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FORM A, For use by Members, officers, and employe UNITED STATES HOUSE OF REPRESENTATIVES FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 2007 Michael C Burgess 2022257772 (ull Name) (Daytime Telephone) * State: TX District: 26 Member of the U.S. House of Representatives. Officer Or Employee Employing Office: Filer Status be assessed against anyone who files more than 30 days en teeta te “ Coens 15) Amendment 1 Termination PRELIMINARY INFORMATION -- ANSWER EACH OF THESE QUESTIONS Yes || No jy) Yes [] No jy) Vil ityos, completa and attach Schedule Vi i you old any seporale potions on or etre he dt fing ath Yes yi No il. Curent calendar year? Yea if yes, complete and attach Schedule Vil ‘you have any reportable sprement of aangarent wah an oui Yes yi No} Ment? Yes yes, complete and attach Schedule Dc Yes ¥ No [1] Each question is part must be answered and the appropriate schedule attached for each "Yes" response. EXCLUSION OF SPOUSE, DEPENDENT, ‘OR TRUST INFORMATION -- ANSWER EACH OF THESE QUESTIONS: Blind Trusts" approved by the Committee on Standards of Official Conduct and certain other “exceplod trusts" need not be disclosed. Have you excluded from this report detalls of such a trust benefiting you, your spouse, or dependent Ye [_] No[v| child? Exemptions Have you excluded from this report any other assets, “unearned” Income, transactions, or labiliies of @ spouse or dependent child bocause they meet af three fests for exemption? Yes] NOW SCHEDULE Ill - ASSETS AND "UNEARNED" INCOME [11... yicnacic Burgess BLOCK A ‘BLOCK 6 BLOCK e Asset and/or Income Source Year-End Type of Income Value of Asset at cose of reporting ‘of your spouse (SP) of dependent child (DC) or is jointly held ( cptional column on the far lft. Page 2ot 7 BLOCK D. Amount of Income SEE ATTACHED PAGES: 2A AND 28 [SCHEDULE 1). ASSETS AND "UNEARNED" INCOME z eae 2A ASSET andlor INCOME SOURCE ‘TYPE OF INCOME, |lAMOUNT OF INCOME TRANSACTION | NONE NONE: NONE — NONE. DIVIDENDS — ‘DIIDENDS [DMDENDS ~ "DIVIDENDS ‘DMDENOS (DIVIDENDS DIMGENOS ~ + “Tpivbenos DIvibeNDS IBM CORP. (RA) ~_[DIMIDENOS IiSHARES US TREAS INFLATION PROT'SEOS (AS z —_jomoenos: _]MEDCO HEALTH SOLUTIONS (RA) 0 aaa IMERCK AND CO. (RA) IDMioENDS