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Full text of "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)"

Y 1.1/2:SERIAL 14182 



103-1 United States Congressional Serial Set 
Document No. 122, Serial Niiber 14182, January 



Government 
Documents 



103d Congress — 1st Session • January 5-November 26, 1993 



House Document 

No. 122 




FINANCIAL DISCLOSURE REPORTS 

MEMBERS OF HOUSE OF REPRESENTATIVES 

103d CONGRESS 

JANUARY 1-DECEMBER 31, 1992 

VOLUME 1 OF 3 VOLUMES 



United States Congressional Serial Set 

Serial Number 14182 



United States Government Printing Office 
Washington : 1995 



103d Congress, 1st Session --------- House Document 103-122 



FINANCIAL DISCLOSURE 

REPORTS 

OF MEMBERS OF THE 

U.S. HOUSE OF REPRESENTATIVES 

OF THE 103D CONGRESS 

FOR THE PERIOD 

January 1, 1992 to December 31, 1992 

Communication From the Clerk of the House 

Pursuant to 2 U.S.C. 703(d)(1) and Rule XLIV, 

Clause 1 of House Rules 

(Volume 1 of 3) 




July 23, 1993.— Referred to the Committee on Standards of Official 
Conduct and ordered to be printed 



U.S. GOVERNMENT PRINTING OFFICE 
70-597 WASHINGTON : 1993 



LETTER OF TRANSMITTAL 



Bonnalt iL flnbercon pAtricui 9. jIBUtf. Birector 

Clnfc 0fliu of &<tsrM nb ftegistrition 



Office of ttie CUrfc 
.i^. ^ouit of Slepreiientatttieii 

aia<{iington. BC 20515-6601 
July 22, 1993 



Honorable Thomas S. Foley 
The Speaker 

U. S. House of Representatives 
Washington, D. C. 

Dear Mr. Speaker: 

I hereby submit the annual compilation of personal financial 
disclosure statements filed with the Clerk of the House of 
Representatives pursuant to the Ethics in Government Act of 1978, 
as amended (5 U.S.C. app. 6, §103 et sea . ) . and House Rule XLIV. 

This compilation contains the personal financial disclosure 
statements and amendments thereto required to be filed by Members 
of the House pursuant to the Act and House Rule XLIV by May 15, 
1993, and includes the financial transactions as reported therein 
which occurred between January 1, 1992 and December 31, 1992. 

House Rule XLIV provides that the annual compilation of 
reports filed with the Clerk be printed as a House document by 
August 1 and contain all such reports sent to him by Members within 
the period beginning January 1 and ending June 15 of each year. 
This compilation is submitted accordingly. 

With great respect, I am 

Sincerely yours. 



/: 



DONNALD K. ANDERSON, Clerk 

U. S. House of Representatives 



Enclosure 

(in) 



ALPHABETICAL COMPILATION OF FINANCIAL DIS- 
CLOSURE REPORTS FILED BY MEMBERS OF THE U.S. 
HOUSE OF REPRESENTATIVES PURSUANT TO 
HOUSE RULE XLIV 



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21t.l4 aOOTHfllN tOUUVAItO 

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May 18, 1993 



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CHAJMUN. ASIA AND THC WkCffK 

(MTEIMATtOMAL SfCUMTV 

INTimtArXMAl OnGAN<2AT10NS 

AND HUMAM mCHTS 

COMMITTEE ON POST OFFICE AND 

Civil SEKVICE 

VKf CHAIM4AN SUBCOHMITTIE ON 

COMfCNSATION AND EUPvOTEE BENEFITS 

COMMITTCE ON MERCHANT MARINE 

AND FISHERIES 
SUBCOMHTTTEE ON MERCHANT UAWNE 



The Honorable Donnald K. Anderson 
Clerk of the House of Representatives 
Office of Records and Registration 
1036 Longworth House Office Building 
Washington, DC 20515 

Dear Mr. Clerk: 



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This is to clarify my financial Disclosure Statement for 
Calendar Year 1992. The Nathan & Lewis brokerage account listed 
on page 5 of the Statement includes a New York City municipal 
bond. Category B. 

Thank you for your attention to this matter. 

Sincerely, 



/^^>^^-«^ 



Member 



Gary L. fckeman 



Congress 



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61 



AddanduB to Part III - 1992 Financial Disclosure of William R. 
Archar, Jr. 

** Archar Associatas - Faaily Partnership 

BraaXdovn of Holdings (with catagory of value to William R. 
Archer , Jr . ) 



Holding Category of Value 

Bank One - Greenway - Acct. C 

Crestar Bank - Acct. C 

First City Houston Bank - CD C 

Continental of America Bank - CD C 

S. Pac. Thrift & Loan - CD C 

Bank United - CD C 

F&M National of Stanley Bank - CD C 

First Heights Bank - CD C 

Note Receivable - G. Bryant B 

NY City Bonds B 

Russ-Jackson Real Estate Partnership-Houston B 

Houston, TX W&S Bonds C 

Meadow lake Real Estate Partnership-Houston B 

Williams Farms, East Texas B 

U.S.M., Inc. C 

US EE Bonds B 

USAA - Investment Trust C 



Page 6 of 8 



62 





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CongreM of tfie Vntteb iktaM 



May 13, 1993 

-- — . sg g 



f 



i 



Honorable Donnald K. Anderson K kfp S 

Clerk of the House ^E pi^ ^o 

H-105, The Capitol r- jn 

Washington, D.C. 20515 ?"- •>» 

Dear Mr. Anderson: 

I would appreciate your assistance in making the enclosed copy of 
ay voluntary December 31, 1992 Financial Statement part of my 
permanent record along with the enclosed Financial Disclosure 
Statement for 1992, which is required by law. 



Thank you very much, and with best wishes 




Member of Congress 



65 



FINANCIAL STATEMENT 

WILLIAM R. ARCHER, JR. 

DECEMBER 31, 1992 



ASSETS 



Cash (Cong. Credit Union Acct.) 6,954.00 

Cash (Crastar Bank) 21,295.00 

Merrill Lynch Cash Management Acct. 257,038.00 

Merrill Lynch Cash Management Acct. 41,285.00 

Federal Capital Bank Certificate of Deposit 98,600.00 

I.R.A. (Bank United) 102,760.00 

Life Insurance Cash Value 8,900.00 

Federal Government Retirement Fund 88,144.00 

FERS Thrift Savings 37,000.00 

Stocks and Bonds (Market Value 12-31-92) 

779 shares U.S. Life % 36.25 28,239.00 

300 shares Halliburton % 28.75 8,625.00 

254 shares Gulf States Utilities 9 16.25 4,128.00 

4 $5,000 Valdez, Alaska Bonds 9 4925.00 19,700.00 

109.5 shares Amerada Hess 9 46.00 5,037.00 

GE Bonds 36,000.00 

26.1% Interest in Archer Associates, A Partnership 360,351.00 

Real Estate: 935,740.00 

Investment Equities - Houston Real Estate 36,913.00 

(at cost less depreciation) 

Townhouse, Houston, TX (at cost w/spouse) 127,731.00 

House & Lot, Arlington, VA 459,368.00 

(at cost & improvements w/ spouse) 

House k Acreage - Page County, VA 311,728.00 

(at cost) 

Mineral Royalty Interest, San Juan, New Mexico 2,000.00 

(at cost) 

1990 Ford Taurus 6,000.00 

Coin Collection (at cost) 16,326.00 

1987 Dodge Truck 5,000.00 

1987 Taurus Station Wagon (spouse) 3,500.00 



TOTAL ASSETS 2,092,622.00 



LIABILITIES: 



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> 1040 us Indtvidualtncome Tax Raturn 199ZI 



WU w — ly-lf »w mat w m»l« 



-L^ BACCHDS 



■ • (MM (^MK «i 

REBECCA 



■• *•« ■ «M Mn • r.O. Ml. I 



BACCHPS 



4?^o nymtiLL drive ^ , — _ 



J2fi2_ 



MFBRTTT TSTAMD 



''LOB T DA 



32952, 



261-86-5915 



267-25-4799 



For PrivAcy Act and 
Paparwork Raduction 
Act Notice, Ma paga 4 



flACC 



2^^^^ k Oo (Ou warn * I lo BO lo Uut fund? 

Cammmm '» «»»* fanyn. <fc>a« wm wousa warn > 1 lo go lo dut Kmd' 



YnJ 



NSL 



or rtauct vuur retw^. 



Filing Statu* i 

Sac *••< 10.) I 



S«ngia 

Mamad tUing lani raiia7< (avan it only ona had uwonw) 
Mamad hlina aaparaia caiurn Entar tpouaa't looal mcl 
vid tirfl nama hara. ^ 



Haad of housanold (miUi qualifying parun) (Saa paga III I* dta qualifying parson it a child 
•ui not »oi* dapandani, aniar ihas child'! nama hara ► 



Quairtvina »i>idow<ar) iwiih daoaridant child (taar gouia *ad ► 19 ) (Saa paoa 1 1 ) 



Eiamptiora ta JU *"••"" ."JS" r« !« 
> LXJ»pouaa 



I a* Ml M IMS U* H I 



JOSEPH BACCHUS 



JAMEY BACCHUS 



It more Om* tia 
iependenu 
tee p«oe ^? 



593-64-67e3SQN 






591-13-3492DAUGHTER 



. (illH 1 Mm mt 



■ fWi nu4 *itf« I 111* mm VM M It CI*IB*4 M yMi <i» M l H I I 



... ► 




fvwa.l a-K 
•M lOM-a >a« 


■ 
10 




11 


n «M a.< M. t« 
• a-l iM 


12 
11 

14 




IS 




16a 




17a 


Aaaca cMU •* 
aiMii iu< M 

■•1 a-K •. 
■•■•-II 


18 
19 
20 



Wagat. »aiar«t. tipi. ale Attach focniti W-2 

TaaaMa miarati inooma Attach Schaduia 6 il ovar MOO 

Ta< - aaampt aiiareit mcanie toac w <il DON'T incluae an line k I 8»> I 

Otiidand wioofna Attach Schaduia B if ovar MOO 

lauao rattfiat. oaaio. ar •llMUalsiauaiaiacJl mcanie laics tram mrkthaai 

AIMTionii raoaivad 

Buauiaaa inooma or (lost). Attach Schaduia C or C-eZ 

Capital ga.n or (lost). Attach Schaduia O 

Cap.iai gain Asinbutions not raportad on lina 13 (taa paga IS) . . 

Oinar gains or (Inasasl Attach Form 4797 

Total *U ttstreunons P** 1 b iiuai. 

Total pansons and annutias Lil^J Pi 570 i 1 b Tuau 



annate IS 



Ranis, roraiuat. partnarships. asutav trusts, ale Attach Schaduia E 

Farm inooma or (loss)- Attach Schaduia F 

Unamploymanioanipansatian(saa paga 17) 

Sooai sacurity banahu . LAllJ 1 b Tauftic i 

Oinar inooma. List lypa and amount . 

Aaa me iieMnn in Hie lir righi laiMmn for iinet ? ihroinh 2? This ii yo«r tam !■< 



122.033. 



2.B7B. 



6.570. 



131.481. 



Adjustments 
to Income 



24a Taur M* aeauciionlrom ipplicakle mrktheei an page 19 w 20 

b Saauw t MAaeauctienlranivalicMiewarktheeianaage 19 or 20 

25 One -Ml ot tell-einaiaymeni ui (see aage 20) 

26 Salt-einaieycahaali>iinturance4educuon. IromiMrkihecionM 20 
2^ Kaogn rauramanl plan and sal^amployed SEP Oaducuon 

28 Panaity on aarly MnttMfrawial ot savings 

2S Alimony pail Raoaiani I SSM ^ 

10 A« iinet 24o ttireuah 29 



Adjustetj s 
Gf o«t Iticottte 

afn 



SukVici ime 30 from line 23 TliK is your adiustad grots iiwoma. n («,, 
$22J70 antf « cArftf l*tta wK» rau Mr p^gm €fC- 1 to tiiv out if vou omn ctmim ti< 
'£a'nta tncom€ Crtaif on hi^ S6 



tf/nov/a It test intn 



131.481. 

^am 1040 IM 



82 



JAMES L. t REBECCA N. 

Hrm 1040(1992) 



BACCHDS 



261-86-5915 



fiflSJ 



Compu- 
tation 



12 Immmt Irmi tim iMftiutu4 wti i^imi 

Sa* ^itt If. I UauwmtKm *mt.\ Iwind. | I n ii m i ii ■ ti «f »M«f J I Blind 

►33. 



k It «•> >vaM tw umMm (Is*) cai dam iiM 



tys alwn. ut M9« 22 aii chack k«re ^33« { | 



/ H>^^ «i<u«llM liaa U 

faar *m I » i m ^« iiai n ilii iMn ■ 

'*•* t Hiw ilniikH ku lis. 

•I rmr I • ta«M - 1 

^ • UwtiM II 



• mm « MUMM-IUtO •iWIM IUW| MHI»I>-S3I)IIII 
I IIIIH |MMy ■■ QMtitirMt ■MmMW)-UJM 

IS faknci hM )4 (ram lai^32 

M II kM 12 K t'l.SSO w 1*11. multiplv S2.300 ky dw latu iMi*ar at tiampuans clauncd an Imc 6e. 

H ka> 12 n —i SK.SSO. taa Via warktfiaai an *i(c 23 laf aia aiaaMii u amct 
17 TajL^to inaoma. Sakpac i Iwa 3S Iram laie 3b II Ima II a awe Oun Im t 35 antw -0- 

il trim ■ LxJ Tai Tiki*, k I I Tu Ra>* SOiaauIci « I I ScDadule 0. ar 

J Nrm It IS Hat page 231 Amaunt. i) BivJiara farmtolll ll*" • 

l(uci bMpagc 231- Chect il Iram al 1 farm 4970 k I I Farm 4972 

40 Km Imp 31 ■») 39 



rnih 



41 Craaii lir 0i<Ma<aae«ar>aani care a>penMi. Anadi Farm 2441 

42 Craan Iv oia aMefiy ar Dk diuaiel Anach Schattila R . 

43 fwaifn lu aa«ii Anacft Farm 1 111 

44 fc» m ««» »«« M HI C»«« U li»« m I |lM> MM k I {iMSMH 

•I !)•>• uai a I |)»iw«uyi 

45 Aa< i«*< 41 mougti 44 

46 S>»mcl Iwt 45 Ifom lint 40 II Imt 4i is mare Ban lint 40 tnief 0- 




47 Sail - aii»ta»n m ii tu Atuen SchaAile SE. AIM. tat line 25 

4« Anarnaii«e mmmum lai Anadi Farm 125 1 

49 decvixe ia>et iMt page 251. Chect i( from si I Farm 4255 kl I F 

50 Sactai tactfity ma Mtdjcart uji on up income not reported to ampieytf Attocti Form 4137 

51 Tu on aualilied retirement plans, including IDAs^ Aiudl Form 5329 

52 Atfvvicc avned income citdit payments from Form )N-2 

53 Add iinti 46 Bvogpn 52 This is your total ta« 



Paymants 5* Fi 



intnhald. If any is from F(irmsl£) 1099 



irtcQme I 
ct-o ••□ ... 

55 1992 esiinwed u> ptymenu end imeum applied trom 1991 return 

56 EariMd icKom* crsdit Attach Schodula EIC 

57 Amsuni paid wl1^ Form 4I6B lexiension reauesD 

58 tuau Hcici Mcaiiir li*«KW« M* BAtA ui wllisall <i «t MS * 241 

59 OihBLUyments (set page 261 Cliecli if from a | | Fern 

k I lFtrm413e 

60 Add lines 54 tftreugn 59 These ye your total paymants 



I 2439 



54 



28.009. 



Refund or 
Amount 
You Ows 



61 It line 10 IS more otin line S3, sukiract line S3 trom lint 60 This is the amount you OVERrAlO 

62 Amount 1 lint 61 you wait REFUNDED TO VOU 

63 <taM> •riM SI ,••••• AmjED TO YOUR 1t» E8T1WATED TAX » l 63 I 

64 II IIM IS i> •«• Bm liM iO USUKI UN U li<a IM U Ttii II uiAWOUMT yOU OWE lltao il.cl 
m—91 •rtoi l«i iBll •••■« Myakit i* *im«imI Ri.mm Saf.ica ' w 
toylisa H ill Masai as< *III3 lata 1040 aa li 

65 Estimettd u« ptnoity [see page 27| Also include on line 64 | .gs | 




(aclyM c««slala DaclMMiaa •! »tapBfti iaISai 



vt»f uk«tol»f m4 um*««i 



Uw uiyarxl ii fetM< i 



I pi»p%i»i k«i Hy kHwl»i]|« 



(••■I r«i»i. BOTH MSI »iH' 



^ 



P^ 



HBR OF CONGRESS 



ADVERTISING 



Paid 

Praparar'a 
liaa Only 



"^- » hA 



l04/03/93l 



a SINES. GIRVIN & BLAKESLEE CPA ■ S P,A, 

' _PjJi, BOX 77104 7 

WINTER GARDEN. FLORIDft 



[n. 



Pttpwtl I UCial MCWIly BO 

267-02-1027 



fi Nc 59-156 7188 
2iPcode 34777-1047 



83 



SCHEDULES A*a 

rerm 1040) 



Sch«dul« A - Itomizad Deductions 

► AttaA to Fona 104a ^ Sm IwtoMtlOM for t i> n «ii m A Mid ■ Fonn 



NamaUl tlown on Form 1040 

JAMES L. t REBECCA M. BACCHOS 



1992 

'..^ 07 



rmt ar m^ tr atfrg. 



Cautioit Oo na mdi^t mtm 

1 Mwtcil and dw<ul «a|MnH 

2 bam ■mun trm Firai 104a 
1 Multiply hn* 2 man by 7S% 1079 



i-hUL 



Your (ooal ucurity number 

,261-86-5915 



T«xu Vou S sut* and loc^ inoonw 

Paid 6 Raai asuia uxn (••• 

(Sm 7 OUMT uxM. List 

P484A-U _ 



P4B»Aa 

paraonn prapany taxaa ^ 



l.Slg. 



Intarast 

Vou Paid 

(Sm 
paoaA-Z) 



Sa Ho>na fnongaga iniaraat and pantt raponad to you en Form 

1098 

b Homa mortgaga intarasi no) raportad to you on Form 109a If 
paid to an indiindual. stow that parson's nama and a 

10 Panu not raponad to you on Form 109a Sm paoa A-3 tar 

«aoal rulas 

1 1 kncsunam wiaratt II raawraC anadi Farm 49S2. (Saa ^ate A- 1 ) 

12 Ada lin>t Q. Ihrnunh 11 



I 



7.398. 



% 



1.519. 



7.398. 



GifU to 
Charity 
(Sm 



Caution n you matf* « Uiuut conr'tturan te rtcmttt < t 
rmurn. am p»g9 A.J. 



Coninbutiortt by cash or ciiac* 

Othar than by cash or ctiack If ooar tSOO. you MUST aliacn 

Farme2a3 

Carryovar from prior yaar 

Add hnas 13 ih,nuoh IS , 



3.850. 



3.B50. 



Casualty and 
Thaft Lotsas 17 



Casually or I fitll hlff'**' *"«C ''"'" <684 (Sm o»o« A-4 I 



Moving 
Eapansas 



18 Moving ..n«n«ti An art. Perm 3903 or 39Q3F (Smdm«A-4| 



8.3 77, 



Job ExpansM IS Unraimbivsad an^Moyaa axpansas - job Iraval. union duas. r*> 
ai\d Most Othar aducamx ale H raquirad. you MUST anach Form 2 106 (Sm[, 

MisMiiaitMMs p,g,A^,»^ From form 2106 

> 20 Othar ctpans«s~invaslmant tax praparatiorv sstadapositbOK. 
•ic. List typa and amouni ^ . 

Tax Rta Preparation Fee 625. 



(Sm 

paga A-5far 



21 Addlinas 19 and 20 



— » ■ AOO Unas i» and Ai I T o E' 

/f , 22 imar mMnt Irom Farm 1040. line 32 \32\ 131.481. — _ "B 



MulDply lina 22 above by 2% L02I 

g.Jii,.^ Im. 7T (tnm lin. ?1 \i_uta 



6.454, 



625 . 



7.079. 



2.630. ^ 



■ ,«<« .nt^ .A- 



4.449, 



OttMr 

Miscallanaous 
Oaductions 



25 Othar ~ from l,si on paga A-5. Lisi typa and amount ^ 



Total 26 It tha anvxjni on Form 1040. Iina 32. mora than $ 105.250 (mora than $52,625 li 

Hamizad marriad filing saparaialvl? 

Oaductions • NO votr daducuon ,s not limitad Add iinas 4 8. 12 16. 17. 16. 24. 

* VES. Yotv daducuon may be limiiad Saa paga A-5 lor tha amount i 

Caution tt sure to umi on form 10^0 line M lAt LAfUjER of Me timui* on line 26 

aba^e of your stenoera aaj uLtion. 

Far f apira iiS Rsduattoa Act Mauca. aaa Farm 1444 luaucuau. 

ans 



«a^o^s II 

4. and 25. I 
I lo aniar. I 



Schadula A (Form 10401 1992 

!»>2U ll'US'J^ 



84 



tcww.t »n t«. ii«ti lit; 

Mamul tl>—^ m Nrm 104a Do noi wam m™ nd wcul itarny nankw i( itoMi m Pagt 1 
JAMES L. t REBECCA H. BACCHDS 



Of m iMt-i>074 fm2 



261-86-5915 



Schedule B-lnterast and Dividand Income 



■c. M 08 



Parti 

Interact 

Income 



If vou had ovar t400 in taxalila intarast incoma OR you ara claiming tba azclusion of intarest from tariaa EE U.S 
aavingi bonda istuad after 1989. vou muit eomplala thia part U»t AU. intaratt you received If you fud over C400 in 
taxable intaratt incoma, you mu»t alao complete Part III. II you received, u a nominee, interest that actually belongs 
to anottiar p^aon, or you received or paid accrued interact on aecurities trencferred kketween interest payment dates, 
a*epaoeB-1. 



Intarest Income 


Amount 


a» 1 Uai name (4 payer - If any iniaraal incoma IS from MMar-financadmangasas, see page B-l and 

M< a-i.) lat Uvt intarati first ^ 

(IJ .STATE FARM 
Nota II y«. (I) ..SON BANK 

received a farm 


1 




38. 


2.840. 




1099-IN7. - 

Fo»m 1099-00. -■ 






natement, (rem 




• brslierage firm. 








er and enur the 




lauJ inieresi 








2 Add the amounis on line 1 

3 Ejtdud^iie interesi on series EE U.S. savir^s txsnds issued attar 1989 from Form 8815, lir^e 14. 


2 


2.878. 


3 




« Si*ir.ri iin« r? trnm line 2. Enlaf the rasull hare and on Form 104Q line 8a ► 


4 


2,878. 



Part II 

Dividend 

Income 



F you had over $400 in gross dividends and/or ottier distributions on stock, you must complete this pert and Part III. 
F you received, *» a nominee, dividends ttiat actually belong to another person, see page B- 1. 



Dividerxj Incoma 



5 List name of payer-include on tfiis lirw capital gain (lstnt>uuons. nontaxable distributions, etc ^ 



Not* If yeu 
raccned a Farm 
1099-DIV. H 
suastitute state- 
ment, tram • 
brokerage firm, 
list ttie firm's 
nane as the pay- 
er md enter me 
total dividends 
shown on thai 

6 



Add the amounts on hne 5 . . 
Capital gam (kstributions Enter here and on Sctiedule D* 
f4ania>ible distributions (See the msuucuons lor Form 1D40. line 9 1 
Add lines 7 and 8 



^0 Subtract line 9 from line 6. Enter the result here and on Form 1040. line 9 



Amount 



Part III 

Foreign 

Accounts 

end 

Foreign 

Trusts 



11a At any time during 199Z (kd you have an interesi in or a signature or other authority over a financial 
account in a foreign country, such as a bank account, securities account, or other financial account? 

