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PAG LIN 1 1 SENATE RESOLUTION NO. ___ 1 2 BY (PROPOSED COMMITTEE ON ETHICS RESOLUTION 1 3 BY CHAIRPERSON HEDGE) 1 4 A Resolution to provide for the Senate Code of Ethics. 1 5 BE IT RESOLVED BY THE SENATE, That the Senate Code of 1 6 Ethics for theSeventy-sixthSeventy-seventh General Assembly 1 7 shall be as follows: 1 8 SENATE CODE OF ETHICS 1 9 PREAMBLE. Every legislator owes a duty to uphold the 1 10 integrity and honor of the general assembly, to encourage 1 11 respect for the law and for the general assembly and the 1 12 members thereof, and to observe the legislative code of 1 13 ethics. 1 14 In doing so, members of the senate have a duty to conduct 1 15 themselves so as to reflect credit on the general assembly, 1 16 and to inspire the confidence, respect, and trust of the 1 17 public, and to strive to avoid both unethical and illegal 1 18 conduct and the appearance of unethical and illegal conduct. 1 19 Recognizing that service in the Iowa general assembly is a 1 20 part-time endeavor and that members of the general assembly 1 21 are honorable individuals who are active in the affairs of 1 22 their localities and elsewhere and that it is necessary that 1 23 they maintain a livelihood and source of income apart from 1 24 their legislative compensation, the following rules are 1 25 adopted pursuant to section 68B.31, to assist the members in 1 26 the conduct of their legislative affairs. 1 27 1. ECONOMIC INTEREST OF SENATOR. Taking into account that 1 28 legislative service is part-time, a senator shall not accept 1 29 economic or investment opportunity, under circumstances where 1 30 the senator knows, or should know, that there is a reasonable 1 31 possibility that the opportunity is being afforded the senator 1 32 with intent to influence the senator's conduct in the 1 33 performance of official duties. 1 34 2. DIVESTITURE. Where a senator learns that an economic 1 35 or investment opportunity previously accepted was offered with 2 1 the intent of influencing the senator's conduct in the 2 2 performance of official duties, the senator shall take steps 2 3 to divest that senator of that investment or economic 2 4 opportunity, and shall report the facts of the situation to 2 5 the senate ethics committee. 2 6 3. CHARGES FOR SERVICES. A senator shall not charge to or 2 7 accept from a person, corporation, partnership, or association 2 8 known to have a legislative interest a price, fee, 2 9 compensation, or other consideration for the sale or lease of 2 10 any property or the furnishing of services which is in excess 2 11 of that which the senator would charge another. 2 12 4. USE OF CONFIDENTIAL INFORMATION. A senator in order to 2 13 further the senator's own economic or other interests, or 2 14 those of any other person, shall not disclose or use 2 15 confidential information acquired in the course of official 2 16 duties. 2 17 5. HONORARIA. A senator shall not accept an honorarium 2 18 from a restricted donor for a speech, writing for publication, 2 19 or other similar activity, except as otherwise provided in 2 20 section 68B.23. 2 21 6. EMPLOYMENT. A senator shall not accept employment, 2 22 either directly or indirectly, from a political action 2 23 committee. A senator may accept employment from a political 2 24 party, but shall disclose the employment relationship in 2 25 writing to the secretary of the senate within ten days after 2 26 the beginning of each legislative session. If a senator 2 27 accepts employment from a political party during a legislative 2 28 session, the senator shall disclose the employment 2 29 relationship within ten days after acceptance of the 2 30 employment. 2 31 For the purpose of this rule, a political action committee 2 32 means a committee, but not a candidate's committee, which 2 33 accepts contributions, makes expenditures, or incurs 2 34 indebtedness in the aggregate of more thantwofive hundred 2 35fiftydollars in any one calendar year for the purpose of 3 1 supporting or opposing a candidate for public office or ballot 3 2 issue or influencing legislative action, or an association, 3 3 lodge, society, cooperative, union, fraternity, sorority, 3 4 educational institution, civic organization, labor 3 5 organization, religious organization, or professional 3 6 organization which makes contributions in the aggregate of 3 7 more thantwofive hundredfiftydollars in any one calendar 3 8 year for the purpose of supporting or opposing a candidate for 3 9 public office or ballot issue or influencing legislative 3 10 action. 