Conflict Of Interest & Financial Disclosure - Utah House Of Representatives - 2017 Page 2

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Each individual or entity from whom the regulated officeholder has
4.
received $5,000 or more in income currently and during the preceding
year.
[2014 Gen. Session, HB 394, pg. 21]
NOTE: UCA 20A-11-1604 (5) (b): "in making the disclosure . . ., a regulated officeholder who provides
goods or services to multiple customers or clients as part of a business or a licensed profession is only
required to provide the information described in Subsection (4)(e) in relation to the entity or practice
through which the regulated officeholder provides the goods or services and is not required to provide
the information described in Subsection (4)(e) in relation to the regulated officeholder's customers or
clients."
Name of individual or entity
Type of business or activity conducted by the entity
Each entity in which you currently hold any stocks or bonds having a
5.
fair market value of $5,000 or more, including info for the preceding
year.
(excludes funds that are managed by a third party, including blind trusts, managed
investment accounts, and mutual funds).
[2014 Gen. Session, HB 394, pg. 21]
Name of entity
Type of business or activity conducted by the entity
Page 2 of 4
revised May 30, 2014

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