A. The disclosure form to be used for filings required bysubsections 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.
"Business" means a corporation, partnership, soleproprietorship, firm, enterprise, franchise, association, trust or foundation,or any other individual or entity carrying on a business or profession, whetheror not for profit.
"Close financial association" means an associationin which the filer shares significant financial involvement with an individualand the filer would reasonably be expected to be aware of the individual'sbusiness activities and would have access to the necessary records eitherdirectly or through the individual. "Close financial association"does not mean an association based on (i) the receipt of retirement benefits ordeferred compensation from a business by which the legislator is no longeremployed, or (ii) the receipt of compensation for work performed by the legislatoras an independent contractor of a business that represents an entity before anystate governmental agency when the legislator has had no communications withthe state governmental agency.
"Contingent liability" means a liability that is notpresently fixed or determined, but may become fixed or determined in the futurewith the occurrence of some certain event.
"Dependent" means any person, whether or not relatedby blood or marriage, who receives from the legislator, or provides to thelegislator, more than one-half of his financial support.
"Gift" means any gratuity, favor, discount,entertainment, hospitality, loan, forbearance, or other item having monetaryvalue. It includes services as well as gifts of transportation, local travel,lodgings and meals, whether provided in-kind, by purchase of a ticket, paymentin advance or reimbursement after the expense has been incurred."Gift" shall not include any offer of a ticket or other admission orpass unless the ticket, admission, or pass is used. "Gift" shall notinclude honorary degrees and presents from relatives. "Relative"means the donee's spouse, child, uncle, aunt, niece, or nephew; a person towhom 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 orsister's spouse.
"Immediate family" means (i) a spouse and (ii) anyother person residing in the same household as the legislator, who is adependent of the legislator or of whom the legislator is a dependent.
"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 amember or member-elect and any person who is, or has been within the priorcalendar 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, anyperson who is, or has been within the prior calendar year, registered as alobbyist with the Secretary of the Commonwealth. The disclosure of a lobbyistrelationship shall not (i) constitute a waiver of any attorney-client or otherprivilege, (ii) require a waiver of any attorney-client or other privilege fora third party, or (iii) be required where a member or member-elect is employedor engaged by a person and such person also employs or engages a person in alobbyist relationship so long as the member or member-elect has no financialinterest in the lobbyist relationship.
TRUST. If you or your immediate family, separately ortogether, are the only beneficiaries of a trust, treat the trust's assets as ifyou own them directly. If you or your immediate family has a proportionalinterest in a trust, treat that proportion of the trust's assets as if you ownthem directly. For example, if you and your immediate family have a one-thirdinterest in a trust, complete your Statement as if you own one-third of each ofthe trust's assets. If you or a member of your immediate family created a trustand can revoke it without the beneficiaries' consent, treat its assets as ifyou own them directly.
REPORT TO THE BEST OF INFORMATION AND BELIEF. Informationrequired 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 ofthis report unless otherwise stated.
COMPLETE ITEMS 1 THROUGH 11. REFER TO SCHEDULES ONLY IFDIRECTED.
You may attach additional explanatory information.
1. Offices and Directorships.
Are you or a member of your immediate family a paid officer orpaid director of a business?
EITHER check NO / / OR check YES / / andcomplete 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 toany government and loans secured by recorded liens on property at least equalin value to the loan.)
EITHER check NO / / OR check YES / / andcomplete Schedule B.
3. Securities.
Do you or a member of your immediate family, directly orindirectly, separately or together, own securities valued in excess of $10,000invested in one business? Account for mutual funds, limited partnerships andtrusts.
EITHER check NO / / OR check YES / / andcomplete 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 valueexceeding $200 for a single talk, meeting, or published work in your capacityas a legislator? Do not include payments and reimbursements from theCommonwealth for meetings attended in your capacity as a legislator; seeQuestion 11 and Schedule D2 to report such meetings.
EITHER check NO / / OR check YES / / andcomplete Schedule D.
5. Gifts.
During the past 12 months did a business, government, orindividual other than a relative or personal friend (i) furnish you with anygift 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 combinationand the value received by you exceeded $100 in total value; and for which youneither paid nor rendered services in exchange? Account for entertainmentevents only if the average value per person attending the event exceeded $50 invalue. Account for all business entertainment (except if related to yourprivate profession or occupation) even if unrelated to your official duties.
EITHER check NO / / OR check YES / / andcomplete Schedule E.
6. Salary and Wages.
List each employer that pays you or a member of your immediatefamily salary or wages in excess of $10,000 annually. (Exclude any salaryreceived as a member of the General Assembly pursuant to § 30-19.11.)
If no reportable salary or wages, check here / / .
7A. Do you or a member of your immediate family, separately ortogether, operate your own business, or own or control an interest in excess of$10,000 in a business?
EITHER check NO / / OR check YES / / andcomplete Schedule F-1.
7B. Do you have a lobbyist relationship as that term isdefined above?
EITHER check NO / / OR check YES / / andcomplete Schedule F-2.
8. Payments for Representation and Other Services.
8A. Did you represent any businesses before any stategovernmental agencies, excluding courts or judges, for which you received totalcompensation during the past 12 months in excess of $1,000, excludingcompensation for other services to such businesses and representationconsisting solely of the filing of mandatory papers and subsequentrepresentation regarding the mandatory papers?
EITHER check NO / / OR check YES / / andcomplete Schedule G-1.
8B. Subject to the same exceptions as in 8A, did persons withwhom you have a close financial association (partners, associates or others)represent any businesses before any state governmental agency for which totalcompensation was received during the past 12 months in excess of $1,000?
EITHER check NO / / OR check YES / / andcomplete Schedule G-2.
8C. Did you or persons with whom you have a close financialassociation furnish services to businesses operating in Virginia, pursuant toan agreement between you and such businesses, or between persons with whom youhave a close financial association and such businesses for which totalcompensation in excess of $1,000 was received during the past 12 months?Services reported under this provision shall not include services involving therepresentation of businesses that are reported under question 8A or 8B above.
EITHER check NO / / OR check YES / / andcomplete 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 thefull address on Schedule F? Account for real estate held in trust.
EITHER check NO / / OR check YES / / andcomplete Schedule H.
10. Real Estate Contracts with State Governmental Agencies.
Do you or a member of your immediate family hold an interestvalued at more than $10,000 in real estate, including a corporate, partnership,or trust interest, option, easement, or land contract, which real estate is thesubject 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 theproperty to a state governmental agency, do you or a member of your immediatefamily 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 reportedin Schedule F or H. This requirement to disclose an interest in a lease doesnot apply to an interest derived through an ownership interest in a businessunless the ownership interest exceeds three percent of the total equity of thebusiness.
EITHER check NO / / OR check YES / / andcomplete 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 valueexceeding $200 from the Commonwealth for a single meeting attended out-of-statein your capacity as a legislator? Do not include reimbursements from theCommonwealth for meetings attended in the Commonwealth.
EITHER check NO / / OR check YES / / andcomplete Schedule D-2.
Statements of Economic Interests are open for publicinspection.
AFFIRMATION.
In accordance with the rules of the house in which I serve, ifI receive a request that this disclosure statement be corrected, augmented, orrevised in any respect, I hereby pledge that I shall respond promptly to therequest. I understand that if a determination is made that the statement isinsufficient, I will satisfy such request or be subjected to disciplinaryaction of my house.
I swear or affirm that the foregoing information is full, trueand 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 yourimmediate 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. Reportonly debts in excess of $10,000. Do not report debts to any government. Do notreport loans secured by recorded liens on property at least equal in value tothe loan.
Report contingent liabilities below and indicate which debtsare contingent.
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 familyare 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 inwhich you or a member of your immediate family, directly or indirectly,separately or together, own securities valued in excess of $10,000. Name eachentity and type of security individually.
Do not list U.S. Bonds or other government securities notissued by the Commonwealth of Virginia or its authorities, agencies, or localgovernments. Do not list organizations that do not do business in thisCommonwealth, but most major businesses conduct business in Virginia. Accountfor securities held in trust.
