Of UNITED STATES HOUSE OF REPRESENTATIVES FORM A Page 1 of 10 FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR VEAR 2005 For use by Members, officers, and employees t.ui,-hl -----, Representative Alan- B. Mollohan (Full Name) 20n5 MJ E RESOURCECEHTER Y 15 PM 6: 52 --- PRELIMINARY INFORMATION -- ANSWER EACH OF THESE QUESTIONS IX. period? If yes, complete and attach Schedule IV. If yes, complete and attach Schedule IX. V. Didyou,your spouse,or a dependent child have any reportable liability (more than 510,000) during the reporting period? Yes No 0 Each question in this part must be answered and the appropriate If yes, complete and attach Schedule V. schedule attached for each "Ves" response. EXCLUSION OF SPOUSE, DEPENDENT, OR TRUST INFORMATION -- ANSWER EACH OF THESE QUESTIONS Trusts- Exemptions-- 2302 Rayburn Building Washington, DC 20515 (202) 225-4172 nt:o: [OF WE C. ERK (Mailing Address) Daytime Telephone:,c: \.Iflll'S j f(ffieeium1(d'#h, Filer i'l/ Member of the U.S. State: WV 0 Officer Or Employing Office: A $200 penalty shall Status House of Representatives Employee District: 1st be assessed against anyone who files I Termination Date: Report more than 30 days 'l/i Type Annual (May 15) Amendment 10 0 Termination late. Didyou or your spouse have "earned" income (e.g., salaries or fees) of $200 Didyou, your spouse, or a dependent child receive any reportable gift in I. or more from any source in the reporting period? Yes No VI. 0 the reporting period (i.e.,aggregating more than $305and not otherwise Yes 0 exempt)? No 0 -- If yes, complete and attach Schedule I. If yes, complete and attach Schedule VI. Didany individual or organization make a donation to charity in lieu of paying Didyou, your spouse, or a dependent child receive any reportable travel or II. you for a speech, appearance, or article inthe reporting period? Yes 0 No VII. Details regarding "Qualified Blind Trusts" approved by the Committee on Standards of OfficialConduct and certain other "excepted trusts" need not be disclosed. Haveyou excludedfromthis report details of such a trust benefitingyou,yourspouse, or dependent child? Have you excluded from this report any other assets, "unearned" income, transactions, or liabilities of a spouse or dependent child because they meet all three tests for exemption? CERTIFICATION -- THIS DOCUMENT MUST BE SIGNED BY THE REPORTING INDIVIDUALAND DATED This Financial Disclosure Statement is required by the Ethics in Government Act of 1978, as amended. The Statement will be available to any requesting person upon written application and will be reviewed by the Committee on Standards of Official Conduct or its designee. Any individual who knowingly and willfully falsifies, or who knowingly and wilfully fails to file this report may be subject to civil penalties and criminal sanctions (See 5 U.S.C. app. 4, 104 and U.S.C. 1001). Certification Date (Month, Day, Year) I CERTIFY that the statements I have made on this form and all attached schedules are true, complete and correct to the best of my knowledge and belief. reimbursements for travel in the reporting period (worth more than $305 Yes 0 No 0 from one source)? Ifyes, complete and attach Schedule II. If yes, complete and attach Schedule VII. Didyou, your spouse, or a dependent child receive "unearned" income of Didyou hold any reportable positions on or before the date of filing in the III. more than 5200 in the reporting period or hold any reportable asset worth Yes No 0 VIII. current calendar year? Yes No 0 more than 51,000 at the end of the period? If yes, complete and attach Schedule III. If yes, complete and attach Schedule VIII. Did you, your spouse, or dependent child purchase, sell, or exchange any Didyou haveany reportable agreement or arrangement with an outside IV. reportable asset in a transaction exceeding $1,000 during the reporting Yes No 0 entity? Yes 0 No 0 Yes 0 Yes 0 No~ No~ c-2oo~
