HB481: State and Local Government Conflict of Interests Act; disclosure forms.


HOUSE BILL NO. 481
AMENDMENT IN THE NATURE OF A SUBSTITUTE
(Proposed by the Senate Committee on General Laws and Technology
on February 27, 2012)
(Patron Prior to Substitute--Delegate Iaquinto)
A BILL to amend and reenact §§ 2.2-3112, 2.2-3115, 2.2-3117, and 2.2-3120 of the Code of Virginia, relating to the State and Local Government Conflict of Interests Act; disclosure forms.

Be it enacted by the General Assembly of Virginia:

1.  That §§ 2.2-3112, 2.2-3115, 2.2-3117, and 2.2-3120 of the Code of Virginia are amended and reenacted as follows:

§ 2.2-3112. Prohibited conduct concerning personal interest in a transaction; exceptions.

A. Each officer and employee of any state or local governmental or advisory agency who has a personal interest in a transaction:

1. Shall disqualify himself from participating in the transaction if (i) the transaction has application solely to property or a business or governmental agency in which he has a personal interest or a business that has a parent-subsidiary or affiliated business entity relationship with the business in which he has a personal interest or (ii) he is unable to participate pursuant to subdivision 2, 3 or 4. Any disqualification under the provisions of this subdivision shall be recorded in the public records of the officer's or employee's governmental or advisory agency. The officer or employee shall disclose his personal interest as required by subsection E of § 2.2-3114 E or subsection F of § 2.2-3115 E and shall not vote or in any manner act on behalf of his agency in the transaction. The officer or employee shall be prohibited from (i) attending any portion of a closed meeting authorized by the Virginia Freedom of Information Act (§ 2.2-3700 et seq.) when the matter in which he has a personal interest is discussed and (ii) discussing the matter in which he has a personal interest with other governmental officers or employees at any time;

2. May participate in the transaction if he is a member of a business, profession, occupation, or group of three or more persons the members of which are affected by the transaction, and he complies with the declaration requirements of subsection F of § 2.2-3114 F or subsection H of § 2.2-3115 G;

3. May participate in the transaction when a party to the transaction is a client of his firm if he does not personally represent or provide services to such client and he complies with the declaration requirements of subsection G of § 2.2-3114 G or subsection I of § 2.2-3115 H; or

4. May participate in the transaction if it affects the public generally, even though his personal interest, as a member of the public, may also be affected by that transaction.

B. Disqualification under the provisions of this section shall not prevent any employee having a personal interest in a transaction in which his agency is involved from representing himself or a member of his immediate family in such transaction provided he does not receive compensation for such representation and provided he complies with the disqualification and relevant disclosure requirements of this chapter.

C. Notwithstanding any other provision of law, if disqualifications of officers or employees in accordance with this section leave less than the number required by law to act, the remaining member or members shall constitute a quorum for the conduct of business and have authority to act for the agency by majority vote, unless a unanimous vote of all members is required by law, in which case authority to act shall require a unanimous vote of remaining members. Notwithstanding any provisions of this chapter to the contrary, members of a local governing body whose sole interest in any proposed sale, contract of sale, exchange, lease or conveyance is by virtue of their employment by a business involved in a proposed sale, contract of sale, exchange, lease or conveyance, and where such member's or members' vote is essential to a constitutional majority required pursuant to Article VII, Section 9 of the Constitution of Virginia and § 15.2-2100, such member or members of the local governing body may vote and participate in the deliberations of the governing body concerning whether to approve, enter into or execute such sale, contract of sale, exchange, lease or conveyance. Official action taken under circumstances that violate this section may be rescinded by the agency on such terms as the interests of the agency and innocent third parties require.

D. The provisions of subsection A shall not prevent an officer or employee from participating in a transaction merely because such officer or employee is a party in a legal proceeding of a civil nature concerning such transaction.

E. The provisions of subsection A shall not prevent an employee from participating in a transaction regarding textbooks or other educational material for students at state institutions of higher education, when those textbooks or materials have been authored or otherwise created by the employee.

§ 2.2-3115. Disclosure by local government officers and employees.

A. The members of every governing body and school board of each county and city and of towns with populations in excess of 3,500 shall file, as a condition to assuming office or employment, a disclosure statement of their personal interests and other information as is specified on the form set forth in § 2.2-3117 and thereafter shall file such a statement annually on or before January 15.

The members of the governing body of any authority established in any county or city, or part or combination thereof, and having the power to issue bonds or expend funds in excess of $10,000 in any fiscal year, shall file, as a condition to assuming office, a disclosure statement of their personal interests and other information as is specified on the form set forth in § 2.2-3118 and thereafter shall file such a statement annually on or before January 15, unless the governing body of the jurisdiction that appoints the members requires that the members file the form set forth in § 2.2-3117.

