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STATEMENT OF FINANCIAL INTERESTS OF ALDERMEN FILED PURSUANT TO THE GOVERNMENTAL ETHICS ORDINANCE, AS AMENDED, MUNICIPAL CODE ~ 2- TO BE FILED WITH: s OFFICE OF THE CITY CLERK gt 3 121 N. LASALLE STREET, ROOM 107 25 7 CHICAGO, ILLINOIS 60602 es 5 ‘TYPE OR PRINTLEGIBLY NAME. Catothers resae sine a ant ar "ADDRESS _5633 Nest Race street Chicago, TH 60544 PLEASE READ ATTACHED INFORMATION AND INSTRUCTION SHEET BEFORE FILLING (OUT STATEMENT. TERMS MARKED WITH AN ASTERISK ARE DEFINED IN INSTRUCTION SHEET. IF NECESSARY, PLEASE ANSWER ALL QUESTIONS ON A ‘SEPARATE SHEET OF PAPER AND ATTACH TO THIS FORM. OTHER EMPLOYMENT INCOME 1, If daring the preceting calendar year, ou received in excess of $2,500 in income from any professional business or ot organization (oer than the ity) for your service as an officer, directo, Eesociate, parne, propriecr, employes, or advisor, provide the mformation below. ‘Type of Organization NAME ADDRESS POSITION YU ; - Other Government Employment 2 faring the preceding calendar yea, you were employed by any unit of government OTHER THAN CITY OF CHICAGO, please list he name of such ut of ga below — Ff — INCOME FROM CITY-RELATED BUSINESS Income from City Business 3. Please state the nature of any professional, business or other services rendered by you OR BY YOUR SPOUSE, OR BY ANY ENTITY IN WHICH YOU OR YOUR SPOUSE HAS A FINANCIAL, INTEREST, and the mame and nature ofthe person’ or entity (othr than the City) to whom oF to winch such services were rendered if during the preceding calendar year, (1) compensation in excess of $5,000 was reczived for professional® or other services by you, OR BY YOUR SPOUSE, OR BY ANY ENTITY IN WHICH YOU OR YOUR SPOUSE HAS A FINANCIAL INTEREST, and (2) the person or entity as doing business* with the Ci, or withthe Chicago Transit Authority, Board of Education, including the CChicago Schoo! Reform Board of Trustees, Chicago Park District, Chicago City Colleges, or the Metropolitan Pier and Exposition Authority; Nature of Service Rendered [Name and Nature of Person (\. Receiving Service / 1 T AL 41 during the preceding calendar year, you had financial interest® in any person* doing business* [WITH the City, identify () the name of such person(s)* and (b) your title or a description of any position you ‘nl with such person® (a) Name of Pesson*™ (©) Tihe/Description of your position { y = - } 1 / 5. __Listthe name and irstument of ownership in any person* conducting business IN the City in which ‘you had a financial interet® during he preceding calendar year. Ownership interest in publicly held ‘corporations need not be disclosed BUSINESS OWNERSHIP ame of Business Instrument of Ownership CAPITAL GAINS 4g UST de identity of ay capital ast, inching the ares or legal desrption of ral estate from 5 su yeorelne a epital guia of 5,000 or more i the preceding calendar year. DO NOT INCLUDE wi COME DERIVED FROM THE SALE OF YOUR PRINCIPAL PLACE OF RESIDENCE, ——— /nesLesraTe + yoke Sinan nrs™ nel exe oatedin ie Cty of Chicago, OTHER THAN YOUR 1 aNCIaL PLACE OF RESIDENCE, identi the adres of te propey, acting rp code or, if none, ease cryin of eles aloe ll fos of dest or inet omraip such 28 partnerships ae rh corpus nets prima of fea estat. Trust mist be ented by the (2) tus, or mn a ares ofthe use; anc) lation of and by both suet akess and legal description _Adéress or legal description, neluding Zipcode: If applicable, dentiication of Trust ee rts LIST the name of ary person" from whom or which you recived on or more GIFTS, or § ORARIA. having an apegatevaluein excess of $500 duns the preseing calendar year. DO NOT INCLUDE GIFTS FROM RELATIVES. oo LICENSE/ZONING APPLICATION 9 during the preceding calendar year, youhad a finan interest® m any prson* who applied tothe 9 sy for lense ranshs, permit forsmsation. zoning osezoning ofl site, (a the name of qf ero

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