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S�� <br />.Jr-� <br />CITY OF ROSEVILLE <br />I)ISCLOSURE OF FINANCIAL INTERESTS <br />STATEMENT <br />The City of Roseville Code of Ethics (attached) provides that Roseville public officials <br />shall file a Disclosure of Financial Interests Sta.tement with the City Manager. Public <br />Officials include the following: Members of the City Council and Mayor; the department <br />head and assistant department head of each City department; any person that has been <br />appointed b_y the Roseville City Council. This would include City commission, board <br />and task force members; and the �ity Manager. <br />Each person shall file the report within thirty days after assuming the position of a public <br />official. Each person shall file a new statement by January 30 of each year thereafter <br />during the time of service as a public official. If a change in financial interest or property <br />ownership occurs between filings, a new filing shall be made within thirty days of the <br />change. <br />The interest of any member of the immediate family (spouse, minor children, minor <br />stepchildren or other persons residing in the same household) shall be considered to <br />be an interest of the public official. <br />I�/��I�1 <br />ADDRESS <br />PHONE NUMBER <br />CITY POSITION <br />DISCLOSURE <br />1. Names of a11 business enterprises known by you to be licensed by or to be doing <br />business with the City in which you or any member of your immediate family is <br />connected as an employee, officer, owner, investor, creditor of, director, trustee, <br />partner, advisor, or consultant. <br />