cneshire

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COUNCILLORS
PARISH

The Relevant Authorities (Disclosable Pecuniary lnterests)

Regulations 2012 Register of Members' lnterests
l, print name

Ir

cr1"6a{,a,",,
f'e(rsU G"Jcr'--

gt (detete as appropriate\ ol Suro,r

a member/oeepte+ffeilt
Monitoring Officer for Cheshire
Council hereby give notice to the Clerk of the Council and the
requrred to declare under The
I
am
ior""ir'* Ino"" disclosable pecuniary interests which
and my Town/Parish
il-r"u-r"inutt ont,." tDisclosable irecuniary lnterests) Regulations 2012
(detete as appropriate) Council's Code of Conduct'

i"ri

my own lnterests butalso any interest I

I understand that in so doing I must also declare not only
defined in my Council s Code of Conduct'
am aware ofthat belongs to my spouse or partner, as
form "none"'
where I have no such interests under any heading I have endorsed the

Additional lnformation
'but
are not necessarily comprehensive' Please
general guidance'
The notes to this form give
-Oftic;r
if additional information is required'
t tonitoting

"o,l"utt-ttt"

you must regisler yo-ur pecuniary

Under the Localism Act 2011 and the above Regulahons
or Parish
i"ir t" do so' and then partrcipatE lspeak or vote or -both) at a Town
offence
Corncir or ctmmittee meeting, you may be committing a criminal

i"iiirlsiJifi"

in.a Registerthat must be

The information that you give on this form is required to be kept
for inspeclon on your
avaitaOL tor inspe"ti6n bt the public. lt must also be available
and on cheshire East council's website so it is
il*"F]ri"i, Cli,""irt w;bsite (if applicable) hospitalitv
received for a value of f100'00 or more
*;ep it up to aate' cifts or
should be included on a separate form.

,iiijii""iiiiiv*

of circumstances notity the Clerk to

You must, within 28 days of becoming aware of any change
officer asking that the information be
til.," i"r""ii""Jr'or cneihire East Council s Monitoiing
included in your Register of Members' lnterests

that Is to say if you

ThF AcJ orovides that if information relating to your interests is'sensitive ,
details could lead you' or.someone
anJ itre i/lonitorins officer agree that disclosure of ils
be included in the
*ih v"l, to be vu]nerable to violence or intimidation' it need not
officer if
"""#Jt"a
k it i" a disclosable pecuniary interest Please consult the Monitoring
n""i"Gi
additional information is required on this lssue'

*""

w w w. ch e s h i r e e a

st.g ov. u k

1 DISCLOSABLE PECUNIARY INTERESTS

(a) Your Employment, Office, Trade, Profession or Vocation

Please give details of (i) every employment, job, lrade, business or vocation you have, for
which you roceive any benefit or gain (i.e. profit, salary o. benefit in kind) including a short
description ofthe activity e.g. 'Accountant' or 'Farmer' and (ii) the name oI any employer or
body, lirm o. company which you own or in whose secufities you have any bene{icial
intercst. This must includo any rsmuneration as a Director,

Name of Employer
IS

5 lrl a(.,tsleL.

hd4""
I'\

Description of
Business

or sn<r(J

Description of Employment

5-r,*B""1"f4r,Jm*

U*enq'

(b) Your Spouse or Partner's Employment, Office, Trade, Profession or Vocation

Plea8e give details of (i) every employment,iob, trade, buBiness or vocation yourspouse or
partner haa, for which they receive any benefit o. gain (i.e. profit, salary or benefit in kind)

including a short description otthe activity e.g. 'Accountant' or 'Farmer' and (ii) the name of
any employer 01 body, firm or company which they own or in whose securities they have
any benelicial inlerest. This muat include any remuneEtion as a Direclor.

Name of Employer

s".-\-^rt.r .r,rP"*

5*or,il"(*J

Description of
Business

cl,f

Description of Employment

Ito"- cr

2 SPONSORSHIP
Please give details of any person or body (olherlhan lhe Town or Padsh Council) who has
made any payment to you in respect ofyour election or any expenses you have incufted in
carrying out your duties as a Town or Padsh Councillor. Please also include any payment
orfinancial benefit received trom a Trade lJnion,

3 SECURITIES
3 (a) Securities: Your lnterests in Companies
Please give details of any body which has a place ot business or owns land in the council's
area and in which you have a beneficial intere6t (a 6haroholding) of more than 825,000
(nominal value) or more than {/100n of the total share issue of that body (whichever is the
lower) or ifthere is more lhan one class of share, the total nominalvalue ofshares in any

class ofthat body of moae than'l/l00rhofthe total shares ofthat class.

cofiPanY or othet body.