Check one Type of Security $10,001 $50,001 More Type of (stocks, bonds, to to than Name of Issuer Entity mutual funds, etc.) $50,000 $250,000 $250,000 ______________ _______ ___________________ ________ ________ ________ ______________ _______ ___________________ ________ ________ ________ ______________ _______ ___________________ ________ ________ ________ ______________ _______ ___________________ ________ ________ ________ __________________________________________________________________________ RETURN TO ITEM 4
SCHEDULE D-1 - PAYMENTS FOR TALKS, MEETINGS, AND PUBLICATIONS.
List each source from which you received during the past 12months lodging, transportation, money, or any other thing of value (excludingmeals or drinks coincident with a meeting) with a combined value exceeding $200for your presentation of a single talk, participation in one meeting, orpublication of a work in your capacity as a legislator. Do not list payments orreimbursements by the Commonwealth. (See Schedule D-2 for such payments orreimbursements.) List a payment even if you donated it to charity. Do not listinformation about a payment if you returned it within 60 days or if youreceived it from an employer already listed under Item 6 or from a source ofincome listed on Schedule F.
Type of Payment (e.g., Honoraria, Travel reimburse- Payer Approximate Value Circumstances ment, etc.) __________________ __________________ _______________ _________________ __________________ __________________ _______________ _________________ __________________ __________________ _______________ _________________ __________________ __________________ _______________ _________________ __________________________________________________________________________ RETURN TO ITEM 5
SCHEDULE D-2 - PAYMENTS BY THE COMMONWEALTH FOR MEETINGS.
List each meeting for which the Commonwealth provided paymentsor reimbursements during the past 12 months to you for lodging, transportation,money, or any other thing of value (excluding meals or drinks coincident with ameeting) with a combined value exceeding $200 for your participation in yourcapacity as a legislator. Do not list payments or reimbursements by theCommonwealth for meetings or travel within the Commonwealth.
Type of Payment (e.g., Travel reimbursement, Payer Approximate Value Circumstances etc.) __________________ __________________ _______________ _________________ __________________ __________________ _______________ _________________ __________________ __________________ _______________ _________________ __________________ __________________ _______________ _________________ __________________________________________________________________________
SCHEDULE E - GIFTS.
List each business, governmental entity, or individual that,during the past 12 months, (i) furnished you with any gift or entertainment ata 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 valuereceived by you exceeded $100 in total value; and for which you neither paidnor rendered services in exchange. List each such gift or event.
Do not list entertainment events unless the average value perperson attending the event exceeded $50 in value. Do not list businessentertainment related to your private profession or occupation. Do not listgifts or other things of value given by a relative or personal friend forreasons clearly unrelated to your public position. Do not list campaigncontributions publicly reported as required by Chapter 9.3 (§ 24.2-945 et seq.)of Title 24.2 of the Code of Virginia.
Name of Business, City or Organization, or County Individual and State Gift or Event Approximate Value ________________________ _________ ________________ __________________ ________________________ _________ ________________ __________________ ________________________ _________ ________________ __________________ ________________________ _________ ________________ __________________ _________________________________________________________________________ RETURN TO ITEM 6
SCHEDULE F-1 - BUSINESS INTERESTS.
Complete this Schedule for each self-owned or family-ownedbusiness (including rental property, a farm, or consulting work), partnership,or corporation in which you or a member of your immediate family, separately ortogether, 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 thenature of the enterprise. If rental property is owned or operated under atrade, partnership, or corporate name, list the name only; otherwise, give theaddress of each property. Account for business interests held in trust.
Name of Business Corporation, Partnership, Nature of Gross income Farm; Enterprise Address of City or (farming, $50,001 More Rental County law, rental $50,000 to than Property and State property, etc.) or less $250,000 $250,000 ______________ _________ _________________ _______ ________ ________ ______________ _________ _________________ _______ ________ ________ ______________ _________ _________________ _______ ________ ________ ______________ _________ _________________ _______ ________ ________ _________________________________________________________________________ RETURN TO ITEM 8
SCHEDULE F-2 - LOBBYIST RELATIONSHIPS AND PAYMENTS.
Complete this Schedule for each lobbyist relationship with thefollowing:
(i) any person who is, or has been within the prior calendaryear, registered as a lobbyist with the Secretary of the Commonwealth, or
(ii) any business in which you have a greater than threepercent ownership interest and that business employs, or engages as anindependent contractor, any person who is, or has been within the priorcalendar year, registered as a lobbyist with the Secretary of the Commonwealth.
Payments to Lobbyist List each person Describe each Dates of $10,000 More than or business relationship relationship or less $10,0001 _________________ ______________ ______________ ___________ ___________ _________________ ______________ ______________ ___________ ___________ _________________ ______________ ______________ ___________ ___________ _________________ ______________ ______________ ___________ ___________ _________________ ______________ ______________ ___________ ___________ ___________________________________________________________________________
THE DISCLOSURE OF A LOBBYIST RELATIONSHIP SHALL NOT (I)CONSTITUTE A WAIVER OF ANY ATTORNEY-CLIENT OR OTHER PRIVILEGE, (II) REQUIRE AWAIVER OF ANY ATTORNEY-CLIENT OR OTHER PRIVILEGE FOR A THIRD PARTY, OR (III) BEREQUIRED WHERE A MEMBER OR MEMBER-ELECT IS EMPLOYED OR ENGAGED BY A PERSON ANDSUCH PERSON ALSO EMPLOYS OR ENGAGES A PERSON IN A LOBBYIST RELATIONSHIP SO LONGAS THE MEMBER OR MEMBER-ELECT HAS NO FINANCIAL INTEREST IN THE LOBBYISTRELATIONSHIP.
SCHEDULE G-1 - PAYMENTS FOR REPRESENTATION BY YOU.
List the businesses you represented before any stategovernmental agency, excluding any court or judge, for which you received totalcompensation during the past 12 months in excess of $1,000, excludingcompensation for other services to such businesses and representationconsisting solely of the filing of mandatory papers and subsequentrepresentation regarding the mandatory papers filed by you.
Identify each business, the nature of the representation andthe amount received by dollar category from each such business. You may statethe type, rather than name, of the business if you are required by law not toreveal the name of the business represented by you.
Pur- pose Amount Received Name Type of of of Repre- Name $1,001 $10,001 $50,001 $100,001 Busi- Busi- senta- of to to to to $250,001 ness ness tion Agency $10,000 $50,000 $100,000 $250,000 and over ______ ______ ______ ______ _______ _______ ________ ________ ________ ______ ______ ______ ______ _______ _______ ________ ________ ________ ______ ______ ______ ______ _______ _______ ________ ________ ________ ______ ______ ______ ______ _______ _______ ________ ________ ________ ______________________________________________________________________
If you have received $250,001 or more from a single businesswithin the reporting period, indicate the amount received, rounded to thenearest $10,000. Amount Received: ______________.
SCHEDULE G-2 - PAYMENTS FOR REPRESENTATION BY ASSOCIATES.
List the businesses that have been represented before anystate governmental agency, excluding any court or judge, by persons who areyour partners, associates or others with whom you have a close financialassociation and who received total compensation in excess of $1,000 for suchrepresentation during the past 12 months, excluding representation consistingsolely of the filing of mandatory papers and subsequent representationregarding the mandatory papers filed by your partners, associates or otherswith whom you have a close financial association.
Identify such businesses by type and also name the stategovernmental agencies before which such person appeared on behalf of suchbusinesses.
Type of Business Name of State Governmental Agency _____________________________ ______________________________________ _____________________________ ______________________________________ _____________________________ ______________________________________ _____________________________ ______________________________________ ______________________________________________________________________
SCHEDULE G-3 - PAYMENTS FOR OTHER SERVICES GENERALLY.
Indicate below types of businesses that operate in Virginia towhich services were furnished by you or persons with whom you have a closefinancial association pursuant to an agreement between you and such businesses,or between persons with whom you have a close financial association and suchbusinesses and for which total compensation in excess of $1,000 was receivedduring the past 12 months. Services reported in this Schedule shall not includeservices involving the representation of businesses that are reported inSchedule G-1 or G-2 above.
Identify opposite each category of businesses listed below (i)the type of business, (ii) the type of service rendered and (iii) the value bydollar category of the compensation received for all businesses falling withineach category.
