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2011 Public Disclosure Forms City of Fridley Public Disclosure Statement By City Council Members or City Council Candidates Name: sLu-,7 LO-0 Date /�f Position Title: 11V7A Vok., In conformance with Section 5.04 of the Fridley City Code,I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%o£ the outstanding stock in a corporation,an interest in a partnership, proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee,officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. Ca/"G v ? -#0 (oT 6 0� (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homesteadal Property Address - 113 %a �f - - /No�/rTRd- P (use additional paper if necessary) 3. A list of the non-homestead real property located within the City of Fridley in which I have had a financial interest within the proceeding three years. Non-Homestead Real Property Address (use additional paper if necessary) 4. A list of names and nature of business of all corporations,partnerships, or other business enterprises with which I have a financial interest and in which I know one or more other persons covered by this code of ethics also having a financial interest in said enterprise. (This list shall indicate the name or names of such persons or persons having such interest in said enterprise.) Nature of Business—of All Corporations, Names Partnerships,or Other Business Enterprises (Use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.04 of the Fridley City Code. C (Signature) Note: This statement must be filed annually or when there is a material change in financial interest or in position held. City of Fridley Public Disclosure Statement By City Council Members or City Council Candidates Name: Date Position Title: C6V1VC cnt72 SOA1 /tT LAW 6 6 In conformance with Section 5.04 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of. the outstanding stock in a corporation,an interest in a partnership, proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee,officer, director,trustee,partner,advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address (use additional paper if necessary) I A list of the non-homestead real property located within the City of Fridley in which I have had a financial interest within the proceeding three years. Non-Homestead Real Property Address (use additional paper if necessary) 4. A list of names and nature of business of all corporations,partnerships, or other business enterprises with which I have a financial interest and in which I know one or more other persons covered by this code of ethics also having a financial interest in said enterprise. (This list shall indicate the name or names of such persons or persons having such interest in said enterprise.) Nature of Business—of All Corporations, Names Partnerships, or Other Business Enterprises (Use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.04 of the Fridley City Code. (Signature) Note: This statement must be filed annually or when there is a material change in financial interest or in position held. City of Fridley Public Disclosure Statement By City Council Members or City Council Candidates Name: `-&✓n Cs 5,967F1_-<c5_ Date =2 11 !4111 Position Title: 0_ ,,,) t, m t:�� dr_rz cy Hjey i In conformance with Section 5.04 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships,other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of: the outstanding stock in a corporation,an interest in a partnership, proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee, officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address (use additional paper if necessary) I A list of the non-homestead real property located within the City of Fridley in which I have had a financial interest within the proceeding three years. Non-Homestead Real Property Address (use additional paper if necessary) 4. A list of names and nature of business of all corporations,partnerships, or other business enterprises with which I have a financial interest and in which I know one or more other persons covered by this code of ethics also having a financial interest in said enterprise. (This list shall indicate the name or names of such persons or persons having such interest in said enterprise.) ;;;I; Nature of Business—of All Corporations, Names Partnerships, or Other Business Enterprises (Use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.04 of the Fridley City Code. (Signature) Note: This statement must be filed annually or when there is a material change in financial interest or in position held. City of Fridley Public Disclosure Statement By City Council Members or City Council Candidates Name: V61 Date Position Title: I I +� In conformance with Section 5.04 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships,other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. ' 1 a With which I have a Financia interest. . (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of: the outstanding stock in a corporation,an interest in a partnership, proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee,officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address l � 1 (use additional paper if necessary) 3. A list of the non-homestead real property located within the City of Fridley in which I have had a financial interest within the proceeding three years. Non-Homestead Real Property Address (use additional paper if necessary) 4. A list of names and nature of business of all corporations,partnerships, or other business enterprises with which I have a financial interest and in which I know one or more other persons covered by this code of ethics also having a financial interest in said enterprise. (This list shall indicate the name or names of such persons or persons having such interest in said enterprise.) Nature of