16101366D
HOUSE BILL NO. 892
Offered January 13, 2016
Prefiled January 12, 2016
A BILL to amend and reenact §§2.2-426, 2.2-3114, 2.2-3115
through 2.2-3118, 30-110, 30-111, and 30-356 of the Code of Virginia, relating to
Virginia Conflict of Interest and Ethics Advisory Council; prescribing forms to
be used for mandated disclosure.
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Patron-- Gilbert
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Committee Referral Pending
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Be it enacted by the General Assembly of Virginia:
1. That §§2.2-426, 2.2-3114, 2.2-3115 through 2.2-3118,
30-110, 30-111, and 30-356 of the Code of Virginia are amended and reenacted as
follows:
§2.2-426. Lobbyist reporting; penalty.
A. Each lobbyist shall file with the Council a separate
semiannual report of expenditures, including gifts, for each principal for whom
he lobbies by December 15 for the preceding six-month period complete through
the last day of October and June 15 for the preceding six-month period complete
through the last day of April.
B. Each principal who expends more than $500 to employ or
compensate multiple lobbyists shall be responsible for filing a consolidated
lobbyist report pursuant to this section in any case in which the lobbyists are
each exempt under the provisions of subdivision 7 or 8 of §2.2-420 from the
reporting requirements of this section.
C. (Effective January 1, 2016, through July 1, 2016) The
report shall be on a form provided prescribed by the Council, which shall be substantially similar to the
following and shall be accompanied by instructions provided
by the Council.
C. (Effective July 1, 2016) The report shall be on a form provided
prescribed by the Council,
which shall be substantially similar to the following and
shall be accompanied by instructions provided by the Council. All reports shall
be submitted electronically and in accordance with the standards approved by
the Council pursuant to the provisions of §30-356.
LOBBYIST'S DISCLOSURE STATEMENT
PART I:
(1) PRINCIPAL: _____________________________________________________
In Part I, item 2a, provide the name of the individual
authorizing your employment as a lobbyist. The lobbyist filing
this statement MAY NOT list his name in item 2a.
(2a) Name: __________________________________________________________
(2b) Permanent Business Address: ____________________________________
(2c) Business Telephone: ____________________________________________
(3) Provide a list of executive and legislative actions (with as
much specificity as possible) for which you lobbied and a
description of activities conducted.
________________________________________________________________
________________________________________________________________
________________________________________________________________
(4) INCORPORATED FILINGS: If you are filing an incorporated
disclosure statement, please complete the following:
Individual filing financial information: _______________________
Individuals to be included in the filing: ______________________
________________________________________________________________
(5) Please indicate which schedules will be attached to your
disclosure statement:
[ ] Schedule A: Entertainment Expenses
[ ] Schedule B: Gifts
[ ] Schedule C: Other Expenses
(6) EXPENDITURE TOTALS:
a) ENTERTAINMENT ..................................... $ ______
b) GIFTS ............................................. $ ______
c) COMMUNICATIONS .................................... $ ______
d) PERSONAL LIVING AND TRAVEL EXPENSES ............... $ ______
e) COMPENSATION OF LOBBYISTS ......................... $ ______
f) HONORARIA ......................................... $ ______
g) OTHER ............................................. $ ______
TOTAL ................................................ $ ______
PART II:
(1a) NAME OF LOBBYIST: ______________________________________________
(1b) Permanent Business Address: ____________________________________
(1c) Business Telephone: ____________________________________________
(2) As a lobbyist, you are (check one)
[ ] EMPLOYED (on the payroll of the principal)
[ ] RETAINED (not on the payroll of the principal, however
compensated)
[ ] NOT COMPENSATED (not compensated; expenses may be reimbursed)
(3) List all lobbyists other than yourself who registered to
represent your principal.
________________________________________________________________
________________________________________________________________
________________________________________________________________
(4) If you selected "EMPLOYED" as your answer to Part II, item 2,
provide your job title.
________________________________________________________________
PLEASE NOTE: Some lobbyists are not individually compensated for
lobbying activities. This may occur when several members of a firm
represent a single principal. The principal, in turn, makes a single
payment to the firm. If this describes your situation, do not answer
Part II, items 5a and 5b. Instead, complete Part III, items 1 and 2.
(5a) What was the DOLLAR AMOUNT OF YOUR COMPENSATION as a lobbyist?
(If you have job responsibilities other than those involving
lobbying, you may have to prorate to determine the part of your
salary attributable to your lobbying activities.) Transfer your
answer to this item to Part I, item 6e.
(5b) Explain how you arrived at your answer to Part II, item 5a.
________________________________________________________________
________________________________________________________________
________________________________________________________________
PART III:
PLEASE NOTE: If you answered Part II, items 5a and 5b, you WILL NOT
complete this section.
(1) List all members of your firm, organization, association,
corporation, or other entity who furnished lobbying services to
your principal.
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
(2) Indicate the total amount paid to your firm, organization,
association, corporation, or other entity for services rendered.
Transfer your answer to this item to Part I, item 6e. ___________
SCHEDULE A
ENTERTAINMENT EXPENSES
PLEASE NOTE: Any single entertainment event included in the expense
totals of the principal, with a value greater than $50, should be
itemized below. Transfer any totals from this schedule to Part I,
item 6a. (Please duplicate as needed.)
Date and Location of Event:
_____________________________________________________________________
_____________________________________________________________________
Description of Event (including whether or not it meets the criteria
of a widely attended event):
_____________________________________________________________________
_____________________________________________________________________
Total Number of Persons Attending:
_____________________________________________________________________
Names of Legislative and Executive Officials or Members of Their
Immediate Families Attending: (List names only if the average value
for each person attending the event was greater than $50.)
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Food ...................................................... $ ______
Beverages ................................................. $ ______
Transportation of Legislative and Executive Officials
or Members of Their Immediate Families .................... $ ______
Lodging of Legislative and Executive Officials or
Members of Their Immediate Families ....................... $ ______
Performers, Speakers, Etc. ................................ $ ______
Displays .................................................. $ ______
Rentals ................................................... $ ______
Service Personnel ......................................... $ ______
Miscellaneous ............................................. $ ______
TOTAL ..................................................... $ ______
SCHEDULE B
GIFTS
PLEASE NOTE: Any single gift reported in the expense totals of the
principal, with a value greater than $50, should be itemized below.
(Report meals, entertainment and travel under Schedule A.) Transfer
any totals from this schedule to Part I, item 6b. (Please duplicate
as needed.)
Name of each
legislative or
executive official
or member of his
immediate family Cost of
Date Description who is a recipient individual
of gift: of gift: of a gift: gift:
___________ __________________ ______________________ $ __________
___________ __________________ ______________________ $ __________
___________ __________________ ______________________ $ __________
___________ __________________ ______________________ $ __________
TOTAL COST TO PRINCIPAL ............................... $ __________
SCHEDULE C
OTHER EXPENSES
PLEASE NOTE: This section is provided for any lobbying-related
expenses not covered in Part I, items 6a - 6f. An example of an
expenditure to be listed on schedule C would be the rental of a
bill box during the General Assembly session. Transfer the total
from this schedule to Part I, item 6g. (Please duplicate as needed.)
DATE OF EXPENSE DESCRIPTION OF EXPENSE AMOUNT
__________________ ________________________________ $ __________
__________________ ________________________________ $ __________
__________________ ________________________________ $ __________
__________________ ________________________________ $ __________
__________________ ________________________________ $ __________
__________________ ________________________________ $ __________
__________________ ________________________________ $ __________
__________________ ________________________________ $ __________
__________________ ________________________________ $ __________
TOTAL "OTHER" EXPENSES _____________________________ $ __________
PART IV: STATEMENTS
The following items are mandatory and if they are not properly
completed, the entire filing will be rejected and returned to
the lobbyist:
(1) All signatures on the statement must be ORIGINAL in the format
specified in the instructions provided by the Council that
accompany this form. No stamps, or other reproductions of the
individual's signature will be accepted.
(2) An individual MAY NOT sign the disclosure statement as lobbyist
and principal officer.
STATEMENT OF LOBBYIST
I, the undersigned registered lobbyist, do state that the information
furnished on this disclosure statement and on all accompanying
attachments required to be made thereto is, to the best of my
knowledge and belief, complete and accurate.
________________________
Signature of lobbyist
________________________
Date
STATEMENT OF PRINCIPAL
I, the undersigned principal (or an authorized official thereof), do
state that the information furnished on this disclosure statement
and on all accompanying attachments required to be made thereto is,
to the best of my knowledge and belief, complete and accurate.
________________________
Signature of principal
________________________
Date
D. A person who knowingly and intentionally makes a false
statement of a material fact on the disclosure statement is guilty of a Class 5
felony.
E. Each lobbyist shall send to each legislative and executive
official who is required to be identified by name on Schedule A or B of the
Lobbyist's Disclosure Form a copy of Schedule A or B or a summary of the
information pertaining to that official. Copies or summaries shall be provided
to the official by November 21 for the preceding six-month period complete through
the last day of October and by May 21 for the preceding six-month period
complete through the last day of April.
§2.2-3114. Disclosure by state officers and employees.
A. The Governor, Lieutenant Governor, Attorney General,
Justices of the Supreme Court, judges of the Court of Appeals, judges of any
circuit court, judges and substitute judges of any district court, members of
the State Corporation Commission, members of the Virginia Workers' Compensation
Commission, members of the Commonwealth Transportation Board, members of the
Board of Trustees of the Virginia Retirement System, members of the Virginia
Alcoholic Beverage Control Board, and members of the Virginia Lottery Board and
other persons occupying such offices or positions of trust or employment in
state government, including members of the governing bodies of authorities, as
may be designated by the Governor, or officers or employees of the legislative
branch, as may be designated by the Joint Rules Committee of the General
Assembly, shall file with the Council, as a condition to assuming office or
employment, a disclosure statement of their personal interests and such other
information as is specified required on the form set forth in prescribed by the Council pursuant to
§2.2-3117 and thereafter shall file such a statement semiannually by December
15 for the preceding six-month period complete through the last day of October
and by June 15 for the preceding six-month period complete through the last day
of April. When the filing deadline falls on a Saturday, Sunday, or legal
holiday, the disclosure statement shall be filed on the next day that is not a
Saturday, Sunday, or legal holiday.
B. Nonsalaried citizen members of all policy and supervisory
boards, commissions and councils in the executive branch of state government,
other than the Commonwealth Transportation Board, members of the Board of
Trustees of the Virginia Retirement System, and the Virginia Lottery Board,
shall file with the Council, as a condition to assuming office, a disclosure
form of their personal interests and such other information as is specified
required on the form set forth in prescribed by the Council pursuant to
§2.2-3118 and thereafter shall file such form annually on or before December
15. When the filing deadline falls on a Saturday, Sunday, or legal holiday, the
disclosure statement shall be filed on the next day that is not a Saturday,
Sunday, or legal holiday. Nonsalaried citizen members of other boards,
commissions and councils, including advisory boards and authorities, may be
required to file a disclosure form if so designated by the Governor, in which
case the form shall be that set forth in prescribed by the Council pursuant to
§2.2-3118.
C. (Effective January 1, 2016, until July 1, 2016) The
disclosure forms required by subsections A and B shall be made available by the
Council at least 30 days prior to the filing deadline. Disclosure forms shall
be filed and maintained as public records for five years in the office of the
Council. Such forms shall be made public no later than six weeks after filing.
