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UNITED STATES HOUSE OF REPRESENTATIVES FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 2005, | Michwel Evecett Capuano ronma Forney Member es, ri employes JHAND DELIVERED 1 cesrstanve nesounce cenren TOG HAY 11 PHI: 26 (12_€ etral Sb. Maram —h2qp mes Wed ecgepcemise LK So citlle Ma. 02s 1.Ut7-C21- 6269 as taase es eID a, Sa RF Tore, eco aso peair aa ese tepor See oF a daine anyone wn es more tan net fxn i —_— sami PRELIMINARY INFORMATION — ANSWER EACH OF THESE QUESTIONS [ SaIue;yon soe ae eone noe gay Wan apne on a Sy ‘yes comptte diner ae? ea[X] nol] Serewsaeiteleteeesie sommes] wo Q] 5 OM CUI RSSSgee LU 1 Sige nai apron mi srt cat VIO si eee an ay ree ee a ‘Staion ao, poe m= Yee] voDal| etteitn har orca ue voo[X] 0 Il Oi you, yaur spouse, oa dependent child reasive “neared Val, Da,you nod ery reportable postions on or Beare the a eat a i ae ae so i ie ey rab Fees genen te meesicplinn YS Se ae re ee im, DO fd) Wy. Dey yor mone of eerie Md rae _— 1, Did you have any reparabie agreement or aangement =| isaieeseen | FRESE amen sometere vos] vo] YD you yur soa, os deren chil Dave any repose Each question in this part must be answered andthe Tyee Seon eee area veeDX] sof] anproprlate schedule atiched for cach "¥es' respons Dr tsdose, Have you ensues Hom hs report el ach ast orang Yon, ou apn depart chide EXEMPTION” Have you erlues tom he opr any oer ase, “unaed one, ansactons ‘root ten efor onsen? “Tis Financial Diecosure Statement ie rocitd by the Ethie in Government Act of 1979, as amended. Tho Statement wil upon writen apeleation and wi be eves by the Com EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION — ANSWER EACH OF THESE QUESTIONS ‘TRUSTS—Detls open "Oud Bind Tue approved bythe Corton on tna of fin Candi an oan ane ecg at wed rah ites oe epause a ependot cis boone ay CERTIFICATION — THIS DOCUMENT MUST BE SIGNED BY THE REPORTING INDIVIDUAL AND DATED ‘on Stansards of Oia Condit ors designee, Any vidual wo Kawingly and wily aaes, ‘oF who knowingly are willy Yas fo la this report may be eject to ov ponaltes and cminal sanctions (See 5 US.G. app. 4, § 104 end 18 USC. § 1001) ve] 6] O bd be avaliable 1 any roquesting person Yos| CERTIFY tat tha eateries fand all aches. seheauls. a act te th bast my krowledge and baie S-lo || For payments to charty In He of honorarta, use Schedule mere Michael E.Capuang [ruw-2«2 SCHEDULE |i — PAYMENTS MADE TO CHARITY IN LIEU OF HONORARIA Liste sue, ect (sesh, eppeaace, rr) dala amour payne yb spiea oan ova va urate ogpiatcn intaofsn craton Assbans rico ocatiercanegsoonssrents ano ecb a a Gane namveopebr orks bate toet ees ee Source Activity This page may be copleditmore space requred.