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This document is a disclosure statement required by the Village's Ethics Code for officials to report potential conflicts of interest, gifts, loans, and other relevant personal financial information
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How to fill out ANNUAL DISCLOSURE STATEMENT FOR THE CALENDAR YEAR 20_

01
Obtain the ANNUAL DISCLOSURE STATEMENT form from the appropriate regulatory body or online.
02
Fill in your personal information, including name, address, and contact details.
03
Provide detailed information on your financial interests, including income sources and amounts.
04
List any business affiliations or partnerships you have during the calendar year.
05
Disclose any gifts, travel, or other benefits received that may influence your decisions.
06
Review the completed form for accuracy and completeness.
07
Sign and date the form to certify the information provided is true and correct.
08
Submit the form by the specified deadline, either electronically or by mail.

Who needs ANNUAL DISCLOSURE STATEMENT FOR THE CALENDAR YEAR 20_?

01
Individuals in positions of public trust, such as government officials, candidates for public office, and certain employees who influence policy decisions.
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Example Disclosure Statement [Dr. /Mr. /Ms. name] has a potential research conflict of interest due to a financial interest with company [name of entity]. A management plan has been created to preserve objectivity in research in accordance with UTA policy.
I hereby certify that, to the best of my knowledge, neither I (including any member of my immediate family) nor any individual or entity with whom or wijt h which I have a significant working relationship have (has) received something of value from a commercial party related directly or indirectly to the subject of
Crafting an Effective Disclosure Statement Identify all relevant parties involved in the disclosure. Determine the purpose of the disclosure. Outline the information that needs to be included in the disclosure. Draft the disclosure in a straightforward and easy to understand manner.
A disclosure statement is a document used to provide important information to a party in a transaction, typically outlining material facts, risks, or conflicts that may affect decisions.
I hereby certify that, to the best of my knowledge, neither I (including any member of my immediate family) nor any individual or entity with whom or wijt h which I have a significant working relationship have (has) received something of value from a commercial party related directly or indirectly to the subject of
A disclosure statement is a document used to provide important information to a party in a transaction, typically outlining material facts, risks, or conflicts that may affect decisions.

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The Annual Disclosure Statement for the calendar year 20_ is a document that provides a comprehensive overview of the financial activities and interests of individuals or entities, ensuring transparency and accountability.
Individuals and organizations that meet specific criteria set by regulatory authorities, which may include public officials, employees in certain positions, and entities receiving government funding.
To fill out the Annual Disclosure Statement, individuals should gather all required financial information, disclose relevant interests, and complete the designated sections of the form according to the provided instructions.
The purpose of the Annual Disclosure Statement is to promote transparency, prevent conflicts of interest, and provide a mechanism for verifying compliance with ethical standards within organizations and government entities.
The information that must be reported typically includes income sources, financial interests, gifts received, liabilities, and any other relevant economic factors that could influence a person's or organization's decisions.
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