HomeMy WebLinkAbout7/5/2016 - Charitable Contribution Fundraising Disclosure Form201b ,U(C6T�1` 4AWASLE
RAC
ELECTED OFFICIAL CODE OF ETHICS
CONTRIBUTION FUNDRAISING
DISCLOSURE FORM
Name of E16hcted Offical:
Title:
Governmental Entity Served: v r irr�c'
Name of the charitable organization for which you are soliciting funds:.
Event (if any) for which the funds were solicited, including date of event:
a/—/- mac.- Cloy�,10,
Name of each individual or entity that promoted the solicitation, if any:
(12
ro/y) M /,f S-1'qA-&-1( 1,121n12XK-
Signature of Elected Official:
Date: 7 .�-- /6,