SCHEDULE I-EARNED INCOME Name Representative Alan B. Mollohan Page 2 of 10 List the source, type, and amount of earned income from any source (other than the filer's current employment by the U.S. Government) totalling $200 or more during the preceding calendar year. For a spouse, list the source and amount of any honoraria; list only the source for other spouse earned income exceeding S1,000. Source Type Amount Remington, Inc., Washington, DC Spouse salary N/A Property ownership & management
SCHEDULE III - ASSETS AND "UNEARNED" INCOME Name Representative Alan B. Mollohan Page 3 of 10 BLOCK A BLOCK B BLOCK C BLOCK D BLOCK E Asset and/or Income Source Identify (a) each asset held for investment or production of income with a fair market value exceeding $1,000 at the end of the reporting period, and (b) any other asset or source of income which generated more than 5200 in "unearned" income during the year. For rental property or land, provide an address. Provide full names of any mutual funds. For a self directed IRA (i.e., one where you have the power to select the specific investments) provide information on each asset in the account that exceeds the reporting threshold and the income earned for the account. For an IRA or retirement plan that is not self-directed, name the institution holding the account and provide its value at the end of the reporting period. For an active business that is not publicly traded, in Block A state the nature of the business and its geographic location. For additional information, see instruction booklet for the reporting year. Year-End Value of Asset at close of reporting year. If you use a valuation method other than fair market value, please specify the method used. If an asset was sold and is included only because it is generated income, the value should be "None." Type of Income If other than one of the listed categories, specify the type of income by writing a brief description in this block. (For example: Partnership income or Farm Income) Amount of Income For retirement plans or accounts that do not allow you to choose specific investments, you may write "NA" for income. For all other assets, indicate the category of income by checking the appropriate box below. Dividends, even if reinvested, should be listed as income. Transaction Indicate if asset was purchased (P), sold (5), or exchanged (E) in reporting year. Exclude: Your personal residence(s) (unless there is rental income); any debt owed to you by your spouse, or by your or your spouse's child, parent, or sibling; any deposits totaling $5,000 or less in personal savings accounts; any financial interest in or income derived from U.S. Government retirement programs. If you so choose, you may indicate that an asset or income source is that of your spouse (SP) or dependent child (DC) or is jointly held (JT), in the optional column on the far left. JT 60 G St., SW, Washington, DC $250,001 - I RENT I $15,001 - $50,000 (rental property) $500,000 JT 725 Mt. Vernon Ave., Fairmont, $50,001 - I RENT WV (rental property) $100,000.- - SP Remington, Inc., Washington, $1,000,001 - I DC (property ownership & $5,000,000 Sub. Income S corp. management), 1/4th interest ----- I $5,001 - $15,000 I $50,001 - $100,000 Remington, Inc., Washington, $1,000,001 - Sub. S corp. $50,001 - $100,000 DC, 1/4th interest $5,000,000 Income estate -- see footnote on last page), 1/3rd interest $250,001 - LLC income $5,001 - $15,000 $500,000
SCHEDULE III - ASSETS AND "UNEARNED" INCOME Name Representative Alan B. Mollohan Page4 of 10 SP SP SP I SP SP ----. Ramada Inn, Morgantown, WV -- inherited) 1/3rd interest Money Market Account Huntington National Bank, Fairmont, WV Certificate of Deposit $100,001 - None NONE $250,000 D&M Investments, Inc. $100,001 - None NONE 1/3rd interest $250,000 Building Revenue Bonds: $15,001 - None NONE Kanawha County, WV $50,000 nk, $1,001 - $15,000 INTEREST $1 - $200 $50,001 - $100,000 INTEREST $1,001 - $2,500 Paine Webber Putman Global $1,001 - $15,000 N/A N/A Growth IRA SP 6.5 acres & 27 $1 - $1,000 Royalty $1 - $200 :0., WV, 1/5th Interest in each SP Oil & gas/35 acres/ Gilmer Co., $1,001 - $15,000 Royalty $1 - $200 WV, 3.33% interest - - - SP Oil & gas/242 acres/ Gilmer $15,001 - Royalty $5,001 - $15,000 Co., WV, 5/32nd interest.. $50,000 JT Winterset Lot, Canaan Valley, $250,001 - None NONE WV.. $500,000 Irtland Road #2, house with $500,001 - None NONE lcent lot, Canaan Valley, $1,000,000 WV Black Bear Lot, Canaan Valley, WV $50,001 - $100,000 None NONE ft