C. (Effective July 1, 2016) The disclosure forms required by
subsections A and B shall be made available by the Council at least 30 days
prior to the filing deadline. Disclosure forms shall be filed electronically
with the Council in accordance with the standards approved by it pursuant to §
30-356. All forms shall be maintained as public records for five years in the
office of the Council. Such forms shall be made public no later than six weeks
after filing.
D. Candidates for the offices of Governor, Lieutenant Governor
or Attorney General shall file a disclosure statement of their personal
interests as required by §24.2-502.
E. Any officer or employee of state government who has a
personal interest in any transaction before the governmental or advisory agency
of which he is an officer or employee and who is disqualified from
participating in that transaction pursuant to subdivision A 1 of §2.2-3112, or
otherwise elects to disqualify himself, shall forthwith make disclosure of the
existence of his interest, including the full name and address of the business
and the address or parcel number for the real estate if the interest involves a
business or real estate, and his disclosure shall also be reflected in the
public records of the agency for five years in the office of the administrative
head of the officer's or employee's governmental agency or advisory agency or,
if the agency has a clerk, in the clerk's office.
F. An officer or employee of state government who is required
to declare his interest pursuant to subdivision A 2 of §2.2-3112, shall
declare his interest by stating (i) the transaction involved, (ii) the nature
of the officer's or employee's personal interest affected by the transaction,
(iii) that he is a member of a business, profession, occupation, or group the
members of which are affected by the transaction, and (iv) that he is able to
participate in the transaction fairly, objectively, and in the public interest.
The officer or employee shall either make his declaration orally to be recorded
in written minutes for his agency or file a signed written declaration with the
clerk or administrative head of his governmental or advisory agency, as
appropriate, who shall, in either case, retain and make available for public
inspection such declaration for a period of five years from the date of
recording or receipt. If reasonable time is not available to comply with the
provisions of this subsection prior to participation in the transaction, the
officer or employee shall prepare and file the required declaration by the end
of the next business day.
G. An officer or employee of state government who is required
to declare his interest pursuant to subdivision A 3 of §2.2-3112, shall declare
his interest by stating (i) the transaction involved, (ii) that a party to the
transaction is a client of his firm, (iii) that he does not personally
represent or provide services to the client, and (iv) that he is able to
participate in the transaction fairly, objectively, and in the public interest.
The officer or employee shall either make his declaration orally to be recorded
in written minutes for his agency or file a signed written declaration with the
clerk or administrative head of his governmental or advisory agency, as
appropriate, who shall, in either case, retain and make available for public
inspection such declaration for a period of five years from the date of
recording or receipt. If reasonable time is not available to comply with the provisions
of this subsection prior to participation in the transaction, the officer or
employee shall prepare and file the required declaration by the end of the next
business day.
H. Notwithstanding any other provision of law, chairs of
departments at a public institution of higher education in the Commonwealth
shall not be required to file the disclosure form prescribed by the Council pursuant to §
2.2-3117 or 2.2-3118.
§2.2-3115. Disclosure by local government
officers and employees.
A. The members of every governing body and school board of
each county and city and of towns with populations in excess of 3,500 shall
file, as a condition to assuming office or employment, a disclosure statement
of their personal interests and other information as is
specified required
on the form set forth in prescribed by the Council pursuant to
§2.2-3117 and thereafter shall file such a statement semiannually by December
15 for the preceding six-month period complete through the last day of October
and by June 15 for the preceding six-month period complete through the last day
of April.
The members of the governing body of any authority established
in any county or city, or part or combination thereof, and having the power to
issue bonds or expend funds in excess of $10,000 in any fiscal year, shall
file, as a condition to assuming office, a disclosure statement of their
personal interests and other information as is
specified required
on the form set forth in prescribed by the Council pursuant to
§2.2-3118 and thereafter shall file such a statement annually on or before
December 15, unless the governing body of the jurisdiction that appoints the
members requires that the members file the form set
forth in prescribed by the
Council pursuant to §2.2-3117 semiannually by December 15
for the preceding six-month period complete through the last day of October and
by June 15 for the preceding six-month period complete through the last day of
April.
Persons occupying such positions of trust appointed by
governing bodies and persons occupying such positions of employment with
governing bodies as may be designated to file by ordinance of the governing
body shall file, as a condition to assuming office or employment, a disclosure
statement of their personal interests and other information as is specified
required on the form set forth in prescribed by the Council in §
2.2-3117 and thereafter shall file such a statement semiannually by December 15
for the preceding six-month period complete through the last day of October and
by June 15 for the preceding six-month period complete through the last day of
April.
Persons occupying such positions of trust appointed by school
boards and persons occupying such positions of employment with school boards as
may be designated to file by an adopted policy of the school board shall file,
as a condition to assuming office or employment, a disclosure statement of
their personal interests and other information as is
specified required
on the form set forth in prescribed by the Council pursuant to
§2.2-3117 and thereafter shall file such a statement semiannually by December
15 for the preceding six-month period complete through the last day of October
and by June 15 for the preceding six-month period complete through the last day
of April.
B. Nonsalaried citizen members of local boards, commissions
and councils as may be designated by the governing body shall file, as a
condition to assuming office, a disclosure form of their personal interests and
such other information as is specified required on the form set forth in prescribed by the Council pursuant to
§2.2-3118 and thereafter shall file such form annually on or before December
15.
C. No person shall be mandated to file any disclosure not
otherwise required by this article.
D. The disclosure forms required by subsections A and B shall
be made available by the Virginia Conflict of Interest and Ethics Advisory
Council at least 30 days prior to the filing deadline, and the clerks of the
governing body and school board shall distribute the forms to designated
individuals at least 20 days prior to the filing deadline. Forms shall be filed
and maintained as public records for five years in the office of the clerk of
the respective governing body or school board. Forms filed by members of governing
bodies of authorities shall be filed and maintained as public records for five
years in the office of the clerk of the governing body of the county or city.
Such forms shall be made public no later than six weeks after filing.
E. Candidates for membership in the governing body or school
board of any county, city or town with a population of more than 3,500 persons
shall file a disclosure statement of their personal interests as required by §
24.2-502.
F. Any officer or employee of local government who has a
personal interest in any transaction before the governmental or advisory agency
of which he is an officer or employee and who is disqualified from
participating in that transaction pursuant to subdivision A 1 of §2.2-3112 or
otherwise elects to disqualify himself, shall forthwith make disclosure of the
existence of his interest, including the full name and address of the business
and the address or parcel number for the real estate if the interest involves a
business or real estate, and his disclosure shall be reflected in the public
records of the agency for five years in the office of the administrative head
of the officer's or employee's governmental or advisory agency.
G. In addition to any disclosure required by subsections A and
B, in each county and city and in towns with populations in excess of 3,500,
members of planning commissions, boards of zoning appeals, real estate
assessors, and all county, city and town managers or executive officers shall
make annual disclosures of all their interests in real estate located in the
county, city or town in which they are elected, appointed, or employed. Such
disclosure shall include any business in which such persons own an interest, or
from which income is received, if the primary purpose of the business is to
own, develop or derive compensation through the sale, exchange or development
of real estate in the county, city or town. Such disclosure shall be filed as a
condition to assuming office or employment, and thereafter shall be filed
annually with the clerk of the governing body of such county, city, or town on
or before December 15. Such disclosures shall be filed and maintained as public
records for five years. Such forms shall be made public no later than six weeks
after filing. Forms for the filing of such reports shall be made available by
the Virginia Conflict of Interest and Ethics Advisory Council to the clerk of
each governing body.
H. An officer or employee of local government who is required
to declare his interest pursuant to subdivision A 2 of §2.2-3112 shall declare
his interest by stating (i) the transaction involved, (ii) the nature of the
officer's or employee's personal interest affected by the transaction, (iii)
that he is a member of a business, profession, occupation, or group the members
of which are affected by the transaction, and (iv) that he is able to
participate in the transaction fairly, objectively, and in the public interest.
The officer or employee shall either make his declaration orally to be recorded
in written minutes for his agency or file a signed written declaration with the
clerk or administrative head of his governmental or advisory agency, as
appropriate, who shall, in either case, retain and make available for public
inspection such declaration for a period of five years from the date of
recording or receipt. If reasonable time is not available to comply with the
provisions of this subsection prior to participation in the transaction, the
officer or employee shall prepare and file the required declaration by the end
of the next business day. The officer or employee shall also orally disclose
the existence of the interest during each meeting of the governmental or
advisory agency at which the transaction is discussed and such disclosure shall
be recorded in the minutes of the meeting.
I. An officer or employee of local government who is required
to declare his interest pursuant to subdivision A 3 of §2.2-3112, shall
declare his interest by stating (i) the transaction involved, (ii) that a party
to the transaction is a client of his firm, (iii) that he does not personally
represent or provide services to the client, and (iv) that he is able to
participate in the transaction fairly, objectively, and in the public interest.
The officer or employee shall either make his declaration orally to be recorded
in written minutes for his agency or file a signed written declaration with the
clerk or administrative head of his governmental or advisory agency, as
appropriate, who shall, in either case, retain and make available for public
inspection such declaration for a period of five years from the date of
recording or receipt. If reasonable time is not available to comply with the
provisions of this subsection prior to participation in the transaction, the
officer or employee shall prepare and file the required declaration by the end
of the next business day.
§2.2-3116. (Effective July 1, 2016) Disclosure by certain
constitutional officers.
For the purposes of this chapter, holders of the
constitutional offices of treasurer, sheriff, attorney for the Commonwealth,
clerk of the circuit court, and commissioner of the revenue of each county and
city shall be required to file with the Council, as a condition to assuming
office, the Statement of Economic Interests set
forth in prescribed by the
Council pursuant to §2.2-3117. These officers shall file
statements semiannually by December 15 for the preceding six-month period
complete through the last day of October and by June 15 for the preceding
six-month period complete through the last day of April. Candidates shall file
statements as required by §24.2-502. Statements shall be filed electronically
with the Council in accordance with the standards approved by it pursuant to §
30-356. These officers shall be subject to the prohibition on certain gifts set
forth in subsection B of §2.2-3103.1.
§2.2-3116. (Effective from January 1, 2016, until
July 1, 2016) Disclosure by certain constitutional officers.
For the purposes of this chapter, holders of the
constitutional offices of treasurer, sheriff, attorney for the Commonwealth,
clerk of the circuit court, and commissioner of the revenue of each county and
city shall be required to file with the Council, as a condition to assuming
office, the Statement of Economic Interests set
forth in prescribed by the
Council pursuant to §2.2-3117. These officers shall file
statements semiannually by December 15 for the preceding six-month period
complete through the last day of October and by June 15 for the preceding
six-month period complete through the last day of April. Candidates shall file
statements as required by §24.2-502. These officers shall be subject to the
prohibition on certain gifts set forth in subsection B of §2.2-3103.1.
§2.2-3117. Disclosure form.
(Effective from January 1, 2016, until July 1, 2016) The
disclosure form to be used for filings required by subsections A and D of §
2.2-3114 and subsections A and E of §2.2-3115 shall be
substantially similar to the following
prescribed by the Council. Any person who knowingly and
intentionally makes a false statement of a material fact on the Statement of
Economic Interests is guilty of a Class 5 felony.
(Effective July 1, 2016) The disclosure form to be used for
filings required by subsections A and D of §2.2-3114 and subsections A and E
of §2.2-3115 shall be substantially similar
to the following prescribed by the
Council. Except as otherwise provided in §2.2-3115, all
completed forms shall be filed electronically with the Council in accordance with
the standards approved by it pursuant to §30-356. Any person who knowingly and
intentionally makes a false statement of a material fact on the Statement of
Economic Interests is guilty of a Class 5 felony.
STATEMENT OF ECONOMIC
INTERESTS.
