HomeMy WebLinkAboutVanGilderChristine Affadavit Disclosure 2000 -2000 10:17 LANSING CITY CLERK 15173770068 P.02/04
CITY OF I_.ANSING
AFFIDAVIT OF DISCLOSURE
TO: CITY CLERK
CITY ATTORNEY
BOARD OF ETHICS
C��W e r (Name), being duly sworn, says under
oath:
1. 1 am an elected or appointed officer or employee of the City of
Lansing, holding the position of 'CfQ--afij 1-1- -:�k(r, (Title) in the
\
r`,•`cQ`i �111\S ior" Cr� 1 CJ_f1C �Pltild"� Jc'_i V1C�S E'-JL ,
k C a h(3N Se Department. This position is:
Full Time: Part Time
(Less than 25 hrs. per week)
Unpaid:
2. 1 may derive income or benefit, directly or indirectly, from a contract
with the City or from any City action detailed as follows (Charter 5-505.1):
,-2000 10:17 LANSING CITY CLERK 15173770068 P.03iO4
(Paragraph 2. CONTINUED)
3. 1 have a conflict between a personal interest and the public
interest, the nature of which Is disclosed below: (Charter 5-505.2; Lansing
Code 290.04 (1)):
1 c- 1c uo 1 h r t N0 N LLC- - t o
4. 1 have a financial interest in a matter proposed to be acted upon
by the City of Lansing as described below (Lansing Code 290.04(1):
r-20C`) 10:17 LAI1SING CITY CLERK 15173770068 P.04/04
(Paragraph 4. CONTINUED)
5. 1 have/have not attached_ page(s) of additional detail
concerning this disclosure.
6. 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 the I day of
(Name)
STATE OF MICHIGAN)
) SS.
COUNTY OF
Subscribed and sworn to before me this '7 day ofL�
.19 Zorn In �`��, ,_ County, Michigan.
Notary public r
Deputy Clerk
NANCY L. SQUIER County, Michigan
Notary Public,Eaton county, MI My Commission Expires: -.—
My Cot". E)Ores April 21,2003
TOTAL P.04