Tillberry, Tom City of Fridley
Public Disclosure Statement
By the City Attorney
Name: /OA-7 7,"/lb e rr y Date 3
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.
(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.
(S' ature)
Note: This statement must be filed annually or when there is a material change in financial interest or in position held.