HomeMy WebLinkAboutWileyDouglas Affadavit Disclosure 1989 J
November 16 , 1989
Council President Blair and Members
of the Lansing City Council
loth Floor, City Hall
Lansing, Michigan
Dear Councilmembers :
Attached herewith is an Affidavit of Disclosure of Conflict of
Interest for Douglas C. Wiley, Supervisor of Business
Administration in the Parks and Recreation Department.
Most sincerely,
Rita M. Bauman
City Clerk
REFERRED TO THE BOARD OF ETHICS
CITY OF IJMSING
TO: CITY CLERK to
[ ] CITY ATTORNEY
[ ] MAYOR
[ ) CITY COUNCIL PRESIDENT orn
[ ) , DEPARTMENT HEAD C o
AFFIDAVIT OF DISCLOSURE �— z
OF � cn
CONFLICT OF INTEREST
P
STATE OF MICHIGAN)
COUNTY OF-J-L� J II
being duly sworn, says
under oath:
1. I am an elected or appointed officer or employee of the
City of Lansing, holding the position of pE��l Sot D� lus��tlS
(77-�,,�n1,J►5`7ri2AT/ 0IJ in the 1��� � 5 I L2 Ti ,Af Department.
This position is: 54-,1F'ulltime [ ) Parttime ( less than 25 hours/wk)
[ ] Unpaid.
2. IT I , and/or [ ] my a member of my
immediate family as defined in Ordinance 290 . 02 (i) , and/or
[ ] , a business with
which I am associated as defined in Ordinance 290 . 02 (b) , ( c) and
( d) :
.[ ] - a. may receive a financial benefit of more than a de
minimus nature which is distinguishable from the benefits to the
person as a member of the public or as a member of a broad segment
of the public,' from a decision I would otherwise make or
participate in as an officer or employee. The decision involved
is described as follows:
The financial benefit will be received by the following
persons in the following amounts:
[ ] I will not make or participate in the making of the
affected decision, or
[ � Despite the conflict of interest, I am able to make or
participate in the making of the affected decision fairly,
objectively, and in the public interest because:
[ b. intend to have business dealings with the City of
Lansing, either directly or indirectly. The business dealings are
specifically described in detail as follows (include names of each
party, the duration of the dealings , the financial consideration
between the parties, the governmental facilities or services
involved, the nature and degree of assignment of governmen_C
emplovees for fulfillment of dealings, and the nature of any
pecuniary interest) :
SALFf of Z-��t/n �a � �ST�E �iG T of n
[ I will not make or participate in the making of
governmental decisions concerning the business dealings, or
[ ] Despite the conflict of interest, I am able to make or
participate in the making of governmental decisions concerning the
business dealings fairly, objectively, and in the public interest
because:
[ ] c. may derive income or benefits, either directly or
indirectly, in addition to official remuneration, as a result of
Council action. The action involved is described as follows: _
The income or benefits , in addition to official remuneration, that
will be derived, either directly or indirectly, is described as
follows:
[ I will not make or participate in the making of the
affected decision, or
[ ] Despite the conflict of interest, I am able to make or
participate in the making of the affected decision fairly,
objectively, and in the public interest because:
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j ] d. may derive income or benefits , either directly or
indirectly, in addition to official remuneration, as a result of
a contract with the City. The contract is specifically described
in detail as follows (include names of each party, the duration of
the dealings, the financial consideration between the parties, the
governmental facilities or services involved, the nature and degree
of assignment of government employees for fulfillment of the
contract, and the nature of any pecuniary interest) :
[ ] I will not make or participate in the making of
governmental decisions concerning the contract, or
[ ] Despite the conflict of interest, I am able to make or
participate in the making of governmental decisions concerning the
contract fairly, objectively, and in the public interest because:
[ ] e. have a conflict between a personal interest and the
public interest as defined by state law, the Lansing City Charter,
or ordinance. The personal interest that conflicts with the public
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interest is described as follows:
The public interest that the personal interest conflicts with is
described as follows:
[ J I will not make or participate in the making of
governmental decisions concerning the conflict, or
[ ] Despite the conflict of interest, I am able to make or
participate in the making of governmental decisions concerning the
conflict fairly, objectively, and in the public interest because:
3. I have attached additional detail on the reverse of this
form or on attached sheets , including copies of all relevant
documents, memos, resolutions, and contracts.
4 . I hereby certify that this disclosure is complete and
accurate to the best of my knowledge, information and belief.
5. I hereby certify that I have not solicited or entered
into any agreement with the City of Lansing prior to filing this
affidavit.
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The foregoing Affidavit of Disclosure of Conflict of Interest
was executed on the day of �� �/En� �, 19�.
Subscribed and sworn before me the day of
19Y
Notary lic
Deputy Clerk
County, Michigan
My Commission Expires:
CAROLYN' M. HARTSUFF
t';ci F'�:.:;;;. ;S1,:-:am C-Su sty, MI
FOR CITY CLERK/CITY ATTORNEY USAGE
DATE FILED: /j /S ?l
COPIES SENT TO: [X] Mayor
(K] City Council President
Q� Department Head
Board of Ethics
ON:
BOARD OF ETHICS ACTION ON:
[ ] Accepted
[ ] Rejected
OPINION NO.
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