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HomeMy WebLinkAboutOther - Dane Ishihara Conflict of Interestna7-CEIVED JUN 02 2@26 SALT LAKE CITY CORPORATION DISCLOSURE STATEMENT OF CITY RECORDER NON -CITY EMPLOYMENTBUSINESS INTERESTS Salt Lake City Code Sections 2.44.050 and 2.44.060 require you to disclose outside emilloXment and outside business interests, For more information, please refer to those sections on the City's Internet site: www.slc.aov. This statement must be filed by all employees, elected officials, and volunteer members of regular or special committees, boards, authorities, agencies and commissions of the City. After you file, if your position in a business entity changes, or the value of your interest in a business entity materially increases, you must file a new disclosure statement in .lanuary of the next vear. For purposes of the questions below, a "business entity" is a sole proprietorship (such as a consulting business or ownership of real estate held for rental or other business purposes), partnership, association, joint venture, corporation, limited liability company, firm, trust, foundation, or other organization or entity used in carrying on a business. You may answer "No" to any question below if the value of your interest is S2.000 or less. 1. "DahV_ �5V\ bQ�Gr=-, „ certify that the following information is true and correct to the best of my knowledge. ----------------------------------------------- Yes No Are you currently employed by any business entity other than Salt Lake City Corporation? Are you currently an officer, director, agent, owner or employer of any business entity? Do you, your spouse, or your minor children, in combination, own at least 10 percent (10%) of the outstanding shares of stock in any corporation? Do you, your spouse, or your minor children, in combination, have a ten percent (10%) or greater ownership interest in any limited partnership or other business entity? If you answered Yes to question 1, 2, 3, or 4 - is the business entity required to have a regulatory license issued by Salt Lake City Corporation? Do you, your spouse, or your minor children have any sole proprietorships, such as consulting business or ownership of real estate held for rental or any other business purpose? If you answered Yes to any of the above questions, please provide the following information for eachName of tes ousis f t erect.he business entity t�l ra e_' �ec►n A; r \ �r_vl a)) Nac ee .; () Ilk 'A I � b) Address of the business entity ►o(+; N `Q 5'o W 'S1. c- I^-T- G L4 it b c) Principal activity engaged in by the business entity '(~X r_c_%A Ave, T;); rdetc>v, d) Nature of your position or the interest held in the business entity e) Is the value of the interest in the business entity $15,000 or more? AJ �_- 0 I swear and attest under penalty of perjury that the information provided by me in this disclosure statement is true andcorrect, and that all of my outside employment and outside business interests have been disclosed in writing on this statement. Date: 12, I 2()2-0 Signatures I l This is a financial disclosure statement only. Additional disclosures or restrictions may apply if your financial, business, or professional activities conflict with your City responsibilities.