Name__________________________________________________________
Office or position held
or sought_____________________________________
Address________________________________________________________
Names of members of
immediate family________________________________
DEFINITIONS AND
EXPLANATORY MATERIAL.
"Business"
means a corporation, partnership, sole proprietorship, firm, enterprise,
franchise, association, trust or foundation, or any other individual or entity
carrying on a business or profession, whether or not for profit.
"Close financial
association" means an association in which the person filing shares
significant financial involvement with an individual and the filer would
reasonably be expected to be aware of the individual's business activities and
would have access to the necessary records either directly or through the
individual. "Close financial association" does not mean an
association based on (i) the receipt of retirement benefits or deferred
compensation from a business by which the person filing this statement is no
longer employed, or (ii) the receipt of compensation for work performed by the
person filing as an independent contractor of a business that represents an
entity before any state governmental agency when the person filing has had no
communications with the state governmental agency.
"Contingent
liability" means a liability that is not presently fixed or determined,
but may become fixed or determined in the future with the occurrence of some
certain event.
"Gift" means
any gratuity, favor, discount, entertainment, hospitality, loan, forbearance,
or other item having monetary value. It includes services as well as gifts of
transportation, lodgings and meals, whether provided in-kind, by purchase of a
ticket, payment in advance or reimbursement after the expense has been
incurred. "Gift" does not include (i) any offer of a ticket, coupon,
or other admission or pass unless the ticket, coupon, admission, or pass is
used; (ii) honorary degrees; (iii) any athletic, merit, or need-based scholarship
or any other financial aid awarded by a public or private school, institution
of higher education, or other educational program pursuant to such school,
institution, or program's financial aid standards and procedures applicable to
the general public; (iv) a campaign contribution properly received and reported
pursuant to Chapter 9.3 (§24.2-945 et seq.) of Title 24.2; (v) any gift
related to the private profession or occupation of an officer or employee or of
a member of his immediate family; (vi) food or beverages consumed while
attending an event at which the filer is performing official duties related to
his public service; (vii) food and beverages received at or registration or
attendance fees waived for any event at which the filer is a featured speaker, presenter,
or lecturer; (viii) unsolicited awards of appreciation or recognition in the
form of a plaque, trophy, wall memento, or similar item that is given in
recognition of public, civic, charitable, or professional service; (ix) a
devise or inheritance; (x) travel disclosed pursuant to the Campaign Finance
Disclosure Act (§24.2-945 et seq.); (xi) travel paid for or provided by the
government of the United States, any of its territories, or any state or any
political subdivision of such state; (xii) travel provided to facilitate
attendance by a legislator at a regular or special session of the General
Assembly, a meeting of a legislative committee or commission, or a national
conference where attendance is approved by the House or Senate Committee on Rules;
(xiii) travel related to an official meeting of the Commonwealth, its political
subdivisions, or any board, commission, authority, or other entity, or any
charitable organization established pursuant to §501(c)(3) of the Internal
Revenue Code affiliated with such entity, to which such person has been
appointed or elected or is a member by virtue of his office or employment; or
(xiv) gifts from relatives or personal friends. "Relative" means the
donee's spouse, child, uncle, aunt, niece, nephew, or first cousin; a person to
whom the donee is engaged to be married; the donee's or his spouse's parent,
grandparent, grandchild, brother, sister, step-parent, step-grandparent,
step-grandchild, step-brother, or step-sister; or the donee's brother's or
sister's spouse. "Personal friend" does not include any person that
the filer knows or has reason to know is (a) a lobbyist registered pursuant to
Article 3 (§2.2-418 et seq.) of Chapter 4 of Title 2.2; (b) a lobbyist's
principal as defined in §2.2-419; (c) for an officer or employee of a local
governmental or advisory agency, a person, organization, or business who is a
party to or is seeking to become a party to a contract with the local agency of
which he is an officer or an employee; or (d) for an officer or employee of a
state governmental or advisory agency, a person, organization, or business who
is a party to or is seeking to become a party to a contract with the
Commonwealth. "Person, organization, or business" includes
individuals who are officers, directors, or owners of or who have a controlling
ownership interest in such organization or business.
"Immediate
family" means (i) a spouse and (ii) any other person who resides in the
same household as the officer or employee and who is a dependent of the officer
or employee.
TRUST. If you or your
immediate family, separately or together, are the only beneficiaries of a
trust, treat the trust's assets as if you own them directly. If you or your
immediate family has a proportional interest in a trust, treat that proportion
of the trust's assets as if you own them directly. For example, if you and your
immediate family have a one-third interest in a trust, complete your Statement
as if you own one-third of each of the trust's assets. If you or a member of
your immediate family created a trust and can revoke it without the
beneficiaries' consent, treat its assets as if you own them directly.
REPORT TO THE BEST OF
INFORMATION AND BELIEF. Information required on this Statement must be provided
on the basis of the best knowledge, information, and belief of the individual
filing the Statement as of the date of this report unless otherwise stated.
COMPLETE ITEMS 1
THROUGH 10. REFER TO SCHEDULES ONLY IF DIRECTED.
You may attach
additional explanatory information.
1. Offices and
Directorships.
Are you or a member of
your immediate family a paid officer or paid director of a business?
EITHER check NO / / OR
check YES / / and complete Schedule A.
2. Personal
Liabilities.
Do you or a member of
your immediate family owe more than $5,000 to any one creditor including
contingent liabilities? (Exclude debts to any government and loans secured by
recorded liens on property at least equal in value to the loan.)
EITHER check NO / / OR
check YES / / and complete Schedule B.
3. Securities.
Do you or a member of
your immediate family, directly or indirectly, separately or together, own
securities valued in excess of $5,000 invested in one business? Account for
mutual funds, limited partnerships and trusts.
EITHER check NO / / OR
check YES / / and complete Schedule C.
4. Payments for Talks,
Meetings, and Publications.
During the past six
months did you receive in your capacity as an officer or employee of your
agency lodging, transportation, money, or anything else of value with a combined
value exceeding $100 (i) for a single talk, meeting, or published work or (ii)
for a meeting, conference, or event where your attendance at the meeting,
conference, or event was designed to (a) educate you on issues relevant to your
duties as an officer or employee of your agency or (b) enhance your knowledge
and skills relative to your duties as an officer or employee of your agency?
EITHER check NO / / OR
check YES / / and complete Schedule D.
5. Gifts.
During the past six
months did a business, government, or individual other than a relative or
personal friend (i) furnish you or a member of your immediate family with any
gift or entertainment at a single event and the value received exceeded $50 or
(ii) furnish you or a member of your immediate family with gifts or
entertainment in any combination and the total value received exceeded $50, and
for which you or the member of your immediate family neither paid nor rendered
services in exchange? Account for entertainment events only if the average value
per person attending the event exceeded $50. Account for all business
entertainment (except if related to the private profession or occupation of you
or the member of your immediate family who received such business
entertainment) even if unrelated to your official duties.
EITHER check NO / / OR
check YES / / and complete Schedule E.
6. Salary and Wages.
List each employer that
pays you or a member of your immediate family salary or wages in excess of
$5,000 annually. (Exclude state or local government or advisory agencies.)
If no reportable salary
or wages, check here / /.
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
7. Business Interests.
Do you or a member of
your immediate family, separately or together, operate your own business, or
own or control an interest in excess of $5,000 in a business?
EITHER check NO / / OR
check YES / / and complete Schedule F.
8. Payments for
Representation and Other Services.
8A. Did you represent,
excluding activity defined as lobbying in §2.2-419, any businesses before any
state governmental agencies, excluding courts or judges, for which you received
total compensation during the past six months in excess of $1,000, excluding
compensation for other services to such businesses and representation
consisting solely of the filing of mandatory papers and subsequent
representation regarding the mandatory papers? (Officers and employees of local
governmental and advisory agencies do NOT need to answer this question or
complete Schedule G-1.)
EITHER check NO / / OR
check YES / / and complete Schedule G-1.
8B. Subject to the same
exceptions as in 8A, did persons with whom you have a close financial
association (partners, associates or others) represent, excluding activity
defined as lobbying in §2.2-419, any businesses before any state governmental
agency for which total compensation was received during the past six months in
excess of $1,000? (Officers and employees of local governmental and advisory
agencies do NOT need to answer this question or complete Schedule G-2.)
EITHER check NO / / OR
check YES / / and complete Schedule G-2.
8C. Did you or persons with
whom you have a close financial association furnish services to businesses
operating in Virginia pursuant to an agreement between you and such businesses,
or between persons with whom you have a close financial association and such
businesses for which total compensation in excess of $1,000 was received during
the past six months? Services reported under this provision shall not include
services involving the representation of businesses that are reported under
item 8A or 8B.
EITHER check NO / / OR
check YES / / and complete Schedule G-3.
9. Real Estate.
9A. State Officers and
Employees.
Do you or a member of
your immediate family hold an interest, including a partnership interest,
valued at more than $5,000 in real property (other than your principal residence)
for which you have not already listed the full address on Schedule F? Account
for real estate held in trust.
EITHER check NO / / OR
check YES / / and complete Schedule H-1.
9B. Local Officers and
Employees.
Do you or a member of
your immediate family hold an interest, including a partnership interest, or
option, easement, or land contract, valued at more than $5,000 in real property
(other than your principal residence) for which you have not already listed the
full address on Schedule F? Account for real estate held in trust.
EITHER check NO / / OR
check YES / / and complete Schedule H-2.
10. Real Estate
Contracts with Governmental Agencies.
Do you or a member of
your immediate family hold an interest valued at more than $5,000 in real
estate, including a corporate, partnership, or trust interest, option,
easement, or land contract, which real estate is the subject of a contract,
whether pending or completed within the past six months, with a governmental
agency? If the real estate contract provides for the leasing of the property to
a governmental agency, do you or a member of your immediate family hold an
interest in the real estate valued at more than $1,000? Account for all such
contracts whether or not your interest is reported in Schedule F, H-1, or H-2.
This requirement to disclose an interest in a lease does not apply to an
interest derived through an ownership interest in a business unless the
ownership interest exceeds three percent of the total equity of the business.
EITHER check NO / / OR
check YES / / and complete Schedule I.
Statements of Economic
Interests are open for public inspection.
AFFIRMATION BY ALL
FILERS.
I swear or affirm that
the foregoing information is full, true and correct to the best of my
knowledge.
Signature________________________________
(Return only if needed
to complete Statement.)
SCHEDULES to STATEMENT
OF ECONOMIC INTERESTS.
NAME__________________________________
SCHEDULE A -- OFFICES
AND DIRECTORSHIPS.
Identify each business
of which you or a member of your immediate family is a paid officer or paid
director.
_______________________________________________________________________
Name of Business Address of Business Position Held and by Whom
___________________ _____________________ _________________________
___________________ _____________________ _________________________
___________________ _____________________ _________________________
___________________ _____________________ _________________________
_______________________________________________________________________
RETURN TO ITEM 2
SCHEDULE B -- PERSONAL
LIABILITIES.
Report personal
liability by checking each category. Report only debts in excess of $5,000. Do
not report debts to any government. Do not report loans secured by recorded
liens on property at least equal in value to the loan.
Report contingent
liabilities below and indicate which debts are contingent.
1. My personal debts
are as follows:
_______________________________________________________________________
Check Check one
appropriate $5,001 to More than
categories $50,000 $50,000
Banks __________ _________
Savings institutions __________ _________
Other loan or finance companies __________ _________
Insurance companies __________ _________
Stock, commodity or other brokerage companies __________ _________
Other businesses:
(State principal business activity for each
creditor and its name.)
