cassidy ethics complaint

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Please see the attached ethics complaint and request for investigations and possible referral for prosecution into whether Rep. William Cassidy violated federal and/or Louisiana law by filing inconsistent state and federal personal financial disclosure forms in 2008. The complaint and request for investigations are being filed by the American Democracy Legal Fund, a group established by David Brock and run by Brad Woodhouse, the purpose of which is to hold candidates for office accountable for possible ethics and/or legal violations. The complaints are being filed with the House Office of Congressional Ethics and the Louisiana Board of Ethics.

TRANSCRIPT

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    nfrY-L5-2449 15:.42

    td

    '

    POSTLE JRITE

    NETTERUILLE

    PER$ONAL

    FINANCIAL

    DISCNb SURE

    d.TIER

    2T'

    .

    LSA-R.S.

    42:1124.2

    92246rL

    P.Az

    E

    ORIGINAL

    REPORT

    This Report

    Covers Calendar Year

    2008

    Oflice

    Held

    or Posirion

    Sought

    SenEtgr

    Date

    of

    Election

    Date

    of

    Qualiffing

    ,

    -

    Full Namc of Filer:

    WLlliau

    Caseidy

    Full

    Name of Spouse:

    Mailing

    Address:

    Laura

    Cassidy

    3115

    Delrymple

    Drive

    $trcei

    -

    Baton

    RoUge, LA

    70902

    Apt.

    #

    City

    Spouse'sOccupation:

    Rerlred

    Zip Code

    Spouse's

    Principal

    Businets

    Address, if

    any:

    N/A

    -

    Street

    Sufte'#

    City

    State

    Zip

    Code

    (A)

    I cenify

    that I

    have

    filed

    my federal income

    tax

    rcturn

    for

    the

    prefibus

    year-

    (B)

    I certify

    rhat

    I heve

    filed my

    stnte

    income tax return

    for the

    pri'ri

    rrs

    ye.r-

    (A)

    I ccnify

    that

    I

    have

    filed

    for an

    extension

    of my

    federal

    incomeiax

    rcturn for the previous

    1car.

    @)

    I

    certify that I

    have

    liled for

    an cxlension

    of my srate

    iucomc

    uDr:{Efum

    for the prerrious

    ycar.

    gERTrrrcATf

    QN

    OF

    ACCUSACU

    I do hereby

    cerfify,

    efter

    having

    been

    firtt duly

    rworn,

    thrt the

    infom*rtibn

    conmined iu

    this

    permnnl

    linlncirl

    dirclosure

    form ir

    true and

    rorrect

    to the

    best

    of my knor+hbge,

    informetion

    end

    belief.

    Signature

    of

    Filer

    Sworn

    to end

    /,(+Y'

    Public

    ID#

    ITAR

    ROLL

    NO. 12444

    STATE

    OF

    LOUISIANA

    PARISH OF

    EAST

    BATON

    ROUGE

    My Commitrion

    ir

    for Life

    Commissiorr

    Expirtsl

    State

    E

    IE

    or

    n

    I]

    trris

    r

    5.Eday

    of

    Page

    I of

    __*_

    20d)_q_

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    nfly-1=-Zeea

    rSt42 PDSTLELJF]ITE

    I'{ETTERUILLE

    SCHEDULE

    A

    9??461,1.

    Pleasr

    discloee

    rhc

    namc

    of

    ,hu

    il|

    mploymtnt

    posiriOn

    hcld by the

    irrdividual

    or

    sDousc.

    tr

    Filer

    O

    Spouse

    Ernployer

    Name

    Louieiafls,

    State

    Senate

    Employer

    Address

    P-o.

    Box

    443O5

    Job;l*rtle

    O

    Full+ime

    6

    pan+ime

    Senstor

    Street

    Baton

    Rouge,

    LA

    70804

    Suite

    #

    City

    Srate

    Job

    Description

    _.S*rr

    cor'

    Zip

    Code

    EFiler

    O

    Spouse

    EnploycrName

    LSUHSC

    -

    New

    Orleane

    Employcr

    Address

    433

    Bollvar

    Srreet

    Full-time

    H Part-time

    Physician

    Street

    New

    Orleafls,

    LA

    TOLL?

