You are on page 1of 7
‘UNITED STATES HOUSE OF REPRESENTATIVES roma 7 | rman oiscLosune STATEMENT FOR CALENDAR YEAR 2005 | ubrHetemcon stereos AND DELIVERED Sif iv RESOURE CEATER JERRY P, COSTELLO 2608 P20 TOUR DRIVE eas TMBMAY 12 AH 9°52 MC BELLEVILLE, Th 62220 net ae 1a PE aPte Peau site [Lz] Mwettrwcnanes ports —— LJ emee Serres ‘A.$200 penaity shall be assossed Ripe [La] poms — ‘enna | Sayed PRELIMINARY INFORMATION — ANSWER EACH OF THESE QUESTIONS a earnest [Fe : eaaimeraicon ee bay reer 2s ape aa LAS TSRIMERRE SMS” veal noel] meme, cua LE. no Lz] | aera reer ea Fee we i | fs (contr cece (a aparece a Ty Seater ey rb Income of more fan $200 inthe reporting period or hed ary ves[x] No Salo of lng in ho currant calendar year? Semi teetenetlecettse a econ ip Ustieims toed fate and tach Tb ye, your spouse or pander cS i (evehdng ey pote sept na renadonoxseays x 10 ys ote aap _ ‘Yos Le ‘tyes, complete wr tach Schau i eran enter | Each question inthis part must be answer pon Genagiesunek soeaaese re ves[z] %o[]| _ approprlate schedule attached for each "Yes" response. EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION — ANSWER EACH OF THESE QUESTIONS “TAUSTS_Osaaogarng Quad tind Tass" approved bo Cortes on Sanda f Ofc! Conduct endcorainaher"ercepeduas'vondret Yee] No[x Tetiedoved, Hare you excuse om tis opr dao sch ara boning Yo, Your ove, dependant he? EXEMPTION jou ecu om ip ery ehar set, neared rove, ewan orale fe pane or pretty yay) —] No Past tne sean? veel] woh] CERTIFICATION — THIS DOCUMENT MUST BE SIGNED BY THE REPORTING INDIVIDUAL AND DATED. “Tis Financial Discosure Satement is quod by the Ettics in Government Act of 1678, as amended. The Statement wil be avaliable fo any requesting person Tanto appicaten ene wil be foviewed by in Coryntee on Standards of Ocal Conductors delgnee, Any Invidual who knowingly and wily alos, tony a wy tao i repr ay eee prepa es re een (Sve USC. $10 8 USC. § 1001, if oe aa aa eS Emer mec wmnent | Caden gy (LE S-ll-01 SCHEDULE I — EARNED INCOME List the sour, type, and amount of eamed income trom any source (othr than the fers current employment by the U.S. Goverment totaling $200 or ‘more dutlng the precoding calendar year. Fr a spouse, fst the eource and ameunt of ary Ronoravia: fst onl the source for othor spouse eared income exceeding $1,000, ‘Amount E ramp | Sinton sa seat STATE OF ILLINOIS SPOUSE, SALARY ma ST. CLAIR COUNTY USE SALARY ™ SPOUSE SALARY ma ST. CLAIR COUNTY EDUCATION COOP BOARD For payments to chery eu of honoraria, use Sched Name JERRY ‘SCHEDULE Ill — ASSETS AND “UNEARNED” INCOME BLOCK Books aiooKe uock 00K E ‘Asset and/or Income Source Value of Asset ‘Type Amount of Income [Transactior dant ) each eet ha for ivssimant | at los of aporing yea of Income For retrement pans or accounts hat | indest i oleh ieee ratvase | 1 you yee a veluston matiod | Chesca osunesthatanpy | Secaraice You's ease SERS | esata ee blank asst nt id (0 ary te generate any ireame ding sold snd 1s | te calende your Eroven vec, shou Included ony because Rgenerated | ie rode rizame, Cheer one’ | exchanged Ineae, havo shade Nena” olnsome was rocoved © "epering ye purchases colt), Goatees SESS | ‘Exe: Yous paso ideal unase ‘Rie St ney yan owece oe eos ot ‘Seid re insane ca ac, 1.000001 ~$5400,009 ‘QUALIED BUND TST Gir, SSR staha colon eee on [sac Engh Puech oF nea 15001 950000 100001 = 25000 ses0001~ 950000 ‘Siang - 20008 EXGEPTED TAUST tooi 1200 01 =815000 er Typ ot acme 5-88 == REST POINTE wancowe, mvc. ||| STOCK = TR ay [REST FOTWTE BRICORE, TNC 1 sree © ik x | L _ onas-aereauanionr—waw |||, T + 5 a |ozpoRtuary #O-CLuA-TRA Ltt | | se | BURA oRETEIBZEREALSIY x x ix "LORD ABRET ID CAPITAL T TO ik | VALUE FD=CL=B