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2006 SESSION


CHAPTER 779
An Act to amend and reenact §§ 2.2-3114, 2.2-3117, 2.2-3118, 30-110, and 30-111 of the Code of Virginia, relating to the State and Local Government and General Assembly Conflict of Interests Acts.
[H 542]
Approved April 6, 2006

 

Be it enacted by the General Assembly of Virginia:

1.  That §§ 2.2-3114, 2.2-3117, 2.2-3118, 30-110, and 30-111 of the Code of Virginia are amended and reenacted as follows:

§ 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, and members of the State 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, in the case of officers or employees of the legislative branch, by the Joint Rules Committee of the General Assembly, shall file, as a condition to assuming office or employment, a disclosure statement of their personal interests and such other information as is specified on the form set forth in § 2.2-3117 and thereafter shall file such a statement annually on or before January 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.

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 State Lottery Board, shall file, as a condition to assuming office, a disclosure form of their personal interests and such other information as is specified on the form set forth in § 2.2-3118 and thereafter shall file such form annually on or before January 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 § 2.2-3118.

C. The disclosure forms required by subsections A and B shall be provided by the Secretary of the Commonwealth to each officer and employee so designated, including officers appointed by legislative authorities, not later than November 30 of each year. Disclosure forms shall be filed and maintained as public records for five years in the Office of the Secretary of the Commonwealth.

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.

§ 2.2-3117. Disclosure form.

The disclosure form to be used for filings required by § 2.2-3114 A and D, and § 2.2-3115 A and D shall be substantially as follows:

 
STATEMENT OF ECONOMIC INTERESTS.

 

 Name ......................................................................
 Office or position held or sought ..........................................
 Home address ...............................................................
 Names of members of immediate family .......................................
 
DEFINITIONS AND EXPLANATORY MATERIAL.
 

"Immediate family" means (i) a spouse and (ii) any other person residing in the same household as the officer or employee, who is a dependent of the officer or employee or of whom the officer or employee is a dependent.

"Dependent" means any person, whether or not related by blood or marriage, who receives from the officer or employee, or provides to the officer or employee, more than one-half of his financial support.

"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. "Close financial association" does not include an association based on, 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, local travel, lodgings and meals, whether provided in-kind, by purchase of a ticket, payment in advance or reimbursement after the expense has been incurred.  "Gift" shall not include any offer of a ticket or other admission or pass unless the ticket, admission, or pass is used. "Gift" shall not include honorary degrees and presents from relatives. "Relative" means the donee's spouse, child, uncle, aunt, niece, or nephew; a person to whom the donee is engaged to be married; the donee's or his spouse's parent, grandparent, grandchild, brother, or sister; or the donee's brother's or sister's spouse.

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 $10,000 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 $10,000
     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 12 months did you receive lodging, transportation,
     money, or anything else of value with a combined value exceeding $200
     for a single talk, meeting, or published work in your capacity as an
     officer or employee of your agency?
    EITHER check NO / / OR check YES / / and complete Schedule D. 
5.  Gifts. 
    During the past 12 months did a business, government, or individual
     other than a relative or personal friend (i) furnish you with any gift
     or entertainment at a single event, and the value received by you
     exceeded $50 in value or (ii) furnish you with gifts or entertainment in
     any combination and the value received by you exceeded $100 in total
     value; and for which you neither paid nor rendered services in exchange?
     Account for entertainment events only if the average value per person
     attending the event exceeded $50 in value. Account for all business
     entertainment (except if related to your private profession or
     occupation) 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 $10,000 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
     $10,000 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 12 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
      12 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 12 months?
      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 $10,000 or more 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, valued at $10,000 or more in real property
    located in the county, city or town in which you serve or in a county,
    city or town contiguous to the county, city or town in which you serve
    (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 $10,000 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
    12 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 .................................................................
   Commonwealth of Virginia
   .......... of  .......... to wit:
   The foregoing disclosure form was acknowledged before me
   This  .......... day of  .........., 20. . . , by .........................
   Notary Public
   My commission expires .....................................................
   (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
   -----------------       ------------------        ------------------
   -----------------       ------------------        ------------------
   -----------------       ------------------        ------------------
   -----------------       ------------------        ------------------
  ---------------------------------------------------------------------------
  ---------------------------------------------------------------------------