    Suite

    #

    City

    Stale

    Job

    Description

    D

    Filer

    D

    $pouse

    Job

    Tirlc

    B

    Full-tirne

    E

    Psrt-time

    Employer

    Name

    Employer

    Address

    Strect

    Suite

    #

    CitI

    Statc

    Zip

    Code

    Job

    Description

    D

    Filer D

    Spouse

    Enployer

    Name

    tr

    Full-rime

    O Part+ime

    Empioyer

    Address

    i

    Job

    Tfrle

    Strect

    '

    $uite

    #

    $tate

    Job

    Descriprion

    City

    Page

    of

    Zip

    Code

    ,,i

    l

    .

    :'

    r

    .,

    j

    ''

    ,

    ii

    .

    1l

    li,'l

    ,' \r ,I

  • 5/20/2018 Cassidy Ethics Complaint

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    f'tHY-15-2889

    r=t 4?

    N/A

    PESTLELIHITE

    HETTERUILLE

    SCHEDULE

    B

    Posr,,froN$

    -

    BUSTNE$$,,,,

    92?461.t

    P.E4

    Ii

    ,'

    1/

    ,

    ,il

    ',.$

    i

    ';]i

    j

    iii::l

    '

    t'

    .' i

    "

    tl ,f,j

    ir"'.i1

    j,,

    '"u

    i

    ,t'

    ;

    The nrrnc, addrc*s,

    briefdcscription,

    nature

    of sssociarioo,

    and rbc

    .rouiiorit*rrosr

    ili',B."rt

    uuS.r.ss

    in

    whiclr

    y""

    oiyo*frG

    is

    r

    direcror' officer,

    owner,

    pflrrrtcr'

    mcmber,

    or tru$tccr

    A N D io which you

    or

    your

    spsutc" cithcr iadividually

    or

    colleciively,

    o*ns

    an iulercst

    which

    excccds

    tcn,Ocrq

    nr

    of

    rhst busitrcss.

    Nore:

    For

    this

    tl Filer [J

    Spouse

    E

    Both

    Nanre

    of Business

    of in

    must

    be

    ,

    the

    ts"t,

    Arnount

    of Intercst

    _

    o/o

    Address

    Street

    $rdte #

    City

    Zip

    Code

    Business

    Nature

    of

    Associ

    B Filcr

    [J

    Spouse

    n

    Borh

    Nsme

    of Btrsiness_

    Address

    Anounr

    of

    Intutst_%

    Sueet

    Suitc

    #

    City

    Stale

    Zip

    Code

    Business

    Nature

    of Association

    E

    Filer E

    Spousc

    D Eorh

    Name

    ofBusiness

    '

    Anounr

    of Interest

    oy'o

    Address

    Streer

    $uite

    #

    Nanrre

    of Assoeiation

    Fase

    of

    Zip

    Code

    ity

    Srate

    Business

    f)escription

  • 5/20/2018 Cassidy Ethics Complaint

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    nq'tt5-28,43 15:43

    POSTLEI,Jff

    ITE

    NETTERUILLE

    SCHEITULE

    C

    9??4ELL

    P.E5

    POSITION$

    -

    NONPRQFfT;,

    Th6name,eddrcss,bricfdcscriptiooof,,audnatureofasto ; .i

    dircclor

    or

    officer-

    E

    FiletE

    $pouse

    Name

    of0rganization

    Address

    5414

    Ertttany

    lr1EoTl

    Rr S.

    C *g f._y

    Cllnic6lxngsofAebilcirtion

    Board

    Menber

    Strea

    Batofl

    Rou

    Suite

    #

    City

    O4ganization

    Description

    ,

    LA

    70808

    $tare

    Virtual

    Clinic

    Zrp

    Code

    EFilcr

    E Sporuc

    Nameof0tgpnization_

    YMCA

    Address

    350

    S.

    Fasuer

    \

    Nature

    of

    ,A.gcOciation.

    Board

    MeuEer

    Strecr

    Baton

    Rouge,

    LA 7OB0E

    Suite

    +

    City

    Organizatiou

    Descriptiou

    Statc

    Zip

    Code

    YMCA

    E

    FilerF

    Spouse

    Name

    oforgianization

    CoqnectLorrs

    Addr,e$$

    5700

    Florlda

    BIvd.