Business—of All Corporations, Names Partnerships, or Other Business Enterprises (Use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.04 of the Fridley City Code. (Signature) Note: This statement must be filed annually or when there is a material change in financial interest or in position held. i City of Fridley Public Disclosure Statement By'1City Council Members or City Council Candidates Name: � ha,�L Date Z&4 Position Title: In conformance with tion 5.04 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises, or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of the outstanding stock in a corporation,an interest in a partnership, proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee, officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non7lornestead Real Property Address (use additional paper if necessary) 3. A list of the non-homestead real property located within the City of Fridley in which I have had a financial interest within the proceeding three years. Non-HpNestead Real Property Address t (use additional paper if necessary) 4. A list of names and nature of business of all corporations,partnerships, or other business enterprises with which I have a financial interest and in which I know one or more other persons covered by this code of ethics also having a financial interest in said enterprise. (This list shall indicate the name or names of such persons or persons having such interest in said enterprise.) Nature of Business—of All Corporations, Names Partnerships,or Other Business Enterprises (Use additional paper if necessary) I do swear(or affirm)that this report is a full and true statemen puns ant to Section 5.04 of the Fridley City Code. "l (Signature) Note: This statement must be filed annually or when there is a material change in financial interest or in position held. City of Fridley Public Disclosure Statement By the City Attorney {{� Name: �" (2�0()�"C (�(I �Jfl��( Date 47/ In conformance with Section 5.07 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations, governmental agencies, companies, firms or partnerships,or other business enterprises doing business with the City of Fridley or located within the City of Fridley in which I have any financial interest,except that clients of City Attorney's private law practice shall be excluded from the list,provided that no other business relationship except that of attorney/client exists. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of the outstanding stock in a corporation,an interest in a partnership,proprietorship, or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) Name of Business, Address Financial Interest Personal Interest Partnership, Etc. � z (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address �'Jcr e (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Sectio 5.07 of the Fridley City Code. X11 J? f (Signature) Note: This statement must be filed annually or when there is a material change in financial interest or in position held. City of Fridley Public Disclosure Statement �By the City Attorney Name: � � S 0 ����C�� Date lOZ 1 In conformance with Section 5.07 of the Fridley City Code,I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,governmental agencies,companies, firms or partnerships, or other business enterprises doing business with the City of Fridley or located within the City of Fridley in which I have any financial interest,except that clients of City Attorney's private law practice shall be excluded from the list,provided that no other business relationship except that of attorney/client exists. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of the outstanding stock in a corporation,an interest in a partnership,proprietorship, or other business entity,or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. —1,1I U1lQt-(o I UV r U iT OW D ��o C ftF S"y 3 (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address lV0Al&L _ (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.07 of the Fridley City Code. (S-iN tore) Note: This statement must be filed annually or when there is a material change in financial interest or in position held. City of Fridley Public Disclosure Statement By the City Attorney Name: _qrc!�q �vti\ �A2rt%cx Date 1-1-2-- ZO t� In conformance with Section 5.07 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,governmental agencies, companies, firms or partnerships,or other business enterprises doing business with the City of Fridley or located within the City of Fridley in which I have any financial interest, except that clients of City Attorney's private law practice shall be excluded from the list,provided that no other business relationship except that of attorney/client exists. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of. the outstanding stock in a corporation,an interest in a partnership,proprietorship, or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. New E rLGqO1 Urn 5 ALV- " t �r;rEyw, 17iu-+ (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address Nome (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.07 of the Fridley City Code. (Signature) Note: This statement must be filed annually or when there is a material change in financial interest or in position held. City of Fridley Public Disclosure Statement By the City Attorney Name: �a KI M6-1 Date t/1 l Z( 1 In conformance with Section 5.07 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,governmental agencies,companies,firms or partnerships,or other business enterprises doing business with the City of Fridley or located within the City of Fridley in which I have any fmancial interest, except that clients of City Attorney's private law practice shall be excluded from the list,provided that no other business relationship except that of attorney/client exists. