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| UNITED STATES HOUSE OF REPRESENTATIVES FORM A Seale, FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 2005 | For uso ty Members, ofcers, and empioySe6 ¥ Member oft US. ‘Offcer Or Employing Office: ” Filer E : ‘4200 ped@hy shail am House of Representatves pyres 09 Employee be asscosed aganet S = — —— — ===. =| anyone who files Report H ‘Tesitinalion Date: ‘more than 30 days, Type Termination te PRELIMINARY INFORMATION — ANSWER EACH OF THESE QUESTIONS Ta ara yor spe hare ses og vote oe oO Dyer a NT TE 1 Grnor tum asyaomea basing plat Yes toy! Me Retecteanral|acamecamentn worcacmemn Yee“) Ney tyes, complet and stach Seed __ _ ype Copia atch Shade Vt 1, Dent rept mat cain ety bye o.oo pean owe ch aaNet aura bueh pero oss pray ute? Yea ~ no, Mt Retna ie ntact Yes J Ho ys, compl and starch Seed _ , Wyeeeampte and atch sepa a, ate rain Sean ia imams eet fly pre pnts ono Bak be Setguttnacmmgeesarnseyremosentens Yen y Wo | Wik Secon yr? jer samba atch Scbodle m " tyes comolte na atachSehel ‘ye gor st, or ene ei oan iy ‘Diy oe ay ere seer anaes anos ~~ 1, rpcicsseinataronsonemeangtisoenretereetes” Yer yy No emt yer Now renee cree acti tty erties y. Shirase ees ‘Yer _ Moench questonin this prt must be answered ante appropriate tyr camgin nd met te Schehte sad foreach Yes responce. EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION — ANSWER EACH OF THESE QUESTIONS: Trt re byte Connites on Sida of Ol mdi nd arn cased ya. yg Beat caves micoss ter yorestemaiooaranaicctacstinatenaiagrayaripa caged YH Mw | Beemptone” reas ened fot pert an oe ss unaured come enact er ao apie Spend ci - Em as ve f) mez ‘CERTIFICATION -- THIS DOCUMENT MUST BE SIGNED BY THE REPORTING INDIVIDUAL AND DATED “Tis Aronia Dacre Slee ecareby the Erica Gover fo 70 as veda. The Slane! bo waa oan feuesta pase oan wan an anc a eres bye Cartas evans Ome Cans et ese. Ary ras wm knowing a wats owe Kowal ‘Ei ta hn esr na be seo irate rai sonore ee GUS opr. FOHaMAL SES Ha aeriaeemmennirntiimmarersm —badiiglgC Wo Sree Asset and/or Income Source ‘aera each ast hel fr investment production of nome wth Samat acacia cdot eat eid, Investor) provide fomaton on voch set inthe acount at ‘cous te tporing bresold an rence ear he cout, Fer on Aor retrren pan tat sneered, rame tne. Iretutonotng te scooent od provca te vale ae en fhe ‘eportng pero. Foran seve busines hat is not py tase ‘Seek Austetenstie ote busines nat geographic eaon. For addon ntormation, sna ntaston bootie are reporting clude: Your persona readenc{) unas ther rn incom ty Sb cwad tury Your spose ary your er our pours Ce, bron or ing ty sopost lang 800 or asin pecan {Senge eccount: ry ral! iarest in ot tncone eed Wom US. ‘Severino vena rerame, you ao chess, yuma neat that nag or ncome sour It {tet of your epoue (9) or capers chs (DC) rte omy HT, Ine optional cameron ao Type of Income | Amount of income | Transaction Yroterttn onectthe | Forraramentpans or | Indesit aeet Ite eatgorsspecty | secur core asow | was purchases Meopectocanaty.” | yovtochocss spect” | weary ‘nting tit esrpon | Imement yourmay wets | exchange io Inisbock (Fer | “MACtorincone, Fora | fopotng yr sample: Patsy ‘Sesme or arm core tr a ae Oe ‘ego otiosane by Socperon Dunas ea rome ahowabe 1 Bank of Amerisa Checking Account 2 Nations Securities Savings Acooutn 3 BBT Common Stock 4 ‘South Financial Group \ 5 ‘Vanguard S&P 600 Index Mutual Fund 6 Rydex Over the Counter Mutual Fund | $50,001 - "$1,001 - $18,000! INTEREST ‘$1 -$200 $15,001 - INTEREST | $1,001 -$2,500 | | $50,000 | $15;001- | DIVIDENDS $1001-$2,500 | | $0000 __| _ $1,001 - $15,000! DIVIDENDS —_— $201 - $1,000 tare $1,001 -$2,500P $100,000 TAL GAINS. $1,001 - $15,000) DIVIDENDS/CAPI - $1 -$200 | TAL GAINS ‘SCHEDULE Ill - ASSETS AND "UNEARNED" INCOME Name Frederik ¢. Boucher Paonact 8 7 ‘New River Funds Mutual Fund ] $1,001 - $15,000" DIVIDENDS $1 -$200 8 Individual Retirement Account, | $15,001 - DIVIDENDSANTE | $1,001 - $2,500 a Nations Securties, $50,000 REST 8 Individual Holdings in $1,001 - $15,000) DIVIDENDS $1-$200 s Retirement Account | King Pharmaceuticals Common Stock _ _ ee ‘Jabil Circuit, Inc. Common | $1,001 - $18,000. DIVIDENDS $1-$200 Stock | | ‘General Motors Corporation $1,001 - $15,000; DIVIDENDS $1-$200 Class H Common Stock Echostar Communications $1,001 - $15,000, DIVIDENDS $1 $200 s Glass A Common Stock Fidelity Select Developing $1,001 - $16,000 DIVIDENDS ~—| $1- $200 Communications Mutual Fund | Rydex OTC Investor Class {$1,001 - $15,000 DIVIDENDS $1 -$200 Mutual Fund Fidelity 4-in-1 Index Fund Harbor International Mutual Funds DIVIDENDS/INTE $201 - $1,000 REST $15,001- | $80,000 | s1- $200 Lot-Town of Damascus NONE ' | NONE | [Lot - Washington County