    Nature

    ofAsdrci*ion

    Board

    Heuber

    OrganirationDescription

    YMCA

    Program

  • 5/20/2018 Cassidy Ethics Complaint

    9/48

    f4RY-15-2885

    15:43

    POSTLE

    Jf;

    ITE HETTERUILLE 322481L

    P.A6

    SCTIEDULE

    C

    POSITION$.

    NONPROFTT

    Thc namc, rddress, bricf descripriorr

    of,

    and naturc

    of

    at$ociation wirh a nonprofir

    oigdtiarion

    in

    wbich

    you

    or

    your

    rpouse is

    a

    dircctqr or officcr.

    E

    Filer

    E $pousr

    Name

    oforganization

    DesLre

    Street

    Acadeuy

    NatrrreofAs*ociation

    Board

    Member

    Add$cs$

    3852

    E.

    Brooksrowu

    '

    ',

    'lr

    ,',,'.ii.1

    ,, 1

    ;tf

    ;1,l

    r

    .5

    '

    :

    ''t

    1i'i

    '

    ;, ;*

    i

    ''

    ';

    r

    ''

    L

    ,i

    'i

    '

    i,

    ,il

    ',,'.,'

    i't

    Street

    Beton

    Rouge,

    LA 70805

    Suite

    #

    City

    Sure

    Zip Code

    Orgilization

    O FilerE

    $pouse

    Namc

    Address

    Strret

    Suite #

    City

    Organienrion Dcrcripion

    $rat* Zip

    Code

    E Filer tl Spoue

    Address

    Nanrc

    ofOrpnization

    Nature

    of

    Asguiation

    Suert

    Suie

    #

    City

    State

    lJp

    Code

    Otgani:ation Descriprion_

    '..,

    '^

    ;

    Fage

    of

  • 5/20/2018 Cassidy Ethics Complaint

    10/48

    NHY-15-2889 15:43

    PISTLEI,lHITE

    HETTERUILLE 9224ELI

    P.A?

    IN

    FROM

    THE

    The name, address, type,

    sdd smount

    of each source

    of inccme receivcd

    by

    you

    or'j,o'ui cpouse, or by arry

    bu$incts in

    which you

    or

    your

    spou$er eithcr

    individurlly

    or collcctivcly,

    owns

    an

    in

    tcresr

    which

    _IqeEd

    rcn

    Ebrccnt

    of

    that

    business,

    which

    is received

    flem

    eny

    of

    thc

    following:

    -

    Ihe

    $retc or eny politicrl

    subdivision a+ dcfincd

    in Articlc

    vl

    of the Corstitu$of of

    Louisianl;

    '

    scrvioes

    performed

    for

    or in coonccrion

    with

    il

    Bam

    ing iilrercsr

    ss

    defrned in

    'RlS-

    I

    E;

    I 505.2L(3

    X

    a)-

    Nore:

    For thir

    p*ge

    ONLY,

    the

    *{mount

    olincome*

    musr

    be

    reported rt in,qract dollar fieu..tg.

    SCHEDULE

    D

    El

    Filer tr $pouse

    I Businc$s

    Anlount of,Income

    g

    39

    '

    582.00

    Narne of

    Business, if applicable.

    NrmeofSOruCeOf

    lncome

    Louieiana

    State

    Senate

    Tlae of lncome:

    E

    State tr Political

    Subdivision

    U

    Gaming

    tnterEsr-

    Address

    P,O.

    Eox

    44305

    Sueu

    Baton

    Rouge, I-A

    70804

    Suite

    #

    City

    Statc

    Zip

    Code

    F

    Filer E Spousc

    tr

    Business

    Name

    of

    Business,

    if applicable

    Anou+t

    of lrrcome

    5__1331251

    -

    &,9_

    Name of

    Sorrce

    of

    Iacomc

    LSUESC

    Tyae of Income:

    Address

    433 Bolivar

    Streer

    E

    State

    D

    Political

    Subdivision

    t3

    Cramirrg

    lntcrirst

    Sfeet

    .__Eew

    Orleans,.

