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') UNITED STATES HOUSE OF REPRESENTATIVES 2007 FINANCIAL DISCLOSURE STATEMENT FORMA Foruse by Members, offices, and employees w. Topd AKIN BoS CONWAY ILL Ro. © “ a ~ Se ey ST. bevy , MO 63141 Zor - Vomboraf ho US. a Oftcore Employing Ooo ouso of Representawves Disrct Be Employee ‘A $200 penalty shall be assessed = al mon against anyone who files more than (Lx srr tay 5) 30 days late. DOTY <9 ANNE 39 Trane) {tice Use Oriy) T Delyau sr yon spouse have Vi Oyu, eee nce mary ain epontovaie” esl] wo[pe] gore shine epoita pai. servers complete na ran eee ete aed atach Sete Vi | Wl, Did you, your spouse, or a dependent child receiv ned" Income (eg. salaries Or Sur spouse, oF a dependent child reosive any I. Did any individual or organization make a donation to charity in lieu of paying you Tora speech, eppearance, oration tho ves[—] No[>&] | ‘2e"able tava’ or reimbursemants for raven the fe ‘eporthg perc’ prod (worth more tron 8808 ram one Source)? {fes, complete and attach Schedule i [fes, complote and attach Schedule Vl ps oes, rapt He ees al you Ragan rma goers reoresy mente ee he eee ge Mn Hecate cra ae eeieanieh ata Terie ee ao 1 oH i ols separ ee seamen ana ie Se ae go Woe ge tor pace a choe et oa Ta ORG YQ oe sous acorn ge Fea er ee careers ves[] vobx] Il. Did you, your spouse or a dependant child receive Synoamea Vil. Ois you hold any reportable pestons on or before the 8] =O] , 1K Did you have any reportable agreement or arangement ing ves! _| Nofpe] winencuids tyes, complete and attach Schedule Ix. Each question in this part must be answered and the appropriate schedule attached for each ‘‘Yes” response. ‘TRUSTS—Dotails regarding “Qualified Blind Trusts” approved by the Committee on Standards of Oficial Conduct and certain other “excepted trusts" need not be disclosed. Have you excluded from this report details of such a trust benefiting you, your spousa, or dependent child? EXEMPTION—Have you excluded fram this report ary other asseis, unearned” income, ransactions or Flite ofa spouse o: Cependen hid because they yaa! i ‘meet all thrae tests for exemption? t wll be available to any requesting person on Standards of Otticial Conduct or its designee. Any individual who knowingly and wilfully faisiies ‘oF who knowingly and wilfully fails to fle this report may be subject to civil penalties and cr ‘and 18 U.S.C. § 1001 T CERTIFY that the statoments | have made on this form and all attached schedules are true, complete and Ccortect fo the best of my knowledge and belie SCHEDULE Ill — ASSETS AND “UNEARNED” BLOCK A Asset andior Income Source Identity (a) each agset hold tor investment or production of meome witha fa mart value exceeding $1,000 at tha end of the reporting period, and (b) any other asset O° source st tasich generated more than $200 in ned ineome during the year. For rontal and, provide an adaress. Prov fof any mutual funds. For a set FRA (ue., one where you have the ower to solnct ihe spacille Investments), Provia jation on each asco! In the ccount that exoseds the reporting threshols, land tha income earned for the account For an TRA or retirement plan thal i not seltdtectad, ‘name the institution holding the account and provige ite valvo at tno one 9! the reporting period. Foran active business that not Bubialy faded, in Block A state the name ‘of 1 business, the nature of the business, and ‘Geographic location. For askional inlamation Bee the inetruction Bookie! for the reparting Exclude: Your personal residence(s) (unless there 18 rontal lacore). ary debt owed to you by your spouse, oF by your or your spouse's ‘hid, potent, oF slling” any deposits totaling '$5.060 or less in personal savings accounts ‘ny igen ire nor income dered torn ‘Government retroment progam, It you $0 choose, you may indicate that an astet of income source © that af your spouse {SP} oF dopendont oss (00) oF is fanly Nels (21). in tne optional column on the eLock 8 Value of Asset at close of reporting year. If you use a valuation method other than fair market value, please specify the method used. an asset was sold and is included. ‘only because it generated income, the value should be ‘None. Nome W, TODO AN Block & ‘Type of Income Check all colurnns that apply. ‘Check "None" if asset did not generate any income during the calendar year INTEREST ‘CAPITAL GAINS, EXCEPTEDIBLIND TRUST (soscty For Exarge.Pameship income (omer Type of income BLOCK D Amount of income For retiement plans or accounts that {do not allow yeu to choose specific investments, you may write "NA" for income. For all other assets, indicate the category of income by checking the appropnate box below Dwviconds, ‘even if reinvested. should be listed as income. Check “None” if no income was received, Vt vn van ax) x |x ‘$4,000,001 = $8,000,000 ‘Over $5,000,000 $100,004 $1 000,000 e, 06, | Exams: SP | Moga Crp. Stock Sevan 8 Shuster ‘tarkt Pack KY soma Tha — Bin WEINGOATEN ~ Mh WEMEART EN Royals ran “Bas osha Rama Tan = Wenneisy Dus axman FP) Roms TRA - Heine es Jat! Fond wre: Gonos For additional assets and unearned income, use next page. SCHEDULE IIl— ASSETS AND “UNEARNED” INCOME [nme Ww. TOO AKIN [raed oA | Continuation Sheet (if needed) BLockA BLOCK atock BLOcKD BLOCK E Asset andor Income Source Year-End Type ‘Amount of Income ransactior Value of Asset of Income vay SP. De, a ‘$15,001 - $50,000 ‘$50,001 - $100,000 ‘$250,001 ~ $600,000 {$25,000,001 ~ $60,000,000 = EXCEPTED/BLINO TRUST {$50,001 = $100,000 ‘100,007 ~$1 000,000, ‘Other Type of Income (Speci $15,001 ~ $50,000, CAPITAL GAINS. AYeT BsTOL- MYERS SOUISS DU Pont Geweaee Greceare Gengane Morons Good Wenn TAG INTER ATION AL PAPER Te Moncan st Loaic Mence NoKA VeRton Vaniton Sem ont Tremnc| HX [ne | 81 Ba x 8 z x x x x x x fi * x » a ‘This page may be copied if more space is required.