COMMONWEALTH OF PENNSYLVANIA STATE ETHICS COMMISSION Finance Building 613 North Street, Room 309 Harrisburg, PA 17120-0400 (717) 783-1610 or Toll Free 1-800-932-0936 www.ethics.pa.gov ra-ethicswebmaster@pa.gov Fax: (717) 787-0806 THIS FORM IS CONSIDERED DEFICIENT IF ANY BLOCK IS NOT COMPLETED OR IF SIGNATURE OR DATE IS MISSING. THOSE INDIVIDUALS WHO HOLD MORE THAN ONE OFFICE AND/OR POSITION MUST FILE A COPY OF THEIR FORM AT EACH FILING LOCATION. YOU MAY FILE ONLINE AT: WWW.ETHICS.PA.GOV. A PAPER COPY MAY STILL BE REQUIRED TO BE SUBMITTED TO YOUR FILING LOCATION. FILERS SHOULD CHECK WITH THEIR FILING LOCATION FOR REQUIREMENTS. THIS FORM MUST BE COMPLETED AND FILED BY: A Candidates - Persons seeking elected state, county and local public offices, including first-time candidates, incumbents seeking re-election, and write-in candidates who do not decline nomina- tion/election within 30 days of official certification of same. B Nominees - Persons nominated for public office subject to confirmation. C Public Officials - Persons serving as current state/county/local public officials (elected or appointed). The term includes persons serving as alternates/designees. The term excludes members of purely advisory boards. D Public Employees - Individuals employed by the Commonwealth or a political subdivision who are responsible for taking or recommending official action of a non-ministerial nature with regard to: contracting or procurement; administering or monitoring grants or subsidies; planning or zoning; inspecting, licensing, regulating or auditing any person; or any other activity where the official action has an economic impact of greater than a de minimis nature on the interests of any person. The term does not include individuals whose activities are limited to teaching. A former public official or former public employee must file the year after termination of service with the Commonwealth or political subdivision. E Solicitors - Persons elected or appointed to the office of solicitor for political subdivision(s). IMPORTANT: Please read all instructions carefully prior to completion of form. Also, review the filing chart for proper filing location. Any questions may be directed to the State Ethics Commission at (717)783-1610 or Toll Free at 1-800-932-0936. The Form is required to be filed pursuant to the provisions of the Public Official and Employee Ethics Act “Ethics Act,” 65 Pa C.S. § 1101 et. seq. STATEMENT OF FINANCIAL INTERESTS SEC-1 (Rev. 01/24)
RkJQdWJsaXNoZXIy NzcxOTE=