THE RELEVANT AUTHORITIES (DISCLOSABLE PECUNIARY INTERESTS)
REGULATIONS 2012
THE REGISTER OF MEMBERS' INTERESTS
REGISTRATION OF PECUNIARY AND OTHER INTERESTS
Members must give written notice of their interests and any changes
• within 28 days of election or appointment to office (if that is later)
• within 28 days of any change to the interests
• within 28 days of disclosing an interest at a meeting (where not otherwise
entered in the register)
• within 28 days of becoming aware of the interest when solely discharging a
function of the authority as a member of the Council's executive.
(PLEASE COMPLETE IN BLOCK CAPITALS AND USE ADDITIONAL PAGES IF
NECESSARY)
TO: THpMONITORING~FFICER, NORTH NORFOLK DISTRICT COUNCIL
I,
~7.~
~.:
f?~';?~.~.~
(please print your full name)
a member of the Bodham Parish Council, hereby give notice that I have set out
below under the appropriate headings my interests which I am required to
declare under the Members' Code of Conduct and I have put "none" where I
have no such interests under any heading.
(Please read carefully the guidance notes on the reverse before you complete and
sign this form.)
PECUNIARY INTERESTS
(i)
Employment, office, trade, profession or vocation I (or my spouse I
partner) undertake for profit, remuneration or other gain:
(ii)
Name of employer(s) or post held in organisation listed in (i) above:
2012
(iii)
Any payments or provisions or other financial benefit I have received
within the past 12 months of this declaration in relation to my role as a
member or towards my election expenses:
(iv)
Any payments or provisions or other financial benefit I have received
within the past 12 months of this declaration in relation to my role as a
member or towards my election expenses from a Trade Union:
(v)
Any contract I (or my spouse I partner) have entered into with the
Council in which goods or services are to be provided or works are to be
executed which has not been fully discharged:
(vi)
Any contract that a firm in which I (or my spouse I partner) am either a
partner, director, or hold securities that constitute a beneficial interest,
has entered into with the Council in which goods or services are to be
provided or works are to be executed which has not been fully
discharged:
2
2012
(vii)
Any beneficial interest in land (of mine' my spouse' partner's) which is
within the Council's area:
(viii) Any license (whether yourself' your spouse' partner's or held with
others) to occupy land in the area for a month or longer
(ix)
Tenancies you' your spouse' partner hold where the Council is the
landlord:
(x)
Any firm you' your spouse' partner are a partner or director of, or hold
securities in, that is a tenant where the Council is the landlord:
2012
(xi)
A beneficial interest (of you or your spouse I partner) in securities of a
body where that body has a place of business, or land in the area of the
authority AND EITHER:
a. The total nominal value of the securities exceeds £25,000 or one
hundredth of the total issued share capital of that body;
b. If the share capital of that body is of more than one class, the total
nominal value of the shares of anyone class in which you have a
beneficial interest exceeds one hundredth of the total issued
share capital of that class
OTHER INTERESTS
These constitute any other interests you may have which impact upon your
role within the Council. Such interests may include:
• Membership of political parties, pressure groups, trade unions,
charitable, voluntary or social enterprise organisations;
• Membership of another public sector organisation;
• Any other bodies not declared as a pecuniary interest in which you
have a position of general control or management;
• Outside bodies to which you have been appointed by the Council
• Non-remunerated advice, guidance or consultancy you have
provided on an ongoing basis, or specifically within a past 12 month
period;
• Lobbying you have participated in, or matters you have been lobbied
on (particularly where you may be predetermined on an individual
matter);
• Organisations in which you have a beneficial interest which does not
meet the requirements of (ix) a or b above.
• Any other matters you consider should be disclosed
4
2012
•
Pecuniary interests held by other members of your family or close
associates which are likely to impact on your role as a Councillor
SENSITIVE INTERESTS
Please highlight above any interests (whether pecuniary or other interests)
you consider to be sensitive by entering "sensitive" in brackets after the
interest. Sensitive interests are usually those where declaration may lead to
the member being subject to violence or intimidation.
Such interests will be reviewed by the Monitoring Officer, and if they are in
agreement, the register of interests will simply state you have the interest, and
not provide any details.
