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House Journal: Page 306: Tuesday, February 9, 1999

 4  gross income.  Neither the amount of income produced

 5  nor value of the holding is required to be listed in
 6  any of the items.
 7  A.  Securities:  State the nature of the business of
 8  any company in which you hold stock, bonds, or other
 9  pecuniary interests that generate more than $1,000 in
10  annual gross income.  Income generated by multiple
11  holdings in a single company are deemed received from
12  a single source.
13  ______________________________________________________
14  ______________________________________________________
15  ______________________________________________________
16  ______________________________________________________
17  ______________________________________________________
18  ______________________________________________________
19  B.  Instruments of Financial Institutions:  State the
20  types of institutions in which you hold financial
21  instruments, such as certificates of deposit, savings
22  accounts, etc., that produce annual gross income in
23  excess of $1,000, e.g., banks, savings and loans, or
24  credit unions.
25  ______________________________________________________
26  ______________________________________________________
27  ______________________________________________________
28  ______________________________________________________
29  ______________________________________________________
30  ______________________________________________________
Page 20
 1  C.  Trusts:  State the nature or type of any trust
 2  from which you receive more than $1,000 of gross
 3  income annually.
 4  ______________________________________________________
 5  ______________________________________________________
 6  ______________________________________________________
 7  ______________________________________________________
 8  ______________________________________________________
 9  ______________________________________________________
10  D.  Real Estate:  State the general nature of real
11  estate interests that generate more than $1,000 of
12  gross income annually, e.g., residential leasehold
13  interest or farm leasehold interest.  The size or
14  location of the property interest is not required to
15  be listed.
16  ______________________________________________________
17  ______________________________________________________
18  ______________________________________________________
19  ______________________________________________________
20  ______________________________________________________
21  ______________________________________________________
22  E.  Retirement Systems:  State the name of each

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