3 (b) Securities: lnterests in Companies o\rned by your Spouse or Partner

Please give details of body which has a place of 6usiness or own6 land in the Council's arca
and in which you are aware that your spouse or civil partner has a benelicial interest (a
shareholding) of more than 25,000 (nominal value) or more than 1/100$ofthe totalshare
issue ofthaibody (whichever is the lower) or i, therc is more than one class ot 6hare, the
total nominal value of shares in any class ot that body of more than 1/100lh of the total
shares of that class.

lf is ,ol necessa ry to declare the nature or size of the holding, sifiply the name of the
company of other body.

ivoaer

4 CONTRACTS
4(a) Contract6: for Goods, Works or Services with the Councll
Please give dotails ofany current, existing contracts for goods, woaks or seryices betwoen
the Town or Parish Council and you oaany body, fiam or company by whlch you are
employed orwhich you own or in which you have a beneficial interest, refered to at 3 above.

4(b) Contracts: Ior Goods, Works or Seavice6 between the Councll and your Spouse or

Padnel
Please give details of any current, existing co.ntracts for goods, wo*s orsedices betwoen
the Town or Padsh Council and yourspou3e oa partner, orwith any body, fiam or company
by which they are employed orwhich they own or in whoae ascurities they have a beneficial
interest, referred to at 3 above.

ffiNcESINTHEAREA
5la) Landholdings and Licenses in the Area
of anv land or
or other desc]iption (aufiiciont to identifv the location)
whether vou
indicating
interest'
in tnrti"h vot| rt;ve a beneficial
a licence'
haYe
mav
which
"t"" vou
in
land
include
vou
the
include
must
You
"r'6'u
longor'
or
month
period
one
ol
6 occupy for a
i,it
liJ,iJ-",
""i,
in anti tor example any allotmonts you ront or use
v.riive

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il;"""rd'i.'il;;;;ili"
lllifl'l,ii'iil'iiij;oit"n"ni.
iiii
i"ii ""i-rt.r""

5(b}LandholdinggandLicensesinth6Aleabelongingtoy.ourSlou.seolPartner
anv land or
other de6cription (sufficientio id'ntifv the location) of

;E;;i;;i;;;.o;ss o,area in wtrictr a;e aware that vour spou6e or partner has a
vou
il;:"d'iiil;;;;;iis
are the owner' lessee ot tenant You should
#.liiiiliiir:iieiJ, ii-ai"-"iins whether thevi ricen*i
tave
i":ilI'ln;;;;i; ;i"h-ffi mav rot
3-'."^",',llt" "
"!91"-9'-11l-.":t1;
anv allotments thev ront or use'
il"il;;';";;;;ii';;ions"i,

"uit' ""

"^ample

6 CORPORATE TENANCIES IN THE AREA

6(a) Coryorate Tenancies: Land leased from the Town or Parish Council
Please give the address or other descdption (sufflclent to identlfy the locatlon) of any land
lea6ed o, licsnaed from the Council by you or any body,Iirm or company by which you are
employed or which you own or in which you have a beneficial interest (apecified at 3 above).

6(b) Corporate Tenancies: Land leased from the Town or Parish Council by your
Spouse or Partner
Ploaao give ths addrsea o. othe. dscdption-{aufficient to identify the location} ofany land
that you aro awars of that ia leased or licenasd from the Council by your apou8e or partner
or any body,IiBn or company by which lhey arG employed orwhich they own or in whose
socu.ities they have a bneficial interost (apecified at 3 above).

DECLARATION
fa'(to comply with the Code of Conduct for Membera of
S,rru,.l f/effsr+
councir or r:

I recognise that if

G'rl<,L

\(i) omit any information that should bo included in this Notice;

(ii) give fabo or misleading info.mation; or

iiii) do not toll the Clerk ofthe Councilor Cheshire East Council's Monlloring Officer of any
changea to this Noticg or new interests I acquito,

that this may be a crimlnal offence and/orthe matter may be referred to cheshlre EaBt
Council's Audit and Govemance Sub-Committee for invtigation.

\-.Ir.ltr cr. .U"n" ,t

tl
Signed :,.\,.......\r..

\ -,/
FOR OFFICE USE ONLY

Received

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