SEARCH SITE

VIRGINIA LAW PORTAL

SEARCHABLE DATABASES

ACROSS SESSIONS

Developed and maintained by the Division of Legislative Automated Systems.

2007 SESSION

075517480
HOUSE BILL NO. 1936
Offered January 10, 2007
Prefiled January 4, 2007
A BILL to amend and reenact § 30-111 of the Code of Virginia, relating to the General Assembly Conflicts of Interests Act; disclosure form.
----------
Patron-- Rapp
----------
Referred to Committee on Rules
----------

Be it enacted by the General Assembly of Virginia:

1.  That § 30-111 of the Code of Virginia is amended and reenacted as follows:

§ 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, 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? Do not include payments and reimbursements from the
     Commonwealth for meetings attended in your capacity as a   legislator; see Question 11 and Schedule J to report such meetings. 
    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
      an interest derived through an ownership interest in a business unless
      the ownership interest exceeds three percent of the total equity of the
      business.
    EITHER check NO / / OR check YES / / and complete Schedule I. 
 
11. Payments by the Commonwealth for Meetings. 
    During the past 12 months did you receive lodging, transportation,
      money, or anything else of value with a combined value exceeding $200
      from the Commonwealth for a single meeting attended out-of-state in
     your capacity as a legislator? Do not include reimbursements from the 
     Commonwealth for meetings attended in the Commonwealth.                                              
     EITHER check NO / / OR check YES / / and complete Schedule J. 
 
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
    -----------------       ------------------        ------------------
    -----------------       ------------------        ------------------
    -----------------       ------------------        ------------------
    -----------------       ------------------        ------------------
   --------------------------------------------------------------------------
   --------------------------------------------------------------------------
                                                            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  $50,001    More
    Name of     Type of     mutual            to       to      than
    Issuer      Entity      funds, etc.)   $50,000  $250,000  $250,000
    ----------  -------  ---------------   -------  -------   --------
    ----------  -------  ---------------   -------  --------  --------
    ----------  -------  ---------------   -------  --------  --------
    ----------  -------  ---------------   -------  --------  --------
   ---------------------------------------------------------------------
   ---------------------------------------------------------------------
   
                                                        RETURN TO ITEM 4
SCHEDULE D - PAYMENTS FOR TALKS, MEETINGS, AND PUBLICATIONS. 
 
    List each source from which you received during the past 12 months
      lodging, transportation, money, or any other thing of value (excluding
      meals or drinks coincident with a meeting) with a 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 Do not list payments or reimbursements by the
     Commonwealth only for meetings or travel outside the Commonwealth.
     (See Schedule J for such payments or reimbursements.) List a payment
      even if you donated it to charity. Do not list information about a
      payment if you returned it within 60 days or if you received it
      from an employer already listed under Item 6 or from a source of
      income listed on Schedule F.
 
    If no payment must be listed, check here / /. 

   --------------------------------------------------------------------------
   --------------------------------------------------------------------------
                                                            Type of payment
                                                            (e.g. Honoraria,
                                                            travel reimburse-
    Payer         Approximate Value        Circumstances      ment, etc.)
    ----------    ---------------------    --------------    ----------------
    ----------    ---------------------    --------------    ----------------
    ----------    ---------------------    --------------    ----------------
    ----------    ---------------------    --------------    ----------------
   --------------------------------------------------------------------------
   --------------------------------------------------------------------------

                                                             RETURN TO ITEM 5
 
SCHEDULE 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
     9.3(§ 24.2-945 et seq.) of Title 24.2 of the Code of Virginia.

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

   --------------------------------------------------------------------------
   --------------------------------------------------------------------------
   
                                                             RETURN TO ITEM 6
SCHEDULE F-1 - BUSINESS INTERESTS. 
   Complete this Schedule for each self-owned or family-owned business
     (including rental property, a farm, or consulting work), partnership, or
     corporation in which you or a member of your immediate family,
     separately or together, own an interest having a value in excess of
     $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  $50,001   More
  Rental        County       property,  or less    to      than
Property      and State    etc.)               $250,000  $250,000
   ----------    ----------   --------- ------- --------  --------
   ----------    ----------   --------- ------- --------  --------
   ----------    ----------   --------- ------- --------  --------
   ----------    ----------   ---------  ------ --------  --------
 --------------------------------------------------------------------------
 --------------------------------------------------------------------------
                                                            RETURN TO ITEM 8
SCHEDULE F-2 - LOBBYIST RELATIONSHIPS AND PAYMENTS. 
   Complete this Schedule for each lobbyist relationship with the following:
   (i) any person who is, or has been within the prior calendar year,
     registered as a lobbyist with the Secretary of the Commonwealth, or
   (ii) any business in which you have a greater than three percent
     ownership interest and that business employs, or engages as an
     independent contractor, any person who is, or has been within the prior
     calendar year, registered as a lobbyist with the Secretary of the
     Commonwealth.