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of the outstanding stock in a corporation,an interest in a partnership,proprietorship, or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. ►'1 (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.07 of the Fridley City Code. (Signature) Note: This statement must be filed annually or when there is a material change in financial interest or in position held. City of Fridley Public Disclosure Statement By Top Level City Employees Name: /�/ !l i a A4 j��, t--N S Date z S — Position Title: �,=f- �� a 4�_� In conformance with Section 5.06 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of the outstanding stock in a corporation, an interest in a partnership, proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee, officer,director,trustee,partner,advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address (use additional paper if necessary) 3. A list of names and nature of business of all corporations,partnerships, or other business enterprises with which I have a financial interest and in which I know one or more other persons covered by this code of ethics also having a financial interest in said enterprise. (This list shall indicate the name or names of such persons or persons having such interest in said enterprise.) Nature of Business—of All Corporations, Names Partnerships,or Other Business Enterprises (Use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.06 of the Fridley City Code. (Signature) Note: This statement must be filed annually or when there is a material change in financial interest or in position held. City of Fridley Public Disclosure Statement By Top Level City Employees Name: 1✓ ort 146 G o7`! Date Position Title: PC-, G fv_c_ f,�. In conformance with Section 5.06 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of. the outstanding stock in a corporation,an interest in a partnership, proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee, officer,director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address (use additional paper if necessary) 3. A list of names and nature of business of all corporations,partnerships,or other business enterprises with which I have a financial interest and in which I know one or more other persons covered by this code of ethics also having a financial interest in said enterprise. (This list shall indicate the name or names of such persons or persons having such interest in said enterprise.) Nature of Business—of All Corporations, Names Partnerships, or Other Business Enterprises (Use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.06 of the Fridley City Code. r ignature) Note: This statement must be filed annually or when there is a material change in financial interest or in position held. City of Fridley Public Disclosure Statement By Top Level City Employees Name: �o N N rj J n tr Date f Position Title: F,n t c 1,o r r In conformance with Section 5.06 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of the outstanding stock in a corporation, an interest in a partnership, proprietorship,or other business entity,or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee, officer,director,trustee,partner,advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address (use additional paper if necessary) 3. A list of names and nature of business of all corporations,partnerships, or other business enterprises with which I have a financial interest and in which I know one or more other persons covered by this code of ethics also having a financial interest in said enterprise. (This list shall indicate the name or names of such persons or persons having such interest in said enterprise.) Nature of Business—of All Corporations, Names Partnerships,or Other Business Enterprises (Use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.06 of the Fridley City Code. ature) Note: This statement must be filed annually or when there is a material change in financial interest or in position held. City of Fridley Public Disclosure Statement �"" By Top1 Level City Employees Name: Date Position Title: �� ✓ In conformance with Section 5.06 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of: the outstanding stock in a corporation, an interest in a partnership, proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee,officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address 1 (use additional paper if necessary) 3. A list of names and nature of business of all corporations,partnerships, or other business enterprises with which I have a financial interest and in which I know one or more other persons covered by this code of ethics also having a financial interest in said enterprise. (This list shall indicate the name or names of such persons or persons having such interest in said enterprise.) Nature of Business—of All Corporations, Names Partnerships,or Other Business Enterprises (Use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.06 of the Fridley City Code. (Signature) Note: This statement must be filed annually or when there is a material change in financial interest or in position held. City of Fridley Public Disclosure Statement By To Level City Employees Name: ( Date Z5 Position Title: 1- �- In conformance with Section 5.06 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises, or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of: the outstanding stock in a corporation, an interest in a partnership, proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee,officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address (use additional paper if necessary) 3. A list of names and nature of business of all corporations,partnerships, or other business enterprises with which I have a financial interest and in which I know one or more other persons covered by this code of