Annual Disclosure Reports 2017 - Laserfiche WebLink

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BUSINESS ENTITIES: List below the name, location, and nature of activities of any business entity with holdings of real or personal property or with business dealings in Boulder County, in which you have any interest,and the nature of the interest. Name and Location of Nature of the Business Nature of Interest Business ti _ — — , -- PROPERTY: List the address and location of any real property within Boulder County in which you have an interest or, if you have a controlling interest in an entity or enterprise disclosed above,the address and location of real property in which such entity or enterprise has an interest. Address and Location of Property Owner of Record 7 R- 4111Mo0n €- o !nr nSui r.i f 4 6 Le4Lv c1Er ADDITIONAL INFORMAIInly: Add hemi !_y additi_n_el info !tion you wish to disclose. SWORN AIOIEMELIT: I hereby swear or affirm under penalty of peg'ury that, to the best of my knowledge, information and belief, the iof^_rmltion provided in this disclosure statement is accurate and complete. I acknowledge that for the plirprimq of Sections 5-9 and 5-J0 of the Code of Ethics(regarding standards of conduct and disclosure), I am deemed to have an interest in my own financial affairs and in the financial affairs of my spouse or other relatives as specified in the Code of Ethics, and the+ I must disclose such in*ec+c pursuant to Section 5-10 and comply with the non-participation provisions thereof. I further acknowledge that it is a uiolatioo of the CodeofEthics to fail t_file the statement within the time required in the Code of Ethics. F r.ndidat.iincu=hoot Signet r! i Date