HomeMy WebLinkAboutStachowiakSusan Affadavit Disclosure 2006 FROM FAX NO. Apr. 24 2006 08=51AM P2
APR-24-2006 06:40 LANSING CITY CLERK 15173770068 P.02iO3
rally OF LMSKQ
AFFIpAVIT OF DISCLOSOE
DATE: Vk /06
TO: CITY CLERK,
CITY ATTORNEY, or
BOARD OF ETHICS
1 S \.kS �� S c ,Ow. make the following disclosure under oath:
(Name)
PLEASE CHECK THE APPROPRIATE,. BOX OR FILL IN THE PLANKS FOR EACH OF THE
FOLLOWING ITEMS
X0 NQ
t. o I am an ❑ elected or ❑ appointed ❑ officer or)(employes of the City of
Lansing holding the position of o-Ofn the
p epartment
❑ 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.
o I am a Business Associate of an elected or appointed officer or employee
of the'City of Lansing named
Holding the pb0lon of _ in the _
Department.
2. ❑ `g� I may dedve-income or benefit directly from a contract with the City or
from any City action detailed below. (Charter 5.405.1)
Q 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 Inn-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: t(Full time ❑ Part time (less than 25 hourstwk) ❑ Unpaid
4. My Address Is:•, n
as-ol$ �; er ct�, Grvci.r� Lec��e/ 4�g�3-7
L,�ovk 3 1 d , CG,�. \ AQcj LG�s ��� h�—ir `I P3 3
CONTINUED ON PAGE 9
APR-24-2006 07:52 97% P.02
FROM FAX NO. : Apr. 24 2006 09:51PM P3
APR-24-2006 06:40 LANSING CITY CLERK 15173770068 P.03iO3
AFFIDAVIT OF DISCLOSURE-PAGLI 2
5. My Business (daytime) Phone# le: g 3 g
PLEASE DESCRIBE IN DETAIL YOUR
N ASO (G POP SU IMA ND� MINYJS THIS DISCLOSURE
6. AND MXPLAIN WHY YOU THINK A CO
r z
2 \\
Z No
to�� v�_. `�1�.'fi��•G�r* G15 � 4�� "�)�_ W=Y�
c O V�
_
C�,Yh o � S►
UG4�
1V` S C Cam. e-.V r-Y�%
1 vl o$ 'e'(= e.c .ex Qv�
I hsroby certify t t this disci0sur+e is com�ilete and sccul�te to th4 best of ►may
knowledge, information and belief
The foregoing
oin Affidavit of Disclosure was executed do this c2 day of
20P-L-
WHELLE KAY GREKO
NarAar s OF iNGFIAM c"
r Signed
MY C--iI EWM3 Mar.8.2007
Acting in the County of
StBtA of Michigan, County of dT of t 20-0�9
Subscribed and sworn to beibty TO this
Nofsry Public% uty�Ierk
County, Michigan
my commission Expires:
DRAFT SA:RMSED AGM41
TOTRL P.03
APR-24-2206 07:52 97% P.03