Professional Documents
Culture Documents
State
Schedule D 0 Yes - schedule attached
o County of _ Income - Gifts
o City of _
Schedule E 0 Yes - schedule attached
o Multi-County - - - - - - - - - - - - - - - Income - Gifts - Travel Payments
o Other - - - - - - - - - - - - - - - - - -or-
o No reportable interests on any schedule
3. Type of Statement (Check at least one box)
NATURE OF INVESTMENT
!Xi Stock
o Other - - - - - - - - - - - - - - - - -
(Describe) (Describe)