3 11 7. ECONOMIC INTERESTS OF LOBBYIST. With the exception of 3 12 exercising unfettered discretion in supporting or refusing to 3 13 support proposed legislation, a senator shall not take action 3 14 intended to affect the economic interests of a lobbyist or 3 15 citizen supporting or opposing proposed legislation. 3 16 8. APPEARANCE BEFORE GOVERNMENTAL AGENCY. A senator may 3 17 appear before a governmental agency or board in any 3 18 representation case, except that the senator shall not act as 3 19 a lobbyist. Whenever a senator appears before a governmental 3 20 agency or board, the senator shall carefully avoid all conduct 3 21 which might in any way lead members of the general public to 3 22 conclude that the senator is using the senator's official 3 23 position to further the senator's professional success or 3 24 personal financial interest. 3 25 9. CONFLICTS OF INTERESTS. In order to permit the general 3 26 assembly to function effectively, a senator will sometimes be 3 27 required to vote on bills and participate in committee work 3 28 which will affect the senator's employment and other monetary 3 29 interests. In making a decision relative to the senator's 3 30 activity on given bills or committee work which are subject to 3 31 the code, the following factors shall be considered: 3 32 a. Whether a substantial threat to the senator's 3 33 independence of judgment has been created by the conflict 3 34 situation. 3 35 b. The effect of the senator's participation on public 4 1 confidence in the integrity of the legislature. 4 2 c. The need for the senator's particular contribution, 4 3 such as special knowledge of the subject matter, to the 4 4 effective functioning of the legislature. 4 5 A senator with a conflict of interest may participate in 4 6 floor debate if prior to debate the senator indicates the 4 7 conflict of interest. 4 8 10. GIFTS. Except as otherwise provided in section 4 9 68B.22, a senator, or that person's immediate family member, 4 10 shall not, directly or indirectly, accept or receive any gift 4 11 or series of gifts from a restricted donor. 4 12 11. DISCLOSURE REQUIRED. Each senator shall file with the 4 13 secretary of the senate within ten days after the adoption of 4 14 the code of ethics by the senate, and within ten days after 4 15 the convening of the second session of the general assembly, a 4 16 statement under section 68B.35 on forms provided by the 4 17 secretary of the senate setting forth the following 4 18 information: 4 19 The nature of each business in which the senator is engaged 4 20 and the nature of the business of each company in which the 4 21 senator has a financial interest. A senator shall not be 4 22 required to file a report or be assumed to have a financial 4 23 interest if the annual income derived from the investment in 4 24 stocks, bonds, bills, notes, mortgages, or other securities 4 25 offered for sale through recognized financial brokers is less 4 26 than one thousand dollars. 4 27 Disclosures required under this rule shall be as of the 4 28 date filed unless provided to the contrary, and shall be 4 29 amended to include interests and changes encompassed by this 4 30 rule that occur while the general assembly is in session. All 4 31 filings under this rule shall be open to public inspection in 4 32 the office of the secretary of the senate at all reasonable 4 33 times. 4 34 The secretary of the senate shall inform the ethics 4 35 committee of the statements which are filed and shall report 5 1 to the ethics committee the names of any senators who appear 5 2 not to have filed complete statements. The chairperson of the 5 3 ethics committee shall request in writing that a senator who 5 4 has failed to complete the report or appears to have filed an 5 5 incomplete report do so within five days, and, upon the 5 6 failure of the senator to comply, the ethics committee shall 5 7 require the senator to appear before the committee. 5 8 12. STATUTORY VIOLATIONS. Members of the general assembly 5 9 are urged to familiarize themselves with chapters 68B, 721, 5 10 and 722. 5 11 13. CHARGE ACCOUNTS. Senators shall not charge any amount 5 12 or item to any charge account to be paid for by any lobbyist 5 13 or any client the lobbyist represents. 5 14 14. TRAVEL EXPENSES. A senator shall not charge to the 5 15 state of Iowa amounts for travel and expenses unless the 5 16 senator actually has incurred those mileage and expense costs. 