SB533: Conflict of Interests Act, State and Local Government; disclosure of real estate interests.


SENATE BILL NO. 533
Senate Amendments in [ ] -- January 21, 2008
A BILL to amend and reenact § 2.2-3117 of the Code of Virginia, relating to the State and Local Government Conflict of Interest Act; disclosure of real estate interests.
Patron Prior to Engrossment--Senator Herring

Referred to Committee on General Laws and Technology

Be it enacted by the General Assembly of Virginia:

1.  That § 2.2-3117 of the Code of Virginia is amended and reenacted as follows:

§ 2.2-3117. Disclosure form.

The disclosure form to be used for filings required by § 2.2-3114 A and D, and § 2.2-3115 A and D shall be substantially as follows:


   STATEMENT OF ECONOMIC INTERESTS.
  Name ..............................................................
  Office or position held or sought .................................
  Address ...........................................................
  Names of members of immediate family ..............................

DEFINITIONS AND EXPLANATORY MATERIAL.

"Immediate family" means (i) a spouse and (ii) any other person residing in the same household as the officer or employee, who is a dependent of the officer or employee or of whom the officer or employee is a dependent.

"Dependent" means any person, whether or not related by blood or marriage, who receives from the officer or employee, or provides to the officer or employee, more than one-half of his financial support.

"Business" means a corporation, partnership, sole proprietorship, firm, enterprise, franchise, association, trust or foundation, or any other individual or entity carrying on a business or profession, whether or not for profit.

"Close financial association" means an association in which the person filing shares significant financial involvement with an individual and the filer would reasonably be expected to be aware of the individual's business activities and would have access to the necessary records either directly or through the individual. "Close financial association" does not mean an association based on (i) the receipt of retirement benefits or deferred compensation from a business by which the person filing this statement is no longer employed, or (ii) the receipt of compensation for work performed by the person filing as an independent contractor of a business that represents an entity before any state governmental agency when the person filing has had no communications with the state governmental agency.

"Contingent liability" means a liability that is not presently fixed or determined, but may become fixed or determined in the future with the occurrence of some certain event.

"Gift" means any gratuity, favor, discount, entertainment, hospitality, loan, forbearance, or other item having monetary value. It includes services as well as gifts of transportation, local travel, lodgings and meals, whether provided in-kind, by purchase of a ticket, payment in advance or reimbursement after the expense has been incurred. "Gift" shall not include any offer of a ticket or other admission or pass unless the ticket, admission, or pass is used. "Gift" shall not include honorary degrees and presents from relatives. "Relative" means the donee's spouse, child, uncle, aunt, niece, or nephew; a person to whom the donee is engaged to be married; the donee's or his spouse's parent, grandparent, grandchild, brother, or sister; or the donee's brother's or sister's spouse.

TRUST. If you or your immediate family, separately or together, are the only beneficiaries of a trust, treat the trust's assets as if you own them directly. If you or your immediate family has a proportional interest in a trust, treat that proportion of the trust's assets as if you own them directly. For example, if you and your immediate family have a one-third interest in a trust, complete your Statement as if you own one-third of each of the trust's assets. If you or a member of your immediate family created a trust and can revoke it without the beneficiaries' consent, treat its assets as if you own them directly.

REPORT TO THE BEST OF INFORMATION AND BELIEF. Information required on this Statement must be provided on the basis of the best knowledge, information and belief of the individual filing the Statement as of the date of this report unless otherwise stated.

COMPLETE ITEMS 1 THROUGH 10. REFER TO SCHEDULES ONLY IF DIRECTED.

You may attach additional explanatory information.

1. Offices and Directorships.

Are you or a member of your immediate family a paid officer or paid director of a business?

EITHER check NO / / OR check YES / / and complete Schedule A.

2. Personal Liabilities.

Do you or a member of your immediate family owe more than $10,000 to any one creditor including contingent liabilities? (Exclude debts to any government and loans secured by recorded liens on property at least equal in value to the loan.)

EITHER check NO / / OR check YES / / and complete Schedule B.

3. Securities.

Do you or a member of your immediate family, directly or indirectly, separately or together, own securities valued in excess of $10,000 invested in one business? Account for mutual funds, limited partnerships and trusts.

EITHER check NO / / OR check YES / / and complete Schedule C.

4. Payments for Talks, Meetings, and Publications.

During the past 12 months did you receive lodging, transportation, money, or anything else of value with a combined value exceeding $200 for a single talk, meeting, or published work in your capacity as an officer or employee of your agency?

EITHER check NO / / OR check YES / / and complete Schedule D.

5. Gifts.

During the past 12 months did a business, government, or individual other than a relative or personal friend (i) furnish you with any gift or entertainment at a single event, and the value received by you exceeded $50 in value or (ii) furnish you with gifts or entertainment in any combination and the value received by you exceeded $100 in total value; and for which you neither paid nor rendered services in exchange? Account for entertainment events only if the average value per person attending the event exceeded $50 in value. Account for all business entertainment (except if related to your private profession or occupation) even if unrelated to your official duties.

EITHER check NO / / OR check YES / / and complete Schedule E.

6. Salary and Wages.

List each employer that pays you or a member of your immediate family salary or wages in excess of $10,000 annually. (Exclude state or local government or advisory agencies.)

If no reportable salary or wages, check here / /.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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7. Business Interests.

Do you or a member of your immediate family, separately or together, operate your own business, or own or control an interest in excess of $10,000 in a business?

EITHER check NO / / OR check YES / / and complete Schedule F.

8. Payments for Representation and Other Services.

8A. Did you represent, excluding activity defined as lobbying in § 2.2-419, any businesses before any state governmental agencies, excluding courts or judges, for which you received total compensation during the past 12 months in excess of $1,000, excluding compensation for other services to such businesses and representation consisting solely of the filing of mandatory papers and subsequent representation regarding the mandatory papers? (Officers and employees of local governmental and advisory agencies do NOT need to answer this question or complete Schedule G-1.)