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

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.

 ----------------------------------------------------------------------------
 ----------------------------------------------------------------------------
   
                                                        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 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.

    
 ----------------------------------------------------------------------------
 ----------------------------------------------------------------------------
   
    Type of Business        Name of State Governmental Agency
   
    -------------------     --------------------------------------
    --------------------    --------------------------------------
    --------------------    --------------------------------------
    --------------------    --------------------------------------
   
 ----------------------------------------------------------------------------
 ----------------------------------------------------------------------------
   
   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.

 ----------------------------------------------------------------------------
 ----------------------------------------------------------------------------
   
                                                        Value of Compensation
                     Check Type
                     if    of
                     ser-  ser-
                     vices vice
                     were  ren- $1,001   $10,001  $50,001  $100,001 $250,001
                    ren-   dered   to      to       to       to       and
                    dered        $10,000 $50,000  $100,000 $250,000 over
 Electric utilities ------ ---- ------- --------- ------- -------- --------
 Gas utilities      ------ ---- ------- --------- ------- -------- --------
 Telephone utilities ----- ---- ------- --------- ------- -------- --------
 Water utilities    ------ ---- ------- --------- ------- -------- --------
 Cable television
   companies        ------ ---- ------- --------- ------- -------- --------
 Interstate
   transportation
   companies        ------ ---- ------- --------- ------- -------- --------
 Intrastate
   transportation
   companies        ------ ---- ------- --------- ------- -------- --------
 Oil or gas retail
   companies        ------ ---- ------- --------- ------- -------- --------
 Banks              ------  ---- ------- --------- ------- -------- --------
 Savings
   institutions     ------ ---- ------- --------- ------- -------- --------
 Loan or finance
   companies        ------ ---- ------- --------- ------- -------- --------
 Manufacturing
   companies
   (state type
   of product,
   e.g., textile,
   furniture, etc.) ------ ---- ------- --------- ------- -------- --------
 Mining companies   ------ ---- ------- --------- ------- -------- --------
 Life insurance
   companies        ------ ---- ------- --------- ------- -------- --------
 Casualty insurance
   companies        ------ ---- ------- --------- ------- -------- --------
 Other insurance
   companies        ------ ---- ------- --------- ------- -------- --------
 Retail companies   ------ ---- ------- --------- ------- -------- --------
 Beer, wine or
   liquor companies
   or distributors  ------ ---- ------- --------- ------- -------- --------
 Trade associations ------ ---- ------- --------- ------- -------- --------
 Professional
   associations     ------ ---- ------- --------- ------- -------- --------
 Associations of
   public employees
   or officials     ------ ---- ------- --------- ------- -------- --------
 Counties, cities
   or towns         ------ ---- ------- --------- ------- -------- --------
 Labor organizations------ ---- ------- --------- ------- -------- --------
 Other              ------ ---- ------- --------- ------- -------- --------

 --------------------------------------------------------------------------
 --------------------------------------------------------------------------
                                                           RETURN TO ITEM 9
SCHEDULE H - 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.
---------------------------------------------------------------------------
 ---------------------------------------------------------------------------
   
 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 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.

 ----------------------------------------------------------------------------
 ----------------------------------------------------------------------------
   
   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.
 ----------------------     -------------------------   ---------------------
 ----------------------     -------------------------   ---------------------
 ----------------------     -------------------------   ---------------------
 ----------------------     -------------------------   ---------------------
 ----------------------     -------------------------   ---------------------
 ----------------------------------------------------------------------------
 ----------------------------------------------------------------------------
SCHEDULE J - PAYMENTS BY THE COMMONWEALTH FOR MEETINGS. 
    List each meeting for which the Commonwealth provided payments or 
     reimbursements during the past 12 months to you for lodging,      transportation, money, or any other thing of value (excluding
      meals or drinks coincident with a meeting) with a combined value
      exceeding $200 for your participation in your capacity as a
      legislator.  Do not list payments or reimbursements by the
     Commonwealth for meetings or travel within the Commonwealth.
 
    If no payment must be listed, check here / /. 

   --------------------------------------------------------------------------
   --------------------------------------------------------------------------
                                                            Type of payment
                                                            (e.g. Honoraria,
                                                            travel reimburse-
    Payer         Approximate Value        Circumstances      ment, etc.)
    ----------    ---------------------    --------------    ----------------
    ----------    ---------------------    --------------    ----------------
    ----------    ---------------------    --------------    ----------------
    ----------    ---------------------    --------------    ----------------
   --------------------------------------------------------------------------
   --------------------------------------------------------------------------

            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.