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|,UNITED STATES HOUSE OF REPRESENTATIVES roma FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 2005 "ws" by Members offcore, snd erployaes HAND, DELIVERED, Tame Sanna Gragg Ballin j sane ——lD_& Doty Street, Suite 40S Sra Eopey Oe = 1 THE st Sipe DS anes) i (ew PRELIMINARY INFORMATION — ANSWER EACH OF THESE QUESTIONS {yao sc vee Noms. ete Wem pant pipet Baap ats enseiany cian teGRie” eel] wolSd]| GRASMERE Soma ee pees ea ry see ves] Sesion, veo] woh] cooeeeee MeO Ye tna ie main2i sos be PE ee ' $200 penalty shal be assessea | ‘against anyone who fles more than 30 days late, LERarTSaoaeML TEES a wo] ‘soon pe [Fyn cmplte and attach Schedule yeh ey ese rte rede he fea Vacant ama wal] nol ]| Sea ORT veel] 1 Beet “DR MO "wl oR be ae hao ae cand a fidstatig Reem Yes DR] nol] yyar tien ten soma ve] of ec a ‘ = _ De yu, yur spouse, depender chil Fa ay repoabe Each question in this part must be answered and the mi epdewatimewtamaastr= -YosPX] vol ]| _appronrlat sshesule stashed ier eashenves’ renaonse. EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION — ANSWER EACH OF THESE QUESTIONS TRUSTS Dene mrad Tt prey ne nme See of Codes cinco weapesai vets ver] nol] _Bocesosea, Have you aclu ro fe opr dose onc na berlng you, You Soute, or opens Su? ene ta raecigorteeoey oor re tane r iemedeeaeacoeeo wa] wll CERTIFICATION — THIS DOCUMENT MUST BE SIGNED BY THE REPORTING INDIVIDUAL AND DATED “This Financial Disclosure Statement ia required bythe Ethic in Government Act of 1978, as amended. The Statement wil be avalable 1 any requasting person {pon writen application and wf bo rovewed by the Commitee on Standarcs of Olal Condit ors designee. Any incvgual who knonfngy ane wituly tes, {rwho knowingly and wlll fast fe ts report may be subject to hl ponales and eminal sanctions (Sea 5 U.S.C. app. 4,5 104 and 18 U.S.C. § 100%). co Soa Teo a ee 7 weurnenar sates wnaeeate | Sy 5 ea ny 12, 2008 AS seene Teste SCHEDULE |— EARNED INCOME rose or. st he soure, type, and amount cf eamed income from any source (other than the flrs current employment bythe U.S. Government ‘more during the preceding calendar year. Fora spouse, ist the source and amount of ay honoraria Et only the soue for other spouse earned income excooding $1,000, ing $200 or ‘Amount For payments to charity ine of honoraria, use Schedule ‘SCHEDULE ll — PAYMENTS MADE TO CHARITY IN LIEU OF HONORARIA List the source, actly peech, appearance, o aie), dao, and amount of any payment made bythe sponsor ofan event oa chaabo organization in ou of an honorarium. A Separate confidential ist of chalies receiving such payrrants must be Med ec wth the Commitee on Standards of Ocal CConcuct. An envelope for renaming the ists nce in each Member ling package rine Tommy Baldwin fond. — Date Activity eel Bags 2 dts ‘This page may be copied i more space Ie required