Damon Jerome Keith

Page4 of 6

KEw/H LAN

Os [19/200

vil INVESTMENTS and TRUSTS -- income, value, transactions (Includes those of spouse and dependent children; see pp. 34-60 of filing instructions.)

[] NONE (No reportable income, assets, or transactions.)

A

8

C

D.

Description of Assets

Income during

Gross value at end

Transactions during reporting period

(including trust assets)

reporting period

of reporting period

(1)

2)

Mm

@)

m

@

3)

*)

(5)

Place "(X)* after each asset

Amount

Type (eg.

Value

Value

Type (e.g

Date

Value

Gain

Identity of

Code 1

div., rent

Code 2

Method

exempt from prior disclosure

buy, sell

nu/ddfyy | Code2 | Code |

buyer/seller

(AH)

or int.)

ap)

Code 3

redemption)

(J-P}

(A-H)

(if private

QW)

transaction)

BU

Beit ak LE LE

2

QITI 6062 TC

CN a ll I

Rill I I IC a I BE

i LEAR,

Tl I

cde Wl a a A

6. WASH 10L TOR MUTVAL

TL OUES THGUT pono InC

elev mdm 1

7

Ren eX7ATE Purch. (543

$ 7%. 000

i.)

AT, ng,

MICH,

STATE HoOt/o6 AXH

Fo

| 9

10

HENNE

11

-

=

a

——

HE

HENNE

15

HENNE

16

17

EE

1. Income Gain Codes:

=$1,000 or less

B =§1.001 - $2,500

C =32,501 - $5,000

D =$5,001 - $15,000

E =$15,001 - $50,000

(See Columns B! and D4)

F =$50,001 - $100,000

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

HI =$1.,000.001 - $5,000,000

H2 =More than $5,000,000

2. Value Codes

J =$15.000 or less

K =§15.001

$50.000

=$50,001 - $100,000

M =$100,001 - $250,000

N =£250,00] - $500,000

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

P1=$1,600,00! - $5,000,000

(See Columns C1 and D3)

P2 =$5,000,001 - $25,000,000

P3 =525,000,001 - $50,000,000

P4 =More than $50,000,000

3. Value Method Codes

Q =Appraisal

R =Cost (Real Estate Only}

S =Assessmaent

T =Cash Market

(See Column C2)

U =Book Value

V =Other

W =Estimated