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UNITED STATES HOUSE OF REPRESENTATIVES, FORM A Pais FWANCIA DISCLOSURE STATEMENT FORCALENDARYEARz005 | FerwedyHanburctiwengenpies | eC Pstarvesesecenen ‘rasp F065 aM 9: 27 2319 Weodment Bid. Nash, TN 37215 zan54911 ae \ (aig Aer) Dayne Teens WicShcadte Bap. Fir |W MewborofeuS. Siar TN TD Dicer or Employing Oe: cena eal tL, | HecsccrRepresenawves Sates Employes be sececeod eganat = anyone whe Report Termination Dae more than 30 days ‘Type ([ Porual may 15) | amendment Termination me PRELIMINARY INFORMATION ~ ANSWER EACH OF THESE QUESTIONS a agg eae Ra TET Sa a aT Feathininotuicmm peel es (he g] YY eetnormcttncamonmmontan eden ves C] we wh | _ ye cons ana ata sensi ijt compe and nae ene Oe maa pecan SETS Deja apn tp gE LOOT sites pman. sah ierreaoe? Yon Ho (| ME tanec elnbaratigesohmrean ee 3} No C] My cont ad sae Stn ieee and atc sence vi ju moctecesettrmtgpetamywasasensscom Ys go (| Suku name HSSR DH TT more han 00 at nasa ot pesaeomeas Iyer comple nd seacn Schoo, yes, compl and aac Sac Va, i ee pa panel nd parca Dg Tas hv oy poate ssa or apn Sa ‘ecaaauissaationrceing Ha domabarnponey Yos No C)| Ysa we OMe Ins comslete nd atacn Scheu yee, complete and atch Seas ‘eeu aps, snp hoy aa ¥. anion gps pena? ‘Yes [) No @| Each question inthis part must be answered and the appropriate tyes comple andatacn Sched V. schadulo attached for each "Yes" responce, EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION - ANSWER EACH OF THESE QUESTIONS Trusle~ ut moa noton dtc hae ouitand tm bs pat eaicsiocn bun tamngroovestioo wing | YO T) NOK Exeiptons= you scat heparan oth Le a CERTIFICATION ~ THIS DOCUMENT MUST BE SIGNED BY THE REPORTING INDIVIDUAL AND DATED This Foacal icine Sassou by ba Ensim Governar Ato 1, aandec. Th Sar lb ill ay runing penon Gon ‘zcaton an wi be rodend by 00 Conan ev Sante of fia Caractere ase. oy nual ura wonngy snd wlan © es navy ae yas tis opera oe uses a panos nd cna condo fee SUSE apes Bohan USC $ Sh Tarai pang RT [ae a oa Tea Earn eres enaseammssaaaeoarn | 7 noo ean inane rete D DELIVERED trian cond coe webu sty noes ay. Boe pede ac A Ww ‘SCHEDULE Il- PAYMENTS MADE TO CHARITY IN LIEU OF HONORARIA [Oca ] aa [Ustthe source, sity (is speach, spperance, or arlcla, data, and amount of any payant mada by tha sponsor ofan oven oa carable organization Tau Jan honorarium. A soparat condenal lat of chats rocelving such paymants most fled diac with th Commitee on Standards of Offell Gonouet An velop for aniiting the lt included In each Meme ing package Source Activity Date ‘Amount, Diageo, Washington, DC. [Appearance ‘Sept. 13,2005 | $500 Duchenne Foundation E.W. James & Sons, Union Gity, TN [Appearance June 8,2005 | $50 ‘Second Harvest Food Bank ‘SCHEDULE lll ASSETS AND “UNEARNED” INCOME Name dames H. (n") Cooper Asset andlor Income Source fn rt is ir tn ahead eftng pi, {$040 any ober aan sore ot ncama uch gurrsed Rn ‘200in “Uren ncome ring th year, or eit proery ote, Foran i or nirmt pa hat na crete, na the {ning accounts uy fant itarestn orice dred Wa US. Scucerareearnsaneeee ‘In the optional column on the far let. = Boe Year-End ny ach aan odor vetnat or wosucton tacoma wih | Value of Assot ‘ove an arse, Prove fll names ef any mutual tinge. Porat’ | watson method br ‘dracad An oo ware you have the pome isla epactic | | thn ar ast vle, Invesimora prove nteaton on ech cece! inte secant at | pines saci he seccieerea mtd aan vit. | edn pry Type of Income listed eater spe {tetype at ineoms by tering at cxcripton Iasetlece or Income r Frm nce) peor) ‘locke Amount of Income | Transaction| Youtocnooresprctie | (ry sau(er isin yxy te | chars ‘ingot income by hacking he sppropeate Soreeiowe Dinan san Ifrimcte, shouldbe shares {$500,000 ‘Adam's Properties, Gulfport, {$50,004 -| Insurance {950,001 - $100,000 |(destroyea MS, 1804 Beach Drive, rental $100,000 Proceeds by Hurricane: house "katrina, but insured) Assistive Technology Company $50,001 - CAPITAL GAINS. | NONE stock, wheelchair distributor, $100,000 Naperville, IL ATT stock $1-$1,000 | DIVIDENDS | $1- $200 L Berkshire Hathaway stock $50,004 - CAPITAL GAINS. | NONE | $100,000 Centennial Money Market {$250,001 - INTEREST $5,004 - $18,000