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LESISL ATIVE RESOURDE CENTER ZOOTMAY 15 AM IO! 4B UNITED STATES HOUSE OF REPRESENTATIVES are 2007 FINANCIAL DISCLOSURE STATEMENT ee eee tate eee ta ceerere| Sohn N. Roozman 34 bce a THE outa U.S. MOUSE OF REPRESENTATIVES Fanaa Champions Blvd. a 414-292-5099 AR 13758 " HieiD DELIVERED HO sercovsaory A $200 penalty shall be assessed against anyone who files more than 90 days late. ‘Ofcar Employee ‘Employing Office: TDi your you sponse hava sated cove eg, salanas or Vi id yo, you spouse, ors dependant cnidecave ary fous) ogee or mere om any sures he report pn ‘prorat oil he rooting pened, sgptegsing mere Wau copic tnd sto Scheae "2 | prewaesom ee,epetrn pe fameesno ves[_] nolX] ity, compile and atach Schedule VI 1, Did any individual or organization make a donation to charity in Wl 04 you, your spouse, o a dependont chi eae ary tou! paying you for aspen, appearance, of ate the resonable ravetor‘ombagomens ertavelmirereoor0——yegl—] No teporing pores? a (worth rove than $005 mono sures)? iF yee, coiplete and attach Schedule ‘fen complete snd stiach Scheaue Vi I, Or you. your spouse, ofa. dopardent hid ecehve “unoarnad™ ‘i, id you Rod any reportable postions on or before the Income fio an S660 n be epateng pod ool ay dab tig niteauicn coendar yaar? ves[7] no] roprale easel worth or tan St B00 eee oho poroa? if yes, complate and atach Schedate Vi dX tyes, compete and attach Schedule es TWD you, your spouse or copendont cid purchase, so, Ti Did you have any reporable agement of arangement ty excrdgo ny poral acer varaation onenede hha dutige ony? ves] ] No 8: Goo coe fe ropoane pesca | yoo complete and atch Schedule IX ites, complete and atagh Schedule v. i - ¥. Bis you, your spouse, or a dependont child ave any reportable Each question in this part must be answered and the liability (more than $10,000) during the reporting period? ql pal bats iiyee! Complete and stach Seheaute Ve appropriate schedule attached for each “Yes” response. EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION — ANSWER EACH OF THESE QUESTIONS TRUSTSDet repre Bina Tsk apres by he Connie on Sardar Ocal Condciandcoanoher‘cepes ture reeseet Yes] Nof\C] be disclose, Have you exclued from this fepor detalis af such ast Banetting you, yo or dependent hid? EXEMPTION—Have you exctudad from this report any other assets, “unearned” income, transactions, of Habits ofa spouse or dependent child because they Ya No| meet all three tests for exemption? CERTIFICATION — THIS DOCUMENT MUST BE SIGNED BY THE REPORTING INDIVIDUAL AND DATED This Financial Disclosure Statement is required by the Ethies in Government Act of 1978, as amended. The Statement will be available fo any requesting person upon written application and will be reviewed by the Committee on Standards of Oficial Conduct o its designee. Any individual who knowingly and willl fasiies, ‘or who knowingly and wilfully fails to file this report may be subject to civil penatties and criminal sanctions (See 5 U.S.C. app. 4, §104 and 18 U.S.C. § 1001). T CERTIFY fa ho sioner | ava made on He form {dal atasned sonedues ae tre, complee rd [jet one bat of my Howie and ete ‘ SCHEDULE Ill — ASSETS AND “UNEARNED” INCOMI sure Tehn_Beozmen BLocKA atocke Block BLOCK 0 Lock E Asset and/or Income Source Value