(Please use another page if there is insufficient room for your entry under any
section. Securely attach the additional page to this form).
D
2012
Tick if additional page(s) attached.
I recognise that it is a breach of the Code of Conduct to:
I
(1)
omit information that should be given in this notice;
(2)
provide information that is materially false or misleading;
,
(3)
fail to give further notices in order to bring up to date information given in this
notice, and/or declare an interest that I acquire after the date of this notice
and have to declare.
.
Councillor
Monitoring Officer
.
SIgne
Signl:~rllood.-.
Date
NORTH NORFOLK DISTRICT COUNCIL
'" .
.t.'.). ..~l !.~.. ~
.
......
Date... '" '" .. , 0.2. JUl·i9·15· '"
.. ,...
Please return this form to the Monitoring Officer, North Norfolk District Council
2012
-J
'.
THE RELEVANT AUTHORITIES (DISCLOSABLE PECUNIARY INTERESTS)
REGULATIONS 2012
.
THE REGISTER OF MEMBERS' INTERESTS
REGISTRATION OF PECUNIARY AND OTHER INTERESTS
Members must give written notice of their interests and any changes
• within 28 days of election or appointment to office (if that is later)
• within 28 days of any change to the interests
• within 28 days of disclosing an interest at a meeting (where not otherwise
entered in the register)
• within 28 days of becoming aware of the interest when solely discharging a
function of the authority as a member of the Council's executive.
(PLEASE COMPLETE IN BLOCK CAPITALS AND USE ADDITIONAL PAGES IF
NECESSARY)
TO: THE MONITORING OFFICER, NORTH NORFOLK DISTRICT COUNCIL
I,
.~L~~.\1~ .. ~~~.f~~.!? .. ~~.~.~~.~
(please print your full name)
a member of the Bodham Parish Council, hereby give notice that I have set out
below under the appropriate headings my interests which I am required to
declare under the Members' Code of Conduct and I have put "none" where I
have no such interests under any heading.
(Please read carefully the guidance notes on the reverse before you complete and
sign this form.)
PECUNIARY/INTERESTS
(i)
Employment, office, trade, profession or vocation I (or my spouse I
partner) undertake for profit, remuneration or other gain:
(ii)
Name of employer(s) or post held in organisation listed in (i) above:
2012
(iii)
Any payments or provisions or other financial benefit I have received
within the past 12 months of this declaration in relation to my role as a
member or towards my election expenses:
(iv)
Any payments or provisions or other financial benefit I have received
within the past 12 months of this declaration in relation to my role as a
member or towards my election expenses from a Trade Union:
(v)
Any contract I (or my spouse I partner) have entered into with the
Council in which goods or services are to be provided or works are to be
executed which has not been fully discharged:
(vi)
Any contract that a firm in which I (or my spouse I partner) am either a
partner, director, or hold securities that constitute a beneficial interest,
has entered into with the Council in which goods or services are to be
provided or works are to be executed which has not been fully
discharged:
2012
(vii)
Any beneficial interest in land (of mine' my spouse' partner's) which is
within the Council's area:
(viii) Any license (whether yourself' your spouse' partner's or held with
others) to occupy land in the area for a month or longer
(ix)
Tenancies you' your spouse' partner hold where the Council is the
landlord:
(x)
Any firm you' your spouse' partner are a partner or director of, or hold
securities in, that is a tenant where the Council is the landlord:
2012
(xi)
A beneficial interest (of you or your spouse I partner) in securities of a
body where that body has a place of business, or land in the area of the
authority AND EITHER:
a. The total nominal value of the securities exceeds £25,000 or one
hundredth of the total issued share capital of that body;
b. If the share capital of that body is of more than one class, the total
nominal value of the shares of anyone class in which you have a
beneficial interest exceeds one hundredth of the total issued
share capital of that class
OTHER INTERESTS
These constitute any other interests you may have which impact upon your
role within the Council. Such interests may include:
• Membership of political parties, pressure groups, trade unions,
charitable, voluntary or social enterprise organisations;
• Membership of another public sector organisation;
• Any other bodies not declared as a pecuniary interest in which you
have a position of general control or management;
• Outside bodies to which you have been appointed by the Council
• Non-remunerated advice, guidance or consultancy you have
provided on an ongoing basis, or specifically within a past 12 month
period;
• .Lobbying you have participated in, or matters you have been lobbied
on (particularly where you may be predetermined on an individual
matter);
• Organisations in which you have a beneficial interest which does not
meet the requirements of (ix) a or b above.