    I^A 70llZ-22_2J

    Suite #

    City

    $tate

    Zip

    Code

    D Filer

    B Spouse

    D Business

    Income

    S

    Name

    of

    Business,

    if

    applicable

    Name of Source

    of Income

    Tlpe

    of

    Income:

    Addres.s

    D

    State

    E

    Politieal

    Subdivisjon

    tr

    Gaming lntertsi.,

    Street

    Suite

    #

    City

    Pagc

    __.

    of

    Zip

    Code

    tate

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    11/48

    nfrY-Ls-?AEg

    15:43

    PISTLEUFITE HETTERUILLE

    97?4611. F.

    EE

    N/A

    Fleasc disclosc

    rhc

    ngme

    snd addrccs

    of

    lhe employer

    rha

    t

    provides

    income,

    job

    ritii,

    r

    Srief descrip.ion

    of

    rhe

    nrture of

    scwices rcadered

    aqd

    thc

    tmount

    of

    incomt

    for

    cach

    full-rirn* or prrr-tir4s cmploypcur"irosirion hcld

    by

    rhc

    irrdividuat

    or

    spqusc. TNCOME SHALL BE REPORTED

    By CATncORy-

    I'O

    NOT INCLUDE

    INFORMATTOil

    WTTH

    RESPECT

    TO

    INCOME

    DIsctCIfED

    oH scHEI'ULE D.

    INCOME

    RECEIVTPT$ROUGH

    SE .,F-?,MPLoYMgNT

    Sll.{t.r-.,En

    nlsclog'Ep

    qry

    scre

    oul.r

    r.

    . ,.,,

    OFilerBSpouse

    ,

    Arnountoflneome:I

    II

    m ff

    E

    Full-time E

    Part+imc

    Erryloyer

    Narnc

    Enploycr

    Address

    Street

    Suite

    #

    City

    Nature

    of

    senrices

    rendered

    pursuant

    tO

    the

    employment

    Strre

    Zip

    Code

    SCHEDULE

    E

    tr FilcrI Spouse

    B Full-time

    D

    Part+ime

    "

    Arnountoflocome:I

    lI m [V

    Enployer

    Narne

    Emptoyer

    Address

    Street

    '

    ,

    Suite

    #

    City

    Nature

    of services

    rendered

    puf$uant

    to the

    ernployment

    State

    Zip

    f,ode

    D FilerD Spousc

    O Full-time

    El Fart-time

    ,,,Arnountoflncomc;I

    fl

    Itr

    IV

    'l

    '

    .t

    ",

    ."

    l

    {,':

    '|

    '

    ,

    ',

    ,

    ),l$

    j

    i

    i

    i

    ;'

    'tr

    i"',

    j

    '

    .i,

    ll

    j'

    i

    ,t

    "

    it

    ,.

    I

    :r

    t,'it

    ,

    ,.i

    ',

    Ernployer Name

    Employer

    Address

    Strcet

    Suitc

    *

    City

    Nature

    of scrvices

    rendered

    puruuant

    to thr

    emptoymenl

    State

    Pagc

    --

    of_

    Zip

    Code

  • 5/20/2018 Cassidy Ethics Complaint

    12/48

    t'1RY-15-2889

    15:43

    N/A

    PI]STLEI,JHITE

    NETTEEUILLE

    ="?48t1

    P.AS

    The nanp and address

    ofm UG

    the name of

    servics

    rendered

    for

    each busine$s

    or the

    reason

    such

    incorne

    wss

    receivcd, and the

    l.flfrepate

    amount

    (in

    vrlue

    rf,nges

    by cetegory)

    of such

    itrcome,

    excluding income

    reponed iri'another section

    of tnir t*port.

    DO

    NOT

    ATION WITH

    RESPECT

    TO TNCOME

    EDULE$

    D ANI'/Otr

    E.

    j'

    j

    :

    -'"

    i.