Check if Type ser- of Value of Compensation vices ser- were vice $1,001 $10,001 $50,001 $100,001 ren- ren- to to to to $250,001 dered dered $10,000 $50,000 $100,000 $250,000 and over Electric utilities _____ _____ _______ _______ ________ ________ ________ Gas utilities _____ _____ _______ _______ ________ ________ ________ Telephone utilities _____ _____ _______ _______ ________ ________ ________ Water utilities _____ _____ _______ _______ ________ ________ ________ Cable television companies _____ _____ _______ _______ ________ ________ ________ Interstate transportation companies _____ _____ _______ _______ ________ ________ ________ Intrastate transportation companies _____ _____ _______ _______ ________ ________ ________ Oil or gas retail companies _____ _____ _______ _______ ________ ________ ________ Banks _____ _____ _______ _______ ________ ________ ________ Savings institutions _____ _____ _______ _______ ________ ________ ________ Loan or finance companies _____ _____ _______ _______ ________ ________ ________ Manufacturing companies (state type of product, e.g., textile, furniture, etc.) _____ _____ _______ _______ ________ ________ ________ Mining companies _____ _____ _______ _______ ________ ________ ________ Life insurance companies _____ _____ _______ _______ ________ ________ ________ Casualty insurance companies _____ _____ _______ _______ ________ ________ ________ Other insurance companies _____ _____ _______ _______ ________ ________ ________ Retail companies _____ _____ _______ _______ ________ ________ ________ Beer, wine or liquor companies or distributors _____ _____ _______ _______ ________ ________ ________ Trade associations _____ _____ _______ _______ ________ ________ ________ Professional associations _____ _____ _______ _______ ________ ________ ________ Associations of public employees or officials _____ _____ _______ _______ ________ ________ ________ Counties, cities or towns _____ _____ _______ _______ ________ ________ ________ Labor organizations _____ _____ _______ _______ ________ ________ ________ Other _____ _____ _______ _______ ________ ________ ________ __________________________________________________________________________ RETURN TO ITEM 9
SCHEDULE H - REAL ESTATE.
List real estate other than your principal residence in whichyou or a member of your immediate family holds an interest, including apartnership interest, option, easement, or land contract, valued at $10,000 ormore. Each parcel must be listed individually.
Describe the type of real estate you own in each List the location location (business, If the real estate is (state, and county recreational, apartment, owned or recorded in or city where you commercial, open land, a name other than your own real estate etc.) own, list that name ___________________ _________________________ ______________________ ___________________ _________________________ ______________________ ___________________ _________________________ ______________________ ___________________ _________________________ ______________________ ___________________ _________________________ ______________________ ________________________________________________________________________ RETURN TO ITEM 10
SCHEDULE I - REAL ESTATE CONTRACTS WITH STATE GOVERNMENTALAGENCIES.
List all contracts, whether pending or completed within the past12 months, with a state governmental agency for the sale or exchange of realestate in which you or a member of your immediate family holds an interest,including a corporate, partnership or trust interest, option, easement, or landcontract, valued at $10,000 or more. List all contracts with a stategovernmental agency for the lease of real estate in which you or a member ofyour immediate family holds such an interest valued at $1,000 or more. Thisrequirement to disclose an interest in a lease does not apply to an interestderived through an ownership interest in a business unless the ownershipinterest exceeds three percent of the total equity of the business.
List your real estate interest and the person or entity, including the type of entity, which is party to the contract. State the annual Describe any income from the management role and List each contract, and the the percentage governmental agency amount, if any, of ownership interest which is a party to income you or any you or your immediate the contract and immediate family family member has in indicate the county member derives the real estate or city where the annually from or entity. real estate is located. the contract. ______________________ ________________________ ___________________ ______________________ ________________________ ___________________ ______________________ ________________________ ___________________ ______________________ ________________________ ___________________ ______________________ ________________________ ___________________ _______________________________________________________________________
B. Any legislator who makes a knowing misstatement of amaterial fact on the Statement of Economic Interests shall be subject todisciplinary action for such violations by the house in which the legislatorsits.
C. In accordance with the rules of each house, the Statementof Economic Interests of all members of each house shall be reviewed. If alegislator's Statement is found to be inadequate as filed, the legislator shallbe notified in writing and directed to file an amended Statement correcting theindicated deficiencies, and a time shall be set within which such amendmentshall be filed. If the Statement of Economic Interests, in either its originalor amended form, is found to be adequate as filed, the legislator's filingshall be deemed in full compliance with this section as to the informationdisclosed thereon.
D. Ten percent of the membership of a house, on the basis ofnewly discovered facts, may in writing request the house in which those memberssit, in accordance with the rules of that house, to review the Statement ofEconomic Interests of another member of that house in order to determine theadequacy of his filing. In accordance with the rules of each house, eachStatement of Economic Interests shall be promptly reviewed, the adequacy of thefiling determined, and notice given in writing to the legislator whoseStatement is in issue. Should it be determined that the Statement requires correction,augmentation or revision, the legislator involved shall be directed to make thechanges required within such time as shall be set under the rules of eachhouse.
If a legislator, after having been notified in writing inaccordance with the rules of the house in which he sits that his Statement isinadequate as filed, fails to amend his Statement so as to come into compliancewithin the time limit set, he shall be subject to disciplinary action by thehouse in which he sits. No legislator shall vote on any question relating tohis own Statement.
(1987, Sp. Sess., c. 1, § 2.1-639.41; 1988, c. 849; 1994, cc.724, 733, 735, 777, 793; 1995, c. 763; 1996, c. 77; 1997, cc. 577, 844; 1998,c. 732; 2001, c. 844; 2003, c. 610; 2006, cc. 779, 787, 892; 2007, cc. 620,627; 2010, cc. 418, 474, 670.)
A. The disclosure form to be used for filings required bysubsections 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.
"Business" means a corporation, partnership, soleproprietorship, firm, enterprise, franchise, association, trust or foundation,or any other individual or entity carrying on a business or profession, whetheror not for profit.
"Close financial association" means an associationin which the filer shares significant financial involvement with an individualand the filer would reasonably be expected to be aware of the individual'sbusiness activities and would have access to the necessary records eitherdirectly or through the individual. "Close financial association"does not mean an association based on (i) the receipt of retirement benefits ordeferred compensation from a business by which the legislator is no longeremployed, or (ii) the receipt of compensation for work performed by the legislatoras an independent contractor of a business that represents an entity before anystate governmental agency when the legislator has had no communications withthe state governmental agency.
"Contingent liability" means a liability that is notpresently fixed or determined, but may become fixed or determined in the futurewith the occurrence of some certain event.
"Dependent" means any person, whether or not relatedby blood or marriage, who receives from the legislator, or provides to thelegislator, more than one-half of his financial support.
"Gift" means any gratuity, favor, discount,entertainment, hospitality, loan, forbearance, or other item having monetaryvalue. It includes services as well as gifts of transportation, local travel,lodgings and meals, whether provided in-kind, by purchase of a ticket, paymentin advance or reimbursement after the expense has been incurred."Gift" shall not include any offer of a ticket or other admission orpass unless the ticket, admission, or pass is used. "Gift" shall notinclude honorary degrees and presents from relatives. "Relative"means the donee's spouse, child, uncle, aunt, niece, or nephew; a person towhom 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 orsister's spouse.
"Immediate family" means (i) a spouse and (ii) anyother person residing in the same household as the legislator, who is adependent of the legislator or of whom the legislator is a dependent.
"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 amember or member-elect and any person who is, or has been within the priorcalendar 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, anyperson who is, or has been within the prior calendar year, registered as alobbyist with the Secretary of the Commonwealth. The disclosure of a lobbyistrelationship shall not (i) constitute a waiver of any attorney-client or otherprivilege, (ii) require a waiver of any attorney-client or other privilege fora third party, or (iii) be required where a member or member-elect is employedor engaged by a person and such person also employs or engages a person in alobbyist relationship so long as the member or member-elect has no financialinterest in the lobbyist relationship.
TRUST. If you or your immediate family, separately ortogether, are the only beneficiaries of a trust, treat the trust's assets as ifyou own them directly. If you or your immediate family has a proportionalinterest in a trust, treat that proportion of the trust's assets as if you ownthem directly. For example, if you and your immediate family have a one-thirdinterest in a trust, complete your Statement as if you own one-third of each ofthe trust's assets. If you or a member of your immediate family created a trustand can revoke it without the beneficiaries' consent, treat its assets as ifyou own them directly.
