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HomeMy WebLinkAboutWatkeysAndrew Affadavit Disclosure 2019 !.) ti C CITY OF LANSING AFFIDAVIT OF DISCLOSURE' ' fCHIG TO: CITY CLERK DATE: 07/29/2019 1 Andrew Watkeys 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. ❑ I am an❑ elected or❑ appointed ✓❑officer or ❑employee of the City of Lansing holding the position of Police Officer in the Lansing Police Department ❑ F✓ 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 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] ❑ ❑✓ 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. City of Lansing position is: M Full-time Part-time (less than 25 hours/wk) ❑ Unpaid 4. PLEASE DESCRIBE IN DETAIL YOUR REASON(S)FOR SUBMITTING THIS DISCLOSURE AND EXPLAIN WHY YOU THINK A CONFLICT MAWMAY NOT EXIST. My reason for submitting this disclosure is because I wish to work as a personal trainer at M43 Fitness for supplemental income. This employment is considered independent contracting and I will employ myself, but I will work in conjunction with M43 Fitness to have an area to train my clients in physical fitness. There will not be any conflict with my current employment as a police officer. This job aligns with my current supplemental employment through 1st Phorm as an independent sales representative and will not add excess hours to the work I already do with 1 st Phorm. The hours I work will be completely flexible. I am in control of how many hours I work weekly and when I work. I am more than able to explain the work I will be doing, if approved, in greater detail if needed. 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 7- day of 20 Iq . Signed State of Michigan, County of lid Subscribed and sworn to before me this day of �lds� 12 �! r--Af,zw/ J-4210-' No ry Public/or Deputy Clerk —7�16);'m County, Michigan My Commission Expires: /y- TRACY L SCOTT MQTARY PUBLIC•STATE OF MICHPW COUNTY OF MGHAM My COx*e4"axFo""14.2020 ■ How often do you do outside work? I will work as desired outside of being a police officer. ■ Does your business or employer contract with the City? No. ■ In performing your business or outside employment, do you use any City facilities or equipment? No. If so, describe: ■ Is any of your business or employment conducted in the City? No. If so, describe: M43 Fitness 3292, 2225 E Grand River Ave, Lansing, MI 48912 is located in Lansing Township. ■ Does your business advertisement or circulars, if any, contain any reference to the City or your City employment? No. ■ Is there any additional information that you believe would assist the Board of Ethics in its review of your business or personal activities for potential conflicts of interest? Yes. If so,please describe: I am currently certified as a personal trainer through NASM. 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. 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? Personal Training LLC ■ Are you self-employed? Yes ■ Who is your employer, if applicable? Independently Contracted with M43 Fitness ■ What are the things you actually do in the business? Personal training for physical fitness. Programing workout plans and assisting clients one on one at M43 Fitness with the workouts and form for lifting weights, cardiovascular fitness and other types of fitness. ■ Who are your clients and who receives your goods or services? My clients are people and they receive my services of personal physical training. ■ How and where are your services performed? My services are performed one on one at M43 Fitness, 3292, 2225 E Grand River Ave, Lansing, MI 48912. ■ How often do you do outside work? 10-15 hours/week ■ Does your business or employer contract with the City? No • In performing your business or outside employment, do you use any City facilities or equipment? No If so, describe: ■ Is any of your business or employment conducted in the City? Yes If so, describe: Proposed location is in the City ■ Does your business advertisement or circulars, if any, contain any reference to the City or your City employment? No ■ Is there any additional information that you believe would assist the Board of Ethics in its review of your business or personal activities for potential conflicts of interest? No If so,please describe: 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.