The URL can be used to link to this page

Home My WebLink AboutHagleLori Affidavit Disclosure 2020 City of Lansing - Board of Ethics September 9, 2020 Lori Hagle Lori.hagle@lansingmi.gov Dear Mrs. Hagle, Thank you for submitting an Affidavit of Disclosure. At its regular meeting held on September 8,2020 the Board of Ethics made the following determination: To place your affidavit on file and finds no violation of the Ethics Ordinance at this time. If you have any questions with regard to this determination,please feel free to contact me. My office number is (517)483-4131. Sincerely, Brian P/Jackson, Lansing Board of Ethics, Secretary Chief Deputy Lansing City Clerk City Clerk Is Ujjice, 124 W.Michigan Ave., 9th f 7oor Lansing, - tiPt� S 1�G CITY OF LANSING AFFIDAVIT OF DISCLOSURE cHIGP TO: CITY CLERK DATE: August 5, 2020 1 Lori Hagle 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. 0 ❑ I am an❑ elected or❑ appointed ❑officer or ❑✓ employee of the City of Lansing holding the position of Secretary in the Lansinq Police Department ❑ 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 ❑ ✓❑ 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. ❑ ❑✓ 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 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] ❑ 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] ❑ ❑✓ 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 as provided for in the Code of Ordinances and in the City Charter. 3. M City of Lansing position is: Full-time Part-time (less than 25 hours/wk) Unpaid 4. PLEASE DESCRIBE IN DETAIL YOUR REASON(S)FOR SUBMITTING THIS DISCLOSURE AND EXPLAIN WHY YOU THINK A CONFLICT MAY/MAY NOT EXIST. I believe there is no conflict. My previous employer has asked for assistance in filing a bankruptcy for a company. Bankruptcy was my area of expertise when employed with the law firm as a paralegal. The work will be completed on nights and weekends. 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�day of I 4 20_.19. a lb Sig ed State of Michigan,County of �a Subscribed and sworn to before me this J� day of 20 Cheirice A Fleming Notary P blic/or putt' Clerk NOTARY PUBLIC-STATE OF MICHIGAN ryf County,Michigan County of Ingham My Commission Expires 12I30 2 25 My Commission Expires: /L 30 ZS Acting In the County of_ 10" ATTACHMENT TO AFFIDAVIT OF DISCLOSURE 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 or indirectly affect the City. This disclosure is about information and is not an indication of any anticipated conflict of interest or suspected wrongdoing.Therefore,please describe for the Board what it is you actually do and be detailed and specific. You are not required to limit your disclosure only to the following questions. For each business, include in your answer such things as: ■ What is the form of your business entity and what percentage do you own? Law Firm 0 % ■ Are you self-employed? No ■ Who is your employer, if applicable? Fraser Trebilcock Davis & Dunlap, P.C. ■ What are the things you actually do in the business? Temporary paralegal work ■ Who are your clients and who receives your goods or services? A company that needs to file bankruptcy. ■ How and where are your services performed? I will work from my home. ■ How often do you do outside work? This is temporary. The work will be completed at night and on weekends. ■ Does your business or employer contract with the City? No ■ In performing your business or outside employment, do you use any City facilities or equipment? No If so,describe: ■ Is any of your business or employment conducted in the City? No If so,describe: • Does your business advertisement or circulars,if any,contain any reference to the City or your City employment? No • Is there any additional information that you believe would assist the Board of Ethics in its review of your business or personal activities for potential conflicts of interest? No If so,please describe: 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. r Lansing Police Department ❑Renewal Supplemental Off-Duty aeg.Off-Duty Employment • Employment Request Form Date: August 5, 2020 Employee Requesting Approval: Lori Hagle Badge No: Current Duty Assignment: Secretary Hours: 07:30 - 15:30 Division: Investigations SUPPLEMENTAL EMPLOYEMENT INFORMATION Name of Employer: Fraser Trebilcock Davis & Dunlap, P.C. Type of Business: Attorneys Business Address: 124 W. Allegan, Suite 1000, Lansing, MI 48933 Owner or Manager's Name: Mike Senvko Telephone No: (517) 377-0852 Location of Employment: Working from home in Mason Description of Work Duties: Assist attorney in filing a bankruptcy for a company Work Schedule: Nights and weekends Number of Hours Per Week: Approx. 6 or less Duration of Employment: Approx. s months Does this employment require any security or law enforcement responsibility including the enforcement of any state or local law or the exercise of any police power on behalf of the employer? ❑Yes MNo I understand that in cases of supplemental employment,the only liability insurance coverage or workers compensation coverage available would be that which may be supplied by the supplemental employer. Insurance procured by the City of Lansing and other benefits are not applicable. I understand that in cases of private security supplemental employment, the only liability insurance coverage or workers compensation coverage available would be that which is supplied by the supplemental employer. While an indemnification agreement and certificate of insurance is a prerequisite,these forms do not constitute a guarantee by the City or the Police Department that insurance exists, is adequate, or has not been canceled without notice to the Police Department or employee. Insurance procured by the City of Lansing and other benefits are not applicable. Employee Signature J Before any supplemental employment begins, this form must be filled out, signed, and approved by the Chief of Police or the Chiefs Designee. Approval may be revoked at any time by the Chief of Police. Captains Recommendation Date: G Initials: 5�3s� b.Approved El Disapproved Captain's Comments: A/0 ca,/ 77�� Date Approved El Disapproved Da Green,Chief of P�liE Copy of form sent to employee on 5/10