HomeMy WebLinkAboutFlynnDaniel Affidavit Disclosure 2003 %_i i i yr j_txiv 3 uv u rage 1 of"L
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CITY OF LANSING
AFFIDAVIT OF DISCLOSURE
Date: q/Wo�
To: City Clerk
City Attorney, or
Board of Ethics
I � J. -�►'�/ make the following disclosure under oath:
(Name)
PLEASE CHECK THE APPROPRIATE BOX OR FILL IN THE BLANKS FOR EACH OF THE FOLLOWING\ITEMS
YES NO
1. f ❑ 1 am an ❑ elected or ❑ appointed ❑ officer or j employee of the
City of Lansing holding the position of 8ijAJ4ar' L in the
t;cIo B Department. Z"_oe Je.. t.t",8Y J
❑ I am an immediate family member related to an elected or appointed
officer or employee of the City of Lansing named ,
holding the position of in the
department.
❑ l I am a Business Associate of an elected or appointed officer or
employee of the City of Lansing named
holding the position of in the
department.
2. ❑ J 1 may derive income or benefit directly from a contract with the City or
from any City action detailed below. (Charter 5-505.1)
❑ 1 may have a conflict between a personal interest and the public
interest, the nature of which is disclosed below (Charter 5-505.2)
[Chapter#290.04(1) of the Code of Ordinances].
❑ 1 may have a financial 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].
,C7 ❑ 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
Ordinances as provided for in the Code or Ordinances and in the City
Charter.
3, This position is: Full time ❑ Part time (less than 25 hours/wk) ❑ Unpaid
4. My address is: smA4 o f- agl, I-A-AJS,(Ak►,r M/
5. My Business (daytime) Phone# is: �a - 6
http://Ibwl/lbwl/ps/msmrc/Affidavit%20of%2ODisclosure%20020418.htm 9/29/03
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6. PLEASE DESCRIBE IN DETAIL YOUR REASON(S)FOR SUBMITTING THIS DISCLOUSRE AND EXPLAIN
WHY YOU THINK A CONFLICT MAY/MAY NOT EXIST.
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I herby certify that this disclosure is complete and accurate to the best of my knowledge, information and belief.
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The foregoing Affidavit of Disclosure was executed on this day of 20�`» .
`g 3''
State of Michigan, County of
Subscribed and sworn to before me this dav of 2 6..
G(
^ Notar ublic Deputy Cler
County, Michigan
My Commission Expires: 3
EiE ERLY A.u15i-1U!'mm�
Notary Public,Clinion County, ,;,j 3
tAc4 ng in Ingham Couni},P4ichigan
My Comm.Expires Oct.9.2005
http://Ibwl/lbwl/ps/msmrc/Affidavit%20of%2ODisclosure%20020418.htm 9/29/03