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Leis ATIVE RESOURCE CENTE HAND DELIVERED ee suey ve phaSnSenihves ores ‘DOUGMAY 30 PHI2: 26 usalise 01 100"T ASS Jo aneA "mK HORI v pe sissy —I] woRD9g tf moUIFEIS azNsOT>SIC Te zoot-sts07 Dee wnbueD a 1GaaYE JO ING SWIG VHUED 2) Jo ssaaHuep UNITED STATES HOUSE OF REPRESENTATIVES FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 2005 Forure by onto, oars and employees PI Nock Lk, VA 23518 257-978854 7 a0 a5. 7285| HAND DELIVERE? LSGISI ATIVE ResouRce cenres BOGHAY HT PH 59g x ob PRELIMINARY INFORMATION — ANSWER EACH Chara erneraOR 3 Denne, te OF THESE QUESTIONS aginst anyone who fles more than 30 days lat parusignminen men ieendsrece™ 8, 0ig ery rid Iagatpoingya or procraperaat jen co De, tons aout hate roared Ifjeeicompctcana cones dSeemaey me smemnaowor? Yes] no[_] STEER” wa] vol] tives, Somat mr ens S80 eps parods ves[5q_ no ‘pentaie ns woh ere han ax tm ond one pid? ‘yes, complet a tach Sedu Wa you, eur epee, epee — crewentags oy pre strive ranean one 3154 nol Sic cuteg te epreng pass | Hye, complete and attach Scho Iyer, compite and ata Sonaie 9°" ves of] EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION — ANSWER EACH OF THESE QUESTIONS T ws Diyas, ye anne o a cappcion oa eaave oy reiesbeasieceiceentS Steere Yea] Fons Spt taenea ene Hes compile and aach Schedule V ‘osonatle navel ot outros Fea errs 8 fam rege? Vil Bt youexs (et gn {tyes compite rina wr ray Ijes compat and tach Sched |S ezineyotae ezoeercranaponee vo] Each question in this part must be answered and the appropriate schedule attached for each “Yes” response. ‘TRUSTS Delis rgurng “uae Bin Tse approved by he Cntion on Stands of Ofc Conduct ard carn eta “exceed Mt ead eal yy eciseoed, have you estas Hom hope dela uch tt bean yu Jour spe depen en EXEMPTION Hayy cue Yom pa yet n,n PENNE, Vans beta sonee raat austen ey yea! | no[ YX] pal fost ono bvow a ves[X] o| wo] O “fl CERTIFICATION — THIS DOCUMENT MUST BE SIGNED BY THE REPORTING INDIVIDUAL AND DATED. ‘Ths Financial Disclosure Statement is requt by te Ethos in Government Act of 1678, as amended. The Statement wil be aveleble to any requestng person upon wien appicaton ae wis be reviened by the Comvntee on Standards of Oficial Conduc or ls signee. Ary incvicual who knowingly and vl fle, Gr who knowingly ae wilful ais tof tis report may be Subject to ell pena and erminal sanctane (Sea USC. app. 4, § 104 end 18 USC. § 100%) T CERTIFY thatthe satamante Ihave made on ths form | tlie darted cor | then A, Mabe) Sfifoo ave Thelma Den be SCHEDULE | — EARNED INCOME (other than te file's curent employmont bythe U.S. Government ttaling $200 or ind amount ef any honerara Ist only tho source for otner soause earnedincome List the sauce, type, and @mount of eared income from any sou trore during the preceding ealandar year. For 2 spouse, ist the so txcoeaing $1,000 ‘Amount Source ramets: | Goi War Ri era Se 7 ten Reads Home Team _ 48th Virginia Retirement System? 1 £2