S«e page 8-2 for excapuons and tiling requirements tor Form TO F 90-22. 1 

b If 'Yes.' enter the name of the foreign country ^ 



12 



Were you the grantcr of. or transferor to a (tveign trust that existed during 1992. whether or rut you have 
any beneficial interesi in it? If 'Yes.' you may have to die Fam 3520 3520-A. or 926 



RaAJCtten Act Idatice, aoa ForM 1040 leattuctieAs. 



Schedule B (Form 10401 1992 



85 



STATQfENT OF FINANCIAL CX>NDITION AS OF MAY 1993 
PERSONAL FINANCIAL STATEMENT 



Naae: Jia Bacchus 

Residence: 4230 Overhill Drive 

Merritt Island, Florida 32952 
Position: Meaber of Congress 

Naae: Rebecca Bacchus 
Residence: 4230 Overhill Drive 

Merritt Island, Florida 32952 



Assets In Dollars 

Cash on hand and in banks - List on 

Sched. E 128,988.67 

Securities and stocks - List on Sched. A 0.00 

Real Estate Owned - List on Sched. C 182,000.00 

Automobiles - List on Sched. G 18,500.00 

Cash value - life insurance - li«t on Sched. D 798.00 

Other assets - (Furniture, Personal) 40,000.00 

US House of Rep. retirement fund 3,870.48 

Thrift Savings Plan for Fed Employees 20,242.32 

Retirement/ASE* 19,151.36 

Income tax refund due 5,041.00 



TOTAL ASSETS 418,591.83 

Liabilities In Dollars 

Notes payable to Financial Institutions - List 

on Sched. F 0.00 

Accounts and bills due - Sched. B 0.00 
Real estate mortgages payable - List 

on Sched. C 139,639.19 

Automobiles - List on Sched. G 14,068.84 



TOTAL LIABILITIES 153,708.03 

NET WORTH 264,883.80 



*Resigned from firm effective 12-31-90. Retirement income being 
paid in accordance with partnership agreement. 



86 



SCHEDULE A - SECXJRITIES AND STOCKS 



NONE 



SCHEDULE B - ACCOUNTS AND BILLS DUE 
NiBC«llan«ous credit card and other bills 



0.00 



SCHEDULE C - REAL ESTATE OWNED 



Address and Type 
of Property 

Hose: Merritt 
Island 

Uniaproved real 
estate in Brad- 
ford County 



Home: Merritt 
Island 



Bradford real 
estate 



% of 
Mortgagor Ownership 



Suntrust 100 



None 



Market 

Value 

180,000 



2,000 



50 
(undivided) 



Date 

Acquired Cost 

11-92 175,000 

1960's Gift 



Mortgage 

Balance 

139,639.19 



None 



Monthly 
Payment 
1,313.99 



None 



SCHEDULE D - LIFE INSURANCE CARRIED, INCLUDING GROUP INSURANCE 













Cash 


Name of 


Owner of 




Face 


Policy 


Surr. 


Ins. Co. 


Policy 


Beneficiary 


Amount 


Loans 


Value 


Delaware 












Aroer. 


James 


Rebecca 


100,000 


0.00 


0.00 


Delaware 












Amer . 


Rebecca 


James 


100,000 


0.00 


0.00 


Fed. Employees 










Group Life 












Ins. 


James 


Rebecca 


431,200 


0.00 


0.00 


State 












Farm 


James/ 
Rebecca 


Rebecca/ 
James 


100,000 


0.00 


798.00 



87 



SCHEDULE E - CASH ON HAND AND IN BANKS 



Naae of 

Institution 

SunTrust 
SunTrust 
SunTrust 

SunTrust 
SunTrust 



Type of Ownership 

Joint Money Market 

Joint Checking 

IRAS (CDs) (James/ 

Rebecca ) 

Savings 

Passbook IRAs (Jaaes/ 

Rebecca ) 



On Deposit 

78,141.63 
2,360.00 

5,844.90 
245.11 

42,397.03 



CASH ON HAND 



128,988.67 



SCHEDULE F - LOANS DUE TO FINANCIAL INSTITUTIONS 
NONE 



SCHEDULE G - AUTOMOBILES 

Est. Value Ant. Owed 

1985 Chevrolet Cavalier Station Wagon 2,500 0.0 

1992 Oldsmobile Cutlass 16,000 14,068.84 




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140 



BALLEN6ER, T. CASS 



roTu A. Se ction VIII. Position; 



Positions 



Chairman of the Board 
General partner 
Limited partner 
Limited partner 
Limited partner 
General partner 
Limited partner 
Limited partner 
Limited partner 
Limited partner 



President 
Limited partner 



Name of Organization 



Plastic Packaging, Inc. 

Balmark Realty 

Associated Realty investors 

Associated Apartment Investors 

Hxinter Piiblishing Limited 

Georgetown Square Group 

Southern Inns Associates LTD. 

Cady Associates LTD. 

Oak Plantation Associated LTD. 

Prutech Research & Development 

Partnership 
Ballenger Foundation, Non-Prof It 

Foundation 
Dyco Petroleum 



141 



>«4-ai>-4M( 



Cons^tii of ti)t Sniteb i^tatti »»«.»« 



Mjutington. BC 20515 

lurch 20, 1990 



Tha Hottorabl* Julian Dixon 

Chairman 

Tha Cooalccaa on Scandards of 

Official Conduce 
UT-2, VS. Caplcol 
Waahlnccon, D.C. 2051S 

Doar Julian: 

I would appraclaca clarification on llalcadona on oucslda oamad Ineoao 
aa Ic ralataa co a conauldng foa I currancly racalva (aoa accachad laccar) 
froB my coapany, In llghc of cba ehan(«s aandacad by Cha Ethic* Rafora Ace of 
1989 (Public Uh 101-194). 

As you can *•• froa cha accachad laccar, I bava baan parmlccad co racalva 
$20,000 par yaar for as auch aa 400 hours of consulclng sarvlcas on 
laplaaancaclon of corporaca policy daclslons. PlasClc Packaging, Inc., a 
coapany I foundad and In which X hava concrolllng Incarasc, Is ay principal 
faally Invascaanc and I vlau Ic laporcanc co raaaln assoclacad wlch cha 
business co assura chac ay Invascaanc Is procsccad. 

Plaasa advlsa aa ralaclva co any axaapclon of chasa faes froa cha llalcs 
on oucslda Incoaa for calendar yaar 1990 as prescribed under clause 2(b)(1) of 
House Rule XLVII as revised by Public Uw 101-194. Furcher, I would 
appraclaca advice relaclva co chls aaccer for calendar year 1991 and beyond. 

If you hava quasclons or need clarlflcaclon on any polnc, please call aa 
or have your staff concacc ay adalnlscraclve asslscanc, Facrlck Murphy, at 
225-2S76. 

Thank you for your proopc acctncion co chls aaccer. 

Sincerely, 



CASS BAlIKNCER U 

Heaber of Congrasa 



CB:paa 
Enclosure 



142 



®.fe. J^ou^c of 3Rcpre5cntatibe^ 

COMMITTEE ON STANDARDS OF 
OFFICIAL CONDUCT 

Safbington, BC 20515 
February 25, 1987 



The Honorable Cass Ballenger 
United States House of Representatives 
116 Cannon House Office Building 
Washington, D. C. 20515 

Dear Colleague: 

This is in response to your letter of January 16, 1987, 
requesting the advice of this Committee regarding the propriety 
of your receipt of certain compensation from Plastic Packaging, 
Inc. Your correspondence elaborates on information provided in 
an earlier meecing* with Committee Counsel Mark Davis. 

You explain that you served as President of Plastic 
Packaging, Inc., from its founding in 1956 until your election to 
the House of Representatives. While you remain the majority 
stockholder and Chairman of the Board, you no longer have day-to- 
day operating responsibilities. In lieu of the salary previously 
paid to you, Plas'tic Packaging, Inc., intends to pay you $20,000 
per year for as much as 400 hours of consulting services on 
implementation of corporate policy decisions. You further 
explain that Plastics Packaging, Inc., is your principal family 
investment, and you view it important to regain associated with 
the business to assure that your invest.Tier.t is protected. 

The provision implicated by your inquiry is House Rule 
XLVII, which limits the amount of outside earned income which a 
Member of the House of Representatives may receive in a calendar 
year to 30 percent cf the Member's aggregate yearly congressional 
salary. As provided in the Rule, the term "outside earned 
income" means "wages, salaries, professional fees, honorariums, 
and other amounts ... received as compensation for personal 
services actually rendered." Several exesptions are noted, 
however. Clause 3(c)(4) of Rules XLVII specifically states that 
outside earned incsr.e does not includs-- 

in the case of a Member engaged in a trade or 
business in which the Member or his family 
holds a controlling interest and in which 
both personal services and capital are 
income-producing factors, any amount received 



143 



The Honorable Cass Ballenger 
February 2S, 1987 
Page 2 



by such Member so long as the personal 
services actually rendered by the Member in 
the trade or business do not generate a 
significant amount of income. 

The Committee is of the opinion that the services you will 
be performing for rlastic Packaging, Inc., and compensation in 
the amount specified, fall within the stated exemption. The 
purpose of the exemption, as stated by the Cooreission on 
Administrative Review of the 9Sth Congress, is to enable Members 
to protect their interest in a family business. (See, Bouse 
Document 9S-73, p. II; see also, Advisory Opinion No. 13, Bouse 
Select Committee on Ithics, 95ch Congress.) Further evidence of 
the fact that your efforts are aimed' at preserving your equity, 
rather than generatir^g a significant amount of income, is the 
limited time you plan to devote to the business. The Committee 
also notes that the amount of compensation you will be receiving 
from the corporation is substantially less than that reported for 
prior years on the Financial Disclosure Statement which you filed 
as a candidate. 

While this cocpensation will not be counted as outside 
earned income for the purposes of the limitation in Rule XLVZZ, 
please note that it still must be reported on the Financial 
Disclosure Statement you are required to file as a Member of the 
Bouse of Representatives by May'lSth of each year. For purposes 
of clarity, we suggest that you note on the Statement that this 
income is from a fartily business and exempt from application of 
Rule XLVII. 

If you have any further questions concerning this matter, 
please contact the Csoaittee staff at extension S-7103. 




JS:MJD 




144 



®.^. iouic of BRfprtjfcntatibei — '^' 

Cnninitttt on frUmb<rb< of ^Oidal Conbut 
autinstaii, 9€ 20515 
October 27, 1990 



The Honorable Cass Ballenger 
U.S. Bouse of Representatives 
218 Cannon House Office Building 
Washington, D. C. 20515 

Dear Colleague: 

This is in response to your letter requesting clarification 
of the limitations on outside earned income as it relates to a 
consulting fee you receive from your company. The Committee 
originally addressed this matter in a letter of February 25, 
19B7, a copy of which you enclosed with your correspondence. 

You explain that while a Member of the House you have 
accepted $20,000 per year from Plastic Packaging, Inc., for as 
much as 400 hours of consulting services on implementation of 
corporate policy decisions. You founded the company and have 
retained controlling interest in it. It is your principal family 
investment and you continue to view it important to remain 
associated with the business to assure that your investment is 
protected. Consistent with Committee advice, this income has not 
been treated as subject to the earned income limit of House Rule 
XLVII. In light of the changes mandated by the Ethics Reform Act 
of 1989 (P.L. 101-194 as amended by P.L. 101-280), you ask if the 
Committee's earlier advice continues to apply to your situation. 

In 1987, you told the Committee that you were Chairman of 
the Board of Plastic Packaging, Inc., in addition to being 
majority stockholder. Your Administrative Assistant, Patrick 
Murphy, has informed Committee Counsel Mark Davis that this 
continues to be the case. While the corporation does provide you 
with transportation to attend board meetings, you receive no 
compensation other than the $20,000 consulting fee. 

Several provisions of Federal law and House rules, as 
amended by the Ethics Reform Act of 1989, are relevant to your 
inquiry. Members of the House are limited in the amount of 
outside earned income they may receive in a calendar year by 
House Rule XLVII. For calendar year 1990, the outside earned 
Income limit is 30 percent of the aggregate yearly congressional 
salary paid in 1989, or $26,850. House Rule XLVII, clause 
1(b)(1). For calendar years after 1991, the earned income limit 



145 



. The Honorable Cass Ballenger 
October 27, 1990 
Page 2 

will be IS percent of the January 1 rate of pay in effect for 
level II of the Executive Schedule (the same rate at which Bouse 
Meabers are paid). House Rule XLVII, clause 1(a)(2); see also 
section 501(a) of the Ethics in Government Act of i5Tb, as 
amended (5 O.S.C. app. 7, S501(a), hereinafter cited as "EIGA'. 

"Outside earned income" is defined in Rule XLVII, clause 
3(c), to mean "wages, salaries, fees, and other amounts received 
or to be received as compensation for personal services actually 
rendered." Several exemptions are noted, however. Clause 
3(e)(4) of Rule XLVII specifically states that outside earned 
Incoae does not include — 

[I]n the case of a Member engaged in a trade 
or business in which the Member or his family 
holds a controlling interest and in which 
both personal services and capital are 
income-producing factors, any amount received 
by such Member so long as the personal 
services actually rendered by the Member in 
the trade or business do not generate a 
significant amount of incoae. 

Even if compensation is consistent with the definition of 
"outside earned income" or falls within one of the stated 
exemptions, certain activities for compensation will be totally 
prohibited by Federal law and Bouse Rule XLVII beginning January 
1, 1991. Section 502 of EICA (5 O.S.C. app. 7, S502), provides, 
in pertinent part, that Members of tne House, as well as other 
senior government officials, shall not — 

(1) receive compensation for affiliating 
with or being employed by a firm, 
partnership, association, corporation, or 
other entity which provides professional 
services involving a fiduciary relationship; 

(2) permit that Member's . . . name to be 
used by any such firm, partnership 
association, corporation, or other entity: 

(3) receive compensation for practicing a 
profession which involves a fiduciary 
relationship; [or] 

(4) serve for compensation as an officer or 
member of the board of any association, 
corporation, or other entity. 

See also Bouse Rule XLVII, clause 2. 



146 



The Honorable Cass Ballenger 
October 27, 1990 
Page 3 

The statute does not define what constitutes "professional, 
services which involve a fiduciary relationship." That 
determination has been left to this Conunittee with respect to 
Bouse Members and staff, pursuant to its authority under sections 
503(1)(A) and S04(b) of EIGA (5 O.S.C. app. 7, SS503(a)(A) and 
S04(b)). See Report of the House Bipartisan Task Force on Ethics 
on H.R. 3TS0 ,~p. IT, Cong. Rec. (daily ed.), Nov! TT, 1989, 
B92S7. 

The legislative history of the Ethics Reform Act suggests 
the primary objectives behind enactment of the prohibition on the 
paid practice of a profession which involve a fiduciary 
relationship. The first was to prevent any conflict between the 
responsibility of a public official to act for the common good 
and the obligation which would be owed a private client paying 
compensation. The second was to make certain that official 
position was not being used for private gain. The third 
objective was to "ensure that honoraria not reemerge in various 
kinds of professional fees from outside interests." See Task 
Force Report , supra , pp. 15-16. 

To determine whether employment in which a Member proposes 
to engage is prohibited under the statute, the Committee is 
looking at more than the title of the position and the kind of 
services typically performed by those in the occupation. Subject 
to further legislative guidance, the Coooaittee is evaluating the 
nature and circumstances of each individual's particular 
employment on a case-by-case basis in light of the objectives of 
the Ethics Reform Act. 

With respect to your services for Plastic Packaging, Inc., 
you are serving as Chairman of the Board but are receiving no 
compensation other than the consulting fee. (Your receipt of 
travel expenses to attend board meetings is not considered 
compensation.) You were paid by Plastic Packaging prior to your 
election to the House of Representatives, but the $20,000 
consulting fee is significantly less than you had been 
receiving. In addition, the payment is consistent with the 
policy enunciated in House Rule XLVII to permit a Member to 
accept compensation to protect his interest in a family 
business. Your limited efforts appear aimed at preserving your 
equity, rather than generating income for the company. Such 
continuing service related to a family-controlled business 
suggests neither a significant conflict between public and 
private obligations, nor accrual of a benefit on account of your 
status as a Member of Congress. Furtl^ermore, payments to you are 
not in consideration of speeches, appearances, or articles. 

Based on the above considerations, we are of the opinion 
that the services you perform for Plastic Packaging, Inc., and 
the specified compensation you receive, continue to fall within 
the cited exemption in House Rule XLVII. Furthermore, your 



147 



The Honorable Cass Ballenger 
October 27, 1990 
Page 4 

receipt of this compensation will not be prohibited after January 
1, 1991, since we do not view you as performing "professional 
services involving a fiduciary relationship" for the purposes of 
section 502 of EIGA and House Rule XLVII. 

While this compensation will not be counted as outside 
earned income for the purposes of the limitation in Rule XLVII, 
please note that it still must be reported on the Financial 
Disclosure Statement you are required to file as a Member of the 
Bouse of Representatives by Nay ISth of each year. 

As stated above, this opinion is subject to reconsideration 
based on subsequent enactment of legislation or rule changes. If 
you have any further questions concerning this matter, please 
contact the Committee's Office of Advice and Education at 
extension S-37B7. 




Dixon \ 



Jrfliaiyc. Dixon \ 



/John T. Myers 
Ranking Minority Member 



JS:NJD 



148 



CASS BALLENGER 



HAND DELIVERED 

ConQvtii of tfie ^niteb i^tatti 
U^ouit of Sleprestntatibed 
na{(t)inston, B£ 20515-3310 

May 24, 1993 



EDUCATION AND LABOR 



DISTRICT OF COLUMBIA 



//^ 



:— en 



The Honorable Donnald K. Anderson 
Clerk of the House 
U. S House of Representatives 
H-105, U. S. Capitol 
Washington, DC. 20515-6601 

Dear Mr. Anderson: 

IP 3E 

Enclosed is the amended "Schedule IV - Transactions" for my Financial 5?;' 25 
Disclosure Statement for 1992. S"* 

^. «o 

If there are further questions, please call me or my administrative 
assistant, Patrick Murphy, at 225-2576. 



11 

I 



Sincerely, 



CASS BALLENGER \ 
Member of Congress 



CB:pmm 



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RICK BOUCHER 



INSIDE ;mIL 



ENERGY AND COMMERCE 

JUDICIARY 

SCIENCE SPACE AND TECHNOLOGY 




WASHINGTON OFFICE. 



RECEIVED 
tonqxtM of t\)t WinitttPfSumtKn g., ^^ 

J^oMt of 3Reprej(enS8ttttWE£:o;/srAi;oARDs '•"' 
Masljington. M€ 20515^1609 



TITUENT SERVICE OFFICES 



May 27. 1993 



The Honorable Jim McDermott 

Chairman 

Committee on Standards of 

Official Conduct 
Suite HT-2, The Capitol 
Washington, DC 20515-6328 

Dear Mr. Chairman: 



fAV 



By this letter I am amending my Financial Disclosure Form for 1992 by adding in 
Schedule III - Assets and Unearned Income the following: 

Lot in the Town of Damascus 

Year End Value: $1,100 - $15,000 

No income was earned from this asset in 1992 

I would appreciate your placing this letter with my Financial Disclosure Form. If 
additional information is needed concerning this matter, please contact me. With kind 
regards, I remain 



.Sincerely, 




Frederick C. Boucher 
Member of Congress 



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454 



POSITION 
Director 
Member 



ETHICS IN GOVERNMENT ACT - FINANCIAL DISCLOSURE STATEMENT 
BENJAMIN L. CARDIN 
PART VIII POSITIONS 

NAME OF ORGANIZATION 

ParK School - Baltimore, Maryland 

Chancellor's Advisory Council of the University of 
Maryland System, College Park, Maryland 



Trustee/Secretary St. Mary's College, St. Mary's, Maryland 
of the Bd. of Trustees 

Director Catonsville Community College Foundation, Balto., Md. 

Director Re-Visions Foundation, Inc., Baltimore, Maryland 

Director/Chairman Maryland Legal Services Corporation, Balto., Md . 

Trustee Baltimore Museum of Art, Baltimore, Maryland 

Board Member Menorah Lodge #771, B'nai B'rith, Balto., Md . 

Board of Visitors University of Maryland Law School, Balto., Md. 

Member Safety First Club Board Member, Baltimore, Maryland 

Board of Advisors Closeup Foundation, Virginia 

Board of Directors Baltimore-Washington International Airport 
Development Council 

Technical Review Maryland Psychiatric Research Center 
Committee 



Partner 



Partnerships listed in PARTS II & III (Venture BG, 
Green Properties and Warwick Associates) 



Board of Advisors Patriots of Fort McHenry 

Board of Advisors Z.O.A., Balto., Md. 

Board of Advisors Bendectine School, Balto., Md. 

Honorary Board Reflex Sympathetic Dysterophy Assoc, of U.S. 



Page 11 of 21 



455 



BENJAMIN L. CARDIN 



1 A Trust established by filer's father for the benefit of filer and 
spouse during their lefetime with remainderman interest to filer's 
children. Assets and Transacions of trust are listed on attached 
sheets. 

2 Venture BG is a partnership that holds the land at 3601 Washington 
Blvd., Balto. , Md. The property is leased to B. Green & Co., Inc.. 
Filer owns a 2% interest. The evaluation is based on book value, i.e. 
a negative partner's capital account. The Assets and Liabilities 

of the partnership are listed on the attached sheets. Income refected 
on Part III represents "income" K(c) line of Kl form and "distribution" 
K(d) line of Kl form. 

& checks drawn on 

3 Value includes deposit made into Recount on December 31, 1992 and 
credited in 1993. 

4 Includes IRAs for filer and spouse. In 1992, the trustee of the IRAs 
was changed from Hamilton Investments to Regal Savings Bank. 

5 A trust established by Grandfather (Benjaunin L. Green) . Filer is 
income beneficiary and contingent residuary beneficiary. Assets and 
Transactions are listed on the attached sheets. 

6 A trust established by Filer on June 29, 1990 for the benefit of spouse 
during her lifetime with remainder interest to Filer's children. The 
trust holds a one-sixth interest in a partnership known as Green 
Properties Partnership. The partnership owns property located at 1300 S. 
Monroe Street, Balto., Md. and 2330 N. Warwich Ave., Balto., Md. (through 
a partnership known as Warwich Associates) . Both properties are leased 
to B. Green & Co., Inc.. In addition the trust purchased life insurance 
in March, 1991. The Assets and Liabilities of the trust and partnership 
are listed on the attached sheets. 