_________________________________________ __________ _________
_________________________________________ __________ _________
Individual creditors:
(State principal business or occupation of
each creditor and its name.)
_________________________________________ __________ _________
_________________________________________ __________ _________
_______________________________________________________________________
2. The personal debts
of the members of my immediate family are as follows:
_______________________________________________________________________
Check Check one
appropriate $5,001 to More than
categories $50,000 $50,000
Banks __________ _________
Savings institutions __________ _________
Other loan or finance companies __________ _________
Insurance companies __________ _________
Stock, commodity or other brokerage companies __________ _________
Other businesses:
(State principal business activity for each
creditor and its name.)
_________________________________________ __________ _________
_________________________________________ __________ _________
Individual creditors:
(State principal business or occupation of
each creditor and its name.)
_________________________________________ __________ _________
_________________________________________ __________ _________
_______________________________________________________________________
RETURN TO ITEM 3
SCHEDULE C --
SECURITIES.
"Securities"
INCLUDES stocks, bonds, mutual funds, limited partnerships, and commodity
futures contracts.
"Securities"
EXCLUDES certificates of deposit, money market funds, annuity contracts, and
insurance policies.
Identify each business
or Virginia governmental entity in which you or a member of your immediate
family, directly or indirectly, separately or together, own securities valued
in excess of $5,000. Name each issuer and type of security individually.
Do not list U.S. Bonds
or other government securities not issued by the Commonwealth of Virginia or
its authorities, agencies, or local governments. Do not list organizations that
do not do business in this Commonwealth, but most major businesses conduct
business in Virginia. Account for securities held in trust.
If no reportable
securities, check here / /.
____________________________________________________________________________
Check one
Type of Security $5,001 $50,001 More
(stocks, bonds, mutual to to than
Name of Issuer funds, etc.) $50,000 $250,000 $250,000
________________________ _______________________ _______ _______ ________
________________________ _______________________ _______ _______ ________
________________________ _______________________ _______ _______ ________
________________________ _______________________ _______ _______ ________
____________________________________________________________________________
RETURN TO ITEM 4
SCHEDULE D -- PAYMENTS
FOR TALKS, MEETINGS, AND PUBLICATIONS.
List each source from
which you received during the past six months in your capacity as an officer or
employee of your agency lodging, transportation, money, or any other thing of
value with combined value exceeding $100 (i) for your presentation of a single
talk, participation in one meeting, or publication of a work or (ii) for your
attendance at a meeting, conference, or event where your attendance at the
meeting, conference, or event was designed to (a) educate you on issues
relevant to your duties as an officer or employee of your agency or (b) enhance
your knowledge and skills relative to your duties as an officer or employee of
your agency. Any lodging, transportation, money, or other thing of value
received by an officer or employee that does not satisfy the provisions of
clause (i), (ii) (a), or (ii) (b) shall be listed as a gift on Schedule E.
List payments or
reimbursements by an advisory or governmental agency only for meetings or
travel outside the Commonwealth.
List a payment even if
you donated it to charity.
Do not list information
about a payment if you returned it within 60 days or if you received it from an
employer already listed under Item 6 or from a source of income listed on
Schedule F.
If no payment must be
listed, check here / /.
________________________________________________________________________
Type of payment
(e.g., honoraria,
travel reimburse-
Payer Approximate Value Circumstances ment, etc.)
________________ __________________ _______________ _________________
________________ __________________ _______________ _________________
________________ __________________ _______________ _________________
________________ __________________ _______________ _________________
________________________________________________________________________
RETURN TO ITEM 5
SCHEDULE E -- GIFTS.
List each business,
governmental entity, or individual that, during the past six months, (i)
furnished you or a member of your immediate family with any gift or
entertainment at a single event, and the value received exceeded $50 or (ii)
furnished you or a member of your immediate family with gifts or entertainment
in any combination and the total value received exceeded $50, and for which you
or the member of your immediate family neither paid nor rendered services in
exchange. List each such gift or event. Do not list entertainment events unless
the average value per person attending the event exceeded $50. Do not list
business entertainment related to the private profession or occupation of you
or the member of your immediate family who received such business entertainment.
Do not list gifts or other things of value given by a relative or personal
friend for reasons clearly unrelated to your public position. Do not list
campaign contributions publicly reported as required by Chapter 9.3 (§24.2-945
et seq.) of Title 24.2 of the Code of Virginia.
_________________________________________________________________________
Name of Business, City or Exact
Name of Organization, or County Gift or Approximate
Recipient Individual and State Event Value
___________ __________________ __________ ___________ ___________
___________ __________________ __________ ___________ ___________
___________ __________________ __________ ___________ ___________
___________ __________________ __________ ___________ ___________
________________________________________________ ________________________
RETURN TO ITEM 6
SCHEDULE F -- BUSINESS
INTERESTS.
Complete this Schedule
for each self-owned or family-owned business (including rental property, a
farm, or consulting work), partnership, or corporation in which you or a member
of your immediate family, separately or together, own an interest having a
value in excess of $5,000.
If the enterprise is
owned or operated under a trade, partnership, or corporate name, list that
name; otherwise, merely explain the nature of the enterprise. If rental
property is owned or operated under a trade, partnership, or corporate name,
list the name only; otherwise, give the address of each property. Account for
business interests held in trust.
___________________________________________________________________________
Name of Business, Gross Income
Corporation,
Partnership, City or Nature of Enterprise $50,001 More
Farm; Address of County (farming, law, rental $50,000 to than
Rental Property and State property, etc.) or less $250,000 $250,000
________________ _________ _____________________ ________ ________ ________
________________ _________ _____________________ ________ ________ ________
________________ _________ _____________________ ________ ________ ________
________________ _________ _____________________ ________ ________ ________
___________________________________________________________________________
RETURN TO ITEM 8
SCHEDULE G-1 --
PAYMENTS FOR REPRESENTATION BY YOU.
List the businesses you
represented, excluding activity defined as lobbying in §2.2-419, before any
state governmental agency, excluding any court or judge, for which you received
total compensation during the past six months in excess of $1,000, excluding
compensation for other services to such businesses and representation
consisting solely of the filing of mandatory papers and subsequent
representation regarding the mandatory papers filed by you.
Identify each business,
the nature of the representation and the amount received by dollar category
from each such business. You may state the type, rather than name, of the
business if you are required by law not to reveal the name of the business
represented by you.
Only STATE officers and
employees should complete this Schedule.
_____________________________________________________________________
Pur- Amount Received
pose
Name Type of Name
of of Repre- of $1,001 $10,001 $50,001 $100,001 $250,001
Busi- Busi- senta- Agen- to to to to and
ness ness tion cy $10,000 $50,000 $100,000 $250,000 over
_____ _____ ______ ______ _______ _______ ________ _________ ________
_____ _____ ______ ______ _______ _______ ________ _________ ________
_____ _____ ______ ______ _______ _______ ________ _________ ________
_____ _____ ______ ______ _______ _______ ________ _________ ________
_____________________________________________________________________
If you have received
$250,001 or more from a single business within the reporting period, indicate
the amount received, rounded to the nearest $10,000.
Amount Received:
_______________________.
SCHEDULE G-2 --
PAYMENTS FOR REPRESENTATION BY ASSOCIATES.
List the businesses that have been represented, excluding
activity defined as lobbying in §2.2-419, before any state governmental
agency, excluding any court or judge, by persons who are your partners,
associates or others with whom you have a close financial association and who
received total compensation in excess of $1,000 for such representation during
the past six months, excluding representation consisting solely of the filing
of mandatory papers and subsequent representation regarding the mandatory papers
filed by your partners, associates or others with whom you have a close
financial association.
Identify such
businesses by type and also name the state governmental agencies before which
such person appeared on behalf of such businesses.
Only STATE officers and
employees should complete this Schedule.
______________________________________________________________
Type of business Name of state governmental agency
____________________ ______________________________________
____________________ ______________________________________
____________________ ______________________________________
____________________ ______________________________________
______________________________________________________________
SCHEDULE G-3 -- PAYMENTS
FOR OTHER SERVICES GENERALLY.
Indicate below types of
businesses that operate in Virginia to which services were furnished by you or
persons with whom you have a close financial association pursuant to an
agreement between you and such businesses, or between persons with whom you
have a close financial association and such businesses and for which total
compensation in excess of $1,000 was received during the past six months.
Services reported in this Schedule shall not include services involving the representation
of businesses that are reported in Schedule G-1 or G-2.
Identify opposite each
category of businesses listed below (i) the type of business, (ii) the type of
service rendered and (iii) the value by dollar category of the compensation
received for all businesses falling within each category.
___________________________________________________________________________
Check Value of Compensation
if Type
ser- of
vices ser-
were vice $1,001 $10,001 $50,001 $100,001 $250,001
ren- ren- to to to to and
dered dered $10,000 $50,000 $100,000 $250,000 over
Electric utilities _____ _____ _______ _______ ________ ________ ________
Gas utilities _____ _____ _______ _______ ________ ________ ________
Telephone utilities _____ _____ _______ _______ ________ ________ ________
Water utilities _____ _____ _______ _______ ________ ________ ________
Cable television
companies _____ _____ _______ _______ ________ ________ ________
Interstate
transportation
companies _____ _____ _______ _______ ________ ________ ________
Intrastate
transportation
companies _____ _____ _______ _______ ________ ________ ________
Oil or gas retail
companies _____ _____ _______ _______ ________ ________ ________
Banks _____ _____ _______ _______ ________ ________ ________
Savings institutions _____ _____ _______ _______ ________ ________ ________
Loan or finance
companies _____ _____ _______ _______ ________ ________ ________
Manufacturing
companies (state
type of product,
e.g., textile,
furniture, etc.) _____ _____ _______ _______ ________ ________ ________
Mining companies _____ _____ _______ _______ ________ ________ ________
Life insurance
companies _____ _____ _______ _______ ________ ________ ________
Casualty insurance
companies _____ _____ _______ _______ ________ ________ ________
Other insurance
companies _____ _____ _______ _______ ________ ________ ________
Retail companies _____ _____ _______ _______ ________ ________ ________
Beer, wine or liquor
companies or
distributors _____ _____ _______ _______ ________ ________ ________
Trade associations _____ _____ _______ _______ ________ ________ ________
Professional
associations _____ _____ _______ _______ ________ ________ ________
Associations of
public employees
or officials _____ _____ _______ _______ ________ ________ ________
Counties, cities
or towns _____ _____ _______ _______ ________ ________ ________
Labor organizations _____ _____ _______ _______ ________ ________ ________
Other _____ _____ _______ _______ ________ ________ ________
___________________________________________________________________________
RETURN TO ITEM 9
SCHEDULE H-1 -- REAL
ESTATE -- STATE OFFICERS AND EMPLOYEES.
List real estate other
than your principal residence in which you or a member of your immediate family
holds an interest, including a partnership interest, option, easement, or land
contract, valued at more than $5,000. Each parcel shall be listed individually.
_________________________________________________________________________
Describe the type of real
List each location estate you own in each If the real estate is
(state, and county location (business, recre- owned or recorded in
or city) where you ational, apartment, com- a name other than your
own real estate. mercial, open land, etc.). own, list that name.
_____________________ __________________________ ______________________
_____________________ __________________________ ______________________
_____________________ __________________________ ______________________
_____________________ __________________________ ______________________
_____________________ __________________________ ______________________
_________________________________________________________________________
SCHEDULE H-2 -- REAL
ESTATE -- LOCAL OFFICERS AND EMPLOYEES.
