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2007 Public Disclosure Forms City of Fridley Public Disclosure Statement By Top Level City Employees Name: Le/ 7;��C Date ,2► /,3 -jJ • _ .- Position Title: A44o *r In conformance with Section 5.06 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises, or governmental 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 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 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 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 or 14 (Use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.06 of the Fridley City Code. /I (/.�--- (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 Disclosure Statement By T op Level City Employees Name: /G�'�ILI� Date 7_11 MO-7 Position Title: ie...,. In conformance with Section 5.06 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental 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 owned one person making the disclosure and b shall apply to real or personal properties o ed by p g y 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, Address Financial Interest Personal Interest Partnership, Etc. (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 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 Section 5.06 of the Fridley 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 Disclosure Statement By Top Level City Employees Name: ta_"'5 cT Date Q - 13- c-7 Position Title: G k S 4k-'V-�j In conformance with Section 5.06 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental 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 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 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 11r�4`-o (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) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.06 of the Fridley City Code. (Signature) 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 Top Level City Employees Name: .,(,7�,(� "ekk Date 2. /3 . o'7 Position Title: Di'rrcc . "f ps.-k-t ! In conformance with Section 5.06 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental 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%o£ 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 Fbave-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, Address Financial Interest Personal Interest Partnership,Etc. (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 Jl�t/Yts- (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 thenameor 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 Section 5.06 of the Fridley 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 Disclosure Statement By Top Level City Employees Name: 1 Date Position Title: —D,�_mnit, TuU C. k)oeS In conformance with Section 5.06 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental 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 associated with a business as an employee, officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. N 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 A (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) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.06 of the Fridley City Code. (Signature) 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 Top Level City Employees Name: �OHA) `cJin(r Date Position Title: �� c Co,�F In conformance with Section 5.06 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental 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 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 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 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 Section 5.06 of the Fridley City Code. (Si 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 Top Level City Employees Name: bav-ra'k _�d k I . Date 2— h�-6 7 Position Title: "awvu-v In conformance with Section 5.06 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises, or governmental 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 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 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 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 Section 5.06 of the Fridley 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 Disclosure Statement „ B_ 1f y tCiity Council,/Members or City Council Candidates -7Name: xo kv��(et Date a- l a�Q Position Title: �1�0+2 In conformance with Section 5.04 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships,otbrxbusiness enterprises,or governmental agencies doing business with the City of Fridley oat 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 iu 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 associated with a business as an employee, officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. L =� (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 /7x= 73 /J AA (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 years. Non-Homestead Real Property Address 111175' 731 A I�-�-- (use additional paper if necessary) 4. 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) I do swear( or affirm)that this report is a full and true statement pursuant to Section 5.04 of the Fridley City Code. ( gnature) 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 City Council Members or City Council Candidates Name: SDA 6 j32eV Date ;z e> . 0 7 Position Title: CSN c/c-orl}�/,! &r In conformance with Section 5.04 of the Fridley City Code,I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental 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 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 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 YN (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 years. Non-Homestead Real Property Address i (use additional paper if necessary) 4. 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) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.04 of the Fridley City Code. k (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 Disclosure Statement By City Council Members or City Council Candidates Name: _T i/Yl C 1_9c F/llc_ Date - jI 2,Z U Position Title: dp, 0 e ( /121"P,,, h e r L,v 1011-/Z o --r- In =In conformance with Section 5.04 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships, other business enterprises,or governmental 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-}n 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 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 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 U n> (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 years. Non-Homestead Real Property Address U 7 0 ' !0 7 '4 q U. iJ C_- C Peggcw T S" ,cc 7.tTe (use additional paper if necessary) 4. 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 o c (Use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.04 of the Fridley 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. City of Fridley Public Disclosure Statement By City Council Members or City Council Candidates Name: V , Date Position Title: In conformance with Section 5.04 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships,other business enterprises, or governmental 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 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 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 years. Non-Homestead Real Property Address (use additional paper if necessary) 4. 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 indieatethename s soh-inter€st-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 Section 5.04 of the Fridley City Code. LIJ-14 (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 Disclosure Statement By City Council Members or City Council Candidates Name: VbLAIApmt\ Date Zia Position Title: In conformance with Section 5.04 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names of all business corporations,partnerships,other business enterprises, or governmental 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 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 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 years. Non-Homestead Real Property Address i (use additional paper if necessary) 4. 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) I do swear(or affirm)that this report is a full and true statement uant to Section 5.04 of the Fridley 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 Disclosure Statement By Members of Advisory Bodies Name: 44wxti_-E' / - CDINn,� Date .2- / 3 -07 Position Title: c14A,F, b-1 RA In conformance with 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 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 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 associated with a business as an employee, officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. 14 a o S4 S r 2 sT. M,aRU r2. 