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LOUISIANA BOARD OF ETHICS Mail: P.O. Box 4368, Baton Rouge, LA 70821. Fax: 225-381-7271 Upload: https://eap.ethics.la.gov/FileUpload FINANCIAL DISCLOSURE STATEMENT (Pursuant to La. R.S.42:1114) REPORTS ARE FILED ANNUALLY COVF.RING THE PREVIOUS CALENDAR YEAR THE FOLLOWING PERSONS ARE REQUIRED TO FILE A FINANCIAL DISCLOSURE STATEMENT: ❖ A PuBL�c SERVA�vT and each member of his immediate familywho: � Derives anything of economic value, directly, through any transaction involving the agency of such public servant or � Derives anything of economic value of which he may be reasonably expected to know through a person which: ■ Is regulated by the agency of such public servant or ■ Has bid on or entered into or is in any way financial interested in any contract, subcontract, or any transaction under the supervision or jurisdiction of the agency of such public servant. � IF RF,QUIRED TO FILF..,SCHEDULEA MiJST BE COMPLF.TED. ❖ A LEGISLATOR and each member of his immediate familywho: ;= Derives anything of economic value directly through any transaction involving the legislator's agency or y Derives anything of economic value of which he may be i•easonably expected to know through a person which has bid on or entered into or is in any way financially interested in any contract, subcontract, or any transaction involving the legislator's agency. r IF REQ[JIREll TO FILF.,SCHF.DULEA MUS'I'BE COMPLETED. ❖ OTttr�z Ti�AN n Lrcisl.nTox,AN ELECTED OFFICIAL,his spouse,and any business enterprise in which he has an interest (greater than 10%) who: v Derives anything of economic value through a contract or other subcontract from the state or any political subdivision. Y IF REQUIKED TO FILE,SCHEDULF.B MUST BE COMPI.ETi:D. THE DISCLOSURE STATEMENT MUST BE FILED ON OR BEFORE MAY 15th, Revised 8/1/2024 Form 405 www.ethics.la.yov