7 Evaluation based on book value, i.e. a negative partner's capital 
account of Green Properties Partnership. 

8 Evaluation based on book value of property. 

9 Quarterly dividend reinvestment. 

10 The evaluation is based on book value, i.e. stockholder's equity of 

a corporation which is not publically traded. Income for 1992 showed 
a $10,000 gain which was offset by carry over losses. No income was 
distributed in 1992, 



456 





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466 



A -5 

Pag*/ oil 



ETHICS M aOVERNMENT ACT • RNANCtAL DISCLOSURE STATEMENT 1992 

BOB CARR 

Cominuatlan ShMl 



SCHEDULE I ■ EARNED INCOME 



Soufc* 

PNC Sfvicas CoipofMion 



TVP* 



Spousa Salary 



SCHEDULE 11 • PAYMENTS IN UEU OF HONORARIA MADE TO CHARITY 




Soure* 


Activity 


Data 


Amount 


Tha Tobacco InstKuia 


Spaach 


January 17 


S2000 


US Tobacco 


SpaaOi 


Fabruaiy 10 


S2000 


Amarican Trucking Awociation 


Spaacti 


April 28 


$1000 


Smokalaaa Tobacco Council 


Spaach 


May 26 


$1000 



SCHEDULE III ASSETS AND "UNEARNED* 


INCOME 












BLOCK A 
Aaaal and /or Incoma Sourca 


BLOCK B 
Valuation el Aaaat 


BLOCK C 
Incoma 


BLOCK 
D 




raiEMVM* 




Tiw 


• 


_ 


rtmOBi 




Apanmani in DC Housa 


F 




Rant 




V 






PrudaniiaJ Ufa Insuranca 


B 




Dividend 










Appla Computar Common Stock 


B 




Dividand 










Gillana Co Common Sux* 


C 




Dividand 




II 






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B 




Dividand 






San 




Amancan Expraa* Muni Monay Markat Fund 


Nona 




Dividand 






Buy/Sell 




Boang Company' 


C 




Dividand 




II 


Sail 




CIPSCO- 


C 




Dividand 




III 






CMSEnargy 


B 




Dividand 






Buy 




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B 




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Buy 




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C 




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Fust Union REPP 


B 




Oivkiend 










NY Stota Qactrc & Gas' 


C 




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III 






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C 




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IV 






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C 




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III 






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B 




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^ 




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B 




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Sat 




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A 




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Shaarson Uhman High Yiald Fund* 


C 




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IV 


Merger 




Shaanon Lahman High Incoma Fund CL A 


C 




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IV 


Merger 



*Tliae nocks wen not owned in 1991 md wen not liiud. They wen mheriied on the deuh of my moiher. Eaoe Can. laaary 3. 1992 



467 



.3 ' 
Pag* f el 2 



ETHCS m QOVERNMENT ACT - FMANCUL DISCLOSURE STATEMENT 
BOB CARR 
Continuation Shsat 



SCHEDULE IV • TRANSACTIONS 





Typa ol Tranaactlon 


Amount 


Idantllleatlen ol Aetata 


Pur, Sala or Exh 


Data 




Boaing 


Sala 


12/3/92 


C 


CMSEna«gy 


Purchasa 


4/29/92 


B 


Chiylaar 


Purchasa 


409192 


B 


KMS Indunnas 


Sala 


12A13/92 


A 


Philadalphia Elactnc 


Sala 


4/3/92 


B 


Upjohn 


Sala 


4/3/92 


B 



SCHEDULE V - UABIUTIES 





Cradltor 


Typa ol Liability 


Catagory 




Shaaraon Lahman Brothars 


Ma/gin Account 


C 



SCHEDULE VI - GIFTS 








Sourea 


BrIal 


DaacrlDtlon 


Valua 


None 







SCHEDULE VII • FACT-nNDING AND SUBSTANTIAL PARTICIPATION TRAVEL 



— 


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awnr— 1 


111 


Tha Tobacco Instituta 


1/1S-18 


OCA-LAX-PSP-OCA 


Y 


Y 


Nona 


No 


/kmahcan /Uriinaa 


2/7-10 


DCA44CO 


Y 


-y ■ 


Spousa 


No 


US Tobacco 


2/10-11 


MCCM>BI-IAO 


Y 


V 


Nona 


No 


Ataoc Gan Contractora 


3/1-3 


OCArOFW-OCA 


Y 


Y 


Nona 


No 


Houtton Matro 


4«1-22 


DCA-IAH-OCA 


Y 


Y 


Nona 


No 


DaHa Airiinaa 


6/7-8 


DCA-ATV-OCA 


Y 


Y 


Nona 


No 


Mann Chambar /Dada Cly Avia 


6/12-14 


OCA-MIA-OCA 


Y 


Y 


Nona 


No 


San Ff«iMa«io Tram Comm ) 


Z^26-27 


DTW-SFO-IAD 


Y 


Y 


Nona 


No 


Dallas /Vraa Rapid Trans* 


.■/9-10 


DTW-OFW-OCA 


Y 


Y 


Nona 


No 


Danny Thompson Mam God 


8/15-22 


DCA^UN 


Y 


Y 


Spousa 


Yas 


OaKa Aiilinas Cong. ChaHanga 


aaz-zs 


SUN-SLC 


Y 


Y 


Spousa 


No 


Navada Ratoit Assoc 


8/26-27 


SLC4JVS-0TW 


Y 


Y 


Nona 


No 


Transit Auih ct Rivar City 


9/13-14 


DTW-SOF-OCA 


Y 


Y 


Nona 


No 


Wash.. Chhstian A Loalman 


9/20-21 


DTW-CLE-OTW 


N 


Y 


Nona 


No 


ShastMatal 


6«6-27 


OCA-TVCOCA 


Y 


Y 


Nona 


No 



SCHEDULE VIII ■ POSITIONS 

DIractor, World Hungar Yaar (uncompanaatad) 



SCHEDULE IX • AGREEMENTS 



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477 



ATTACHMENT A 

The following are Boards on which I served in 1992: 

Education Commission of the Sutes Policy and Priorities Committee, 707 17th Street, Suite 
2700, Denver, Colorado 80101-3427 - Education - Commissioner — 1 year term August, 
1991. through July, 1992. 

Institute for Cooperation in Environmental Matters (ICEM). Ex-ofHcio Member, Suite 800, 
1346 Chestnut Street, Philadelphia, PA 19107 - Public/private organizaiton for the protection 
of the environment. No term 

Jobs for Delaware Graduates, 335 Martin Street. Dover, DE 19901 - School to Work 
Transition Program - No term. 

National Alliance of Business Center for Excellence in Education Board, 1201 New Yoric 
Avenue. N.W., Washington, D.C. 20005-3917. - Board Member - No term. 

RE: Learning National Advisory Board, Chairman - Summer School. 1 7th and M Streets, 
N.W., Washington, D.C. ~ Education - No term. 

National Constimtion Board, Constimtion Place, 325 Chestnut Street, Philadelphia, PA 19106 - 
~ promote public awareness of the Constitution through grants ~ No term. 

National Organization on Disability, 910 16th Street, N.W., Washington, D.C. 20006 ~ No 
term. 

University of Delaware, Ex-Officio Member, Newark. DE 19716-7410 - No term 

Delaware State College, Ex-Officio Member. 1200 N. DuPont Highway. Dover, DE 19901- 
2275 - No term. 



Page 10 of 11 



478 



ATTACHMENT B 

The following are National Committees on which I served in 1992: 

National Governors' Association Executive Committee. 444 North Capitol Street, Suite 250, 
Washington. D.C. 20001-1572 

United Way of America Public Affairs Committee. 701 North Fairfax Street. Alexandria, VA 
22314-2045 

National Governors' Association Strategic Planning Task Force, Chair - Term August, 19981, 
-July. 1992. 

Governors' Environmental Policy Fonrai. EPA Committee, Chair, Waterside West Building, 
401 M Street. S.W., Washington, D.C. 20460 - No term 



Page 11 of 11 



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'V(Li.'«' I CLAY 



>«<! MM) cv* tlltVtCf 



•*OuSI *oaiN«st«AroM 




Congress of the Bnited States 

Doose of UqirMentatmcs 
fDashington, B£ 20515-2501 



May 17, 1995 



Nfr. Don Anderson 
Clerk of The House 



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District offices 



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biclosed please find an amendment to im- financial disclosure. 
1 sent the original list in the envelope with the charities. 

Sincerely, 



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Member of Congress 



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PART VIII - POSITIONS (CONTINUED) 

PARTNER MAYBELLE G. CLEMENT INVESTMENTS 

PARTNER CROSS PLAINS PARTNERSHIP 

BOARD MEMBER BOARD OF TRUST, CUMBERLAND UNIVERSITY 



PAGE 14 
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HOWARD COBLE 






^ '■'^^^ 



JUDICIARY 
MEf<CHANT MARINE AND FISHERIES 



334 WtST MAiiKfT SmicT 

GmtNtMim. NC 27401-2544 

Pnom; (9 1 9) 333-5006 

Fax: 1919) 333-5049 




''333 MAT 26 « 7: 57 «J 



tonsttHi of ti)e ?Hniteb ^tate£i 

^ou2e of i&eprenentattbetf 
niastjington, SC 20515-3306 

Nby 25, 1993 



NC 27203-5659 
Pnomi 19)91829-3090 
Fax 1919) 636-4533 



ui NC 37353-0814 
<■ 1919) 339-0159 
1 (919) 328-7974 



M PoiWT, NC 37393-' 
^OHI 19)9) 886-511 
Faa |919)e86-874< 




The Honorable Dcnnald Andersen 
Cleric of the House 

c/o Office of Records and Registratioa 
1036 Lcngviorth House Office Building 
Vbshingtcn, D.C. 20515 

Dear Derm: 

This is to amend Schedule IV of my 1992 financial disclosure statement. 
Ttiank you for your assistance with this request. 

The first transaction en the schedule, 1840 Villa Drive, Greensboro, 
North C&rolina, is listed a3 a purchase on 3-12-92. It should have been 
listed as a sale en the same date. 

Thank you for adding this to my 1992 financial disclosure statement. If 
you need additional infontHticn, please do not hesitate to contact ne or my 
achdnistrative assistant Eld McDonald. If there is anything eur office may do 
to assist you, please do not hesitate to let us knew. 



Sincerely, 

HOWARD OCBLE 
Msirber of Congress 



REPRESENTING RANDOLPH COUNTY AND PORTIONS OF ALAMANCE DAVIDSON DAVIE GUILFORD AND ROWAN COUNTIES 



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Maabington, D.C. 20S15 



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Plaaaa find oncioaad harawitb ny Aaondad rinancial 
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572 



€ongxtii of ttie IHniteb S»tatti 

J^ouit of j^eprestentatibefl 
aiaisl)ington. SC 20515-1003 

June 11, 1993 



Donnald K. Anderson HAND DELIVERED 

Clerk of the House 
H-105 Capitol 
Washington, D.C. 20515 

Dear Donnald: 

Yesterday I picked up a copy of ray Financial Disclosure form 
on June 10, 1993 and noticed that unfortunately due to clerical 
error my worksheet rather than the final copy of the form was sent 
to your office. I realize this was an error on my behalf and would 
like to amend the disclosure with the following information that 
was inadvertently omitted. 

On Schedule 1-Earned Income form, the amount of salaries for 
myself should be as follows: 

Collins Trucking Company, Inc. 104,355.78 
State of Georgia 9384.91 

State of Georgia 2785.00 

I have enclosed a copy of the Schedule 1-Earned Income form that 
has the above information in the proper location. 

I apologize for the ommission and any extra work this has 
caused. Thank you for your time and help in this matter. 

Sincerely, 




yVo^tc^ Cr(jL^ 



MAC Collins 
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605 
Hancock Bank Trust Department 



— «T«TEIKVr OF AnCTt— 12/31/92 PACE 1 



MCOUHT MMK> a-31U-e2 NMICOCK UK AM OFF - MM 

TRMTEC U/« >T> 12/>l/«e KITH IHV OFF - M 

MTMm V. IMft no NMTIU HITAM WkVI 



•aCMPTIOH MIW VM.UC WIT FtlCC HMKET VM.UI 

— CAW CNIVALCMTI ~ 

— Mira MTn » mmet hkt fwm ~ 

9.4M.eO 



2iUS.OO 



1.123.00 • 
••123.00 M 



9.430 


TWUtT MMTT MMTT ACCOUNT 
(FOS ACCTt) (FKIII) 


9.430.00 


2.M9 


TWIT MWET HAItKET ACCOUNT 
IFCRS ACCTI) IIMCOHE) 
•• tmtTEB IMCOHI at 


2.U9.00 




TOTAL NAtTn WTU 1 MMET MKT FWBS 


0.123.00 




TOTAL CASH COUIVALIMTa 


0.123.00 



— V I ODVDMOIT 

10.000 U.t. TaUMRT NOTE IX Otfn.M 102.7100 M.iri.fO 

•T> 011990 MS 001999 

— FDOIAL AfiOKin — 

10.000 FNM HDIUM TIM NOTE 7.7«t 10.000.00 104.A2S0 10.4*2.90 

ME 109090 tCtUMLl 109094 1001 

— GOVT NATL NTC AION INVBT FVM9 — 

097.204 FOOUTn ONHA FVMB 001* 10.000.00 11.A900 10.02I.A9 

TOTAL 90IM FEDERAL W DU W EI IT 29.973.19 30.794.09 • 

TOTAL MHM 29.973.09 30.79«.e9 •• 



606 
Hancock Bank trust iiepartment 



—tTATOCHT or Mm*— l2/SI/f2 r«ci 2 



ACCOUNT wwai n-9iu-«2 nmkock mm ADM off - mm 

TMIOTEE U/* on 12/ll/M MITN IMV OFF - P« 

MTNUt V. MkVt FMI HMTN* ItVMI MTI 



KSCIIIFTlOa BOO* tMUK HIIT FtlCC WkM(ET VALUE 

ItOCK — 



nocK imandiT co. — 

— MmML FWN I COLLECTIVE FUND — 



390. tA« FIKLtrv KCa FS 

OraHTH % IK FIMTFOLIO FWB 127 



TOTAL COMBH OTOCK 



— MKCLLAKDUI — 
— MOCBXAIKSM AiKTB — 



1/3 laT II KTtMLIC NAT'L LIFE IM 
ML •IV3A42 



TOTAL mOCtllAWOW 



TOTAL AOOrre 48.tV7.09 4S.7V7.A9 SM 

IKOHE CAM .01 .03 

FIIKINL CAM 09.09 49.09 

TOTAL CAM A AOOHO 49.144.89 49.044.91 



— LIAtlLITIEB — 

— MTU FAVAIU KCUa — 

1/3 lOT U KMBLIC MT LF INB Mns 2.08V.07- 2.N«.07- 

ACAIHST FOL OIVSAAl taWINC 
CKAHFORt CLIVCLAM 

TOTAL LIMILITin 2.0SV.I7- 2.MV.0T-** 

TOTAL mi VALUE 42.3M.AA 42.«04.44 ••• 



607 



Hancock Bank Trust Department 



TMUtMCIIONS fOfc nklOb 
10^01/92 - 12/31/92 



ACCOUNT mmfeEK ij-iiti-a 



HANCOCK BANK 

TRUSTEE U/A DTD 12.31/60 WITH 

ARTHUR V. HAYS FBO HARTHA BRTAN HATS 



AOn OFF - NHH 



09/30/92 BALAHCEl i.AtT PERIOD 



10/01/9: FEDEDATCt tmk ruNC (OU 
INTERES' Owl e» 30-92 



INCOME 
44.23 
66.29 



PRINCIPAL 

.22 • 



IHVeSTHENTS 
44.»23.8S • 



10 01/9;- TRus'' i«)«ir« •••ket account 

lNTE<iES' i^Cri.ct 



6.79 



10/01/9: TRuS' HD"!-' "aAiiET ACCOUNT 

(PER& Ac:i& >p(iitj 

INTEREST RECEIVED 
10/01/92 TRUST HONE' MARKET ACCOUNT 

iPERS AccTti lunmE) 

KPOSM 



10/23/92 FEE FOR PERIOt EnOInC 10/20/92 

10/26/92 TMST ROCY haRRET ACCOUNT 
(fCRS ACCTSI IINCOHE) 
REKEHED 



SOD. 00- 
900.00 



900.00- 



10/30/92 FWM MEDIUR TERR NOTE t 7.70X 

DUE 103091 (CALLABLE 103094 • 100) 
INTEREST ON 10.000 PV 

11/02/92 FEDERATED CHH* FUND 1016 
INTEREST DUE 10/31/92 



11/02/92 TRUST MMEY MARKET ACCOUNT 
(PERS ACCTS) (PRIN) 
INTEREST RECEIVED 



IS. 2* 



11/02/92 TRUST HONEY MARKET ACCOUNT 
(PERS ACCTSI (INCOHE) 
INTEREST RECEIVED 

11/02/92 TRUST HONE* K4RKET ACCOUNT 
(PERS ACCTSI < INCOHE I 
DEPOSIT 



12/01/92 FEDERATED CNfl* FUND t016 
INTEREST DUE 11/30/92 



Hancock Bank Trust Department 



TRANSACTIONS FOfi fERlSD 
I0/0I/V2 - U/3I'»: 



ACCOUNT HUflic^ ;j-:tij-o; nancock bank wn off - nun 

Tit;;STEE U/A DTC 12/]l/t0 hHH 
ARTHUR V. NAYS FRO NARiHA RRIAM HATS 

IHCCNE PRINCIPAL INVESTNENTS 

):/0i'«: lAjsT ncii:> 'ii^i^aEi account i«.4| 

iPt^S ACCTS- 'PMNi 
IN'EREST BECEIVED 

i;/0!'»: iRi'j' «oi:» it^'-E' >:couNT t.t! 

ifE'5 »:::;! iiscoiE' 

i.os •>. 'Hi.:-' SECs ft •:.■?: 

CRC<TH i INC PORTF^.IO FUND 127 

civ: OK 3t:.;6e sh: t .2299t per eh 

l7/0b">2 FIDElITt sees FD U.hl 

CROUCH V Im: FOR^FOlIO fund (27 

lOh: TERn CaFITal kAlR BIST > 

0»i 350. ««e ShS • .11000 PER BH 

i:/0»/92 F1B£LIT> SECS Fl 7.02 

CROUTM I in: FORTFSlIS fund 127 
SHORT TERN CAFITAl. CAIN DIST 
ON 3S0.9kB SHS I .31999 PER BH 

12/09/42 TRUST NONE* HARkET ACCOUNT US. 00- tU.OO 

(PERS ACCTS) (INCONE) 
DEPOSIT 

12/31/92 ENDING BALANCES .13 • 4S.B5 • 4S.097.S5 t 

( LIABILITIES 2.BS9.B7 •) 



609 
Hancock Bank Trust Department 









TRANSACTIONS 
10/01/»2 - 


FOR PERIOD 
12/31/»: 




12/31/92 


PACE 3 


• UDJ^■! HU"i:- 




HANCOCK BANK 

TRUSTEE U/A DTD i:'31.'60 HHH 

ARTHUR V. HAYS FBD HASTHA £(.YAN 


HAYS 


ADH OFF ' 


- nun 








IRAN^A 


INCOnc 




fr;n:;pal 


INVESTBENTB 


09'33'9. fc». ••.:.- 


. .«:• »tt;:D 






M.J3 • 




.22 • 


44.823.89 • 


C«?- ft 


-i>-; 






'30. tC 




45.63 


.00 


c»b- :: 


Et.-'il^t'.T: 






500.03- 




.00 


.00 


S*lES 


c,ir«. c-'-iES 


AND 


OTHER 


500.00 




.00 


500.00- 



ASSE^ CiANCES 

FyR>«E-E. C«PnA. CHANCES AND OTHER 774.00- .00 774.00 

ASSET Chances 

12/31/92 ENDING 6»-»«i:ES .«3 • 45.85 t 45.W7.85 t 

( LIABILITIES 2.859.87 t) 



610 



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Rosa L. DeLauro 
49 Huntington Street 
New Haven, CT 06511 

House of Representatives, CT, 3rd District 

ATTACHMENTS; BASIS OF VALUATION 

Statement I. schedule III, page 3 
Political Properties General Partnership 

D.C. Assessed Value « $690,000; 30% share » $207,000 
No net income 

Statement II. schedule III, page 3 
Greenberg-Lake , Inc. 

Shares value based on net book value of incorporation at 
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Letter from attorney setting out outstanding mortgage and 

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767 



FINANCIAL DISCLOSURE STATEHENT FOR CALENDAR YEAR 1992 John D. Dlngell 

SCHEDULE III - ASSETS AND "UNEARNED" INCOME Page 1 

Asset XAlllB ZXBfi Ineoae aaount Tranaaction 



American Express Daily 
Dividend Fund 



B 



MFEarnings 
Dividends 



Balcor Pension 



Interest 



Shearson Lehman Brothers 
Appreciation Fund CI B 



Dividends 



Keogh Money Purchase B 
Shearson Lehman Brothers 



Dividends 
MFEarnings 
Cap. Gains 



Allied Cap Coml Corp 
(Keogh) 

Allied Capital 
Corporation II Maryland 
(Keogh) 

America First Finl Fund 
1987-A Ltd Partnership 
Ben Unit CTF 
(Keogh) 

Bergstrom Cap Corp 
(Keogh) 

Boeing Co 
(Keogh) 

EI DuPont DE 
Nemours & Co 
(Keogh) 



Figgie Intl. 
(Keogh) 



Inc. CI A 



Dividends 
Dividends 

Dividends 

Dividends 
Cap. Gains 

Dividends 
Dividends 

Dividends 



II 



II 



768 



FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 1992 
SCHEDULE III - ASSETS AND "UNEARNED" INCOME 



Asset 

GTE Corp. 
(K«ogh) 



Cabell i Equity Trust Znc 
(Keogh) 

Intl. Business Machines Corp 
(Keogh) 

TCW conv. Sees. Fund Inc. 
(Keogh) 

General Motors Accept. Corp 
(Keogh) B 

American Express Credit Corp 
(Keogh) B 

National Rural Utilities Corp 
(Keogh) B 

Morgan J. P. 6 Co. 

Inc. Zero Cpn 

(Keogh) B 

Sears Cr Account 

Tr 1990-C 

(Keogh) B 

Alliance New Europe 

Fund I no 

(Keogh) B 



Value 


TWt 


B 


Dividends 


B 


Dividends 
Cap. Cains 


:orp 

B 


Dividends 


B 


Dividends 



Hyperion Govt. Mtg. 
Tr. Ranieri 
(Keogh) 



B 



Shearson Lehman Brothers 
Appreciation Fund CI A 
(Keogh) C 

Shearson Lehman Brothers 
1990s Fund CI A B 

(Keogh) 



Income amount 



II 



John D. Dingell 
Page 2 

Transaction 



Interest 



Interest 



Interest 



Interest 



Dividends 



Dividends 



Dividends 
Cap. Gains 



XII 



II 



II 



II 



769 



FINANCIAL DISCLOSURE STATEMENT 


FOR CALENDAR YEAR 


1992 


John D. 


Dingell 


SCHEDULE III - ASSETS AND "UNEARNED" INCOME 




Page 3 




&ftfi££ 


Value 


Type Income amount 


Transaction 


(S)Gabelli Valu* Fund 
Inc (IRA) 


B 


Dividends 


II 






Nicholas Fund, Inc. 
(IRA) 


C 


Dividends 
Cap. Gains 


III 






Acorn Fund 


C 


Dividends 
Cap. Gains 


III 






Evergreen Funds 


B 


Dividends 
Cap. Gains 


III 






Janus Twenty Fund Inc 


C 


Cap. Gains 
Dividends 


II 




X 


Monetta Fund Inc 


C 


Dividends 


II 




X 


(JT) Tejnpleton Value Fd 
(Pension Plan) 


None 


Cap. Gains 
Dividends 


III 




X 


(JT) Zweig Total Return 
Fund Inc 
(Pension Plan) 


None 


Cap. Gains 
Dividends 


II 




X 


First American Bank 


E 


Interest 


IV 






Nat'l By of Detroit 


C 


Interest 


III 






Mobil Stoc)ts 


B 


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I 






Mobil Bonds 


None 


Interest 


I 




X 


Woolworth Corporation 


B 


Dividends 


II 






Quantum Chemical 
Corp Stoc)c 


None 




none 




X 



Selected American 
Shares 



Cap. Gains 
Dividends 



770 



FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 1992 John D. Dlngall 

SCHEDULE III - ASSETS AND "UNEARNED" ZHCOME Page 4 

Asset Value XU2£ Income aaount Trttngftgtign 



Shearson Lehman Brothers 
Appreciation Portfolio B 



Municipal Bonds B 

Oakland County, Michigan 



Dividends 
Interest 



IZ 



Shearson Lehaan Brothers 
Aggressive Growth 



Fund CI A 




B 


Dividends 


I 


(S) American Express 
Daily Dividend Fund 


A 


Dividends 




(S) Crystal 


Brands Inc 


A 


Dividends 




(S) General 


Electric Co. 