5 17 Senators shall not file the vouchers for weekly mileage 5 18 reimbursement required by section 2.10, subsection 1, unless 5 19 the travel was actually incurred at commensurate expense to 5 20 the senator. 5 21 15. COMPLAINTS. Complaints or charges against any senator 5 22 or any lobbyist shall be in writing, made under oath, and 5 23 filed with the secretary of the senate or the chairperson of 5 24 the ethics committee. If filed with the secretary of the 5 25 senate, the secretary shall immediately advise the chairperson 5 26 of the ethics committee of the receipt of the complaint. 5 27 Complaint forms shall be available from the secretary of 5 28 the senate, or the chairperson of the ethics committee, but a 5 29 complaint shall not be rejected for failure to use an approved 5 30 form if the complaint substantially complies with senate 5 31 requirements. 5 32 A complainant may submit exhibits and affidavits attached 5 33 to the complaint. 5 34 16. FILING OF COMPLAINTS. 5 35 a. Persons entitled. Complaints may be filed by any 6 1 person believing that a senator or lobbyist has violated the 6 2 senate ethics code, the senate rules governing lobbyists, or 6 3 chapter 68B of the Iowa Code. A violation of the criminal law 6 4 may be considered to be a violation of this code of ethics if 6 5 the violation constitutes a serious misdemeanor or greater, or 6 6 a repetitive and flagrant violation of the law. 6 7 b. Committee complaint. The ethics committee may, upon 6 8 its own motion, initiate a complaint, investigation, or 6 9 disciplinary action. 6 10 c. Timeliness of filing. A complaint will be considered 6 11 to be timely filed if it is filed within three years of the 6 12 occurrence of the alleged violation of the ethics code. 6 13 17. PERMANENT RECORD. The secretary of the senate shall 6 14 maintain a permanent record of all complaints filed, evidence 6 15 received by the committee, and any transcripts or other 6 16 recordings made of committee proceedings, including a separate 6 17 card file containing the date filed, name and address of the 6 18 complainant, name and address of the respondent, a brief 6 19 statement of the charges made, and ultimate disposition of the 6 20 complaint. The secretary shall keep each such complaint 6 21 confidential until public disclosure is made by the ethics 6 22 committee. 6 23 18. PREHEARING PROCEDURE. 6 24 a. Defective complaint. Upon receipt of a complaint, the 6 25 chairperson and ranking member of the ethics committee shall 6 26 determine whether the complaint substantially complies with 6 27 the requirements of this code of ethics and section 68B.31, 6 28 subsection 6. If the complaint does not substantially comply 6 29 with the requirements for formal sufficiency under the code of 6 30 ethics, the complaint may be returned to the complainant with 6 31 a statement that the complaint is not in compliance with the 6 32 code and a copy of the code. If the complainant fails to 6 33 amend the complaint to comply with the code within a 6 34 reasonable time, the chair and ranking member may dismiss the 6 35 complaint with prejudice for failure to prosecute. 7 1 b. Service of complaint on respondent. Upon receipt of 7 2 any complaint substantially complying with the requirements of 7 3 this code of ethics, the chairperson of the ethics committee 7 4 shall cause a copy of the complaint and any supporting 7 5 information to be delivered promptly to the respondent, 7 6 requesting a written response to be filed within ten days. 7 7 The response may do any of the following: 7 8 (1) Admit or deny the allegation or allegations. 7 9 (2) Object that the allegation fails to allege a violation 7 10 of chapter 68B or the code of ethics. 7 11 (3) Object to the jurisdiction of the committee. 7 12 (4) Request a more specific statement of the allegation or 7 13 allegations. 7 14 c. Objection to member. In addition to the items which 7 15 may be included in a response pursuant to paragraph "b", the 7 16 response may also include an objection to the participation of 7 17 any member of the committee in the consideration of the 7 18 allegation or allegations on the grounds that the member 7 19 cannot render an impartial and unbiased decision. 7 20 d. Extension of time. At the request of the respondent 7 21 and upon a showing of good cause, the committee, or the 7 22 chairperson and ranking member, may extend the time for 7 23 response, not to exceed ten additional days. 7 24 e. Confidentiality. If a complaint is not otherwise made 7 25 public, the members of the committee shall treat the complaint 7 26 and all supporting information as confidential until the 7 27 written response is received from the respondent. 