EITHER check NO / / OR check YES / / and complete Schedule G-1.

8B. Subject to the same exceptions as in 8A, did persons with whom you have a close financial association (partners, associates or others) represent, excluding activity defined as lobbying in § 2.2-419, any businesses before any state governmental agency for which total compensation was received during the past 12 months in excess of $1,000? (Officers and employees of local governmental and advisory agencies do NOT need to answer this question or complete Schedule G-2.)

EITHER check NO / / OR check YES / / and complete Schedule G-2.

8C. Did you or persons with whom you have a close financial association furnish services to businesses operating in Virginia pursuant to an agreement between you and such businesses, or between persons with whom you have a close financial association and such businesses for which total compensation in excess of $1,000 was received during the past 12 months?

EITHER check NO / / OR check YES / / and complete Schedule G-3.

9. Real Estate.

9A. State Officers and Employees.

Do you or a member of your immediate family hold an interest, including a partnership interest, valued at $10,000 or more in real property (other than your principal residence) for which you have not already listed the full address on Schedule F? Account for real estate held in trust.

EITHER check NO / / OR check YES / / and complete Schedule H-1.

9B. Local Officers and Employees.

Do you or a member of your immediate family hold an interest, including  [  a partnership an  a partnership ]  interest  [ in a corporation, limited liability company, limited partnership, trust or any other business entity,  ]  or option, easement, or land contract, valued at $10,000 or more in real property located in the county, city or town in which you serve or in a county, city or town contiguous to the county, city or town in which you serve (other than your principal residence) for which you have not already listed the full address on Schedule F? Account for real estate held in trust.

EITHER check NO / / OR check YES / / and complete Schedule H-2.

10. Real Estate Contracts with Governmental Agencies.

Do you or a member of your immediate family hold an interest valued at more than $10,000 in real estate, including a corporate, partnership, or trust interest, option, easement, or land contract, which real estate is the subject of a contract, whether pending or completed within the past 12 months, with a governmental agency? If the real estate contract provides for the leasing of the property to a governmental agency, do you or a member of your immediate family hold an interest in the real estate valued at more than $1,000? Account for all such contracts whether or not your interest is reported in Schedule F, H-1, or H-2. This requirement to disclose an interest in a lease does not apply to an interest derived through an ownership interest in a business unless the ownership interest exceeds three percent of the total equity of the business.

EITHER check NO / / OR check YES / / and complete Schedule I.

Statements of Economic Interests are open for public inspection. AFFIRMATION BY ALL FILERS.

I swear or affirm that the foregoing information is full, true and correct to the best of my knowledge.


  Signature ............................................................. 
  Commonwealth of Virginia
  ......... of  .......... to wit:
  The foregoing disclosure form was acknowledged before me
  This  .......... day of  .........., 20. . . , by ..................... 
  Notary Public
  My commission expires ..................................................
  (Return only if needed to complete Statement.)
   SCHEDULES
  to
  STATEMENT OF ECONOMIC INTERESTS.
  NAME ..............................................................

SCHEDULE A - OFFICES AND DIRECTORSHIPS.

Identify each business of which you or a member of your immediate family is a paid officer or paid director.


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  Name of Business        Address of Business       Position Held
  -----------------       ------------------        -----------------
  -----------------       ------------------        -----------------
  -----------------       ------------------        -----------------
  -----------------       ------------------        -----------------
  -------------------------------------------------------------------
  -------------------------------------------------------------------
                                                    RETURN TO ITEM 2

SCHEDULE B - PERSONAL LIABILITIES.

Report personal liability by checking each category. Report only debts in excess of $10,000. Do not report debts to any government. Do not report loans secured by recorded liens on property at least equal in value to the loan.

Report contingent liabilities below and indicate which debts are contingent.

1. My personal debts are as follows:


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         Check                                       Check one
      appropriate                             $10,001 to   More than
       categories                               $50,000      $50,000
  Banks
  Savings institutions
  Other loan or finance companies
  Insurance companies
  Stock, commodity or other brokerage
  companies
  Other businesses:
  (State principal business activity for each
  creditor.)
  ____________________________________________
  ____________________________________________
  Individual creditors:
  (State principal business or
  occupation of each creditor.)
  ____________________________________________
  ____________________________________________

2. The personal debts of the members of my immediate family are as follows:


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         Check                                        Check one
      appropriate                               $10,001 to   More than
       categories                               $50,000      $50,000
  Banks
  Savings institutions
  Other loan or finance companies
  Insurance companies
  Stock, commodity or other brokerage
  companies
  Other businesses:
  (State principal business activity
  for each creditor.)
  ____________________________________________
  ____________________________________________
  Individual creditors:
  (State principal business or
  occupation of each creditor.)
  ____________________________________________
  ____________________________________________
                                                   RETURN TO ITEM 3
  SCHEDULE C - SECURITIES.
  "Securities" INCLUDES stocks, bonds,         "Securities" EXCLUDES
  mutual funds, limited partnerships,            certificates of deposit,
  and commodity futures contracts.               money market funds, annuity
  contracts, and insurance  policies.
     Identify each business or Virginia governmental entity in which you or a
  member of your immediate family, directly or indirectly, separately or
  together, own securities valued in excess of $10,000.
     Name each entity and type of security individually.
     Do not list U.S. Bonds or other government securities not issued by the
  Commonwealth of Virginia or its authorities, agencies, or local governments.
  Do not list organizations that do not do business in this Commonwealth, but
  most major businesses conduct business in Virginia. Account for securities
  held in trust.
  If no reportable securities, check here /  /.
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                                                        Check one
                          Type of Security    $10,001 $50,001   More
                 Type of  stocks, bonds,         to     to      than
  Name of Issuer Entity   mutual funds, etc.) $50,000 $250,000 $250,000
  -------------- -------  ------------------- ------- -------- --------
  -------------- -------  ------------------- ------- -------- --------
  -------------- -------  ------------------- ------- -------- --------
  -------------- -------  ------------------- ------- -------- --------
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                                                     RETURN TO ITEM 4

SCHEDULE D - PAYMENTS FOR TALKS, MEETINGS, AND PUBLICATIONS.