REPORT TO THE BEST OF INFORMATION AND BELIEF. Informationrequired 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 ofthis report unless otherwise stated.
COMPLETE ITEMS 1 THROUGH 11. REFER TO SCHEDULES ONLY IFDIRECTED.
You may attach additional explanatory information.
1. Offices and Directorships.
Are you or a member of your immediate family a paid officer orpaid director of a business?
EITHER check NO / / OR check YES / / andcomplete 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 toany government and loans secured by recorded liens on property at least equalin value to the loan.)
EITHER check NO / / OR check YES / / andcomplete Schedule B.
3. Securities.
Do you or a member of your immediate family, directly orindirectly, separately or together, own securities valued in excess of $10,000invested in one business? Account for mutual funds, limited partnerships andtrusts.
EITHER check NO / / OR check YES / / andcomplete 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 valueexceeding $200 for a single talk, meeting, or published work in your capacityas a legislator? Do not include payments and reimbursements from theCommonwealth for meetings attended in your capacity as a legislator; seeQuestion 11 and Schedule D2 to report such meetings.
EITHER check NO / / OR check YES / / andcomplete Schedule D.
5. Gifts.
During the past 12 months did a business, government, orindividual other than a relative or personal friend (i) furnish you with anygift 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 combinationand the value received by you exceeded $100 in total value; and for which youneither paid nor rendered services in exchange? Account for entertainmentevents only if the average value per person attending the event exceeded $50 invalue. Account for all business entertainment (except if related to yourprivate profession or occupation) even if unrelated to your official duties.
EITHER check NO / / OR check YES / / andcomplete Schedule E.
6. Salary and Wages.
List each employer that pays you or a member of your immediatefamily salary or wages in excess of $10,000 annually. (Exclude any salaryreceived as a member of the General Assembly pursuant to § 30-19.11.)
If no reportable salary or wages, check here / / .
7A. Do you or a member of your immediate family, separately ortogether, operate your own business, or own or control an interest in excess of$10,000 in a business?
EITHER check NO / / OR check YES / / andcomplete Schedule F-1.
7B. Do you have a lobbyist relationship as that term isdefined above?
EITHER check NO / / OR check YES / / andcomplete Schedule F-2.
8. Payments for Representation and Other Services.
8A. Did you represent any businesses before any stategovernmental agencies, excluding courts or judges, for which you received totalcompensation during the past 12 months in excess of $1,000, excludingcompensation for other services to such businesses and representationconsisting solely of the filing of mandatory papers and subsequentrepresentation regarding the mandatory papers?
EITHER check NO / / OR check YES / / andcomplete Schedule G-1.
8B. Subject to the same exceptions as in 8A, did persons withwhom you have a close financial association (partners, associates or others)represent any businesses before any state governmental agency for which totalcompensation was received during the past 12 months in excess of $1,000?
EITHER check NO / / OR check YES / / andcomplete Schedule G-2.
8C. Did you or persons with whom you have a close financialassociation furnish services to businesses operating in Virginia, pursuant toan agreement between you and such businesses, or between persons with whom youhave a close financial association and such businesses for which totalcompensation in excess of $1,000 was received during the past 12 months?Services reported under this provision shall not include services involving therepresentation of businesses that are reported under question 8A or 8B above.
EITHER check NO / / OR check YES / / andcomplete 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 thefull address on Schedule F? Account for real estate held in trust.
EITHER check NO / / OR check YES / / andcomplete Schedule H.
10. Real Estate Contracts with State Governmental Agencies.
Do you or a member of your immediate family hold an interestvalued at more than $10,000 in real estate, including a corporate, partnership,or trust interest, option, easement, or land contract, which real estate is thesubject 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 theproperty to a state governmental agency, do you or a member of your immediatefamily 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 reportedin Schedule F or H. This requirement to disclose an interest in a lease doesnot apply to an interest derived through an ownership interest in a businessunless the ownership interest exceeds three percent of the total equity of thebusiness.
EITHER check NO / / OR check YES / / andcomplete 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 valueexceeding $200 from the Commonwealth for a single meeting attended out-of-statein your capacity as a legislator? Do not include reimbursements from theCommonwealth for meetings attended in the Commonwealth.
EITHER check NO / / OR check YES / / andcomplete Schedule D-2.
Statements of Economic Interests are open for publicinspection.
AFFIRMATION.
In accordance with the rules of the house in which I serve, ifI receive a request that this disclosure statement be corrected, augmented, orrevised in any respect, I hereby pledge that I shall respond promptly to therequest. I understand that if a determination is made that the statement isinsufficient, I will satisfy such request or be subjected to disciplinaryaction of my house.
I swear or affirm that the foregoing information is full, trueand 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 yourimmediate 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. Reportonly debts in excess of $10,000. Do not report debts to any government. Do notreport loans secured by recorded liens on property at least equal in value tothe loan.
Report contingent liabilities below and indicate which debtsare contingent.
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 familyare 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 inwhich you or a member of your immediate family, directly or indirectly,separately or together, own securities valued in excess of $10,000. Name eachentity and type of security individually.
Do not list U.S. Bonds or other government securities notissued by the Commonwealth of Virginia or its authorities, agencies, or localgovernments. Do not list organizations that do not do business in thisCommonwealth, but most major businesses conduct business in Virginia. Accountfor securities held in trust.
Check one Type of Security $10,001 $50,001 More Type of (stocks, bonds, to to than Name of Issuer Entity mutual funds, etc.) $50,000 $250,000 $250,000 ______________ _______ ___________________ ________ ________ ________ ______________ _______ ___________________ ________ ________ ________ ______________ _______ ___________________ ________ ________ ________ ______________ _______ ___________________ ________ ________ ________ __________________________________________________________________________ RETURN TO ITEM 4
SCHEDULE D-1 - PAYMENTS FOR TALKS, MEETINGS, AND PUBLICATIONS.
List each source from which you received during the past 12months lodging, transportation, money, or any other thing of value (excludingmeals or drinks coincident with a meeting) with a combined value exceeding $200for your presentation of a single talk, participation in one meeting, orpublication of a work in your capacity as a legislator. Do not list payments orreimbursements by the Commonwealth. (See Schedule D-2 for such payments orreimbursements.) List a payment even if you donated it to charity. Do not listinformation about a payment if you returned it within 60 days or if youreceived it from an employer already listed under Item 6 or from a source ofincome listed on Schedule F.
Type of Payment (e.g., Honoraria, Travel reimburse- Payer Approximate Value Circumstances ment, etc.) __________________ __________________ _______________ _________________ __________________ __________________ _______________ _________________ __________________ __________________ _______________ _________________ __________________ __________________ _______________ _________________ __________________________________________________________________________ RETURN TO ITEM 5
SCHEDULE D-2 - PAYMENTS BY THE COMMONWEALTH FOR MEETINGS.
List each meeting for which the Commonwealth provided paymentsor reimbursements during the past 12 months to you for lodging, transportation,money, or any other thing of value (excluding meals or drinks coincident with ameeting) with a combined value exceeding $200 for your participation in yourcapacity as a legislator. Do not list payments or reimbursements by theCommonwealth for meetings or travel within the Commonwealth.
Type of Payment (e.g., Travel reimbursement, Payer Approximate Value Circumstances etc.) __________________ __________________ _______________ _________________ __________________ __________________ _______________ _________________ __________________ __________________ _______________ _________________ __________________ __________________ _______________ _________________ __________________________________________________________________________
SCHEDULE E - GIFTS.
List each business, governmental entity, or individual that,during the past 12 months, (i) furnished you with any gift or entertainment ata 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 valuereceived by you exceeded $100 in total value; and for which you neither paidnor rendered services in exchange. List each such gift or event.
Do not list entertainment events unless the average value perperson attending the event exceeded $50 in value. Do not list businessentertainment related to your private profession or occupation. Do not listgifts or other things of value given by a relative or personal friend forreasons clearly unrelated to your public position. Do not list campaigncontributions publicly reported as required by Chapter 9.3 (§ 24.2-945 et seq.)of Title 24.2 of the Code of Virginia.
Name of Business, City or Organization, or County Individual and State Gift or Event Approximate Value ________________________ _________ ________________ __________________ ________________________ _________ ________________ __________________ ________________________ _________ ________________ __________________ ________________________ _________ ________________ __________________ _________________________________________________________________________ RETURN TO ITEM 6
SCHEDULE F-1 - BUSINESS INTERESTS.
