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FORM 1X AMENDMENT TO FORM 1
STATEMENT OF FINANCIAL INTERESTS
LAST NAME FIRST NAME MIDDLE NAME (same as on original Form 1):
J
L of f \'/ ////P\” Z_d6z,t\'\'
MAILING ADDRESS:
72LG^^ j T1W disinterests)
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What is form 1x amendment to?
Form 1x amendment is used to make changes or corrections to a previously filed form 1.
Who is required to file form 1x amendment to?
Anyone who needs to modify information on a previously filed form 1.
How to fill out form 1x amendment to?
You can fill out form 1x amendment by providing your identifying information, the section you are amending, and the correct information.
What is the purpose of form 1x amendment to?
The purpose of form 1x amendment is to ensure accurate and updated information is on file.
What information must be reported on form 1x amendment to?
You must report the incorrect information and provide the correct information.
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