• Any other matters you consider should be disclosed
4
2012
SENSITIVE INTERESTS
Please highlight above any interests (whether pecuniary or other interests)
you consider to be sensitive by entering "sensitive" in brackets after the
interest. Sensitive interests are usually those where declaration may lead to
the member being subject to violence or intimidation.
Such interests will be reviewed by the Monitoring Officer, and if they are in
agreement, the register of interests will simply state you have the interest, and
not provide any details.
(Please use another page if there is insufficient room for your entry under any
section. Securely attach the additional page to this form).
D
2012
Tick if additional page(s) attached.
I recognise that it is a breach of the Code of Conduct to:
(1)
omit information that should be given in this notice;
(2)
provide information that is materially false or misleading;
(3)
fail to give further notices in order to bring up to date information given in this
notice, and/or declare an interest that I acquire after the date of this notice
and have to declare.
Councill
Monitoring Officer
Signed:
Signed
Date
.\ ..\
.1..
..
.
Date
NORTH NORFOLK DISTRICT COUNCIL
o..-.-.....
,
0..2..JUL. 2fJ15
...J
.
Please return this form to the Monitoring Officer, North Norfolk District Council
6
2012
i '
THE RELEVANT AUTHORITIES (DISCLOSABLE PECUNIARY INTERESTS)
REGULATIONS 2012
THE REGISTER OF MEMBERS' INTERESTS
REGISTRATION OF PECUNIARY AND OTHER INTERESTS
Members must give written notice of their interests and any changes
• within 28 days of election or appointment to office (if that is later)
• within 28 days of any change to the interests
• within 28 days of disclosing an interest at a meeting (where not otherwise
entered in the register)
• within 28 days of becoming aware of the interest when solely discharging a
function of the authority as a member of the Council's executive.
{PLEASE COMPLETE IN BLOCK CAPITALS AND USE ADDITIONAL PAGES IF
NECESSARY)
TO: THE MONITORING OFFICER, NORTH NORFOLK DISTRICT COUNCIL
I,
.WJ.~'.~. P&?1..r?~~.4f. .. QV~. ~ . 1\":
(please print your full name)
a member of the Bodham Parish Council, hereby give notice that I have set out
below under the appropriate headings my interests which I am requiredto
declare under the Members' Code of Conduct and I have put "none" where I
have no such interests under any heading.
(Please read carefully the guidance notes on the reverse before you complete and
sign this form.)
PECUNIARY INTERESTS
(i)
Employment, office, trade, profession or vocation I (or my spouse I
partner) undertake for profit, remuneration or other gain:
<;C;:Vf- 6N'.p L,D 'f(...h
t{O£...-I
(ii)
2012
()A'I
Lb>
Name of employer(s) or post held in organisation listed in (i) above:
(iii)
Any payments or provisions or other financial benefit I have received
within the past 12 months of this declaration in relation to my role as a
member or towards my election expenses:
NONE:­
(iv)
Any payments or provisions or other financial benefit I have received
within the past 12 months of this declaration in relation to my role as a
member or towards my election expenses from a Trade Union:
".ri>~-C
(v)
Any contract I (or my spouse I partner) have entered into with the
Council in which goods or services are to be provided or works are to be
executed which has not been fully discharged:
~l::-
(vi)
Any contract that a firm in which I (or my spouse I partner) am either a
partner, director, or hold securities that constitute a beneficial interest,
has entered into with the Council in which goods or services are to be
provided or works are to be executed which has not been fully
discharged:
;v ()l-) 'e:­
2
2012
(vii) Any beneficial interest in land (of mine' my spouse' partner's) which is
within the Council's area:
t-J~C-
(viii) Any license (whether yourself' your spouse' partner's or held with
others) to occupy land in the area for a month or longer
P6'N"t:­
(ix)
Tenancies you' your spouse' partner hold where the Council is the
landlord:
(x)
Any firm you' your spouse' partner are a partner or director of, or hold
securities in, that is a tenant where the Council is the landlord:
2012
(xi)
A beneficial interest (of you or your spouse I partner) in securities of a
body where that body has a place of business, or land in the area of the
authority AND EITHER:
a. The total nominal value of the securities exceeds £25,000 or one
hundredth of the total issued share capital of that body;
b. If the share capital of that body is of more than one class, the total
nominal value of the shares of anyone class in which you have a
beneficial interest exceeds one hundredth of the total issued
share capital of that class
OTHER INTERESTS
These constitute any other interests you may have which impact upon your
role within the Council. Such interests may include:
• Membership of political parties, pressure groups, trade unions,
charitable, voluntary or social enterprise organisations;
• Membership of another public sector organisation;
• Any other bodies not declared as a pecuniary interest in which you
have a position of general control or management;
• Outside bodies to which you have been appointed by the Council
• Non-remunerated advice, guidance or consultancy you have
provided on an ongoing basis, or specifically within a past 12 month
period;
• Lobbying you have participated in, or matters you have been lobbied
on (particularly where you may be predetermined on an individual
matter);
• Organisations in which you have a beneficial interest which does not
meet the requirements of (ix) a or b above.