B 


Dividends 




(S) General 


Mills Inc. 


B 


Dividends 


II 


(S) General 


Motors Corp 


E 


Dividends 


IV 


(S) General 
Corp CI E 


Motors 


B 


Dividends 


II 


(S) General 
Corp CI H 


Motors 


B 


Dividends 




(S) K Mart ( 


;orp 


B 


Dividends 




(S) Marsh & 
McLennan Cos Inc 


B 


Dividends 


II 


(S) Pepsico 
North Carol 


Inc- 
ina 


C 


Dividends 


II 



771 



FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 1992 
SCHEDULE III - ASSETS AND "UNEARNED" INCOME 



Asset 



Value 



(S) Praxair Inc B 

(S) Procter t Gaable Co B 

(S) Union Carbide Corp B 

(S) Unisys Corp B 

U.S. Series H-Bonds B 



(JT) Congressional 
Federal Credit Union 

(S) General Motors 
Deferred Savings Program 

(S) General Motors 
Pension 



ZUB£ 

Dividends 
Dividends 
Dividends 

Interest 
Interest 



Income amount 

I 
I 
I 
none 

I 

II 



John D. Dingell 
Page 5 

Transaction 

X 



N/A as pension is vested. 

No actual value can be fixed. 



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837 



Font, 1040 U.S.tndlvldual Income Tax Return 19921 m..«».,-D.~..«<i.». 



OM».N«. iia-«or« 



• •««»• CAR-RT-S0RTi<«CR90 
BF f>9l-t,i-lSlS 350-3«-5292 S09 SO I 
RICHARD J t LORETTA H DURBIN | 
1S2S S BATES AVE OSi $ 

SPRINGFIELD XL «2704 



PrMMMTUI ^ Do 

ElacOon Canpal^ • 
(S>«B«a»ioT r ■« 



RBng Status 

(Sw pag« 10 ) 



you wmn $1 B gs ID Mi luntf? 

tpmi imm. doo youc ipouw w«nl ti i» go lg Wi luntf? 



Your aoclal McurlTy no^ 
493-46-1338 



Spoua«*> •odal ■• c ur lt y no. 
350-36-5292 



F«r PiTvKy Ad an^ 



Mtm»d Mng |oM iMum (man • ony on* hod ksora) 

Uwlv* tUnfl MMAta r*«im. Cnlaf i»MM«^ »l*l •••^ * !*• ■•■• *•«• ► 

HMd ot houMhoM (w«i quaitying ponon) (Soo p<o> ii) ■> QuaVytng pown k • cMd but not your dtpondon. 

oniar cNtd't namo horo. ► ^ 

Quiltying «>tdow(«0 wtlh dopondom chta (yt ipouoo a*d ► 19 tgoopofloll.) 



Exemptions 



n more than to ' 
dependents 
•oapege 12 



Voureetf . » y*m Mfsni 11 



i#«A««nl«M Maw lMrkara«ini,dO 









not-, Na.sfboKM 



COepondenli: 




* Vi««MtaMirs MCUr 


(4) OwMaa-Ti 


lite.': 


Jennifer Durbin 




340-76-4396 


Daughter 


12 


Paul Durbin 




348-74-6256 


Son 


12 











































■ Toiai numbef ot exempaona daimed 



IftM «bev« ^ 



7 ~., 



t Dpk. vu. Anult Fef«(tlW-2 



n you did nol 
gellW-2. Me 
pages 



Attach check or 
money order on 
top ol any Forms 
W-2 W-2G or 
1099-B 



Ba Tuable inlareet Income Attach Schodule B II over $400 

bTai -exempt wt»<Mtitic«i>*(M«^9« 1st. 0ONmAc*««* •<« kA« 1 
B Dividend income Attach Schedule B V over $400 

1 1 AkTiony recerved 

12 Businoss incomo or (lo«9). Attach Schedule C < 

13 Capital gan or (loss) Attach Schodula 



rC-K 



14 Capital g«n Aslrlbutloni not raponod on ino 13 (aaa page IS) . 

15 Other gains or Ooaaoa). Attach Form 4797 

IGaTotallRAdslrlbutloia .. |l6a| | b Jaxal 

17a T.u. ,........»...<... 

18 Rents. royalDee. partnarshipft, astatea, trusts. 

1 9 Farm income or (loss) Attach ScheduJ 

20 Unemployment corrpensaOon 
21a Soaal aecunty benenta 
22 Other irKome 




23 Add tt>e amounts in the tar right column lor Inee 7 through 22. Thfa to your total Income ► 



m 

±_ 

20_ 
11 

12_ 
13 

11 
J5_ 
16b 
17b 
18 

li 
20 
21b 

ii 
22 



1,800. I 



-3,000. 



147,975. 



Adjustments 
to Income 



24a Your IKA deduction iron tpptUbU •orUr>»t on IM0* It or 2 
b Speuto'o IRA doduction from appbcoblo workihoot on P08« It ot 

25 One-hail ot selt-ernployTTieni lax (see page 20} 

26 Sall-omplorod hoAltri Inswrwco toduction (ooo poQO 70) 

27 Keogh retirement plan & selt-employed SEP deduction 

28 Penatry on early withdrawal ol savings 

29 AJinxjny paid.Redpienrs SSN ► 



30 Add lines 24a through 29 These are your total ad|usttnent P 



127. 



Ad|. Gr Income 31 Subtract line 30 from ine 23 This Is your adjusted grosa Income. ► 



147.848. 

Form 1040 (1932) 



838 



^vm^oto{^m^) Richard J. t Loretta M. Durbln 



493-46-1338 Pig»» 
|32| 14 7. B48. 

34 14.906. 

.... S5 132,942. 



Tu 

Compu- 

laUon 



32 Amoun kcm In* 11 (adMMd gn« moons) 
33a CKMir []vou.».n...M>. Qeind; 



D 



Add ma nun** ol bona OMCkad •ton and anw I 



u«.ia«. QHnd. 
►•33a 

b ■> your parani (a aomaona aha) can cWm yeu aa a dapandan. chacli Kara . . » 33b 
C I you ira manlad ang aaparaMir and your «>oiiaa kanOaa dadudona or you ^ ,,. 

vaa du«-auba *iv aaa p^a and ctadi Kara »33C 

34 EMv , llaia te ad daducaena tr.. ac»»«.ii «. >» » OH 



(tandaiddaductton •«•••>«•.<«>«««>«,. au^ a<ll ■ you ctwdud 



• UMTt««aiMi>Bifinir*.OMifytAflwi«««(«n — M.eM 
' a MMiw«MiitMawat*tr — n.Mo 
Subnet Ina M kom Ina 12 



n you want 
ma IRS to 
figura your 
t«». aaa page 
23 



35 

36 ■ ma 12 k t7l.a90 or laaa, nuMply tzjoo by fta loul numbar ol agcanTptona cWmad on 

Ina (a ■ Ina 12 b ovar tTt.sSO. ••• aw wo rtu haai on paga 23 kx Via amourt id anar 

37 TauMa Inooma. Subvact ina 3t kom Ina ISK Ina 3< li mora than Ina IS. anar -o- 

38 tnm u> Cnack ■ kom a [] Ta> TaUa. b g Tax Rata Scnadiiaa. c [] Schadula 0, 

0* dQ Form»6i5 (aaa paga23).AjMeHnt.>f««r. fre*f*raiU)Mi« > a 

3S Addaonal uiaa (laa paga 23) Chat* ■ kom a Q Form 4(70 b [J Form 4»72 

40 Add Inas 3a and 3> I 



9.200. 



123.742. 



31,111. 



31.111. 



41 



Credits 

(See page 



43 



42 Cra<*i lor the aidarty or iha disablad Anacn Schadula R 

43 Foraign lax cradll ASacX Form 1116 

44 Other cradlB (>•« paga 24) Check II kom a [] Form 3aoo 

b [] Form 1396 c [] Form SBOI d [] r«>» 

45 Add Inas 41 itvough 44 

46 Sublacl Ine 45 kom Ine 40 11 iiw 45 Is more than Ina 40. enter -o- 



41 



42 



31.111. 



Other 
Taxes 



47 SeK-errploymera ta> Attach Schedule SE. Abo. aae Ine 25 

48 Anamalhx mnirum ta> Attach Form 8251 .... 

49 Recapture taxes (see pege 25) Cnedi > kom a Q 

50 SooAi .Mifntir wid UaecA/a u. on up Micvaa not rapertsA ts ampler** AnacK ( 

51 Tai on quaJHied remmenl plans, lnckj<tng IRAa. ABach Form 5329 

52 Advance earned Inoorrw oadit paymanls kom Form W-2 



bQ..,.»„ .Q. 



53 Add Inas 46 through 52 Thn is your total ta» 



254. 



Payments 

Attach 
Fomts W-2. 
W-2G. and 
1099-Rlo 

pager 



rtaftyu 



99 itSI uniMi.d U«p«r**nUaf*«a«oufi1kppi«d IrONt Itti rpturri 

56 Earned Irwome crerflt Anach schadwi* cic 

57 Amount paid with Forni 4a6a (axtenaion request) 

58 Eicaaa aaoal aaointy. Uadicara. ana RRTA laa wllhhaia (laa paga X«) . . 

^,.j.«,U(...pa,am ,[]f:om,243B bQFonn413« 



59 



32.692. 



60 Add ines 54 through 59 These are your total paymena ► 60 



32.692. 



Refund or 
Amount 
You OiMe 



It bna 60 ia mora than line 53. subvact irw S3 kom Ine 00 Ths b the amount you OVERPAID > 

62 Amount ol Ina 61 you want REFUNDED TO YOU ►• 

63 A«o»,i«i»A.piw-a«i APPUEDTOVOUR 1993EST. TAX > | 63 | 0. 

e4 II Ine 53 B more than Ine 60. subtract Ine 60 kom Ine 53. TNs b the 

Attach checii or money order lor lufl amount payatte to Internal Revenue Service ' Write your 
name, address, sooai security number, daytime phone number, and ^992 Form 1040^ on It . . 
65 Esamated tax penalty Also Induda on Ine 64 I 65 | 



1.327. 



1.327. 



iiHiliWiiiWJIIIiiiiWiPl 



sign 
Here 

Keep a copy 
of tNs return 
lor your 
racorda. 



Spouse's signalure. II joinl return, BOTH must sign. 



S achatfulaa and auiaitia.>u. ana to tha b. 
u*a eft all vilariHation of which prapa/a. I 

Your occupation 

Congressman 



Spouse's oocupalon 

Civil Servant 



Paid 

Preparer'* 
Us* Only 



Preparer's 
signature 



Rrm'B name (or yours 
a aan-employed) 
and addreaa 



ajoryours . Francis H. Bz^ 



► i-tciii.-j.a u. Bz^lev. Ph.D 
114 Seminole Drive 

Sprinqfielii. IL 



Data CKeek H Praparar'a aodal sacuiky no 

04-03 -93 ""-' -""" g_ 146-^8-8672 



JS^„.,^ 



839 



SCHEDULE A 
(Fomn 1040) 



Schedule A — Itemized Deductions 



► *»«Ji a Pomi 1040 ► So ln«»\iC«on» toe Scti»aul« A (Fomi 1040). 



OMBNO.1M5-0074 



1992 

S»qu»nc»No. 07 



Nan«<l) tfwwn on Fofm 1040 

Richard J. t Loretta M. 



Durbln 



Your social aacuilly nunbar 
493-46-1338 



Madlcal 
and 
Dental 
Expanaat 



CauVon: Do nol Induda annniii raknbunad or piM by oOiari 
1 Madcn and danul a^anaaa. 1 , 026 



2 Eraar aniDuni Inyn Form 1040, Ina 32 . 

3 Mutiny ina 2 abova by 73% (.073) . 



I 2 I 147.848 



IP 



11.089. 



4 Subgaci Ina 3 Irom Ina 1. H laro or laaa. amar-o- 



Taxes 
You Paid 



(See 
pageA- 



5 Slala and local Inooma taxaa 

6 Real aaUU taxaa 



7 Ottwlues ► 



2.911. 



8 Add ines 5 through 7 



7.592. 



9a Home mongage inlerast and points raponad to you on Fofrn 1066 
b Home mortgage Intarast not reported 10 you on Form 1060 n paid 
to an i/Kftvidual. stiow that parson's name and addreaa. ^ 



Interest 
You Paid 

(See 

page A-2) 
Nola: 

interasi B 



deductible ^2 Add Ines 9a through 11 






CauDo 
13 ContntxAons by cash or chadi 



3.924. 



Gins to 

Charity 



(See 
page A-3 ) 



14 Other than by cash or check If over $SO0. you MUST 

attach Form a2B3 

15 Carryover from prior y»ar 



3,983. 



16 Add tnas 13 through is » 



3.983. 



c^ujuy. Th.ti 17 Casuany oi then loa3<as) Attach Form 4664 (See page A-4 ) ► 17 



Moving Exp 18 Moving axpensaa Attach Form 3803 or 3»03F (See page A-4 ) ► 18 



19 UfvuBburMdaapLk^. If rs^i^ad. yeuMUST a 

Form 2106 Amount 



■ 2io«.(S*»pe.*-«.)^ 
3.277 



Job 

Expenses 

and Most ** Total ref lects t3.000 Statutory Limitatinr^ pfeli 
ulltet- I RC 162(a1 for Washington. DC Livini 
laneous 20 other anpensas. ► Expenses for Members of Con < 
Deductions 1991 Tax Preparation 225 

Pro fes sional Dues 140 

(See 

page A-5 (or 

expenses to 21 Add ines i» and 20 

deduct hare ) 22 Enter amoum trom Form 1040. Ina 32 
23 Multiply ine 22 above by 2% (02) . 



I 22 I 147.848 



m 



2,211 . 



365 
3,642. 



2.957 



24 Subtract ine 23 trom ine 21 It zero or less, enter - 



other 25 Other - Horn ist c 

MIscellaneoua 

Daductloita 



I page A-s Usl type and amount > 



Total 

Itemized 

Deductions 



26 la the amount on Form 1040. Ine 32, mora than tlOS jSO (mora than U2,S2S It 
married Hng aaparaWy)? 

• NO, Your daducton la nol imitsd Add Ones 4, s, 12. 16, 17, IS, 24, and 2S. 

• YES Your deduction may be Bmrted See page A-5 lor ttie anvunt to enter, 
CauHon: Be sure lo enter on Forni 1040. ine 34. the UkRGER ol the annount 
on ine 26 above or your standard deduction. ^^ 



Ha96 For Paperwork Rerfcictlon Act NoHce. aaa Form 1040 InstnjcHorta. 



Schedule A (Form 1040) in3 



840 



Schedule B — Interest and Dividend Income 1992 An«cMn«nis»qu»nc»No oe omb wo. i»4s-oeT« 



NonaO) •noam on F«>Tn 1040 cm m «a •«• «>< 

Richard J. t Loretta M. Durbln 



VoursocUl Mi ii rt t y uwbf 
493-46-1338 



Pari I 

Intarast 

Incoma 



■ mu had o«« »400 m ttou* k 
bonoi Mu«d riHi lan. mu m 

(noofw. )mi nual rin oonipMi 
you i mj Mwi a f¥ piM aoouad Ira 



avMi mooma. on tn datnng *<• aolUiion ot Mma kom Hrta E£ U.S (ntngi 

■ in m p l«ii Pa pari Urn ALL nrai you noatv*d. H you had »ar (MX) In tnaUa mam 
Pm III n you raoatvad. aa a nomnaa. Maraal Ihai acuaty babnga B anolhar panon. or 
nai on aacwIHa vanaianad ban nan Iraaiaat payman dalaa. aaa p^a B-i 



and B-1 I 

Kola n you 

10W-INT fvm 
lon-OiD 01 
aubamuia 
atalamanl. kon> 
a broliaraga Irrn 
tatmalmt 
nama ai tha 
payar and w^ar 
Iha totar imaraa 



Cradit Union One 4157001 



Hadson Petroleum 001 000001325 



Conqressional Fed. CU 80596 



First of Anerica 00-0116417-; 



Merrill Lynch 



From Partnerships and S-Corpa on K-ls 



2 Add Iha amouna on Ina i 

3 UokidaUa Manal on aartaa EE U S Savingi bonoi aauaa Mai IMS Irom Fonn 
n^s Ina 14 You MUST aBach Form sai9 id Fonn laao 

4 Subttaci kna 3 ^n> Ina 2. Entar (ha rasuR hara ar^ o^ f o#w. loao Ina Ba 



Amount 



22. 

62. 

373. 



52. 

19. 
1. 



Part II 

OMdarx] 

Incoma 



1 you had ovar $400 r {^oai Avidandi andyor olhar i 

1 nonnnaa. tfvtdands mat acTuaty baiong id i 



1 aKtck. you mjat oompiata INt pan and Part III. 
V panon. saa paga &*i. 



ioes-Div. or 
aubaQTuta 
tuiamanl from 
a brokaraga 
(rm. Ill Iha 
firm's name as 
tha payar and 
anier tha totar 
dnndands shown 
on thai form 



Drvldand Inoonw 


Amount 


S Lai nama oi payar Inauda on Iha Ina capnai gam amiijaona nomaiabla disclb.. ale. »- 

Merrill Lynch 441-22485 


s 


111. 


A.G. Edwards 


46. 














































6 Add Iha vnouna on ina 5 


6 


157. 


7 Capita gan its>ibiitk>na Emar hara and on Schadula D* 7 


H ill 




8 Nomasabia (tambuiiona (Saa Iha Inai lor Form 1040. Ina s J 8 


ill tj? 




B AddlnasTandB 


B 




10 Subeaa Ina • kom ina 6 Emar Iha raaull hara and on Form 1040. iiw a > 


10 


157. 



* I you racarvad capital gan dblhbutions but do not need Schedule lo report any oth« gana or 
Jr^uctons lor Form 1040. Inaa 13 and 14 



loaaea. ase Ihe 



Part III 

Foraign 

Accounts 

and 

Fora<on 

Trust* 

(Sea 

pagaB-2-) 



It you had over $400 ol liwraat or itvidandi. OR had a torargn account or ware a grantor ol. or a tamtaror lo, 
a loraign vust. you mjsl oorrpMa this part 

11a At any ame dunng 1892. dd you have an inlaresi in or a agnalure or other ajthortty ovar a Inandal account 
In a loraign counry. aidi aa a bank account lacurtiiw aooount. or other tnancW aooounlT Saa pm* B-2 

lor aicepKna and Mng requramenis lor Form TO F SO-ZZ l 

b It "Vaa." enter the nama ol Iha loraign munvy » 



12 



Ware you tha i^anlor ol. or tanslaror to. a loraign trust thai existed during ^t^^. wlwhar or not you have any 

baneVial iniaraai m r? B 'Yaa.' you may have lo We Form 3Sao. 3520-A. or B?6 

Hasc For Papennort Redudkin Act NoDoe, aee F am 1040 Irutructtona. 



Schedule B (Form IMO) 1992 



841 




Profit or Loss From Business 

(Sok PiQptMDntUp) 
> PtnnaraNp*. |oM nraurw. «c. tnu« ■• Fonn loas. 
» AaMh >» Fc«m 1040 or Fomno<l » 3«« ln«»ucfc>n» lof Sch»dul» C (fomi 1040). 



out N*. 111! — M 



1992 



Lor«tt» W. txirbin 



SocW Mcajrlly miobw (SSN) 
350-36-5292 



Con»ultlnq 



6882 



Lor«tf W. Durbin 



D Eiii|>4ey« 10 no. OM SSM) 



E jSiiXZS' ► 1525 S. Bates Avenue, Springfield, IL 62704 



(1)ac»h (2)ljAexnj.l (3)[JOlh«(n>«dly)> 



H MM t»w ^ i-»-pi ■ •nsratlAMp «uwi«««a. o»*ti, or vshuvena b«lw*«n •pwunf an4 B^owf «i<'«Mt*ryT tt ^■•.'attsch »!»hwrtcil 

I DM vDi. 1 I— nrfi p«r»cipaia* m th* opwaiton ot thb buatnaat during i W27 n >k).* ••• pag* C-2 tor Imttidont on loasaa . 

J Wm »w iiii« — w\ opwaoon ai the and of 1092? 

K Ho« mwt 'vo/** wM Ditt bu«neas in operaDon durlr^ 10927 

I M fcf* Scrwouia C Ited tof the buwness, check here 



Yw 


No 






X 




X 




12 



I Part I |lncom « 



1 


Gma rvoaoa » Ml«9 Caution: 11 the income was reporteO 10 you on Fofm W-2 and Iha "Statutory 

injajy" boi or mal lonn was chacited. aee page C-2 and check here ^ Q 

Rea^TM and i*owances 


1 


1 


800. 


2 


2 




3 


SuDtaa ma 2 »om Ina 1 


3 


1 


800. 


4 


Cos ot 0oodB aoM (¥om hne 40 on page 2} - - 


4 




«> 




5 


1 


800. 


6 


Oow nsma rckdng Federal and «aia gaaoDne or tuel ta> crecti or lalund (aee page C-2> 

Craea mocma AOd ines SandS ► 


6 




7 


7 


1 


800. 



[Pari H ] tupfwm fCatfltonr Do no! antei axpensea tor bugrwas uaa oi your home on ines e-27 Instead, saa 



ine30.) 




I Dapraoaaon vx5 aacbon ITS 
wpanaa aaoucfton (ml tnd 
^ >vl III) {•*• Pi^C-3) . . 
I Enpk>y«a bana* programs 
(olhar Ihan on Ina IB) . 
S IfBuranca (oThar ffian health) 
> immmst 
a Uongege (patd to banks, ale ) 
b Other 

3 Ofbca expense 

) Pansnn & profti-5henng piens 

3 Aerrt or tease (aee page C-4): 

b Other busif^ess property 



21 ftapaln and mainlanance .... 

22 Suppbea (noi indudad in Pwi 111] 

23 Taxes and ioanaaa 

24 Travel, meals. & aniartalnniant 

a Travel 

b Meals and 

amartunmeni 
C Enter 20% o1 
Ina 24b 
aub)actto 



dSubtract ina 24c from tne 24b 

25 Utflrttes 

26 Wages (teas ^be ae<ft) 

27aoih»r - 



27b Tola) other expenses 



28 Total ajEpanses before expenses lor business use of home. Add lir>as 6 through 27b in columra . . . . k 

29 Tentafrve profti (loss) Subtract Ine 2B from tne 7 

30 Ej^MTises lof business use ol your home. Attach Form U29 

3^ Net prom or (loas). Subiraci Ine 30 from line 29. It a prolri. enier here and on Fomi 1040. ine 12. Atso. 

amer the net profh on Schedule SE.. Brw 2 (statutory employees see page C-5) tt a toss, you MUST go 

on to ine 32 (llduciartes, see page C-5) 

32 rt you have a loss, you MUST check the box that describes your Investnwnl in thb aclMty (see page *1 
C-S) n you checked 32&. enter tfw toss on Form 1040, ine 12, and Schedule SE, &ne 2 (statutory _[ 
emptoyees. aee peqe C-5) V you checked 32b, you MUST attach Form 61M. 



1.800. 



m 



1,800. 



HSS6 For Paperwork Reduction Act Notfee, aee Form 1040 InatnicHona. 



Schedule C (Form 1040) IM3 



842 



Schadul* 
(Form 1040) 



Capital Gains and Losses 

(And RacondHatlon ol Form* 1009-6 lor Bartering TrantacUons) 

» AOacK to Forni i(MO » Sm InMuclora to( ScXadul* D (Fonn 1040). 

► F<y iTiDf» ipia «> X >«n««c»on« Iw Inm H mJ »». flW Sct<»au>» D-l (Fomi 1040). 



