Joe Starks, Director of Finance City TreasurerName :
City of Fridley
Public Disclosure Statement
By Top Level City Employees
Date
Pos ition Title: D~--o~~--. U ? / c;.t_--r
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Pursuant to Chapter 106 of the Fridley City Code, I hereby make the following declarations regard ing my
financial and persona l 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 106, the term financ ial interest shall be deemed to include ownership of more
than 10% of: the outstanding stock in a corporati on , an interest in a partnersh ip, proprietorship, or
other bus iness entity, or an interest in real property. Financial interest shall apply to rea l or persona l
properties owned by one pe rson making the d isclosure and by said person 's spouse.
b) With which I have a personal interest
As used in Chapter 106, the term persona l interest shall be deemed to apply whenever a person
requ ired to make a disclosure under this code of eth ics 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 pape r if necessary)
2. A list of the non-homestead real property located within the City of Fr idley in wh ich I currently have a
f inancia l 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)
ort is a full and true statement pursuant to Section 5.06 of the Fridley City
Si 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.