SCHEDULE III - ASSETS AND "UNEARNED" INCOME Name Representative Alan B. Mollohan Page 5 of 10 JT 6 Peppervine Trail, Bald Head $1,000,001 - RENT $100,001 - Island, NC $5,000,000 $1,000,000 JT $250,001 - None NONE $500,000 Interest (see footnote on last page) JT JT I JT - - r JT 842 Middle Island Lot, $1,000,001 - None NONE Bald Head Island, NC $5,000,000 Interest 1 & 953 Middle Island $500,001 - None NONE :lid Head Island, NC, 1/2 $1,000,000 15 Horsemint Trail, Bald Head Island, NC, 1/2 I $500,000 $250,001 interest - Contracts, including deposits, for the purchase of I $250,000 $100,001 condominium units in The Preserve Condominium, Southport, NC (see footnote on last page) - I None I None I NONE I NONE JT Note receivable from $1,000,001 - I None I NONE Remington, Inc., Washington, $5,000,000 DC M&M Partners LLC, Bridgeport, $250,001 - I None I NONE IP WV (owns Cooper Farm, $500,000 Tucker County, WV) 1/2 interest rsp- - I DIVIDENDS I $201 - $1,000 IP I Citizens Stock (Citizens Bancshares, Bank of Inc. $50,000 $15,001 - Weston, WV)
SCHEDULE IV - TRANSACTIONS Name Representative Alan B. Mollohan Page6 of 10 Report any purchase, sale or exchange by you, your spouse, or dependent child during the reporting year of any real property, stocks, bonds, commodities futures, or other securities when the amount of the transaction or series of transactions exceeded $1,000. Include transactions that resulted in a loss. Do not report a transaction between you, your spouse, or your dependent child, or the purchase or sale of your personal residence, unless it is rented out. SP, DC, Type of JT Asset Transaction Date Amount of Transaction Cooper Farm, Tucker County, WV, 1/2 interest P 9/13/05 $250,001 - $500,000.-_0 SP Citizens Bancshares, Inc. Stock (Citizens Bank P 3/23/05 $15,001 - $50,000 of Weston, WV)
SCHEDULE V - LIABILITIES Name Representative Alan B. Mollohan Page 7 of 10 Report liabilities of over $10,000 owed to anyone creditor at any time during the reporting period by you, your spouse, or dependent child. Mark the highest amount owed during the year. Exclude: Any mortgage on your personal residence (unless all or part of it is rented out); loans secured by automobiles, household furniture, or appliances; and liabilities owed to a spouse, or the child, parent, or sibling of your or your spouse. Report "revolving charge accounts" only if the balance at the close of the preceding calendar year exceeded $10,000. SP, DC, JT Creditor Type of Liability Amount of Liability JT FNB Southeast Bank, Mortgage on 15 Horsemint Trail, $100,001 - $250,000 Wilmington, NC Bald Head Island, NC (1/2 interest) --------- JT FNB Southeast Bank, Mortgage on 521 Middle Island Lot, $100,001 - $250,000 Wilmington, NC Bald Head Island, NC (1/2 interest) ------- - JT Mortgage on 842 Middle Island Lot, $500,001 - $1,000,000 Bald Head Island, NC JT Rocky Mount, NC, at which time the mortgage amount was $428,400) Cooperative Bank, Wilmington, NC (mortgage holder prior to 5/23/05 was RBC Centura Bank, at which time the mortgage was in the same liability range shown here) Mortgage on 949, 951 & 953 Middle Island Lots, Bald Head Island, NC (1/2 interest) $500,001 - $1,000,000 JT GMAC Mortgage Corp. Mortgage on 6 Peppervine Trail, $1,000,001 - $5,000,000 Coraopolis, PA (see footnote on last page) Bald Head Island,NC JT United Bank of Virginia $1,000,001 - $5,000,000 (1/2 interest) JT United Bank of Virginia Mortgage on 60 G Street, $250,001 - $500,000 Washington, DC JT Huntington National Bank Installment loan (see foqtnote on last $15,001 - $50,000 Fairmont, WV page) JT Freedom Bank, Mortgage on Courtland Road #2 & $100,001 - $250,000 Buckhannon, WV adjoining lot JT MNM Holdings LLC, Morgantown, WV (family- Personal loan (this loan has been $50,001 - $100,000 owned business) repaid, principal & interest)