Persons occupying such positions of trust appointed by governing bodies and persons occupying such positions of employment with governing bodies as may be designated to file by ordinance of the governing body shall file, as a condition to assuming office or employment, a disclosure statement of their personal interests and other information as is specified on the form set forth in § 2.2-3117 and thereafter shall file such a statement annually on or before January 15.

Persons occupying such positions of trust appointed by school boards and persons occupying such positions of employment with school boards as may be designated to file by an adopted policy of the school board shall file, as a condition to assuming office or employment, a disclosure statement of their personal interests and other information as is specified on the form set forth in § 2.2-3117 and thereafter shall file such a statement annually on or before January 15.

B. Nonsalaried citizen members of local boards, commissions and councils as may be designated by the governing body shall file, as a condition to assuming office, a disclosure form of their personal interests and such other information as is specified on the form set forth in § 2.2-3118 and thereafter shall file such form annually on or before January 15.

C. No person shall be mandated to file any disclosure not otherwise required by this article.

D. The disclosure forms required by subsections A and B shall be provided by the Secretary of the Commonwealth to the clerks of the governing bodies and school boards not later than November 30 of each year, and the clerks of the governing body and school board shall distribute the forms to designated individuals no later than December 10 of each year. Forms shall be filed and maintained as public records for five years in the office of the clerk of the respective governing body or school board. Forms filed by members of governing bodies of authorities shall be filed and maintained as public records for five years in the office of the clerk of the governing body of the county or city.

D.E. Candidates for membership in the governing body or school board of any county, city or town with a population of more than 3,500 persons shall file a disclosure statement of their personal interests as required by § 24.2-502.

E.F. Any officer or employee of local government who has a personal interest in any transaction before the governmental or advisory agency of which he is an officer or employee and who is disqualified from participating in that transaction pursuant to subdivision A 1 of § 2.2-3112 or otherwise elects to disqualify himself, shall forthwith make disclosure of the existence of his interest, including the full name and address of the business and the address or parcel number for the real estate if the interest involves a business or real estate, and his disclosure shall be reflected in the public records of the agency for five years in the office of the administrative head of the officer's or employee's governmental or advisory agency.

F.G. In addition to any disclosure required by subsections A and B, in each county and city and in towns with populations in excess of 3,500, members of planning commissions, boards of zoning appeals, real estate assessors, and all county, city and town managers or executive officers shall make annual disclosures of all their interests in real estate located in the county, city or town in which they are elected, appointed, or employed. Such disclosure shall include any business in which such persons own an interest, or from which income is received, if the primary purpose of the business is to own, develop or derive compensation through the sale, exchange or development of real estate in the county, city or town. Such disclosure shall be filed as a condition to assuming office or employment, and thereafter shall be filed annually with the clerk of the governing body of such county, city or town on or before January 15. Such disclosures shall be filed and maintained as public records for five years. Forms for the filing of such reports shall be prepared and distributed by the Secretary of the Commonwealth to the clerk of each governing body.

G.H. An officer or employee of local government who is required to declare his interest pursuant to subdivision A 2 of § 2.2-3112 shall declare his interest by stating (i) the transaction involved, (ii) the nature of the officer's or employee's personal interest affected by the transaction, (iii) that he is a member of a business, profession, occupation, or group the members of which are affected by the transaction, and (iv) that he is able to participate in the transaction fairly, objectively, and in the public interest. The officer or employee shall either make his declaration orally to be recorded in written minutes of his agency or file a signed written declaration with the clerk or administrative head of his governmental or advisory agency, as appropriate, who shall, in either case, retain and make available for public inspection such declaration for a period of five years from the date of recording or receipt. If reasonable time is not available to comply with the provisions of this subsection prior to participation in the transaction, the officer or employee shall prepare and file the required declaration by the end of the next business day. The officer or employee shall also orally disclose the existence of the interest during each meeting of the governmental or advisory agency at which the transaction is discussed and such disclosure shall be recorded in the minutes of the meeting.

H.I. An officer or employee of local government who is required to declare his interest pursuant to subdivision A 3 of § 2.2-3112, shall declare his interest by stating (i) the transaction involved, (ii) that a party to the transaction is a client of his firm, (iii) that he does not personally represent or provide services to the client, and (iv) that he is able to participate in the transaction fairly, objectively, and in the public interest. The officer or employee shall either make his declaration orally to be recorded in written minutes for his agency or file a signed written declaration with the clerk or administrative head of his governmental or advisory agency, as appropriate, who shall, in either case, retain and make available for public inspection such declaration for a period of five years from the date of recording or receipt. If reasonable time is not available to comply with the provisions of this subsection prior to participation in the transaction, the officer or employee shall prepare and file the required declaration by the end of the next business day.