                                                             RETURN TO ITEM 2
SCHEDULE B - PERSONAL LIABILITIES.
  Report personal liability by checking each category. Report only debts in
  excess of $10,000. 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                                     $10,001 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.)                                      -------      ---------
   ____________________________________________        -------      ---------
   ____________________________________________        -------      ---------
   Individual creditors:
   (State principal business or
       occupation of each creditor.)                   -------      ---------
   ____________________________________________        -------      ---------
   ____________________________________________        -------      ---------
2. The personal debts of the members of my immediate family are as follows: 

  ---------------------------------------------------------------------------
  ---------------------------------------------------------------------------
          Check                                               Check one
       appropriate                                     $10,001 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.)                             -------      ---------
   ____________________________________________        -------      ---------
   ____________________________________________        -------      ---------
   Individual creditors:
   (State principal business or
       occupation of each creditor.)                   -------      ---------
   ____________________________________________        -------      ---------
   ____________________________________________        -------      ---------

  ---------------------------------------------------------------------------
  ---------------------------------------------------------------------------

                                                             RETURN TO ITEM 3
   
   SCHEDULE C - SECURITIES.
   "Securities" INCLUDES stocks, bonds,         "Securities" EXCLUDES
   mutual funds, limited partnerships,            certificates of deposit,
   and commodity futures contracts.               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 $10,000.
      Name each entity 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
                         (stocks, bonds,  $10,001   More     $50,001   More
  
 Name of     Type of     mutual            to     than       to      than
   Issuer      Entity      funds, etc.)   $50,000  $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 12 months
     lodging, transportation, money, or any other thing of value (excluding
     meals or drinks coincident with a meeting) with combined value exceeding
     $200 for your presentation of a single talk, participation in one
     meeting, or publication of a work in your capacity as an officer or
     employee of your agency.
  
     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 12 months, (i) furnished you with any gift or entertainment at a
     single event and the value received by you exceeded $50 in value, or
     (ii) furnished you with gifts or entertainment in any combination and
     the value received by you exceeded $100 in total value; and for which
     you 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 in value. Do not list business
     entertainment related to your private profession or occupation. 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
     (§ 24.2-900 et seq.) of Title 24.2 of the Code of Virginia.

  --------------------------------------------------------------------------
  --------------------------------------------------------------------------
   Name of Business,       City or
   Organization, or        County         Gift or
   Individual              and State      Event          Approximate 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
     $10,000.

     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                                            Gross income
  Business,                 Nature of
  Corporation,              Enterprise
  Partnership,              (farming,
  Farm;                     law,
  Address of   City or      rental     $50,000  More than  $50,001   More
  Rental       County       property,  or less  $50,000      to      than
 Property     and State    etc.)                          $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 12 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. 

  ----------------------------------------------------------------------------
  ----------------------------------------------------------------------------
                                                         Amount Received
   Name  Type  Pur-   Name  $1,001    $10,001   $50,001    $100,001   $250,001
   of    of    pose   of    to        to        to         to         and over
   Busi- Busi- of     Agen- $10,000   $50,000   $100,000   $250,000
   ness  ness  Repre- cy
               senta-
               tion
  -----  ----  ------ ----- --------  --------  --------   --------   --------
  -----  ----  ------ ----- --------  --------  --------   --------   --------
  -----  ----  ------ ----- --------  --------  --------   --------   --------
  -----  ----  ------ ----- --------  --------  --------   --------   --------
  -----  ----  ------ ----- --------  --------  --------   --------   --------
  -----  ----  ------ ----- --------  --------  --------   --------   --------
  
  ----------------------------------------------------------------------------
  ----------------------------------------------------------------------------
  
     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 12 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 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 12 months.
 
    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.

  ----------------------------------------------------------------------------
  ----------------------------------------------------------------------------
  
                                                         Value of Compensation
                      Check   Type
                      if      of
                      ser-    ser-
                      vices   vice
                      were    ren-
                      ren-    dered
                      dered        $1,001  $10,001  $50,001  $100,001 $250,001
                                   to      to       to       to       and
                                   $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
     $10,000 or more. You may list each parcel of real estate individually if
     you wish.

