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1998 Public Disclosure forms CITY OF FRIDLEY PUBLIC DISC OSURE STATEMENT BY CITY COUNCIL OR C CI CANDIDATES NAME G DATE TO: CITY CLERK In conformance. with Sec. 5.04 of the 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 the 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 FINANCIAL PERSONAL PARTNERSHIP, ETC. ADDRESS INTEREST 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 a financial interest: NON-HOMESTEAD 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(3)years: NON-HOMESTEAD REAL PROPERTY ADDRESS 4. A list of the 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 Sec. 5.04 of the 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 PUB C D S LOS, T NT BY CITY COUNCIL OR COUNCIL CANDIDATES Nvt�PC_-�_; DATE TO: CITY CLERK In conformance. with Sec. 5.04 of the 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 the 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 FINANCIAL PERSONAL PARTNERSHIP, ETC. ADDRESS INTEREST 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 a financial interest: NON-HOMESTEAD 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(3)years: NON-HOMESTEAD REAL PROPERTY ADDRESS 4. A list of the 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 Sec. 5.04 of the City Code. (Signature) Note: This statement must be filed annually or when there is a material change in financial interest or in position held. QTY OF FRIDLEY PUBLIC DISCLCSURE =kTEMENT BY MP LEVEL CITY E1KKr0 M, EGCEFT CITY ATTORNEY NAME A/ F-.�!'�� DATE 9 7 y S� POSITION TTiT.F M: CITY CLERK In conformance with Sec. 5.0 6 of the 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 the 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.) NAND OF BUSINESS FINANCIAL PERSONAL PARnMRSHIP, EIC. ADDRESS nnEREST MEREST (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: NM-HCMES TAD REAL PROPERTY ADDRESS (Use additional paper if necessary.) 3. A list of the 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 shall indicatge theinrs me of names ofest in said such persons enterprise. (This list or persons having such interest in said enterprise.) I AZW OF BUSMW - OF ALL CORPORATIONS NABS. PARMWSHIPS► OR OMM BUSH SS MmMMES (Use additional paper if necessary.) I do swear (or affirm) that this repoVt iA a full and true statement pursuant to Seco' 5.06 of the 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 FPJMLEY PUBLIC BY TOP LEVEL CITY EKPIDYEES, EXCEPT CITY AT 0PMY NAME [ POSITION TITLE 'Its: CITY CLERK In conformance with Sec. 5.06 of the 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 108 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 the 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 FINANCIAL PERSONAL PARTNEPSHIP, ETC. ADDRESS INTEREST 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 a financial interest: NON-HOMESTEAD REAL PROPERTY ADDRESS (Use additional paper if necessary.) 3. A list of the 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.) NuMU OF BUSINESS OF ALL OMPWZIONS NAM. PARMt.SHIPS, OR aMM BUSMW IIJIERPRISFS (Use additional paper if necessary.) I do swear (or affirm) that this r lyt � a rue statement pursuant to Sec. 5.0 b of the City Signatur Note: This statement must be filed annually or when there material change in financial interest or in position held. CITY OF FRIDLEY PUBLIC DI$CGQSURE STAZEMENr BY TOP LEVEL CITY EMPLOYEES, EKCEPT/CITY ATT oRNEY NAIL h h U/2 DATE POSITION TT*iT.F t2 eAz ! G 'IU: CITY CUM In conformance with Sec. 5 .06 of the 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. 40AV6 (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 the person making the disclosure and by said person's spouse.) b. With which I have a personal interest. vfv� (As used in Chapter 51 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 BUSI.NESS FINANCIAL PERSCNAL PARTNEP HIP, ETC. ADDRESS INTEREST 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 a financial interest: NC N-HOMESTEAD REAL PROPERTY ADDRESS (Use additional paper if necessary.) 3. A list of the 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.) kuAe,& NAU E OF BUSINESS - OF ALL CDPMRATIONS I PARS'HIPS► Cit 0mER BUSINESS EtdI MMUSES (Use additional paper if necessary.) I do swear (or affirm) that this repoVt i)t a full and true statement pursuant to Sect 5.0 6 of the 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 DISCEMURE STATEMENT BY 70P LEVEL CITY EMPLOYEES, EXCEPT CITY ATIORNEY NAME 'Ja e,� f iY DATE POSITION TITLE 'Its: CITY CLERK In conformance with Sec. 5.0 6 of the 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 108 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 the 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 FINANCIAL PERSCNAL PARTNERSHIP, ``ETC. ADDRESS INTEREST IlNTERFST rN0,7e (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: -NM-HOMESTEAD REAL PROPERTY ADDRESS —_ Alo 4e- (Use e(Use additional paper if necessary.) 3. A list of the 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.) INURE OF BUSMESS - OF ALL CORPORATIONS ID'S PAR NMMIPS, OR OTR BUSIMW ENTERPRISES Al (Use additional paper if necessary.) I do swear (or affirm) that this repoft ig a full and true statement pursuant to Sec. 5.0 6 of the City Code. 