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Page 2 of 6 * SCHEDULE | - EARNED INCOME [List the source, type, and amount of eamed income from any source (other than the filer’s current employment by the U.S. Government) totaling $200 or more |during the preceding calendar year. For a spouse, list the source and amount of any honoraria; list only the source for other spouse earned income exceeding $1,000. Name NORMAN D. DICKS US Capitol Historical Society Spouse Salary “ SCHEDULE Ill - ASSETS AND "UNEARNED" INCOME Name NORMAN D. DICKS BLOCK A BLOCK B Asset and/or Income Source Year-End Value of Asset at close of reporting than $200 In “unearned” income during the year. For rental property or land, provide a complete address. Provide full names of stocks and. Government retirement programs. {you s0 choose, you may indicate that an asset or income source Is that of your spouse (SP) or dependent child (OC) oF is jointly held (JT), inthe optional column on the far let. SP | incoln Life - AFIS Growth $15,001 - | DIVIDENDS | $2,501 - $5,000 jP | Retirement annuity $50,000 | I * P.O. Box 2340, Fort Wayne, IN _____ 46801 Seer eseese eee eee ce [e j Lincoln Life - AFIS Intemational $15,001 - DIVIDENDS | $5,001 - $15,000 iP | Retirement annuity $50,000 P.O. Box 2340, Fort Wayne, IN __ 46801 ee : i SP Lincoln Life - Del Small Cap $15,001 - None | NONE |p Value $50,000 Retirement Annuity P.O. Box 2340, Fort Wayne, IN 46801