  ----------------------------------------------------------------------------
  ----------------------------------------------------------------------------
  
  List each location         Describe the type of real   If the real estate is
  (state, and county         estate you own in each      owned or recorded in
  or city) where you         location (business, recre-  a name other than
  own real estate.           ational, apartment, com-    your own, list that
                             mercial, open land, etc.).  name.
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------

  ----------------------------------------------------------------------------
  ----------------------------------------------------------------------------
  
  SCHEDULE H-2 - REAL ESTATE - LOCAL OFFICERS AND EMPLOYEES.
 
    List real estate located in your county, city, or town, and any
     contiguous county, city, or town 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 $10,000 or more. You may list each parcel of real estate
     individually if you wish.

  ---------------------------------------------------------------------------
  ---------------------------------------------------------------------------
  
  List each location         Describe the type of real   If the real estate is
  (state, and county         estate you own in each      owned or recorded in
  or city) where you         location (business, recre-  a name other than
  own real estate.           ational, apartment, com-    your own, list that
                             mercial, open land, etc.).  name.
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------

  ----------------------------------------------------------------------------
  ----------------------------------------------------------------------------
  
                                                             RETURN TO ITEM 10
 
SCHEDULE I - REAL ESTATE CONTRACTS WITH GOVERNMENTAL AGENCIES. 
 
    List all contracts, whether pending or completed within the past 12
     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 $10,000 or more. 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 $1,000 or more. 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      List each governmental      State the annual
  interest and the           agency which is a           income from the
  person or entity,          party to the contract       contract, and the
  including the type         and indicate the            amount, if any, of
  of entity, which           county or city where        income you or any
  is party to                the real estate             immediate family
  the contract.              is located.                 member derives
  Describe any                                           annually from the
  management role and                                    contract.
  the percentage
  ownership
  interest you or your
  immediate family
  member has in the real
  estate or entity.
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
  ----------------------------------------------------------------------------
  ----------------------------------------------------------------------------

§ 2.2-3118. Disclosure form; certain citizen members.

A. 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 substantially as follows:

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 residing in the same household as the filer, who is a dependent of the filer or of whom the filer is a dependent.

"Dependent" means any person, whether or not related by blood or marriage, who receives from the filer, or provides to the filer, more than one-half of his financial support.

"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 $1000 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 $200 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. 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 on the form set forth in § 30-111 and thereafter shall file such a statement annually on or before January 8. 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 provided by the clerk of the appropriate house to each legislator and legislator-elect not later than November 30 of each year. Members of the Senate shall file their disclosure forms with the Clerk of the Senate and members of the House of Delegates shall file their disclosure forms with the Clerk of the House of Delegates. The disclosure forms of the members of the General Assembly shall be maintained as public records for five years in the office of the clerk of the appropriate house.

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. The disclosure form to be used for filings required by subsections A and B of § 30-110 shall be substantially as follows:

 
STATEMENT OF ECONOMIC INTERESTS.

 

 Name ......................................................................
  Office or position held or sought ..........................................
  Home address ...............................................................
  Names of members of immediate family .......................................
 
DEFINITIONS AND EXPLANATORY MATERIAL.
 

"Immediate family" means (i) a spouse and (ii) any other person residing in the same household as the legislator, who is a dependent of the legislator or of whom the legislator is a dependent.

"Dependent" means any person, whether or not related by blood or marriage, who receives from the legislator, or provides to the legislator, more than one-half of his financial support.

"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,. "Close financial association" does not include an association based on 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 occurence 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, local travel, lodgings and meals, whether provided in-kind, by purchase of a ticket, payment in advance or reimbursement after the expense has been incurred. "Gift" shall not include any offer of a ticket or other admission or pass unless the ticket, admission, or pass is used. "Gift" shall not include honorary degrees and presents from relatives. "Relative" means the donee's spouse, child, uncle, aunt, niece, or nephew; a person to whom the donee is engaged to be married; the donee's or his spouse's parent, grandparent, grandchild, brother, or sister; or the donee's brother's or sister's spouse.

"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 (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.

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 $10,000 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 $10,000
     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 12 months did you receive lodging, transportation,
     money, or anything else of value with a combined value exceeding $200
     for a single talk, meeting, or published work in your capacity as a
     legislator?
    EITHER check NO / / OR check YES / / and complete Schedule D. 
5.  Gifts. 
    During the past 12 months did a business, government, or individual
     other than a relative or personal friend (i) furnish you with any gift
     or entertainment at a single event, and the value received by you
     exceeded $50 in value or (ii) furnish you with gifts or entertainment in
     any combination and the value received by you exceeded $100 in total
     value; and for which you neither paid nor rendered services in exchange?
     Account for entertainment events only if the average value per person
     attending the event exceeded $50 in value. Account for all business
     entertainment (except if related to your private profession or
     occupation) 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 $10,000 annually. (Exclude state or local
     government or advisory agencies.)
    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
     $10,000 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 12 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 12 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 12
      months?
      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 $10,000 or more 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 $10,000 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
     12 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. 
 