List each source from which you received during the past 12 months lodging, transportation, money, or any other thing of value (excluding meals or drinks coincident with a meeting) with combined value exceeding $200 for your presentation of a single talk, participation in one meeting, or publication of a work in your capacity as an officer or employee of your agency.

List payments or reimbursements by an advisory or governmental agency only for meetings or travel outside the Commonwealth.

List a payment even if you donated it to charity.

Do not list information about a payment if you returned it within 60 days or if you received it from an employer already listed under Item 6 or from a source of income listed on Schedule F.

If no payment must be listed, check here / /.


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                                                    Type of payment
                                                    (e.g. honoraria,
                                                    travel reimburse-
  Payer      Approximate Value     Circumstances    ment, etc.)
  ---------- -------------------   --------------   ---------------
  ---------- -------------------   --------------   ---------------
  ---------- -------------------   --------------   ---------------
  ---------- -------------------   --------------   ---------------
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  ---------------------------------------------------------------------
                                                      RETURN TO ITEM 5

SCHEDULE E - GIFTS.

List each business, governmental entity, or individual that, during the past 12 months, (i) furnished you with any gift or entertainment at a single event and the value received by you exceeded $50 in value, or (ii) furnished you with gifts or entertainment in any combination and the value received by you exceeded $100 in total value; and for which you neither paid nor rendered services in exchange. List each such gift or event. Do not list entertainment events unless the average value per person attending the event exceeded $50 in value. Do not list business entertainment related to your private profession or occupation. Do not list gifts or other things of value given by a relative or personal friend for reasons clearly unrelated to your public position. Do not list campaign contributions publicly reported as required by Chapter 9.3 (§ 24.2-945 et seq.) of Title 24.2 of the Code of Virginia.


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  Name of Business,    City or
  Organization, or     County         Gift or
  Individual           and State      Event        Approximate Value
  ------------------   ---------      ---------    ------------------
  ------------------   ---------      ---------    ------------------
  ------------------   ---------      ---------    ------------------
  ------------------   ---------      ---------    ------------------ ---------------------------------------------------------------------
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                                                      RETURN TO ITEM 6

SCHEDULE F - BUSINESS INTERESTS.

Complete this Schedule for each self-owned or family-owned business (including rental property, a farm, or consulting work), partnership, or corporation in which you or a member of your immediate family, separately or together, own an interest having a value in excess of $10,000.

If the enterprise is owned or operated under a trade, partnership, or corporate name, list that name; otherwise, merely explain the nature of the enterprise. If rental property is owned or operated under a trade, partnership, or corporate name, list the name only; otherwise, give the address of each property. Account for business interests held in trust.


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  Name of Business,           Nature of             Gross Income
  Corporation,                Enterprise
  Partnership,     City or    (farming, law           $50,001    More
  Farm; Address of County     rental          $50,000   to       than
  Rental Property  and State  property, etc.) or less $250,000 $250,000
  ---------------  ---------  --------------- ------- -------- --------
  ---------------  ---------  --------------- ------- -------- --------
  ---------------  ---------  --------------- ------- -------- --------
  ---------------  ---------  --------------- ------- -------- --------
  ---------------------------------------------------------------------
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                                                      RETURN TO ITEM 8

SCHEDULE G-1 - PAYMENTS FOR REPRESENTATION BY YOU.

List the businesses you represented, excluding activity defined as lobbying in § 2.2-419, before any state governmental agency, excluding any court or judge, for which you received total compensation during the past 12 months in excess of $1,000, excluding compensation for other services to such businesses and representation consisting solely of the filing of mandatory papers and subsequent representation regarding the mandatory papers filed by you.

Identify each business, the nature of the representation and the amount received by dollar category from each such business. You may state the type, rather than name, of the business if you are required by law not to reveal the name of the business represented by you.

Only STATE officers and employees should complete this Schedule.


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                                                        Amount Received
  Name  Type  Pur-   Name
  of    of    pose   of
  Busi- Busi- of     Agen-
  ness  ness  Repre- cy     $1,001  $10,001  $50,001 $100,001 $250,001
              senta-           to      to      to      to       and
              tion          $10,000 $50,000 $100,000 $250,000   over
  ----- ----- ------ ------ ------- ------- -------- -------- --------
  ----- ----- ------ ------ ------- ------- -------- -------- --------
  ----- ----- ------ ------ ------- ------- -------- -------- --------
  ----- ----- ------ ------ ------- ------- -------- -------- --------
  ---------------------------------------------------------------------
  ---------------------------------------------------------------------
  If you have received $250,001 or more from a single business within the reporting period, indicate the amount received, rounded to the nearest $10,000.                                        Amount Received:____________.

SCHEDULE G-2 - PAYMENTS FOR REPRESENTATION BY ASSOCIATES.

List the businesses that have been represented, excluding activity defined as lobbying in § 2.2-419, before any state governmental agency, excluding any court or judge, by persons who are your partners, associates or others with whom you have a close financial association and who received total compensation in excess of $1,000 for such representation during the past 12 months, excluding representation consisting solely of the filing of mandatory papers and subsequent representation regarding the mandatory papers filed by your partners, associates or others with whom you have a close financial association.

Identify such businesses by type and also name the state governmental agencies before which such person appeared on behalf of such businesses.

Only STATE officers and employees should complete this Schedule.

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  Type of business        Name of state governmental agency
  --------------------    --------------------------------------
  --------------------    --------------------------------------
  --------------------    --------------------------------------
  --------------------    --------------------------------------
  ---------------------------------------------------------------------
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SCHEDULE G-3 - PAYMENTS FOR SERVICES GENERALLY.

Indicate below types of businesses that operate in Virginia to which services were furnished by you or persons with whom you have a close financial association pursuant to an agreement between you and such businesses, or between persons with whom you have a close financial association and such businesses and for which total compensation in excess of $1,000 was received during the past 12 months.