• Any other matters you consider should be disclosed
4
2012
•
Pecuniary interests held by other members of your family or close
associates which are likely to impact on your role as a Councillor
SENSITIVE INTERESTS
Please highlight above any interests (whether pecuniary or other interests)
you consider to be sensitive by entering "sensitive" in brackets after the
interest. Sensitive interests are usually those where declaration may lead to
the member being subject to violence or intimidation.
Such interests will be reviewed by the Monitoring Officer, and if they are in
agreement, the register of interests will simply state you have the interest, and
not provide any details.
(Please use another page if there is insufficient room for your entry under any
section. Securely attach the additional page to this form).
D
2012
Tick if additional page(s) attached.
I recognise that it is a breach of the Code of Conduct to:
(1)
omit information that should be given in this notice;
(2)
provide information that is materially false or misleading;
(3)
fail to give further notices in order to bring up to date information given in this
notice, and/or declare an interest that I acquire after the date of this notice
and have to declare.
Monitoring Officer
Councillor
Signed
Date
:-:.'.L
.
Signed
.
Date
NORTH NORl=OLK OISTRICT COUNCIL
.
O.2.. J.UL .2015
.
Please return this form to the Monitoring Officer, North Norfolk District Council
2012
THE RELEVANT AUTHORITIES (DISCLOSABLE PECUNIARY INTERESTS)
REGULATIONS 2012
THE REGISTER OF MEMBERS' INTERESTS
REGISTRATION OF PECUNIARY AND OTHER INTERESTS
Members must give written notice of their interests and any changes
• within 28 days of election or appointment to office (if that is later)
• within 28 days of any change to the interests
• within 28 days of disclosing an interest at a meeting (where not otherwise
entered in the register)
• within 28 days of becoming aware of the interest when solely discharging a
function of the authority as a member of the Council's executive.
(PLEASE COMPLETE IN BLOCK CAPITALS AND USE ADDITIONAL PAGES IF
NECESSARY)
TO: THE MONITORING OFFICER, NORTH NORFOLK DISTRICT COUNCIL
I,
~.~.<;..~.~~s
f:1.l:-:~.~
S~~.~~y
(please print your full name)
a member of the Bodham Parish Council, hereby give notice that I have set out
below under the appropriate headings my interests which I am required to
declare under the Members' Code of Conduct and I have put "none" where I
have no such interests under any heading.
(Please read carefully the guidance notes on the reverse before you complete and
sign this form.)
