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HomeMy WebLinkAboutCarpenterRick Affidavit Disclosure 2006 Apr 27 2006 2: 02PM Innovative Software 517-663-6141 p. 2 APR-27-2006 11:17 FROM:OITY OF LANSING-FIN. 517 493 4524 70:517 663 GL41 P.002.,005 OF LANSANG FFI _VIA' OF DISCLOSURE DATE; TO; CITY CLERK, CITY ATTORNEY, or BOARD OF ETHICS /I I �G �arno,.AT�� make the following disclosure under oath: (Name) PLEASE CHECK THE APPROPRIATE, BOX OR FILL IN THE BLANKS FOR EACH OF: THE FOLLOWING ITEMS XLs No 1. ❑ 1 am an ❑ elected or❑ appointed ❑ officer or r3 employee of the City of Lansing holding the position of in the department ❑ I am an immediate family mender related to an elected or appointed officer or employee of the City of Lensing named holding the.position of.__ in the department, r 0 lama Business Associate of an elected or appointed afficeror employee of the City of Lansing named Holding the position of In the Department, 2• o 1 may derive-income or benefit directly from a contract with the City or from any VV action detailed below, (Charter 5-a05.1) o I may have a conflict between a personal interest and the public interest, the nature of which is disclosed below (Charier 5-505,2) [Chdpter #290.04(1)-of•the Code of Ordinances) Q 1 may have a 5nanciel Interest In a matter proposed to be acted upon by the.City of Lansing as described below[Chapter 290.04(1) of the Code of Ordinances) i, ❑ 1 make this disclosure because of a possible appearance that I may be In violation of or in conflict with the City of Lansing Ethics Ordinance as provide id for in the Code or Ordinances and in the Clty Charter YYLy, t 3. This position is: vfed/ull time ❑ Part time (less than 25 hourslwk) o Unpaid O 4, My Address is.- S Q111 cST. Cat0n � Ilr�S, A4/ 41 ffWX 1 �i"ct-� CONTINUED ON PAGE 2 Apr 27 2006 2: 02PM Innovative Software 517-663-6141 p. 3 APR-27-2006 11:17 FROM:CITY OF LANSING-FIN. 517 423 4524 TO:517 663 6141 P.003,005 AFROAM OF visMOSWE.PAW 2 5. My Busirm (daytlme) Phone# is: Jul " 665-57/0 6. PLEASE DESCWS IN DETAIL YOUR REA SON(S)FOR SUBWnWG THIS DISCLOSURE AND FXKA1AF WHY YOU THINK A CONFLICT MAWMIYNOT EXIST. Innovative Software Services, Inc. is closely tied to the governmental community through its A� C the -Ced- rnrnj3n"grew in itg effort to become a nationally recognized so ware provider, it becameapparenta au em accounting and income tax background was highly desired. Through mutual conversation both parties t eed 11�atth;�iuna,trl l,p an a:n„n/�=r+n c;tnar;et7 We frill continue to give support to the City—of ansmg and to add in any way possiBle to ea s transia,11011. I do not feel a conflict existing in this usiness cleaiing. f hereby certify that this disclosure Is coMpleft and aceua°ate to the best of my knowledge,Informaticn and belief. 77m foragolog Afdldevlt of Disclosam was exe�cu on this day" 20 O6 Signed State ofAHchigan, County o � a Subscribed and scram to fare me this o5 day o 20 v eta Pubkclar Deputy Clerk County, AfthFgan ;7— Commission ExpFras: Ndtelry REBECCA S.TE1=L Stage f Michigan: County of Eaton Y Commisslon Expires arch' Acting.in the C,0 of _ 2071 DRA"I&Rsviseo