Identify opposite each category of businesses listed below (i) the type of business, (ii) the type of service rendered and (iii) the value by dollar category of the compensation received for all businesses falling within each category.

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                                                  Value of Compensation
                  Check     
                   if   Type
                  ser-  of
                  vices ser-
                  were  vice
                  ren-  ren-
                  dered dered $1,001 $10,001  $50,001 $100,001 $250,001
                                to     to       to       to     and
                             $10,000 $50,000 $100,000 $250,000  over
  Electric utilities __ _____ ______ _______ ________ ________ ________
  Gas utilities      __ _____ ______ _______ ________ ________ ________
  Telephone utilities__ _____ ______ _______ ________ ________ ________
  Water utilities    __ _____ ______ _______ ________ ________ ________
  Cable television  
    companies        __ _____ ______ _______ ________ ________ ________
  Interstate        
  transportation    
    companies        __ _____ ______ _______ ________ ________ ________
  Intrastate        
    transportation    
    companies        __ _____ ______ _______ ________ ________ ________
  Oil or gas retail 
    companies        __ _____ ______ _______ ________ ________ ________
  Banks              __ _____ ______ _______ ________ ________ ________
  Savings 
     institutions    __ _____ ______ _______ ________ ________ ________
  Loan or finance   
  companies          __ _____ ______ _______ ________ ________ ________
  Manufacturing     
    companies  (state
    type of product,
    e.g., textile, __
    furniture, etc.) __ _____ ______ _______ ________ ________ ________
  Mining companies   __ _____ ______ _______ ________ ________ ________
  Life insurance    
     companies       __ _____ ______ _______ ________ ________ ________
  Casualty insurance
  companies          __ _____ ______ _______ ________ ________ ________
  Other insurance   
     companies      __ _____ ______ _______ ________ ________ ________
  Retail companies  __ _____ ______ _______ ________ ________ ________
  Beer, wine or liquor
    companies or
    distributors    __ _____ ______ _______ ________ ________ ________
  Trade associations__ _____ ______ _______ ________ ________ ________
  Professional
    associations    __ _____ ______ _______ ________ ________ ________
  Associations of
    public employees or
    officials       __ _____ ______ _______ ________ ________ ________
  Counties, cities or
    towns           __ _____ ______ _______ ________ ________ ________
  Labor    organizations   __ _____ ______ _______ ________ ________ ________
  Other             __ _____ ______ _______ ________ ________ ________
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                                                     RETURN TO ITEM 9

SCHEDULE H-1 - REAL ESTATE - STATE OFFICERS AND EMPLOYEES.

List real estate other than your principal residence in which you or a member of your immediate family holds an interest, including a partnership interest, option, easement, or land contract, valued at $10,000 or more. You may list each parcel of real estate individually if you wish.


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  List each location Describe the type of real  If the real estate is
  (state, and county estate you own in each     owned or recorded in
  or city) where you location (business, recre- a name other than your
  own real estate.   ational, apartment, com-   own, list that name.
                     mercial, open land, etc.).
  ------------------ -------------------------  ----------------------
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  ------------------ -------------------------  ----------------------
  ------------------ -------------------------  ----------------------
  ------------------ -------------------------  ----------------------
  ------------------ --------------------------------------------------
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SCHEDULE H-2 - REAL ESTATE - LOCAL OFFICERS AND EMPLOYEES.

List real estate located in your county, city, or town, and any contiguous county, city, or town other than your principal residence in which you or a member of your immediate family holds an interest, including   [ a partnership an   a partnership ]  interest  [  in a corporation, limited liability company, limited partnership, trust or any other business entity,  ]  or option, easement, or land contract, valued at $10,000 or more. You may list each parcel of real estate individually if you wish. Also list the names of any co-owners of such property, if applicable.

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  --------------------------------------------------------------------- List each        Describe the type   If the real estate   List  
  location (state, of real estate      is owned or          the names
  and county       you own in each     recorded in a name   of any
  or city) where   location (business, other than your      co-owners,
  you own          recreational,       own, list that       if
  real estate      apartment,          name.                applicable                  commercial, open                  land, etc.). ---------------- -------------------  ------------------  ----------
  ---------------- -------------------  ------------------  ----------
  ---------------- -------------------  ------------------  ----------
  ---------------- -------------------  ------------------  ---------- ---------------------------------------------------------------------
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SCHEDULE I - REAL ESTATE CONTRACTS WITH GOVERNMENTAL AGENCIES.

List all contracts, whether pending or completed within the past 12 months, with a governmental agency for the sale or exchange of real estate in which you or a member of your immediate family holds an interest, including a corporate, partnership or trust interest, option, easement, or land contract, valued at $10,000 or more. List all contracts with a governmental agency for the lease of real estate in which you or a member of your immediate family holds such an interest valued at $1,000 or more. This requirement to disclose an interest in a lease does not apply to an interest derived through an ownership interest in a business unless the ownership interest exceeds three percent of the total equity of the business.

State officers and employees report contracts with state agencies.

Local officers and employees report contracts with local agencies.


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  --------------------------------------------------------------------- List your real estate   List each governmental     State the annual
  interest and the        agency which is a          income from the
  person or entity,       party to the contract      contract, and the
  including the type      and indicate the           amount, if any, of
  of entity, which        county or city where       income you or any
  is party to             the real estate            immediate family
  the contract.           is located.                member derives
  Describe any                                       annually from the
  management role and                                contract.
  the percentage
  ownership
  interest you or your
  immediate family
  member has in the real
  estate or entity.
  ----------------------  -------------------------  ------------------
  ----------------------  -------------------------  ------------------
  ----------------------  -------------------------  ------------------
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SENATE BILL NO. 533
Offered January 9, 2008
Prefiled January 9, 2008
A BILL to amend and reenact § 2.2-3117 of the Code of Virginia, relating to the State and Local Government Conflict of Interest Act; disclosure of real estate interests.
Patron-- Herring

Referred to Committee on General Laws and Technology

Be it enacted by the General Assembly of Virginia:

1.  That § 2.2-3117 of the Code of Virginia is amended and reenacted as follows:

§ 2.2-3117. Disclosure form.

