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HomeMy WebLinkAboutFrazierChad Affidavit Disclosure 2013 From the 6/29/09 Council Meeting Packet REFERRED TO THE BOARD OF. ' CITY OF LANSING-ft ETHICS AND REFERRED TO THE AFFIDAVIT OF DISCLO!SE� k " CITY.ATTORNEY. TO: CITY CLERK, M 2009 CITY ATTORNEY, or JUN BOARD OF ETHICS Lansing. ,ity Attor�� e tt fney I f�If�c� 1 make the follo TV-dig'cl sur ` 'de> 'h R av f (Name) �a PLEASE CHECK THE APPROPRIATE BOX OR FILL IN THE BLANKS FOR EACH OF THE FOLLOWING ITEMS Yes No 1. ®: ❑ I am an ❑ elected or ❑ appointed officer or ❑ employee of the City of Lansing holding the position of PD\"e-- in the lr�C- � ,1 Lr e 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 in the department. ❑ 6f- 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. ❑ IK I may derive income or benefit directly from a contract with the City or from any City action detailed below. (Charter 5-505.1) ❑ 4 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] ❑ f4 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(I) 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 Ordinance as provided for in the Code or Ordinances and in the City Charter 3, This position is: 'time PAPart time (less than 25 hours/wk) ❑ Unpaid 4. My Address is: SIF-t.F' fFMt'LbYF-6 W ri l c 5. My Business (daytime) Phone # is: 51"►'� ��-. =-tC�ac; I :(�I k"Id zc CONTINUED ON PAGE 2 l-!• lEi t_1�� 1j i I AFFIDAVIT OF DISCLOSURE-PAGE 2 PLEASE DESCRIBE IN .DETAIL YOUR REASON(S) FOR SUBMITTING THIS 6. DISCLOSURE AND EXPLAIN WHY YOU THINK A CONFLICT MAY/MAY NOT EXIST, I hereby 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 Z-Z day of 20 cyt:� Signed ned State of Michigan, County of I / Subscribed and sworn to before me this dlflfl day of -�rL I 20 Notary Public%r Deputy Clerk _E/J_{fp/VL County, Michigan My Commission Expires; j PLEASE INCLUDE AND SUBMIT A COPY OF YOUR CURRENT JOB DESCRIPTION I DRAFT5A;REVISED 11-05-04 i i Please provide additional information about your outside business or employment. Of special _.` interest to the Board is how the activities of the business or employment may directly on t indirectly affect the City, This disclosure is about information and is not-an-indica anticipated conflict of interest or suspected wrongdoing. Therefore,plea Board what it is you actually do and be detailed and specific. You are o unit your disclosure only to the following questions. For each business, include z i o r answer su 1i11t�t�g things as: What is the form of your business entity and what percentage do y u own? J V- EAR 47n % Are you self-employed? P.5 Who is your employer, if applicable? IV Z14 What are the things you actually do in the business? SA Le7-'SI � a V, C Who are your clients and who receives your goods or services? _(D //(fe t S�i�� s Fes? Ei`E- �r-P 455, 5i-�_ �S , How and where are your services performed? /�/�h a r, ■ How often do you do outside work? 16 - /' Does your business or employer contract with the City? /l✓ In performing your business or outside employment, do you use any City facilities or equipment? If so, describe: /(✓16 Is any of your business or employment conducted in the City? VeS If so, describe: S6/,? G -70 L' Lf r l r.�� �1 !'j 1 ii :n Does your business advertisement or circulars, if any, contain any reference to the City or your City employment? /l e� Is there any additional information that you believe would assist the Ethics Board in its review of your business or personal activities for potential-conflicts of interest? If so,please describe: 42,- Ae- vc f1 C r l eci L'✓K1�7 l0�� 1 t U/�1 C 7- -z�I-rz In providing this additional information,the Board of Ethics asks that you give special attention to the Conflicts of Interest section of the Charter found at 5-505.1 —5-505.3. A copy is enclosed for your convenience. EVAC-0-SLING The Evac-Q-Sling is a new product by Bilaur Enterprises. Designed by First Responders who work in the field and know first hand the needs of a versatile compact stretcher that can provide a safe, quick means of extricating subjects to safety or assisting in lifting a person. The Evac-Q-Sling is not only for Police, Fire, EMS, and other First Responders, but can be used in Hospitals, Airports, Assisted Living Homes, and for personal use in the home. The Evac-Q-Sling is light-weight, durable and extremely compact. The Evac-Q-Sling is a safe, easy and fast way to extricate a conscious or unconscious person. Whether it's an emergency situation that regUlresfast response for evacuation, or a person that needs assisted being lifted. The Evac-Q-Sling is small enough to fit in the pocket of cargo pants, in the back of a wheelchair, or in a glove box. This unique strap allows individuals to lift a person without injuring the person being lifted or the persons performing the lift. The Evac-Q-Sling's unique hand strap design allows for the weight to be transferred to the forearms and wrists while lifting, eliminating hand and finger fatigue. The unique design allows for a comfortable transport for a further distance. With the fast growing number of back injuries in the Public Safety Field, this versatile tool is a must for First Responders or for people who are required to lift individuals daily. The Evac-Q-Sling is not only very comfortable for the person being transported it also allows for less back stress and strain on the individuals performing the transportation. The Evac-Q-Sling is fast and easy to use by all. Designed for quick rapid response situations, The Evac-Q-Slings compact size and durability is second to none.