SCHEDULE V - LIABILITIES Name Representative Alan B. Mollohan Page8 of 10 Report liabilities of over $10,000 owed to anyone creditor at any time during the reporting period by you, your spouse, or dependent child. Mark the highest amount owed during the year. Exclude: Any mortgage on your personal residence (unless all or part of it is rented out); loans secured by automobiles, household furniture, or appliances; and liabilities owed to a spouse, or the child, parent, or sibling of your or your spouse. Report "revolving charge accounts" only if the balance at the close of the preceding calendar year exceeded $10,000. SP, DC, JT Creditor Type of Liability Amount of Liability JT D&M Investments, Inc. Morgantown, WV (family- Personal loan (this loan has been $100,001-$250,000 -- owned business) repaid, principal & interest) JT FNB Southeast Bank Line of credit on 6 Peppervine Trail, $500,001 - $1,000,000 Wilmington, NC - -- Bald Head Island, NC Ms. Carol Wilfong, inanced purchase of Cooper $250,001 - $500,000 Beverly, WV ucker County, WV (1/2 Mr. & Mrs. Don Kuhns Fairmont, WV Interest) Personal loan (this loan was repaid with 6% interest in 2005) $15,001 - $50,000
SCHEDULE VIII - POSITIONS Name RepresentativeAlan B. Mollohan Page9 of 10 Report all positions, compensated or uncompensated, held during the current calendar year as an officer,director, trustee of an organization, partner, proprietor, representative, employee, or consultant of any corporation, firm, partnership, or any business enterprise, any nonprofit organization, any labor organization, or any educational or other institution other than the United States. Exclude: Positions held in any religious, social, fraternal, or political entities; positions solely of an honorary nature; and positions listed on Schedule I. Position Name of Organization Secretary Robert H. Mollohan Family Charitable Foundation, Inc., Fairmont, WV Managing Member MNM Holdings, LLC, Morgantown, WV -.. President I! I D&M Investments, Inc., Morgantown, WV
FOOTNOTES Name RepresentativeAlan B. Mollohan Page 10 of 10 Number Section / Schedule Footnote This note refers to the following item 1 Schedule III MNM Holdings LLC West Virginia that is used as a vacation home and is not an investment property. 2 Schedule III 3 Schedule III r Schedule V Schedule V r 5 In each instance in which my wife and/or I have a partial interest in a property, the value, income, and any related liability shown are for our interest only, and not for the entire property. The 521 Middle Island Lot was sold in early 2006, and the sale will be reported on the financial disclosure statement I file covering calendar year 2006. Closing on the contracts did not occur in 2005 in that the It is not clear that disclosure of these contracts is required, but I am disclosing them nevertheless. I buildings were still under construction. On my 2004 Schedule V, the entry for this liability erroneously incorporated the address of our personal residence at 727 Mt. Vernon Avenue, Fairmont, WV. In addition to this installment loan, we do have a mortgage on that property with Huntington National Bank. However, that mortgage is not reportable as it is on a personal residence, and the amount of the liability shown here does not reflect that mortgage. The mortgage holder prior to 2/18/05 was Central Carolina I Bank, at which time the mortgage was in the same liability range I shown for GMAC. While the lender in the 2/18/05 refinancing was Resource Mortgage Banking, Resource sold the mortgage to GMAC effective 3/17/05. 521 Middle Island Lot, Bald Head Island, NC The Preserve Condominium contracts Huntington National Bank Fairmont, WV GMAC Mortgage Corp.