Financial Disclosure Reports of Members of the U.S. House of Representatives of the ... Congress From ... Submitted to the Clerk of the House Pursuant to 2 U.S.C. [section] 703(A) 1985, V.1

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Additional forms and instruction booklets may be obtained from the Committee office.
REPORTING INSTRUCTIONS NOTE: Please read instructions carefully. Sign this form where indicated. Attach additional sheets if needed; identify each sheet by showing your name and the section being continued. For some categories of disclosure, a filer may attach a computer (or other) printout listing assets, such as investments, transactions, sales, etc. Such information may be obtained from financial investment
...(or other) organizations. In cases where such "printouts' are used, the material should be attached with an appropriate notation in the response area provided. Complete all parts. (If NONE, so indicate.) Please type or print.
REPORTING PERIOD: The period covered by this Disclosure Statement is calendar year 1985 unless otherwise indicated. Gifts or reimbursements received during any period in the calendar year when the reporting individual was not a Member or employee need not be disclosed.
I. SPOUSE AND DEPENDENT DISCLOSURE EXEMPTION In general, the reporting individual is required to include financial information concerning his or her spouse or dependent children.


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