List real estate other
than your principal residence in which you or a member of your immediate family
holds an interest, including a partnership interest or option, easement, or
land contract, valued at more than $5,000. Each parcel shall be listed
individually. Also list the names of any co-owners of such property, if
applicable.
_________________________________________________________________________
Describe the type
of real estate
you own in
each location If the real estate
List each location (business, is owned or rec-
(state, and county recreational, orded in a name
or city) where apartment, com- other than your List the names
you own real mercial, open own, list that of any co-owners,
estate. land, etc.). name. if applicable.
__________________ _________________ __________________ _________________
__________________ _________________ __________________ _________________
__________________ _________________ __________________ _________________
__________________ _________________ __________________ _________________
__________________ _________________ __________________ _________________
_________________________________________________________________________
SCHEDULE I -- REAL
ESTATE CONTRACTS WITH GOVERNMENTAL AGENCIES.
List all contracts,
whether pending or completed within the past six months, with a governmental
agency for the sale or exchange of real estate in which you or a member of your
immediate family holds an interest, including a corporate, partnership or trust
interest, option, easement, or land contract, valued at more than $10,000. List
all contracts with a governmental agency for the lease of real estate in which
you or a member of your immediate family holds such an interest valued at more
than $1,000. This requirement to disclose an interest in a lease does not apply
to an interest derived through an ownership interest in a business unless the
ownership interest exceeds three percent of the total equity of the business.
State officers and
employees report contracts with state agencies.
Local officers and
employees report contracts with local agencies.
_______________________________________________________________________
List your real estate
interest and the
person or entity,
including the type
of entity, which
is party to
the contract. State the annual
Describe any income from the
management role and List each governmental contract, and the
the percentage agency which is a amount, if any, of
ownership party to the contract income you or any
interest you or your and indicate the immediate family
immediate family county or city where member derives
member has in the real the real estate annually from the
estate or entity. is located. contract.
______________________ ________________________ ___________________
______________________ ________________________ ___________________
______________________ ________________________ ___________________
______________________ ________________________ ___________________
______________________ ________________________ ___________________
_______________________________________________________________________
§2.2-3118. Disclosure form; certain citizen members.
A. (Effective from January 1, 2016, until July 1, 2016) The
financial disclosure form to be used for filings required pursuant to
subsection B of §2.2-3114 and subsection B of §2.2-3115 shall be filed in
accordance with the provisions of §30-356. The financial disclosure form shall
be substantially as follows: prescribed by the Council.
A. (Effective
July 1, 2016) The financial disclosure form to be used for filings required
pursuant to subsection B of §2.2-3114 and subsection B of §2.2-3115 shall be
filed in accordance with the provisions of §30-356. The financial disclosure
form shall be substantially similar
to the following prescribed by the
Council. Except as otherwise provided in §2.2-3115, all
completed forms shall be filed electronically with the Council in accordance
with the standards approved by it pursuant to §30-356.
DEFINITIONS AND
EXPLANATORY MATERIAL.
"Business"
means a corporation, partnership, sole proprietorship, firm, enterprise,
franchise, association, trust or foundation, or any other individual or entity
carrying on a business or profession, whether or not for profit.
"Close financial
association" means an association in which the person filing shares
significant financial involvement with an individual and the filer would
reasonably be expected to be aware of the individual's business activities and
would have access to the necessary records either directly or through the
individual.
"Close financial
association" does not mean an association based on (i) the receipt of
retirement benefits or deferred compensation from a business by which the
person filing this statement is no longer employed, or (ii) the receipt of
compensation for work performed by the person filing as an independent
contractor of a business that represents an entity before any state
governmental agency when the person filing has no communications with the state
governmental agency.
"Contingent
liability" means a liability that is not presently fixed or determined,
but may become fixed or determined in the future with the occurrence of some
certain event.
"Immediate
family" means (i) a spouse and (ii) any other person who resides in the
same household as the filer and who is a dependent of the filer.
"Personal
interest" means, for the purposes of this form only, a personal and
financial benefit or liability accruing to a filer or a member of his immediate
family. Such interest shall exist by reason of (i) ownership in real or
personal property, tangible or intangible; (ii) ownership in a business; (iii)
income from a business; or (iv) personal liability on behalf of a business;
however, unless the ownership interest in a business exceeds three percent of
the total equity of the business, or the liability on behalf of a business
exceeds three percent of the total assets of the business, or the annual
income, and/or property or use of such property, from the business exceeds
$10,000 or may reasonably be anticipated to exceed $10,000, such interest shall
not constitute a "personal interest."
Name___________________________________________________________
Office or position held
or to be held
_______________________________________________________________
Address_________________________________________________________
I. FINANCIAL INTERESTS
My personal interests
and those of my immediate family are as follows:
Include all forms of personal
interests held at the time of filing: real estate, stocks, bonds, equity
interests in proprietorships and partnerships. You may exclude:
1. Deposits and
interest bearing accounts in banks, savings institutions and other institutions
accepting such deposits or accounts;
2. Interests in any
business, other than a news medium, representing less than three percent of the
total equity value of the business;
3. Liability on behalf
of any business representing less than three percent of the total assets of
such business; and
4. Income (other than
from salary) less than $10,000 annually from any business. You need not state
the value of any interest. You must state the name or principal business
activity of each business in which you have a personal interest.
A. My personal
interests are:
1. Residence, address,
or, if no address, location
______________________________________________________________
2. Other real estate,
address, or, if no address, location
______________________________________________________________
3. Name or principal
business activity of each business in which stock, bond or equity interest is
held
______________________________________________________________
B. The personal
interests of my immediate family are:
1. Real estate, address
or, if no address, location
______________________________________________________________
2. Name or principal
business activity of each business in which stock, bond or equity interest is
held
______________________________________________________________
II. OFFICES,
DIRECTORSHIPS AND SALARIED EMPLOYMENTS
The paid offices, paid
directorships and salaried employments which I hold or which members of my
immediate family hold and the businesses from which I or members of my
immediate family receive retirement benefits are as follows:
(You need not state any
dollar amounts.)
A. My paid offices,
paid directorships and salaried employments are:
_____________________________________________________________________
Position held Name of business
_______________________________ __________________________________
_______________________________ __________________________________
_______________________________ __________________________________
_____________________________________________________________________
B. The paid offices,
paid directorships and salaried employments of members of my immediate family
are:
_____________________________________________________________________
Position held Name of business
_______________________________ __________________________________
_______________________________ __________________________________
_______________________________ __________________________________
_____________________________________________________________________
III. BUSINESSES TO
WHICH SERVICES WERE FURNISHED
A. The businesses I
have represented, excluding activity defined as lobbying in §2.2-419, before
any state governmental agency, excluding any court or judge, for which I have
received total compensation in excess of $1,000 during the preceding year,
excluding compensation for other services to such businesses and representation
consisting solely of the filing of mandatory papers, are as follows:
Identify businesses by
name and name the state governmental agencies before which you appeared on
behalf of such businesses.
_____________________________________________________________________
Name of business Name of governmental agency
_____________________________ _________________________________
_____________________________ _________________________________
_____________________________ _________________________________
_____________________________________________________________________
B. The businesses that,
to my knowledge, have been represented, excluding activity defined as lobbying
in §2.2-419, before any state governmental agency, excluding any court or
judge, by persons with whom I have a close financial association and who
received total compensation in excess of $1,000 during the preceding year,
excluding compensation for other services to such businesses and representation
consisting solely of the filing of mandatory papers, are as follows:
Identify businesses by type
and name the state governmental agencies before which such person appeared on
behalf of such businesses.
_____________________________________________________________________
Type of business Name of state governmental agency
______________________________ ___________________________________
______________________________ ___________________________________
______________________________ ___________________________________
_____________________________________________________________________
C. All other businesses
listed below that operate in Virginia to which services were furnished pursuant
to an agreement between you and such businesses and for which total
compensation in excess of $1,000 was received during the preceding year:
Check each category of
business to which services were furnished.
_____________________________________________________
Electric utilities __________
Gas utilities __________
Telephone utilities __________
Water utilities __________
Cable television companies __________
Intrastate transportation companies __________
Interstate transportation companies __________
Oil or gas retail companies __________
Banks __________
Savings institutions __________
Loan or finance companies __________
Manufacturing companies (state type
of product, e.g., textile, furniture,
etc.) __________
Mining companies __________
Life insurance companies __________
Casualty insurance companies __________
Other insurance companies __________
Retail companies __________
Beer, wine or liquor companies or
distributors __________
Trade associations __________
Professional associations __________
Associations of public employees or
officials __________
Counties, cities or towns __________
Labor organizations __________
_____________________________________________________
IV. COMPENSATION FOR
EXPENSES
The persons,
associations, or other sources other than my governmental agency from which I
or a member of my immediate family received remuneration in excess of $100
during the preceding year, in cash or otherwise, as honorariums or payment of
expenses in connection with my attendance at any meeting or other function to
which I was invited in my official capacity are as follows:
_______________________________________________________________________
Description Amount of remuneration
Name of Source of occasion for each occasion
_____________________ ______________________ ______________________
_____________________ ______________________ ______________________
_____________________ ______________________ ______________________
_______________________________________________________________________
B. The
provisions of Part III A and B of the disclosure form prescribed by this
section shall not be applicable to officers and employees of local governmental
and local advisory agencies.
C. Except for real
estate located within the county, city or town in which the officer or employee
serves or a county, city or town contiguous to the county, city or town in
which the officer or employee serves, officers and employees of local
governmental or advisory agencies shall not be required to disclose under Part
I of the form any other interests in real estate.
§30-110. Disclosure.
A. (Effective January 1, 2016, through July 1, 2016) Every
legislator and legislator-elect shall file, as a condition to assuming office,
a disclosure statement of his personal interests and such other information as
is specified
required on the form set forth in prescribed by the Council pursuant to
§30-111 and thereafter shall file such a statement semiannually by December 15
for the preceding six-month period complete through the last day of October and
by June 15 for the preceding six-month period complete through the last day of
April. When the filing deadline falls on a Saturday, Sunday, or legal holiday,
the disclosure statement shall be filed on the next day that is not a Saturday,
Sunday, or legal holiday. Disclosure forms shall be made available by the
Virginia Conflict of Interest and Ethics Advisory Council at least 30 days
prior to the filing deadline. Members of the Senate and members of the House of
Delegates shall file their disclosure forms with the Virginia Conflict of
Interest and Ethics Advisory Council. The disclosure forms of the members of
the General Assembly shall be maintained as public records for five years in
the office of the Virginia Conflict of Interest and Ethics Advisory Council.
Such forms shall be made public no later than six weeks after filing.
A. (Effective July 1, 2016) Every legislator and
legislator-elect shall file, as a condition to assuming office, a disclosure
statement of his personal interests and such other information as is specified
required on the form set forth in prescribed by the Council pursuant
to §30-111 and thereafter shall file such a statement
semiannually by December 15 for the preceding six-month period complete through
the last day of October and by June 15 for the preceding six-month period
complete through the last day of April. When the filing deadline falls on a
Saturday, Sunday, or legal holiday, the disclosure statement shall be filed on
the next day that is not a Saturday, Sunday, or legal holiday. Disclosure forms
shall be made available by the Virginia Conflict of Interest and Ethics
Advisory Council at least 30 days prior to the filing deadline. Disclosure
forms shall be filed electronically with the Virginia Conflict of Interest and
Ethics Advisory Council in accordance with the standards approved by it
pursuant to §30-356. The disclosure forms of the members of the General
Assembly shall be maintained as public records for five years in the office of
the Virginia Conflict of Interest and Ethics Advisory Council. Such forms shall
be made public no later than six weeks after filing.
