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UNITED STATES HOUSE OF REPRESENTATIVES FORMA Poon FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 2005 _| Foruse by Members, ofcers, and emo IND DELIVERED su w TOUGMAY 12 PM 5: St {709Genais Som coubia 80 20201 (wing Accreee rin |e ferbodeUs Su SO Ei, | heceanarcariaies INFORMATION — ANSWER EACH OF THESE QUESTIONS i, Baia eae Sar hee Samad nese SISST T Desa ae an Fea SA ST SN ‘rian Pom emesis ee ites oempagon tans ont oerees Yon] Ne ye, compl and stash Schee iyo oman ad tach Sched ‘ena erp ai i sa ‘you apa een Sa iy TR aS i etrtomch Steen eR ae | ww [ahecentiroeel emperor etnnae an Yee We] iyo, compe and atach Scpeuie hs {jee Epis end atach ScbauieV. Secreta naeenase a STS yg an | wi Ree aR STH wee I5eu smplee and ees Sd ye, comple and each Sedule Scarica” sow gl & SE wows Fy conoid atch Schedule W. Hype, compte and tach Seda Yep of cpa dS a MS ¥. mi Stn car pra pl ‘Yo Ne) Each question in this part must be answered and the appropriata w and each Schedule V. ‘schedule attached for each "Yea" reaponse. EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION — ANSWER EACH OF THESE GUESTIONS ‘Truste- Duala egung “Qed nd Ta sproved hy he Corman on SndaGs of OficalCondut wd cot Ge eapod {Ete rend notba ceciowed Hrs you exeoded ren tu oper eat fecha Sunt Danengyou, Your tpocse eran YH" NOL] Exemptions" sae you exuded To th roport mya ust, uneuad" norm Waneeton, of lables os wpoue w dependent hia ache thy mct ate tse cop? (Ato 175 os arena. To Salone iis aalaio ay Concetta oy ens |. CERTIFY that he celeron |e made on thi form and al tached ot, celts nd coves he tet ny hong arate South Carolina Retirement System (This income is not subject to the outside med income limit) USS. Department of Veterans Affairs Retirement from the State of South |Carotina Retirement income Cry ‘Assat andlor Income Source ‘acy ech aa er natant prducton of name wth ‘ar arkat aa encoding 00 wh sot eprint, ‘cay cer net or sores roons whch peosacd ee Pen $200 n“unamed" ems cring the year propery od ona enn Provide tara of oy tel de Pr su Sian IRA a on wher you havatha pov te ele pecic swear prin tea eae ons eh ee {FerantnA or eromen pan ht ntsc, same a ‘nation Ng ecu ang prov vale end he Sescimeee moana npc nn ‘iat Atti rate of te beso goose ra For ational ntrmaton son naarion token eroa aso ‘Exude: Your paren eldoen fries hare eta incom, ‘ny dat owes to youby your spun, ory Jou or our pace i, Datroraling; wy depen tang 8860 roe pers Sviag acount; ny feael! interest orn dered em US. ‘Sovernment thant progene: ‘ypu so chooks, you may nate that nant or ncome sous ‘hat of yor apuee (9) ocapendent sd (OC or wnt nas (ON, {nthe epinaeakern on fearon BoaD ‘Amount of income | |__] For sackson Federal Great $1-81,000 | INTEREST $1200 Union South Carolina Siate Credit $1-81,000 | INTEREST $1-$200 Union Bank of America | $1,001- INTEREST ——_| $1 -$200 $15,000 ‘SCANA Corporation | $1,001 - DIVIDENDS. $1,001 - $2,500 __ | $15,000 ‘Automated Data Processing $1,001 - DIVIDENDS | $1-§200 $15,000 ‘SP | Bank of America $15,001 DIMIDENDS | $201 -$1,000 $60,000