7 28 f. Scheduling hearing. Upon receipt of the response, the 7 29 committee shall schedule a public meeting to review the 7 30 complaint and available information, and shall: 7 31 (1) Notify the complainant that no further action will be 7 32 taken, unless further substantiating information is produced, 7 33 or 7 34 (2) Dismiss the complaint for failure to meet the 7 35 statutory and code of ethics requirements for valid 8 1 complaints, or 8 2 (3) Request that the chief justice of the supreme court 8 3 appoint an independent special counsel to conduct an 8 4 investigation of the complaint and supporting information, to 8 5 make a determination of probable cause, and to report the 8 6 findings to the committee, which shall be received within a 8 7 reasonable time, or. 8 8 g. Public hearing. If independent special counsel is 8 9 appointed, upon receipt of the report of independent special 8 10 counsel's findings, the committee shall schedule a public 8 11 meeting to review the report and shall do either of the 8 12 following: 8 13 (1) Cause the complaint to be scheduled for a public 8 14 hearing. 8 15 (2) Dismiss the complaint based upon a determination by 8 16 independent special counsel and the committee that 8 17 insufficient evidence exists to support a finding of probable 8 18 cause. 8 19 19. HEARING PROCEDURE. 8 20 a. Notice of hearing. If the committee causes a complaint 8 21 to be scheduled for a public hearing, notice of the hearing 8 22 date and time shall be given to the complainant and respondent 8 23 in writing, and of the respondent's right to appear in person, 8 24 be represented by legal counsel, present statements and 8 25 evidence, and examine and cross-examine witnesses. The 8 26 committee shall not be bound by formal rules of evidence, but 8 27 shall receive relevant evidence, subject to limitations on 8 28 repetitiveness. Any evidence taken shall be under oath. 8 29 b. Subpoena power. The committee may require, by subpoena 8 30 or otherwise, the attendance and testimony of witnesses and 8 31 the production of such books, records, correspondence, 8 32 memoranda, papers, documents, and any other things it deems 8 33 necessary to the conduct of the inquiry. 8 34 c. Ex post facto. An investigation shall not be 8 35 undertaken by the committee of a violation of a law, rule, or 9 1 standard of conduct that is not in effect at the time of 9 2 violation. 9 3 d. Disqualification of member. Members of the committee 9 4 may disqualify themselves from participating in any 9 5 investigation of the conduct of another person upon submission 9 6 of a written statement that the member cannot render an 9 7 impartial and unbiased decision in a case. A member may also 9 8 be disqualified by a unanimous vote of the remaining eligible 9 9 members of the committee. 9 10 A member of the committee is ineligible to participate in 9 11 committee meetings, as a member of the committee, in any 9 12 proceeding relating to the member's own official conduct. 9 13 If a member of the committee is disqualified or ineligible 9 14 to act, the majority or minority leader who appointed the 9 15 member shall appoint a replacement member to serve as a member 9 16 of the committee during the period of disqualification or 9 17 ineligibility. 9 18 e. Hearing. At the hearing, the chairperson shall open 9 19 the hearing by stating the charges, the purpose of the 9 20 hearing, and its scope. The burden of proof rests upon the 9 21 complainant to establish the facts as alleged, by clear and 9 22 convincing evidence. However, questioning of witnesses shall 9 23 be conducted by the members of the committee, by independent 9 24 special counsel, or by a senator. The chairperson shall also 9 25 permit questioning by legal counsel representing the 9 26 complainant or respondent. 9 27 The chairperson or other member of the committee presiding 9 28 at a hearing shall rule upon procedural questions or any 9 29 question of admissibility of evidence presented to the 9 30 committee. Rulings may be reversed by a majority vote of the 9 31 committee members present. 9 32 The committee may continue the hearing to a future date if 9 33 necessary for appropriate reasons or purposes. 