Complete this Schedule for each self-owned or family-ownedbusiness (including rental property, a farm, or consulting work), partnership,or corporation in which you or a member of your immediate family, separately ortogether, 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 thenature of the enterprise. If rental property is owned or operated under atrade, partnership, or corporate name, list the name only; otherwise, give theaddress of each property. Account for business interests held in trust.
Name of Business Corporation, Partnership, Nature of Gross income Farm; Enterprise Address of City or (farming, $50,001 More Rental County law, rental $50,000 to than Property and State property, etc.) or less $250,000 $250,000 ______________ _________ _________________ _______ ________ ________ ______________ _________ _________________ _______ ________ ________ ______________ _________ _________________ _______ ________ ________ ______________ _________ _________________ _______ ________ ________ _________________________________________________________________________ RETURN TO ITEM 8
SCHEDULE F-2 - LOBBYIST RELATIONSHIPS AND PAYMENTS.
Complete this Schedule for each lobbyist relationship with thefollowing:
(i) any person who is, or has been within the prior calendaryear, registered as a lobbyist with the Secretary of the Commonwealth, or
(ii) any business in which you have a greater than threepercent ownership interest and that business employs, or engages as anindependent contractor, any person who is, or has been within the priorcalendar year, registered as a lobbyist with the Secretary of the Commonwealth.
Payments to Lobbyist List each person Describe each Dates of $10,000 More than or business relationship relationship or less $10,0001 _________________ ______________ ______________ ___________ ___________ _________________ ______________ ______________ ___________ ___________ _________________ ______________ ______________ ___________ ___________ _________________ ______________ ______________ ___________ ___________ _________________ ______________ ______________ ___________ ___________ ___________________________________________________________________________
THE DISCLOSURE OF A LOBBYIST RELATIONSHIP SHALL NOT (I)CONSTITUTE A WAIVER OF ANY ATTORNEY-CLIENT OR OTHER PRIVILEGE, (II) REQUIRE AWAIVER OF ANY ATTORNEY-CLIENT OR OTHER PRIVILEGE FOR A THIRD PARTY, OR (III) BEREQUIRED WHERE A MEMBER OR MEMBER-ELECT IS EMPLOYED OR ENGAGED BY A PERSON ANDSUCH PERSON ALSO EMPLOYS OR ENGAGES A PERSON IN A LOBBYIST RELATIONSHIP SO LONGAS THE MEMBER OR MEMBER-ELECT HAS NO FINANCIAL INTEREST IN THE LOBBYISTRELATIONSHIP.
SCHEDULE G-1 - PAYMENTS FOR REPRESENTATION BY YOU.
List the businesses you represented before any stategovernmental agency, excluding any court or judge, for which you received totalcompensation during the past 12 months in excess of $1,000, excludingcompensation for other services to such businesses and representationconsisting solely of the filing of mandatory papers and subsequentrepresentation regarding the mandatory papers filed by you.
Identify each business, the nature of the representation andthe amount received by dollar category from each such business. You may statethe type, rather than name, of the business if you are required by law not toreveal the name of the business represented by you.
Pur- pose Amount Received Name Type of of of Repre- Name $1,001 $10,001 $50,001 $100,001 Busi- Busi- senta- of to to to to $250,001 ness ness tion Agency $10,000 $50,000 $100,000 $250,000 and over ______ ______ ______ ______ _______ _______ ________ ________ ________ ______ ______ ______ ______ _______ _______ ________ ________ ________ ______ ______ ______ ______ _______ _______ ________ ________ ________ ______ ______ ______ ______ _______ _______ ________ ________ ________ ______________________________________________________________________
If you have received $250,001 or more from a single businesswithin the reporting period, indicate the amount received, rounded to thenearest $10,000. Amount Received: ______________.
SCHEDULE G-2 - PAYMENTS FOR REPRESENTATION BY ASSOCIATES.
List the businesses that have been represented before anystate governmental agency, excluding any court or judge, by persons who areyour partners, associates or others with whom you have a close financialassociation and who received total compensation in excess of $1,000 for suchrepresentation during the past 12 months, excluding representation consistingsolely of the filing of mandatory papers and subsequent representationregarding the mandatory papers filed by your partners, associates or otherswith whom you have a close financial association.
Identify such businesses by type and also name the stategovernmental agencies before which such person appeared on behalf of suchbusinesses.
Type of Business Name of State Governmental Agency _____________________________ ______________________________________ _____________________________ ______________________________________ _____________________________ ______________________________________ _____________________________ ______________________________________ ______________________________________________________________________
SCHEDULE G-3 - PAYMENTS FOR OTHER SERVICES GENERALLY.
Indicate below types of businesses that operate in Virginia towhich services were furnished by you or persons with whom you have a closefinancial association pursuant to an agreement between you and such businesses,or between persons with whom you have a close financial association and suchbusinesses and for which total compensation in excess of $1,000 was receivedduring the past 12 months. Services reported in this Schedule shall not includeservices involving the representation of businesses that are reported inSchedule G-1 or G-2 above.
Identify opposite each category of businesses listed below (i)the type of business, (ii) the type of service rendered and (iii) the value bydollar category of the compensation received for all businesses falling withineach category.
Check if Type ser- of Value of Compensation vices ser- were vice $1,001 $10,001 $50,001 $100,001 ren- ren- to to to to $250,001 dered dered $10,000 $50,000 $100,000 $250,000 and over Electric utilities _____ _____ _______ _______ ________ ________ ________ Gas utilities _____ _____ _______ _______ ________ ________ ________ Telephone utilities _____ _____ _______ _______ ________ ________ ________ Water utilities _____ _____ _______ _______ ________ ________ ________ Cable television companies _____ _____ _______ _______ ________ ________ ________ Interstate transportation companies _____ _____ _______ _______ ________ ________ ________ Intrastate transportation companies _____ _____ _______ _______ ________ ________ ________ Oil or gas retail companies _____ _____ _______ _______ ________ ________ ________ Banks _____ _____ _______ _______ ________ ________ ________ Savings institutions _____ _____ _______ _______ ________ ________ ________ Loan or finance companies _____ _____ _______ _______ ________ ________ ________ Manufacturing companies (state type of product, e.g., textile, furniture, etc.) _____ _____ _______ _______ ________ ________ ________ Mining companies _____ _____ _______ _______ ________ ________ ________ Life insurance companies _____ _____ _______ _______ ________ ________ ________ Casualty insurance companies _____ _____ _______ _______ ________ ________ ________ Other insurance companies _____ _____ _______ _______ ________ ________ ________ Retail companies _____ _____ _______ _______ ________ ________ ________ Beer, wine or liquor companies or distributors _____ _____ _______ _______ ________ ________ ________ Trade associations _____ _____ _______ _______ ________ ________ ________ Professional associations _____ _____ _______ _______ ________ ________ ________ Associations of public employees or officials _____ _____ _______ _______ ________ ________ ________ Counties, cities or towns _____ _____ _______ _______ ________ ________ ________ Labor organizations _____ _____ _______ _______ ________ ________ ________ Other _____ _____ _______ _______ ________ ________ ________ __________________________________________________________________________ RETURN TO ITEM 9
SCHEDULE H - REAL ESTATE.
List real estate other than your principal residence in whichyou or a member of your immediate family holds an interest, including apartnership interest, option, easement, or land contract, valued at $10,000 ormore. Each parcel must be listed individually.
Describe the type of real estate you own in each List the location location (business, If the real estate is (state, and county recreational, apartment, owned or recorded in or city where you commercial, open land, a name other than your own real estate etc.) own, list that name ___________________ _________________________ ______________________ ___________________ _________________________ ______________________ ___________________ _________________________ ______________________ ___________________ _________________________ ______________________ ___________________ _________________________ ______________________ ________________________________________________________________________ RETURN TO ITEM 10
SCHEDULE I - REAL ESTATE CONTRACTS WITH STATE GOVERNMENTALAGENCIES.
