2007 FINANCIAL DISCLOSURE STATEMENT UNITED STATES HOUSE OF REPRESENTATIVES Foruse by Members, officers, and employees FORM A THeHaS tt ALLEN 17 FAIRAGANT ST RT LAND Mombor of ro US. State House of Representatives Distt: Nun 5) a Faloney ag Rass ne oONlo? LEGISLATIVE RESOURCE CENTER DOOTMAY 15 PH Ge 31 BOP ZIS-6 1G Enola Ofice ‘A $200 penalty shall be assessed —=“Samioe Das | against anyone who files more than [J rerrination 30 days late, PRELIMINARY INFORMATION — ANSWER EACH OF THESE QUESTIONS To our sparse have carne incor ag sala or foes) of $200 or more fram any source the porting period? ityes, complaia and aitach Schadule |. a 1. Dig any individual or organization make a donation to charity in \ieu of paying you fora speech, appearance, or ancien the teporing pertod? yes, complete and attach Schedule I. Ii. Did you, your spouse, or a dependent chid receive "unearned income of mare than $300 in the reporting period or hold any feporable ase! wor more than $100 al the endo the period? ‘complete and attach Schedule i TV Dey jour epee, opendon cid bu ‘or exchange ary reportable aseet ina traneacion exceeaing $1.00 eg te repoing pei? it'yes, complete and attach Schedule IV. \. Did you, your snouse, or a dependent child have any reportable labitty (more than $10,000) during the reporing period? yes, complete and attach Schedule Vi Did you, i ‘Spouse, of a dopendent child recelve any ‘epatabe gin ths ropoting pec 2. mote {operable gift n he eportng ‘aggregating ‘tyes, compete and attach Schedule Vi VI. Did you, your spouse, or a dependent child receive any resortable travel or femburcements for travel n the feporting period (worth more than $305 from one source)? Ityes. complete and attach Schedule Vil. VI. Did you ho'd any reportable postions an or before the date of ling in the curtent calendar year? tyes, complete and attach Schedule Vi 1X, Did you have any reportable agreement or arrangement win an gutside entity? yes, complete and attach Schedule IX. Each question i in this part must be answered and the appropriate schedule attached for each “Yes” response. ‘TRUSTS—Detais regarding “Qualified Blind Trusts" approved by the Committee on Standards of Offical Conduct and certain other “excepted trusts" need not be disclosed. Have you excluded from this report details of such a trust benefiting you, your spouse, or dependent child? EXEMPTION—Have you excluded from this report any other assets, “uneamed” income, transactions, or Fab ‘meet all theee tests for exemption? ‘This Financial Disclosure Statement is required by the Ethics in Government Act of 1978, as amended. The Statement will be available to any requesting person upon written application and will be reviewed by the Committee on Standards of Oificial Conduct or its designee. Any individual who knowingly and wiltully falsifie ‘of who knowingly and willfully falls to file this report may be subject to civil penalties and criminal sanctions (See U.S.C. app. 4, § 104 and 18 U.S.C. § 1001) T CERTIFY thatthe statements | have made on his form all aiached. schedules. are true, complete and [Treat tothe best of my knowedge and eteSCHEDULE Ill — ASSETS AND “UNEARNED” INCOME BLOCKA Asset andior Income Source Identify (a) each asset held for investment ‘or production ot income win afar maret value ‘excveding $1,000 at the end of the reporting period, and (6) any other asset or source ot Income which generated mare than $200 in “unearned” income during the year. Fer rental property or land, proviga an adaross. Provide full names of any mutual funds. For as directed IRA (ne one where you have the Solact the specific investi institution holding the account and provide fs value at the end of the reporting pond. Foran active business that not pute ‘the name of the ‘business. and ‘Qeogranhie locaton. For adeittonal information, See the instruction booklet for the reporting yee Exclude: Your personal residence(s) (unless there fs rental income), any debt owed to you by your spouse, or by your 0° your spour ha, parent. or sing! any deposits totaling '$5.000 "eee in personal cavinge accounts: ‘ny Hnancia interest in or Income Sorived from US Goverment ratroment programs I you 9 choose, you may indicate that agbet oF Income source fa that of your spouse (SP) oF dependent hid (DC) oF ig jointly held {OT}, inthe optional columa ‘on the tar Tel BLOCK B Value of Asset at close of reporting year. I you use a valuation method other than fair market value, please specify the method used, tan asset was sold and is included ‘only because it generated income, the value should be “None.” ‘Over $60,000 000 BLocK ‘Type of income Check all colurmns that apply Check "None" if asset did not gonerate any income during the calondar yoar, CAPITAL GAINS, EXOEPTEDIBLIND TRUST rac, Fi Speci (other Type of Income Block D Amount of Income For retirement plans or accounts that do not allow yeu to choose speci investments, you may write "NA" for income. For all other assets, indicate the category of income by checking 18 appropriate box below. Dividends, ‘oven if reinvested, should be listed aS Income. Check "None" if no Income was receives. ‘$4,000,007 — $8,000,000 '$60.001 - $100,000 ‘Over $6,000,000 SP. SP] mopa comp. Stock De, | Examples: au aT «BS FIN’, SiRES FT| AMER, FUNDS - WoRLD [Gowri «ine cna Tae th BreAnceD Fuad CoA | HER FUNDS ~ AER. METURL FUND CLA For additional assets and unearned income, use next page.SCHEDULE Ill — ASSETS AND “UNEARNED” INCOME [ume Hanns 4, Leen [om oS Continuation Sheet (if needed) bn THOMAS 4. ZLLeNn BLOCKA BLOCK aa BLOCK O BLOCK E Asset and/or Income Source Year-End ‘Amount of Income ransactior Value of Asset of Tome Wm ]W) vy vay vi vi xT x '$15,001 - $50,000, EXCEPTED/BUND TRUST {$15,001 — $50,000 {100,004 - $1,000,000, ‘$60,001 $100,000 UBS TNteeTED IRA AHER FUDS - CATAL WofehD) 6 KaviHl «AK Ce A BAR PANS - AtteR Zur) Cu-A Art MeTUAL Fued CoA 435 ik uSA DEP Act] et sCof Zl ‘Neen Cope Posi) _ VAMGARRD S00 (DER Chast Fuad oF MER ICAA RTRE CORP Gout Fun) 49 COMET LST | | PHCIMERSH IP. “PORTLAND ME _ | S597, THIRST [Ni CEL STATE. ‘This page may be copied if more space is required.