Immediately following an election, employment or appointment of a village official or employee, the Village Clerk shall provide the individual with an affidavit and disclosure statement form. Within 20 days after election, appointment, employment or any change in the facts set forth in the village official’s or employee’s previously filed affidavit and disclosure statement, all village officials, appointees or employees shall file with the Village Clerk an affidavit and disclosure statement including the following:
(A) A disclosure statement responding in detail to the following questions:
(1) Do you promise and attest that if you or any members of your immediate family own any interest in real property located within the Village of Lake Orion, in land contiguous to the Village of Lake Orion, or in any area covered by a 425 Agreement to which the Village of Lake Orion is party and that property becomes subject to an issue before you in your capacity as an employee, board member, committee member, Councilmember, etc., that you will disclose such an interest?
(2) If you must disclose such an interest, you promise and attest to state the following information for each such interest owned:
(a) The nature of your interest in the real property; and
(b) The location of the real property (for improved property, provide the street address; for unimproved property state its location in relation to existing streets).
(3) Do you promise and attest that if you or any members of your immediate family own 5% or more of any business entity located in the Village of Lake Orion and that property becomes subject to an issue before you in your capacity as an employee, board member, committee member, Councilmember, etc., that you will disclose such an interest?
(4) If you must disclose such an interest, you promise and attest to state the following, to the best of your knowledge:
(a) The name of the entity;
(b) The address of the entity;
(c) The nature of your relationship to the entity; and
(d) The date relationship commenced.
(5) To the best of your knowledge, do you or any members of your immediate family have any direct financial or business relationships with any supplier, service provider or contractor of the Village of Lake Orion from which you or they derive direct compensation or financial benefit that is not reported in the prior answers?
(6) To the best of your knowledge, have you or any members of your immediate family given or received any gifts, other than from immediate family members, the value of which exceeds $50, within the last year, or since the effective date of this Code, whichever time period is shorter, to or from any person or business or other legal entity doing business with the village, other than legal campaign contributions? If so, list the names and addresses of each donor or donee of each such gift and the date upon which it was made and the nature of the gift.
(B) An affidavit in which the village official, appointee or employee states: “I have read and I understand the Code of Ethics of the Village of Lake Orion and, to the best of my knowledge, I am not in conflict with its provisions.”
Dated: _______________
Subscribed and sworn to before me this ____ day of ______________, 20___.
Notary Public
County, Michigan
My Council Expires:
(Ord. 24.10, passed 10-9-23)