ethics also having a financial interest in said enterprise. (This list shall indicate the name or names of such persons or persons having such interest in said enterprise.) Nature of Business—of All Corporations, Names Partnerships,or Other Business Enterprises (Use additional paper if necessary) �)itfC � �i�C'N�C 4,vh i,�E_ pevnl A ��'V1l'lLi /�11-/OLI � -- I do swear(or affirm)that this report is a full and true statement pursuan qSecti n 5.06 of the Fridley City Code. a : JJ (Signature) Note: This statement must be filed annually or when there is a material chan�e�In financial interest or in position held. City of Fridley Public Disclosure Statement By Top Level City Employees Name: I&k ,(�j-, Date Position Title: 06 ecfoy of Parrs #nd A&,crea4icri In conformance with Section 5.06 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of. the outstanding stock in a corporation,an interest in a partnership, proprietorship,or other business entity,or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee,officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address NMr- - (use additional paper if necessary) 3. A list of names and nature of business of all corporations,partnerships, or other business enterprises with which I have a financial interest and in which I know one or more other persons covered by this code of ethics also having a financial interest in said enterprise. (This list shall indicate the name or names of such persons or persons having such interest in said enterprise.) Nature of Business—of All Corporations, Names Partnerships, or Other Business Enterprises s (Use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.06 of the Fridley City Code. (Signature) Note: This statement must be filed annually or when there is a material change in financial interest or in position held. City of Fridley Public Disclosure Statement By Top Level City Employees Name: JA14S 4SLU(,qA� Date Position Title: X U L c r-K-5 1 z&_r_To C In conformance with Section 5.06 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of. the outstanding stock in a corporation, an interest in a partnership, proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee, officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address (use additional paper if necessary) 3. A list of names and nature of business of all corporations,partnerships, or other business enterprises with which I have a financial interest and in which I know one or more other persons covered by this code of ethics also having a financial interest in said enterprise. (This list shall indicate the name or names of such persons or persons having such interest in said enterprise.) Nature of Business—of All Corporations, Names Partnerships,or Other Business Enterprises (Use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.06 of the Fridley City Code. (Signat Note: This statement must be filed annually or when there is a material ch g m financial interest or in position held. City of Fridley Public Disclosure Statement By Top_Level City Employees Name: ctr I K -i g5/A Date 1 -a 75-- 11 Position Title: rVQ nCq_ 'r V% _Ecyl- In conformance with Section 5.06 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a fmancial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of: the outstanding stock in a corporation,an interest in a partnership, proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee, officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. Ad (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address (use additional paper if necessary) 3. A list of names and nature of business of all corporations,partnerships,or other business enterprises with which I have a financial interest and in which I know one or more other persons covered by this code of ethics also having a financial interest in said enterprise. (This list shall indicate the name or names of such persons or persons having such interest in said enterprise.) Nature of Business—of All Corporations, Names Partnerships, or Other Business Enterprises (Use additional paper if necessary) I do swear(or affirm)that this report is a full and true stat ent pursuant to Section 5.06 of the Fridley City Code. (Signature) Note: This statement must be filed annually or when there is a material change in financial interest or in position held. City of Fridley Public Disclosure Statement By Members of Advisory Bodies Name: Date I/ IV 1 .2 oil Position Title: C r.-M'S 5 C_i a-� �-i 0�9➢ l�n,os« QJ�_ �c,w..r.��S i a+y1 In conformance with Section 5.05 of the Fridley City Code,I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships,other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of: the outstanding stock in a corporation,an interest in a partnership, roppertY. proprietorship,or other business entity,or an interest in real Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee, officer,director,trustee,partner,advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. U•S, Qat 0-A. laoo w e lu (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address NIA (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley City Code. (Signature) Note: This statement must be filed upon appointment or reappointment to an advisory committee or material changes in financial interest while on an advisory committee. City of Fridley Public Disclosure Statement By Members of Advisory Bodies I Name: J � �� ► �I� Date l — C1 a C� Position Title: o ( — In conformance with Section 5.05 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of. the outstanding stock in a corporation,an interest in a partnership, proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee, officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement p rsuan to e on..8` 5 of the Fridley City Code. L­tgIpature) Note: This statement must be filed upon appointment or reappointment to an advisory committee or material changes in financial interest while on an advisory committee. City of Fridley Public Disclosure Statement 2 By Members of Advisory Bodies Name: SJ� `" , k a s Date Position Title: V'co— eO 5 zea In conformance with Section 5.05 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of. the outstanding stock in a corporation,an interest in a partnership, proprietorship,or other business entity,or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee, officer,director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. E �r /K.G. Fr.