UNITED STATES HOUSE OF REPRESENTATIVES ears. ATIVE ResouRCE CENTER
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FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 2005 |" \8by Members, crs, an ancoyses MOGMAT IS PH 219
23 B Street
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Fier Member ha US
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30 daye late.
‘A $200 penalty shall bo assessed
‘against anyone who files more than
PRELIMINARY INFORMATION — ANSWER EACH OF = Tasse aU QUESTIONS
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ELS Mester EX] | | RMN,
‘tyes, complete end aftach Schedule Mt —
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1. Did you, your spouse, or dependent chid purchase, sol, | DX, Did you have any reportable agrooment or arrangement
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\. Bid you, your spouse, yj capenser cn weporiatie e |
Each question in his pat must be answered and the
YeL] *DK])__spproprlate schedule attached for each "Yes" response.
EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION — ANSWER EACH OF THESE QUESTIONS
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ended Worth vpn de of such st barn You, jou apse, or depanert ce?
"EXEMPTION Have you excused fom ths repo ary ter asset, "unearnes income, ansacone or Sabie oa pouce o depend eh eseuse hey
‘TRUSTS—See eared Sn ne ape ye Coreg cn Sarre fn Cane ngaetan aerrcnsestinsr rst Yes] nol]
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CERTIFICATION — THIS DOCUMENT MUST BE SIGNED BY THE REPORTING INDIVIDUAL AND DATED
"This Financial Dislosure Statement ls roquied bythe Eis in Government Act of 1978, a6 amended. The Statement wil be avalabe 1 any requesting person
‘Upon wrtton eppeaton and i be feviewad bythe Commitee on Standards of Ofial Canduct rH delgnes. Any individu who knowingly and wily aes,
‘or who knowingly and wilful falls fo Me ths report may be subject o iv penates and erminal sancbons (S09 5 U.S.C. app. 4, § 104 and 18 U.S.C. § 100%)
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Siete ens eave Dp 2SCHEDULE Ill — ASSETS AND “UNEARNED” INCOME ew Lynn C. Wools
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