B. Candidates for the General Assembly shall file a disclosure
statement of their personal interests as required by §§24.2-500 through
24.2-503.
C. Any legislator who has a personal interest in any transaction
pending before the General Assembly and who is disqualified from participating
in that transaction pursuant to §30-108 and the rules of his house shall
disclose his interest in accordance with the applicable rule of his house.
§30-111. Disclosure form.
A. (Effective from January 1, 2016, until July 1, 2016) The
disclosure form to be used for filings required by subsections A and B of §
30-110 shall be substantially similar
to the following prescribed by the
Council.
A. (Effective July 1, 2016) The disclosure form to be used for
filings required by subsections A and B of §30-110 shall be substantially similar to the following prescribed by the Council. All
completed forms shall be filed electronically with the Council in accordance
with the standards approved by it pursuant to §30-356.
STATEMENT OF ECONOMIC
INTERESTS.
Name__________________________________________________________
Office or position held
or sought_____________________________________
Address________________________________________________________
Names of members of
immediate family________________________________
DEFINITIONS AND
EXPLANATORY MATERIAL.
"Business"
means a corporation, partnership, sole proprietorship, firm, enterprise, franchise,
association, trust or foundation, or any other individual or entity carrying on
a business or profession, whether or not for profit.
"Close financial
association" means an association in which the filer shares significant
financial involvement with an individual and the filer would reasonably be
expected to be aware of the individual's business activities and would have
access to the necessary records either directly or through the individual.
"Close financial association" does not mean an association based on
(i) the receipt of retirement benefits or deferred compensation from a business
by which the legislator is no longer employed, or (ii) the receipt of
compensation for work performed by the legislator as an independent contractor
of a business that represents an entity before any state governmental agency
when the legislator has had no communications with the state governmental
agency.
"Contingent
liability" means a liability that is not presently fixed or determined,
but may become fixed or determined in the future with the occurrence of some
certain event.
"Gift" means
any gratuity, favor, discount, entertainment, hospitality, loan, forbearance,
or other item having monetary value. It includes services as well as gifts of
transportation, lodgings and meals, whether provided in-kind, by purchase of a
ticket, payment in advance or reimbursement after the expense has been
incurred. "Gift" does not include (i) any offer of a ticket, coupon,
or other admission or pass unless the ticket, coupon, admission, or pass is
used; (ii) honorary degrees; (iii) any athletic, merit, or need-based
scholarship or any other financial aid awarded by a public or private school,
institution of higher education, or other educational program pursuant to such
school, institution, or program's financial aid standards and procedures
applicable to the general public; (iv) a campaign contribution properly
received and reported pursuant to Chapter 9.3 (§24.2-945 et seq.) of Title
24.2; (v) any gift related to the private profession or occupation of a
legislator or of a member of his immediate family; (vi) food or beverages
consumed while attending an event at which the filer is performing official
duties related to his public service; (vii) food and beverages received at or registration
or attendance fees waived for any event at which the filer is a featured
speaker, presenter, or lecturer; (viii) unsolicited awards of appreciation or
recognition in the form of a plaque, trophy, wall memento, or similar item that
is given in recognition of public, civic, charitable, or professional service;
(ix) a devise or inheritance; (x) travel disclosed pursuant to the Campaign
Finance Disclosure Act (§24.2-945 et seq.); (xi) travel paid for or provided
by the government of the United States, any of its territories, or any state or
any political subdivision of such state; (xii) travel provided to facilitate
attendance by a legislator at a regular or special session of the General
Assembly, a meeting of a legislative committee or commission, or a national
conference where attendance is approved by the House or Senate Committee on
Rules; (xiii) travel related to an official meeting of the Commonwealth, its
political subdivisions, or any board, commission, authority, or other entity,
or any charitable organization established pursuant to §501(c)(3) of the
Internal Revenue Code affiliated with such entity, to which such person has
been appointed or elected or is a member by virtue of his office or employment;
or (xiv) gifts from relatives or personal friends. "Relative" means
the donee's spouse, child, uncle, aunt, niece, nephew, or first cousin; a
person to whom the donee is engaged to be married; the donee's or his spouse's
parent, grandparent, grandchild, brother, sister, step-parent, step-grandparent,
step-grandchild, step-brother, or step-sister; or the donee's brother's or
sister's spouse. "Personal friend" does not include any person that
the filer knows or has reason to know is (a) a lobbyist registered pursuant to
Article 3 (§2.2-418 et seq.) of Chapter 4 of Title 2.2 or (b) a lobbyist's
principal as defined in §2.2-419.
"Immediate
family" means (i) a spouse and (ii) any other person who resides in the
same household as the legislator and who is a dependent of the legislator.
"Lobbyist relationship"
means (i) an engagement, agreement, or representation that relates to legal
services, consulting services, or public relations services, whether gratuitous
or for compensation, between a member or member-elect and any person who is, or
has been within the prior calendar year, registered as a lobbyist with the
Secretary of the Commonwealth or (ii) a greater than three percent ownership
interest by a member or member-elect in a business that employs, or engages as
an independent contractor, any person who is, or has been within the prior
calendar year, registered as a lobbyist with the Secretary of the Commonwealth.
The disclosure of a lobbyist relationship shall not (a) constitute a waiver of
any attorney-client or other privilege, (b) require a waiver of any
attorney-client or other privilege for a third party, or (c) be required where
a member or member-elect is employed or engaged by a person and such person
also employs or engages a person in a lobbyist relationship so long as the
member or member-elect has no financial interest in the lobbyist relationship.
TRUST. If you or your
immediate family, separately or together, are the only beneficiaries of a
trust, treat the trust's assets as if you own them directly. If you or your immediate
family has a proportional interest in a trust, treat that proportion of the
trust's assets as if you own them directly. For example, if you and your
immediate family have a one-third interest in a trust, complete your Statement
as if you own one-third of each of the trust's assets. If you or a member of
your immediate family created a trust and can revoke it without the
beneficiaries' consent, treat its assets as if you own them directly.
REPORT TO THE BEST OF
INFORMATION AND BELIEF. Information required on this Statement must be provided
on the basis of the best knowledge, information, and belief of the individual
filing the Statement as of the date of this report unless otherwise stated.
COMPLETE ITEMS 1
THROUGH 11. REFER TO SCHEDULES ONLY IF DIRECTED.
You may attach
additional explanatory information.
1. Offices and
Directorships.
Are you or a member of
your immediate family a paid officer or paid director of a business?
EITHER check NO / / OR
check YES / / and complete Schedule A.
2. Personal Liabilities.
Do you or a member of
your immediate family owe more than $5,000 to any one creditor including
contingent liabilities? (Exclude debts to any government and loans secured by
recorded liens on property at least equal in value to the loan.)
EITHER check NO / / OR
check YES / / and complete Schedule B.
3. Securities.
Do you or a member of
your immediate family, directly or indirectly, separately or together, own
securities valued in excess of $5,000 invested in one business? Account for
mutual funds, limited partnerships and trusts.
EITHER check NO / / OR
check YES / / and complete Schedule C.
4. Payments for Talks,
Meetings, and Publications.
During the past six
months did you receive in your capacity as a legislator lodging,
transportation, money, or anything else of value with a combined value
exceeding $100 (i) for a single talk, meeting, or published work or (ii) for a
meeting, conference, or event where your attendance at the meeting, conference,
or event was designed to (a) educate you on issues relevant to your duties as a
legislator, including issues faced by your constituents, or (b) enhance your
knowledge and skills relative to your duties as a legislator? Do not include
payments and reimbursements from the Commonwealth for meetings attended in your
capacity as a legislator; see Question 11 and Schedule D2 to report such
meetings.
EITHER check NO / / OR
check YES / / and complete Schedule D.
5. Gifts.
During the past six
months did a business, government, or individual other than a relative or
personal friend (i) furnish you or a member of your immediate family with any
gift or entertainment at a single event, and the value received exceeded $50 or
(ii) furnish you or a member of your immediate family with gifts or
entertainment in any combination and the total value received exceeded $50, and
for which you or the member of your immediate family neither paid nor rendered
services in exchange? Account for entertainment events only if the average
value per person attending the event exceeded $50. Account for all business
entertainment (except if related to the private profession or occupation of you
or the member of your immediate family who received such business
entertainment) even if unrelated to your official duties.
EITHER check NO / / OR
check YES / / and complete Schedule E.
6. Salary and Wages.
List each employer that
pays you or a member of your immediate family salary or wages in excess of
$5,000 annually. (Exclude any salary received as a member of the General
Assembly pursuant to §30-19.11.)
If no reportable salary
or wages, check here / /.
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
7. Business Interests
and Lobbyist Relationships.
7A. Do you or a member
of your immediate family, separately or together, operate your own business, or
own or control an interest in excess of $5,000 in a business?
EITHER check NO / / OR
check YES / / and complete Schedule F-1.
7B. Do you have a
lobbyist relationship as that term is defined above?
EITHER check NO / / OR
check YES / / and complete Schedule F-2.
8. Payments for
Representation and Other Services.
8A. Did you represent
any businesses before any state governmental agencies, excluding courts or
judges, for which you received total compensation during the past six months in
excess of $1,000, excluding compensation for other services to such businesses
and representation consisting solely of the filing of mandatory papers and
subsequent representation regarding the mandatory papers?
EITHER check NO / / OR
check YES / / and complete Schedule G-1.
8B. Subject to the same
exceptions as in 8A, did persons with whom you have a close financial
association (partners, associates or others) represent any businesses before
any state governmental agency for which total compensation was received during
the past six months in excess of $1,000?
EITHER check NO / / OR
check YES / / and complete Schedule G-2.
8C. Did you or persons
with whom you have a close financial association furnish services to businesses
operating in Virginia, pursuant to an agreement between you and such
businesses, or between persons with whom you have a close financial association
and such businesses for which total compensation in excess of $1,000 was
received during the past six months? Services reported under this provision
shall not include services involving the representation of businesses that are
reported under question 8A or 8B above.
EITHER check NO / / OR
check YES / / and complete Schedule G-3.
9. Real Estate.
Do you or a member of
your immediate family hold an interest, including a partnership interest,
valued at more than $5,000 in real property (other than your principal residence)
for which you have not already listed the full address on Schedule F? Account
for real estate held in trust.
EITHER check NO / / OR
check YES / / and complete Schedule H.
10. Real Estate
Contracts with State Governmental Agencies.
Do you or a member of your
immediate family hold an interest valued at more than $5,000 in real estate,
including a corporate, partnership, or trust interest, option, easement, or
land contract, which real estate is the subject of a contract, whether pending
or completed within the past six months, with a state governmental agency?
If the real estate
contract provides for the leasing of the property to a state governmental
agency, do you or a member of your immediate family hold an interest in the
real estate, including a corporate, partnership, or trust interest, option,
easement, or land contract valued at more than $1,000? Account for all such
contracts whether or not your interest is reported in Schedule F or H. This
requirement to disclose an interest in a lease does not apply to an interest
derived through an ownership interest in a business unless the ownership
interest exceeds three percent of the total equity of the business.
EITHER check NO / / OR
check YES / / and complete Schedule I.
11. Payments by the
Commonwealth for Meetings.
During the past six
months did you receive lodging, transportation, money, or anything else of
value with a combined value exceeding $100 from the Commonwealth for a single
meeting attended out-of-state in your capacity as a legislator? Do not include
reimbursements from the Commonwealth for meetings attended in the Commonwealth.
EITHER check NO / / OR
check YES / / and complete Schedule D-2.