The disclosure form to be used for filings required by § 2.2-3114 A and D, and § 2.2-3115 A and D shall be substantially as follows:


  STATEMENT OF ECONOMIC INTERESTS.
 Name ..............................................................
 Office or position held or sought .................................
 Address ...........................................................
 Names of members of immediate family ..............................

DEFINITIONS AND EXPLANATORY MATERIAL.

"Immediate family" means (i) a spouse and (ii) any other person residing in the same household as the officer or employee, who is a dependent of the officer or employee or of whom the officer or employee is a dependent.

"Dependent" means any person, whether or not related by blood or marriage, who receives from the officer or employee, or provides to the officer or employee, more than one-half of his financial support.

"Business" means a corporation, partnership, sole proprietorship, firm, enterprise, franchise, association, trust or foundation, or any other individual or entity carrying on a business or profession, whether or not for profit.

"Close financial association" means an association in which the person filing shares significant financial involvement with an individual and the filer would reasonably be expected to be aware of the individual's business activities and would have access to the necessary records either directly or through the individual. "Close financial association" does not mean an association based on (i) the receipt of retirement benefits or deferred compensation from a business by which the person filing this statement is no longer employed, or (ii) the receipt of compensation for work performed by the person filing as an independent contractor of a business that represents an entity before any state governmental agency when the person filing has had no communications with the state governmental agency.

"Contingent liability" means a liability that is not presently fixed or determined, but may become fixed or determined in the future with the occurrence of some certain event.

"Gift" means any gratuity, favor, discount, entertainment, hospitality, loan, forbearance, or other item having monetary value. It includes services as well as gifts of transportation, local travel, lodgings and meals, whether provided in-kind, by purchase of a ticket, payment in advance or reimbursement after the expense has been incurred. "Gift" shall not include any offer of a ticket or other admission or pass unless the ticket, admission, or pass is used. "Gift" shall not include honorary degrees and presents from relatives. "Relative" means the donee's spouse, child, uncle, aunt, niece, or nephew; a person to whom the donee is engaged to be married; the donee's or his spouse's parent, grandparent, grandchild, brother, or sister; or the donee's brother's or sister's spouse.

TRUST. If you or your immediate family, separately or together, are the only beneficiaries of a trust, treat the trust's assets as if you own them directly. If you or your immediate family has a proportional interest in a trust, treat that proportion of the trust's assets as if you own them directly. For example, if you and your immediate family have a one-third interest in a trust, complete your Statement as if you own one-third of each of the trust's assets. If you or a member of your immediate family created a trust and can revoke it without the beneficiaries' consent, treat its assets as if you own them directly.

REPORT TO THE BEST OF INFORMATION AND BELIEF. Information required on this Statement must be provided on the basis of the best knowledge, information and belief of the individual filing the Statement as of the date of this report unless otherwise stated.

COMPLETE ITEMS 1 THROUGH 10. REFER TO SCHEDULES ONLY IF DIRECTED.

You may attach additional explanatory information.

1. Offices and Directorships.

Are you or a member of your immediate family a paid officer or paid director of a business?

EITHER check NO / / OR check YES / / and complete Schedule A.

2. Personal Liabilities.

Do you or a member of your immediate family owe more than $10,000 to any one creditor including contingent liabilities? (Exclude debts to any government and loans secured by recorded liens on property at least equal in value to the loan.)

EITHER check NO / / OR check YES / / and complete Schedule B.

3. Securities.

Do you or a member of your immediate family, directly or indirectly, separately or together, own securities valued in excess of $10,000 invested in one business? Account for mutual funds, limited partnerships and trusts.

EITHER check NO / / OR check YES / / and complete Schedule C.

4. Payments for Talks, Meetings, and Publications.

During the past 12 months did you receive lodging, transportation, money, or anything else of value with a combined value exceeding $200 for a single talk, meeting, or published work in your capacity as an officer or employee of your agency?

EITHER check NO / / OR check YES / / and complete Schedule D.

5. Gifts.

During the past 12 months did a business, government, or individual other than a relative or personal friend (i) furnish you with any gift or entertainment at a single event, and the value received by you exceeded $50 in value or (ii) furnish you with gifts or entertainment in any combination and the value received by you exceeded $100 in total value; and for which you neither paid nor rendered services in exchange? Account for entertainment events only if the average value per person attending the event exceeded $50 in value. Account for all business entertainment (except if related to your private profession or occupation) even if unrelated to your official duties.

EITHER check NO / / OR check YES / / and complete Schedule E.

6. Salary and Wages.

List each employer that pays you or a member of your immediate family salary or wages in excess of $10,000 annually. (Exclude state or local government or advisory agencies.)

If no reportable salary or wages, check here / /.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7. Business Interests.

Do you or a member of your immediate family, separately or together, operate your own business, or own or control an interest in excess of $10,000 in a business?

EITHER check NO / / OR check YES / / and complete Schedule F.

8. Payments for Representation and Other Services.

8A. Did you represent, excluding activity defined as lobbying in § 2.2-419, any businesses before any state governmental agencies, excluding courts or judges, for which you received total compensation during the past 12 months in excess of $1,000, excluding compensation for other services to such businesses and representation consisting solely of the filing of mandatory papers and subsequent representation regarding the mandatory papers? (Officers and employees of local governmental and advisory agencies do NOT need to answer this question or complete Schedule G-1.)

EITHER check NO / / OR check YES / / and complete Schedule G-1.

8B. Subject to the same exceptions as in 8A, did persons with whom you have a close financial association (partners, associates or others) represent, excluding activity defined as lobbying in § 2.2-419, any businesses before any state governmental agency for which total compensation was received during the past 12 months in excess of $1,000? (Officers and employees of local governmental and advisory agencies do NOT need to answer this question or complete Schedule G-2.)