of Asset ‘Type Amount of Income ransaction Identity (a) each asset held for investment | at clase of reporting year of Income For retirement plans or accounts that flndicate i the ‘or production of neome witha fair mance valus do not allow you to choose specttc |aseet nad Sitges | you use @ valuation metiog | creckatcoumestrtepay. | otiantt Yea atis Sates setts scat orscucs'el | other than fair market valve, income, For al ctvoraccets, rica [Purchases more than $200 in Gheck ‘None if asset did not | ine« ieherritnei | pewesoetymemeraduses”” | Couto any ncove aung_ |e cael cto cacy [i prover ana provan sn adcoee Prowao | Wan assotwas sold anaicincuded | ferme” cnr Ine appreprat box Bion, Duden; Jango () {ur names, ol any mutual unde. For zeit | only because it generated income, Ss'incomes Chock "None® It no [exceeding Bower te gelet iho Sp the value should be “None." income was reelved $1000 in Provige information an each nesor it SEccoumt mat excoeds the reporting hrestok, na tne Incorne eared tore docaunt Foran IRA orretremert pan that snot sat diecten ran fe ton hedge acco revi te vale at the ord of te Teporing Period. For an active business that 's not publicly Fe lee leat eceaee aula fo, n Block A slate the name ot the Business the nature ofthe business, and te Gecorptic location For adcona nication, | SeeThe ietricon Booket for the reporng | your | reporting year, 1 [nmr] ol | vel vulval) x | Exclude: Your personal residencets) (unless, {here is ental income), any debt owed to you by your spouse, or by your or your spouse's ‘hil, parent, oF sing! any depose totaing 55.000 or loss in porsonal savings account; ‘any nancial injoreet in 0° Income serves for B'S Gevemment etkement programs $15,000 {$100,001 ~ $250,000 It you s0 choose, you may indicate that an ‘asgot or income souree is tat 3! your spouse (SP) oF dependent child (00) oF & jointly held (GP), nthe optional column onthe Tar let 1 $1,000 (or 815,001 - $90.00, EXCEPTEDIBLIND TRUST \Socely: Fer Example, Parnerstip come or Far Inco) ‘SOO, 00T ~$7.000,000 $51,000,007 ~ $5,600,000 DIVIDENDS (CAPITAL GAINS ‘$001 $1,000 | $1,007 - 52.500 ‘52,501 ~ $5,000 ‘35,001 - 815.000 ‘515.001 $50,000, '850.001 $100,000 (Over $8,000,000 RENT INTEREST ‘1 $200 1 over $50,000,000 NONE (Other Type of Income >| 850,001 - $100.00 om P| en cop Sos ry] 06, | example) Sins 8 Shar inact a taeda ant TT Northwest Mutual Life. IST AR Netional Bank x | XL x PT AG Ed wards Xi | x x x > : UT Arvest BanK i XI | ST AIM $-T Treasury X | ST ABG Gout Bend Fund i x For additional assets and unearned income, use next page. ‘ SCHEDULE Ill — ASSETS AND “UNEARNED” INCOME Continuation Sheet (if needed) Locka stock 8 ‘Look e BLOCK) BLOCKE Asset and/or Income Source ude GAs: a Hassles Amount of Income fransactior TB) EFS] ho Re THT H TN] vy wyvaly og xpe 8°, | g 5 p, ve, age Z | eg} | = 7 alge lees S| egce.| © eiglaelgis 2 8 gig) 2. BE Eig |s Shela et 2 g 3S 3 gi |5 Mt |8 Stites se) ial else] ie 2 Pree las ages eet) 3° (elles ge eal: BIERBI e sisslzisesa) 6 Pals gig 55/8 TIABG Muni Bond Fund-ak| | |_| | | BEBE a ST | ABG Mun Bond Fund- [ [ v | aaa TIABG Equity Fuel | Lt Lk PEt z TlAmeritrade __ pf Ble | Bwozman-Hof dol-K N/A iT ional Fed. Cred't Uni 1 | ee | ee tt 44 itt ssa | | i | 1 e - i | | | This page may be copied If more space is required.