'G Signature) Note: This statement must be filed annually or when there is a material change in financial interest or in position held. cnT AJC L({moi LE PUBLIC DISQ,QSZTRE7BY TdP CITY DGWYEES, EXCEPT NAME C LATE �. POSITION TIDE I'" /' m: CITY C UMK In conformance with Sec. 5.06 of the 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 the 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 BUSII�.S FINANCIAL PERSCNAL PA MMMIP, EZC. ADDRESS INTEREST 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 a financial interest: NW-HOMESTEAD REAL PROPERTY ADDRESS (Use additional paper if necessary.) 3. A list of the 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.) NAZ M OF BUSINESS — OF ALL CORPORATIONS NAI.S. PAF=4EPSHIPS, OR OMM BUSIIMSS MuMMUSES (Use additional paper if necessary.) I do swear (or affirm) that this repot id aulY and true statement pursuant to Sec. 5.0 6 of the 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 FR=LEY PUBLIC D BY TOP LEVEL CITY EMPLOYEES, EXCEPT CITY ATTORNEY NAME ec. A Q jo Z 7DATE 411101,f POSITION TIME F* -1"Ce La ate rsa.. m: CITY CLERK In conformance with Sec. 5.06 of the 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 108 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 the 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 FINANCIAL PERSONAL PARTNERSHIP, ETC. ADDRESS INTEREST MWEREST ,dA►C (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: .NM-HOMESTEAD REAL PROPERTY ADDRESS (Use additional paper if necessary.) 3. A list of the names and nature of businesof all lwithwhichoIahavesa partnerships, or other business enterprises financial interest and in which I knowa of r more l Cher prersonsin coved est a d by this code of ethics also having or names of such persons enterprise. (This list shall indicate the name or persons having such interest in said enterprise.) NkTtTgE OF BUSII SS - OF ALL OMMPATI NS NAM PAPMEMIPS, OR OMM BUSMESS ERrM USES (Use additional paper if necessary.) I do swear (or affirm) that this re i aul� and true statement pursuant to Sec. 5.0 b of the City • 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 D_j =AT�Tr B MP LEVEL CITY DODYEES, Man CITY ATIURAII:'Y NAME ( DAT POSITION TI'Ii,E = -5-- M: CITY CLERK In conformance with Sec. 5.06 of the 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 the person making the disclosure and by said person's spouse.) b. With which I have a personal interest. (As used in Chapter 51 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 FINANCIAL PERSONAL PARMERSHIP, ETC. ADDRESS INTEREST MEREST (Use additional paper if necessary.) 2. A list of the non-homestead real property 1 oca ted within the City of Fridley in which I currently have a financial interest: M-HCMESTW REAL PROPERTY ADDRESS (Use additional paper if necessary.) 3. A list of the 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 y is co a 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.) NAZ M OF BUSINESS - OF ALL CORPORATIONS ID'S. PARMEMIPS, OR 0MM BUSINESS aMMPRISES (Use additional paper if necessary.) I do swear (or affirm) that this re Vt id Y an true statement pursuant to Sect 5.0 6 of the City .. 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 JPUBLIC DISCLOSURE STATEMENT BY CITY ATTORNEY NAMEP.(��y a.�L DATE Z 9f TO: CITY CLERK In conformance with Sec. 5.07 of the 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 businesses enterprises doing business with the City of Fridley in which I have any financial interest, except that clients of the 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 the person making the disclosure and by said person's spouse. ) NAME OF BUSINESS, GOVERNMENTAL AGENCY FINANCIAL CORPORATION, PARTNERSHIP, ETC. ADDRESS INTEREST (use additional paper if necessary) I do swear (or affirm) that this report is full d t statement pursuant to Sec. 5.07 of the City Code j' (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 DISC Asm $1;ftmm BY mP LEvEL CITY EMP mms, EXCEPT CITY ATTawy NAME DATE :I -2 t -�( • POSITION TIME R Uf 100Ek)(G 70: CITY CLERK In conformance with Sec. 5.06 of the 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 the 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 FINANCIAL PERSONAL PARTNERSHIP, ETC. ADDRESS -INTEREST MEREST _S 0 SS jo__Cpg P 1&Z <:oM o A Ur Sri' P,.41 c.. efVI P(, yer (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 ADDS (Use additional paper if necessary.) 3. A list of the 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. ('Ibis list shall indicate the name or names of such persons or persons having such interest in said enterprise.) MMM OF BUSRESS - OF ALL CMMRATIONS NAMES PAPMEMIPS► OR OMM BUSMESS EMPRISFS (Use additional paper if necessary.) I do swear (or affirm) that this repot a full and true statement pursuant to Sec. 5.0 6 of the City • Signatq e) 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 G f" DATE ADVISORY COMMISSION TO: CITY CLERK In conformance with Sec. 5.05 of the 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 the 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 FINANCIAL PERSONAL PARTNERSHIP, ETC. ADDRESS INTEREST 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 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 Sec. 5.05 of the City Code. / (Signature) Note: This statement must be filed up�n appointment or reappointment to an advisory committee or material changes in financial interest while on an advisory committee. CITY OF FRIDLEY PUBLIC DISCL SURE STATEMENT BY MEMBERS OF ADVISORY BODIES NAME DATE ADVISORY COMMISSION �_rTr�T-� TO: CITY CLERK In conformance , with Sec. 5.05 of the 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 the 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 FINANCIAL PERSONAL PARTNERSHIP, ETC. ADDRESS INTEREST INTEREST yy (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 a full nd t ue statement pursuant to Sec. 5.05 of the 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�t A,D/VISORYY BODIES NAME 7� ,j r Ss-27( l I DATE , �(� i 12 2: P ADVISORY COMMISSION TO: CITY CLERK In conformance with Sec. 5.05 of the 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 the 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 FINANCIAL PERSONAL PARTNERSHIP, ETC. ADDRESS INTEREST 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 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 Sec. 5.05 of the City Code. I r' (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 ��rLk'�C � � r DATE \ � ADVISORY COMMISSION TO: CITY CLERK In conformance with Sec. 5.05 of the 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 the 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 FINANCIAL PERSONAL PARTNERSHIP, ETC. ADDRESS INTEREST INTEREST NEI/ (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 ull and true statement pursuant to Sec. 5.05 of the City Code. (S gnature) 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 DISCLIO_SURE/J STATEMENT BY MEMBERS OF ADVISORY BODIES NAME +lf� �US � f�'t Ke,inner DATE' ADVISORY COMMISSION TO: CITY CLERK In conformance with Sec. 5.05 of the 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 the 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 FINANCIAL PERSONAL PARTNERSHIP, ETC. ADDRESS INTEREST 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 a financial interest: NON-HOMESTEAD REAL PROPERTY ADDRESS -AQ&F (use additional paper if necessary) I do swear (or affirm) that this report is a full and true statement pursuant to Sec. 5.05 of the City Code. f (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 DIrSCLOSURE STATEMENT BY MEMBERS OF ADVISORY BODIES NAME � r� I�f I (`t .� DATE _/�D-2Y ADVISORY COMMISSION TO: CITY CLERK In conformance with Sec. 5.05 of the 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 the 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 FINANCIAL PERSONAL PARTNERSHIP, ETC. ADDRESS INTEREST 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 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 Sec. 5.05 of the 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 PUBLTq DISCLOSURE STATEMENT BY MEMBERS OF ADVISORY BODIES NAME C' �� c <S/ DATE ADVISORY COb24ISSION TO: CITY CLERK In conformance with Sec. 5.05 of the 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 out 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 the 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 FINANCIAL PERSONAL PARTNERSHIP, ETC. ADDRESS INTEREST 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 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 t statement pursuant i to Sec. 5.05 of the City Code. f (Signa e) 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 �1 PUBLIC DISCLOSURE STATEMENT BY MEMBERS OF ADVISORY BODIES NAME Ja Mr 0,�m,4. P4 DATE ADVISORY COMMISSION �yy�gv� �2SOurCy TO: CITY CLERK In conformance with Sec. 5.05 of the 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 out 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 the 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 FINANCIAL PERSONAL PARTNERSHIP, ETC. ADDRESS INTEREST 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 a financial interest: NON-HOMESTEAD REAL PROPERTY ADDRESS (use additional paper if necessary) I do swear (or affirm) that this rep ull true statement pursuant to Sec. 5.05 of the City Code. (Signature) Note: This statement must be filed upon a ointment or r pointment 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 t q( k wave-6 C Ielq At i5 .S DATE ADVISORY COMMISSION H R A TO: CITY CLERK In conformance with Sec. 5.05 of the 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 the 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 FINANCIAL PERSONAL PARTNERSHIP, ETC. ADDRESS INTEREST INTEREST Ulna rho s� TvBr�,F.vr Cv �P s sr. oRr�tz�Q SO Sy�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 ANIV ff (use additional paper if necessary) I do swear (or affirm) that this report is a full and true atement pursuant to Sec. 5.05 of the City Code. i ( i)nature) 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 PUBLIuS e `C- DISCLOOSURE STATEMENT BY MEMBERS OF ADVISORY BODIES NAME n ►1 • ��C II• Q KCL DATE 98 ADVISORY COMMISSION 1-4 rR `� TO: CITY CLERK In conformance with Sec. 5.05 of the 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 the 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 FINANCIAL PERSONAL PARTNERSHIP, ETC. ADDRESS INTEREST INTEREST forte &kiyv IlAah k 1�cyo�'to_( Yeat eZfkfe. 0,7 /moo Al (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: , 1 NON-HOMESTEAD REAL PROPERTY ADDRESS (use additional paper if necessary) I do swear (or affirm) that this report is a full and true stat went pursuant to Sec. 5.05 of the City Code. Y (Signatur 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 Jd�w eu C-V- DATE ADVISORY COMMISSION f=N R-A TO: CITY CLERK In conformance with Sec. 5.05 of the 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 the 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 FINANCIAL PERSONAL PARTNERSHIP, ETC. ADDRESS INTEREST INTEREST .140NA (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 Nva (use additional paper if necessary) I do swear (or affirm) that this report is a full and true statement pursuant to Sec. 5.05 of the City Code. �> &,LW�� (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.