9, cn 4 / if, 7, • — f vi - 2 g ez - r. :Z. I4 y., g". ci; R§ vi rel . — S .4 4 A R `4,' - q .,, 4'4 § cc g 6 r. ti Excepted Investment Fund Excepted Trust 2-- .— 4 3 0' Type Amount Date ale.. Day. Yr.) Only if Honoraria 4 c :2 .e. CZ Rent and Royalties ...1— E- 1-' 4-„-

.8 0 uj CO ci go ga.q ci ill v) . — ! „.; 0 4 to o 0 a 8 ; ' is > O E 0 Z a e5 :2 ..? 0 '2 0 X Interest Capital Gains Excepted Investment Fund Excepted Trust Qualified Blind Trust Other (Specify Type) None (or less than $201) 9, 5 ,,-- 61 1a CV V) § pi 49 . § . ,- V) § t