Loading...
HomeMy WebLinkAboutLawrenceMark Affidavit Disclosure 2018 L` S J ,j•- �.rJ c,r` t CITY OF LA.-MIN AFFIDAVIT OF DISCLOSURE ,, i ti - HI TO: CITY CLERK, DATE: CITY ATTORNEY or BOARD OF ETHICS I Mar-k 1-.wrenc..e 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 1 am an ❑ elected or 21"appointed ❑ officer or 21e"mployee of the City of Lansing holding the position of Gitize4\ Ajy&A in the MA yer Department ❑ [w� 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 � 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] l ❑ d 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 of Ordinances and in the City Charter. 3. My-City of Lansing position is: ®1 Full-time ❑ Part-time (less than 25 hours/wk) ❑ Unpaid 4. PLEASE DESCRIBE IN DETAIL YOUR REASON(S)FOR SUBMITTING THIS DISCLOSURE J AND EXPLAIN WHY YOU THINK Aa CONFLICT 'MAY/MAY NOT EXIST.II__ / I, GrI r G / /S uc �7 /06 / z / / A;5 do rToseS 0Q rj156105;'tu a 1 Woylw n04- ke feCeryln4 eAnV ZGnA� /ww" X4 Tf0VVN 0 0104ZIIna 5004fS Mc/ arly47 lol�r o 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 `1 � day of 20 $ igned State of Michigan, County of Subscribed and sworn to before me this day , 20 Notary Public/or Deputy Clerk NOTARY�S�� County, Michigan My Comf*91on Ezou Mowmba 1,2010 AMO Into ,d WOMM My Commission Expires: 2, J i 1� S I�, CITY OF LAIN;ST TG AFFIDAVIT OF DISCLOSURE., HIS TO: CITY CLERK, DATE: CITY ATTORNEY or BOARD OF ETHICS I Mark L--Acyre-, C2 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. Z ❑ I am an ❑elected or appointed ❑ officer or 2e"mployee of the City of Lansing holding the position of 6,$izeA Muxa. in the matzor Department O [� 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. ❑ ,7� 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) ❑ 0 1 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] f' ❑ 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] ❑ M 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 of Ordinances and in the City Charter. 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? I iLbd' (sw(N �Sr/Lt S ; ■ Are you self-employed? 6'✓ C) ■ Who is your employer, if applicable? �l rtii/ c� ■ What are the things you actually do in the business? ■ Who are your clients and who receives your goods or services? ■ How and where are your services performed? WY