You are on page 1of 5
UNITED STATES HOUSE OF REPRESENTATIVES FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 2008 ‘Win. Lacy Clay (Full Name) 6251 San Bonita Avenue St. Louis, MO 63105 (Wailing Address) Member of the U.S. State: MO House of Representatives pistict ot 1 Officer Or LERISLATIVE RESOURGE CENTE:: FORMA, Page tals For use by Members, officers, and employees 3. Hous (202) 225-2406 Daye Telephone Employing Ofice: (Office Use Only) $200 penalty shall be assessed against anyone who files Employee ‘id anyinlviual or erganzation make a donalon to charity inliew of paying you lors speech, appearance, of atl in the roprting pero? HHyes, complete and attach Schedule i. ‘id you, your epouse, oF 8 dependent child receive “unearned income of ‘more than 820 Inthe roprting period or hola any reportable asset worth Amore than $1,000 at te end of tho peri? ‘yee, complete and attach Sehedulo Ml ‘Did you, your epeuse, or dopendent child purchase el, or exchenge any /- reportable aseet in. waneaction exceeding $1,000 during te reporting, enoe? {if yes, completo and attach Schedule Iv. ‘id you, your epouee, ora dependent child have any roporabl Hailty Yoo {yj No [-)| Vi thereporting prod (aggregating more Cian $805 and not otherwise Yos [] Now Yes 7 No (| Yes [] No Yes 5] Now Termination Date: id you, your spouse ora dapendant cid recove ory roporabie gt Yes [] Now examen)? yee, complete and attach Schedule Vt. id you, your spouse oF «dependent child reclve any reportable ave oF Vit rambureements for travel nthe reporting period (worth more than $308, ‘tom one sovres)? {Wyee, completa and attach Schedule VIL ‘id you held any reportable positions on or before the dats of lng in the ‘Vt. current calendar yar? __ yea, compiate and attach Schedule Vil. id you hve any reportable agreement or arrangement with n outiae 1 ent Yes [1] Noy tyes, complete and attach Schedule DX. Yes fv) No Lj Yes NOC) Each question in this 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 ‘Detail regarding “Qualified Blind Truste" approved by the Committes on Standards of Offical Conduct and certain other “excepted trusts" need nat be disclosed. Have you excluded from this report detail of such a trust benefiting you, your spouse, or dependant child? Yea) Now Have you excluded from this report any other assets, “uneered” income, transactions, or liabilities of a spouse or dependent child because they moat all three tests for exemption? CERTIFICATION ~ THIS DOCUMENT MUST BE SIGNED BY THE REPORTING INDIVIDUAL AND DATED Yee [1] Noy “This Financial Disciosure Statement ls required by the Ethics in Goverment Act of 1978, as amended. The Statement wil be avaiable o ary requesting person upon writen application and wll be reviewed by the Committe on Standarcs of Official Conductor its designee. Any individual who Knowingly and wilful fasifes, of who knowingly and wily fais to fle this roport may be subject fo chil penaltes and criminal sanctions (See § U.S.C. app. 4, § 10# and U.S.C. § 1001). “Signalre of Reporing indwiGual ‘Certieaton CERTIFY thatthe statements | have made on his fm and al atached schedules 16 true, complete and correct o he best of my krowiedge and belt, 2007 HAY 1S PM 4: 38. & be HE CLLR UF REPRESENTATIVES, C/o vetveres SCHEDULE | - EARNED INCOME awa age zat 5 [List the source, type, and amount of eared Income from any source (other than the flere current employment by the U.S. Government) totaling $200 oF more during the preceding calendar year. For a spouse, list the source and amount of any honoraria; list only the source for other spouse earned income exceeding $1,000. St. Louis Development Corporation Spouse Salary ASSETS AND "UNEARNED" INCOME Name Wm. Lacy Clay Page Sof 5 BLOCK B ‘BLOCK e ‘BLOCK D BLOCK E Year-End | Type of Income | Amount of Income | Transaction “Asset | Checkat counns tat | Forretiementplana or | Incieate it asset Value of apply. Check "None* if accounts that do not allow: had purchases Asset and/or Income Source ‘entity (a) each asset held for investment or production of income with 2 fair market value exceeding $1,000 atthe end of the reporting period, and (o)any other aseat or cource of income which generated mere han | cise ofoporting | aneet dd not generate | youTochooeeapectie; (yaalee @) oF $200 in “unearned: income during the year, For rental propery ortand, | year. tyouusee | anyincome during ihe | Investments, you may wie | exchanges (2) Drovide an adcress. Provide ull amos of any mul onde. Fora set’ | valusion method | calendaryear. other | “NA forincome. Forall” | exceeding Sroctod IRA Les one whore you have the power to eelect the oposite’ | ottertnan fairmarkst | than one tthe loted, | othersvesta,indieatoine | t.000in investments) provide information on each asast Inthe account rat | value please apectty | catgories, spect the of income by ‘epenting yar, ‘exceeds the reporting treahold and the income earned forthe the mathod used. tan | typeof income by writing | checking the appropriate ‘asset was sold and is Included only because Ite generated income, the value shouts be “None.” a bret description In thie Block. (For example: Partnership income or Farm Income) box below. Dividends, even Hreinvestea, should be listed as income. Check "None" ino income was eared. ‘account. For an IRA or retirement plan that is not sel-cirected, name ‘the Inetiution holding the account and provide its value atthe ond of the reporting period. For an active business that isnt publicly traded, In Block A state the nature of the business and its geographic location. For adaitional information, se Instruction booklet for the reporting year, Exclude: Your personal residenco(s) (unless there is rental income); ‘any debt owed to you by your spouse, oF by your or your spouse's child, Parent, or sibling; any deposits totaling $5,000 or ess In porsonal ‘savings accounts; any financial interest in or income derived from U.S. Government retirement programs. 1 you s0 choose, you may indicate that an asset or income source is that of your spouse (SP) or dependent child (DC) or is jointly held (JT), Inthe optional column on the far tet. Union $16,000 I I SP Firsty Community Credit Union $1,001 - INTEREST $15,000 SP _| St. Louis Development Corp $15,001 - Empl Retirement Plan (General $50,000 American) : State of Missouri Deferred $1,001 - NONE Comp. Plan (T.R. Price $15,000 |__| International Stock Fund) i ee ae i | Wright Patman Federal Credit | $1,001 - | INTEREST | 81-8200 !