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UNITED STATES HOUSE OF REPRESENTATIVES FORMA Pa 5 DELIVERED FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 2007 __For se by Members, oficers, and employees LEGISLATIVE RESOURCE CENTER (Fut Nome) (Daytime Telephone) tt q Filer % Member of the U.S. State: AZ "ry Officer Or Employing Office: Sime House of Representatives prict 92 Employee be assessed against anyone who files Termination Date: ‘more than 30 days Report ‘ e ((@) annual (May 15) |= Amendment Termination late. ‘Bd you your spouse, oF @dapendent child recove any reportabie Yes ©] No y%! Vi theropetng period ie aggregating more than $305 and not otherwise Yes ‘id you your spouse, o dependent child ecsive any reportable travel inthe reporting perio (worth more than Yes. Htyes, complete and attach Schedul ‘id you hd any reportable postions on or Betore the date offing inthe ‘current calendar yor? Yee tyes, complete and attach Schedule Vl Did you ave any rapertable agreement o arrangement with an ouside nt? Yee tyes, complete and attach Schedule IK. oF dependent citsnave any reporabi aay uring he reporting petos? “| Ne %! Bach question in this part must be answered and the appropriate tyes, complete and attach Schedule V. schedule attached for each “Yes” response. ‘Detals regarding “Qualified Blind Trusts” approved by the Committee on Standards of Official Conduct and certain other “excepted trusts” need not be disclosed. Have you excluded from this report details of such a trust Benefiting you, your spouse, or dependent chile? Exemptions~ Have you excluded from this report any other assets, “unearned” income, transactions, because they meet all three tests for exemption?” Yos 38 of spouse or dependent child Yes °7 Now, ‘geographic location in Block A. For additional information, Instruction booklet ‘ccounts; any financial interest in oF income derived fom U.S. Government retirement programs. BLOCK & Year-End Value of Asset BLOCK G Type of Income Page 20f 5 ‘BLocKD, Amount of Income For retirement plans of accounts that do not allow reporting year Note payable from Providence Petroleum for Liberty Petroleum Stock Note Payable From Tr Petroleum Providence Trust Trinity Petroleum Stock U.S. Patents For LP 1000 Life Pager $1,000,001- CAPITAL GAINS $5,000,000 $1,000,001 - CAPITAL GAINS $5,000,000 $1,000,001- | CAPITAL GAINS $5,000,000 | \ $1,000,001- | CAPITAL GAINS $5,000,000 | $100,001 - None $250,000 $100,001 - $1,000,000 NONE NONE NONE NONE SCHEDULE IV - TRANSACTIONS sanaear aa Pageder § [Report any purchase, sale or exchange by you, your spouse, or dapondent child during the reporting year of any real property, stocks, bonds, commodities futures, when the amount of the transaction or series of transactions exceeded $1,000, Include transactions that resulted in a foss. Do not report a 3 you, your spouse, of your dependent child, or the purchase or sale of your personal residence, unless itis rented out, Provide a brief Type of Transaction Date Amount of Transaction Providence Petroleum Stock exchanged for PS&E 09-14-07 $1,000,001 - $5,000,000 Trinity Petroleum Note and Stock Partially Designated to Providence Trust