9 34 f. Committee action. Upon receipt of all relevant 9 35 evidence and arguments, the committee shall consider the same 10 1 and recommend to the senate: 10 2 (1) That the complaint be dismissed, or 10 3 (2) That the senator or lobbyist be censured or 10 4 reprimanded, and recommend the appropriate form of censure or 10 5 reprimand, or 10 6 (3) Any other appropriate sanction, including suspension 10 7 or expulsion from membership in the senate, or suspension of 10 8 lobbying privileges. 10 9 g. Disposition resolution. By appropriate resolution, the 10 10 senate may amend, adopt, or reject the report of the ethics 10 11 committee, including the committee's recommendations regarding 10 12 disciplinary action. 10 13 20. COMMITTEE AUTHORIZED TO MEET. The senate ethics 10 14 committee is authorized to meet at the discretion of the 10 15 chairperson to conduct hearings and other business that 10 16 properly may come before it. If the committee submits a 10 17 report seeking senate action against a senator or lobbyist 10 18 after the second regular session of a general assembly has 10 19 adjourned sine die, the report shall be submitted to and 10 20 considered by the subsequent general assembly. However, the 10 21 report may be submitted to and considered during any special 10 22 session which may take place after the second regular session 10 23 of a general assembly has adjourned sine die, but before the 10 24 convening of the next general assembly. 10 25 21. COMPLAINT FILING FORM. The following form shall be 10 26 used to file a complaint under these rules: 10 27 THE SENATE 10 28 Ethics Complaint Form 10 29 Re: ______________________________ (Senator/Lobbyist), 10 30 of _____________________, Iowa. 10 31 I, ________________________ (Complainant), residing 10 32 at ____________________, in the City of ______________, 10 33 State of ________________________, hereby complain that 10 34 _____________________________ (Senator/Lobbyist), whose 10 35 address is ___________________________________________, 11 1 has violated the Senate Code of Ethics or Senate 11 2 Rules Governing Lobbyists in that: 11 3 (Explain the basis for the complaint here. Use addi- 11 4 tional pages, if necessary). 11 5 Under penalty of perjury, I certify that the above 11 6 complaint is true and correct as I verily believe. 11 7 ___________________________ 11 8 Signature of Complainant 11 9 SUBSCRIBED AND AFFIRMED to before me this __________ 11 10 day of ________________________, 19_______. 11 11 ________________________________ 11 12 Notary Public in and for the 11 13 State of _______________________ 11 14 22. COMPLAINT NOTICE FORM. The following form shall be 11 15 used for notice of a complaint under these rules: 11 16 STATE OF IOWA 11 17 THE SENATE 11 18 COMMITTEE ON ETHICS ) 11 19 IOWA STATE SENATE ) 11 20 ) 11 21 On The Complaint Of ) NOTICE OF COMPLAINT 11 22 ) 11 23 _____________________________ ) 11 24 ) 11 25 And Involving ) 11 26 ) 11 27 _____________________________ ) 11 28 ) 11 29 TO __________________________________, 11 30 Senator or Lobbyist named above: 11 31 You are hereby notified that there is now on file with the 11 32 Secretary of the Senate, State Capitol, Des Moines, Iowa, a 11 33 complaint which alleges that you have committed a violation of 11 34 the Senate's Code of Ethics or Senate Rules Governing 11 35 Lobbyists. 12 1 A copy of the complaint and the Senate rules for processing 12 2 the same are attached hereto and made a part of this notice. 12 3 You are further notified and requested to file your 12 4 written answer to the complaint within ten days of the 12 5 date upon which the notice was caused to be delivered 12 6 to you, ______________________, 19___. Your answer is 12 7 to be filed with the Secretary of the Senate, State 12 8 Capitol, Des Moines, Iowa. 12 9 Dated this ________ day of ________________, 19___. 12 10 ________________________________ 12 11 Chair, Senate Ethics Committee, 12 12 or Secretary of the Senate 12 13 23. HEARING NOTICE FORM. The following form shall be used 12 14 for notice of a hearing under these rules: 12 15 STATE OF IOWA 12 16 THE SENATE 12 17 COMMITTEE ON ETHICS ) 12 18 IOWA STATE SENATE ) 12 19 ) 12 20 On The Complaint Of ) NOTICE OF HEARING 12 21 ) 12 22 __________________________ ) 12 23 ) 12 24 And Involving ) 12 25 ) 12 26 __________________________ ) 12 27 ) 12 28 TO __________________________________, 12 29 Senator or Lobbyist named above: 12 30 You are hereby notified that there is now on file with the 12 31 Secretary of the Senate, State Capitol, Des Moines, Iowa, a 12 32 complaint which alleges that you have committed a violation of 12 33 the Senate's Code of Ethics or Senate Rules Governing 12 34 Lobbyists. 