COMMO:'..f\-.JE',LTH 0;: ;:'IEN.NSYLV;\NIA SEt;..~ RE\r' OiiC9 STATEMENT OF FINANCIAL INTERESTS PENNSYLVAN!A STAlE EtHICS COMMISSION (717) 783-16 H). rou, F~EE 1~L\(H-)32·C193{j LAST NAME i-~;-' -,-r---'--·-.· -~ _ l~~-'~--j~--':--"-i-' --: - e- ~' lli:. !_l~j6..L£:.Al--.--;_.~ __ .J.__ .~ .... ." .,._... ------------------------.-------------------------------------------------------------------_. - 01 ~.•-1i i /1' 1 1 TI iLL SUFFIX '-. -,'-1 ! i {_~"~,••".:~,~~,_ .•.1 02 ADDRESS . I; ,. 1. J~G{ L..1¥l!,'Yl(;.f', 03 STATUS Ch~ck applicable block or blocks. more than one blOG.:'" may co marKed (See inslnlctions on page 2) \---1 !\ L_: Ccndidatc (incfuding 'write-in) !:3 Nominee c LJ Pubhc Official (Current) '-' 0 Public Offidal (Former) D LJ PtJb!ic Eml)!oyc(; {Current} o C8 Pubilc Employe£: ~FCrm(Jf} Check this [1 block if you are amending an original filing Check this bloc•. if you Sri! filing a-e,: a solicitor B or, GOVERNMENTAL ENTfTY in ..•.• ihlc.'-lyou are/were an Offidai, E;r.p!cYef:, Cand;date Of NOij\liIC-'C (t~ 9_.dept. 9gOnGY, ol.ltt1crity. borough. board, cOfl'Yni~;IC?i', county. sr.J'!ocl{ district. tVip, etc.) r-·-~---:--___r_--___y---, --r---T----~ I ' ~ • ----~---·7·--·---~· "-"-. -r-r-.---,...----'---.,~---:'----.........,.- __ ~--r--:--.""!"-- _. ,F'__ j A V.l;:::i r1 .J-£)J. Ji-r-t/} La]i ,c:,lt:W /1i 1:1.., :n!' l?,,'-' /7: 1 i~' r ii' L .. tlk::::LJ. .1lzlLLLLJL_l".(_{.~J.. :~_L_.iLl_l_t::·::jt._L L iU.LL_k~_.:.! il"'5..._tL 1.. j.. "._.: i. L, ~ _.J '-."~._.,_ ... ';'_'_._. __ <O._._:---, ----'!,.-~ "'~T, ··-----""T~·-~·---,·-·~-· --,."". ~--··~...-·-~·-·--;-----f.,----(-·-----r· ! ! -·-··--·----;~--··-- .. -~~··--r-·--- -(··' ... - -r--....'- {~ --- -- ; ~ -- i : I i -.J 8 06 OCCUPATION OR PROFESSION (This may be the same as block 4) -J- y' t? YEAR The-information in blocxs S through 15.belav! represents financiaJ mlerests (or the Plil.QR calendar year indicated: r.~: 0 iO j 1f--1 , ~. ._.J._L .. Qs REAL ESTATE INTERESTS (Sa" instructions on paqe Z) if NONE. check this box. ~ 09 CREDiTORS is\:0 instructions on pag.: 2) If NONE. check this box. C,",J,tor Jli 1 a'Jl'd;f ~/) {3,;~~ Li c K [J U 7 Q:rJ;) (OFFICIAL USE ONLY) 11 GIFTS (See instructions on paqe 2) Snur.::i.~of GifT If NONE, check this box. j2£ 12 TRANSPORTATION. LODGING. HOSPITALITY (S(>(: instrucnons On page 2) If NONE. check this box. & L I I ! I L ! i I t.... ,.. i I L. J 13 OFFICE, DIRECTORSHIP OR EMPLOYMENT IN ANY BUSINESS (See instructions on page 2) BUSiness En My If NONE, check this box. I 14 FINANCIAL INTEREST IN ANY LEGAL ENTITY IN 6USt1iESS FOR PROFIT (See instrucuons on page 2) If NONE, check this box. N Na~ und ACdrt-ss cr Susi~s~ ! (nit"' ' .• .':. ----. ------------------------------------------------------------------------~.--------------- 15 BUSINESS INTERESTS TRANSFERRED TO IMMEDIATE FAMilY MEMBER (See instrucncns or. pas" 2) If NONE. check this box. Signature If!iCfGst i ckt r,et.Jlions!,ip D<ite 'rransserrcc 'rransteree {l'-JamQ:and AtXlfOSS} The undersigned hereby offimlS Ihal tho fore' to the penalties prescribed by Hi Pa.C.S. 904 ( ~'-'·dperson's knowledgo, iniormntion and belief: said affirmntion bClOg made SUbject ~'9l~'Pfj>/'\~~,~~Ic Omcial and Employee EthiCS AC1. 65 Pa C S § 1109(b) Current Dale -LJ;t;/t!/ 9 ABOVE IS NOT COMPi,ETErI (3) --------------_._ .._---
