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2007 FINANCIAL DISCLOSURE STATEMENT UNITED STATES HOUSE OF REPRESENTATIVES LEGISLATIVE RESOURCE cENTe® 2001 HAY 15 PM 3:39 FORMA Foruse by Members, oficers, and employees 4 iue OF Ie Cutan us. nS OF REPRESENTATIVES ‘Momber of ha US. Stale House of Representatives istic we DELIVEREL {tice Use Ory) & A $200 penalty shall be assessed Gficarar Employing Ofce: against anyone who files more than 30 days late, PRELIMINARY INFORMATION — ANSWER EACH OF THESE QUESTIONS 1. Did you or your spouse have “earned income ( petiod? fooo) of $200’ mete rom any saute the pe ifyan,complala and aliach Schadula I, Did any individual or organization make a donation to chal in lieu of paying you fora spec reporting perad? yes, complete and attach Schedule Ul. In. Did you, your spouse, or a dependent chil receive unoarned”™ appearance, oF aria in the income of mare than $200 in the reporing period or hold any feporiabla asset worth more than $1,000 atthe end of the period? M'yes, complete and attach Schedule Il IV. Did you, your spousa, or dependant chid purchase, col ‘gr exchange any reporiable asset in a vansaction exceeding 31.000 during the reporing period? ityes, complete and attach Schedule IV. \. Did you, your spouse, or a dependent child have ar sity (more than $10,000) ding tha reporting pod? Iyes, complete and attach Schedule y reportable VE Did you ya poise or dependent ond rondve any ‘operate gikin he roperong seriog i.e aggregating mote ves["] Od Fe itn the raping paved (2. eggrepeing ityee, complete and attach Schade V) va. oa 12, Your spouse, oa depeen cid oie ary ve] 9 ]X] careiies ears aeons os Soo saa aioe i ves] of] =O is of BL iff compote and tach vol] 1K, Dis you have ary reportable agreement or aangement ~ wi an outside ery? ites, complete an attach Schedule I. 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—Detalls regarding “Quallied Blind Trusts" approved by the Committee on Standards of Oficial Conduct and certain other “excepted trusts" need not be disclosed. Have you excluded from this report details of such a tust benefiting you, your spouse, or dependent child? EXEMPTION—Have you excluded from this report anyother asses, "uneared” income, transactins, or labiies ofa spouse or dependent child because they meet all thtee tess for exemption? ve] noBQ] CERTIFICATION — THIS DOCUMENT MUST BE SIGNED BY THE REPORTING INDIVIDUAL AND DATED. This Financial Disclosure Statement is required by the Ethics in Government Act of “978, as amended. The Statement will be available to any requesting person upon writen application and will be reviewed by the Committee on Standards of Official Conduct or its designee. Any individual who knowingly and willy faisifies, ly and willfully fails to file this report may be subject to civil penalties and criminal sanctions (See 5 U.S.C. app. 4, §104 and 18 U.S.C. § 1001), | CERTIFY that the statements | have made on this form id all attached schedules are true, complete and ct to the best of my knowledge and beliet. "SCHEDULE IIl — ASSETS AND “UNEARNED” INCOME [erTet Eros Pe] BLOCK sLocK 8 aiocke s10cK Block e Asset and/or Income Source Value of Asset ‘Type Amount of Income fransaction| Ionut a each ans ts fr vasimant | at clos of reporing yea of Income For catremant pls or acount tat [Indcate fe ‘exceeding $1,000 at the end of the reporting ee me seem nero ‘Check all columns that apply. | investments, you may write NAY for [asset hae Boron, nid @)ony afer asset or source a! | other than fair market value, | Crecy None it agset cig not | imeome oral oer assets, micate Purchases (P Ber tne pontvated mess ian 8550 9 tnaamned neue dang me year Farranat | Please specity the method used. property or land, provide an edaress. Provae | It an asset was sold and is included the eategory of Income by checking feaes (8), or generate any income during | the appropriate box below. Onends, Jexchanges (€) Rinses alan’ mutual unde Fore cole the calondar year even i rarvestes, should be listed Greciea IRA (ie, one where you have ine | oMlY because it generated income, fas income. Check “None” if no [exceeding power to select ihe specific investments). | the value should be “None.” income wae received s1000 in provide information on aach aes Wr tie reporting year EcSount that exceeds fre reporting thresh, Aang the income gamed forthe account For an ‘RA orratvomont plan thats not salt diroctac, name the inattuton holding te accoum and ] Provide tis valu af te end of the reporting pred ror an active business tats norputicy {“/P/©/° FF GOR 1 J) K |e Feagoe, in Block A siate to namo of tha Dusinete, the nature of the business and Rs ‘eograptic locaton. For adetona iiormation, Seatihe ietraction bookie! for ts reporting 1 [anf ne) v| ve, van x Exclude: Your porconal residence(s) (unless there 's rental income): any dobt owed to you by your Spouse, or By your 0” your spout child parent, oF siting, any deposts tot '$5,000 07 Ines in personal Sawngs accounts any Hnancialintoreet In or come Gorived trom US Government reirement programs $5000.00, (Over $5,000,000 i $1,000,000 Ht you s0 choose, you may indicate that an Aastol of incomo souree fs ato! your spcuee (SP) oF dependent chid (06) oF ia jointly hele LUT}, In the optional columa on the far Tat ‘$1,000,004 - $5,000,000, "$5,000,001 ~ $25,000,000 '$25,000,00 — $0,000,000 ‘Over $56,000,000 [NORE EXCEPTED/BLINO TRUST $15,001 - $50,000, >| $50,001 - $100,000 ‘$100,001 - $250,000 ‘$250,001 ~ $600,000 ‘$500.01 DIVIDENDS RENT INTEREST (CAPITAL GAINS. man Tone ‘$195,000 (Spediy For Exarow, Parinershi Income o Far Icom) ‘$1,001 ~ $15,000, ‘a0 $7,000 | $1,001 ~ $2,500 ‘2.501 — $5,000 35,001 — $15,000 {515,001 - $50,000, ‘$60,004 - $100,000 ‘100,007 ~ $7,000,000 T $1,000.00 (other Type SP, - |SP | Mega Corp. Stock DG, | Examples: ‘Simon & Schuster Indefinite \ Royalties a tent Pease x x x Roe Providence Pétroleu a | - FoR Liberty Parole See -- For additional assets and unearned income, use next page. (SCHEDULE Ill — ASSETS AND “UNEARNED” INCOME Contffidation Sheet (if needed) Tr ANN BLOCKA BLock 8 B.ockD stock | Asset andior income Source Near-End Amount of Income ransactior Value of Asset EXCEPTEDIBLND TRUST CAPITAL GAINS XJ $100,001 - $250,000 This page may be copied if more space is required.