12 35 A copy of the complaint and the Senate rules for processing 13 1 the same are attached hereto and made a part of this notice. 13 2 You are further notified that, after preliminary review, 13 3 the committee has caused a public hearing to be scheduled on 13 4 (date)___________________, 19___, at (hour) ___________ 13 5 (a.m.) (p.m.), in Room ____, State Capitol, Des Moines, 13 6 Iowa. 13 7 At the hearing, you will have the right to appear in 13 8 person, be represented by legal counsel at your own expense, 13 9 present statements and evidence, and examine and cross-examine 13 10 witnesses. The committee shall not be bound by formal rules 13 11 of evidence, but shall receive relevant evidence, subject to 13 12 limitations on repetitiveness. Any evidence taken shall be 13 13 under oath. 13 14 The committee may continue the hearing to a future date if 13 15 necessary for appropriate reasons or purposes. 13 16 You are further notified that the committee will receive 13 17 such evidence and take such action as warranted by the 13 18 evidence. 13 19 Dated this _____ day of ________________, 19___. 13 20 _________________________________ 13 21 Chair, Senate Ethics Committee, 13 22 or Secretary of the Senate 13 23 24. PERSONAL FINANCIAL DISCLOSURE FORM. The following 13 24 form shall be used for disclosure of economic interests under 13 25 these rules and section 68B.35: 13 26 STATEMENT OF ECONOMIC INTERESTS 13 27 Name: ________________________________________________ 13 28 (Last) (First) (Middle Initial) 13 29 Address: _____________________________________________ 13 30 (Street Address, Apt.# - P.O. Box) 13 31 ________________________________________________ 13 32 (City) (State) (Zip) 13 33 Phone:(Home) ___-___-_____ (Business) ___-___-_____ 13 34 ****************************************************** 13 35 a. Please list each business, occupation, or profession in 14 1 which you are engaged. In listing the business, occupation, 14 2 or profession, it is not necessary that your employer or the 14 3 name of the business be listed, although all businesses, 14 4 occupations, or professions must be listed, regardless of the 14 5 amount of income derived or time spent participating in the 14 6 activity. (Examples of types of businesses, occupations, or 14 7 professions that may be listed: teacher, lawyer, legislator, 14 8 real estate agent, insurance adjuster, salesperson....) 14 9 (1) __________________________________________________ 14 10 (2) __________________________________________________ 14 11 (3) __________________________________________________ 14 12 (4) __________________________________________________ 14 13 (5) __________________________________________________ 14 14 b. Please list the nature of each of the businesses, 14 15 occupations, or professions which you listed in paragraph "a", 14 16 above, unless the nature of the business, occupation, or 14 17 profession is already apparent from the information indicated 14 18 above. The descriptions in this paragraph should correspond 14 19 by number to the numbers for each of the businesses, 14 20 occupations, or professions listed in paragraph "a". 14 21 (Examples: If you indicated, for example, that you were a 14 22 salesperson in subparagraph (1) of paragraph "a", you should 14 23 list in subparagraph (1) of this paragraph the types of goods 14 24 or services sold in this item. If you indicated that you were 14 25 a teacher in subparagraph (2) of paragraph "a", you should 14 26 indicate in subparagraph (2) of this paragraph the type of 14 27 school or institution in which you provide instruction or 14 28 whether the instruction is provided on a private basis. If 14 29 you indicated that you were a lawyer in subparagraph (3) of 14 30 paragraph "a", you should indicate your areas of practice and 14 31 whether you are in private, corporate, or government practice 14 32 in subparagraph (3) of this paragraph. If you indicated in 14 33 subparagraph (4) of paragraph "a" that you were a consultant, 14 34 in subparagraph (4) of this paragraph you should indicate the 14 35 kind of services provided and types of clients served.) 15 1 (1) __________________________________________________ 15 2 (2) __________________________________________________ 15 3 (3) __________________________________________________ 15 4 (4) __________________________________________________ 15 5 (5) __________________________________________________ 15 6 c. Please list each source, by general description, from 15 7 which you receive, or which generates, more than one thousand 15 8 dollars in gross annual income in the categories listed below. 