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HomeMy WebLinkAboutGuileGene Affidavit Disclosure 1989 CITY OF LANSING TO: [XIK CITY CLERK [x] CITY ATTORNEY [� MAYOR CITY CnOUNCIL PRESIDENT 3 , DEPARTMENT HEAD AFFIDAVIT OF DISCLOSURE OF CONFLICT OF INTEREST STATE OF MICHIGAN) COUNTY OF Ingham ) Gene Guile being duly sworn, says under oath: 1. I am an elected or appointed officer or employee of the City of Lansing, holding the position of Purchasing Technician in the Finance Department. This position is: Vj Fulltime [ J Parttime (less than 25 hours/wk) [ ] Unpaid. 2 . [ ] I , and/or [ ] my son a member of my immediate family as defined in Ordinance 290 . 02 (i) , and/or [ ] , a business with which I am associated as defined in Ordinance 290 . 02 (b) , (c) and (d) : [ I a. may receive a financial benefit of more than a de minimus nature which is distinguishable from the benefits to the person as a member of the public or as a member of a broad segment of the public , from a decision I would otherwise make or participate in as an officer or employee. The decision involved is described as follows• selling printing services to the city through their quote and/or bid process. 1 CITY OF LANSING BOARD OF ETHICS TO: OFFICERS AND EMPLOYEES WHO FILED DISCLOSURES OF CONFLICTS OF INTEREST PRIOR TO MARCH 1 , 1989 The Board of Ethics has attempted to review a disclosure of a conflict of interest filed by you. Your disclosure contains insufficient information to allow such review, however. To assist you to make the full disclosure required by law, the Board of Ethics has adopted a revised form for use in disclosing conflicts. While you are not required to use this specific form, any disclosure you file must contain the information called for in it. Enclosed is a copy of your original filing, along with a blank form with instructions, which you are requested to complete and resubmit to the City Clerk as soon as possible. If your disclosure pertains to a contract with the City, it must contain the information required by MCL 15 . 323 (c) . To the extent it pertains to other government decisions, it must meet Charter requirements for a full and complete disclosure. "Blanket disclosures" do not comply with either state law or local charter and ordinance requirements. Officers and employees are required to file a separate disclosure for each specific transaction involving an actual or potential conflict of interest before any dealing with the City takes place. A disclosure must also indicate how the officer or employee intends to resolve the disclosed conflict. Your cooperation in promptly completing and returning the enclosed form will be appreciated. THE LANSING BOARD OF ETHICS The financial benefit will be received by the following persons in the following amounts: Ed Guile, the amounts will fluctuate depending on each bid or quotation circumstances. [ ] I will not make or participate in the making of the affected decision, or [ ] Despite the conflict of interest, I am able to make or participate in the making of the affected decision fairly, objectively, and in the public interest because: I am an ethical person by reputation and I will follow the guidelines in the City's purchasing ordinance. [ ] b. intend to have business dealings with the City of Lansing, either directly or indirectly. The business dealings are specifically described in detail as follows (include names of each party, the duration of the dealings , the financial consideration between the parties, the governmental facilities or services involved, the nature and degree of assignment of government employees for fulfillment of dealings, and the nature of any pecuniary interest) : N/A 2 [ ] I will not make or participate in the making of governmental decisions concerning the business dealings, or [ ] Despite the conflict of interest, I am able to make or participate in the making of governmental decisions concerning the business dealings fairly, objectively, and in the public interest because: N/A [ ] c. may derive income or benefits, either directly or indirectly, in addition to official remuneration, as a result of Council action. The action involved is described as follows: _ N/ A The income or benefits , in addition to official remuneration, that will be derived, either directly or indirectly, is described as follows : N/A [ ] I will not make or participate in the making of the affected decision, or [ ] Despite the conflict of interest, I am able to make or participate in the making of the affected decision fairly, objectively, and in the public interest because: N/A 3 [ ] d. may derive income or benefits , either directly or indirectly, in addition to official remuneration, as a result of a contract with the City. The contract is specifically described in detail as follows (include names of each party, the duration of the dealings , the financial consideration between the parties, the governmental facilities or services involved, the nature and degree of assignment of government employees for fulfillment of the contract, and the nature of any pecuniary interest) : N/A [ ] I will not make or participate in the making of governmental decisions concerning the contract, or [ ] Despite the conflict of interest, I am able to make or participate in the making of governmental decisions concerning the contract fairly, objectively, and in the public interest because: N/A [ ] e. have a conflict between a personal interest and the public interest as defined by state law, the Lansing City Charter, or ordinance. The personal interest that conflicts with the public 4 interest is described as follows: N/A The public interest that the personal interest conflicts with is described as follows: N/AS [ ] I will not make or participate in the making of governmental decisions concerning the conflict, or [ ] Despite the conflict of interest, I am able to make or participate in the making of governmental decisions concerning the conflict fairly, objectively, and in the public interest because: N/A 3. I have attached additional detail on the reverse of this form or on attached sheets, including copies of all relevant documents , memos , resolutions, and contracts. 4 . I hereby certify that this disclosure is complete and accurate to the best of my knowledge, information and belief. 5 . I hereby certify that I have not solicited or entered into any agreement with the City of Lansing prior to filing this affidavit. 5 The foregoing Affidavit of Disclosure of/''Conflict of Interest was executed on the d a y of 19 Subscribed and sworn ' before me the day of *,,"',(�F 19 ��� �� 7" Notary Public Deputy Clerk County, Michigan My Commission Expires: FOR CITY CLERK/CITY ATTORNEY USAGE DATE FILED: 7 -9-7 COPIES SENT TO: Mayor City Council President Department Head H- Board of Ethics 0 N: � - �'::i - �t---j BOARD OF ETHICS ACTION ON: Accepted Rejected OPINION NO. V) 6