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Home Address Phone No. <br />If the answer to any of the following questions is "none," please so indicate. If you have more than one entry for any of the <br />sections, please fill out separate sheets and attach to these sheets. If you could not obtain the required information from a <br />or other relative, set forth your efforts to obtain information on a separate sheet attached to this statement. <br />. Reai Estate. <br />List the address or, if there is no address or if the address provides insufficient information to describe a large piece of proper <br />description of each piece of real property in this city, or within one mile outside its boundaries, that you, your spouse, or other <br />relative own or have a financial interest in. "Relative" means your spouSe, child, step-child, brother, sister, parent or step-pare <br />or a person you claimed as a dependent on your latest state income tax return. <br />Name of Relative and Relationship to You <br />Address or Description of Real Estate <br />Type of Financial Interest (e.g., owns or partnership) <br />Youi- C}utside Employers or Businesses. <br />List the names and address of the principal or local office of any outside employers or businesses from which you receive <br />compensation for services rendered or goods sold or produced, or of which you are a member, official, or employee. Also incl de <br />any entity in which you have an ownership interest, except a public corporation of which you own less than five percent of the <br />outstanding stock or stock valued at less than $50,000, whichever is less (such a public corporation need be listed only if it do s <br />business with or in the city). Identify the type of entity (e.g., partnership, corporation, self-employment, or sole proprietorship), nd <br />list your relationship to the employer or business (e.g., employee, owner, partner, official, director, member, or shareholder). <br />Name of Empioyer or Business <br />Nature of Business <br />Type of Entity <br />Your Relationship to Employer or Business <br />3. Your Spouse's or pomestic Partner's Employer or Business. <br />List the information in question 2 for your spouse or domestic partner. <br />Name of Employer or Business <br />Nature of Business <br />Type of Entity <br />Relationship to Employer or Business <br />4. Employed Relatives. <br />List the names and addresses of all relatives employed, directly or indirectly, as employees, contractors, or consultants, by th city <br />during the prior year. See 1 above for definition of "relative." <br />513 <br />