Sei sulla pagina 1di 4
Due By April 25, 2008 Se Dy de Aland Ethier Commission 2007 YEARLY FINANCIAL STATEMENT Le a DAVID A MEDETROS ‘72 ORCHARD STREET EAST PROVIDENCE RI 02914- L ALL QUESTIONS REFER TO THE CALENDAR YEAR JANUARY 1, 2007 THROUGH DECEMBER 31, 2007 UNLESS OTHERWISE SPECIFIED. PLEASE ANSWER ALL QUESTIONS AND WHERE YOUR ANSWER IS “NONE” OR “NOT APPLICABLE” SO ‘STATE. ANSWERS SHOULD BE PRINTED OR TYPED, and additional sheets may be used if more space is needed. For clarification of any question, read instruction sheet, ‘Seton leona teow nay sbjetyou to susan! peels, ung nes you rece. 2007 Yose tig ou shoul crac! he Ees Commins Ge nareton Sheet oreo foraton) 1 LIEBE) Dwih save re a fa — 2 Vthey) 8k fa RIN Davy sewn —/ Dt fay Ebley a SESE on 3. st Pubic Peston(e) you Hed and governmental uit [4 iy ve Yel ocveatal aac twas elected onlf/2G 1 wes appeinted on —__ | wes hired on —__ ‘ches aay Tay Ifyou no longer hold a publ positon state date of termination or resignation Whee 4, List elected office(s) for which you were/are a candidate in either calendar year 2007 or 2008 (Read instruction #4) ZL. school we Wend “2 5. List the following: NAME OF SPOUSE NAME(S) OF DEPENDENT CHILD OR CHILDREN Wore 6. List the names of any employer from which you, your spouse, or dependent child received $1,000 or more gross income during calendar year 2007. Ifself-employed, list any occupation from which $1,000 or more gross income was received, If employed by a state or municipal agency, or if self-employed and services were rendered to a state or ‘municipal agency for an amount of income in excess of $250, list the date and nature of services rendered. ifthe public position or employment listed in #3, above, provides you with an amount of gross income in excess of $250 it must be listed here. (Do Not List Amounts.) NAME OF FAMILY, NAME AND ADDRESS DATES AND NATURE: MEMBER EMPLOYED OF EMPLOYER OR OCCUPATION (OF SERVICES RENDERED SAS il Oo MOOT Pada PSE sell Eh Sheol Commitee tremboc- — oleoted offer,’ ward) 2 7. List the address or legal description of any real estate, other than your principal residence, in which you, your spouse, or dependent child had a financial interest. NAMES NATURE OF INTEREST ADDRESS OR DESCRIPTION More 8. List the name of any trust, name and address of the trustee of any trust, from which you, your spouse, or dependent child or children individually received $1,000 or more gross income. List assets if known. (Do Not List Amounts.) NAME OF TRUST: NAME OF TRUSTEE AND ADDRESS: awe oF Fawn MewaeR RecetvalG Teter Nock eea// ag ee ee asserts at 9. List the name and address of any business, profit or non-profit, in which you, your spouse, or dependent child held a position as a director, officer, partner, trustee, or a management position. NAME OF FAMILY MEMBER, NAME AND ADDRESS OF BUSINESS POsrTION 8 10. List the name and address of any interested person, or business entity, that made total gifts or total contribu- tions in excess of $100 in cash or property during calendar year 2007 to you, your spouse, or dependent child. Certain gifts from relatives and certain campaign contributions are excluded. (See instruction #10) NAME OF PERSON RECEIVING NAME AND ADDRESS OF PERSON OR ENTITY GIFTOR CONTRIBUTION MAKING GIFT OR CONTRIBUTION, Nore 11. List the name and address of any business in which you, your spouse, or dependent child individually or collectively holds a 10% or greater ownership interest, or a $6,000 or greater ownership or investment interest. [NAME OF FAMILY MEMBER [NAME AND ADDRESS OF BUSINESS [are 12. Ifany business listed in #11, above, did business in excess of a total of $250 in calendar year 2007 with a state or ‘municipal agency, AND you are a member or employee of the agency or exercise direct or legislative control over the agency, list the following: NAME AND ADDRESS NAME OF AGENCY DATE AND NATURE ‘OF BUSINESS ‘OF TRANSACTION Mare 13. if any business listed in #11, above, was a business entity subject to direct regulation by a state or municipal agency, AND you are a member or employee of the agency or exercise direct or legislative control over the agency, list the following: NAME AND ADDRESS OF BUSINESS NAME OF REGULATING AGENCY Near,