0MB No. 1S«-a074 



1992 

S«qu«nc«No. 12A 



Richard J. i Loretta M. Durbln 



Your •ecW aaeurtty nuntow 
493-46-1336 



Id w» iD>G««ng imouia npomd id you tor 1W2 on Fonm lom-B H>d lOn-S (or on ■ibtttili 
moiMng aDcb. bondr Ufa aim ttakmm, wid (blgroa pnoMdikoni iMl mum ttnuaon* 

f piif oo«» nol oouil m» loM ol ln«» 1c «nd Ic. ewumn rjl. «B«cti « mwrnool omMnlno Ow ( 

tPait.MI Shon-Tarm Cacttal Galna ar>d Lo»»>» — AwU Hakj Ona Yaar or L>«» 

* — i-i Jjl-^^ ■ ' I J.I n-.- 1 z 1 — r-^ u-i F . J — 



CauOon: Add 
t«ni«c*o«lo ~ 



■maniij: (■) pnoMdi ton 
npon*d on inotmlorm o 



) [ll»i.rii«onolnn)t»«ny 
(Ejunpto 100 mmm TK 
pfoHnod ol TCvy Co ) 






-|.ico«ofoih5— 1 — WT5S 1 — srawi 

' I (MO pom 0-3) I •ititawinmt,) \ m*natm>U,mlg 



Id) St* 
(mtf 





*, ifid Rod E«ta 


to. Inchido Fonii 


lOW-B and IOI»-S 


TraraaeOon*. Sao 


pagaO-X 






































































































1b AmounB ►o<n ScticOuH 0-1 kno IB An»ch Schodulo 0-1 . . 










1C ToUl of Al Sotai (>rlc« Amount*. 

Add ooJumn (d1 or hnaa is and lb > 


lc 




'!^'i'^'^'l!<'iilliliifiHHiHHH^Hi 



Id Oth«r TrmnftAcVons 



mmiiiiiiiiiiiigiiiiiiiiii 



2 Shon-iarm g»n tom uto or axchange ot your horns from Form 21 19. brw 17 or 23 

3 Shon-tarm Qmn kom vwulmeni sates from Fomn 62S2. irw 26 or 37 

4 Shon-urrn gmn ot Oom) from IkeHund axchangea from Fomi 6824 

5 N«t thon-iarm gain or (to**) from pannwhips. S corporations, and fiduoartas 

6 Shon-iarTn capiui )om caryow from 1991 Schadula D. Ina 36 

7 Add knas la. ib id arv3 2 through 6. In coturrra (T) and (g) 

8 Nat ahort-tann capHai gain or Qoaa). CoiT^bine columns (f) and (g) ot ina 7 . . . | 8 



I Part II I LonQ-T»rm Capltpl Galna and Losses — Assets Hetd More Than On» Y»af 

9a Stocks. Borwts. Othr Sacurtttas. and Raal Eatala. induda Form 1099-B and 109»-S TrwaacHona. S»a paga D-a. 



9b Amounts from Schedule D-i Ina 9b Anach Sche<tule D-1 



:!:i;ii;ilillii>ii | lilltiii|tttit|! 



9c Total of An Sales Prtce Amounts. 

Add colufTvi (d) of fcnes 8a and 9b »• | 9C 



aaiiiiiii 



9d Other TrvuacHons. 



Hadson Pet Ut 


11/05/86 


07/31/92 


619. 


660. 


41. 
































10 Long-lami gain Irom uls or uchtngo ol your homo Irom Form 2119, Ino 17 or 23 


10 


iJiif 


i| ill 




1 1 U>ng-lami gain Irom InstaJImeni sales Irom Form 6262. line 26 or 3 

12 Long-iarm gain of (loas) Irom tlke-kind axchangas from Form 6824 

13 Not long-lam gain a (loa) Irom pannenNps, S corporations. an<l 

14 Capital gain dslrtlwtoru 


7 


11 


4itt< 


l|lij!!l!|ll«|A 






12 








Ddudartai 


13 








14 






Jllll 


fi 




15 Gain from Form 4797. fcne B or 1 

16 Long-urm caplial km canyover 





IS 








i 




from 1991 Scho< 


lulo 0, Ino 43 


16 


6,996. 


HMiilllNWIWi 


17 Add inas 9». Sb. 90. and 10 through is. In coKjm 


ns (1) and (g) 


17 


( 7.037. 




18 Nat leng-tann a«>ltal giln or f 


loss|. Comt)ino o 


ohjmns (0 and (q) ol Ina 17 | 18 


-7,037. 



HB96 For paparvKMt Radoetlon Act Notlca. saa Form 1040 Inatnictlona. 



Schadula (Form 1040) 1*»2 



843 



Sch»OuH (^orni 1040) 19« 

Richard J. i Loretta M. Durbin 



All«c»»n»«« S«qu»nc» Mo 12A 



Your aecU ••curtty m 
493-46-1338 



liPtrt III I Summafy o( P»ft» I »nd II 



-7,037. 



19 Cwrera Inaa c «id ie and «nMr «• KM gain Of (loM) n ■ gam. Hao aniv «• gain on Fonn 10«0. 

mo 1) 

Noti: I box Inoa i( and ia an galna. too Pan IV balow 

20 ■ In* 1* la a (loaa). aiav tare and a> a (baa) on Fonn 1040, In* 11. t<* analar ol 
a Tho fern) on Ina 19. or 

b (O.ooo) o>. ■ manlad Bng a aapiraa nkim. (IIMO) 

Ho«a: Whan Igurtng wMOiar Ina 2aa or 206 la amaBor. na both runbara aa poMvo. 
Oxry w« P«i V ■ »» baa on ln» i» la mora than ih« loaa on Ina 20 OB » Pofrr 1040. Ina 37. la aro 
I Pari IV I Tax Computation Utlng Maximum Capital Gain* Rat* 



3.000. ) 



USE THIS PART TO f lOURE YOUR TAX ONLY IF BOTVI UNES It AND It ARE GAINS, AND: 

Ymi el>«:k*d Fenn 1040, 

filing atattiA box aM> B*^ ^> ^ ovar 

I (51 .too 

3 „ s W* MO 



Form 1040, 
■no 37, to ovar 

uasso 

(74,iao 



Emar vn anxjunl torn Fofm 1040, f na 37 

Ernar tho vnaBer ollna It Of line 19 

Sobcacl lina 22 frofnlna 21 

Entor (21 450 If YOU ctifldtad IBing sums box 1. (35. BOO H you chockad flbng ilalua box 2 or S; 

(1 7.000 (1 you cnackod fing claTus box 3. or (2B.750 11 you checkad tkng ttatus box 4 

Enlef The grajtor ol bne 23 or Ina 24 

SubOact kne 25 ItOfn kns 21 

F^fe the lax on ffw anvHjnt on line 25 Use ihe Tax Table or Tax Rale Scr^eduies. wtuchevar apptes 

Multiply kne 26 by 2ffX (28) , , . . 

Ado bnes 27 and 2S Enter here and on Form 1040. bne 38. and chec* the box lor Schodula 



[Pan V I Capital Loss Carryovers Irom 1992 to 1993 



30 



I loaa, ondoao the amount in parenthaaoa . 



Emaf the amounl from Form 1040. Ine 35 It i 

Emar the loaa trom tn» 20 as a posltrve amount 

Combine bnes 30 and 31 11 zero or leas, enlar -O- 

Enter the smaller ol kne 31 (h Ine 32 

Note: n both Inas B and 20 are losses, go to ina 34: otharwoa. skip Inos 34-38 

Enter the loss from Ine B as a positive amount 

Eraer the gain. K any. ^om Ina IB 

Eraar the amount torn Ine 33 { 

Add Incs 35 and 3C 



30 



31 



32 
.33 . 

11 
34 



36 



Shon-lerm capital loss carryover to 1993. Subtract fcna 37 Irom Ine 34 11 zero or lass, antar -O- . 
NsU: n both Ina IB and 20 are bssas. go lo Ine 39: olhervae. ali<> Inas 39-45 

Eraar the ton Irom Ina IB as a poslBva amount 

E/ttar the gain, fl any. torn Ina B 40 



41 



42 



ErVer the amount torn Ine 33 

Eraer the wnoum . I any, from Ine 34 

Subvact Ine 42 from Ine 41. It zero or lass, enter -0- 

Add Ines 40 and 43 

Long-Xgrm ctpKft loss cafryover to 1993. Subtract Bne 44 from Ine 39 H zero 



43 



3,000 



r lass, antar -o- 



39 

I 
44 
45 



132.942. 



3,000. 



135,942. 



3,000. 



7,037. 



3,000. 



4,037. 



rPart VI I Election Not To Use the Installment Method. Conpiata this pan only ■ you elect out of the Insialmant mathod and 

report a note or other obljgatlon al less than full lacg value 

46 Chec* here it you aiecl out ol the irxstallmeni method ► I 

47 Enter the lace amount ol the note or other obligation ► 

48 Enter the percentage ol vaKiation of the rx)le Of other obligation . 



IPart VII I Reconciliation ol Forms 1099-B tor Bartering Transactions. 



Complete this pan o 
bartering fricome- 



ily II you recerved c 



i Forms 1099-B or substitute stalemanis rapOfUng 



Amount ot t>artenng tnooma 
Irom Form 1009-B or 
aubctRule Btalamaftt 

nportad on totrn or tchadula 



49 Fomn 1040. Ine 22 

50 Sch C. C-E2. 0. E, Of F |H>of>1 ► 

51 Other lorm or schedule Odantly) II nontaxable, indicate reason— attach additional sheets B nacaasary: 



52 TotaL Add Inas 49 through 51 Ths amount should be the same as ffw total banering Income on al 
FofTTTB 1099-B and sut>sotute statements recefved lor banenng transactions 



844 



SehtduH E Ifom 1040) UK 



Aa«ctin»nl Saaitne* Mo.13 



Pm» 1 



Nvna(t) fhown o 

Richard J 



I f«um Oo not anHr nan* and SSN > thown o 
t Loretta M. Durbln 



Your aeGW Mcurtly atnl 
493-46-1338 



Not»: n yo«j f^xyi ynounB >om Imrtng or l«MnQ on Sctodul* E. lou mj» »nM» »oiiC groM Ineoro 
tP»n II ill Irtcomt or Lo«» From P>rtn>f«hlp« Bod S Corporation* 



>om thof ■ rt iiW— on ln» 41 b<tow. 



Ityoo r«pon 
PW E-3 B 


you am* oakjnmffl. you mun aBacl> Foon «1M. 


27 WNwri* 


X?Sl^' 


parVMMp 


UanMcflSon numlMr 


<'lf55i«W.r«i 


A 


Fairbanks Plaza LP 


p 




36-3550245 


X 




B 














C 














c 














E 














Pasftlva Incom* and Lou 




(anacnFonn aS42 If roqurad) 


(h) Paaam Inconio 
Irom Schwklla K-1 


(1) Nonpaniva loaa 
IromSchodulaK-l 


0) S«*>n 179 aoipmaa 
dadudon Irem FeciB 4Ct2 


k) Nonpaaalva Incom* 
kom SdMduia K-1 


A 












B 












C 












D 












E 












28a Toiab 


: i'!i"i=TN«ii||||{.!ii|t!|)!.|ii! 




IIIMIiMMIiinilillWiliHllMii' 






b Toub 




»Miniiiiiiii!ieniiii 






HiMllilMiWW 








29 






30 


( 1 


3 


1 Total 


3artn«r^hip and S corpoi 
e ir Ihe lolal on Ine 40 t 


alon Income or (losa). Combine Ines 29 and 30 Eniar the raault hare and 

wlow 


31 





I Pari III I Income or Loss From Estates and Trusts 



32 <a)Name 


(b) Employar 
IdenOftcallon number 


A 






B 






C 






PasaJva Incoma and toaa 


Nonpaealve Inoofne and Ijoaa 


(c) Passive deduction or km allowed 
(anacn Porni t5<2 II required) 


(d) Passnre income 
from Schedule K-1 


(a) Deduction or baa 
kom Schedule K-1 


(Q Other Income tom 
Schedule K-t 


A 










B 










C 










3 

3 
3 
3 


3a Toials ■' "■■!ii"'-"J';^*'l(»ii,*lli' 




h'^iiiiiniiAWiJiMiiilitiiisliiiiiin 




b Totals 


illiil{l|lll|l{lllll!ill'lli!l|||!!illl!i:lllilliltll!;:i:iiili;i;lil|!ll:'ril«ii;!ii: 




iHiii 


initiiiMiKiiniiMiiiii 




34 




5 Add columns (c) and (a) 01 «ne 33b 


3S 


( ) 


S Total estate and tnjst income or (loaa). Combine inaa 34 and 35. Enlsr the raaullh*i9 and inckida 

In mo total on line 40 below 


36 





1 Pari IV I lr>come or Loss From Real Estate Mortgage Investment Conduits (REMICs) — Residual Holder 



identificalion number 



Schv 
(se 



Scheduleeb.inetb 



'Snelb 



38 Combine columrts fdl ar>d (e) only Enter the result here and Include In tne total on line 40 below 
I Part V I Summary 

39 Net larm rental income or (loss] bom Form 4S35 . Also complete Bne 41 below. 

40 TOTAL income or poss) Combine ines ze, 31. 36, 3S, and 39 Enter the result here and on 
Fonn 1040. ine IS ^^ 

41 ReconcfllatJon of Farming and Fishing Income: Enter your grosa 
farming ar>d fahirtg income reported In Parts II and III and on ine 39 
(see page E-4) 




845 



SCHEDULE SE 


Self-Employment Tax 

» Sm InMueiam tor Sctadiii SE (Form 1040). 
» Aiucti to Form 1040 


0MB No. 164»-00r4 


(Form 1040) 


1992 

AlKiiranl „ 
S«4uM)oa No. 17 


Loretta M. Durbin 




350-36-5292 



Who Muti F1>« Schadul* SE 
Vo<j miu am SooduM SE I 

• Yoww^M(wKi«»)iue(KiB4aeMnauftyANOMa«CMOIB(orr*o*draar«iiM<ta()«i«nlM*«iant1W.aiO.AND 

• Yow not Ttrgt torn Mf-wrvtofmonl torn oWr Own ducM ai ii t u iiw ktoomo (ha 4 oi Short Sctioduto SE or In* 4c e( iMig 
ScxMUk SE) am (400 or mon. OR 

• You iwd envi3< nmtJiM moorra (m aiml on pap* SE-i) or lioaji or mer*. 

EicapSon. ■ rot« orry ■■■ «initi|iii»« neons no kom oarH n gi •• t ■>••■■. Ran** of « raiglow ordor, or CMrton Sdonoo praoHonar, 
AND you SM For* 43*( and raoHvad IRS tpprovai no) to bo mmt an tnaa aamkigi. DO NOT I 
mnm *Ejamp<-fonn «M1* on Forni 1040, m* 47 



May I U*« Short Schadul* SE or MUST I Usa Lortg Schaduio SET 



D«0 you racawwagaa ar ^pa In na27 \ - 



A/« you • rrintttar. niitjai ot a rab^oui ordar. of Chnsban 
Soonoa pfacoaonar wno raoaivod IRS approval not to bo 
laxao on aarrvigs trofr^ maaa aoufoos. but you owo aafl- 
amptoyrnoffl uu on oihaf aamingi? 



Ara you tmng ono ot Iha "optonal mMhodi" to IguTo your 
nal aarrnngs (aaa paga SE-3)? 



Did you raoarva church ampioyaa Incofna raponod on 
Form W-2 ol tlOS2S oi mora'' 



lYOUMAYUSE SHORT SCHEDULE SE BELOW 



Waa no total ol your wagaa and 1^ aubloci to aocM 
aaoavy or ratroad rokamani tax ptuayour nal aamlnga 
•am atf-arnptoymanl mora than tSSJOO? 


Vaa 




No 


Waa «o WM 01 your wagaa and lt» aub|aa to Maifcara 
to pkw mur nat aamlnQa turn aafl~aniptoyniani mora 
•an 1130.200? 


Yaa 
Vaa 


I» 


I DM you rKatva «pa lubtacl to aooW aacuilly, Modcara. 
•rtiptorar? 









you MUST USE LONG SCHEDULE SE ON PAGE 21 



Section A — Short Schadula SE. Caution: Raad atoova to aaa ■ you mual uaa Long Schaduto SE on p^a 2 (Saeton B). 



1 Nat (arm proAi or (loas) from Schadula F, ina 36. and laim pannar<n«>i. Sctwdula K-1 (Form 

I065).lnaii4 


1 




2 Nai profit or (toas) kom SchMlula C. ba 31; Schadula C-E2. tna 3. and Sdadula K-i (Fomi lOeS). 

ferw lSa (olhar than taming) Sao paga SE-2 for oltar Irtoona to rapon 


2 


1.800. 


3 Comboa inas l and 2 


3 


1.800. 


4 Nataamlng>(ronaM-«fKploymantMulliplyina3byS2.3S%(t23S) DlaaathanSaoo. dorm 

Ma tm achadua. you do not ow« aalf-anploymenl tax » 


4 


1,662. 


5 Salf-amp)oym«nt toi. R tha vnount on Ira 4 la: 

• US.SOO or lass, multiply tna 4 by 15 3% (.1S3) and antar the raauH 

• Mora man tU.SOO. but tela than $130,200. n»illlply tha amount In aicasa ol t5S,S00 by 2.9% (Oa). 
Than, add M.4gi so to Iha raaun and onter tha told 

• tl 30.200 or mora, antar Si 0.n7.ao. 

Aiao, araar this amount on Fonn 1040. ba 47 


S 


254. 



Woto: Aho. enter ona-haH ol Iha amount Irom Ina S on Form 1040, Una 2S. 



Hase For Piparviiort Reduction Act Notica, aaa Form 1040 InatrucOon*. 



Schadula SE (Fonn 1040) IMS 



846 



2106 



Employee Business Expenses 



» ABacti to Fan* 1040. 



0M» W>. 1M»<11> 

1992 

siiquiinoi^te.54 



Yom nana 

Richard J. Durbln 



Social ••curity numbar Oan^rtM k whici 
493-46-1338 tConqress 



rP«t1 H Employ** Bu«ln*ss Exp*ns*s and R*lmbur**m*nt* 



STEP 1 Enl*r Your Ej(p*ns*s 


CetaMiA 
OOiarThanMa* 


Cekmt 






277. 


H^^^^l 


2 PaUig «•• Bto and local raraponaoon. Indudng ram. but. ale 






H^^^H 


■rptana car rwtM aK Do not Indude maals and anlanainmanl 






H^^^H 


4 BuBnaaa a^iraii not (nduaaO on Inae 1 avough 3 Do not Indudo 




3 , 000 . 


HI^^^H 






Hii r 


i^^H 


Hin 




irlll 




Hji 


i Total a^xnaaa. In Cokimn A. add Inas 1 through 4 and aniar Iha 
raauA In Cok«nr> B aniar the amount from Ine 5 




3,277. 11 



NoU It yOb wars not r«mbursed tor any expenses in Step 1 . skip Ine 7 end enter the amount trom Ine 6 on Ine 8. 



STEP 2 Ent»r Amounts Your Employer Gave You for Expenses Listed In STEP 1 



Lnw arvHtntt ftxp ernptoyer gave you mat were not reported lo you in 
boi 10 of Forrrs w-2 inciuda any amount reported un<tQr code "L" In boi i7 
ot you* Pofm W-; t— e meffucttons) 



STEP 3 Figure Expenses To Deduct on Schedule A (Form 1040) 





• 




^i^''" 


1 








Nola: n both column* ol tne 8 we 2wo. atop here. It Column A la Mss 
than twD. rapon the amount as income and enter -0- on ine 10. 
Columr A See the Inslnjctlons lor how to rapoa 

t Emar 20% (20) ol Ine >. Column 8 


t 


1 






10 SubBaci Ine 9 trom ine B 


10 


3,277. ill 




1 1 Add the amounts on Ine 10 ot l>otn cokjmni and enter the total here Also entar the total on Schodule A 
(Fom 1040). Una 19. (Ouallfied pertonring aresls and Individuals with disatiililies. see the InsDuctons 
lor speaal lules on where lo enter the total ) » 


11 


3,277. 



Hsae For Paperwork Reduction Act Notice, eee Instructloru. 



Form 2106 (1992) 



847 



yofmMo«(ng) Durbin 



493-46-1338 P«B»a 



1 Pact II 1 V«hlcl« ExpcnSM (Sm Imtuclona K> Ind otit wNch Mcioia B oonpUM) 


Section A. - C*n«ral Infonnatlon 


(•) VcNdl 1 


(b)V«l*:l*2 


U Er» »■ OM «*«•««• ()(«»d m ••nrto* 


n 


B6/20/90 




%i Tow n«ngi >tfidi wM uMd durtng ini 


13 


16000 n*m 


n«M 


14 tumnmm rrtm muOta on Irm ^3 


14 


990 rrtto. 


nnlw 


IS PvoM o< bums uM DMiM In* 14 br In* 11 


It 


6 K 


% 


t( Avaraga Oity reund >«i oommlng dkuno* 


M 


5 n*. 


IT«« 


17 CorrwTWVng mtaa ndudad on In* 13 


17 


1300 n*m 


ir(« 


U Otm (Mnona n«Mg* Add ln« 14 md 17 and aibTKI «w 

IDUf *om Ino 13 


It 


13710 n«. 


iriM 



Oo you (oi youf v>ouH) hiv* anoffwr oahid* witaH* lor panonH pmpomT 



My« lJno 

fl your vrpioyw prevK^o you vvtffi a vwNcit. b p«nonal um durtng off duly houn prnmomOT . . Q Y« ^Ho Q i^plcabto 

Do you rwv* •vid»no» to auppon your dwtucflon? ^ Yot Q No 

aib n "Y— * ■ vn •vtdfw wrtTfn? R Y— Fl No 



Section B. - Star^lard Mileage Rale pj»e tms —coon only h you own th> vmci» ) 



Muibpry kn« 

tnstrvctons ) 



I by 28 0*nB (28) Enur ffM fcsuR hw« vk) 




Section C- - Actual Expenses 



23 Gasokn* ol rapan vvNcto 

irtsurartoa etc 
2U Vehcie rwiuis 

b Induson ■mount {■•• msiructions) 
c Subtaa In* 2*t from Ina 24a 
2£ Vatua of amptoyv -provKJed vehicie 
(appiws onfy i) lOO^ ot annual tease 
value was incJudad on Form W-2 



Add fenas 20 24C and 25 

Multiply In* 26 by m* pwcantage 

on Ine IS 

DepraoaDon tmer amount from 

hna 38 betow 

Add bnas 27 and 28 Ejilar tha total 

hara and on ine 1 



Section p. - Depredation of Vehicles {U»e tho aectton orHy V you own tha vBtwcte ) 



Enter cost or other baan (aee 

tftsvucoons ) 

Enter amount ol section 179 
deducDon (see instnicttons.) 
Multrpry ine 30 by bne 15 (see 
(ratrucvons If you atocled the 
aaction 17B dedudton ) 
Emer depreoaoon memod and 
percentage (see instructions ) 
Multiply tno 32 by the percentage 
on tine 33 (see instructions ) 

Add ines 3 1 and 34 

Enter the Irritation amount 
from the tabte in tha line 36 

instructions 

Multiply Ine 36 by the 
percentage on bne 15 
Enter the amallar ol line 36 or 
fne 37 Abo. enter the amoum 

on bne 2B above 

5 ~ 




848 



Fonn 6251 



Alternative Minimum Tax — Individuals 

^ S«« Mparato kutrueflen*. 
► ABKh tD Fom 10«0 eTF«n»1040m. 



NwTV(i) wioon on Fomn 1(M0 

Richard J. k Loretta M. 



Durbln 



685. 



7.592. 



