Melissa Moore, City Clerk/Director of CommunicationsCity of Fridley Public Disclosure Statement
By Top Level City Employees
Name:Date
Position Title:
Pursuant to Chapter 106 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 agenciesdoing business with the City of Fridley or located within the City of Fridley.
a)With which I have a financial interestAs used in Chapter 106, the term financial interest shall be deemed to include ownership of morethan 10% of: the outstanding stock in a corporation, an interest in a partnership, proprietorship, orother business entity, or an interest in real property. Financial interest shall apply to real or personalproperties owned by one person making the disclosure and by said person’s spouse.
b)With which I have a personal interestAs used in Chapter 106, the term personal interest shall be deemed to apply whenever a personrequired to make a disclosure under this code of ethics shall be associated with a business as anemployee, officer, director, trustee, partner, advisor or consultant.
Name of Business, Partnership, Etc. Address Financial Interest Personal Interest
(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 afinancial interest:
Non-Homestead Real Property Address
(use additional paper if necessary)
Melissa Moore January 3, 2023
City Clerk
None.
None.
3.A list of names and nature of business of all corporations, partnerships, or other business enterprises withwhich I have a financial interest and in which I know one or more other persons covered by this code ofethics also having a financial interest in said enterprise. This list shall indicate the name or names of suchpersons or persons having such interest in said enterprise.
Names Nature of Business – of All Corporations, 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 Date
This statement must be filed upon appointment or reappointment to an advisory committee or material changes in financial interest while on an advisory committee. Please submit a signed Public Disclosure Form to the City Clerk’s Office. Thank you.
None.
January 3, 2023