List all contracts, whether pending or completed within the past12 months, with a state governmental agency for the sale or exchange of realestate in which you or a member of your immediate family holds an interest,including a corporate, partnership or trust interest, option, easement, or landcontract, valued at $10,000 or more. List all contracts with a stategovernmental agency for the lease of real estate in which you or a member ofyour immediate family holds such an interest valued at $1,000 or more. Thisrequirement to disclose an interest in a lease does not apply to an interestderived through an ownership interest in a business unless the ownershipinterest exceeds three percent of the total equity of the business.
List your real estate interest and the person or entity, including the type of entity, which is party to the contract. State the annual Describe any income from the management role and List each contract, and the the percentage governmental agency amount, if any, of ownership interest which is a party to income you or any you or your immediate the contract and immediate family family member has in indicate the county member derives the real estate or city where the annually from or entity. real estate is located. the contract. ______________________ ________________________ ___________________ ______________________ ________________________ ___________________ ______________________ ________________________ ___________________ ______________________ ________________________ ___________________ ______________________ ________________________ ___________________ _______________________________________________________________________
B. Any legislator who makes a knowing misstatement of amaterial fact on the Statement of Economic Interests shall be subject todisciplinary action for such violations by the house in which the legislatorsits.
C. In accordance with the rules of each house, the Statementof Economic Interests of all members of each house shall be reviewed. If alegislator's Statement is found to be inadequate as filed, the legislator shallbe notified in writing and directed to file an amended Statement correcting theindicated deficiencies, and a time shall be set within which such amendmentshall be filed. If the Statement of Economic Interests, in either its originalor amended form, is found to be adequate as filed, the legislator's filingshall be deemed in full compliance with this section as to the informationdisclosed thereon.
D. Ten percent of the membership of a house, on the basis ofnewly discovered facts, may in writing request the house in which those memberssit, in accordance with the rules of that house, to review the Statement ofEconomic Interests of another member of that house in order to determine theadequacy of his filing. In accordance with the rules of each house, eachStatement of Economic Interests shall be promptly reviewed, the adequacy of thefiling determined, and notice given in writing to the legislator whoseStatement is in issue. Should it be determined that the Statement requires correction,augmentation or revision, the legislator involved shall be directed to make thechanges required within such time as shall be set under the rules of eachhouse.
If a legislator, after having been notified in writing inaccordance with the rules of the house in which he sits that his Statement isinadequate as filed, fails to amend his Statement so as to come into compliancewithin the time limit set, he shall be subject to disciplinary action by thehouse in which he sits. No legislator shall vote on any question relating tohis own Statement.
(1987, Sp. Sess., c. 1, § 2.1-639.41; 1988, c. 849; 1994, cc.724, 733, 735, 777, 793; 1995, c. 763; 1996, c. 77; 1997, cc. 577, 844; 1998,c. 732; 2001, c. 844; 2003, c. 610; 2006, cc. 779, 787, 892; 2007, cc. 620,627; 2010, cc. 418, 474, 670.)
A. The disclosure form to be used for filings required bysubsections 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.
"Business" means a corporation, partnership, soleproprietorship, firm, enterprise, franchise, association, trust or foundation,or any other individual or entity carrying on a business or profession, whetheror not for profit.
"Close financial association" means an associationin which the filer shares significant financial involvement with an individualand the filer would reasonably be expected to be aware of the individual'sbusiness activities and would have access to the necessary records eitherdirectly or through the individual. "Close financial association"does not mean an association based on (i) the receipt of retirement benefits ordeferred compensation from a business by which the legislator is no longeremployed, or (ii) the receipt of compensation for work performed by the legislatoras an independent contractor of a business that represents an entity before anystate governmental agency when the legislator has had no communications withthe state governmental agency.
"Contingent liability" means a liability that is notpresently fixed or determined, but may become fixed or determined in the futurewith the occurrence of some certain event.
"Dependent" means any person, whether or not relatedby blood or marriage, who receives from the legislator, or provides to thelegislator, more than one-half of his financial support.
"Gift" means any gratuity, favor, discount,entertainment, hospitality, loan, forbearance, or other item having monetaryvalue. It includes services as well as gifts of transportation, local travel,lodgings and meals, whether provided in-kind, by purchase of a ticket, paymentin advance or reimbursement after the expense has been incurred."Gift" shall not include any offer of a ticket or other admission orpass unless the ticket, admission, or pass is used. "Gift" shall notinclude honorary degrees and presents from relatives. "Relative"means the donee's spouse, child, uncle, aunt, niece, or nephew; a person towhom 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 orsister's spouse.
"Immediate family" means (i) a spouse and (ii) anyother person residing in the same household as the legislator, who is adependent of the legislator or of whom the legislator is a dependent.
"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 amember or member-elect and any person who is, or has been within the priorcalendar 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, anyperson who is, or has been within the prior calendar year, registered as alobbyist with the Secretary of the Commonwealth. The disclosure of a lobbyistrelationship shall not (i) constitute a waiver of any attorney-client or otherprivilege, (ii) require a waiver of any attorney-client or other privilege fora third party, or (iii) be required where a member or member-elect is employedor engaged by a person and such person also employs or engages a person in alobbyist relationship so long as the member or member-elect has no financialinterest in the lobbyist relationship.
TRUST. If you or your immediate family, separately ortogether, are the only beneficiaries of a trust, treat the trust's assets as ifyou own them directly. If you or your immediate family has a proportionalinterest in a trust, treat that proportion of the trust's assets as if you ownthem directly. For example, if you and your immediate family have a one-thirdinterest in a trust, complete your Statement as if you own one-third of each ofthe trust's assets. If you or a member of your immediate family created a trustand can revoke it without the beneficiaries' consent, treat its assets as ifyou own them directly.
REPORT TO THE BEST OF INFORMATION AND BELIEF. Informationrequired 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 ofthis report unless otherwise stated.
COMPLETE ITEMS 1 THROUGH 11. REFER TO SCHEDULES ONLY IFDIRECTED.
You may attach additional explanatory information.
1. Offices and Directorships.
Are you or a member of your immediate family a paid officer orpaid director of a business?
EITHER check NO / / OR check YES / / andcomplete 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 toany government and loans secured by recorded liens on property at least equalin value to the loan.)
EITHER check NO / / OR check YES / / andcomplete Schedule B.
3. Securities.
Do you or a member of your immediate family, directly orindirectly, separately or together, own securities valued in excess of $10,000invested in one business? Account for mutual funds, limited partnerships andtrusts.
EITHER check NO / / OR check YES / / andcomplete 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 valueexceeding $200 for a single talk, meeting, or published work in your capacityas a legislator? Do not include payments and reimbursements from theCommonwealth for meetings attended in your capacity as a legislator; seeQuestion 11 and Schedule D2 to report such meetings.
EITHER check NO / / OR check YES / / andcomplete Schedule D.
5. Gifts.
During the past 12 months did a business, government, orindividual other than a relative or personal friend (i) furnish you with anygift 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 combinationand the value received by you exceeded $100 in total value; and for which youneither paid nor rendered services in exchange? Account for entertainmentevents only if the average value per person attending the event exceeded $50 invalue. Account for all business entertainment (except if related to yourprivate profession or occupation) even if unrelated to your official duties.
EITHER check NO / / OR check YES / / andcomplete Schedule E.
6. Salary and Wages.
List each employer that pays you or a member of your immediatefamily salary or wages in excess of $10,000 annually. (Exclude any salaryreceived as a member of the General Assembly pursuant to § 30-19.11.)
If no reportable salary or wages, check here / / .
7A. Do you or a member of your immediate family, separately ortogether, operate your own business, or own or control an interest in excess of$10,000 in a business?
EITHER check NO / / OR check YES / / andcomplete Schedule F-1.
7B. Do you have a lobbyist relationship as that term isdefined above?
EITHER check NO / / OR check YES / / andcomplete Schedule F-2.
8. Payments for Representation and Other Services.
8A. Did you represent any businesses before any stategovernmental agencies, excluding courts or judges, for which you received totalcompensation during the past 12 months in excess of $1,000, excludingcompensation for other services to such businesses and representationconsisting solely of the filing of mandatory papers and subsequentrepresentation regarding the mandatory papers?
EITHER check NO / / OR check YES / / andcomplete Schedule G-1.
8B. Subject to the same exceptions as in 8A, did persons withwhom you have a close financial association (partners, associates or others)represent any businesses before any state governmental agency for which totalcompensation was received during the past 12 months in excess of $1,000?
