HomeMy WebLinkAboutFrazierChad Affidavit Disclosure 2009 �I RECEIVED
2013AUG 19
AM10: 30
L " ING CI TYA A OF LANSILG
IT OF DISCLOSURE
�rICHIG �`�
TO: CITY CLERK, DATE: U ` V3
CITY ATTORNEY or
BOARD OF ETHICS
`h —,A Fri,Zk e%— make the following disclosure under oath:
(Name)
PLEASE CHECK THE BOX AND FILL IN THE APPROPRIATE BLANKS FOR EACH OF THE
FOLLOWING ITEMS
Yes No
1. ❑ ❑ I am an ❑elected or❑appointed ❑officer or Camployee of the City of
Lansing holding the position of ?0C%( drriLrx
in the IL but-,0E Department
i
❑ 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
❑ 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. fQ ❑ I may derive income or benefit directly or indirectly from the bidding of,
negotiation of, solicitation of or entry into a contract with the City or from
and City action detailed below. (Charter 5-505.1)
❑ I 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(I) 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(I) of the
Code of Ordinances]
❑ 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
j as provided for in the Code of Ordinances and in the City Charter.
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i
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3. My City of Lansing position is:
Oki Full-time ❑ Part-time (less than 25 hours/wk) ❑ Unpaid
i 4. PLEASE DESCRIBE IN DETAIL YOUR REASON(S)FOR SUBMITTING THIS DISCLOSURE
AND EXPLAIN WHY YOU THINK A CONFLICT MAY/MAY NOT EXIST.
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I herebycertify that this disclosure is complete and accurate to the best of m knowledge,
fY P Y 9 ,
information and belief.
The foregoing Affidavit of Disclosure was executed on this 13 day of
20 1_5 ?I J.)
// Signed
State of Michigan, County of.� /g, ) ss-�
Subscribed and sworn to before me this /3 day of _ 20 �3
Notary Public/or Deputy Clerk
KMAMIR County, Michigan
19TA P"-9=0FMMGNtiAN My Commission Expires:
O P"OF SHI NWASSEE
w Cwff l m ftiru June 6,2017
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