For Statements filed in
June 2016 and each two years thereafter, complete the following statement
indicating whether you completed the ethics orientation sessions provided
pursuant to law:
I certify that I
completed ethics training as required by §30-129.1. YES / / or NO / /.
Statements of Economic
Interests are open for public inspection.
AFFIRMATION.
In accordance with the
rules of the house in which I serve, if I receive a request that this
disclosure statement be corrected, augmented, or revised in any respect, I
hereby pledge that I shall respond promptly to the request. I understand that
if a determination is made that the statement is insufficient, I will satisfy
such request or be subjected to disciplinary action of my house.
I swear or affirm that
the foregoing information is full, true and correct to the best of my
knowledge.
Signature________________________________
(Return only if needed
to complete Statement.)
SCHEDULES to STATEMENT
OF ECONOMIC INTERESTS.
NAME__________________________________
SCHEDULE A -- OFFICES
AND DIRECTORSHIPS.
Identify each business
of which you or a member of your immediate family is a paid officer or paid
director.
_______________________________________________________________________
Name of Business Address of Business Position Held and by Whom
___________________ _____________________ _________________________
___________________ _____________________ _________________________
___________________ _____________________ _________________________
___________________ _____________________ _________________________
_______________________________________________________________________
RETURN TO ITEM 2
SCHEDULE B -- PERSONAL
LIABILITIES.
Report personal
liability by checking each category. Report only debts in excess of $5,000. Do
not report debts to any government. Do not report loans secured by recorded
liens on property at least equal in value to the loan.
Report contingent
liabilities below and indicate which debts are contingent.
1. My personal debts
are as follows:
______________________________________________________________________
Check Check one
appropriate $5,001 to More than
categories $50,000 $50,000
Banks __________ _________
Savings institutions __________ _________
Other loan or finance companies __________ _________
Insurance companies __________ _________
Stock, commodity or other brokerage
companies __________ _________
Other businesses:
(State principal business activity for each
creditor and its name.)
____________________________________________ __________ _________
____________________________________________ __________ _________
____________________________________________ __________ _________
Individual creditors:
(State principal business or occupation of
each creditor and its name.)
____________________________________________ __________ _________
____________________________________________ __________ _________
____________________________________________ __________ _________
______________________________________________________________________
2. The personal debts
of the members of my immediate family are as follows:
______________________________________________________________________
Check Check one
appropriate $5,001 to More than
categories $50,000 $50,000
Banks __________ _________
Savings institutions __________ _________
Other loan or finance companies __________ _________
Insurance companies __________ _________
Stock, commodity or other brokerage
companies __________ _________
Other businesses:
(State principal business activity for each
creditor and its name.)
____________________________________________ __________ _________
____________________________________________ __________ _________
____________________________________________ __________ _________
Individual creditors:
(State principal business or occupation of
each creditor and its name.)
____________________________________________ __________ _________
____________________________________________ __________ _________
____________________________________________ __________ _________
______________________________________________________________________
RETURN TO ITEM 3
SCHEDULE C --
SECURITIES.
"Securities"
INCLUDES stocks, bonds, mutual funds, limited partnerships, and commodity
futures contracts.
"Securities"
EXCLUDES certificates of deposit, money market funds, annuity contracts, and
insurance policies.
Identify each business
or Virginia governmental entity in which you or a member of your immediate
family, directly or indirectly, separately or together, own securities valued
in excess of $5,000. Name each issuer and type of security individually.
Do not list U.S. Bonds
or other government securities not issued by the Commonwealth of Virginia or
its authorities, agencies, or local governments. Do not list organizations that
do not do business in this Commonwealth, but most major businesses conduct
business in Virginia. Account for securities held in trust.
If no reportable
securities, check here / /.
__________________________________________________________________________
Check one
Type of Security $5,001 $50,001 More
(stocks, bonds, mutual to to than
Name of Issuer funds, etc.) $50,000 $250,000 $250,000
______________________ _______________________ _______ _______ ________
______________________ _______________________ _______ _______ ________
______________________ _______________________ _______ _______ ________
______________________ _______________________ _______ _______ ________
__________________________________________________________________________
RETURN TO ITEM 4
SCHEDULE D-1 --
PAYMENTS FOR TALKS, MEETINGS, AND PUBLICATIONS.
List each source from
which you received during the past six months in your capacity as a legislator
lodging, transportation, money, or any other thing of value with a combined
value exceeding $100 (i) for your presentation of a single talk, participation
in one meeting, or publication of a work or (ii) for your attendance at a
meeting, conference, or event where your attendance at the meeting, conference,
or event was designed to (a) educate you on issues relevant to your duties as a
legislator, including issues faced by your constituents, or (b) enhance your
knowledge and skills relative to your duties as a legislator. Any lodging,
transportation, money, or other thing of value received by a legislator that
does not satisfy the criteria of clause (i), (ii)(a), or (ii)(b) shall be
listed as a gift on Schedule E. Do not list payments or reimbursements by the
Commonwealth. (See Schedule D-2 for such payments or reimbursements.) List a
payment even if you donated it to charity. Do not list information about a
payment if you returned it within 60 days or if you received it from an
employer already listed under Item 6 or from a source of income listed on
Schedule F.
If no payment must be
listed, check here / /.
________________________________________________________________________
Type of Payment
(e.g., Honoraria,
Travel reimburse-
Payer Approximate Value Circumstances ment, etc.)
________________ __________________ _______________ _________________
________________ __________________ _______________ _________________
________________ __________________ _______________ _________________
________________ __________________ _______________ _________________
________________________________________________________________________
RETURN TO ITEM 5
SCHEDULE D-2 --
PAYMENTS BY THE COMMONWEALTH FOR MEETINGS.
List each meeting for
which the Commonwealth provided payments or reimbursements during the past six
months to you for lodging, transportation, money, or any other thing of value
with a combined value exceeding $100 for your participation in your capacity as
a legislator. Do not list payments or reimbursements by the Commonwealth for
meetings or travel within the Commonwealth.
If no payment must be
listed, check here / /.
________________________________________________________________________
Type of Payment
(e.g., Travel
reimbursement,
Payer Approximate Value Circumstances etc.)
________________ __________________ _______________ _________________
________________ __________________ _______________ _________________
________________ __________________ _______________ _________________
________________ __________________ _______________ _________________
________________________________________________________________________
SCHEDULE E -- GIFTS.
List each business,
governmental entity, or individual that, during the past six months, (i)
furnished you or a member of your immediate family with any gift or
entertainment at a single event, and the value received exceeded $50 or (ii)
furnished you or a member of your immediate family with gifts or entertainment
in any combination and the total value received exceeded $50, and for which you
or the member of your immediate family neither paid nor rendered services in
exchange. List each such gift or event.
Do not list
entertainment events unless the average value per person attending the event
exceeded $50. Do not list business entertainment related to the private
profession or occupation of you or the member of your immediate family who
received such business entertainment. Do not list gifts or other things of
value given by a relative or personal friend for reasons clearly unrelated to
your public position. Do not list campaign contributions publicly reported as
required by Chapter 9.3 (§24.2-945 et seq.) of Title 24.2 of the Code of
Virginia.
__________________________________________________________________________
Name of Business, City or Exact
Name of Organization, or County Gift or Approximate
Recipient Individual and State Event Value
____________ __________________ __________ ___________ ___________
____________ __________________ __________ ___________ ___________
____________ __________________ __________ ___________ ___________
____________ __________________ __________ ___________ ___________
_________________________________________________ ________________________
RETURN TO ITEM 6
SCHEDULE F-1 --
BUSINESS INTERESTS.
Complete this Schedule
for each self-owned or family-owned business (including rental property, a
farm, or consulting work), partnership, or corporation in which you or a member
of your immediate family, separately or together, own an interest having a
value in excess of $5,000.
If the enterprise is
owned or operated under a trade, partnership, or corporate name, list that
name; otherwise, merely explain the nature of the enterprise. If rental
property is owned or operated under a trade, partnership, or corporate name,
list the name only; otherwise, give the address of each property. Account for
business interests held in trust.
_________________________________________________________________________
Name of
Business
Corporation,
Partnership, Nature of Gross income
Farm; Enterprise
Address of City or (farming, $50,001 More
Rental County law, rental $50,000 to than
Property and State property, etc.) or less $250,000 $250,000
______________ _________ _________________ _______ ________ ________
______________ _________ _________________ _______ ________ ________
______________ _________ _________________ _______ ________ ________
______________ _________ _________________ _______ ________ ________
_________________________________________________________________________
RETURN TO ITEM 8
SCHEDULE F-2 --
LOBBYIST RELATIONSHIPS AND PAYMENTS.
Complete this Schedule
for each lobbyist relationship with the following:
(i) any person who is,
or has been within the prior calendar year, registered as a lobbyist with the
Secretary of the Commonwealth, or
(ii) any business in
which you have a greater than three percent ownership interest and that
business employs, or engages as an independent contractor, any person who is,
or has been within the prior calendar year, registered as a lobbyist with the
Secretary of the Commonwealth.
___________________________________________________________________________
Payments to
Lobbyist
List each person Describe each Dates of $10,000 More than
or business relationship relationship or less $10,000
_________________ ______________ ______________ ___________ ___________
_________________ ______________ ______________ ___________ ___________
_________________ ______________ ______________ ___________ ___________
_________________ ______________ ______________ ___________ ___________
_________________ ______________ ______________ ___________ ___________
___________________________________________________________________________
THE DISCLOSURE OF A
LOBBYIST RELATIONSHIP SHALL NOT (I) CONSTITUTE A WAIVER OF ANY ATTORNEY-CLIENT
OR OTHER PRIVILEGE, (II) REQUIRE A WAIVER OF ANY ATTORNEY-CLIENT OR OTHER
PRIVILEGE FOR A THIRD PARTY, OR (III) BE REQUIRED WHERE A MEMBER OR
MEMBER-ELECT IS EMPLOYED OR ENGAGED BY A PERSON AND SUCH PERSON ALSO EMPLOYS OR
ENGAGES A PERSON IN A LOBBYIST RELATIONSHIP SO LONG AS THE MEMBER OR
MEMBER-ELECT HAS NO FINANCIAL INTEREST IN THE LOBBYIST RELATIONSHIP.
SCHEDULE G-1 --
PAYMENTS FOR REPRESENTATION BY YOU.
List the businesses you
represented before any state governmental agency, excluding any court or judge,
for which you received total compensation during the past six months in excess
of $1,000, excluding compensation for other services to such businesses and
representation consisting solely of the filing of mandatory papers and
subsequent representation regarding the mandatory papers filed by you.
Identify each business,
the nature of the representation and the amount received by dollar category
from each such business. You may state the type, rather than name, of the
business if you are required by law not to reveal the name of the business
represented by you.
______________________________________________________________________
Pur-
pose Amount Received
Name Type of
of of Repre- Name $1,001 $10,001 $50,001 $100,001
Busi- Busi- senta- of to to to to $250,001
ness ness tion Agency $10,000 $50,000 $100,000 $250,000 and over
______ ______ ______ ______ _______ _______ ________ ________ ________
______ ______ ______ ______ _______ _______ ________ ________ ________
______ ______ ______ ______ _______ _______ ________ ________ ________
______ ______ ______ ______ _______ _______ ________ ________ ________
______________________________________________________________________
If you have received
$250,001 or more from a single business within the reporting period, indicate
the amount received, rounded to the nearest $10,000. Amount Received __________.
SCHEDULE G-2 --
PAYMENTS FOR REPRESENTATION BY ASSOCIATES.
