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Commissioners City of Fridley Public Disclosure Statement By Members of Advisory Bodies Name: Gordon Backlund Date January 22, 2013 Position Title: HRA 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 i12 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. Independent School 6000 West Moore Lake Dr. Board Member District 14 (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 owned (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: 'j t_��4��i �,�,( ✓Z —( Date Izz-4zi3 Position Title: 2 cz,+,-yt",1 s S I 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.) V t3 (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: H Prvprty Address, (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant o 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 1 - Name: 7-r,c Date Position Title: ,e A A O/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: R 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. *A� { (Si ature) 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: iv►. /Lo &/0 Date q — D/--3 Position Title: H Rc t C D M 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%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. (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: Michelle Drury Date 1/14/2013 Position Title: Appeals Commission Member. 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 E 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. 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 I (use additional paper if necessary) 1 j I do swear(or affirm)that this report is a full and tike statement pursuant to Section 5.05 of the Fridley City Code. ( ignatur c i 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. I i City of Fridley Public Disclosure Statement ii By Members of Advisory Bodies j Name: -E to lV� Jpvw-S Date l �j 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. too (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: /��"v�c� C':� •� Date Position Iitle: 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 ofBusine�s, Acldress l~tnarCiallirlex�sl` Perso�ralrrterst ?arttreslrr , 1 C........ (use additional paper if necessary) I A list of the non-homestead real property located within the City of'Ridley in which I currently have a financial interest: I�IoA`, omestead Rea]. rdpei}ycldress _.. (use additional paper if necessary) I do swear(or affirm)that this report is a full and true statement pursuant to ction 5.05 of'the Fridley City Code.. (Signature) Note: Ihis 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: 6 ra. _(Q_j 51eja Date Z�a_KLa v Z Z- Zc)13 Position Title: C.,,Km s.,o A z 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, AddressFinancial Interest Personal Interest` Partnership,Etc. F.r�dl� (lows �o b1 `�O 3Z�t �,,d (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 fiull and true statement pursuant to Section 5.05 of the Fridley City Code. 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: Date IIIS10015 Position Title: E,1\fjt�M�O-FA(_ QuftLAI[4 AAO Edgki6i I I 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. From: 7635725474_ _ Page: 212 Date: 111612013 9:25_47 AM- ------ ---- City of Fridley Public Disclosure Statement By Members of Advisory Bodies Name: So.r C% Date lb� 1-S Position Title: C,py h vw ,SSr-0 vti e r l~Q'E 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 al.l 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 wbdch 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 pes-son'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.) ''S 11�y �',,,.�,y*�(� y; :iil,�i�ir �',' ���i.Y.i F.4k �-.r��.k �,f�7L ,��f�,'yam Hy�f .,w'. 1' Y•:, ,�'yy�• }i'.' Il,:i.' t., ;inti •., 2�, yk. :ti:Ly_Yk,,M1, �'`v5�'w: 'a.F J:sz•Yk;:'�,..:4 ' •� ! ;4 f:wl�';,•.�,v•.t•: 5'�,r., '''1...x"g: 'f• ,,r1F...a.I� , 1,yi ,��•�x� •�aSrJk,Si' tV;�� '�r�_ � �i.��.9•ifL�,S�'{44� r�; �.,•,f ay 5-44"� ,iy't' '�< y.` 4, �L '' �. �3.tr•x ,5eM`R y1. 34 ''iffy' Y .N:n"•: y•• ',a^,;e�, iv.i.l c'. Fir R•.�;`�6LL` J S .t; '-:V_ .•4i •:.S +�L:f• :9� t U! ..w• '�t• '� ' L��� �¢i L' N' if:, i -.'.. M wo. Pa c Cb (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: .J... :a-- ,.' } rcr•.r:''.n. :'-t' t' .u:'cs-...«r - •-.-x's,,, r..g•'t�,.•s;,;.. '•11',''' . _ .,i' 'i vii'�. 1.� . wy�,..��. '.. w,�. ,.,.,'. . 1f"^ .. J, T C i5 `• a��fi'•! f" ±•y,F;,,?fin: �a ,�S,i a1}. ..s; .4. n. . .. .4.'o-4 Ep {,u.'i:i^4 riiw '-.t•;fi,, .1 t.�"..�i•:�T,1 (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 Fridlcy City Code. (Si ture) Node: This statement must be filed upon appointment or reappointment to an advisory eonimittm ar material changes in Financial interest while on an advisory conunittcc. City of Fridley Public Disclosure Statement By Members of Advisory Bodies Name: J a l� ;� � V e- ( R r'l 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 Partnershi ,Etc'. t (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. i City of Fridley Public Disclosure Statement By Members of Advisory Bodies Name: 6;A 6eW OR Y 4 C 1<6,,eA-j4, Date V Z& Position Title: 10-44A' A-4,14 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 Per;oraln(erest ; Partriershi ,Etc,r 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 (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: ICA ` 1 e Aq-;l-e Ik Date 1- 21 -1 Position Title: 1904- k x Zec eommi c s1 U,), 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 Partners!i ,Etc. !c,l7e (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 Nc+j�e (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 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 Frnancal Interest l'ersotral Interest Partnershi ;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: 0. Noxi=Homestead.Reat I'ibpeity 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 reappoinhnent 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: Qi�V,j�1►h ' �' ►�\a tJ 1�rt.� ` 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 10t*st Partnershi :`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 fi nancial interest: Nuri-Romestead.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: "I his 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 j By Members of Advisory Bodies Name: ^ f f� ��/c° Dat A a /� �1-3Position Title: r� eAJ �'4LA� C °.0 "� o �: �' ti 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. r' (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 (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: Lc z Date ' 2>>, ',-WU/3 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.) Naive 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 RealProperty 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: Timothy Solberg January 17,2013 Position Title: Chairman—Fridley Parks and Recreation 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%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. NONE (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. pll --- tune) 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: Todd Olin Date 1/15/13 Position Title: Commissioner(Environmental Quality and Energy 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. Banfill Locke Center 6666 East River Road Director for the Arts Fridley,MN 55432 (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 tare statement pur to cti _ e 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 i &&,$73 � c%7� rj 5 �' L2 C Position Title: r�•n , o r"/),, "M F 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. N14 (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. /V (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: /V/4 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 ofthe Fridley City Code. t (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: Z1i�✓�Z�''✓G4� /�• 4 'D^40,3 DateZ•�•Zr—A Position Title: h R 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. U'GZ4 Rva4- 21 x 9T.`taA rZ AA. /Dc) P .r,vpr",aZrvrZ.d �10)GE .✓ L LCI ,s^ (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 ,4JO% (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. ' r.. � ti � ,� 6 � �, .