    'l

    ,

    ;

    ,l '"'1

    ,

    ,r

    .,;

    ,ir

    ,,

    l

    A8grtgate Amount

    of

    Income received

    from rhe

    business interesr$

    listed

    oo,;;ftcdule

    F:

    I II

    Ifl rv

    D

    Filer

    E Spouse

    Name of

    Business

    Address

    Street

    Suite

    #

    city State

    _---

    zilpo6;

    Description

    of

    services

    rendered

    for the

    business or a

    rga$)n

    the

    income

    uni^re6eivcd:

    B Filer

    tr Spouse

    Name

    ofBusiness

    "

    t

    '

    ',

    'i

    ,

    :

    .,,,J,:,

    .

    ,,

    t

    rl

    .,

    .1

    i

    ,

    '('.'

    ,

    i.r1

    ,

    :"

    ,

    ,

    i'

    ,i

    ,i

    '

    :'

    ,'',.1

    i

    ,'

    ,

    '

    l,)

    ,

    r

    ,'

    Address

    Srrcet Suirc

    #

    ciry

    rc

    *

    a;E'od.

    Description

    of services

    rertdffed

    for the

    business

    or a reason

    thc

    inconre

    wde,reaeived:

    tr

    Filcr

    E

    Spouse

    Name

    of

    Address

    Street

    Suilc

    #

    Statc

    ZbGqde

    Description

    of

    grvices

    rendered

    for

    rhe

    business

    or a reason rhe

    income was

    tecci\red:

    :

    l

    .r

    Page

    of

  • 5/20/2018 Cassidy Ethics Complaint

    13/48

    tlRY-15-2889

    15:

    43

    POSTLE

    JHITE

    NETTERUILLE

    922487t P.LB

    disability

    payments

    from

    any

    source-

    Do

    Nor

    rNcLUpg

    rxronn,lrnon

    ;rt

    REspEcr

    To

    rt{coME

    DI$CLO$ED

    ON

    6 niter

    B

    Spouse

    Description

    of

    lncome

    Sale

    of

    Rental

    property

    SCHEDIJLE

    G

    description

    of

    the rtature

    of

    the

    scrvict

    rrnd*rJd

    nithiE*

    such

    income rv{6

    receiye4 and

    the

    amount

    of

    income

    (in

    vrlue

    rrrges

    by

    cetegory),

    cxcluding

    irrcomc reported

    in

    another scction

    of

    this

    repgrr.

    Notc:

    Do NoT

    include

    income

    derived

    frorn

    child

    sutport

    and

    alimony

    psyrflEnE

    contained

    in s court

    order oR

    ftom

    Amountoflincqme:

    I

    II ru

    ,

    il)

    j

    I

    ;

    Description

    of

    service

    rendcred

    or

    the

    rcason

    tbe incomel as

    .Gi rdi

    tr Filer

    E

    $pouse

    Descriprion

    of

    Inconre

    Artount

    of Income:

    I

    tr

    IU

    IV

    Description

    of

    service

    rendered

    or

    the

    rcarcrr

    the

    income

    waS

    rcCeivgdi

    E Filer

    E

    $pouse

    Arnormt

    oflnco.me:

    I

    Il n

    ry

    Descripion

    of

    lncorne

    Description

    of

    service

    rendcrsd

    or the

    reanon

    the incoms

    was

    receivadi

    t

    Page

    _

    of

    ._

  • 5/20/2018 Cassidy Ethics Complaint

    14/48

    NHY-15-2889 15:43

    FOSTLEI.-JHITE

    NETTERU

    ILLE

    ?.2245tt

    P.11

    SCHEIIULE

    H

    I

    A bricf dcrcriprian.

    fair martet vrl$e

    or usc vcluo

    {in

    vrluc

    rrDger by crtEory}

    st,dliitliliDed

    by rhe arscssor for purpo*s

    of rd

    r|alotEm

    tixes, and rhc location

    of

    rhc

    propcrty

    by

    stare

    arrd

    parirh

    or coutrty of

    each

    pryrcl

    of immovoblc

    property

    in wbicb you

    or your

    spo$sc,

    eithcf individuatly

    or cellqctively,

    hes an inreresr

    providsd

    thst thc feinnerker vslue

    Or

    u$o

    valuc

    rs dctcrmined

    by

    the

    assessor

    ercecds

    $?"000-

    tr

    Filer E

    Spouse

    [I Both

    Valuc of Properfy: I

    II |lI@

    Location

    of

    property:

