Frank Joseph Polozola

AAFC (TW Th JUL WAU JUT le) 1 % . - Boa ve o5. Sivecitors _ WV), QA ftholte High Schoo, = =

Income — A" CAYaolie kis Stirool E5nblishe oy INaivscLAl Con@vs IS onknoww — ber FORMER CLEIKS. Amovnrs Lonvr. — 5

Name of Person Reporting

Date of Report

FINANCIAL DISCLOSURE REPORT

Poloz ola evank

§-¢-0

VII. Page 4 INVESTMENTS and TRUSTS -- income, value, transactions (nctudes those of

spouse and dependent children. See pp. 34-60 of Instructions.)

B

Description of Assets

Income

Gross value

(including trust assets)

during

atend of

Transactions during reporting period

reporting period

reporting period

[@]

(©)

[0]

(©)

0)

If not exempt from disclosure

(c.g

Value

See

(2

3)

Place "|

" after each asset

div.,

Value

Misthod

Noy San,

Date:

Value

S$

dently of

exempt,

rom prior disclosure.

Codel

rent or

Code2

merger,

Month-

Code2 |Codel

buyer/seller

(A-H)

int.)

(-p)

& 0 redemption)

Day

(J-P)

(A-H)

(if private transaction)

NONE (No reportable income,

assets, or transactions)

ON this prg<

HENNE

52

IE

|=

I

Js

I I I I

s

HEE.

ss

5

HE

ss

HE

I

5

jo

HENNE.

Jo

I

2

HEE.

jo

Jo

os

Income/Gain Codes:

A=%1,000 or less

B=$1,001-$2,500

C=$2,501-$5,000

D=35,001-$15,000

E=$15,001-$50,000

(See Col. B

F=$50,001- $100,000

G=$100,001-$1,000,000

H1=$1,000,001-$5,000,000

H2=More than'$5,000,000

Value Codes

J=$15,000 or less

K=815,001-$50,000

L=$50,001- $100,000

M=8100,001-$250,000

(See Col. C1, D3)

N=$250,001-$500,000

0=$500,001-$1,000,000

P1=$1,000,001-$5,000,000

P2=$5,000,001-$23,000,000

P3=$25,000,001-$50,000,000

4=More than $50,000,000

Value Method Codes:

R=Cost (real estate only)

S=Assessment

T=Castk/Market

(See Col. C2)

Qs) value

Vi

er

W=Estimated