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Financial Disclosure Statement for Calendar Year ______ (For Board Members)

About this Form

Form number: 281-52

Audience:  Board of Education

Last revised: February 2013

This Statement is a public record and shall be made available during normal office hours for examination and copying by the public, subject to reasonable fees and administrative procedures. Any persons examining or copying such statements shall be required to record their name, home address, and the name of the person whose Statement was examined or copied. The Board of Education Ethics Panel shall review this Statement for completeness of form and for determination of any existing or potential conflict of interest. This Statement will be retained for a period of four years and then destroyed.

Adobe PDF Financial Disclosure Statement for Calendar Year ______ (For Board Members)775 KEnglish

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