    Couatry

    USA

    State

    Loulsibna

    Parisb/counry_P*_Ig 91_E9

    q

    e

    ProperryDescriprion

    Residence

    E Filer t3

    Spoure

    iil nott

    Value

    ofProperty: I

    II

    m

    @

    locarion

    of

    properry:

    Cormtrv

    USA

    $tate

    LouLelans,

    Parish/County

    East

    Baton

    Rouge

    Rerrt

    llouse

    PtopcrtyDescription

    B

    Filer

    O Spouse D

    Borh

    f4cation ofprope,ty:

    Country

    Parish/County

    Valueofhoperty:l

    tl

    ru [V

    State

    PropertyDescription

    tr

    Filer

    E

    Spouse

    tr

    Both

    Locetion

    ofproperty:

    Country

    Parisb/Countv

    '

    Valueof

    Property:I

    lI m

    fV

    Iitate

    Property

    Description

    Pagc

    =-*

    of

    _

    ,,

    i,

    .

    .'

    ii

    I

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    t4AY-15-2849 t5t 44 FOSTLEI,.JFITE

    NETTERUILLE

    E?aAEII

    P.12

    The nsme

    and a brief

    description

    of

    each investmeirt

    security

    having

    a

    vattne)fudi4g_[5.000

    hcld hy

    you

    or

    your

    slxlu$E,

    excluding

    variablc

    arrnuities, variable

    life insurance,

    variablc

    univcrhd{ife

    irtzururce, whole

    life

    insurance,

    any other

    life

    irrsurancc

    product, murual funds, education

    invmfinent

    accorffi,

    retir

    mcnt investmenl

    flccount$,

    governmentbonds andcash

    orcash equivalentinvestrnents.

    (NOTE:

    E4lqdqary,informarioncrncerninganyproperqf

    held and

    administercd

    for any

    penion

    other

    than

    you

    or

    your

    $pouse

    under

    a,tr.ust,

    tutorship,

    curatonship,

    or othcr

    custodial instrument.)

    Indlvldurl, $pouse,

    or

    Borh

    Nerne

    of

    Smurity

    Dercriptiorr

    B Filer

    E Spouse

    B

    Both

    Exxon

    Stock

    100 Shares

    D

    Filer

    tr

    Spouse

    tr Both

    tr

    Filer

    fl Spouse

    tr Both

    D

    Filer

    D

    Spouse

    tr

    Borh

    tr Filer

    O

    Spouse

    O Both

    D Filer

    D Spouse

    tr Both

    tr Filer

    tr Sponsc

    tr

    Both

    fl

    Filer

    I

    Sporuc

    tr Both

    D Filer

    D

    Spouse

    t]

    Both

    El Filer

    fl Sporsc

    E

    Botb

    Page

    _

    of

    _*

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    f,lHY-15-2889

    r3144

    POSTLEUHITE

    NETTERUILLE

    =2?46LL

    P.13

    SCHEI}ULE

    J

    TRANSACTIONS

    A

    brief

    description. flmourt

    (ir

    velue

    rrnflcs

    by

    cetegory), and detc ofany

    plmbs$G

    orrdlc,

    in crcess of

    $5,(XlO,

    ofcily

    irnmov{ble

    propcrty AHD

    of

    eny

    per

    onrlly

    owncd

    ter crrdir

    ccrtificercs,

    *rocks, bonds,

    or

    commodities

    firrures,

    including

    any

    optioo to acquire

    or dispo+c of

    any immovablc propcrty

    or of any

    pcrsonally

    ownqd

    trr crcdit ccrrificarc ,

    stocks,

    bonds,

    or

    commqdirisff

    futurtt-

    (NOTE:

    Excludc variable

    errnuiticr, vsrieble

    life insursnce,

    variable univcrsal life iuzur*nce,

    whole

    life

    insurance, uy

    othcr

    life

    insurrncc

    product,

    muturl

    funds. education invesrmenr

    accounls, rctircrncnt invcstmcnt'accountli,

    Eovcrnmcot

    bonds. cash or

    essh

    equivelcnt inscsrthcng-)