` ti1�tJ S (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley City Code. (Signature) Note: This statement must be filed upon appointment or reappointment to an advisory committee or material changes in financial interest while on an advisory committee. City of Fridley Public Disclosure Statement By Members of Advisory Bodies I Name: Anne- Date Position Title: cs- 62, 1 5,s r77� In conformance with Section 5.05 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of. the outstanding stock in a corporation,an interest in a partnership, proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee, officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley City Code. (Signature) Note: This statement must be filed upon appointment or reappointment to an advisory committee or material changes in financial interest while on an advisory committee. City of Fridley Public Disclosure Statement By Members of Advisory Bodies Name: VI zi )�61�,bVt Date 61-10 - Zy 1 ) Position Title: 12�u Oc_ e.bVAVt/L► 552�0 V/z Y_ In conformance with Section 5.05 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships,other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of. the outstanding stock in a corporation,an interest in a partnership, proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee, officer, director,trustee,partner,advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: NA- Non-Homestead Real Property Address (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley City Code. A&kGt, . Signature) Note: This statement must be filed upon appointment or reappointment to an advisory committee or material changes in financial interest while on an advisory committee. City of Fridley Public Disclosure Statement By Members of Advisory Bodies Name: c./o fin Ve I c t1 Date / — !/ -- It Position Title: k ; E° Q F In conformance with Section 5.05 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of. the outstanding stock in a corporation,an interest in a partnership, proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee, officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley City Code. (Signature) Note: This statement must be filed upon appointment or reappointment to an advisory committee or material changes in financial interest while on an advisory committee. City of Fridley Public Disclosure Statement By Members of Advisory Bodies Name: q.v 90V cr'" R_ COIt 4t 6-A Date _ 1—/0—// Position Title: /- 5;,��,r ,fib -t/ELai�6.ur �jw.�r�cs,v ) In conformance with Section 5.05 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of - more than 10%of. the outstanding stock in a corporation,an interest in a partnership, proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee, officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Eta ANEW V','t o s-4 U u z -,T- MoWT-Z- Go,.ti Die: (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address �1JD,rl� (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley City Code. W4�ZL� (Signature) Note: This statement must be filed upon appointment or reappointment to an advisory committee or material changes in financial interest while on an advisory committee. City of Fridley Public Disclosure Statement By M/embers of Advisory Bodies Name: DTII 64�—t�l ��Yt.-T Date 7j Position Title: vkx I S In conformance with Section 5.05 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of. the outstanding stock in a corporation,an interest in a partnership, proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee, officer, director,trustee,partner,advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. a� (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuan to Section 5.05 of the Fridley City Code. ignature) Note: This statement must be filed upon appointment or reappointment to an advisory committee or material changes in financial interest while on an advisory committee. City of Fridley Public Disclosure Statement By Members of Advisory Bodies Name: Date Position Title: In conformance with Section 5.05 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%-of. the outstanding stock in a-corporation,-an inte a ershi - proprietorship, or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee,officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley City Code. 1 JV/ (Si afore) 6 Note: This statement must be filed upon appointment or reappointment to an advisory committee or material changes in financial interest while on an advisory committee. City of Fridley Public Disclosure Statement By Members of Advisory Bodies Name: ,� � .. Z._ _, L,i� Date Position Title: � , _. c-v>v� � s ;V�t"Q In conformance with Section 5.05 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 18°�of. the outstanding stock in a corporation,an interest in a partnership, proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee, officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley City Code. (Signature) Note: This statement must be filed upon appointment or reappointment to an advisory committee or material changes in financial interest while on an advisory committee. City of Fridley Public Disclosure Statement By Members of Advisory Bodies Name: ,J© XA r, Raw r— Date MOW Position Title: C-0,0,94 14OMWA-4, g R�Devecop►s�5vr-.