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FORM 1 Please print or type your name, mailing address, agency name, and position below:STATEMENT OF FINANCIAL INTERESTS1LAST NAME FIRST NAME MIDDLE I AME :Ga dmCkrisMAILING ADDR.E4,5 :al Is Sec nKvi.

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Start by writing your last name followed by a comma.

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Last name -- first refers to listing the last name before the first name in a specific order.

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