,000 __| residence 1905 § Atlantic Ave, Unit 130, {$250,001- | None, personal) NONE Cocoa Beach, FL $500,000 residence |