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.