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HomeMy WebLinkAboutFlynnDaniel Affidavit Disclosure 2014 RECEIVED CITY OF LANSING 2014 JUL 21 PH 12: 31 AFFIDAVIT OF DISCLOSURE AINSINu CITY CLERK Date: hs-114 To: City Clerk City Attorney, or Board of Ethics 11Lw jI EL J. 1::-,i..` w(4 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. ❑ T,I 1 am an ❑ elected or ❑ appointed ❑ officer or❑ employee of the City of Lansing holding the position of in the Department. ❑ 1 am an immediate family member related to an elected or appointed officer or employee of the City of Lansing named holding the position of at the Board of Water and Light. ❑ 1 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. ❑ 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]. ❑ I I 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]. I 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: 9�Full time ❑ Part time(less than 25 hours/wk) ❑ Unpaid 4. My address is: to 5 15 W. All 1 ..LSB0PQDU4 H C) Q•J LA&JSI"AGi X41 48517 5. My Business(daytime) Phone#is: 1 D2�L5 L7 Continued on page 2 -1 - City of Lansing Affidavit of Disclosure 6. PLEASE DESCRIBE IN DETAIL YOUR REASON(S)FOR SUBMITTING THIS DISCLOUSRE AND EXPLAIN WHY YOU THINK A CONFLICT MAY/MAY NOT EXIST. OA`C SO4 QVA" FL_ /"U I S FloLO Ar -►vAfjk .w2 ©F Ec_ELr112,tG Ua NS LDS&L ILE:gLO tP& 1.4 L44$t 0& '14E-tzc I S Q 14 my t�bS t T10►..! rD + - 4\31' A-ti1 t -r�rZF�c1~" W(T* A W H-I[C-44 rvt 4Y EM P L.o`f WI M - IF TffA_r S rtJ 4 T-3 o,.i �2GSE►J`r"S I'i'Sg:ur T_ w 1 L-L D�ErE:P_ To 5r me; c.,►v E:t-S E 1 ,3 rgZ 43,w L, To C0 wf PLE;TE; Ft&J Act G i AL ,D EGl s t ►�S 50 A-S 1--�Qr TO P QEIE-Of /- CD" Ft_.l C-r I herby certify that this disclosure is complete and accurate to the best of my knowledge, information and belief. Theforegoing Affidavit of Disclosure was executed on this 15 day of ALL X_-4 201 / r Sig State of Michigan, County of ,�� Subscribed and sworn to before me this I ST_�t day of I UA 202o I SHONI GALATIAN Notary Public Deputy Clerk NOTARY PUBLIC-STATE OF MICHIGAN COUNTY OF CLINTON Ct�^1Zs r County,Michigan My Commission Expires Mar.5,2017 A i^� �_rML Acting in the County of r— My Commission Expires: 20 t-7 DRAFT 5A REVISED 10-09-01 -2- RECEIVED CITY OF LANSING 2014 JUL 21 PH 12: 3 AFFIDAVIT OF DISCLOSURE LAINISINU CITY CLERK Date: )5 l�- To: City Clerk City Attorney, or Board of Ethics I Lw-41 EL J- 1:::7LYW(,I 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. ❑ 1,r 1 am an ❑ elected or ❑ appointed ❑ officer or ❑ employee of the City of Lansing holding the position of in the Department. ❑ 1 am an immediate family member related to an elected or appointed officer or employee of the City of Lansing named holding the position of at the Board of Water and Light. ❑ 1 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. ❑ Vf I may derive income or benefit directly from a contract with the City or from any City action detailed below. (Charter 5-505.1) ❑ I 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]. ❑ I 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]. I 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: CXFull time ❑ Part time (less than 25 hours/wk) ❑ Unpaid 4. Myaddressis: (o515 W. 1L111L1.590P2DU4H CIQ•J L4oS,,-�6, m1 48517 5. My Business (daytime) Phone#is: C0771inued on page 2 -1 - City of Lansing Affidavit of Disclosure 6. PLEASE DESCRIBE IN DETAIL YOUR REASON(S) FOR SUBMITTING THIS DISCLOUSRE AND EXPLAIN WHY YOU THINK A CONFLICT MAY/MAY NOT EXIST. M'( So,.! Q,V A.