Potrebbero piacerti anche

  • Jerome Squatrito
    Jerome Squatrito
    Documento4 pagine
    Jerome Squatrito
    Angus Davis
    Nessuna valutazione finora
  • Albert S Ereio
    Albert S Ereio
    Documento4 pagine
    Albert S Ereio
    Angus Davis
    Nessuna valutazione finora
  • Barbara Gravam
    Barbara Gravam
    Documento4 pagine
    Barbara Gravam
    Angus Davis
    Nessuna valutazione finora
  • James E Thayer
    James E Thayer
    Documento4 pagine
    James E Thayer
    Angus Davis
    Nessuna valutazione finora
  • John A Sisto
    John A Sisto
    Documento4 pagine
    John A Sisto
    Angus Davis
    Nessuna valutazione finora
  • Ralph L Misto JR
    Ralph L Misto JR
    Documento4 pagine
    Ralph L Misto JR
    Angus Davis
    Nessuna valutazione finora
  • Fazioli William J
    Fazioli William J
    Documento4 pagine
    Fazioli William J
    Angus Davis
    Nessuna valutazione finora
  • Albert R Sackal
    Albert R Sackal
    Documento4 pagine
    Albert R Sackal
    Angus Davis
    Nessuna valutazione finora
  • Nino M Granateiro
    Nino M Granateiro
    Documento4 pagine
    Nino M Granateiro
    Angus Davis
    Nessuna valutazione finora
  • Alan J Tenreiro
    Alan J Tenreiro
    Documento4 pagine
    Alan J Tenreiro
    Angus Davis
    Nessuna valutazione finora
  • Barbara C Rao
    Barbara C Rao
    Documento4 pagine
    Barbara C Rao
    Angus Davis
    Nessuna valutazione finora
  • Michael J Viveiros
    Michael J Viveiros
    Documento4 pagine
    Michael J Viveiros
    Angus Davis
    Nessuna valutazione finora
  • John Sisto JR
    John Sisto JR
    Documento4 pagine
    John Sisto JR
    Angus Davis
    Nessuna valutazione finora
  • Daniel L Beardsley JR
    Daniel L Beardsley JR
    Documento4 pagine
    Daniel L Beardsley JR
    Angus Davis
    Nessuna valutazione finora
  • Raymond Cordeiro
    Raymond Cordeiro
    Documento4 pagine
    Raymond Cordeiro
    Angus Davis
    Nessuna valutazione finora
  • Ernest R Morreira
    Ernest R Morreira
    Documento4 pagine
    Ernest R Morreira
    Angus Davis
    Nessuna valutazione finora
  • Duncan Maio
    Duncan Maio
    Documento4 pagine
    Duncan Maio
    Angus Davis
    Nessuna valutazione finora
  • David A Medeiros
    David A Medeiros
    Documento4 pagine
    David A Medeiros
    Angus Davis
    Nessuna valutazione finora
  • Brian A Medeiros
    Brian A Medeiros
    Documento4 pagine
    Brian A Medeiros
    Angus Davis
    Nessuna valutazione finora
  • Gabriel M Fortin
    Gabriel M Fortin
    Documento4 pagine
    Gabriel M Fortin
    Angus Davis
    Nessuna valutazione finora
  • Alberto S Ereio
    Alberto S Ereio
    Documento4 pagine
    Alberto S Ereio
    Angus Davis
    Nessuna valutazione finora
  • John Dimaio
    John Dimaio
    Documento4 pagine
    John Dimaio
    Angus Davis
    Nessuna valutazione finora
  • Deborah C Greifer
    Deborah C Greifer
    Documento4 pagine
    Deborah C Greifer
    Angus Davis
    Nessuna valutazione finora
  • Denise DeMedeiros
    Denise DeMedeiros
    Documento4 pagine
    Denise DeMedeiros
    Angus Davis
    Nessuna valutazione finora
  • Mary Jane Dimaio
    Mary Jane Dimaio
    Documento4 pagine
    Mary Jane Dimaio
    Angus Davis
    Nessuna valutazione finora
  • Charles Coelho
    Charles Coelho
    Documento4 pagine
    Charles Coelho
    Angus Davis
    Nessuna valutazione finora
  • Becki A Abilheira
    Becki A Abilheira
    Documento4 pagine
    Becki A Abilheira
    Angus Davis
    Nessuna valutazione finora
  • Michael J Carreiro
    Michael J Carreiro
    Documento4 pagine
    Michael J Carreiro
    Angus Davis
    Nessuna valutazione finora