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 ________________________________
   Commonwealth of Virginia
   ________ of ________ to wit:
   The foregoing disclosure form was acknowledged before me
   This ________ day of ____________ , 20____ , by ______________
   Notary Public
   My commission expires ________________________
   (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
   -----------------       ------------------        ------------------
   -----------------       ------------------        ------------------
   -----------------       ------------------        ------------------
   -----------------       ------------------        ------------------
  ---------------------------------------------------------------------------
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                                                              RETURN TO ITEM 2
SCHEDULE B - PERSONAL LIABILITIES. 
 
Report personal liability by checking each category. Report only debts in
  excess of $10,000. 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: 

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          Check                                                Check one
       appropriate                                      $10,001 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.)                                       -------      ---------
   ____________________________________________         -------      ---------
   ____________________________________________         -------      ---------
   Individual creditors:
   (State principal business or
       occupation of each creditor.)                    -------      ---------
   ____________________________________________         -------      ---------
   ____________________________________________         -------      ---------
2. The personal debts of the members of my immediate family are as follows: 
 
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          Check                                                Check one
       appropriate                                      $10,001 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.)                              -------      ---------
   ____________________________________________         -------      ---------
   ____________________________________________         -------      ---------
   Individual creditors:
   (State principal business or
       occupation of each creditor.)                    -------      ---------
   ____________________________________________         -------      ---------
   ____________________________________________         -------      ---------
 
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                                                              RETURN TO ITEM 3
   SCHEDULE C - SECURITIES.
 
 "Securities" INCLUDES stocks, bonds,         "Securities" EXCLUDES
   mutual funds, limited partnerships,            certificates of deposit,
   and commodity futures contracts.               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 $10,000. Name each entity 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 /  /.

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                                                    Check one
                           Type of
  
                         Security
                         (stocks, bonds,  $10,001   More     $50,001   More
  
 Name of     Type of     mutual            to     than       to      than
   Issuer      Entity      funds, etc.)   $50,000  $50,000  $250,000  $250,000
   ----------  -------  ---------------   -------  -------  --------  --------
   ----------  -------  ---------------   -------  -------  --------  --------
   ----------  -------  ---------------   -------  -------  --------  --------
   ----------  -------  ---------------   -------  -------  --------  --------
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                                                              RETURN TO ITEM 4
SCHEDULE D - PAYMENTS FOR TALKS, MEETINGS, AND PUBLICATIONS. 
 
    List each source from which you received during the past 12 months
     lodging, transportation, money, or any other thing of value (excluding
     meals or drinks coincident with a meeting) with combined value exceeding
     $200 for your presentation of a single talk, participation in one
     meeting, or publication of a work in your capacity as a legislator. List
     payments or reimbursements by a the Commonwealth 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 / /. 

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                                                             Type of payment
                                                             (e.g. Honoraria,
                                                             travel reimburse-
   Payer         Approximate Value        Circumstances      ment, etc.)
   ----------    ---------------------    --------------     ----------------
   ----------    ---------------------    --------------     ----------------
   ----------    ---------------------    --------------     ----------------
   ----------    ---------------------    --------------     ----------------
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                                                              RETURN TO ITEM 5
 
SCHEDULE E - GIFTS. 
    List each business, governmental entity, or individual that, during the
     past 12 months, (i) furnished you with any gift or entertainment at a
     single event and the value received by you exceeded $50 in value, or (ii)
     furnished you with gifts or entertainment in any combination and the
     value received by you exceeded $100 in total value; and for which you
     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 in value. Do not list business
     entertainment related to your private profession or occupation. 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
     (§ 24.2-900 et seq.) of Title 24.2 of the Code of Virginia.

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   Name of Business,
   Organization, or        City or        Gift or
   Individual              County         Event
                           and State                     Approximate Value
   ------------------      ---------      ---------      ------------------
   ------------------      ---------      ---------      ------------------
   ------------------      ---------      ---------      ------------------
   ------------------      ---------      ---------      ------------------

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                                                              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 $10,000.
   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.