#,4 A E2 C I s ,4 Foss f $I L-17`� � 4 MY fds, T ::))_t w (-� t C4-i M 4Y E:M PLt)`f 41 M . Z F TAT" 5 I T-y A 7-7 O),A ?Q_E;C S I- - T. to ( LL Jlr_eE:�e_ Tb 5z:)r ,tr, aA_jc, E: r , $w t✓ To Cc)v"P LSTIS; F,►s AKS e. L AL DELI S ��►-�5 S® A-� P--�Vr Ty PP_�E_0_r A- sr I herby certify that this disclosure is complete and accurate to the best of my knowledge, information and belief. The foregoing Affidavit of Disclosure was executed on this f5 day of AU_V,`j 20 I Sig eOr State of Michigan, County of �,L.G, Subscribed and sworn to before me this I ST� day of _) JL�, 202o t N SHONI GALATIAN Notary Public Deputy Clerk , NOTARY PUBLIC-STATE OF MICHIGAN COUNTY OF CLINTON Cl t-A--b County, Michigan My Commission Expires ar.5,2017 ^� Acting in the county or My Commission ExpYres: rv{ti. � S, 20 t-7 DRAFT 5A REVISED 10-09-01 -2- XVB2 RECEIVED CITY OF LANSING 2014 JUL 21 PH 12: 3 0 AFFIDAVIT OF DISCLOSURE LANSING GITy CLER-K Date: )S~ l To: City Clerk City Attorney, or ^� Board of Ethics I i.UWI IEL J- V:'�L,YW nl 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. ❑ 1 am an ❑ elected or❑ appointed ❑officer or❑ employee of the City of Lansing holding the position of in the Department. ❑ 1 am an immediate family member related to an elected or appointed officer or employee of the City of Lansing named holding the position of at the Board of Water and Liaht. ❑ 1 7r� �� p.-_ .Zj d officer or e ' I 2. ❑ IJ / ,t with the City or f 1) ❑ 1 J the public i� ter 5-505.2) ❑ I be acted upon b 90.04(1) of the C I nce that I may be it tics Ordinances a, a,1u 111 LT e City Charter. 3, This position is: I Full time ❑ Part time(less than 25 hourslwk) ❑ Unpaid 4. My address is: 1l . A4 I LL690P-OUq H C'1 JQ.J LAW 51114G, W 4017 5. My Business(daytime) Phone#is: Continued on page 2 -1 - City of Lansing Affidavit of Disclosure 6. PLEASE DESCRIBE IN DETAIL YOUR REASON(S)FOR SUBMITTING THIS DISCLOUSRE AND EXPLAIN WHY YOU THINE(A CONFLICT MAWMAYNOT EXIST. EL61TYLtc, l4an 11r-r-AL. TEF5kO to&5 14 L-A45W& . �+Erzc I� A 'F+OaS 1 B,1 L T`L W W -rD 4+4\3 15 .*wwJ 1 ti1-7" LF'A2� W t T* A Gb ry°J1Z 4 G 1�� w (,. t cr 4.j Fv14 y E:M PL,0`{ 1 H M - JP T*AT t—s yr ` ,o � Y=J� 1 Gt�►—E �t�l G?J l herby certify that this disclosure is complete and accurate to the best of my knowledge, information and belief. c L The foregoing Affidavit of Disclosure was executed on this 0' - Sig State of Michigan, County of Subscribed and sworn to before me this [S7 day of 11 l 20'701 Ll SHONI GALATIAN Notary Publrc Deputy Clerk NOTARY PUBLIC-STATE OF MICHIGAN COUNTY OF CLINTON Cl L --17o r. County, Michigan My Commission Expires ar.b,2017fi� Acting In the County of My Commission ExpYres: 201-7 DRAFT 5A REVISED 10-09-01 .2.