You are on page 1of 16
UNITED STATES HOUSE OF REPRESENTATIVES Form A mares? HAND DELIVERED FNANGIAL DISOLOSURE STATEMENT FOR CALENDAR YEARzons | ForusseyMontom,ofown endensoress | teamamvencsnumecentee | Dennis A cares TExamTOME vey ad on Ws opr ny sno nenr rca wens ws or spome opines Phone eae thay et a cats cooper we Nw CERTIFICATION ~ THIS DOCUMENT MUST BE SIGNED BY THE REPORTING INDIVIDUAL AND DATED {[ is Frenet Geom sinter aqares vy Eee Garret A678, pended Te Sal lio wy oie pac gon wen ‘ppteatee a wb oseney Cane on Sura of Gio! Conduct goss hy Rew ura oun ae wy ashe, noNegY ‘thy ist ats eprnay be openssl eco Cage onaralse's Wo), = pas —— = + MAYS PH2I3 | 455 nnon Hose Offos uling_Westingion 00 20515 cau 22seie1 ener yan ; Gia Sans Tsai ———~ “1 Wontar ae thes Menke ofteUS. Sais OA Ofice Or Emplying Ore: | Filer @ re A $200 penalty shall fier, | Neuse otReporonate Saracce Empoyee Sele ed + Se tej wis z aaa Ba — Pa (fa otey's)_|OAmendment | Termnaton ite PRELININARY INFORMATION ~ ANSWER EACH OF THESE QUESTIONS eS 2) oS aT SSS SES SSRE Teena i Ye Heo] Seigunata pcam NTRS YE MR pone na Se |_FietEmaemtemmnsnenseve Panga teseat arenes oe veg OO) easeetartalaeamey ean anene ee vw @ MO tye cong ad wah ste ies wa ane sera _ | a vu See wero |___teyes, complete and atach Schedule Vil Se a ET Se a aT seeedsimataecean aaseemae” me gh oO] ai ~ OmB Fe cont nd atch Sead ee trys ep nd atch tee | ee TR t jo penctaaas recs ‘= G) tach utenti put rte noered and ero ye cons nd tach Sead. schedule aftaced foreach "Yeo response. | EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION -- ANSWER EACH OF THESE QUESTIONS: | Trustar Gian b dnlond ve you ered vm tas port ae soeh stuacbonetingyourYour tocar orcopntent V2) OR) | Sz BEneR eT iE 00 ‘SCHEDULE | - EARNED INCOME ‘Name Dennis A, Caeoza i page et 8 ‘adamant of earned Tcaa Fon any ourcs [other an the Wars Girvan emploinnt by tho US. Govern TUG SOY ov RO dar yar. Fors spouse, tthe source and amount of any hanorari; et only the sour fe other spouse eared income xceecing ‘Source Type. ‘Amount ‘Merced Faciilly Associates | Spouse's income J NA lervslop for ranciting the let encode in ach Membr lng package L____ Activity Insurance Group Date ‘Amount ‘National Association of Realtors ‘Speech at Annual Convention | Oct. 29,2005 | $2,000 ‘CAP-A2, clo Fireman's FundMartford [Speech at CAP-12 Lunch | May 18,2005 | $500