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Henry Sigg- Disclosure Disclosure Statement of Personal or Financial Interest Park City Municipal Corporation elected and appointed officers and employees (including volunteer board/commission/committee members) must disclose actual or potential conflicts of interest between their personal interests and public duties. This is required by the Municipal Officers' and Employees' Ethics Act, Utah Code section 10-3-1301 et. seq, and the Municipal Code of Park City Disclosure; Conflicts of Financial Interest, section 3-2. Are you employed by; are you an officer, director, or agent of; or do you own an interest in any Business Entity (Sole proprietorship, partnership, association, joint venture, corporation, firm, trust, foundation, or other organization or entity used in carrying on a business)?Yes No Please respond to categories 1-5 below: 1. I receive or have agreed to receive compensation for assisting a person or Business Entity in a transaction with Park City.Yes No 2. I (this includes your spouse or your minor children) am an officer, director, agent, employee or the owner of a substantial interest (at least 10%) in a Business Entity that is subject to regulation by Park City. If the value of the interest does not exceed $2,000, check the "no" box.Yes No 3. I (this includes your spouse or your minor children) am an officer, director, agent, employee or owner of a substantial interest (at least 10%) in a Business Entity that does or anticipates doing business with Park City.Yes No 4. I have a personal interest or investment which creates a conflict with my public duties.Yes No 5. Categories 1-4 do not apply to me.Yes No If you identified any or actual or potential conflicts above then please identify the following: Appointed officer, elected officer, or employee’s address. Name of the business entity (where interest is at least 10%) Status, relationship, or commitment to the Business Entity or person named above Address and phone number of the Business Entity or person named above x x x x x x manager Box 3659, Park City, UT 84060 Summit Point Construction LLC Henry Sigg • Give a detailed description of the actual or potential conflicts of interest identified above, including the nature of the relationship of each Business Entity or person with the City. Use more sheets if necessary. (This disclosure statement will not be accepted as valid unless this section is completed.) • I declare under criminal penalty under the law of Utah that the foregoing is true and correct. Typing your name indicates your signature on this form • This statement is a public document and the information is required to be provided to the Mayor. It must be filed with the immediate supervisor of an appointed officer or employee or with the Mayor if a member of the City Council. Members of boards/commissions/committees must file with the assigned staff member. This statement must be filed when the potential or actual conflict arises and updated if the position changes significantly or if the value of the interest in the entity increases significantly since last disclosure. I own Lot 21 April Mountain Subdivision which will require a CUP Henry Sigg 9/7/2022