EITHER check NO / / OR check YES / / andcomplete Schedule G-2.
8C. Did you or persons with whom you have a close financialassociation furnish services to businesses operating in Virginia, pursuant toan agreement between you and such businesses, or between persons with whom youhave a close financial association and such businesses for which totalcompensation in excess of $1,000 was received during the past 12 months?Services reported under this provision shall not include services involving therepresentation of businesses that are reported under question 8A or 8B above.
EITHER check NO / / OR check YES / / andcomplete 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 thefull address on Schedule F? Account for real estate held in trust.
EITHER check NO / / OR check YES / / andcomplete Schedule H.
10. Real Estate Contracts with State Governmental Agencies.
Do you or a member of your immediate family hold an interestvalued at more than $10,000 in real estate, including a corporate, partnership,or trust interest, option, easement, or land contract, which real estate is thesubject 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 theproperty to a state governmental agency, do you or a member of your immediatefamily 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 reportedin Schedule F or H. This requirement to disclose an interest in a lease doesnot apply to an interest derived through an ownership interest in a businessunless the ownership interest exceeds three percent of the total equity of thebusiness.
EITHER check NO / / OR check YES / / andcomplete 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 valueexceeding $200 from the Commonwealth for a single meeting attended out-of-statein your capacity as a legislator? Do not include reimbursements from theCommonwealth for meetings attended in the Commonwealth.
EITHER check NO / / OR check YES / / andcomplete Schedule D-2.
Statements of Economic Interests are open for publicinspection.
AFFIRMATION.
In accordance with the rules of the house in which I serve, ifI receive a request that this disclosure statement be corrected, augmented, orrevised in any respect, I hereby pledge that I shall respond promptly to therequest. I understand that if a determination is made that the statement isinsufficient, I will satisfy such request or be subjected to disciplinaryaction of my house.
I swear or affirm that the foregoing information is full, trueand 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 yourimmediate 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. Reportonly debts in excess of $10,000. Do not report debts to any government. Do notreport loans secured by recorded liens on property at least equal in value tothe loan.
Report contingent liabilities below and indicate which debtsare contingent.
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 familyare 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 inwhich you or a member of your immediate family, directly or indirectly,separately or together, own securities valued in excess of $10,000. Name eachentity and type of security individually.
Do not list U.S. Bonds or other government securities notissued by the Commonwealth of Virginia or its authorities, agencies, or localgovernments. Do not list organizations that do not do business in thisCommonwealth, but most major businesses conduct business in Virginia. Accountfor securities held in trust.
Check one Type of Security $10,001 $50,001 More Type of (stocks, bonds, to to than Name of Issuer Entity mutual funds, etc.) $50,000 $250,000 $250,000 ______________ _______ ___________________ ________ ________ ________ ______________ _______ ___________________ ________ ________ ________ ______________ _______ ___________________ ________ ________ ________ ______________ _______ ___________________ ________ ________ ________ __________________________________________________________________________ RETURN TO ITEM 4
SCHEDULE D-1 - PAYMENTS FOR TALKS, MEETINGS, AND PUBLICATIONS.
List each source from which you received during the past 12months lodging, transportation, money, or any other thing of value (excludingmeals or drinks coincident with a meeting) with a combined value exceeding $200for your presentation of a single talk, participation in one meeting, orpublication of a work in your capacity as a legislator. Do not list payments orreimbursements by the Commonwealth. (See Schedule D-2 for such payments orreimbursements.) List a payment even if you donated it to charity. Do not listinformation about a payment if you returned it within 60 days or if youreceived it from an employer already listed under Item 6 or from a source ofincome listed on Schedule F.
Type of Payment (e.g., Honoraria, Travel reimburse- Payer Approximate Value Circumstances ment, etc.) __________________ __________________ _______________ _________________ __________________ __________________ _______________ _________________ __________________ __________________ _______________ _________________ __________________ __________________ _______________ _________________ __________________________________________________________________________ RETURN TO ITEM 5
SCHEDULE D-2 - PAYMENTS BY THE COMMONWEALTH FOR MEETINGS.
List each meeting for which the Commonwealth provided paymentsor reimbursements during the past 12 months to you for lodging, transportation,money, or any other thing of value (excluding meals or drinks coincident with ameeting) with a combined value exceeding $200 for your participation in yourcapacity as a legislator. Do not list payments or reimbursements by theCommonwealth for meetings or travel within the Commonwealth.
Type of Payment (e.g., Travel reimbursement, Payer Approximate Value Circumstances etc.) __________________ __________________ _______________ _________________ __________________ __________________ _______________ _________________ __________________ __________________ _______________ _________________ __________________ __________________ _______________ _________________ __________________________________________________________________________
SCHEDULE E - GIFTS.
List each business, governmental entity, or individual that,during the past 12 months, (i) furnished you with any gift or entertainment ata 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 valuereceived by you exceeded $100 in total value; and for which you neither paidnor rendered services in exchange. List each such gift or event.
Do not list entertainment events unless the average value perperson attending the event exceeded $50 in value. Do not list businessentertainment related to your private profession or occupation. Do not listgifts or other things of value given by a relative or personal friend forreasons clearly unrelated to your public position. Do not list campaigncontributions publicly reported as required by Chapter 9.3 (§ 24.2-945 et seq.)of Title 24.2 of the Code of Virginia.
Name of Business, City or Organization, or County Individual and State Gift or Event Approximate Value ________________________ _________ ________________ __________________ ________________________ _________ ________________ __________________ ________________________ _________ ________________ __________________ ________________________ _________ ________________ __________________ _________________________________________________________________________ RETURN TO ITEM 6
SCHEDULE F-1 - BUSINESS INTERESTS.
Complete this Schedule for each self-owned or family-ownedbusiness (including rental property, a farm, or consulting work), partnership,or corporation in which you or a member of your immediate family, separately ortogether, 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 thenature of the enterprise. If rental property is owned or operated under atrade, partnership, or corporate name, list the name only; otherwise, give theaddress of each property. Account for business interests held in trust.
Name of Business Corporation, Partnership, Nature of Gross income Farm; Enterprise Address of City or (farming, $50,001 More Rental County law, rental $50,000 to than Property and State property, etc.) or less $250,000 $250,000 ______________ _________ _________________ _______ ________ ________ ______________ _________ _________________ _______ ________ ________ ______________ _________ _________________ _______ ________ ________ ______________ _________ _________________ _______ ________ ________ _________________________________________________________________________ RETURN TO ITEM 8
SCHEDULE F-2 - LOBBYIST RELATIONSHIPS AND PAYMENTS.
Complete this Schedule for each lobbyist relationship with thefollowing:
(i) any person who is, or has been within the prior calendaryear, registered as a lobbyist with the Secretary of the Commonwealth, or
(ii) any business in which you have a greater than threepercent ownership interest and that business employs, or engages as anindependent contractor, any person who is, or has been within the priorcalendar year, registered as a lobbyist with the Secretary of the Commonwealth.
Payments to Lobbyist List each person Describe each Dates of $10,000 More than or business relationship relationship or less $10,0001 _________________ ______________ ______________ ___________ ___________ _________________ ______________ ______________ ___________ ___________ _________________ ______________ ______________ ___________ ___________ _________________ ______________ ______________ ___________ ___________ _________________ ______________ ______________ ___________ ___________ ___________________________________________________________________________
THE DISCLOSURE OF A LOBBYIST RELATIONSHIP SHALL NOT (I)CONSTITUTE A WAIVER OF ANY ATTORNEY-CLIENT OR OTHER PRIVILEGE, (II) REQUIRE AWAIVER OF ANY ATTORNEY-CLIENT OR OTHER PRIVILEGE FOR A THIRD PARTY, OR (III) BEREQUIRED WHERE A MEMBER OR MEMBER-ELECT IS EMPLOYED OR ENGAGED BY A PERSON ANDSUCH PERSON ALSO EMPLOYS OR ENGAGES A PERSON IN A LOBBYIST RELATIONSHIP SO LONGAS THE MEMBER OR MEMBER-ELECT HAS NO FINANCIAL INTEREST IN THE LOBBYISTRELATIONSHIP.
SCHEDULE G-1 - PAYMENTS FOR REPRESENTATION BY YOU.
