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Gordon Backlund, HRA CommissionerName: City of Fridley Public Disclosure Statement By Members of Advisory Bodies Gordon Backlund 3 /.10 Date 1-3-2022 Position Title: HRA Commissioner Pursuant to 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 governmenta l 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 assoc iated with a business as an employee, officer, director, trustee, partner, advisor or consultant. Name of Business, Address Financ ial Interest Personal Interest Partnership, Etc. None (use additional paper if necessary) 2. A list of the non-homestead real property located within the City of Frid ley in which I currently have a financial interest Non-Homestead Rea l Property Address None (use additional paper if necessary) I do swear (or affirm) that this report is a full and true statement pursuan t to Sect ion 5.05 of the Fridley City Code. Signature j 46 1-3-202.t Date This statement must be filed upon appointment or reappointment to an adv isory 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.