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
COMMO:'..f\-.JE',LTH 0;: ;:'IEN.NSYLV;\NIASEt;..~ RE\r' OiiC9 STATEMENT OF FINANCIAL INTERESTS PENNSYLVAN!A STAlE EtHICS COMMISSION
(717) 783-16 H). rou, F~EE 1~L\(H-)32·C193{j
LAST NAMEi-~;-'-,-r---'--·-.· -~ _ l~~-'~--j~--':--"-i-' --: - e- ~'
lli: .!_l~j6..L£:.Al--.--;_.~ __.J.__ .~ .... ." .,._...------------------------.-------------------------------------------------------------------_. -01 ~.•-1i
i /1'11TIiLL
SUFFIX'-.-,'-1! i{_~"~, ••".:~,~~,_ .•.1
02 ADDRESS . I; , . 1.J~G{ L..1¥l!,'Yl(;.f',
03 STATUS Ch~ck applicable block or blocks. more than one blOG.:'"may co marKed (See inslnlctions on page 2)\---1
!\ L_: Ccndidatc (incfuding 'write-in)
!:3 Nominee
c LJ Pubhc Official (Current)
'-'0 Public Offidal (Former)
D LJ PtJb!ic Eml)!oyc(; {Current}
o C8 Pubilc Employe£: ~FCrm(Jf}
Check this [1block if youare amendingan original filing
Check thisbloc •. if youSri! filing a-e,:
a solicitor
B
or, GOVERNMENTAL ENTfTY in ..•.•ihlc.'-lyou are/were an Offidai, E;r.p!cYef:, Cand;date Of NOij\liIC-'C (t~ 9_.dept. 9gOnGY, ol.ltt1crity. borough. board, cOfl'Yni~;IC?i', county. sr.J'!ocl{ district. tVip, etc.)r-·-~---:--___r_--___y---, --r---T----~ I ' ~ • ----~---·7·--·---~·"-"-.-r-r- .---,...----'---.,~---:'----.........,.- __ ~--r--:--.""!"-- _. ,F'__ j
A V.l;:::i r1 .J-£)J. Ji-r-t/} La]i ,c:,lt:W /1i1:1.., :n!' l?,,'-' /7:1 i~' r ii'L ..tlk::::LJ. .1lzlLLLLJL_l".(_{.~J.. :~_L_.iLl_l_t::·::jt._L L iU.LL_k~_.:.! il"'5..._tL 1.. j .."._.: i. L , ~ _.J
'-."~._.,_...';'_'_._.__<O._._:---, ----'!,.-~"'~T,··-----""T~·-~·---,·-·~-·--,."".~--··~...-·-~·-·--;-----f.,----(-·-----r·! !
-·-··--·----;~--··--..-~~··--r-·----(··'...-···-r--....··'-··{~·---·--··;·~·--·i: Ii -.J8
06 OCCUPATION OR PROFESSION (This may be the same as block 4)-J-y' t?
YEAR The- information in blocxs S through 15.belav! represents financiaJ mlerests (orthe Plil.QR calendar year indicated: r.~:0 iO j 1f--1
, ~. ._.J._L ..
Qs REAL ESTATE INTERESTS (Sa" instructions on paqe Z) if NONE. check this box. ~
09 CREDiTORS is\:0 instructions on pag.: 2) If NONE. check this box.
C,",J,torJli1a'Jl'd;f ~/) {3,;~~Lic K [JU7Q:rJ;)(OFFICIAL USE ONLY)
11 GIFTS (See instructions on paqe 2)Snur.::i.~of GifT
If NONE, check this box. j2£
12 TRANSPORTATION. LODGING. HOSPITALITY (S(>(: instrucnons On page 2) If NONE. check this box. &L I I ! IL ! i I t....,..
i IL. J
13 OFFICE, DIRECTORSHIP OR EMPLOYMENT IN ANY BUSINESS (See instructions on page 2)BUSiness EnMy
If NONE, check this box.
I14 FINANCIAL INTEREST IN ANY LEGAL ENTITY IN 6USt1iESS FOR PROFIT (See instrucuons on page 2) If NONE, check this box. N
Na~ und ACdrt-ss cr Susi~s~ ! (nit"' ' .• .':.
----. ------------------------------------------------------------------------~.---------------15 BUSINESS INTERESTS TRANSFERRED TO IMMEDIATE FAMilY MEMBER (See instrucncns or. pas" 2) If NONE. check this box.
Signature
If!iCfGst i cktr,et.Jlions!,ipD<ite 'rransserrcc'rransteree {l'-JamQ:and AtXlfOSS}
The undersigned hereby offimlS Ihal tho fore'to the penalties prescribed by Hi Pa.C.S. 904 (
~'-'·dperson's knowledgo, iniormntion and belief: said affirmntion bClOg made SUbject~'9l~'Pfj>/'\~~,~~Ic Omcial and Employee EthiCS AC1.65 Pa C S §1109(b)
Current Dale -LJ;t;/t!/ 9ABOVE IS NOT COMPi,ETErI
(3)
--------------_._ .._---
Related Documents