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 Name of                                            Gross income
 Business,                  Nature of
 Corporation,               Enterprise
 Partnership,               (farming,
 Farm;                      law,
 Address of    City or      rental     $50,000  More than  $50,001   More
 Rental        County       property,  or less  $50,000      to      than
Property      and State    etc.)                         $250,000  $250,000
  ----------    ----------   ---------  -------  --------  --------  --------
  ----------    ----------   ---------  -------  --------  --------  --------
  ----------    ----------   ---------  -------  --------  --------  --------
  ----------    ----------   ---------  -------  --------  --------  --------
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                                                              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.

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   List each person     Describe each     Dates of             Payments to
   or business          relationship      relationship          Lobbyist
                                                            $10,000  More than
  
                                                          or less  $10,001
   -----------------    ---------------   --------------    -------  ---------
   -----------------    ---------------   --------------    -------  ---------
   -----------------    ---------------   --------------    -------  ---------
   -----------------    ---------------   --------------    -------  ---------
   -----------------    ---------------   --------------    -------  ---------
  
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  ----------------------------------------------------------------------------
  
  
  

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 12 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.

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  ----------------------------------------------------------------------------
  
                                                         Amount Received
  
   Name  Type  Pur-   Name  $1,001    $10,001   $50,001    $100,001   $250,001
   of    of    pose   of    to        to        to         to         and over
   Busi- Busi- of     Agen- $10,000   $50,000   $100,000   $250,000
   ness  ness  Repre- cy
               senta-
               tion
  -----  ----  ------ ----- --------  --------  --------   --------   --------
  -----  ----  ------ ----- --------  --------  --------   --------   --------
  -----  ----  ------ ----- --------  --------  --------   --------   --------
  -----  ----  ------ ----- --------  --------  --------   --------   --------
  -----  ----  ------ ----- --------  --------  --------   --------   --------
  -----  ----  ------ ----- --------  --------  --------   --------   --------
  
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  ----------------------------------------------------------------------------
  
    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 12 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.

   
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  ----------------------------------------------------------------------------
  
   Type of Business        Name of State Governmental Agency
  
   -------------------     --------------------------------------
   --------------------    --------------------------------------
   --------------------    --------------------------------------
   --------------------    --------------------------------------
  
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  ----------------------------------------------------------------------------
  
  SCHEDULE G-3 - PAYMENTS FOR REPRESENTATION AND 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 12 months.

     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.

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                                                         Value of Compensation
                      Check   Type
                      if      of
                      ser-    ser-
                      vices   vice
                      were    ren-
                      ren-    dered
                      dered        $1,001  $10,001  $50,001  $100,001 $250,001
                                   to      to       to       to       and
                                   $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               ------  ---- ------- --------- ------- -------- --------

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                                                              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
     $10,000 or more. You may list each parcel of real estate individually if
     you wish.

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  ----------------------------------------------------------------------------
  
  List each location         Describe the type of real   If the real estate is
  (state, and county         estate you own in each      owned or recorded in
  or city) where you         location (business, recre-  a name other than
  own real estate.           ational, apartment, com-    your own, list that
                             mercial, open land, etc.).  name.
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------

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                                                             RETURN TO ITEM 10
SCHEDULE I - REAL ESTATE CONTRACTS WITH STATE GOVERNMENTAL AGENCIES. 
 
    List all contracts, whether pending or completed within the past 12
     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 $10,000 or more. 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 $1,000 or more. 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.

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  List your real estate      List each governmental      State the annual
  interest and the           agency which is a           income from the
  person or entity,          party to the contract       contract, and the
  including the type         and indicate the            amount, if any, of
  of entity, which           county or city where        income you or any
  is party to                the real estate             immediate family
  the contract.              is located.                 member derives
  Describe any                                           annually from the
  management role and                                    contract.
  the percentage
  ownership
  interest you or your
  immediate family
  member has in the real
  estate or entity.
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
  ----------------------     -------------------------   ---------------------
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B. Any legislator who makes a knowing misstatement of a material fact on the Statement of Economic Interests shall be subject to disciplinary action for such violations by the house in which the legislator sits.

C. In accordance with the rules of each house, the Statement of Economic Interests of all members of each house shall be reviewed. 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.