UNITED STATES HOUSE OF REPRESENTATIVES:
FINANCIAL DISCLOSURE STATEMEN
Period covered: January 1, 20\_-
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PRELIMINARY INFORMATION — ANSWER EACH OF THESE QUESTIONS:
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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
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Tea Mave you mcuded fom tis report datas of such aust benefiting you, your spouse, or dependent ik? Yes
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woldTatine GouGs pe and amount of eared income Tom any source (other than the fiers cure employment by the US, Government totaling $200 or
‘Hare during the preceding Calendar yea. Fora spouse, ft the source and amount of any honoraria; st only the source for other spouse earned income
‘exceeding $1,000. Se examples below.
Cade: Nitizry 2ay (such as Nabonal Guard or Reserve pay), federal retrement programs, and benefits received under the Social Socurty Act
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L— _Gunrey Crormet, LLC
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