    Individual,

    $porre,

    or

    Both

    Traucrction

    Drle

    Dercription

    of

    Tranrrcdon

    Amouot

    trl Filer

    E

    Spouse

    ts

    Both

    07

    I

    L7

    /08

    Sale

    -

    Rent

    llouse

    rrn@

    tl

    Fiter

    I

    Spouse

    E Both

    a5l?e

    lo8

    Sale

    -

    Reut House

    rrm@

    fl Filer

    D Spouse

    fl Both

    IIIIIfV

    tl

    Filer

    E Spouse

    I Boilr

    IUilIv

    D Filer

    B Spouse

    O Both

    lIIffirv

    lll

    Filer

    E

    $pouse

    E

    Both

    IIIffiIV

    D Filer

    tr

    $pousc

    tr Both

    IilMtv

    B

    Filer

    fl Spouse

    E Both

    ItrilTV

    tr Filer

    tr

    Spouse

    E

    Both

    INflIIV

    [] Filcr

    f3 Spouse

    D

    Eoth

    IInry

    Pagc

    --

    of_

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    I'1HY-15-2489 L5.44

    D Filer

    D Spouse

    Name

    ofCreditor

    f

    t_"Ill.y:"tr.h

    exFeegs

    $

    0,0o0

    on rhe rasr

    day

    of

    the

    rcpoiing period.

    '

    '

    '

    :'

    NOTE;

    Excludc

    the

    followirrg:

    .

    any

    loan secured

    by movable

    propcrqr,

    if such

    loan docs rrot

    exceed rrrigiuclrase

    pnce

    of

    the movable

    propcrty

    which

    securcs

    it;

    '

    any liability,

    $ecured or

    unsecured,

    which

    is-.e1a1anted

    by

    you

    or

    your

    sBoltp

    for a

    business

    irr

    which

    you

    or

    your

    spouse

    owns

    any intercst,

    providcd

    that

    the

    liability is

    in the narnc

    of

    the-bqi'ir**r

    and, ifrhc

    liability is

    a

    loarL

    thst

    you

    or

    your

    spouse does

    not

    usc

    proceed$

    from

    the loan

    for

    peruonal

    use,urirclated

    to business;

    -

    any

    loan by

    a

    lic

    ssed

    financial instirution

    which

    torns

    money

    in

    the

    ordi4a.ry

    course of

    bwiness;

    '

    any

    liabilitv

    resulting

    from a consurRer

    crcsit

    transacrion

    as alnneo

    in

    R:$-

    g";3jte(tr);

    an4

    '

    ady loan

    from

    an

    immediate

    family

    meinber, unlcss

    such

    family

    {nsrnber

    is

    a

    rcgstered

    lobbyist, or

    his

    POSTLEI,Jf;

    ITE NETTERUI LLE

    9?.?46t1.

    P.14

    SCHEDULE

    K

    T.Tt{l:::Elql"v.r

    is a re8istercd

    lobbyisl,

    or

    he

    ernploys

    or is

    a

    principat

    of a

    regisrered tobbyisr,

    or

    unless

    such

    member

    has q

    contract

    with

    the

    srate.

    I

    Addrers

    Street

    Suite

    #

    Citv

    $rrte

    Zip

    Code

    Narne

    of

    Guarantor

    (if

    any)

    tl

    Filcr

    El Spousc

    Name of

    Creditor

    Address

    Street

    Suire

    #

    City

    Statc

    Zip

    Code

    Name

    of Guaranror

    (if

    any)

    fl

    Filer

    U

    Spouse

    Name

    of

    Creditor

    Addrcss

    Street

    Suite

    #

    City

    Name

    ofCuararrtor

    (if

    any).

    State

    Page

    _*_

    of

    _

    Zip

    Code

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    1'1RY-15-2849

    L32

    44

    FISTLELJRITE

    NETTERUILLE s.2246IL

    P.15

    Please

    set

    forrh below

    any

    and

    rlf

    I

    124.2.1

    .(Tier

    ?.1)

    a.n$/or

    section

    I 124.3

    (Tier

    3\

    otrhe

    code

    of Gov+-- nr fEtt

    i *.

    NAME

    OF POSITION

    OR

    OFT'ICE

    HELD:

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