13 



1C 



21 



tnm 9» roun mm Fomt 1040. In* 39H taM Oun xm. •nar •• t nagatv* ■noum 
NM op«ane am dadudon. > wiy. tom Forni 1040, Ina 22. EnHr ■• ■ poaMv* anaunl 

Owd amrma atOuetorm ImlUion (•■• Innuaioiw) 

Comtanslnaa 1.2. and 3 

A^i Mtt im m : (S«a mudora balora oonpMng.) 

* Sundwd dcducsoa • wiy. torn Fonn 1040. in* 34 

b UMtctI wtd d*nui Hrinwi Enw «<• analar of 1h* •mouK mm SdvdUk A 

(Fomi 1040). in* 4 0( 2 1/2% (025) of Fonn 1040. in* 32 

c MsceHanaous lumnd doducaons mm Sctwdul* A (Fonn 1040). In* 24 

d T«»« Horn Sch*dul* A (Fonn 1040), in* ■ 

• Refund 0' \M*m 

f C«Uin hom* mongag* tmarosl 

lnv*stmeni inisr*sl •xpense 

h DapraoAtion ot ungiU* prop«ny plac*d in servic* aflw 19A6 

1 CircuiaDon & research and axpenmental expenditures paid Of tncurred aflar 1M6 . 

I Mining axpktratfon and devetopmeni coats paid or Incunad aflar 19a6 

k Lor^-lerm contracts anlared Into aflar 2/28/86 

I Pollution conBol laditiea placnd In aanic* aflar laOC 

m Instanmem sales ot certain property 

n Adjusted gain or loss 

o Incsnuve stock opbons 

p Certain loss hrrvtanora 

q Tax shelter farm acuvlbaa 

r Passive actMtias 

a Beneficia;^es ol estates and trusts 

t Combine knes t* tfvough Sa 
i Tax pratararK* Rama: (Sea instrucliona bafor* compMing ) 

a Appreoaied property charttatola dedudton 

b Tax-«(erTpl interasi from prfvala adfvRy bonds Issued aflar 8/7/8C 

e Depmon 

d Acctfaawd depraaanon ol raal properly placed m aarvica balor* 1B87 

a Accaieraied depreciawn of laawd parsonal propwiy plao*d In sanhc* balor* 1B87 

f Intangible drilling costs 

g Add Snes 6a througft 81 

7 Conine fcnes 4. 51. and 6g 

I Entf gy preference adjusonent for certain taxpayers. Do not enter mora tftan 40% of in* 7. S** insmctiona . . . 
> Subtract Ine 8 from Ine 7 

Altvnalrve tax net operating loss deduction. See Instnjctions for imftaOona 

1 Altanultva minimum taxable Income. Subtract In* 10 from in* B It manlad fling saparaMy, as* insttwaon*. 

2 Enter $40,000 ($20,000 I married Ittng aaparalsly; $30,000 If single ot head of household) 

Ent«- $150,000 ($75,000 > marriad ISng separately, $112,500 If singla or head of houselioM) 

Subsaa ine 13 from ir* it If laro or leas, enter -O- here and on ina 15 and go to Ina 18 

Multiply ine 14 by 2S% (55) 

Exemption. Subtract Ine 15 mm ina 12. If zero or less, enter -0-. If corrplatng tftls form for a dild under age 

14. see instructions for amount to enter 

Subtract ine 16 ftom ine 11- If zero or less, enter -O- here and on Ine 22 and skip ines IB tttrough 21 

MulUpty Ine 17 by 24% (24) 

AAemaDve mmimum tax foreign tax credit. See instructions 

Tentative minimum tax. Subliact line 19 Irom line 18 

Enter your tax Irom Form 1040, ina 38, minus any foreign tax aedit on Foim 1040. Ine 43. If an amount from 

Form 4970 ts entered on Ine 39 of Form 1040, also Include tfw amount from Form 4970 on tftls ina 

Altemattva minimum tax. Subtract ine 21 from Ine 20. If zero or less, anW -0-. Enter Itts amount on Fomi 
1040, Ine 48 If completing this form tor a chHd under age 14, see Instructions for amount to enter 



0MB No. 1S4»-aSZ7 



199 2 

ASschrant _ _ 
SeauenSlto. 32 



493-46-1338 



132.942. 



1.278J 



131.664. 



8.277. 



139.941. 



139.941. 



40.000. 



150.000. 



40.000. 



99.941. 



23,986. 



23.986. 



31,111. 



H896 For Paperwoft Reduction Act Notlc*, aea separata InstrucHona. 



Fonn 6251 (1992) 



849 



Fom, 8271 
(Rav Jut, ino) 



InvMtor Raporttng of Tax Sh»lt»r R*gl«tratton Number 
^ AttMh to your tu rvbm. 



S aquMwMo. 71 



Richard J. t Loretta M. 
t Part 1 1 Tm Sh»H»r Intormatlon 



Durbin 



irw t«Mllf kall«M WMkar 

493-46-1338 | 12/31/92 



(1) Tai SlMlur Nam* 



(b)T«iSlwa«aa0w«on (c) Ta SImOh Tsv«y« 
Number (1 1 ~di^ number) IdsnMoflon Number 



Fairbanks Plaza LP 



B8028000664 



363550245 



Part II I Tax Sh«HT B»n«nu Ctalm»d^«port«d By lf»v»tor on R»tum to Which Ttila Foim 1271 l» Attachad 





WoU- It you raoarved any Sch< 


tduiaa K-1 tor lt<0a banaOa. aaa IN 


•padic maauctam lor Pi 


■titon 


P«B»i 


(a) Groas incoma. Groaa ProRts. and 
Gajna 


(b) Oaductona and Lmm 


(e)OKte 


(4 tana and Schadulaa Whara 
Banala Ara CMmwl or Raponad 


1 








See K-1 attached 


2 










3 










4 










S 











HaSG For paparwort RaducOon Act NoOca, ■ 



Form 8271 (Rav. 7-90) 



850 



8582 



Passive Activity Loss Limitations 

► UtKh «D Fonn 10«« o> fon» 1041. 



NwTia<t) ahown on rwn 

Richard J. t Lorctta M. Purbln 



OMB No. ia45-iooe 

1992 



ktonatylngr 
>93-46-1338 



iPartllH 1M2 Passlv* AcUvtty Lou 

Cjulon im to KttMCtom lot WoilMh««ii 1 md 2 o« p«Q» T bloc* oonpWng Pin I 

nmnXMl n—l Estiu AcVvltea WIO) Ac«v< PvSc^xBon (for Dia daloMon ol aOM panopUon 
•M *c«v* PwtMpMott ki • Rantal Rul Crtrta AcVvlty on ptgt Sel9» lra>uc*ons | 



1 na noon* (kom WotuhMI 1. ookjmn (<)) 
b Ac»v9aa <w*ff^ rwi low (from Wortuh««t 1. column (b)) 
c PtKy >Mi unjtowdlGMii (Irom Wortahol 1 . cdufnn (c)) 
d Co^Ttuna fcn— la. lb and ic 




Ail Othar Paaaiva AcfivtOaa 

Ij AcwiMs «^h nai tncoma [irom Worttsheel 2. column (a)) 
b ACVV1M6 omr n«l loaa ftrom Workthaol 2. oAjmn (b)) 
c Ptkm yav unallowed loaaas (from WorVshaol 2. column (c)) 
d Com&na hnao 2a 2b and 2c ^ 



19.934. 



3 ComtHna fcnaa ld and 2d ttmaraaun ■ natlncomaor Mro. a«a Vw iravucMom tof Ina3 If ttiis 

fcnc and >r>a id ira loaaas go 10 ina 4 Olharwiae. amer -0- or Ina > and go lo >na 10 
[Pari III Special Allowance lor RcnUI Rob! Estate With kcVv Participation 
WoU Traai all numoars anwad m Pan II aa pojl»va arrmurn (S«a »ia»niCBona on p«g« 7 lor watrples ) 



tniar tha amallar ol tna Ion on kna id or Dia loaa on kna 3 
Eniar $150,000 If mamad tUtng aaparalaty. aaa Itia InsvucOona 

Emar modmod adjuslad gross incoma. but not laaa ttian zero (aaa 

InsVucbons) 

NoU n bna 6 B aqual lo or graaiar than Ina 5. tk^ In** 7 *nd e. amo -o- 
on Ine 9. and than go 10 Ina 10 OViarwiH, go ID In* 7. 



1 bna 6 horn kna i 



MulDpty kna 7 by V>% ( i) Do not anlar mora than tZS.OOO 11 mamad mmg ••paiBlaly, aaa 
insvuctions 



r Itia amallar ol bna 4 or bna G 




[Part nil Total Losses Allowed 



10 Add tfia incoma. It any. on bnes 1 a and 2a and antar the total 



II Total loaaaa allowad from all pasalva acUvldaa for tW2. Add bnes 9 and 10 See the Instructom 10 

find out how 10 report the losses on you fax return 



H&96 For Paparworit Reduction Act Notice, aaa aaparala InstnjcUons. 



Form 8582 (1992) 



851 



Supporting Schedules 
Jane: Richard J. t Loretta M. Durbin 



1992 
SSN: 493-46-1338 



'orD 104 - page 1 

-ine 7 - M-2 Inforaation 



;ource T/S 


Cross 


-Wages 

S.S. 


Medi- 
care 


Federal 


Taxes withheld 

Medi- 
S . S . care State 


Local 


;gt. At Ar T 
;tate of 1 S 


122677 
25812 


55500 
29872 


129133 
29872 


28208 
4484 


3441 
1852 


1872 
433 


3572 
774 






148489 


85372 


159005 


32692 


5293 


2305 


4346 





852 



schedule A, Line 26 Itemired Deductions Worksheet H92 

NaBe(s) I Identifying number 

Richard J. & Loretta M. Durbin 493-46-1338 

1. Total of Schedule A, lines 4, 8, 12, 16, 17, 18, 24 

and 25 I H 16,184. 

2. Total of Schedule A, lines 4, 11 and 17, plus | 1////////// 
gambling losses, line 25 1 2| 0. 

3. Subtract line 2 from line 1 (If the result is zero, | I////////// 
STOP HERE; and enter the amount from line 1 on 1 I////////// 
Schedule A, line 26.) I 3| 16,184. 

4. Multiply line 3 by 80% I 4| 12,947. I////////// 

5. Form 1040, line 32 I 5| 147,848. I////////// 

6. $105,250 ($52,625 if married filing | | I////////// 
separately) I 6| 105,250. I////////// 

7. Line 5 minus line 6. (If the result | | I////////// 
is rero or less, STOP HERE; enter | | I////////// 
the amount from line 1 on Schedule A, | | I////////// 
line 26 |7| 42,598. I////////// 

8. Multiply line 7 by 3% I 8| 1,278. I////////// 

9. Smaller of line 4 or 8 I 9| 1,278. 

10. Total itemized deductions. Schedule A, line 26 | I////////// 

(Subtract line 9 from line 1.) |10| 14,906. 



853 



BS82 Worksheet Supporting Schedules 1992 

Name: Richard J. t Loretta N. Durbin SSN; 493-46-1338 



8582 - Worksheet 2 


Sane of Activity 


1 Current Year (Prior Yr. | 
1 (a) income 1 (b) Loss 1 ///////// 1 


Overall Gain or Loss 
(d) Gain | (e) Loss 


Fairbanks Plaza LP 


1 1 2,217.1 17,717.1 


1 19,934. 



Totals, lines 2a, 2b, 2c. | | 2,217. | 17 , 717 . | ////////// | ////////// 



854 



Name: Richard J. & Loretta M. Durbin SSN: 493-46-1338 

******************************************************************************* 



Worksheet 4 - Allocation of Unallowed Losses 



A. Enter line 3 of Form 8582... 

B. Enter line 9 of Form 8582... 

C. Subtract line B from line A. 



19,934. 
19,934. 



Name of Activity 
Fairbanks Plaza LP 



(c) Unallowed 
(b) Ratio Loss 



Report On (a) Loss 

Sch E P2 19,934. 1.00000 19,934 

19,934. 1.00000 19,934 



8582 - Worksheet 5 
Name of Activity 
Fairbanks Plaza LP 



Allowed Losses 
Report On 
Sch E P2 



(a) Loss 
19,934. 
19,934. 



Unallowed 
(b) Loss 

19,934. 

19,934. 



Allowed 
(c) Loss 



855 



Name: Richard J. ( Loretta H. Durbin SSN: 493-46-1338 



XMT Passive Worksheets 

RENTAL REAL ESTATE ACTIVITIES WITH ACTIVE PARTICIPATION 
la Activities with net income la 

b Activities with net loss lb ( ) 

c Prior year unallowed losses Ic ( ) 

d Add lines la, lb and Ic Id 

ALL OTHER PASSIVE ACTIVITIES 
2a Activities with net income 2a 

b Activities with net loss 2b ( 2,217.) 

c Prior year unallowed losses 2c ( ) 

d Add lines 2a, 2b and 2c 2d -2,217. 

3 Add lines Id i 2d. If this line & line Id are losses, go to 

line 4. Otherwise, enter -0- on line 9 i go to line 10.... 3 -2,217. 

PART II SPECIAL ALLOWANCE FOR RENTAL REAL ESTATE WITH ACTIVE PARTICIPATION 
NOTE: Treat all numbers entered in Part II as positive amounts. 

4 Enter the SMALLER of the loss on line Id or line 3 4 

5 Enter $150000 5 

6 Enter modified adjusted gross income, 

but not less than -0- 6 

NOTE: If line 6 is equal to or greater than line 5, skip lines 7 4 8, 
enter -0- on line 9, & go to line 10. Otherwise, go to line 7. 

7 Subtract line 6 from line 5 7 

8 Multiply line 7 by 50» (.5). DO NOT exceed $25000 8 

9 Enter the SMALLER of line 4 or line 8 9 0. 

PART III TOTAL LOSSES ALLOWED 

10 Add income, if any, on lines la & 2a and enter total 10 

11 TOTAL LOSSES ALLOWED FROM ALL PASSIVE ACTIVITIES FOR 1992. 

Add lines 9 and 10 11 0. 



856 



2 51 Worksheet Supporting Schedules 1992 

lane: Richard J. t Loretta M. Ourbin SSN: 493-46-1338 



2S1 - Worksheet 2 


lame of Activity 


1 Current Year IPriorYr. | 
1 (a) Income 1 (b) Loss 1 ///////// 1 


Overall Gain or Loss 
(d) Gain | (e) Loss 


airbanks Plata LP 


1 1 2,217.1 1 


1 2,217. 



otals, lines 2a, 2b, 2c. 1 | 2,217. | 1 ////////// I ////////// 



857 



Name: Richard J. & Loretta H. Durbin 



SSN: 493-46-1338 



6251 - Worksheet 4 - Allocation of Unallowed Losses 



A. Enter line 3 of Fora 8562... 

B. Enter line 9 of Pora 8582... 

C. Subtract line B from line A. 



Name of Activity 
Fairbanks Plaza LP 



Report On 
Sch E P2 



(a) Loss 

2,217. 
2,217. 





2,217. 






2,217. 




(b) 


(C) 
Ratio 


Unallowed 
Loss 


1. 


.00000 


2,217. 


1. 


.00000 


2,217. 



6251 - Worksheet 5 - Allowed Losses 
Name of Activity Report On 

Fairbanks Plaza LP Sch E P2 



(a) Loss 


Unallowed 
(b) Loss 

2,217. 


Allowed 
(c) Loss 


2,217. 


0. 


2,217. 


2,217. 


0. 



858 



Partners Share ot income, Credits, Deductions, Etc. 

¥ Smi 



OM»mi IS<»<09» 



1992 



"■mersacnyyt^gftrpg 



Pwwranpi awtfyrq furtw ► 



aoc/vsft. mnd ZIP cod« 

HI. I Krs. lUchATd Duibin 
1525 South »*t«i StrMt 

Scnnqfuld. C <;70< 



Partnar I 



Pinnarenip't nam*, wjorass. and ZIP cod* 
nmUAMKS riAZA LIHITZD rMtTMEKSBIP 



12760 IISB ILOrr DRIVE, t200 
SW DltCO. CA 91230 



IS mis pannar a general partner'' Qves [xjNo 

Partners snan of aatxlloes (see msoucdons) 

Nonrecouree J 21.039. 

Ouaimed nonracourse nnancing i 

Otner * 

What type oi enmy o mis partner? .► IndiTJdual 



Is mis partnae a H ooitiastic or a Dtoraion partner? 



f Emar pMTners percentage or " JiiSST 

Profit sharing % _ 

Loss snanno % _ 

Ownannp ot capttal % _ 

G(i| To snaur ragtstraaon nmber ► >802g000t64 
(7) Type of tax sheRar 



(I) ins or 
2.7100 % 
2.7100% 



2.7100 % 



. V mnJdt KBAL BglATB 



Ctwcn apdcaaie aoas (1) | [ Rnai K-t (?) | JAituniHd K-i 



Anaysis of oafTners capital account 






(al Oisinputive stiare Hem 



(c) 1(340 tllefs etrter me 
amount in column (b) on 



Orpinary income (loss) from trade or business activtDes 
Nei tficome (loss) from rental real estate activities 
Nei irtcome (loss) from otner rental activities ... 
Portfolio income (lossl 

Divioencs 

Royalties 

Ne! snor-term capital gam (loss) 

Nei long-term capital gain (loss) 

Otner poiTtolio income (loss) (attach schedule) 

Guaranteed payments to partner 

Net gain (loss) unaer S8ctx)n 1231 (aOwr (fun due to casuacy or a 

Cither income (lossl (attach schedule) 



(^■"•'.i 






Sch. B. Part I, Une 1 

Sch. B. Pan II. nne S 

Sch. E. Part I. Une 4 

Sch. D, line 5. col. (f) « (g) 

Sch. D. line 13. col. (f) or (g) 

(bur on vpfeibli k« of yotf riQin ) 






Chaniaoie comnputions (see instructions) (attach schedule) 
Section 1 79 expense deduction 
Deductions related to porDolio income (attach schedule) 
Omef Qeouctions (attach sctieduie) 



Sch. A. line 13 or 14 






1 2a Interest expense on investment detxs 
t> (1) Invesmiem income included on lines 4a mrough 4f above 
(7) irrvestment enpenses irKiuOed on line 1 atiove 



ronn myo£, me l 



1 3a Credit for income tax wimheid 
b Low-income housing credit 

(1) Frtvn section 42U)(S) paitnetsnips for property placed in 

servce before 1 990 

(2)(3tnciman on line 13b(1) for property placed n servce before 1990 

(3) Fnyn section 42(i)(5) partnerships for property placed in 
service after 1 989 

(4) (Dtnet man on Hne 1 3b(3) lor property placed r service ilier 1 989 
c Qualified rehabilitaoon expenditures related to rental real estate 

activities (see instructions) 
d Credits (omer ittan credits shown on lines 1 3b and 1 3c) related 

to rental real estate acnvlDes (see instructions) 
e Credits related to omer rental actrvltles (see instructions) 
14 Other credits (see instructions) 



m 






Form 8S66. line 5 



(knaal-ieaian ) 



018E rorP«>trratRMLi»n«aMitti.Miraixeorali>fennia6S 



SOMiii K.1 (Fan 10(S) 19^ 



859 



ninolt Indlvtdual Inoem* 
Tai Ralum 



1992 IL-1040 



mtmali»itm>^nt 



SBis«a«*ss CAK-KT SORT »« C 
M"«3-Mb-133« 3 >URB 350-3b-S2"12 
RICHARP J LORETTA H tURBIN 
1585 S BATES AVE 
SPRIN&FIELP IL b270M-33H7 



Do fM wto abow Hi k». 


493-46-1338 


S^ounr* aocM SMUty ruratar 
350-36-5292 


•itaSf&di 1055 




Tolil M»»i<p»ew». Odd In— ^^^). fZ). «nd b. 



^m I 



I 1 A()|u<iadgroi>inooim(U.S. 1(M0. Um3i:U£. 1(M0A,Umir.orU.S. 10«0EZ.Un*3) 
] c 2 ^•dvafy la>-*nnpl hMraal Iraona (U.S. 1040 or 1040A. Un* lb) 

T ' 4 Toul nxrm Add Un— 1.2.ind3. 



147.848. 



147.848. 



c s S FcdwOy u>»d rMramani uk) Social Saorty (Anach eopir ol U.S. 1040 w 1040A.) 

" a S Mdnvy p«y aamKI aMa • raadan and Indkidad in Una 1 

o ■ 7 anoa imxna iw ratund mckidad on US 1040, Una 10 

' * e US govananani obiQatonaOlmofa ttian $400, Much copy otU.SSehadulaB) 

o ' • Oihaf lubaacaona (Saa inaVucaona and ipadly.) 

° 10 Total lubcacaona Add Unaa S, (. 7, a, and ■. D>MiMk«««i-M->i.M>ioi 

rj JiiBaaa Inooma Subgaca Una 10 torn Una 4. 



■n~~ 

Itian Mp » Una 14. 



147.848. 



IMnots raaldants oofMnua 10 Una 12. Cback I you aian a nnaraalilaiit 
*i Anach ScnadutaNRwidMtManmnl ton) SehadUliNR, Una 1 hara:_ 

M 12 Wrna total a—npttona bom Box c of Ennpiona aadon abova. 

' 13 Natmooma SubtaaUnai2koniUnaii. 



4.000. 



143.848. 



i. Ji4 Ta> Rasdantt. nuMpiy Una 13 by 1% (.03) or aaa Ml 
"* Vi5 Voajmary oonatbuttona YMa dantfon aM faduea your 
? Ii IL Nongama WidIM a) " — 

a > • CMdOuaa 

T 8 



labia. Odtaia. ariba Una 4 bom Sctiadula ML 
i^und Of bnaaaa bia amouni you ea*. 



4.315. 



»i» ToiniBi and oonbfciiitona. Add Unaa 14 and la. 



TaMcocafeulona^ 



r 17 lanelabioeinatBaiaMiaMCAIaclicepyotaltW-ra.) 

<ci( EatmMad paymana (IL-1040-ES. 1.-900-1. and 

III* CfadI tor lai paM to oViar luaa (Una • ot 

Ti20 Cradt tor IL propany tan bom 

'.M Ta» craaa bom anaehad Sch. 1 ^ » J t8i M fc.^>»Vf ' rMMij»i.f 



2.911. 



17 


4.346. 


1* 


W 


1» 


146. 


>1 



.M* 92 Total paytrarite and crada. itfUrujMjUMM: 




» 


4.492. 


^i a 23 OvarT>ayn»r«. II Una 22 li<AliJJJii» 1«. aubbaa L^ 


M 


23 


177. 








1**29 Araountolrakind Sub>aclUna24»DmUna23. 




«S 


177. 



■ o 2i Amouni you oaral Una KiagraaHr nan Una 22. tubrad Una 22 bom Una 1*. 

■ }JA3T ■ you uo mpialadlL-aaiO, aula yoi»panalyhara.» you w mpbaad Pan Hoi IL-2210.c»Mdi boa 
». " at Tew amouni duo. Add Unaa 26 and 27. 



27; 



*> UndarpanaMaaolpaiiury, lawatia(lha«ananinadMaiaaimand.totiabaalolRvkno«ila4Ba,lkbua.oanBCI 



Sign 
her* 



^« ==72<t>«Cf.CtfX. 



