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[UNITED STATES HOUSE OF REPRESENTATIVES | FORMA FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 2005 | F802” Monben. tts, nance Ce ERE B) oC Te, — MGHAY TL PH 27-7 BNAG Bayboen Aver LOashashin, D.C. 2031 os ACESS a 7 00 pony salve eos et | set — fete jo ons ten PRELIMINARY INFORMATION — ANSWER EACH OF THESE QUESTIONS [Da yeus: your sparse hve Vib fons) of foot mene te ay sre feoorat {Tyee compete nnd atch Seda transis, {Di any india or crganizaon make a donation to char Vil. i Liana sexta Seabee” | et Bi wor seas Hoiigaret en eee a ST Noone macieihmon tant owtneematecan Yes.) No| ‘ond iach ieesdeies yee Dd eC] hacen (ne aa el Sarem a 1, De te gyn agerr area fara ees ar % Yoo] mola Fite ten ena veL] wo] atl You, You Seow, oa cepanden cid have reponse Each question in this part must be answered and the Fe Coparenucertoacay Yes] no[]| _approndate Shells abache earns a, ipediistetieeaniee sewaieesameer "wep EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION — ANSWER EACH OF THESE QUESTIONS Sita eatin roan ssetasraaracrmneese aaron omnares wl] vel] Ser penn ye a | CERTIFICATION — THIS DOCUMENT MUST BE SIGNED BY THE REPORTING INDIVIDUAL AND DATED. ‘This Financial Disclosure Statement is required by ho Eths In Governmant Act of 1978, as amended. The Statement wil be avaiable 1 any requesting poson pon writin sppiestion and wil be reviewed bythe Comte on Standaras cf ical Conduat oe designee. Ay indgual whe knowingly and wily fies, or who knowingly and willl fas fo fle this report may be subject o cil ponales and criminal sanctons (Sea 5 U.S.C. app. 4, §108 and 18 USC. § 100%) ss etree ee eed aay Uae S11 OL, Sis thoes ot Income, wanssctons, table of 90 SCHEDULE | — EARNED INCOME List he source, type, and amount of earned income from any souree (other than the He's current eployment bythe U.S. Government loan $200 or ‘more during the preceding calendar year For a spousal! the source and amount of any honoree, ist Only the Source for Ofer spouse eamed Income exceouing $1,000. CG = OO eorbse € aC o¢ Dadra, as ‘Amount For payments to charity in leu of honorarl, use Schedule Je. _|reseS 5 Lsttho source, actly (ie. tam TeKin Conyers, or ‘SCHEDULE Il — PAYMENTS MADE TO CHARITY IN LIEU OF HONORARIA peech, appearance, or ate), in iu ofan honorarium. A separate confgental tof cha ato, and amount of ary payment mace by the sponsor ofan event to a chastableergaization| jes receiving such payments must be fied drecty with the Commitee on Standards of Oficial Conduct. An envelope forrnsmiting the lists included in each Member's fing package Source Activity ‘Amount apne | RDS 6 Rafe escene, Wamh BG. . : | con . ‘This page may be coped I more space is required