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: # “| UNITED STATES HOUSE OF REPRESENTATIVES FORMA FRANCIA OSCLOSURE STATEMENT FOR CALENDAR EARIIOS Feed) tindos ft. srstnees |) DELIVERED (cacao {esis ATIVE resource eure ul smo) POBox 210 Peterborough, NH 03458, igs = 1 Mombor ofthe us. Stale: NH Offcer Or House of Representstve sce on Employee 2OIGMAY IS PH 6: ie tye File Employing Oftce: Status ‘A200 ponalty shall port ral (May 15) = PRELIMINARY INFORMATION -- ANSWER EACH OF THESE QUESTIONS: Ba ou pan Pe hae TS TE Saou nageocme bse ey ye me yw Nye completa and atch Schedule Daa naar oraatn mate oi i iat lL pavayestoaeech ppc raise brary mse? Yen >) Woy ML ‘Amendment Termination jn yaar te en naan we manesecee i DT va iy no ue SET pest Iyen completa an atach Sched W. ‘ou er pees enn hy pn ay ¥- eam an ion ar epi pre? Yer Wi No =] Each question inthis part must be answered and the appropriate ys, completa tach Shadi. Schedule attached for each "Yes" response, EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION — ANSWER EACH OF THESE QUESTIONS ‘Trusts Deas earlng “Gulf ind Tots approved by th Commie on Sardar of Otel Condut and eran oar -exceplnd yo {termed afb coed nw yo rade ron sro aie fons ua eneng youu opie orcpenant_Y8 NOW, [Exomptions-~ ive youcschaded tom he apr sy ter seats, “nmarn” come, transactions, rls of spouse or dependent et ‘ecru they met tetra crap? ver) Nowa CERTIEGATION ~ THiS DOGUMENT HUST BE SIGNED BY THE REPORTING NDMIBUAL AND DATED SS aes ee mete ere Suan gn ge gma ge Ey [SES ee Cokes ———— aa Renato Ran a [sree Corie oat ‘SCHEDULE Ill ASSETS AND "UNEARNED" INCOME Instaeen hong me atesun an ro ‘mpeg pid Far an sce tune ings acount: ey tanta ‘Sovrnment retremant rope ityu 5 choose, you may nate that an asa orice sure that cofyour pause (3 or eopendent ch (00) sf hed inhe ‘atonal tol on he ft {tuston method ober ‘an ar mare va Name Chars F Base [eso zat7 ‘Asset andlor Income Source Year-End | Type of income | Amount of Income | Transaction Nalue of Asset | iedcansonesapecy | scoutrtacontstew | rarpecared jearoue Eresnens yurzermte | xchange ia ie" | sictrincone, Porat” | por ‘itso or Pam ame) ther ost eants no fatigay tinea ‘edna ts sppropiate Sococion Dicer, ven directed fund consisting of mutual funds) 1629 21st Street, NW, "$500,001 = ' Washington DC. ‘$1,000,000 DC —_AG Edwards Professional Fund $15,001 - Advisor $50,000 1765 R Street, NW, $500,001 - Washington DC. $1,000,000 AG Edwards Cash Account $250,001 - $500,000, DC ——_AG Edwards Professional Fund $15,001 - Advisor ‘$60,000 SP AG Edwards Professional Fund {$250,001 - ‘Advisor (this is a non self- $500,000, RENT $15,001 - $60,000 | None RENT | s15001-880.000 8 INTEREST: §2,501- $5,000 "NONE DIVIDENDSINTE | $2,501 - $5,000 REST ‘SCHEDULE Ill - ASSETS AND "UNEARNEI INCOME Name Chores F Base Page set 7 ‘Columbia Architectural Products stock High Standard, Inc. Term Loan IRA AG Edwards, PO Box 353, Greenfield MA IRA AG Edwards, PO Box 363, Greenfield MA ITT Hartford Annuity SP SP Lancaster Bank stock JT Miford Recap Partnership (Ocean National Bank Checking Account Ocean National Bank Checking ‘Account Ocean National Bank Checking Account sp (Ocean National Bank Money Market Account SP Ocean National Bank stock (Ocean National Bank stock "Real Estate, Edgartown, MA $100,001 - $250,000 $1,001 - $15,000 NONE $100,001 - NONE $250,000 $50,001 - NONE $100,000 l $60,001 = NONE $100,000 $15,001 - DIVIDENDS $2,601 - $5,000 350,000 $1,001 - $15,000 Noni 8 $250001- INTEREST $2,501 - $5,000 $500,000 i $100,001. INTEREST $2,501 - $5,000 $250,000 $1,001 - $15,000 | NONE $15,001 - INTEREST $201 - $1,000 350,000 $15,001 DIVIDENDS $201 - $1,000 $50,000 $15,001 - DIVIDENDS ~——_—§201 - $1,000 $350,000 $100,001 - NONE $250,000