OaH Oaykna pbona numbar apouaM ilgnaufa 

04-03-93 217-787-7289 146-28-8672 



Paid praparai-a agnaaa U I DM Pbonanumbar Paid pn»ai«^ FBN or SSN 
-• RyouuaaaiaiprapararandtfBnolaMiieraeabiaabeoklalnadyoar.cliadihara. Q «> 
IMi»fcfi«Mm«a: ifcial a Dap a rb i taiil a« Wavanua. S p i biabi m . BTI»-WW 



Z2 »l Ml W* U at MS HK DC 



860 



Rjchaj^ J. 4 Loratta M. Durbln 493-46-X338 

B* Mr* to anach ■•• following aupporting documania: 

urn » - usiO«oarU4^iO«OA.piB*l:U-S-9ct«di*Din«tamft.-4*M.lipplcWI* 
urn • - MBunrp^FW-t 

Un • - US.10W 9dM«ul>(orU^ie<WV.artiM*1.MM«|DnBM<«iUXaM«nnwleMoMM«pi«a|r«>d*oonrol«vi 

nsMMd tam • maia lund 
Uw • • For MvprtMan^lonlgn »■*■«• or ■itaDi»«iMwdi,airtiaMtiacl«tt*ltW-C 

For iMOovy •■««■. Mirti UA WM. « p««n«« U A I 

For ptnrnnt^. t iMi i» «i iiai i iv < 

I F «r<a onr roqiAvd tormi or • 
Un* 14 - H ii wm iwonapl ^oorildwi 




Uno IT - Mw-t 

Lm 10 

Uno ao 

U~ I^ ' ■rwii *am»M Mm< 

U^ Zr - Fvm t-tno. I «eu aro ormnHng ki Fal N 



otom ot ■Milncomo>wrwm.»i«i»»oWrn«oeun— i 



Homaownar** Property Tax CrodK Workahaat finm to ka ■» 

You rum uu i m — Ho ■or m <o« t >ou qui% lor ■lo afcioH proporty «■ w^ai looManiaK 

1 wrao no tow omouii o( ■nMi propony toi •hewn en a* IM ka lot ■• M* MMi t<fl 
■duOoo ««• pr«i09« loaaonoo 

2 Wioo »io poroon 01 noi 1 »a iKcMi a o il u ti o 00 b a ^nwi a^— » o» u » «gi 



Fomil.-ie«0| 
MO tor Uno to ki 



e.f.' 



I SuMoa uno 2 »e<n uno 1 who ■• •noum Mr* ond aM*i aio kraoMk oat Fon 

4 Muaplrnoon<ounionUnoa»vS1l(«). 

» Wr«onoomout«oiMoomaioo*om|io>irFonniL-1000,Um«. 

• Wr*o tio •»«»<• e((fO« lor Hi POM IB oDioraaoo torn four FonnL-MM.Uaol 
T Suwoc! uno • kom Uno » nwayoivnoilBL 

• Cen»o»o tm omeur» on lowo 4 mt T. Wim tm Ik— ■ urnn *m» ma on i— 
Form U.-1000. uno » 



2.911. 



2.911. 

146. 

4.315. 

4.315. 

146. 



Schadula 43SS Racapkira Woilahaal (ankaaMMahruooi*) 

Veil nw w m p ioM »»o ooi tw iooi « 

• >oudokn»aonk n iookiw « cr»a n 9a w i«iir«iiolikieon<ol»lof»on|oi>Fo»mt.-ie«Ok>«pwiileuk>*»i 
o lio propony oDfloMkrotf kt 010 cornpuiBton ol Vitf kMoiVnBM sofll oMO flia''4kMd oaNn 48 fflDrtM aMr MiNQ 



WWo o« irnoun kom SckoAM oaSb ftn W. UK* It. Ookawi A. 
Wl«* no iriBuio kom acnodUlo 486. fWIIV. Un* It. Cokmn • 
ItaMdorai — Mukipir n* omorM kom Form R.-1040. Un* 11. «r *« (-00) 
NonroMdonB or pantoor i*oMor« — WHM ti* anonn »gm Sdi*** NR. Un* 4. 
AM Unoo 1. 2. ond 1. Wrko «w ■nour* hira ond an your Form •••leoe. Una 14. 



Do you naad aatislanca or mora Intormadon? 

I holp «ou flon y iolo your rotim Vou con Ml. oMo. or cil an Mnoii OoporkmM ol RaMnua 

TkoVMtaraieoBuMnB 

101 waol Mkrvn. F.O. Boo 1(044 

aprki^Md. R. «TM-a044 



oite. Oloa horn ■• tMt cm. It MO pja 



Ronao^t^ TVinoar 
K.WM1-S74 



en I ••• T»-«tat or air m-: 



II you noad oddHorMl lomo or KAodulia. 



' iMl roglorMi elioa, or 

' ■it*IBtiaana«0iOa«nanialMa»anua.F.O.ao>lMl0.^rki^Wd.K.eTM-«O10. 



• ■tOUl*IO.N«ml>o 



1.-10400*90 2 (R-12/t2) 



861 



1040 U.S.Indlvldual Inconw T«x Rrtura 1992 1 



ST... ■ 



•asaaa CAR-RT-SORTaaCR^O 
Pt 3<iO-7W-«i3n SOI 21 ' 

jCNMirCR n tURBIN ; 

Hii •»TC$ *vt iiss 

SMXH6fICL> IL ki70>* 



340-76-4396 



0* fW MM tIBt* ■•*■«" 



ISSSmiSSShiJM 

M, |ll»>K t» i*ii«^rw»i 



ning! 



wii nn ii n i nw iiiii i iiii 1 II wiiiii - ifT^ n- — 



I li ■ CIM MUM )ai» aipandMI. 



OiMir>WB»WB«iW0»il«»<iP»nawic>iiidni ipeui»<l»a»1t »8««>«gi11.) 



EiampOona 



• mi 









(4) Oi»» n iiif» ttfy^iTfi uwJuiI* 



pMMMMalM* 



• ToMljunfei 



Tl iSiz:T 



IWW-l 



7 



I w-5. w-j 



•a Tauan ratal nam AucA SOadKit • ■ ev«r (MO 

• OMMxd mani* Aaach Sdiaduti B I ew ttOO 

11 •i" 



■ yov Adnot 
gal • w-2. ■■• 



AUchchaao' 
money vOm on 
lop Ol ony FoTTV 
w-2 W-2G 0< 
10M-R 



13 tkisnM* noons Of M*)- Mao ScDMuKCwC-EZ . 
13 Cap«a g>« or (toa). Mach Sen*** . 

■ not nponod on Ino ia (no pogo 19) 
IS 0*»g«»orpooooi).AaachFann47a7 
16aToain*«Mftiilam ..[iSal 
17a 1.. 
It 

19 Form noon* oc I 
aO Un 

aiasocmiociOy n i n ^iVVSMy' I b T« 

33 Oinaiaioona 




23 Aad»<o«noi)iai»i1»l«mgWoo>in»»loHnooTW»ougha.Ttil»iiye» 



10 



12 
13 
14 
15 
16b 
17b 
16 
It 
20 
21b 

23 



1.343. 



1.372. 



34aYoi«IU« 
Adjuatmanta b i n — •■■ u m i ai « ■■ »•» ip ^ Mt^ — .tjMi — Mt* *» » w 
to Incoma 25 ono-imoi m i« i »io > wio B t iw (■«« p«g« ao) 

26 *««-«»m»»«MMw uni ii i i «««. . »■« ( mn p. HI 

(Saopagoil) 27 Koogh loo n ni t plon * »« » Mi ^i loyo il SEP doducton . . . 

25 Ponalit on mtiti loWiaroioo l ol oo ntng i 

26 Atniony poiANooaionro SSN ► 

30 »ad lim ?4#airoii8>H». Th»»o ow yoMt ipyi i dlM i ti ni il 

A<t Gt. Hkow 31 Suttoatiio 30 tom ino a. Tint ■ lOur oanolod at w me— 10. 

KBt-wn...-., - - - 



1.372. 



862 



F(vm 1040 (im: Jennifer M. Durbin 



340-76-4396 Ptatl 



32 

Tm S3a 

Compu- 



^WnDun Iram Ina si (ad^m a grow tnoofns) 

CMC* I Qvou .w.uxtiM' [] BUid: Q SpeuM •«ii»>m>. Q Bhid. 

Add IK fMMMf o< boM chaoksd ibov* and wMf «M BM hara > 33a 

■ fov »nn (or tonaon* ak*) can awm you •■ ■ d « p «n (l «n t . cMcfe Kara . . . ^ 33(> 
V vow ara marnad ttng aiia»aw>| and your vouaa Maii u aa dadu o ona or you .. 

ara a dun aiann itan. aaa paga 22 and chadi Data * 39c 

*Umi , Hawii i addadu rt ewa «>»«acw<ni»*.i— w.OH 

tandard daducdon »»»-» »^- 1.. »»■« loa — »i^ ■ul ■ you diaekad 
any bei «« Ina S3a or b,a> » ••«• n « •••< rMi •«••«• oonM. 
R you ohackad boa 33c. y^r «•#■**»< *»«wc»— » »ot. 



a a>«« — n.Me 



O Hm« •! kMMMW — U.tU 



H you wani 
ina IRS 10 
ftgura your 
lai aaapaga 



Subaaa Ina 14 kom ina 12 

It ma 12 la (n.aso w Ma. rmnpty (2.300 by Via total nun«a> ol aonplona daknad on 
tna *a • ma 12 ■ ovar STl.tsa. aaa tna wodtuiaai on paga 21 lo> tna anminl lo anar . . 
Taubia Incoma. Subvad tna M Ironn Ina 3S It kna K ■ nnra nan ina 3S, dnlar -0-. . . 
tnm ia< Cnack It torn a g Ta> Tabla. b [] Ta> Rata ScnoduiM. a [] 

w d Q Fomi 8615 (aaa pago 23). **«ynt. h amt. utm *•*■««) hi4 ► a 

Addaonai tuas (aaa paga 23) Chock If Irom a [] Forni 4S70 b|J Forniaan 
*00 Inas IS ana la 




1.372. 



1.343. 



Cradlts 

(Saapag* 



42 



C/o(*t kx l^a Hdany w tha doablad Anach Schaduia R 

Fofogn lay aadit. AitacnFomi 1116 

Otn« oadn (>aa paga 24) Cnack II horn a [] Fofm laoo 

b[]fomiB3»6 e[] FomiBaoidQ F... 

Asa inaa 41 through 44 

Subtraci hna 45 from Ina 40 If kno 45 is mora than kna 40 anior -0- 



41 



Other 
Taxes 



San-arrpioymam la> Attach Schaduia SE. Abo. aaa kna 25 

Anarnawa nnmum uv Attach Form 6251 

Racapiura laua (aaa paga 25) Chack If Irom a [] >•<• atMb [] '•' 

Tax on quiMfiod ratiramant plans, irtckjding IRAs Attach Form 5329 
AdvarKa aarnad incoma cradn paymants from Form W-2 



S3 Ada knas 46 through 52 Ttws is your total taK » 



S4 

Payments 55 
56 
57 
58 
59 



ABach 
ForTTBW-2. 
W-2G. and 
lOes-Rlo 
pagai 



Eamad Incoma crotft Aiucr> Scha4wta cic 

Amount paid with Form 4668 (axtansion roquast) 

Cu««a MCMiM<vntv.U»4tcara,aA« aaTAUi w4tti(i«ld(a»«p«a« zt) . . . 
?'.''i";r.r "'"•'»"*' aQForm2439 bQForm4136 



54 



55 



100. 



60 Ado knas 54 through 59 Thaaa ara your total paymants ► 



Refund or 
Amount 
You Owe 



61 If kna 60 ■ mora than kr<a 53. aublract ina 53 Irom kna 60 TNs la tha wnount you OVERPAID > 

62 Amount of Ina 61 you want REFUNDED TO VOU » 

63 <in»un<.>t..iin»«>''tAPPUED TO YOUR 1993 EST. TAX ► ) 63 | Q. 

64 If kna 53 a mora than Ina 60, lubtract Ina 60 Irom kna 53. Thu a tha AMOUKT VOU OWE. 
Anach check or money order for fuH amount payable to 'Internal Revenue Servica.' Wrfte your 
nania. sdi^ess. sooaj tecunty number, daytime phone number, and '1992 Form 1040" on it . . 

65 Esnmaled lax penalty Also include on kne 64 . I 65 I 



Sign 
Here 

Keep a copy 
of this ratum 
lor your 
records 



d ranplata. 0«CUr«ton o 



mp«nyin9 ■ 



Spouse's agnalura. It joint return, BOTH must sign 



lerm«ben of which pttwm hu wiy biowla4f4. 

Your occupation 



Spouse's oocupainn 



Paid 

Preparer's 
Use Only 



Praparars 

«g nature 



V^^^ 



AjumjLa 



Dale 
04-03-93 



Firm's name (or yours FranCJS LV BayfleV. Ph.D. 

"anTaX^'^ ^UA Seminole Drive 



Springfield, IL 



Praparaf's aodal aacudiy no. 
146-28-8672 



863 



Schedule B — Interest and PMctend Income 1992 »amctimns»9i»nB»Mo.l» 0MBMc).ia<5-eB7« 



Na>nK>) •no<i>n en FonnlOW 0» mi ««i» «!■■■««» 

Jennifer M. Durbin 



340-76-4396 



Part I 

InlarMi 

Incom* 



IkfOu had ow *400 *i tuMi MHraM Ineania, OR «• dMnng ta «dnion ol InMraa kcni •■!■• EE US. Matngi 
bondi iu»d nwr nw. you ml uu i ni w Wi pm. U« *a mi— >c«i nt «lir«d. f you tad erm ttoo ki tnatolo InMnM 
noona. you mat mo uuii»l1 Pal IK. I you iic«*nd. m • noxOao. ImrMI Out i cfcu fy batofigi lo matm panon. of 
you i» t «i»» d or pad accniM Ul na on uriaMM (■nuarad ti n ioin MvM paynani daaa. aaa paga ^i. 



(Saa 




IMaraat moonia 






pagaai4 


1 

2 
3 

4 


Lananaolpayar. Uainnaltoniiaia-tnanoodmoflBagaaftil » 


1 




andB-v) 


Bank One 20010010010000491837 


29. 








raoaivad • Fomi 










lOM-OlO o< 






aubaanjia 






staunwnt. irom 






kninalnnt 










payaf and amw 






Iha lolal mlwasT 






slwwn DA mat 






lonn. 


Add ma amounts on ina 1 


2 


29. 




Eidudibla mwast on larias EE US. Savings bonds asuad afiai 19*9 kom Form 


3 






Subtract ina 3 kom Ina 2 Enlar ma raauB hara and on Form iCMO ina 8a » 






4 


29. 



Part II 

Dividend 

Income 

{See 
and B-1 ) 

Note: n you 
rac«fv*d a Form 
lOW-orv. Of 
substttuta 
tlalamenL from 
a brokarage 
linn, Isi the 
firm's name as 
the payer and 
•mar the low 
dividends shown 
on that lorm. 



n you had over $400 m gross dNklands and/or omar dambunons on eiock. you mus complala Ma part and Pan III. II 
you racened. as a nornnae. Avidands thai actuaty belong u another person, we paga B-1. 




Dividend Income 


Amount 




S ur name ol payer Include on tha ine capital gain domoukons. nontaxable cisvib 


.etc. 


► 


5 




















































6 Add the amounts on Ina S 


61 




7- Capital gain dMIbutlons Enter here end on Schedule 0« . . 1 7 









8 NontwabledBlributons (Saetheinslk>rFomit040, IneB) 8 


9 




9 Add ines 7and» 




10 Subkact ine S kom Ine 6 Enter the result here and on Fomi 1040. ina S 




. ► 


10 





■ If you received cepital gan diskibutons but do not need Schedule D b report eny other gains c 
kavuckons lor Form 1040, ines 13 and 14 



Pari III 

Foreign 

Accounts 

and 

Foreign 

Trusts 

(See 

page B-2.) 



n you had over $400 of interest or dividends, OR had a toieign 
a loreqn kust, you trust complete this pari 



r were a grantor of, or a kansteror to. 



1 1a At eny time Ojnng 1992. did you have an interest in or a signature or other authonly over a financial Koounl 
in a foreign counky, such as a bank account, sacunties account or other dnindal account? See paga B-2 

lor eicepkons and ISng requirements lor Fonn TD f 90-22 l 

b If "Vas,* enter the name of the foreign counky > 



12 



Were you the grantor of, or kansteror to. a foreign kust mat existed duhng 1992, whether or not you have any 
benefioal interest in Ir? If "Yes.' you may have lo file Fomi 3520, 3S20-A. or 926 . 



Hsse For Paperwork Reduction Act Notice, see Form 1040 Insbuctlons. 



Schedule B (Form 1040) 1992 



864 



Same: Jennifer M. Durbin 



Supporting Schedules 



1992 
SSN: 340-76-4396 



Fom 1040 - page l 

Line 7 - w-2 Inforaation 



Source T/S 


Cross 


■Wages 

S.S. 


Medi- 
care 


rederal 


s. 


Taxes withheld — 

Itedi- 
.S. care State 


Local 


Boone's Sa T 
Sedwin Inc T 


1245 
98 

1343 


747 
98 

845 


1245 
98 

1343 


99 

1 

100 


— 


77 

C 

83 


18 

1 

19 


37 

2 

39 





865 



llllnolt Individual Incom* 
Tax Raturn 



1992 IL-1040 



Of Hmeai rfar <^^ng 



Do not wrtia abov* INi Ins. 



Yoof tm narm and t^ai <r*«..^'« fc^ — — < — • ■— - 

..ssstsiB* CAR-RT SORT ss CR10 

JENNIFER n JURBIN 

^^liN^Cp!£J^p' j;:^ .87DM-33.7 



Ym« im nwTW 



Your Social Sacuftty nuntfxr 
340-76-4396 



Spouss'i Social Sacuty numtar 



S«« Inatructtona baton m m p la tt no S«U ao c Bo n . If you ara raquJrad lo ba Bial m ad aa a 
dapandam on anolhar panan'a raturn and your UPnola baaa Incoma la graclar ttiafi $1,000, 
you may r>e lo««9ar olalBi a baaic aaampOen tor youraalt. 

^ a<1) How marfy varrpaona Ad you diaan on your 1M2 ladaraJ ralum? a(l) 

( ail) n yoo ara a dapandam daanad on anotnar panont r«um. aaa mavucaona 9(2) 
;b Cnac* « niM: you aara C3iadl II oi 1992 your «>ouaa a>M 

B65 o- o«ai P *"" "'^ — 
lagaly Mno [J lagaty bind 
wma on ma hna vw numbar of boxas you chadtad in Slap b abowa a 



4-dali 
chooTcoda 



1055 



^ S g SIngH or haad ol houaahokj 
Mantad Mng (olnay 
Minlad Sng aaparataty 
WIdowad 



nt 



Total aiarrptlona Add >na» a(i) a<;) and fa 



■ n i 



n at taBU two tt*d9 of your 
total groaa inooma cama Irom 
tanning, chack boi. ► 



D 



1 A<]|usiw3 groa* wxxirrm (U S 1040. Una 31. US 1040A, \jn» 16 Of U S 1040LZ. Lffia 3) 

2 F*oara»y tai -axampt warast incoma (U S 1040 or 104QA. Una tb) 

3 Otf*a» •aanont (S«* »«r\ictions and apadfy ) 

4 Tol^ >rKX>r*ia Add Lfn«5 1 7 and 3 



1,372. 



1,372. 



5 Fada'atiy iAi*d immrmn] tnd Sooal Sacunry (Anach copy of U S iO«0 o* lOaoA ) 

6 Mtixftry ply aarned awtiis ■ r«$tdeni and included in Una 1 

7 lUirxxs incx>me la* fUt\jnc inctudad on U S 1040. Una 10 

8 U S 90v8rTvn«ni obagabons ftt more man $400. aHach copy ot U S 

9 Other aubOacnons (Saa mstnjctwns and apedfy ) 

10 Tola) subtractions Add Lines 5. 6. 7. 6. and B Oo K«t »c*.»* 

11 Base inconv Subvaci Line 10 from Line 4 



[J Of part-yaar rasldant [J . 
Then skip to Line 14. 



1,372. 



Illinois r»aktenta con&nue lo Line 12 Check if you were a nonreaitfant 

Anach Schedule NR ano write amouni from Schedule NR, UrM i hara 

12 Wrne total exampoom Irom Boi c ot Exampbons aectwn above 

13 Net trxxime Soblraci One 12 from Line 11 



Multiply by $1000- 



gi4 Tax Residents, rrunipiy une 13 by 3% (03) or see lax table Cnnan wnu 

7 IS Voluntary contnbutKins Your donaoon will reduce your ratund or mcraaai 

I I IL Nongame \^idliie a) Homeless As3>sunc« 

'g Child Abuse ^, ,^ .^ 

V Pieventwn ^^ Uleracy Advancamem 

Q Atzneimer's Research c) 

s 16 TotaJ lax and oonmbuttons Add Lines 14 and 1S. 



om Schedule NR 
uni you owe. 



Total contrlbutwns^^ . 



> 17 llllnots Income tu withheld (Attach copy ot aB W-?s} 

■ ci8 EsorTMied payments OL-1040~ES. IL-50S-I. and 1991 overpaymeni cradfl) 

: c 18 Credn lor ux paid to other states (Une 8 of allached Schedule CR) 

, 20 Credn tor IL properry tax from worksheet on page 2 I 

' 5 21 Tax oedns from atiached Sch 1299-C, Part V)l. Une 1 1 

^ 22 Tola) payments and credrts Add Unes 17, 18. 19. 20, and 




23 Overpayrrient n Line 22 is greater than Une 16. subl 

24 Amount ol overpayment you want credited 

25 Amouni ol refund Subtract Line 24 from 



26 Amount you owe 1 Line 16 is greaii 

27 n you completed IL-22iO. wnie your 

28 Total amouni due Add Lines 26 and 27 



1 and. to the best of my krwwledge, tl is true, correct 



Sign 
here 



Your signature 



Date 



Daytime phone number Spouse's signature 



^-0^4. 



r4.K^^ U S-^Lu^A^ 04-03-93 217-787-7289 146-28-8672 
Paid preparer's signature U J Date Phone number Paid preparer's FEIN or SSN 
-*■ It you use a tax preparer and do not wRh to recerve a booklet next year, check here 
Mall thia return lo: Illinois Department of Revenue. Sprlngfleld. IL 62719-0001 



D* 



866 



1040 U.S.Indlvldual Income Tax Return 1992 



IM «• Miy ~ 0« Ml Mtta •» tttvto to • 




Forni 1040 (19S2) 



867 



fcnnio«oii»gi Paul D. Purbin 



348-74-6256 P«B» a 



32 Anwn tont In* 31 (ii^t—l groa kiooim) 

Tax S3a CXKtir Q v«i .«•»»«.-. Q BUft Q Siwum •.»•»*.. Qakid. 

Compu- AM la wntm ol boa* etadiwj above and «•■ t* nri Ian » 33a 

fUon K ■ yo<« paran (oi •omaona *a) can awn you aa a dajianda w . etaek Kara ...» 33b 

C I fouaramamadangaaparaMir and your apouaalanaaadaductom at you ^ ~^ 

nadu«-«ittiaaia<vaaapaga22w>dcnackliara > JX 

rc^r>_v SJ tiav , llaw m addadu rt tonafT* !««««-■» «■>««». on 

Standard «aducaon»«» MB. oraxt-M, •).•>. am » yew rt ia rtr a d 

, anyboieninaaaaof b,i» i» Ma* "'**■*<>**■<■»—'* — " W in. 

ivvar^ ItyoucltacaadboaSSc. yMr«iMi«Mga«*.cM*«wn. 

a«a* — >>.Mo • Mis> •> i>«iMMM — njw 

Hama* (ihAt t>i ll| at Oii«11|Wfl wia«H«r1 — M.00e 
aum«« titof MpvaMIr — n.OM 

35 Sutna ma M torn bias 

36 I ma 32 B (71.990 or laaa. niMiptir tz JOO by Via BW ninaaf e< ■ai r pfcna cMmad o 
trw (a I ma 32 a ovai t7(,M0. aaa tt» oofkahaM on paga 23 toi a<a aniouM ID araar 

37 Tanbto Incciwa. Subvaa ma 3« Irotn m* IS n ma 3< ■ man «wn m* 3S. anw -O- 

38 Enwiai Chac*l»om a g Tai TatM. b [] Tan Rata ScnadiMa. c Q Sctiadula 0. 
o< d[] FomH6iS(aaapaga23).»«w«i..'«i.r.ir.»««.«i)M..» * 

39 Aooaonai lasaa (>*a paga 21) Cnack • Irom a [] Fom\ acTO b [J Fonn4«72 

40 Ada kn« 3< and 39 




5.278. 



