27H 111

Fee for Late Filing
Any individual who is required to
file this report and does so more than
30 days after the date the report is
required to be filed, or, if an extension
is granted, more than 30 days after the
last day of the filing extension period
shall be subject to a $200 fee.

Reporting Periods
Incumbents: The reporting period is
the preceding calendar year except
Part II of Schedule C and Part I of
Schedule D where you must also
include the filing year up to the date
you file. Part II of Schedule D is not
applicable.

Termination Filers: The reporting
period begins at the end of the period
covered by your previous filing and
ends at the date of termination. Part II
of Schedule D is not applicable.

Nominees, New Entrants and
Candidates for President and Vice
President:

Schedule A--The reporting period for
income (BLOCK C) is the preceding
calendar year and the current calendar
year up to the date of filing. Value
assets as of any date you choose that is
within 31 days of the date of filing.

contract, Lyman, Idaho* | X

X

$130,000