HomeMy WebLinkAbout2023/09/15 - Francis, Emily - City CouncilmemberPrinted Name:MALL
FINANCIAL DISCLOSURE STATEMENT
RECEIVED
City Clerks Office
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Choose one column only and then check appropriate boxes within that column.
Column 1
T pe of Filing:
Post-Election/Appointment Filing
Annual Filing
Status:
~This is my first filing as an
elected/appointed official
(answer all questions completely)
lEiThis amends my previous filing
dated_______________
(onswer all questions completely)
~There have been no changes
since my previous filing dated
(skip to signature line)
Column 2
Type of Filing:
Candidate Filing
Status:
~his is my first filing as a
candidate
(answer all questions completely)
t~1mis amends my previous filing
dated ~tI2~~2?~
(answer all questions completely)
Column 3
Type of Filing:
H Post-Appointment FilingAnnualFiling
Status:
~his is my first filing as an
appointed official
(answer all questions completely)
~This amends my previous filing
dated_______________
(answer all questions completely)
~There have been no changes
since my previous filing dated
(skip to signature line)
List the source or sources of any income,Including capital gains,whether or not taxable,of the person making disclosure and
such person’s spouse.(It is not necessary to list amounts.)st*€~
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Indicate any financial interest in excess of $10,000 in any business entity.
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Provide the legal description of any interest in real property owned by the person making disclosure or such person’s spouse.
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List the name of each creditor to whom the person making disclosure or such person’s spouse owes money in excess of
$10,000.
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List businesses with which the person making disclosure,or such person’s spouse,are associated that do business with or are
regulated by the City of Fort Collins and the nature of such business or regulation.
Provide any additional information which the person making disclosure might desire.
Signature:a~9j)6 2
Date Fort ColLins