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UNITED STATES HOUSE OF REPRESENTATIVES an 2007 FINANCIAL DISCLOSURE STATEMENT Seen seen tere Charles Willian Bous tadg, Te i : An MOTHAY 14 PHHIaeRS __ tote Kaswell rossi i See ee 4 sfayefle LA OG ere 200 ees 208) MO one swon Member of the U.S. iA Officer or. Employing Office: Zl House ot representatives Distics OF Empioyee __ | A $200 penaity shall be assessed a eee against anyone who files more than [denser ipa [enn Erno] Saree PRELIMINARY INFORMATION — ANSWER EACH OF THESE QUESTIONS T_ DG you or your spouse have "earned" income (e.g, salaries oF Vi. Did you. your spouse, ora dependant chid recaive any {aes} of $200 or more trom any source in the reporting period? vesX] No| reponable aitin te repovting perod (re aggregating more Ye 1% Hye; complote and attach Schedule [| sarees sunpsseoi eres es] No ves " ees ie en ee O “bd HAND DELIVE®."” LEGISLATIVE RESOUSCE CENTER 1 Sin nt or ogion nate nent try 9 A uy sm, 5 spun deve ay fat ang ra Spech, porns atc n atlas Sea ie eeree Pe veo[_] wofX] ceavteonrmeteatigrametstaetser™rry ves] wo LS] Rae GPS ond auch Schedule ATOM fi Coe reac SSW Mi yu, your gous or a gant ch rca noamad VM. Di you Rodan reportable postions ono bere the "noome Gf more than $200 ne porting pais or Mo’ any dat of eg inthe current caer year ‘Sse NG cited fa GSOGeE acl Sec eaay Y°SDX] No[_]] seen’ and Seach Sched. ves] vox] ites, complete and attach Schedule i a " IVD you, ou outa, o pendent ci UCTS, TK, Did you have any reportable agreement or arrangement m Sr exenange any roporile asset m avansaaton xcee8"7—YogE—]_ No [SQ] minran Suse tty? yes[~] No 3.300 dung the reporing pera? ityes, compte and atch Schedule IX. xi ites, complete and attach Schedule W. s [reer Vid you, your spouse, or dopendon’ chi Rave any reportable ‘Each ques! this part must be answered and the it asco ae ar gre ves[_] o[X] appropriate schedule attached for each "Yes" response. EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION — ANSWER EACH OF THESE QUESTIONS ‘TRUSTS—Detalls regarding “Qualliad Bind Trusts’ approved by the Committee on Standards of Oficial Conduct and certain other “excepted trusts" aged not be disclosed. Have you excluded from this report details of Such a trust benefiting yu, your spouse, or dependent child? EXEMPTION Havo you excluded rom tis repr anyother assets, “unearned income, ransactons, ora of @ spouse or pendent chia Because hey trot toe tet exemption? yes[] no] CERTIFICATION — THIS DOCUMENT MUST BE SIGNED BY THE REPORTING INDIVIDUAL AND DATED This Financial Disclosure Statement is requited 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 Offical Conduct or its designee. Any individual who knowingly and wiltully alsiies, ‘or who knowingly and wilfully fails to file this report may be subjact to civil penalties and criminal sanctions (See 5 U.S.C, app. 4, § 104 and 18 U.S.C. § 100 | CERTIFY that the statements 1 have made on this form (id all attached schedules are true, complete and rect to the best of my knowledge and belief, SCHEDULE | — EARNED INCOME List the source, type, and amount of earned income from any source (other than the fler’s current employment by the U.S. Government) totalling $200 or ‘more during the preceding calendar year. For a spouse, list the source and amount of any honoraria; ist only the source for other spouse earned income: exceeding $1,000. Keene State ‘State of Mar ve ‘Spouse Speech Spouse Salary For payments to charity in lieu of honoraria, use Schedule Il ‘SCHEDULE III — ASSETS AND “UNEARNED” INCOME BLOCK A Asset andior Income Source Identify (@) each asset hold for investment Ot production of income wit afar market value exeneding $1,000 af the end of the reporting Passat or source ot an 6200 8 ‘Unearred” Income during the year. For rental property or land, provide an address. Prove fultnames of any mutual funds. For a sel. Girected IRA (ia), one whore you have Be power to gelect iho epecitic invesiment Brovide information on oach aeset In Ihe Becount 00d the reporting threshold, nd the famed for the account FOr a IA or retirement plan thats not self-directed, rnamo the inetiunon holding tho account and provide ite value at the end of the reporing poviod. For an active busiwess that isnot publely Ffaded, in Block A stale the name ol he business, the nature of the business, ard is ‘eographic location. For addtional information, See the inetruction booklet for the reporting year Exclude: Your personal vesidence(s) (unless there Is rortaltneomey, any debt owed 10 you ‘by your spouse, or by your oF your spouse's chil, parent, of sibling: any deposits totaling $35,060 of less in personal savings accounts ny tnancial interest in oF Income eived Wom U'S. Goverment ratramont programs. If you se choose, you may Indicate that an fet0t or income source fz Mato! your spo (SP) or dopendent enva (OC) oF ie fry hold {aT}, In the optional column ‘on the far let Value of Asset at close of reporting year. If you use @ valuation method other than fair market value, please spocity the method used, {an asset was sold and is included only because it gonerated income, the value should be "None. Check all columns that apply. Check "None" it asset did not generate any income during the calendar year. {$15,001 ~ $50,000, (ver $50,000 000 16° Type of Income $1,001 ~ $15,000 ‘$100,001 - $250,000 $260,001 ~ $800,000 ‘$500,001 $1,000,000 ‘$1,000,004 ~ $5,000,000, '$5,000,001 — $25,000,000 {$25,000,004 ~ $60,000,000 DwvIDENDS CAPITAL GAINS EXCEPTEDIBLIND TRUST RENT INTEREST (Spec: For Example, Parreanp Income or Farm Income) lotr End o¥ BLOOKD Amount of income For retirement plans or accounts that do not allow you to choose specific Invesiments, you may write "NA" for Income. For all othor assets, indicate the catagory of income by checking the appropriate box below. Dividend, fbvan if reinvested, should be listed fas income. Chek “None” if no income was receved, UF nf wil yl v | vip van) x |x a 8 $i.000.901 ~ $5,000,000 ‘51 = $200 $001 61,000 52.507 ~ $5,000 $5,001 ~ $16,000 15,001 ~ $60,000, Gver $6,000,000 $100,001 — Tore BLOCK E ransaction| Incicate it tho Jassot had purchases (P. sales (S), or fexchangos (E) exceeding 151000 in reporting year, mon =, ‘SP Mapa Gor. Sto De, | Exampies'| "| Simon & Scher ot Zhen Bak Account. ><) $50,001 - $100,000 x SP NONE >) $1,001 82,500 x “ Geagcesenel Feral _Credttt Uaien Reet- IT Consresidnal | fberd Cet | piso Saul Bek 6: For additional assets and unearned income, use next page.