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UNITED STATES HOUSE OF REPRESENTATIVES 2007 FINANCIAL DISCLOSURE STATEMENT Copeland Fallin. We b1h ‘Ohcer or Employee = For use by Members, oficere, and employees aea-295-4995 LEGISLATIVE RESOURCE CENTER 2ONVMAY 15 PHU: 40 FELL. Te THE vLeai U.S. HOUSE OF REPRESENTATIVES. FORMA Devine Topo Employing oMles Termination Date Tecnination ‘A $200 penalty shall be assessed ‘against anyone who files more than 30 days late, PRELIMINARY INFORMATION — ANSWER EACH OF THESE QUESTIONS T, Did you or your spouse have “eamed" income (eg, salaries or aes) of $200 oF more from ay source inthe reporting period? yes, complete and attach Schedule |, | ves] sof B&O] vel] woh ves[-] of 1, Did any individual or organization make a donation to charky in lieu of paying you fora Speech, appearance, or artelen the roporing por'od? yes, complote and attach Schedule I. I. Did you, your spouse, or a dependent chid receive ‘unearned income of mare than $200 inthe reporting period or hold any Feportable asset worth more than $1,000 at the end ofthe period? I yes, complete and attach Schedule I IV. Did you, your spouse, or dependent child purchase, sel ff exchange any reportable asset ina transaction exceed $1,000 durng he roporira pore? it'yes, complete and attach Schedule IV. \. Did you, your spouse, or a dependent child have any reportable {ibility (more than $10,000) during the reporting period? tyes, complete and attach Schedule V. Vi. Did you, your spouse, or a dependent hid receive any ‘reportable git inthe reporting period (1. aggregat than $305 and not otherwise xem) yes, complete and attach Schedul Vil, Did you, your spouse, ora dependent cid receive any ‘eporieble travel or remirsements or avel nthe eportng fete woth re than S395 rom ae sauce? ‘yes. ompicte and attach Schedule Vi ll. Bid you ed any raportdie postions on or before the dal af ng in he crrom calor year? ifyes: complete and attach Schedule Vi. TO aha ay epoueapeonar aa bgt ves[_] nol] 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 ‘TRUSTS—Detais cegarding “Qualified Blind Tus" approved by the Committee on Standards of Official Conduct and certain other “excepted trusts" need not be disclosed. Have you excluded from this report detals of such a trust benefiting you, your spouse, or dependent chid? ves[_] of] EXEMPTION—Have you excluded from this report any other assets, “unearned! income, transactions or liabilities of a spouse or dependent child because they meet all three tests for exemption? ves[“] vohZ] CERTIFICATION — THIS DOCUMENT MUST BE SIGNED BY THE REPORTING INDIVIDUAL AND DATED. bbe available to any requesting person {ual who knowingly and willfully fast § 104 and 18 U.S.C. § 1001). T CERTIFY thal the statements | have made on this form ‘and ell attached schedules are true, complete and correct to the best of my knowledge and belie. SCHEDULE | — EARNED INCOME List the source, type, and amount of earned 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; ist only the source for other spouse earned income exceeding $1,000. ane Sits | | Stat of Maryland For payments to charity in lieu of honoraria, use Schedule I. SCHEDULE BLOCK A Asset and/or Income Source Identity (a) each asset held for investment ‘oF production ofincame wih a tal marot valve ‘exEeeaing $1,000 at to end of tho reporting penta, ard [b) any other asset ar source of Frcome wnich generated mare than 8200 in Nineamed” income during the year For ental property or land, provide an adaress. Prov full aames et any mutual tunds. For a sol Giroctea IRA (re, eno whore you nave’ ower to select the speciic investments), Provide information on each see! in the Beeount that exceeds the feponing tireshovs land tha income eared forthe account For af) IRA or rotrement plan that is not sell-drected, Rare tho incifution nolging the account and Provide its value at the end of the reporting erod For an active business that fs not publoy te. faded, in Block A stat business, te nature oft ‘Seegraphic location. For additonal information, See the instruction booklet for the reporting year Exelude: Your personal resigences) (unless there is rental income); any debt owed fo you by your spouse. er by your or your spouse's hil, parent oF sibling” any deposits folasng 8.000 oF nse in parscinal savings accounts Any Hancial interest nor income Served tom 18, Government retirement programs 1 you go choose, you may incleate that an fbet or income soures fe tat of your spouse. (Sb) or dependent chi (0G) ori jointly hold (U1), in the optional column on the Tar laf ‘sp, | ‘SP | Mega Corp, Stock oe, | eanpee| secre wt A None — ASSETS AND “UNEARNED” INCOME BLock 8 Value of Asset at close of reporting year If you use a valuation method other than fair market valu, please speciy the method used. lan asset was sold and is inctuded ‘only because it generated income, the value should be “None.” Ses) Block Type of Income Check all columns that apply. (Check "None" it asset cid not ‘generate any income during the calendar year. DIVIDENDS RENT NONE CAPITALGAINS EXCEPTED/BLIND TRUST INTEREST Pastore Incam or Farm incom (Other Type of Income {ect For Exam Royates Block D Amount of Income For retirement plans or accounts that do not allow you to choose speciic, investments, you may write “NA° for Income. For all other assets, ncicate ‘the category of income by checking the appropriate box below. Dividends, even il reinvested, should be listed as income. Check "None" if no income was received. Vi vin vu x) x xt (001 — 82.500 ‘$2501 ~ $5,000 135001 — $15,000 {$100,004 - $1,000,000 ‘515.601 ~ $50,000 ‘$4,000,001 - $5,000,000 ‘$60,001 ~ $100,000 (Over $5,000,000 ‘S201 $7,005 Lock E ransaction| Indicate the Jasset had Jourchases (P), sales (8), or Jexchanges (€) exceeding {$1000 in reporting year mow * T : : Union Banke CD ls /cloleir elm) ilsi« HTT PE g/8/8/2 2/8 |8 |, aDeeeeely Be TT) |) ele l/a ie 3/5) 8)5/ 8/8) 5/8/86 7 f cna X | X Union Boake Savings For additional assets and unearned income, use next page. D