HomeMy WebLinkAboutLowndesDavid Affidavit Disclosure 2015 (2) CITY OF LANSING
AFFIDAVIT OF DISCLOSURE RECr I V E D
2515 JUL 16 Ph ID,40=:-
TO: CITY CLERK, t `�S!-.i,, �"
,i
CITY ATTORNEY, or
BOARD OF ETHICS
I I A-zz !�� make the following disclosure under oath:
(Name)
PLEASE CHECK THE APPROPRIATE BOX OR FILL IN THE BLANKS FOR EACH OF THE
FOLLOWING ITEMS
,YesNo
1. El am an El elected or ❑ appointedtofficer o mployee of the City of
LaniSIZ14,;-
holding the position of fc' O�TrcC& r— in the
d';Jic'r' 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 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(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]
❑ 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 or Ordinances and in the City Charter
3. This position is: ❑ Full time Part time (less than 25 hours/wk) ❑ Unpaid
3
4. My Address is: `�� (.� /`�i � r�r �UG/ L f�� `��5 Fc, t
j ,Y
5. My Business (daytime) Phone #is: 7
CONTINUED ON PAGE 2
AFFIDAVIT OF DISCLOSURE-PAGE 2
6. PLEASE DESCRIBE IN DETAIL YOUR REASON(S) FOR SUBMITTING THIS
DISCLOSURE AND EXPLAIN WHY YOU THINK A CONFLICT MAY/MAY NOT EXIST.
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1 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
3v4, 20IS
Signe
State of Michigan, County of 6�
Subscribed and sworn to before me this day of J y I�j 20 IS
KFNA�1q>� Notary Public%r Deputy Clerk
Wt VMW-8 11EOf MI HGA'�I 5.1,,,<_ sr o v County, Michigan
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"IOONAWO 6 ,M�»k_2017
nifs0"d ham _ My Commission Expires:
PLEASE INCLUDE AND SUBMIT A COPY OF YOUR CURRENT JOB DESCRIPTION
DRAFT 5A;REVISED 11-05-04
2016 Special Assignment Posting
Posting Number 2015-014
- CRIME SCENE INVESTIGATOR
The individual selected for the position of Crime Scene Investigator may remain in the position for a period of
not more than ten (10) years.
The position of Crime Scene Investigator will be responsible for a variety of duties, which will include, but not be
limited to the following:
1. Attend and remain proficient in training specific to this assignment.
2. The collection and preservation of evidence related to criminal activity.
3. The preservation of crime scenes through photography, videotaping, and/or detailed drawing.
4. The development, lifting, and preservation of latent fingerprints.
5. Attending postmortems for evidence purposes.
6. Ability to perform essential functions of a PO I position as determined by job analysis (copy
available in the City of Lansing Human Resources Office).
7. Perform the duties of a Police Officer I assigned to Patrol as necessary.
8. Perform other duties as assigned by Investigations Division Captain or his/her designee.
The following criteria will be considered in the selection of the officer for the position of Crime Scene
Investigator:
1. The expression of interest and qualifications for the position.
2. Seniority insofar as reasonable.
3. Willingness to be called back to work during off-duty hours.
4. Willingness to work a flexible work schedule as required based on operational need.
5. Basic knowledge of Digital photography and cameras preferred.
6. Basic skill in the development and lifting of latent fingerprints preferred.
7. Basic computer software operation knowledge preferred.
8. The demonstration via previous work history to work independently with a minimum of direct
supervision.
9. The demonstration via previous work history of his/her dependability.
9 of 24
ATTACHMENT A
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? � �
■ Are you self-employed? k�
• Who is your employer, if applicable?
■ What are the things you actually do in the business?
�_
dC ,
■ Who are your clients and who receives your goods or services?
■ How and where are your services performed? za Sro
Page 1 of 3
■ If you provide training or education as part of your business:
Do you identify yourself to your clients or students as being employed by
the City of Lansing? A10
Do you include in any of the written materials or aids or reference in any
way in your presentations reference to policies, procedures, methods or
materials as being those also used by the City of Lansing? /VD If so,
attach a copy of the material or aid and explain the reference in your
presentation.
■ Is there any additional information that you believe would assist the Ethics
Board in its review of your business or personal activities for potential
conflicts of interest? If so, please describe:
lQ
1/l0 41 4 � AJ�L Og 4y0 Lj(gP/�
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.
Page 3of3
• How often do you do outside work?
■ Does your business or employer contract with the City? C--:�
■ In performing your business or outside employment, do you use any City
facilities or equipment? If so, describe:
■ Is any of your business or employment conducted in the City? ��z If so,
describe: / F, /�q 02L&J r 8E /S
G9z- J6 £f
■ Does your business advertisement or circulars, if any, �coln�tain any
reference to the City or your City employment? 62
■ If your business uses advertisements, circulars, applications, or order
forms that you have designed or have had designed for you, please attach
a copy of the applicable form(s).
Page 2 of 3