§ 2.2-3117. Disclosure form.

The disclosure form to be used for filings required by subsections A and D of § 2.2-3114 A and D, and subsections A and E of § 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.

"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.

"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.

"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.

"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.

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 interest, or option, easement, or land contract, 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-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.

___________________________________________________________________
 
 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:

_______________________________________________________________________
 
        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:

_______________________________________________________________________
 
        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 /  /.

____________________________________________________________________________
 
                                                           Check one
                              Type of Security     $10,001  $50,001    More
                  Type of  (stocks, bonds, mutual     to       to      than
 Name of Issuer   Entity        funds, etc.)       $50,000  $250,000 $250,000
 ______________   _______  _______________________ _______  _______  ________
 ______________   _______  _______________________ _______  _______  ________
 ______________   _______  _______________________ _______  _______  ________
 ______________   _______  _______________________ _______  _______  ________
 ____________________________________________________________________________
                                                             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 / /.

__________________________________________________________________________
 
                                                          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.

_____________________________________________________________________
 
 Name of Business,      City or
 Organization, or       County        Gift or
 Individual             and State     Event         Approximate Value
 ____________________   ___________   ___________   __________________
 ____________________   ___________   ___________   __________________
 ____________________   ___________   ___________   __________________
 ____________________   ___________   ___________   __________________
 _____________________________________________________________________
                                                      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.

___________________________________________________________________________
 
 Name of Business,                                        Gross Income
 Corporation,
 Partnership,     City or   Nature of Enterprise           $50,001    More
 Farm; Address of County    (farming, law, rental $50,000     to      than
 Rental Property  and State property, etc.)       or less  $250,000 $250,000
 ________________ _________ _____________________ ________ ________ ________
 ________________ _________ _____________________ ________ ________ ________
 ________________ _________ _____________________ ________ ________ ________
 ________________ _________ _____________________ ________ ________ ________
 ___________________________________________________________________________
                                                            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.

_____________________________________________________________________
 
             Pur-                       Amount Received
             pose
 Name  Type  of     Name
 of    of    Repre- of     $1,001  $10,001 $50,001  $100,001  $250,001
 Busi- Busi- senta- Agen-     to      to      to        to      and
 ness  ness  tion   cy     $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.

______________________________________________________________
 
 Type of business        Name of state governmental agency
 ____________________    ______________________________________
 ____________________    ______________________________________
 ____________________    ______________________________________
 ____________________    ______________________________________
 ______________________________________________________________

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.

___________________________________________________________________________
 
                      Check                  Value of Compensation
                      if    Type
                      ser-  of
                      vices ser-
                      were  vice  $1,001  $10,001 $50,001  $100,001 $250,001
                      ren-  ren-    to       to      to       to      and
                      dered dered $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                _____ _____ _______ _______ ________ ________ ________
 ___________________________________________________________________________
                                                            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. Each parcel shall be listed individually.

_________________________________________________________________________
 
                        Describe the type of real
 List each location     estate you own in each      If the real estate is
 (state, and county     location (business, recre-  owned or recorded in
 or city) where you     ational, apartment, com-    a name other than your
 own real estate.       mercial, open land, etc.).  own, list that name.
 _____________________  __________________________  ______________________
 _____________________  __________________________  ______________________
 _____________________  __________________________  ______________________
 _____________________  __________________________  ______________________
 _____________________  __________________________  ______________________
 _________________________________________________________________________

SCHEDULE H-2 - REAL ESTATE - LOCAL 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 or option, easement, or land contract, valued at $10,000 or more. Each parcel shall be listed individually. Also list the names of any co-owners of such property, if applicable.

_________________________________________________________________________
 
                    Describe the type
                    of real estate
                    you own in
                    each location     If the real estate
 List each location (business,        is owned or rec-
 (state, and county recreational,     orded in a name
 or city) where     apartment, com-   other than your    List the names
 you own real       mercial, open     own, list that     of any co-owners,
 estate.            land, etc.).      name.              if applicable.
 __________________ _________________ __________________ _________________
 __________________ _________________ __________________ _________________
 __________________ _________________ __________________ _________________
 __________________ _________________ __________________ _________________
 __________________ _________________ __________________ _________________
 _________________________________________________________________________

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.

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

§ 2.2-3120. Knowing violation of chapter a misdemeanor.