EITHER check NO / / OR check YES / / and complete Schedule G-2.

8C. Did you or persons with whom you have a close financial association furnish services to businesses operating in Virginia pursuant to an agreement between you and such businesses, or between persons with whom you have a close financial association and such businesses for which total compensation in excess of $1,000 was received during the past 12 months?

EITHER check NO / / OR check YES / / and complete Schedule G-3.

9. Real Estate.

9A. State Officers and Employees.

Do you or a member of your immediate family hold an interest, including a partnership interest, valued at $10,000 or more in real property (other than your principal residence) for which you have not already listed the full address on Schedule F? Account for real estate held in trust.

EITHER check NO / / OR check YES / / and complete Schedule H-1.

9B. Local Officers and Employees.

Do you or a member of your immediate family hold an interest, including a partnership an interest in a corporation, limited liability company, limited partnership, trust or any other business entity, or option, easement, or land contract, valued at $10,000 or more in real property located in the county, city or town in which you serve or in a county, city or town contiguous to the county, city or town in which you serve (other than your principal residence) for which you have not already listed the full address on Schedule F? Account for real estate held in trust.

EITHER check NO / / OR check YES / / and complete Schedule H-2.

10. Real Estate Contracts with Governmental Agencies.

Do you or a member of your immediate family hold an interest valued at more than $10,000 in real estate, including a corporate, partnership, or trust interest, option, easement, or land contract, which real estate is the subject of a contract, whether pending or completed within the past 12 months, with a governmental agency? If the real estate contract provides for the leasing of the property to a governmental agency, do you or a member of your immediate family hold an interest in the real estate valued at more than $1,000? Account for all such contracts whether or not your interest is reported in Schedule F, H-1, or H-2. This requirement to disclose an interest in a lease does not apply to an interest derived through an ownership interest in a business unless the ownership interest exceeds three percent of the total equity of the business.

EITHER check NO / / OR check YES / / and complete Schedule I.

Statements of Economic Interests are open for public inspection. AFFIRMATION BY ALL FILERS.

I swear or affirm that the foregoing information is full, true and correct to the best of my knowledge.


 Signature .............................................................
 Commonwealth of Virginia
 ......... of  .......... to wit:
 The foregoing disclosure form was acknowledged before me
 This  .......... day of  .........., 20. . . , by ..................... 
 Notary Public
 My commission expires ..................................................
 (Return only if needed to complete Statement.)
  SCHEDULES
 to
 STATEMENT OF ECONOMIC INTERESTS.
 NAME ..............................................................

SCHEDULE A - OFFICES AND DIRECTORSHIPS.

Identify each business of which you or a member of your immediate family is a paid officer or paid director.


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 -------------------------------------------------------------------
 Name of Business        Address of Business       Position Held
 -----------------       ------------------        -----------------
 -----------------       ------------------        -----------------
 -----------------       ------------------        -----------------
 -----------------       ------------------        -----------------
 -------------------------------------------------------------------
 -------------------------------------------------------------------
                                                   RETURN TO ITEM 2

SCHEDULE B - PERSONAL LIABILITIES.

Report personal liability by checking each category. Report only debts in excess of $10,000. Do not report debts to any government. Do not report loans secured by recorded liens on property at least equal in value to the loan.

Report contingent liabilities below and indicate which debts are contingent.

1. My personal debts are as follows:


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 ------------------------------------------------------------------
        Check                                       Check one
     appropriate                             $10,001 to   More than
      categories                               $50,000      $50,000
 Banks
 Savings institutions
 Other loan or finance companies
 Insurance companies
 Stock, commodity or other brokerage
 companies
 Other businesses:
 (State principal business activity for each
 creditor.)
 ____________________________________________
 ____________________________________________
 Individual creditors:
 (State principal business or
 occupation of each creditor.)
 ____________________________________________
 ____________________________________________

2. The personal debts of the members of my immediate family are as follows:


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 --------------------------------------------------------------------
        Check                                        Check one
     appropriate                               $10,001 to   More than
      categories                               $50,000      $50,000
 Banks
 Savings institutions
 Other loan or finance companies
 Insurance companies
 Stock, commodity or other brokerage
 companies
 Other businesses:
 (State principal business activity
 for each creditor.)
 ____________________________________________
 ____________________________________________
 Individual creditors:
 (State principal business or
 occupation of each creditor.)
 ____________________________________________
 ____________________________________________
                                                  RETURN TO ITEM 3
 SCHEDULE C - SECURITIES.
 "Securities" INCLUDES stocks, bonds,         "Securities" EXCLUDES
 mutual funds, limited partnerships,            certificates of deposit,
 and commodity futures contracts.               money market funds, annuity
 contracts, and insurance  policies.
    Identify each business or Virginia governmental entity in which you or a
 member of your immediate family, directly or indirectly, separately or
 together, own securities valued in excess of $10,000.
    Name each entity and type of security individually.
    Do not list U.S. Bonds or other government securities not issued by the
 Commonwealth of Virginia or its authorities, agencies, or local governments.
 Do not list organizations that do not do business in this Commonwealth, but
 most major businesses conduct business in Virginia. Account for securities
 held in trust.
 If no reportable securities, check here /  /.
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 ---------------------------------------------------------------------
                                                       Check one
                         Type of Security    $10,001 $50,001   More
                Type of  stocks, bonds,         to     to      than
 Name of Issuer Entity   mutual funds, etc.) $50,000 $250,000 $250,000
 -------------- -------  ------------------- ------- -------- --------
 -------------- -------  ------------------- ------- -------- --------
 -------------- -------  ------------------- ------- -------- --------
 -------------- -------  ------------------- ------- -------- --------
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 ---------------------------------------------------------------------
                                                    RETURN TO ITEM 4

SCHEDULE D - PAYMENTS FOR TALKS, MEETINGS, AND PUBLICATIONS.

