HomeMy WebLinkAboutHessGreg Affidavit Disclosure 2015 Hometown People. Hometown Power.
Mr. Chris Swope, Lansing City Clerk
City of Lansing
124 W. Michigan Avenue 9th Floor
Lansing, MI 48933
September 11, 2015
RE: BWL Affidavit of Disclosure
Dear Mr. Swope:
Attached please find an Affidavit of Disclosure prepared by Board of Water and Light employee,
Gregg Hess.This document is being forwarded to your office for filing.
Respectfully submitted,
M. Detdje gWff&
M. Denise Griffin
Corporate Secretary
Electronic CC: CFO Heather Shawa-DeCook and Gregg Hess, IT Manager
(Electronically submitted to Lansing City Clerk on 9-11-15)
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CITY OF LANSING �n.,�im° .. � / u_[`...
AFFIDAVIT OF DISCLOSURE �
Date: '
To City Clerk
City Attorney,or
Board of Ethics
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make the following disclosure under ooth�
(Name)
' |
PLEASE CHECK THE APPROPRIATE BOX OR FILL|N THE BLANKS FOR EACH OFTHE
FOLLOWING ITEMS �
YES NO
1. O | am an O elected or O appointed O officerof the City
of Lansing holding the m of —in the
O |aman immediate family member related toan elected orappointed
officer or employee of the City of Lansing named _holding
the posiUonof ot the Board ofVVoterond
Light.
O B | am o Business Associate of an elected or appointed officer or
employee of the City of Lansing named �
holding the position of in1ha |
department.
2. O O | may derive income or benefit directly from a contract with the City or
from any City action detailed below. (Charter5'5U5.1)
O O | may have o conflict between a personal interest and the public
intereot, the nature ufwhich is disclosed below(Charter S'505.2)
[Chapter#2S0.O4(1) of the Code ofOrdinonoea].
O O | may have a financial interest inn matter proposed tobe acted upon
{ by the City of Lansing on described below[Chapter 29O,U4(1)ofthe
Code ufOrdinanceo].
1� O | make this disclosure because of possibleappearance that| may be
- in violation ofnrin conflict with the City of Lansing Ethics Ordinances
ao provided for in the Code nr Ordinances and in the City Charter.
3. This position is: O Full time Part time(less than 25 houro/wN O Unpaid
4. K8y address is: _r a'r4 V� /�Z^�.
5. My Business(dayUme) Phone#is: 7» ,I~ ��
Continued vn page J
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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.
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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 thisf day of � 20 l
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A.
signed y'
State of Michigan, County of l.�
Subscribed and sworn to before me this ZSn� day of 20 I,S
Notary Public Deputy Clerk
County,Michigan Ac
My Commission Expires: 0 3-o 5.t:j
SHONI GALATIAN
NOTARY CPUBLIC-OUNTY OFACLINTON
TE OF CHIGAN
DRAFT 5A REVISED 10-09-01 My Commission Ex s Mer.5,2017
Acting In the County of-
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