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HomeMy WebLinkAboutKimbleWilliam Affidavit Disclosure 2006 CITY OF LANSING AFFIDAVIT OF DISCLOSURE DATE:_ February 6, 2006 r .. TO: CITY CLERK, CITY ATTORNEY, or BOARD OF ETHICS William J: Kimble make the following disclosure under oath: (Name) 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 in the department ❑ EI 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. ❑ D 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. ❑ 91 1 may derive income or benefit directly from a contract with the City or from any 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(1) 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] ❑ ® I make this disclosure because of a possible appearance that I may be in violation of or in conflict with the Cit of Lansing Ethics Ordinance as provided for in the Code or r inacQet,& 11,, r DW2 k �3. This position is: ❑ Full time ❑ Part ti (fees`fhari' oQ paid N/A �y� 4. My Address is: Capital Consultants/DesignWorks AE 725 Prudden Street, Lansing, MI 48906 CONTINUED ON PAGE 2 AFFIDAVIT OF DISCLOSURE-PAGE 2 5. My Business (daytime) Phone # is: (517) 371-1200 PLEASE DESCRIBE IN DETAIL YOUR A R REASON(S) MAY/MAY SUBMITTING EXIST. THIS DISCLOSURE 6. AND EXPLAIN WHY YOU THIN Capital Consultants Des' in Works A/E CC/DWAE has entered into an employment relationshi with David A. Berridge, former Director of Public Service for the Cit of Lansing. His em to ment be an on Fe ruarv6, 2006. This information is being disclosed in accordance with Section 290.09 b of the Lan sin Code of Ordinances. This em to ment relationship will be disclosed in all contractual activities between CC/DWAE and the i of Lansin throw h 11.18.2006 which will be the one ear anniversa of Mr. Berrid e's em to ment termination in accordance with Section 290.09 b of the Lansing Code of Ordinances. CC/DWAE asserts that there is no conflict of interest and we are mere- complying with the duty to disclose the em to ment relationshi as a contractor for the Cit . I hereby certify that this disclosure is complete and accurate to the best of my knowledge, information and belief. this c►Myof r UAP2y ,rile fnr. ^;"ry Affi 4— if of niAr•Ir+�•irr,} .a�7o ay.fq.r..fnr+l .�..1': 1'I.+ Nis s .v.��vu1a, I-..nu,au i.- . ✓.va. v.,.a.. . r u.� �a.�..0 a.-..: . 20 ©& . f / Signed State of Michigan, County o -�h 20-D( ` — _ � Subscribed and sworn to before e this � day of ay r' cr1-n/nr noputy Clerk L Si Not"PUbk EAcftvq�ian �,h County, Michigan mission 41 &2011 he County My Commission Expires: DRAFT 5A;REVISED 10-09-01