�d In conformance with Section 5.05 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of. the outstanding stock in a corporation,an interest in a partnership, proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee,officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. F1"$-22 r1 mmw FAcIP4+O/i IWU d (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address .urV.veE (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley City Code. )W(_�� (S�ignatu�re) Note: This statement must be filed upon appointment or reappointment to an advisory committee or material changes in financial interest while on an advisory committee. City of Fridley Public Disclosure Statement By Members of Advisory Bodies Name: �)' Date ,1 Position Title: In conformance with Section 5.05 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of: the outstanding stock in a corporation,an interest in a partnership, proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee,officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. oTK) L!, (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address W (� (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to,Section 5.0Lthe Fridley City Code. (Signature) Note: This statement must be filed upon appointment or reappointment to an advisory committee or material changes in financial interest while on an advisory committee. City of Fridley Public Disclosure Statement By Members of Advisory Bodies Name: --Ftvr Sj lbt Date -JQnUQCV q Z010 Position Title: r. 1 Par K Q eC e.a f+o C rn M1Ss;over In conformance with Section 5.05 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises, or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of the outstanding stock in a corporation,an interest in a partnership, proprietorship, or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee,officer,director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest PersonalInterest Partnership,Etc. (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley City Code. <uca ignature) Note: This statement must be filed upon appointment or reappointment to an advisory committee or material changes in financial interest while on an advisory committee. City of Fridley Public Disclosure Statement By Members of Advisory Bodies Name: 'Y �� l- V1-e f f Date Position Title: Pwk;- keye_,xha^ Comm ssl'u,1 M In conformance with Section 5.05 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of. the outstanding stock in a corporation,an interest in a partnership, proprietorship, or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee,officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. tie (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address ��✓tom (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley City Code. (Signature) Note: This statement must be filed upon appointment or reappointment to an advisory committee or material changes in financial interest while on an advisory committee. City of Fridley Public Disclosure Statement By Members of Advisory Bodies Name: AI 10 Juti11g1-41 Date Position Title: ,4&A //& !�-�Ij A� (84— In conformance with Section 5.05 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%of- the outstanding stock in a corporation,an interest in a partnership, proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee, officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address Pw 71�" 1✓�Jy (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley City Code. (� f lT (Signature) Note: This statement must be filed upon appointment or reappointment to an advisory committee or material changes in financial interest while on an advisory committee. City of Fridley Public Disclosure Statement By Members of Advisory Bodies Name: j ,t3,IO -5r*f� Date Position Title: �_ jqIWAV K/C. C.,s rb.H,i S5/0A1Jf/L- In conformance with Section 5.05 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of rrrore than its%e. the outstanding stock in a-corporation, an interest in a partnership, proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee,officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. A/ AZZ-o' (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley City Code. (Signature) Note: This statement must be filed upon appointment or reappointment to an advisory committee or material changes in financial interest while on an advisory committee. City of Fridley Public Disclosure Statement By Members of Advisory Bodies Name: r / G` >' �.: s Date Position Title: In conformance with Section 5.05 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental agencies doing business with the City of Fridley or located within the City of Fridley. a) With which I have a financial interest. (As used in Chapter 5,the term financial interest shall be deemed to include ownership of more than 10%oP the outstanding stock irra-corporations an interest in-erpaiftietship,- - proprietorship,or other business entity, or an interest in real property. Financial interest shall apply to real or personal properties owned by one person making the disclosure and by said person's spouse.) b) With which I have a personal interest. (As used in Chapter 5,the term personal interest shall be deemed to apply whenever a person required to make a disclosure under this code of ethics shall be associated with a business as an employee, officer, director,trustee,partner,advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Fridley in which I currently have a financial interest: Non-Homestead Real Property Address (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley City Code. (Si ature) Note: This statement must be filed upon appointment or reappointment to an advisory committee or material changes in financial interest while on an advisory committee.