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FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR2005 __| Forse by Members offers, and employees 409. Cannen HOB_Washingen, BC 20515 UNITED STATES HOUSE OF REPRESENTATIVES | FORA = dtAIND DELIVERED 5 re Resource cen 006 JU 12-PH 4s 03, Report ‘Teinaton Oat ‘Type_(| Zi Prnusl ay 16) | Amendment [6 Termination (202) 225-9978 ereune n Tag ase Daj Taco Bui Obi For |@ MenbeotheUS Sale FL TD Ofer Or Employing Oe Giel, |? HowootRepesonaties Davee Enrloeo PRELIMINRRY INFORMATION ~ ANSWER EACH OF THESE QUESTIONS Beg Fo pa a oT 1, Sa a Ran aaa TST i eartnapommeneonceapane ves ©) Nog] MY benpteyrablin eeopuip meni Rlnramanee ‘jee camata an i. Sake nna palo na aS RTE womg| « somes ae Se eer SSR cee ——— ee eee mcmiemasave “a een I mera caer US i Ya weg] Se nnn ST Iie, complata and atach Schedule. ‘tyes complete and ataeh Schedule aa rpc la ~ ¥. emanate nrg pa Yer @ 0 | ‘schadula attached foreach "Yee" response. Each question in this par must be answered and the appropri EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION ~ ANSWER EACH OF THESE QUESTIONS “ost pume regu nese a prey Soni nn of el ana ata Exemptions have you sched Wom wi pe ayo srt “aad cone, Vancom Onn over Creare le lon CERTIFICATION ~ THIS DOCUMENT MUST BE SIGNED BY THE REPORTING INDIVIDUAL AND DATED. ‘eleasn sedi be evened by na Commas on Suncare tia 3 is art eis Sug, Ayia ecg anu Ss os an hint a yb ruin odor eso ee BUC e's HAUS S WO, os es SET amie | Oe Gf pp ‘SCHEDULE lll - ASSETS AND "UNEARNED" INCOME moun peta BOEKA mae wae cra BRE ‘Asset andlor Income Source Year-End | Type of Income | Amount of Income | Transaction py each aut ernie pocton faa lh {maa aic meneing $009 be df paring pero incon curing ea, Fare propery Proieon eran. Prove ae of ay tal ese Pos ail [Tecra ate hints nd ropes ten ‘er odatonlincmaton eeinerssen boot rb pang cl: You pron inne ules ae tl ca): Sejm racy etapa erie eterepn ‘tings aebon: oy rca nian or ncaa dered om US, Serge eet ty yo Value of Asset cbertan oso lid eager seat ring att arora i as or Ss forraemar laa er DC | OC @) Treasury Securities ‘$4,004 - $15,000| INTEREST 3201 -31,000 ‘State of Florida Retirement Plan $15,001 - $50,000 Deferred Benefit | NONE SCHEDULE V - LIABILITIES Name Jn ave [Repo Taos cf over #BG0Y owed te ay ona oredr aay Uo dng tha Tapohg pauGd By ou, ou SPOUT, SF TaPAREUN ENTE Marka GT jmount owed cringe yar. Exclude: Ay mortgage on Your personal fesidenco {nls al or atte rane ov ours secured by automobton newsehel frit or apalance, dibs edt pao, abc prr or sg oyu or yor peur, Rape "wvahing serge arcouns” of he fstnee tthe con fw prececing aansr yor onevand S08. SP, Bc, a Creditor Typo of Liability “Amount of Liability ‘SP_| Suncoast Schools Federal red Union Fraudulent Charges on VISA $10,001 - $16,000 | (Pending Resolution to Absobe)