15 9 For purposes of this item, a source produces gross annual 15 10 income if the revenue produced by the source is subject to 15 11 federal or state income taxes. In completing this item, it is 15 12 not necessary to list the name of the company, business, 15 13 financial institution, corporation, partnership, or other 15 14 entity which constitutes the source of the income and the 15 15 amount or value of the holding should not be listed. 15 16 (1) Securities (Here for example, you need not state that 15 17 you own X number of shares of any specific company by brand or 15 18 corporate name, or that the stock is of a certain value, but 15 19 may instead state that you possess stock in a company and 15 20 indicate the nature of the company's business.): 15 21 _____________________________________________________ 15 22 _____________________________________________________ 15 23 _____________________________________________________ 15 24 _____________________________________________________ 15 25 _____________________________________________________ 15 26 (2) Instruments of Financial Institutions (You need not 15 27 indicate, for example, in which institutions you hold 15 28 certificates of deposit that produce annual income over the 15 29 one thousand dollar threshold, but simply listing the nature 15 30 of the institution will suffice, e.g., bank, credit union, or 15 31 savings and loan association.): 15 32 _____________________________________________________ 15 33 _____________________________________________________ 15 34 _____________________________________________________ 15 35 _____________________________________________________ 16 1 _____________________________________________________ 16 2 (3) Trusts (The name of the particular trust need not be 16 3 listed. However, if the income is received from a charitable 16 4 trust/foundation, such as the Pugh Charitable Trust, in the 16 5 form of a grant, the fact that the trust is a charitable trust 16 6 should be noted here.): 16 7 _____________________________________________________ 16 8 _____________________________________________________ 16 9 _____________________________________________________ 16 10 _____________________________________________________ 16 11 _____________________________________________________ 16 12 (4) Real Estate (When listing real estate, it is not 16 13 necessary to list the location of the property, but the 16 14 general nature of the real estate interest should be 16 15 indicated, e.g. residential leasehold interest or farm 16 16 leasehold interest.): 16 17 _____________________________________________________ 16 18 _____________________________________________________ 16 19 _____________________________________________________ 16 20 _____________________________________________________ 16 21 _____________________________________________________ 16 22 (5) Retirement Systems (When listing retirement benefits, 16 23 it is not necessary to list the name of the particular pension 16 24 system or company, but rather the type of benefit should be 16 25 listed, e.g., health benefits, life insurance benefits, 16 26 private pension, or government pension.): 16 27 _____________________________________________________ 16 28 _____________________________________________________ 16 29 _____________________________________________________ 16 30 _____________________________________________________ 16 31 _____________________________________________________ 16 32 (6) Other Income Categories Specified in State or Federal 16 33 Income Tax Regulations (List description of other sources of 16 34 income producing over one thousand dollars in annual income 16 35 not previously reported above, but which must be reported for 17 1 income tax purposes.): 17 2 _____________________________________________________ 17 3 _____________________________________________________ 17 4 _____________________________________________________ 17 5 _____________________________________________________ 17 6 _____________________________________________________ 17 7 _____________________________________________________ 17 8 ______________________________ ____________________ 17 9 (Signature of filer) (Date) 17 10 LSB 1871SC 77 17 11 lh/jw/5.1
Text: SSB00092 Text: SSB00094 Text: SSB00000 - SSB00099 Text: SSB Index Bills and Amendments: General Index Bill History: General Index
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