List each source from which you received during the past 12 months lodging, transportation, money, or any other thing of value (excluding meals or drinks coincident with a meeting) with combined value exceeding $200 for your presentation of a single talk, participation in one meeting, or publication of a work in your capacity as an officer or employee of your agency.

List payments or reimbursements by an advisory or governmental agency only for meetings or travel outside the Commonwealth.

List a payment even if you donated it to charity.

Do not list information about a payment if you returned it within 60 days or if you received it from an employer already listed under Item 6 or from a source of income listed on Schedule F.

If no payment must be listed, check here / /.


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 ---------------------------------------------------------------------
                                                   Type of payment
                                                   (e.g. honoraria,
                                                   travel reimburse-
 Payer      Approximate Value     Circumstances    ment, etc.)
 ---------- -------------------   --------------   ---------------
 ---------- -------------------   --------------   ---------------
 ---------- -------------------   --------------   ---------------
 ---------- -------------------   --------------   ---------------
 ---------------------------------------------------------------------
 ---------------------------------------------------------------------
                                                     RETURN TO ITEM 5

SCHEDULE E - GIFTS.

List each business, governmental entity, or individual that, during the past 12 months, (i) furnished you with any gift or entertainment at a single event and the value received by you exceeded $50 in value, or (ii) furnished you with gifts or entertainment in any combination and the value received by you exceeded $100 in total value; and for which you neither paid nor rendered services in exchange. List each such gift or event. Do not list entertainment events unless the average value per person attending the event exceeded $50 in value. Do not list business entertainment related to your private profession or occupation. Do not list gifts or other things of value given by a relative or personal friend for reasons clearly unrelated to your public position. Do not list campaign contributions publicly reported as required by Chapter 9.3 (§ 24.2-945 et seq.) of Title 24.2 of the Code of Virginia.


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 ---------------------------------------------------------------------
 Name of Business,    City or
 Organization, or     County         Gift or
 Individual           and State      Event        Approximate Value
 ------------------   ---------      ---------    ------------------
 ------------------   ---------      ---------    ------------------
 ------------------   ---------      ---------    ------------------
 ------------------   ---------      ---------    ------------------ ---------------------------------------------------------------------
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                                                     RETURN TO ITEM 6

SCHEDULE F - BUSINESS INTERESTS.

Complete this Schedule for each self-owned or family-owned business (including rental property, a farm, or consulting work), partnership, or corporation in which you or a member of your immediate family, separately or together, own an interest having a value in excess of $10,000.

If the enterprise is owned or operated under a trade, partnership, or corporate name, list that name; otherwise, merely explain the nature of the enterprise. If rental property is owned or operated under a trade, partnership, or corporate name, list the name only; otherwise, give the address of each property. Account for business interests held in trust.


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 ---------------------------------------------------------------------
 Name of Business,           Nature of             Gross Income
 Corporation,                Enterprise
 Partnership,     City or    (farming, law           $50,001    More
 Farm; Address of County     rental          $50,000   to       than
 Rental Property  and State  property, etc.) or less $250,000 $250,000
 ---------------  ---------  --------------- ------- -------- --------
 ---------------  ---------  --------------- ------- -------- --------
 ---------------  ---------  --------------- ------- -------- --------
 ---------------  ---------  --------------- ------- -------- --------
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                                                     RETURN TO ITEM 8

SCHEDULE G-1 - PAYMENTS FOR REPRESENTATION BY YOU.

List the businesses you represented, excluding activity defined as lobbying in § 2.2-419, before any state governmental agency, excluding any court or judge, for which you received total compensation during the past 12 months in excess of $1,000, excluding compensation for other services to such businesses and representation consisting solely of the filing of mandatory papers and subsequent representation regarding the mandatory papers filed by you.

Identify each business, the nature of the representation and the amount received by dollar category from each such business. You may state the type, rather than name, of the business if you are required by law not to reveal the name of the business represented by you.

Only STATE officers and employees should complete this Schedule.


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 ---------------------------------------------------------------------
                                                       Amount Received
 Name  Type  Pur-   Name
 of    of    pose   of
 Busi- Busi- of     Agen-
 ness  ness  Repre- cy     $1,001  $10,001  $50,001 $100,001 $250,001
             senta-           to      to      to      to       and
             tion          $10,000 $50,000 $100,000 $250,000   over
 ----- ----- ------ ------ ------- ------- -------- -------- --------
 ----- ----- ------ ------ ------- ------- -------- -------- --------
 ----- ----- ------ ------ ------- ------- -------- -------- --------
 ----- ----- ------ ------ ------- ------- -------- -------- --------
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 ---------------------------------------------------------------------
 If you have received $250,001 or more from a single business within the reporting period, indicate the amount received, rounded to the nearest $10,000.                                        Amount Received:____________.

SCHEDULE G-2 - PAYMENTS FOR REPRESENTATION BY ASSOCIATES.

List the businesses that have been represented, excluding activity defined as lobbying in § 2.2-419, before any state governmental agency, excluding any court or judge, by persons who are your partners, associates or others with whom you have a close financial association and who received total compensation in excess of $1,000 for such representation during the past 12 months, excluding representation consisting solely of the filing of mandatory papers and subsequent representation regarding the mandatory papers filed by your partners, associates or others with whom you have a close financial association.

Identify such businesses by type and also name the state governmental agencies before which such person appeared on behalf of such businesses.

Only STATE officers and employees should complete this Schedule.

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 ---------------------------------------------------------------------
 Type of business        Name of state governmental agency
 --------------------    --------------------------------------
 --------------------    --------------------------------------
 --------------------    --------------------------------------
 --------------------    --------------------------------------
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 ---------------------------------------------------------------------

SCHEDULE G-3 - PAYMENTS FOR SERVICES GENERALLY.

Indicate below types of businesses that operate in Virginia to which services were furnished by you or persons with whom you have a close financial association pursuant to an agreement between you and such businesses, or between persons with whom you have a close financial association and such businesses and for which total compensation in excess of $1,000 was received during the past 12 months.