97 % 7 � r. Ca. L4 bQ (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 A)4 ' (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley 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 Advisory Bodies Name: Date Position Title: In conformance with 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 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 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 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 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 Zr,117 G,/. /(fie c (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley 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 n By Members of Advisory Bodies Name: '��IG1,ii-h Vl�1. Re(son Date �- Position Title: w�yln I SS I oVl 2}� In conformance with 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 governmental agencies doing business with the-City of Fridley or located within the City of Fridley. a) With which I have a financial interest. IUA (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. /V,4 (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, Address Financial Interest Personal Interest Partnership,Etc. (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: A4 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 Section 5.05 of the Fridley 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 Advisory Bodies Name: _,L o P�Wit` Dateef�l f zcc,-V7- Position Title: In conformance with 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 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 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 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 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 141 1,1A2 (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley 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 Advisory Bodies Name: l0 k, ISS Date to Q Position Title: 00 i 5 S"csv-0-K A4DV_e-1Cry vuvu is 5 In conformance with 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 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 partriership, 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 associated with a business as an employee, officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. Es-f U, Gdr SD�SD lc.tic�ve✓s�` v' so%���,�.r If U V. s &cvHs (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 Section 5.05 of the Fridley 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 Advisory Bodies Name: U�ct r<L S Jqn8eL Date /;<'.O? Position Title: eu' CCS m In conformance with 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 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 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 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 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 additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley City Code. (Signature) Note: This statement must be filed upon appointment or reappointment to an advisory conunittee or material changes in mancial interest while on an advisory committntee -,(,771 cvn. �� 7 . City of Fridley Public Disclosure Statement By Members of Advisory Bodies Name: QL6A) s X64 Date 17 Position Title: Cc1,1r1/55ipA)6X 41 - z x,06 In conformance with 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 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 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 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 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 ursuant to Section 5.0 of the Fridley 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 Advisory Bodies Name: 4k'a 50- v Date Position Title: h^4 ri G k4 i v In conformance with 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 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 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 tern 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, Address Financial Interest Personal Interest Partnership,Etc. (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 Section 5.05 of the Fridley City Code. -- (SignPature) 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: ' ) �; s Date ;Z :2 Position Title: In conformance with 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 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 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 associated with a business as an employee, officer, director,trustee,partner, advisor or consultant.) i Name of Business, Address Financial Interest Personal Interest Partnership,Etc. i i (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 V1604 (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement purs to Sectio 5.05 of the Fridley City Code. (Signature) Note: This statement must be filed upon appointment or reappointment to andvisory committee or material changes in financial interest while on an advisory committee. City of Fridley Public Disclosure Statement By Members of Advisory Bodies Name: 've-i'1 +/1 r>`S Date Position Title: de,4 & In conformance with 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 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 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 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 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 D (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley City Code. i 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 Public Disclosure Statement By Members of Advisory Bodies Name: � �Z�(r-- Date Position Title: In conformance with 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 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 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 associated with a business as an employee, officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. VIIQ (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 \j %,/ V (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley 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 Advisory Bodies Name: �f"(� Jp".5 Date � aJ'0 Position Title: ( f_� tA-e_t,6..r- In conformance with 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 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 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 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 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 Section 5.05 of the Fridley City Code. j (Signature) J 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: f ; �� �j Date ©z !Z) f ZO Position Title: S i 4— In conformance with 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 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 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 associated with a business as an employee, officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. 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: Non-Homestead Real Property Address / r i (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley City Code. (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: -- —'So 1 be_. Date Mai-ch i 5, 1.007 Position Title: P4('Y 6 vn Comm?S$&'OntC In conformance with 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 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 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 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 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 Section 5.05 of the Fridley City Code. 't -WO ignature) 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: Kenneth E. Vos Date 2/12/2007 Position Title: Member, Appeals Commission In conformance with 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 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 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 associated with a business as an employee, officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. ColorComp, Inc 990 68th Ave NE X (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 None (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley 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 Advisory Bodies Name: y' � ���/� j r 1 Date U 7 Position Title: if ,n ;c." In conformance with 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 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 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 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 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 Section 5.05 of the Fridley 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 Advisory Bodies Name: I L1_IA-it^ �O L tit Date v2 /� —D —7 Position Title: G o In conformance with Section 5.05 of the Fridley City Code, I hereby make the following declarations regarding my financial and personal interests: 1. Names o � f 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. I (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 associated with a business as an employee, officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. oAl6- (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 Section 5.05 of the Fridley 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 Advisory Bodies Name: C C C�c�/i 5 Date 7 Position Title: In conformance with 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 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 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 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 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 Section 5.05 of the Fridley City Code. C�Z_ 'J� (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: �.hP 1 I Date Position Title: par Ve t 2 Q c In conformance with 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 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, j 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 associated with a business as an employee, officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. 1 �!0 / lc V (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 /i/ A (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley 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 Advisory Bodies Name: , �;i e,�� Date 12 0-7 Position Title: Apot. i waw1Z vi v- In conformance with 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 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 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 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 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 tu)N (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to Section 5.05 of the Fridley City Code. (Si 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 Public Disclosure Statement By Members of Advisory Bodies Name: F-e,M-Pac bi. OWI Date gKGS 6 � Position Title: 1 T Y PtTTO(z,N6 Y In conformance with 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 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%o£ 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 associated with a business as an employee, officer, director,trustee,partner, advisor or consultant.) Name of Business, Address Financial Interest Personal Interest Partnership,Etc. K AY.a I VlW►LLOW 4K. VIZ. 0 WIVE V_ rVO0 A9N Is (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: NONE` 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 Section 5.05 of the Fridley 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.