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1st Quarter 2017
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CITY COUNCIL RECORDS
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FINANCIAL DISCLOSURE FORMS (45.080C)
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2017
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1st Quarter 2017
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Last modified
4/6/2020 11:56:37 AM
Creation date
4/6/2018 9:25:24 AM
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Template:
City Council Records
Doc Type
Financial Disclosure Forms
Signed Date
4/17/2017
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U UUtyj <br /> ami_ <br /> fAdiLouisville4" <br /> cc.„.0...0•DLr CL' IBM <br /> fitly <br /> City CIerli's Dine. <br /> iziy IOloir,brrcct, Coei,v:ue,CO 80021 <br /> 303-.1.1.51b i6/Ira„30j-335-4550 Date a tamp <br /> Email: IOk.reidyth M @Iouisvilleco.aov <br /> DISCLOSURE BY PUBLIC OFFICEHOEDER <br /> REPOR i uF t.iIF l s, HONORARIA AND OTHER BENEFITS <br /> bac.c4-6-cDs,C R.a.) <br /> filers snoura also review provisions of aecrion i,Krr:cre MIA of me Coin.GO.Co....r:r.o. <br /> MUNICIPAL FILING <br /> Piling required: Meterlyr" "d Quarrern 3'd Quarter n 4'h Quarter n <br /> (aa.April is) (ar. Jed y is) Plc October 15) (due aanuary i ) <br /> Mame oT Office Holder: Dennis Maloney Ward 3 <br /> Address: 314 liiamutia Circle Louisville CO 80027 <br /> Check one of the following: I have nothing to report(Please sign and date below) <br /> ri <br /> I received the following gifts. honoraria, or benefit durins thi3 period. <br /> 1) Name of Person from Who Lhe Gift, Honoraria or Other Benefit vvas ReceiveD: <br /> Amoont/Value: $ Date Received: <br /> Description: <br /> c) (Came of Person from vvho the Gin, Ronoraria or Othzr BEnefit Was Rcc ived: <br /> Amount/value: $ Date Received: <br /> Description: <br /> 3) Name of Per3on from Who the Gift, Honoraria or Other Benefit Was Received: <br /> Amount/Value: 5 Date Received: <br /> Description: <br /> 4) Name of Person from vvho the Gift. Ronoraria or Other Benefit Was Rcc i ed: <br /> Amount/value: $ Date Received: <br /> Description: ,- <br /> I/ I -04 <br /> signature 1 Date: 130 <br />
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