List the businesses
that have been represented before any state governmental agency, excluding any
court or judge, by persons who are your partners, associates or others with whom
you have a close financial association and who received total compensation in
excess of $1,000 for such representation during the past six months, excluding
representation consisting solely of the filing of mandatory papers and
subsequent representation regarding the mandatory papers filed by your
partners, associates or others with whom you have a close financial
association.
Identify such
businesses by type and also name the state governmental agencies before which
such person appeared on behalf of such businesses.
______________________________________________________________________
Type of Business Name of State Governmental Agency
_____________________________ ______________________________________
_____________________________ ______________________________________
_____________________________ ______________________________________
_____________________________ ______________________________________
______________________________________________________________________
SCHEDULE G-3 --
PAYMENTS FOR OTHER SERVICES GENERALLY.
Indicate below types of
businesses that operate in Virginia to which services were furnished by you or
persons with whom you have a close financial association pursuant to an
agreement between you and such businesses, or between persons with whom you
have a close financial association and such businesses and for which total
compensation in excess of $1,000 was received during the past six months.
Services reported in this Schedule shall not include services involving the
representation of businesses that are reported in Schedule G-1 or G-2 above.
Identify opposite each
category of businesses listed below (i) the type of business, (ii) the type of
service rendered and (iii) the value by dollar category of the compensation
received for all businesses falling within each category.
__________________________________________________________________________
Check
if Type
ser- of Value of Compensation
vices ser-
were vice $1,001 $10,001 $50,001 $100,001
ren- ren- to to to to $250,001
dered dered $10,000 $50,000 $100,000 $250,000 and over
Electric utilities _____ _____ _______ _______ ________ ________ ________
Gas utilities _____ _____ _______ _______ ________ ________ ________
Telephone utilities _____ _____ _______ _______ ________ ________ ________
Water utilities _____ _____ _______ _______ ________ ________ ________
Cable television
companies _____ _____ _______ _______ ________ ________ ________
Interstate
transportation
companies _____ _____ _______ _______ ________ ________ ________
Intrastate
transportation
companies _____ _____ _______ _______ ________ ________ ________
Oil or gas retail
companies _____ _____ _______ _______ ________ ________ ________
Banks _____ _____ _______ _______ ________ ________ ________
Savings
institutions _____ _____ _______ _______ ________ ________ ________
Loan or finance
companies _____ _____ _______ _______ ________ ________ ________
Manufacturing
companies (state
type of product,
e.g., textile,
furniture, etc.) _____ _____ _______ _______ ________ ________ ________
Mining companies _____ _____ _______ _______ ________ ________ ________
Life insurance
companies _____ _____ _______ _______ ________ ________ ________
Casualty insurance
companies _____ _____ _______ _______ ________ ________ ________
Other insurance
companies _____ _____ _______ _______ ________ ________ ________
Retail companies _____ _____ _______ _______ ________ ________ ________
Beer, wine or
liquor companies
or distributors _____ _____ _______ _______ ________ ________ ________
Trade associations _____ _____ _______ _______ ________ ________ ________
Professional
associations _____ _____ _______ _______ ________ ________ ________
Associations of
public employees
or officials _____ _____ _______ _______ ________ ________ ________
Counties, cities
or towns _____ _____ _______ _______ ________ ________ ________
Labor organizations _____ _____ _______ _______ ________ ________ ________
Other _____ _____ _______ _______ ________ ________ ________
__________________________________________________________________________
RETURN TO ITEM 9
SCHEDULE H -- REAL
ESTATE.
List real estate other
than your principal residence in which you or a member of your immediate family
holds an interest, including a partnership interest, option, easement, or land
contract, valued at $5,000 or more. Each parcel shall be listed individually.
________________________________________________________________________
Describe the type of real
estate you own in each
List the location location (business, If the real estate is
(state, and county recreational, apartment, owned or recorded in
or city where you commercial, open land, a name other than your
own real estate etc.) own, list that name
___________________ _________________________ ______________________
___________________ _________________________ ______________________
___________________ _________________________ ______________________
___________________ _________________________ ______________________
___________________ _________________________ ______________________
________________________________________________________________________
RETURN TO ITEM 10
SCHEDULE I -- REAL
ESTATE CONTRACTS WITH STATE GOVERNMENTAL AGENCIES.
List all contracts,
whether pending or completed within the past six months, with a state
governmental agency for the sale or exchange of real estate in which you or a
member of your immediate family holds an interest, including a corporate,
partnership or trust interest, option, easement, or land contract, valued at
more than $10,000. List all contracts with a state governmental agency for the
lease of real estate in which you or a member of your immediate family holds
such an interest valued at more than $1,000. This requirement to disclose an
interest in a lease does not apply to an interest derived through an ownership
interest in a business unless the ownership interest exceeds three percent of
the total equity of the business.
_______________________________________________________________________
List your real
estate interest and
the person or entity,
including the type of
entity, which is
party to the contract. State the annual
Describe any income from the
management role and List each contract, and the
the percentage governmental agency amount, if any, of
ownership interest which is a party to income you or any
you or your immediate the contract and immediate family
family member has in indicate the county member derives
the real estate or city where the annually from
or entity. real estate is located. the contract.
______________________ ________________________ ___________________
______________________ ________________________ ___________________
______________________ ________________________ ___________________
______________________ ________________________ ___________________
______________________ ________________________ ___________________
_______________________________________________________________________
B. Any legislator who knowingly and intentionally makes a
false statement of a material fact on the Statement of Economic Interests is
guilty of a Class 5 felony and shall be subject to disciplinary action for such
violations by the house in which the legislator sits.
C. The Statement of Economic Interests of all members of each
house shall be reviewed by the Council. If a legislator's Statement is found to
be inadequate as filed, the legislator shall be notified in writing and
directed to file an amended Statement correcting the indicated deficiencies,
and a time shall be set within which such amendment shall be filed. If the
Statement of Economic Interests, in either its original or amended form, is
found to be adequate as filed, the legislator's filing shall be deemed in full
compliance with this section as to the information disclosed thereon.
D. Ten percent of the membership of a house, on the basis of
newly discovered facts, may in writing request the house in which those members
sit, in accordance with the rules of that house, to review the Statement of
Economic Interests of another member of that house in order to determine the
adequacy of his filing. In accordance with the rules of each house, each
Statement of Economic Interests shall be promptly reviewed, the adequacy of the
filing determined, and notice given in writing to the legislator whose
Statement is in issue. Should it be determined that the Statement requires
correction, augmentation or revision, the legislator involved shall be directed
to make the changes required within such time as shall be set under the rules
of each house.
If a legislator, after having been notified in writing in
accordance with the rules of the house in which he sits that his Statement is
inadequate as filed, fails to amend his Statement so as to come into compliance
within the time limit set, he shall be subject to disciplinary action by the
house in which he sits. No legislator shall vote on any question relating to
his own Statement.
§30-356. Powers and duties of the Council.
The Council shall:
1. Prescribe the forms
required for complying with the disclosure requirements of Article
3 and the Acts. These forms shall be the only forms used to
comply with the provisions of Article 3 or the Acts. The
Council shall make available the disclosure forms and shall provide guidance
and other instructions to assist in the completion of the forms;
2. Review
all disclosure forms filed by lobbyists pursuant to Article 3 and by state
government officers and employees and legislators pursuant to the Acts. The
Council may review disclosure forms for completeness, including reviewing the
information contained on the face of the form to determine if the disclosure
form has been fully completed and comparing the disclosures contained in any
disclosure form filed by a lobbyist pursuant to §2.2-426 with other disclosure
forms filed with the Council, and requesting any amendments to ensure the
completeness of and correction of errors in the forms, if necessary. If a
disclosure form is found to have not been filed or to have been incomplete as
filed, the Council shall notify the filer in writing and direct the filer to
file a completed disclosure form within a prescribed period of time, and such
notification shall be confidential and is excluded from the provisions of the
Virginia Freedom of Information Act (§2.2-3700 et seq.);
2. 3. (Effective until July 1,
2016) Accept any disclosure forms by computer or electronic means in accordance
with the standards approved by the Council and using software meeting standards
approved by it. The Council shall provide software or electronic access for
filing the required disclosure forms to all filers without charge. The Council
shall prescribe the method of execution and certification of electronically
filed forms, including the use of an electronic signature as authorized by the
Uniform Electronic Transactions Act (§59.1-479 et seq.);
2. 3. (Effective
July 1, 2016) Require all disclosure forms to be filed electronically in
accordance with the standards approved by the Council. The Council shall provide
software or electronic access for filing the required disclosure forms to all
filers without charge. The Council shall prescribe the method of execution and
certification of electronically filed forms, including the use of an electronic
signature as authorized by the Uniform Electronic Transactions Act (§59.1-479
et seq.);
3. 4. Accept
and review any statement received from a filer disputing the receipt by such
filer of a gift that has been disclosed on the form filed by a lobbyist
pursuant to Article 3;
4. 5. Beginning
July 1, 2016, establish and maintain a searchable electronic database
comprising disclosure forms filed pursuant to §§2.2-426, 2.2-3117, 2.2-3118,
and 30-111. Such database shall be available to the public through the
Council's official website;
5. 6. Furnish,
upon request, formal advisory opinions or guidelines and other appropriate
information, including informal advice, regarding ethics, conflicts issues
arising under Article 3 or the Acts, or a person's duties under Article 3 or the
Acts to any person covered by Article 3 or the Acts or to any agency of state
or local government, in an expeditious manner. The Council may authorize a
designee to furnish formal opinions or informal advice. Formal advisory
opinions are public record and shall be published on the Council's website;
however, no formal advisory opinion furnished by a designee of the Council
shall be published until such opinion has been approved by the Council.
Published formal advisory opinions may have such deletions and changes as may
be necessary to protect the identity of the person involved. Informal advice
given by the Council or the Council's designee is confidential, protected by
the attorney-client privilege, and is excluded from the provisions of the
Virginia Freedom of Information Act (§2.2-3700 et seq.);
6. 7. Conduct
training seminars and educational programs for lobbyists, state and local
government officers and employees, legislators, and other interested persons on
the requirements of Article 3 and the Acts and provide ethics orientation
sessions for legislators in compliance with Article 6 (§30-129.1 et seq.) of
Chapter 13;
7. 8. Approve
orientation courses conducted pursuant to §2.2-3128 and, upon request, review
the educational materials and approve any training or course on the
requirements of Article 3 and the Acts conducted for state and local government
officers and employees;
8. 9. Publish
such educational materials as it deems appropriate on the provisions of Article
3 and the Acts;
9. 10. Review
actions taken in the General Assembly with respect to the discipline of its
members for the purpose of offering nonbinding advice;
10. 11. Request
from any agency of state or local government such assistance, services, and
information as will enable the Council to effectively carry out its
responsibilities. Information provided to the Council by an agency of state or
local government shall not be released to any other party unless authorized by
such agency;
11. 12. Redact
from any document or form that is to be made available to the public any
residential address, personal telephone number, or signature contained on that
document or form; and
12. 13. Report
on or before December 1 of each year on its activities and findings regarding
Article 3 and the Acts, including recommendations for changes in the laws, to
the General Assembly and the Governor. The annual report shall be submitted by
the chairman as provided in the procedures of the Division of Legislative
Automated Systems for the processing of legislative documents and reports and
shall be published as a state document.
2. That the provisions of this act shall become effective on
January 1, 2017.
3. That the Virginia Conflict of Interests and Ethics
Advisory Council shall prescribe on or before January 1, 2017, the forms required for complying with the disclosure requirements of §§
2.2-426, 2.2-3117, 2.2-3118, and 30-111.
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