Identify opposite each category of businesses listed below (i) the type of business, (ii) the type of service rendered and (iii) the value by dollar category of the compensation received for all businesses falling within each category.

  ---------------------------------------------------------------------
 ---------------------------------------------------------------------
                                                 Value of Compensation
                 Check     
                  if   Type
                 ser-  of
                 vices ser-
                 were  vice
                 ren-  ren-
                 dered dered $1,001 $10,001  $50,001 $100,001 $250,001
                               to     to       to       to     and
                            $10,000 $50,000 $100,000 $250,000  over
 Electric utilities __ _____ ______ _______ ________ ________ ________
 Gas utilities      __ _____ ______ _______ ________ ________ ________
 Telephone utilities__ _____ ______ _______ ________ ________ ________
 Water utilities    __ _____ ______ _______ ________ ________ ________
 Cable television  
   companies        __ _____ ______ _______ ________ ________ ________
 Interstate        
 transportation    
   companies        __ _____ ______ _______ ________ ________ ________
 Intrastate        
   transportation    
   companies        __ _____ ______ _______ ________ ________ ________
 Oil or gas retail 
   companies        __ _____ ______ _______ ________ ________ ________
 Banks              __ _____ ______ _______ ________ ________ ________
 Savings 
    institutions    __ _____ ______ _______ ________ ________ ________
 Loan or finance   
 companies          __ _____ ______ _______ ________ ________ ________
 Manufacturing     
   companies  (state
   type of product,
   e.g., textile, __
   furniture, etc.) __ _____ ______ _______ ________ ________ ________
 Mining companies   __ _____ ______ _______ ________ ________ ________
 Life insurance    
    companies       __ _____ ______ _______ ________ ________ ________
 Casualty insurance
 companies          __ _____ ______ _______ ________ ________ ________
 Other insurance   
    companies      __ _____ ______ _______ ________ ________ ________
 Retail companies  __ _____ ______ _______ ________ ________ ________
 Beer, wine or liquor
   companies or
   distributors    __ _____ ______ _______ ________ ________ ________
 Trade associations__ _____ ______ _______ ________ ________ ________
 Professional
   associations    __ _____ ______ _______ ________ ________ ________
 Associations of
   public employees or
   officials       __ _____ ______ _______ ________ ________ ________
 Counties, cities or
   towns           __ _____ ______ _______ ________ ________ ________
 Labor    organizations   __ _____ ______ _______ ________ ________ ________
 Other             __ _____ ______ _______ ________ ________ ________
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                                                    RETURN TO ITEM 9

SCHEDULE H-1 - REAL ESTATE - STATE OFFICERS AND EMPLOYEES.

List real estate other than your principal residence in which you or a member of your immediate family holds an interest, including a partnership interest, option, easement, or land contract, valued at $10,000 or more. You may list each parcel of real estate individually if you wish.


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 ---------------------------------------------------------------------
 List each location Describe the type of real  If the real estate is
 (state, and county estate you own in each     owned or recorded in
 or city) where you location (business, recre- a name other than your
 own real estate.   ational, apartment, com-   own, list that name.
                    mercial, open land, etc.).
 ------------------ -------------------------  ----------------------
 ------------------ -------------------------  ----------------------
 ------------------ -------------------------  ----------------------
 ------------------ -------------------------  ----------------------
 ------------------ -------------------------  ----------------------
 ------------------ --------------------------------------------------
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SCHEDULE H-2 - REAL ESTATE - LOCAL OFFICERS AND EMPLOYEES.

List real estate located in your county, city, or town, and any contiguous county, city, or town other than your principal residence in which you or a member of your immediate family holds an interest, including a partnership an interest in a corporation, limited liability company, limited partnership, trust or any other business entity, or option, easement, or land contract, valued at $10,000 or more. You may list each parcel of real estate individually if you wish. Also list the names of any co-owners of such property, if applicable.

---------------------------------------------------------------------
 --------------------------------------------------------------------- List each        Describe the type   If the real estate   List  
 location (state, of real estate      is owned or          the names
 and county       you own in each     recorded in a name   of any
 or city) where   location (business, other than your      co-owners,
 you own          recreational,       own, list that       if
 real estate      apartment,          name.                applicable                  commercial, open                  land, etc.). ---------------- -------------------  ------------------  ----------
 ---------------- -------------------  ------------------  ----------
 ---------------- -------------------  ------------------  ----------
 ---------------- -------------------  ------------------  ---------- ---------------------------------------------------------------------
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SCHEDULE I - REAL ESTATE CONTRACTS WITH GOVERNMENTAL AGENCIES.

List all contracts, whether pending or completed within the past 12 months, with a governmental agency for the sale or exchange of real estate in which you or a member of your immediate family holds an interest, including a corporate, partnership or trust interest, option, easement, or land contract, valued at $10,000 or more. List all contracts with a governmental agency for the lease of real estate in which you or a member of your immediate family holds such an interest valued at $1,000 or more. This requirement to disclose an interest in a lease does not apply to an interest derived through an ownership interest in a business unless the ownership interest exceeds three percent of the total equity of the business.

State officers and employees report contracts with state agencies.

Local officers and employees report contracts with local agencies.


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 --------------------------------------------------------------------- List your real estate   List each governmental     State the annual
 interest and the        agency which is a          income from the
 person or entity,       party to the contract      contract, and the
 including the type      and indicate the           amount, if any, of
 of entity, which        county or city where       income you or any
 is party to             the real estate            immediate family
 the contract.           is located.                member derives
 Describe any                                       annually from the
 management role and                                contract.
 the percentage
 ownership
 interest you or your
 immediate family
 member has in the real
 estate or entity.
 ----------------------  -------------------------  ------------------
 ----------------------  -------------------------  ------------------
 ----------------------  -------------------------  ------------------
 ----------------------  -------------------------  ------------------
 ----------------------  -------------------------  ------------------
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