Laserfiche WebLink
[014 *-COTA I 6914A <br />10 IWO 0101410 1Z., *I U0 IV V 10 Co 10 <br />0 111 <br />414 11 111:M601 <br />AW <br />(This date shall be <br />1 dered as the <br />consi <br />date of filing and <br />the anniversary <br />date) <br />This f lorm has been Prepared as the suggested guide to be used <br />pursuant to Ord inance - IF an, ordinance titled "Ordinanciz, <br />it # <br />Estiablizhing,a Code of Ethics for the Public Officials of the <br />city of Roseville,11,10 <br />0 A 5 <br />APPLICABILITYM Complet,lon of a disclosure of f inancial interest <br />a a <br />is required of all Publ,1c Of f icials of the C ity of Rodeville,, it <br />a <br />is also pla�intied olut that the intierest of a spouse minor child <br />sir other member of his/heir immediate household shall be <br />1 1 <br />considered, to bell an intereist of yours. <br />O&TWU0144 <br />Names of all business icorploriations,, companies, firms, <br />other business e�nter,pr,is,es, partnerships, 1 icensees: or <br />permit. hiolders,, knowingly doing business with or in the <br />City, of Roisev ille,, <br />AI <br />,A In which you are connected as an employee <br />R <br />of f i,cer director t,riustee, partner, advisor, <br />clonsultant or licensee or <br />a <br />B In which you have any continu ing f inancial <br />0 <br />interest through a pension or reti, rement plan <br />shared income . or otherwise, as a result of any <br />current, or, I <br />,Prior employment or business or <br />priolfiessional association, or <br />C In whlch you have any f iniancial 'Interest through <br />the ownership of stocks,, bonds or other <br />securities .1 (If you require additional space,, <br />state the number of enclosures. I f thJs <br />I <br />sectioln is not applicable,, please initial <br />