List the businesses you represented before any stategovernmental agency, excluding any court or judge, for which you received totalcompensation during the past 12 months in excess of $1,000, excludingcompensation for other services to such businesses and representationconsisting solely of the filing of mandatory papers and subsequentrepresentation regarding the mandatory papers filed by you.
Identify each business, the nature of the representation andthe amount received by dollar category from each such business. You may statethe type, rather than name, of the business if you are required by law not toreveal the name of the business represented by you.
Pur- pose Amount Received Name Type of of of Repre- Name $1,001 $10,001 $50,001 $100,001 Busi- Busi- senta- of to to to to $250,001 ness ness tion Agency $10,000 $50,000 $100,000 $250,000 and over ______ ______ ______ ______ _______ _______ ________ ________ ________ ______ ______ ______ ______ _______ _______ ________ ________ ________ ______ ______ ______ ______ _______ _______ ________ ________ ________ ______ ______ ______ ______ _______ _______ ________ ________ ________ ______________________________________________________________________
If you have received $250,001 or more from a single businesswithin the reporting period, indicate the amount received, rounded to thenearest $10,000. Amount Received: ______________.
SCHEDULE G-2 - PAYMENTS FOR REPRESENTATION BY ASSOCIATES.
List the businesses that have been represented before anystate governmental agency, excluding any court or judge, by persons who areyour partners, associates or others with whom you have a close financialassociation and who received total compensation in excess of $1,000 for suchrepresentation during the past 12 months, excluding representation consistingsolely of the filing of mandatory papers and subsequent representationregarding the mandatory papers filed by your partners, associates or otherswith whom you have a close financial association.
Identify such businesses by type and also name the stategovernmental agencies before which such person appeared on behalf of suchbusinesses.
Type of Business Name of State Governmental Agency _____________________________ ______________________________________ _____________________________ ______________________________________ _____________________________ ______________________________________ _____________________________ ______________________________________ ______________________________________________________________________
SCHEDULE G-3 - PAYMENTS FOR OTHER SERVICES GENERALLY.
Indicate below types of businesses that operate in Virginia towhich services were furnished by you or persons with whom you have a closefinancial association pursuant to an agreement between you and such businesses,or between persons with whom you have a close financial association and suchbusinesses and for which total compensation in excess of $1,000 was receivedduring the past 12 months. Services reported in this Schedule shall not includeservices involving the representation of businesses that are reported inSchedule G-1 or G-2 above.
Identify opposite each category of businesses listed below (i)the type of business, (ii) the type of service rendered and (iii) the value bydollar category of the compensation received for all businesses falling withineach category.
Check if Type ser- of Value of Compensation vices ser- were vice $1,001 $10,001 $50,001 $100,001 ren- ren- to to to to $250,001 dered dered $10,000 $50,000 $100,000 $250,000 and over Electric utilities _____ _____ _______ _______ ________ ________ ________ Gas utilities _____ _____ _______ _______ ________ ________ ________ Telephone utilities _____ _____ _______ _______ ________ ________ ________ Water utilities _____ _____ _______ _______ ________ ________ ________ Cable television companies _____ _____ _______ _______ ________ ________ ________ Interstate transportation companies _____ _____ _______ _______ ________ ________ ________ Intrastate transportation companies _____ _____ _______ _______ ________ ________ ________ Oil or gas retail companies _____ _____ _______ _______ ________ ________ ________ Banks _____ _____ _______ _______ ________ ________ ________ Savings institutions _____ _____ _______ _______ ________ ________ ________ Loan or finance companies _____ _____ _______ _______ ________ ________ ________ Manufacturing companies (state type of product, e.g., textile, furniture, etc.) _____ _____ _______ _______ ________ ________ ________ Mining companies _____ _____ _______ _______ ________ ________ ________ Life insurance companies _____ _____ _______ _______ ________ ________ ________ Casualty insurance companies _____ _____ _______ _______ ________ ________ ________ Other insurance companies _____ _____ _______ _______ ________ ________ ________ Retail companies _____ _____ _______ _______ ________ ________ ________ Beer, wine or liquor companies or distributors _____ _____ _______ _______ ________ ________ ________ Trade associations _____ _____ _______ _______ ________ ________ ________ Professional associations _____ _____ _______ _______ ________ ________ ________ Associations of public employees or officials _____ _____ _______ _______ ________ ________ ________ Counties, cities or towns _____ _____ _______ _______ ________ ________ ________ Labor organizations _____ _____ _______ _______ ________ ________ ________ Other _____ _____ _______ _______ ________ ________ ________ __________________________________________________________________________ RETURN TO ITEM 9
SCHEDULE H - REAL ESTATE.
List real estate other than your principal residence in whichyou or a member of your immediate family holds an interest, including apartnership interest, option, easement, or land contract, valued at $10,000 ormore. Each parcel must be listed individually.
Describe the type of real estate you own in each List the location location (business, If the real estate is (state, and county recreational, apartment, owned or recorded in or city where you commercial, open land, a name other than your own real estate etc.) own, list that name ___________________ _________________________ ______________________ ___________________ _________________________ ______________________ ___________________ _________________________ ______________________ ___________________ _________________________ ______________________ ___________________ _________________________ ______________________ ________________________________________________________________________ RETURN TO ITEM 10
SCHEDULE I - REAL ESTATE CONTRACTS WITH STATE GOVERNMENTALAGENCIES.
List all contracts, whether pending or completed within the past12 months, with a state governmental agency for the sale or exchange of realestate in which you or a member of your immediate family holds an interest,including a corporate, partnership or trust interest, option, easement, or landcontract, valued at $10,000 or more. List all contracts with a stategovernmental agency for the lease of real estate in which you or a member ofyour immediate family holds such an interest valued at $1,000 or more. Thisrequirement to disclose an interest in a lease does not apply to an interestderived through an ownership interest in a business unless the ownershipinterest exceeds three percent of the total equity of the business.
List your real estate interest and the person or entity, including the type of entity, which is party to the contract. State the annual Describe any income from the management role and List each contract, and the the percentage governmental agency amount, if any, of ownership interest which is a party to income you or any you or your immediate the contract and immediate family family member has in indicate the county member derives the real estate or city where the annually from or entity. real estate is located. the contract. ______________________ ________________________ ___________________ ______________________ ________________________ ___________________ ______________________ ________________________ ___________________ ______________________ ________________________ ___________________ ______________________ ________________________ ___________________ _______________________________________________________________________
B. Any legislator who makes a knowing misstatement of amaterial fact on the Statement of Economic Interests shall be subject todisciplinary action for such violations by the house in which the legislatorsits.
C. In accordance with the rules of each house, the Statementof Economic Interests of all members of each house shall be reviewed. If alegislator's Statement is found to be inadequate as filed, the legislator shallbe notified in writing and directed to file an amended Statement correcting theindicated deficiencies, and a time shall be set within which such amendmentshall be filed. If the Statement of Economic Interests, in either its originalor amended form, is found to be adequate as filed, the legislator's filingshall be deemed in full compliance with this section as to the informationdisclosed thereon.
D. Ten percent of the membership of a house, on the basis ofnewly discovered facts, may in writing request the house in which those memberssit, in accordance with the rules of that house, to review the Statement ofEconomic Interests of another member of that house in order to determine theadequacy of his filing. In accordance with the rules of each house, eachStatement of Economic Interests shall be promptly reviewed, the adequacy of thefiling determined, and notice given in writing to the legislator whoseStatement is in issue. Should it be determined that the Statement requires correction,augmentation or revision, the legislator involved shall be directed to make thechanges required within such time as shall be set under the rules of eachhouse.
If a legislator, after having been notified in writing inaccordance with the rules of the house in which he sits that his Statement isinadequate as filed, fails to amend his Statement so as to come into compliancewithin the time limit set, he shall be subject to disciplinary action by thehouse in which he sits. No legislator shall vote on any question relating tohis own Statement.
(1987, Sp. Sess., c. 1, § 2.1-639.41; 1988, c. 849; 1994, cc.724, 733, 735, 777, 793; 1995, c. 763; 1996, c. 77; 1997, cc. 577, 844; 1998,c. 732; 2001, c. 844; 2003, c. 610; 2006, cc. 779, 787, 892; 2007, cc. 620,627; 2010, cc. 418, 474, 670.)