Any person who knowingly violates any of the provisions of Articles 2 through 6 (§§ 2.2-3102 through 2.2-3119) of this chapter shall be guilty of a Class 1 misdemeanor, except that any member of a local governing body who knowingly violates subsection A of § 2.2-3112 A or subsection D or F of § 2.2-3115 C or E shall be guilty of a Class 3 misdemeanor. A knowing violation under this section is one in which the person engages in conduct, performs an act or refuses to perform an act when he knows that the conduct is prohibited or required by this chapter.

HOUSE BILL NO. 481
Offered January 11, 2012
Prefiled January 10, 2012
A BILL to amend and reenact § 2.2-3117 of the Code of Virginia, relating to the State and Local Government Conflict of Interests Act; disclosure forms.
Patron-- Iaquinto

Committee Referral Pending

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.

"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.

"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.

"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.

"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.

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 interest, or option, easement, or land contract, 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-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.

___________________________________________________________________
 
 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:

_______________________________________________________________________
 
        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:

_______________________________________________________________________
 
        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 /  /.

____________________________________________________________________________
 
                                                           Check one
                              Type of Security     $10,001  $50,001    More
                  Type of  (stocks, bonds, mutual     to       to      than
 Name of Issuer   Entity        funds, etc.)       $50,000  $250,000 $250,000
 ______________   _______  _______________________ _______  _______  ________
 ______________   _______  _______________________ _______  _______  ________
 ______________   _______  _______________________ _______  _______  ________
 ______________   _______  _______________________ _______  _______  ________
 ____________________________________________________________________________
                                                             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 / /.

__________________________________________________________________________
 
                                                          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.

_____________________________________________________________________
 
 Name of Business,      City or
 Organization, or       County        Gift or
 Individual             and State     Event         Approximate Value
 ____________________   ___________   ___________   __________________
 ____________________   ___________   ___________   __________________
 ____________________   ___________   ___________   __________________
 ____________________   ___________   ___________   __________________
 _____________________________________________________________________
                                                      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.

___________________________________________________________________________
 
 Name of Business,                                        Gross Income
 Corporation,
 Partnership,     City or   Nature of Enterprise           $50,001    More
 Farm; Address of County    (farming, law, rental $50,000     to      than
 Rental Property  and State property, etc.)       or less  $250,000 $250,000
 ________________ _________ _____________________ ________ ________ ________
 ________________ _________ _____________________ ________ ________ ________
 ________________ _________ _____________________ ________ ________ ________
 ________________ _________ _____________________ ________ ________ ________
 ___________________________________________________________________________
                                                            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.

_____________________________________________________________________
 
             Pur-                       Amount Received
             pose
 Name  Type  of     Name
 of    of    Repre- of     $1,001  $10,001 $50,001  $100,001  $250,001
 Busi- Busi- senta- Agen-     to      to      to        to      and
 ness  ness  tion   cy     $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.

______________________________________________________________
 
 Type of business        Name of state governmental agency
 ____________________    ______________________________________
 ____________________    ______________________________________
 ____________________    ______________________________________
 ____________________    ______________________________________
 ______________________________________________________________

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.

___________________________________________________________________________
 
                      Check                  Value of Compensation
                      if    Type
                      ser-  of
                      vices ser-
                      were  vice  $1,001  $10,001 $50,001  $100,001 $250,001
                      ren-  ren-    to       to      to       to      and
                      dered dered $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                _____ _____ _______ _______ ________ ________ ________
 ___________________________________________________________________________
                                                            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. Each parcel shall be listed individually.

_________________________________________________________________________
 
                        Describe the type of real
 List each location     estate you own in each      If the real estate is
 (state, and county     location (business, recre-  owned or recorded in
 or city) where you     ational, apartment, com-    a name other than your
 own real estate.       mercial, open land, etc.).  own, list that name.
 _____________________  __________________________  ______________________
 _____________________  __________________________  ______________________
 _____________________  __________________________  ______________________
 _____________________  __________________________  ______________________
 _____________________  __________________________  ______________________
 _________________________________________________________________________

SCHEDULE H-2 - REAL ESTATE - LOCAL 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 or option, easement, or land contract, valued at $10,000 or more. Each parcel shall be listed individually. Also list the names of any co-owners of such property, if applicable.

_________________________________________________________________________
 
                    Describe the type
                    of real estate
                    you own in
                    each location     If the real estate
 List each location (business,        is owned or rec-
 (state, and county recreational,     orded in a name
 or city) where     apartment, com-   other than your    List the names
 you own real       mercial, open     own, list that     of any co-owners,
 estate.            land, etc.).      name.              if applicable.
 __________________ _________________ __________________ _________________
 __________________ _________________ __________________ _________________
 __________________ _________________ __________________ _________________
 __________________ _________________ __________________ _________________
 __________________ _________________ __________________ _________________
 _________________________________________________________________________

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.

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