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ETHICS COMMISSION

CITY AND COUNTY OF SAN FRANCISCO


Certificate of Training and Sunshine Declaration
Public Service Ethics Education (AB 1234) and
Sunshine Ordinance Training (Admin. Code § 67.33)

EMI GUSUKUMA All City officers and employees who are required to file Statements of Economic Interests with
CHAIRPERSON the San Francisco Ethics Commission must file a copy of this form annually with the Ethics
Commission at 25 Van Ness Avenue, Suite 220, San Francisco, CA 94102, no later than April
KIMON MANOLIUS 1st. A filer who assumes office after April 1st must file this form within 30 days of the date
VICE-CHAIRPERSON
that he or she is sworn in or assumes employment. Ethics Commission Reg. 67.33-1. The
SUSAN J. HARRIMAN completed forms are public records. We recommend that you retain a copy of your completed
COMMISSIONER form for your records for at least five years. Questions regarding this form may be directed to
the Ethics Commission.
EILEEN HANSEN
COMMISSIONER
By signing below, I certify under penalty of perjury that:
Please check all applicable boxes.
CHARLES L. WARD
COMMISSIONER Sunshine Training Requirements:
‰ I have read the Sunshine Ordinance
JOHN ST. CROIX
EXECUTIVE DIRECTOR
‰ I have satisfied the Sunshine training requirements in San Francisco Administrative
Code section 67.33 by:
‰ Attending a live training seminar presented by City Attorney's Office on
________________.
Insert date

‰ Completing a self-study training course prepared by the City Attorney's Office,


which included completion of a self-study test, on ________________.
Insert date

‰ Will satisfy the Sunshine training requirements in Administrative Code section 67.33
by the end of this calendar year by either attending a live training session if offered or
completing a self-study training course prepared by the City Attorney's Office.

California Government Code section 53235 (AB 1234) Training Requirements:


‰ I am entitled to receive credit for two hours of ethics training under California
Government Code section 53235 (AB 1234) because I have:
‰ Attended a live training seminar presented by City Attorney's Office on
________________.
Insert date

‰ Completed a self-study training course prepared by the City Attorney's Office,


which included completion of a self-study test on ________________.
Insert date

_________________________________ ____________________________
Name (print) Title (print)

____________________________________________________ _________________________________________
Name of agency, department, board or commission (print) Signature and Date

25 Van Ness Avenue, Suite 220 • San Francisco, CA 94102-6053• Phone (415) 252-3100 • Fax (415) 252-3112
E-Mail Address: ethics.commission@sfgov.org Web site: sfgov.org/ethics