3.600. 



1.678. 



Cradlts 
(Saapaga 



41 C...1I.. »... 

42 &*« lor ma aioany or 9» daabMd Attach Schaduia a 

43 fvmgr* tax ciadit Attach Forni 1116 

44 Omar craAs (aa* paga 24). Chack ■ Irom a [] Form 3aoo 

b [] Fomi a3se c Q Form S801 d Q »«.• 

45 Add mas *^ through 44 



41 



42 



m 



m 



46 Sut»ar3 knc 4S Irom ma 40 H ina 45 B mora than Ina 40 aniar -o- 



Other 
Taxas 



47 Sait-arrvioymani ta> Attach Schaduia SE Abo. «**ma2S 

48 Anarr\alrva mrwrum tai Attach Fonn a2Sl 

49 nacapUirala>a*|aaapaga2S) Chacklkom aQ '•••uubQ'maaii cQramMn 

50 a*(wi MCMriiy •«>« U««.Mn Ummhp Mcaa* M«t np^nat 1* MialtfV AIMck r»rs 4117 

51 Tai on quaafrad raaraiiiaia plana, mdudmg IRAa Attach Fomi &32S 

52 Advanca aarnad mooma cradrt paymantt kom Fomn W-2 



S3 Add mat 46 through S2 ThB B your teM tta 



54 *»mm%immmm»tmMwtiit»mm.nmjmtt*mrmrmtt)t9m.tm9€t . . b M 

Paymants 55 nas m*mu« im Mr««"tt ■*« ■■011 «aaa*4 fr«a laai nam 

56 Eamad bi c oi a a craA. M«crt iciMaMi* Ere 

57 Amount pad wKh Fomi 4a6S (axianaion laquaal) 

58 [■c*wMCMiB«a«iiT.M«acir«.Mi4amAiu«iiiiii*r4|M«Ma*>ai - 

59 r.^'UCT'"*"'*^'* iQFormjot bQFormaise 



Attach 
Fom»w-t 
W-2C. and 
1IM-R10 



60 Add mat S4 through aa Thaaa ar* your lo>al paymarUa 



Rafund or 
Amount 
You Owa 



n m* «> a mar* Vian ma u. aubaad ma U bom ma K) TNa B «i* amoura yeuOVERf AlO b 

62 Amount ot m* ci you aran REnMOED TO VOU b 

63 ta.^i.rmiirun.iAPPUEOTOVOUIIItnEST.TAX b | 63 I 0. 

64 n tna U a mora dan m* «. lubaact m* ao bom ma sa. ThB B Iha AMOUHT VOU OWCl 

Attach chadr or monay ordar tor lua amourtf payabB 10 Iraamal Ravanua 3arvioa.* Wtaa your 
narvB. a rl ttaw. aodat aacurty numbar. dayama phono numbar. and 1992 Form lOatT on K . . 

65 Ewmaiad ta» panaWy ABo induda on m* 94 I 65 | 



Sign 
Hwa 



9 Your Bgna&jra 



•M4c*«al>u. 0«cJnfe*a*r»f •»•.•( (sin** iMwti^inflwawg 



Spouaa'a agnaur* II pM raun, BOTH mutt aiga 



Your occupalon 

Student 



Spauaa^ oocupahm 



Praparar"! 
■ gn aiur a 



Praparaf** 

Uaa Arik. ■•■rn» rw™ to. y 
VfOtUf 9 aal-amtrlByad) 



^idJAAuZnA. 



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HUBIIBB 



Tha Honorabl* Donnald Andarson 

Clark 

U.S. Houaa of Rapraaantatlvaa 

irr-2 Tha Capitol 

RE: ethlca Raport for 1992 

Daar Mr. Andaraon: 

X ancloaa ay Financial Diacloaura Stataaant for ealandar yaar 
1992. 

Addraaaing lina 1 of paga 5, Clyda Cugganbargar nota, tha nota 
carriaa no Intaraat and ao Block C la not ralavant. 

Sincaraly, 

Don Bdwarda 
Naabar of Congraaa 

DE:db 
Encloaura 



889 



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tonvtM of tfje Winittt S^tatti 

i^oatt o( &cprrtenUitibe< 
■u^ngton. BC 20513-0516 co--tt„o-«-« 



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KOtlMS-tiet 

Nay 25, 1993 



Th« HonorabI* Donnald K. Andarson 

Clark 

U.S. Housa of Rapraaantatlvaa 

Offica of Racorda and Ragiatration 

1036 Longworth HOB 

Haahington, DC 20515 

RE: Ittalea Kapert for itta 

Daar Don: 

Hy raport naads addltiona aa followa: 

1. Sehadnla !▼ Traaaactiena 

city of Loa Anqalaa Bond 

Sold March 3. 1992 

Amount of tranaactlon — C 

2. Sdiadnla XT Traaaactleaa 

Taaacula California School Diatrict Bond 
Sold Novaabar 10, 1992 
Amount of tranaaction — D 

I ragrat my ovaraight in tha abova. Thank you for your 
aaaiatanca. 

Sincaraly, 



Don Edwarda 
Maabar of Congraaa 



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HAND DELIVERED 

McDANIEL & ASSOCIATES, PC. 

Certified Public Accountants 



Bruu C Hwraon. CPA (AL) 
B« flown. CPA (AL) 
Rod A. AndrMM. CPA <AL) 



June 3, 1993 



PUM L StM«. CPA (AL) 
Vckl M MW1. CPA |AL) 
Cvol P Morgw\. CPA (AL) 
HMMCCA C Hvpsr. CPA [AiJ 
John M n«m«on. CPA (FL) 
S«lnu B McNab. CPA (AL) 



Mr. Bernard Ralmo 

Chief Counsel 

Committee on Standards of Official Conduct 

Suite HT-2, The Capitol 

Washington, D.C. 20615-6328 

REi Congressman Terry Everett 

Financial Disclosure Statement 
1992 



H 







MEMBEnS 

AMCnCAN MSTTTUTEOF 

CEHnFlED PUBUC 

ACCOUWTXWTS 

ALABAMA 900ETY OF 

CEFfTlFIED PUeUC 

ACCOUWTAMTB 



PWVATE COMPANIES 

PHACTX^e SECmON OF THE 

AICPA 



en .— CO Tics 

^ ci; _ -^ 



Please find enclosed, in letter form, the corrections tc 
Congressman Everett's 1992 Financial Disclosure Statement form. 

We pray that this clears all the items you requested for this form. 

If we can be of further assistance, please advise. 

Sincerely yours, 
HCDANIEL & ASSOCIATES, P.C. 



^^'tiZ*.^ YS"' 




G. Ross Kennedy 
Staff Accountant 

GRK/sfh 
Enclosures 

The enclosed information is true and correct to the best of my judgment 
and knowledge and belief. 



rV Terry Evjferett 
Congressman for the 
2nd District of Alabama 



4 Nofttitid* Executiv* Pwk • Poat Offic* Box 6356 • Oottian. Af>b*fna 36302 • (205) 792-2153 • Fax (205) 793-1216 
4425 Mwt>e< StTMl • Poat Offica Box 5768 • Mariann*. Rofida 32446 • (904) 482-7333 • Fax (904) 482-3085 



933 



CORGRESSMAli TERRT EVERBTT 

2MD DISTRICT OF ALABAMA 

CORRECTIONS 

FIHANCIAL DISCLOSURE STATEMENT 

1992 

Schedule III. Assets 

Real Estate loans on Personal Residences as followsi 

Individual Address Aaount Rate 

Phipps Enterprise, AL $100,093 9.2S« 

Faulk Enterprise, AL 56,507 10.00% 

Klein Enterprise, AL 95,485 9.00% 

Shelor Panaaa City Bch, FL 123.193 7.50% 

$375,278 

* Please aove valuation of asset to Column F, $250,000 to $500,000 
Schedule III. "Unearned" Incoae 

The type of Incoae on the notes receivable Is Interest. 

The category of aaount Is VI ($15,000 to $50,000) 

Schedule V. Liabilities 

Altus Bank of Dothan, Al - This bank was taken over by Magnolia Federal 
of Hattlsburg, MS In May of 1993. 

Charles Taylor Is an Individual and holds the note on Mr. Everett's 
fara. Mr. Taylor lives In Dothan, AL. 

ADDITIONS! 

Schedule III Assets and "Unearned" Incoae 

Please addi 100% of the stock In Union Springs Newspaper, Inc., 
Union Springs, AL 

The category of value Is F ($250,000 to $500,000) 

The category of Aaount of Incoae Is - None. 



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THOMAS M FOGLIETTA ''^"" "'skwd i 

COMMITTEE ON APPROPRIATIONS 



(Songreas of the %nite5 States 
House of fieprestntattues 



^ WiLUAM J GHHN BUIIDING 

ROOM t(MQ2 
PMILADCLrHUk PEMNSVLWANUt 19IQB- 

Saalftaigtiin. l.€. 




May 30, l»»3 

Henorabl* DouMld Andaraon 

Clark of ttaa Beuaa 

Of f loa of Raoorda and Kagiatratlen \j IKICinC klAII 

1036 Longworth Houaa Of f loa Bulldiaq INOliJE MAIL 

WaahiBTton, DC 20515-6612 

Daar Doani 

I wiah to aaand ay 19t3 rlaaaeial Diacloaura Stataaant to 
raapoBd to tha following arrora la tha atataaant: 

• Baoauaa it ia ooafuaiaq, kindly dalata linaa 
2 and 3 of paga 3. This vaa aaraly waa a 
caption which daaeribaa holdinga and 
tranaactiona of aaeurltloa fully diacloaad 
tharaaftar aa part of a thaarBon Lahaan 
Brothara portfolio. 

• Ralating to tha aharaa of Philip Morris stock 
OB paga 4, thara waa bo inooaa froa tha 
aacond block of aharaa and divldand incoaa in 
tha amount of $201-$1000 froa tha firat 
block. On tha rraaport MoMoran Rasourca 
atock, alao rafarrad to on paga 4, thara waa 
no incoaa. 

• Ralating to tha holdings of raal astata on 
paga 4 ("2 around Lota - Kiddar Township, 
Laka Harmony, Pa.," and "210 Aaaoc, Raal 
Batata Partnarahip") , thara was no incoaa 
froa thaaa propartiaa. Tha proparty hald by 
210 Aaaociataa ia loeatad at 210 M. 13th 
Straat in Philadalphia, Paanaylvania. 

Aa you can aaa, thaaa oaiaalona wara puraly inadvartant. 
Attachad you will find two copiaa of thla lattar. I thank you 
for your aaaiatanca and tha assistanca of your ataff in thia 
aattar. 

Sinearaly, 




TMT/ag 

r PRINTED ON PAPEi MADE WITH BECYCLED FIBERS 



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1022 



ETHICS IN GOVERNMENT ACT - FINANCIAL STATEMENT FOR 1992 

Thomas S. Foley 

1201 Longworth House Office Building 

Washington, D.C. 20515 

Member of the House of Representatives District 5, State of WA 

II. and III. - ASSETS AND "UNEARNED" INCOME 



ASSET and/or INCOME SOURCE 

U.S. Bank checking acct. /savings (interest) 
Trust of Helen M. Foley * (income from trust) 
Federated Automated Govt. Money Trust (int.) 
Account Management Corp. (see attached 

schedules for itemization of assets and 

transactions. 
Wright Patman Fed. Credit Union (IRA 

dividends) 
Federal Retirement Thrift Investment 

Board (government Investment fund, 

interest) C III 

U.S. Bank checking account C 

445 S.H. Solomons, Inc. A 



VALUATION 


INCOME 


C 


II 


F 


VII 


B 


II 


C 


VII 


C 


II 



1023 



Ethics In Government Act - Financial Disclosure Statement for 1992 

Thomas S. Foley 

1201 Longworth House Office Building 

Washington, D.C. 20515 

II. and III. - ASSETS AND "UNEARNED" INCOME 

* This is the value of the Trust after all of the bequests of my mother's 
will were fulfilled. I am entitled pursuant to the Trust to receive 
one-half of the income from the trust until I die; at which time the 
trust will be distributed according to the wishes of my mother's will. 
Accordingly, I have only listed one-half of the Trust. 



One-Half of the Assets of the Helen M. Foley Trust 

9 shares of Farmers Union Grain Co. C 

115 shares of Bell Atlantic B 

123 shares of NYNEX B 
170.5 shares of American Telephone ft 

Telegraph Co. B 

1/2 share of Central A 
1/10 int. in C.P. Higgins, a joint 

venture D 

37.5 units in Higgins & Assoc., a Washington 

general partnership D 

Cash, Washington Trust Bank D 

Cash, Seattle First C 



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1032 



ETHICS IN GOVERNMENT ACT-FINANCIAL DISCLOSURE STATEMENT 
FOR 1992 

IV. Transactions 

Assets of the Helen M. Foley Trust: 

Funds and interest received from Augfust 1, 1991 sale of 

East Bowl, Ltd. Common Stock on 2/1/92 and 4/17/92. 

One-half interest received by Thomas S. Foley. There 

are still more payments to come. C 

April 1, 1992 Higgins and Associates real property sold. 

One-half income received by Thomas S. Foley. D 



1033 



ETHICS IN GOVERNMENT ACT - FINANCIAL STATEMENT FOR 1992 

Thomas S. Foley 

1201 Lon^orth House Office Building 

Washingrton , D.C. 20515 

Member of the House of Representatives District 5, State of WA 

V. - LIABILITIES 



CREDITOR TYPE VALUE 

Citibank Visa credit card B 

American Express Company credit card C 



1034 



Ethics in Government Act - Financial Disclosure Statement for 1992 

Thomas S. Foley 

1201 Longworth Building 

Washington. D.C. 20515 

Member of U.S. House of Representatives District 5, State of WA 
VII. FACT-FINDING AND SUBSTANTIAL PARTICIPATION TRAVEL 



SOURCE 

AFL-CIO 

815 16th Street. N.W. 

Washington, D.C. 20006 



Economic Club 

20 N. Clark Street 

Chicago, Illinois 60602 



Suffolk University 
270 Tremont Street 
Boston. Mass 



National Legislative Education 
444 North Capitol Street 
Washington. D.C. 20001 



BRIEF DESCRIPTION 

One way air travel, hotel 
accommodations, and food for 
Thomas S. Foley to Miami, FL.. 
February 16-17, 1992 to 
participate in conference. 

Round trip air transportation, 
hotel accommodations, and food for 
Thomas S. Foley to Chicago, IL., 
February 27-28, 1992 to give a 
speech. 

Round trip plane fare, hotel 
accommodations, and food for 
Thomas S. Foley to Boston. Mass.. 
May 30-31, 1992 to give 
commencement address. 

Air transportation, hotel 
accommodations, and food for 
Thomas S. Foley to San 
Francisco, Los Angeles. Chicago, 
Atlanta, D.C. November 7-11. 
1992 to participate in conference. 



1035 



ETHICS IN GOVERNMENT ACT - FINANCIAL STATEMENT FOR 1992 

Thomas S. Foley 

1201 Lon^orth Building 

Washington, D.C. 20515 

Member of U.S. House of Representatives District 5, State of WA 



VIII. POSITIONS 
POSITION 



NAME OF ORGANIZATION 



Member, Congressional Advisory 

Council 
Member, Board of Overseers 
Member 

Member, Board of Directors 
Board of Advisors 

Member 

Member, Advisory Council 

Cong. Rep., Executive Committee 

Member 

Member, Advisory Board 

Member, Board of Directors 

Member 

Member, Board of Director 

Commissioner 

Member, Board of Advisors 
Member, Advisory Committee 



Member, Congressional Advisory 
Board 
Honorary Member 



Henry M. Jackson Foundation 

Whitman College 

Yale University Courcil - Comm. c 

Social Science - Policy 
The Wolf Trap Foundation 
Center for Strategic k 
International Studies 
WSU Foundation 
American Ditchley Foundation 
Democratic National Committee 
Council on Foreign Relations 
Arena Stage 

Bicycle Federation of America 
Trilateral Commission 
College of Virgin Islands 
Japan United States Friendship 

Commission 
The Mansfield Foundation 
Center for Elected Politicians 

John F. Kennedy School of 

Government, Harvard University 
Udall Center 

Rural Sociological Society 



1036 




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7SIS COttPORATC CCNTRC OWVC 



HICMAIK) S MCNCCSC ATTOONCTS AT LAW 

JAMCS f AjrTMun. Ill 
ARMOLO OOLDIN. P C 

MAttKB Micssc Memphis. Tennessee 38138 

JOY TANNCft SOMAR T 
SHCRCC L HOTTMAM 



Nay 13, 1993 



Ms. Kimberly Cade 
Congressman Harold Ford's Office 
167 N. Mid-America Mall 
Memphis, TN 38103 

R£: 1992 Contributions to the 

Harold Ford Legal Defense Pund/EIGA Disclosure Report 

Dear Kim; 

Enclosed please find a list of all the contributions made to 
Congressman Ford's Legal Defense Fund in 1992. The total amount 
contributed was $1,999.00, although many of those contributions 
were less than $100.00. 

I also included the amount of 1992 interest paid on otir 
checking account in case you need that information as well. 

If you have any additional questions or comments, please do 
not hesitate to contact me. 



Very truly yours, 
Sheree L. Hoffman 



SLH/em 

Enclosure 

cc: Congressman Harold Ford 



1046 



Harold Ford Contributions - 1992 
DEPOSIT DATE NAME AND ADDRESS 



1/24/92 



1/24/92 



1/24/92 



1/24/92 



1/24/92 



1/24/92 



1/24/92 



1/24/92 



1/24/92 



1/24/92 



2/10/92 



2/10/92 



Thornton 



Marjorie K. Terry 
2522 Kimball Ave. 
Memphis, TN 38114 

Mrs. Ida M. Rice 
3825 Audie Dr. 
Memphis, TN 38109 

Mrs. Jimmie I. Bradley 
2067 Claremont 
Memphis, TN 38114 

Galilee AME Church 
1460 Oaklawn 
Memphis, TN 38114 
Contact person: Esther J. 

Ethel Durham Johnson 
3344 Morningview Dr. 
Memphis, TN 38118 
Plus $13.00 cash 

Wendy R. Miller 
1012 Esplande PI. 
Memphis, TN 38106 

Pearl Crawford 

1081 Court, Apt. 834C 

Memphis, TN 38104 



Mrs. Ludie C. Edmondson 
1978 Sparks 
Memphis, TN 38106 

Unlimited "Store for Men & Boys" 
4118 Elvis Presley 
Memphis, TN 38116 

Cane Creek Baptist Church 
1785 Elvis Presley 
Memphis, TN 38106 

Carla Durham Pittman 
5101 Presidio Dr. 
Los Angeles, CA 90043 

Maryetta C. Marks 

5450 Slauson Ave. No. 39 

Culver City, CA 90230 



AMOUNT 
$ 5.00 

$ 10.00 

$ 25.00 

$ 55.00 

$ 9.00 

$ 10.00 
$ 28.00 
$ 25.00 
$ 100.00 
$ 100.00 
$ 25.00 
$ 30.00 



1047 



2/10/92 Randa McDanlel Trapp 
2446 Kathleen Place 
San Diego, CA 92105 

2/10/92 Robert J. Bur ford 

6425 New Market Hay 
Raleigh, NC 27609 

2/10/92 Pentecostal M.B. Church 
1538 Norris Rd. 
Memphis, TN 38106 

2/10/92 Craig S. Strong 
1441 St. Antoine 
Detroit, Ml 48226 

4/7/92 Pearl Crawford 

1081 Court, Apt. 834C 
Memphis, TN 38104 

4/7/92 Rev. Arthur James Williams 
586 Walnut 
Memphis, TN 38126 

6/19/92 American Federal Grain 
Miller Local 359 
2250 Henry Ave. 
Memphis, TN 38108 

12/28/92 Mary L. Jamison 
56 E. Frank Ave. 
Memphis, TN 38109 

12/28/92 Rev. R. T. Joyner 
1048 Colgate 
Memphis, TN 38106 



$ 50.00 



$ 50.00 



$ 157.00 



$ 100.00 



$ 20.00 



$ 20.00 



$ 100.00 



$ 50.00 



$1,000.00 



TOTAL 



$1,999.00 



1992 Checking Accoiint Interest Paid 



$ 44.64 



1048 



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Term andad during 1992 

Jackaonvlllc, Florida Chamber of Comaarce - 
Govaraacntal Affalra Board - Tera andad during 1992 

Eaory Unlveralty Board of Govamora 

St. Vincent 'a Health Syateaa, Jackaonvllle , 
Florida 

Aaerlcan Red Croas, N.E. Florida Chapter 

Childbirth Education Asaociation Adviaory 
Board, Jackaonvllle, Florida 



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PageSof 8 



GEORGE W mtKAS 
FINANCIAL DBCLOSURE STATEMENT! 1992 



Ezhibh A 

Schedule ID - Assets 

Pnidenual Securities - Spouse - ERA 

Assets Related to tbe IRA Account on Decqnb er 31. 1992: 

Value 

AIM Equity Funds, Inc. - Charter Fund $15,001 - $50,000 

AIM Equity Funds. Inc. - Constellation Fund $5,001 - $15,000 

Phoenix Balanced Fund $15,001 - $50,000 

FHLMC Remic Series 1133N $15,001 - $50,000 

CD Lasalle (Exchange) National Bank $15,001 - $50,000 

Cash $201 - $1,000 



Exhibit B 

Schedule III - assets 

New Yoric Life Insurance: Policies #1 & #2 

Spouse was beneficiary of 2 life insurance policies in 1991. The 1991 financial disclosure 
statement disclosed interest paid on death benefits. There was no interest to report in 
1992 since the policies no longer existed in 1992. 



Exhibit C 

Schedule in - assets 

50% interest in Estate of Louis Charas 

Assets within Estate - Probate Process not complete 

Value 
732 S. 25th Street, Harrisburg, PA - House $15,001 - $50,000 

313 S. 31st Street, Hanisbuig, PA - House $50,001 - $100,000 



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1243 




1244 



FIHAKCIAL DISCLOSURE STATEMENT FOR CALENDAR TEAR 1992 
WILLIAM F. GOODLING 



Schedule 1 



Parts II *nd III - Asteta and "Unearned" Income 
Thoroughbred Horse Ventures 



Valuation of Asset 



#1 1/2 Interest In a joint venture 

owning a broodmare and her colt 4,250 

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broodmare, her filly and a share of 
a stallion 3'"3 

#3 1/3 interest in a Joint venture owning a 

share of a stallion 5,333 

#4 Broodmare and her filly ^*^^P 

Total of all Interests 15j666 



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1251 



The Honorable Barton J. Gordon 
Member of Congress 
Sixth District 
Tennessee 

1992 Financial Disclosure Statement 

Schedules III and IV ^_2 Assets and 'Dneamed* Income and 
Transactions 

The Laurel Hills limited partnership designated with an asterisk (*) 
is a real estate investment which has had less than desirable 
results . 

In checking with the investment conpany handling the property, they 
indicated that the value and the inccote from Laurel Hills should be 
listed as zero. 

Although the foreclosure process for Laurel Hills was delayed 
throughout 1991, the final foreclosure date uras Jeuiuary 29, 1992. 

There was no return to the partnership from the treuisaction listed 
above. 



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