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HAND DELIVERFR LEGISLATIVE RE SouRoe op FORMA For use by Members, officers, and employees Page tot UNITED STATES HOUSE OF REPRESENTATIVES, FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 2007 David Davis ‘ull Narne) ‘State: TN District: 1st Tm Memuerof the US Officer Or | | House of Representatives : Empioyee Employing Office ‘A $200 penalty shalt be assessed against anyone who files more than 30 days late. Filer Termination Date (Amendment |) Termination ANSWER EACH OF THESE QUESTIONS ot s206 "rays your Sporsa, Ors daponen cna eclve sy rapanae gin hagregsting morethan $305 ana not cerwiso Yes} NO xem? tyes, completo and attach Schedule VL ‘you yur apo ora epndet id ci ay ere ravelin we veparing period (warth mare than $308 Yes (") No J) Did you hold any portable positions on orbefore the dla a ing nih Yes yj No [|| Vil: eurenteatendar year? Yes No [] cepa chi purchas_ sal, xchange ny | Bisse 1V. fapoatic sen Ganancion ceed 00 uma hereponinn” Yes Gj Mo -]) % enor Yes [] No pero | __Ifyes, complite and attach Schedule V, i tyes, complete and attach Schedule Did you your spouse, ora dependent hii have any roporaile iby +d aa ae Ve tore han Yes [] No ¥%) 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 Details regarding “Qualified Blind Trusts” approved by tre Committee on Standards of Official Conduct and certain other “excepted — 445. yg | trusts" need not be disclosed. Have you exclucied from this report details of such a trust benefiting you, your spouse, or dependent D Nek lties ofa spouse or dependent child BLOCK B ‘BLOGKC ‘BLOCK Year-End | Type of Income | Amount of Income For rtrement plans oF Value of Asset | or. it | account that do net alow of reporting ich genorated more than §200 in “unearned” income during the year, For rental property oF land, provide a complete addrest. Provido full na ‘mutual funds (do not use ticker symbols). For vvaluo, please specity ‘the method used. fan asset was sold and is Ineluded only because Ils generated income, Exclude: Your personal residence debt owed 10 you by your spouse, parent or sibling; any deposits icato that an asset or income sou ‘dependent child (DC) ori jointly hel AlianzAnnuity | $1,001 - $15,000] DIVIDENDS/INTE | $1 - $200 | REST \ ee i Cater County Bank | $50,001 - INTEREST | $201 - $1,000 | | $100,000 | et Sa ee ee ee Conaesial Credit Union | $1,001- $15,000! TEREST | §1- $200 aa pines LMP Division "$1,001 - $18,000) DIVIDENDS/INTE "soot $7,000 oe Stragety 1 | REST i _ Primerica LMP Division | $15,001 - | DIVIDENDS/INTE | $1,001 - $2,500 Strategy 1 | $50,000 \ REST i Primerica LMP Division St 001 - $15,000) DIVIDENDS/INTE | $201 - $1,000 S(part) REST { Strategy 1 - SCHEDULE Ill - ASSETS AND “UNEARNED” INCOME Name David Davis | Page 2et 7 JT | Primerica LMPDiv. Strategy 1- \ $15,004 - | DIVIDENDSANTE | $2,504 - $5,000 ] IRA $50,000 REST ioceeieieteett) sP Prudential Conservative $1,001 - $15,000| DIVIDENDS/INTE | $1 - $200 Balanced Fund REST I JT Prudential Conservative 1,001 - $15, 000 DIVIDENDSANTE | $201 - $1,000 Balanced Fund REST | SP Prudential Equity Fund st 001 - $15,000} DIVIDENDSANTE | $1 - $200 eee H REST | HE JT | Prudential Equity Fund $1,001 - $15,000 | DIVIDENDSANTE | $201 - $1,000 | Po REST eee eee ST | Prudential Flex Fund $1,001 - $16,000) DIVIDENDSIINTE | $201 - $1,000 1 ot REST SEEN IGE ggg sg a EE dE ESE ECE SE { Prudential Flex Managed Fund $1,001 - $15,000} DIVIDENDS/INTE | $1 - $200 ( si tte REST SP | Prudential Government Income | $1,001 - $15,000) DIVIDENDS/INTE. \ $1- $200 \ | Fund REST , JT | Putnam Fund for Growth & | $1,001 - $15,000 DIVIDENDS/NTE t $1 - $200 | Income (Banc of America) | REST | SP Putnam Fund for Growth & ( $1 - $1,000 DIVIDENDS/INTE "NONE Income (Banc of America) REST Shared Health Services, Inc, | $1,000,001 - None NONE Jotinson City TN $5,000,000 fe State of Tennessee 401k $1,001 - $15,000] DIVIDENDS/NTE | $201 - $1,000 REST Bice eee ee ee eee eee ec Haneda anata An caeeag eee apne Uniaae aeeano ae neato oe sP Transamerica Capital Guardian Tst-s1,000 1 DIVIDENDSIINTE | $201 - $1,000 Value | REST | SP Transamerica Equity Fund $1 - $1,000 DIVIDENDS/INTE | $201 - $1,000 i i | | REST |