HAND DELIVERED 2018 FINANCIAL DISCLOSURE STATEMENT UNITED STATES HOUSE OF REPRESENTATIVES For Use by Members, Of?cers, and Employees L: . I. WM ZIIQAUG I6 PH 3: 39 1' Hf CESTLH RES URCE ge1of_L . Name: 5/416 CM Arm Z: Daytime Telephongfgo 1) 2' 2a: 3 CF A $200 penalty shall be assessed against any who ?les more than 30 days late. FILER A Member of the U.S. Slate: i I: Of?cer or Employing Of?ce: Staff Filer pe: (if Applicable) STATUS House of Representatives District: Employee . Shared Principal Assistant ?$5327 2013 Annual (Due: May 15. 2019) Amendment Termination Date of Termination: PRELIMINARY INFORMATION - ANSWER EACH OF THESE QUESTIONS A. Did you, your spouse. or your dependent child: a. Own any reportable asset that was worth more than $1,000 you have any reportable agreement or arrangement With an end ?f the ?9mm ?emf? No outside entity during the reporting period or in the current calendar b. Receive more than $200 In unearned Income from any reportable - year up through the date of ?ling? asset during the reporting period? B. Did you, your spouse, or your dependent child purchase, sell, or 6. Did you. your spouse. or your dependent child receive any exchange any securItIes or reportable real estate In a transactlon Yes Ne reportable 9mg} totaling more than $390 in value a single Yes No exceedlng $1,000 dunng the reportmg penod? source during the reporting period? - C. Did you or your spouse have ?earned? income saiaries, H. Did on our 3 ouse or our de ndent child receive a honoraria. or'pensionflRA distributions) 0f $200 more during the reportayble gavel cl: reimbursyements?gr travel totaling reportIng penod? $390 in value from a single source during the reporting period? D. Did you, your spouse, or your dependent child have any reportable Yes No Yes No liability (more than $10,000) at any point during the reporting period? l? E. Did you hold any reportable positions during the reporting period or in the current calendar year up through the date of ?ling? Yes ATTACH THE CORRESPONDING SCHEDULE IF YOU ANSWER IPO AND EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION - ANSWER EACH OF THESE QUESTIONS contact the Committee on Ethics for further guidance Did you purchase any shares that were allocated as a part of an Initial Public Offering during the reporting period? If you answered "yes" to this question, please Yes No IE TRUSTS Details regarding ?Quali?ed Blind Trusts" approved by the Committee on Ethics and certain other ?excepted trusts? need not be disclosed. Have you excluded El a from this report details of such a trust that bene?ts you, your spouse, or dependent child? EXEMPTION Have you excluded from this report any other assets, ?unearned" income, transactions, or liabilities at a spouse or your dependent child because they meet all three tests for exem plion? Do not answer ?yes? unless you have ?rst consulted with the Committee on Ethics. non-mm in: mi? eel gun-m :2 FL. {hum ?amnmm IMM NW an mum SCHEDULE A - ASSETS scanma-mvuumaomcm* m5 us MidL ?not SCHEDULE - EARNED INCOME Name: ME List the source, type, and amount of earned income from any source (other than the ?ler?s current employment by the us. govemment) totaling $200 or more during the reporting period. For a spouse, list the source and amount of any honoraria; list only the source for other spouse earned income exceeding $1,000. See examples below. EXCLUDE: Military pay (such as National Guard or Reserve pay), federal retirement programs, and benefits received under the Social Security Act. INCOME LIMITS and PROHIBITED INCOME: The 2018 limit on outside earned income for Members and employees compensated at or above the ?senior stall? rate was $28,050. The 2019 limit is $28,440. In addition, certain types of income (notably honoraria, director?s fees. and payments for professional services involving a ?duciary relationship) are totally prohibited. Source (include date of receipt for honor-aria) Type Amount I Keene State Approved Teaching Fee s$6,000 Slate of Ma rid Legislative Po Ion 18.000 Examples. cm WerRou:dlabIe (Oct. 2) - Spouse Spear; $1.0m Ontario Cou Board of Educaljon Mes Salary 4/6: a; ?our-Fm 51155:? 7 Sale-Jr?! . .. [Duff-(Wm Use additional sheets If more space is required. SGHEDULE - LIABILITIES on .3, mar mum wow-ftuv't? ?in I 1? Nth-?up . 6? 1234?. OF (lmuu?w mamwumm?mbq- ?Mm emu-w?. my a C/?Ani?- ?wukw? nona- Pal-oak 5" mi'ht!? all m'dX? f0 gap Zap-n Elliliaw IE mm i ii 5 y. mew-Had Mud-"- huh-4433.; few? - . . ?ma-95 Um? Nit??f? m. am hain?jgah? - - BCHEDULE - Lulu-"1E3 m; if ManamaMimic." mum ?Ibrahim-awn munmzum mar aye-august?. munMm" 1?IMMIW- ?on am mnmm.m?m 1f . {7mi- he mm wmmimwhm SCHEDULE AGREEMENTS I Name: (73?5? 195?s? adj-f Page?L. ML Identify the date. parties to. and general terms of any agreement or arrangement that you have with respect to: future employment: a leave of absence during the period of government service; continuation or deferral of payments by a former or current employer other than the U.S. government: or continuing participation in an employee welfare or bene?t plan maintained by a former employer. Date Parties to Agreement Terms of Agreement y?55 Sci 335*; Growth) A37 wf' 05:63.1? fmaw- M7JM SCHEDULE GIFTS Report the source (by name). a brief description, and the value of all gifts totaling more than $390 received by you, your spouse. or your dependent child from any source during the year. Exclude: Gifts from relatives, gifts of personal hospitality from an individual (which may not include a registered lobbyist or foreign agent). local meals, and gifts to a spouse or dependent child that are totally independent of his or her relationship to you. Gifts with a value of $156 or less need not be added towards the $390 disclosure threshold. Note: The gi? rule (House Rule 25. clause 5) prohibits acceptance of gifts except as speci?cally provided in the rule and some gifts require prior approval of the Committee on Ethics. Source Description Value Exampfe: Mr. Joseph Smith. Mngtom VA Silver Platter {prior determination of personal friendship received from the Comnittee on Ethics) 5400 Use additional sheets if more space is required. Name: M5124 L38 Page__Z_of_L I Identify the ?source and list travel itinerary. dates. and nature of expenses provided for travel and travel-related expenses totaling more than $390 received by you, your spouse, or your dependent child during the reporting period. Indicate whether a family member accompanied the traveler at the sponsor?s expense. Disclosure is required regardless of whether the expenses were paid directly by the sponsor or were paid by you and reimbursed by the sponsor. EXCLUDE: Travel-related expenses provided by federal. state. and local governments. or by a foreign government required to be separately reported under the Foreign Gifts and Decorations Act (FGDA. 5 U.S.C. 7342); political travel that is required to be reported under the Federal Election Campaign Act: travel provided to a spouse or dependent child that is totally independent of his or her relationship to the ?ler. SCHEDULE TRAVEL PAYMENTS and REIMBURSEMENTS Family Meals-r Source bouts) cuyoroapm-onumaoncny ?Item Included? {Ynn mas-11 Exams: mm") M134 mambo C0n9t?t??.?ma? [Ink (?on Int/5?: ?3 ll Hoodoo IV Use additional sheet: If more space is required.