PECUNIARY INTERESTS
(i)
Employment, office, trade, profession or vocation I (or my spouse I
partner) undertake for profit, remuneration or other gain:
Co f:\ C-\-\
(ii)
2012
-:DR \V~ R­
Name of employer(s) or post held in organisation listed in (i) above:
(iii)
Any payments or provisions or other financial benefit I have received
within the past 12 months of this declaration in relation to my role as a
member or towards my election expenses:
(iv)
Any payments or provisions or other financial benefit I have received
within the past 12 months of this declaration in relation to my role as a
member or towards my election expenses from a Trade Union:
(v)
Any contract I (or my spouse I partner) have entered into with the
Council in which goods or services are to be provided or works are to be
executed which has not been fully discharged:
(vi)
Any contract that a firm in which I (or my spouse I partner) am either a
partner, director, or hold securities that constitute a beneficial interest,
has entered into with the Council in which goods or services are to be
provided or works are to be executed which has not been fully
discharged:
2
2012
(vii)
Any beneficial interest in land (of mine' my spouse' partner's) which is
within the Council's area:
(viii) Any license (whether yourself' your spouse' partner's or held with
others) to occupy land in the area for a month or longer
(ix)
Tenancies you' your spouse' partner hold where the Council is the
landlord:
(x)
Any firm you' your spouse' partner are a partner or director of, or hold
securities in, that is a tenant where the Council is the landlord:
3
2012
(xi)
A beneficial interest (of you or your spouse I partner) in securities of a
body where that body has a place of business, or land in the area of the
authority AND EITHER:
a. The total, nominal value of the securities exceeds £25,000 or one
hundredth of the total issued share capital of that body;
b. If the share capital of that body is of more than one class, the total
nominal value of the shares of anyone class in which you have a
beneficial interest exceeds one hundredth of the total issued
share capital of that class
OTHER INTERESTS
These constitute any other interests you may have which impact upon your
role within the Council. Such interests may include:
• Membership of political parties, pressure groups, trade unions,
charitable, voluntary or social enterprise organisations;
• Membership of another public sector organisation;
• Any other bodies not declared as a pecuniary interest in which you
have a position of general control or management;
• Outside bodies to which you have been appointed by the Council
• Non-remunerated advice, guidance or consultancy you have
provided on an ongoing basis, or specifically within a past 12 month
period;
• Lobbying you have participated in, or matters you have been lobbied
on (particularly where you may be predetermined on an individual
matter);
• Organisations in which you have a beneficial interest which does not
meet the requirements of (ix) a or b above.
• Any other matters you consider should be disclosed
4
2012
•
Pecuniary interests held by other members of your family or close
associates which are likely to impact on your role as a Councillor
SENSITIVE INTERESTS
Please highlight above any interests (whether pecuniary or other interests)
you consider to be sensitive by entering "sensitive" in brackets after the
interest. Sensitive interests are usually those where declaration may lead to
the member being subject to violence or intimidation.
Such interests will be reviewed by the Monitoring Officer, and if they are in
agreement, the register of interests will simply state you have the interest, and
not provide any details.
(Please use another page if there is insufficient room for your entry under any
section. Securely attach the additional page to this form).
D
2012
Tick if additional page(s) attached.
I recognise that it is a breach of the Code of Conduct to:
(1)
omit information that should be given in this notice;
(2)
provide information that is materially false or misleading;
(3)
fail to give further notices in order to bring up to date information given in this
notice, and/or declare an interest that I acquire after the date of this notice
and have to declare.
Councillor
Monitoring Officer
NORTH NORFOLK DISTRICT COUNCIL
Signe
Date
,1.\ r , ? ~:-..~ ~.,
.
Signe~
..
Date... '" ... '" .. 0.2.J.UL. 7.QJ?, .. "
.
Please return this form to the Monitoring Officer, North Norfolk District Council
2012
-
NORTH
North Norfolk District Council Register of
Members' Interests (Parish Councillors)
Notes
(a) Please sta e in
full the namesjof a~
Name
1"Q f..{ AI f D'v j ~I
Bodham Parish Council
organisationslefe~(j)STAt SERVIC
to rather than use
abbreviations or
acronyms.
These are the interests which you are required to
register with the Authority by section 30 of the Localism
Act 2011
It is a breach of the Code and an offence to fail to
disclose a registerable interest within 28 days of taking
office with the Authority or within 28 days of declaring a
new interest at a meeting.
You must register your interests and interests of your
spouse or civil partner or a person with whom you live
as a spouse or civil partner.
(b) Please if
possible type your
responses.
© Where there is no
interest please write
"NONE".
(d) There is no need
to register "sensitive
information" provided
the Authority's
Monitoring Officer
agrees. "Sensitive
information" is
information which, if
made public, could
lead to you or a
person connected to
you being subjected
to violence or
intimidation.
Registered Interests
Employment
(a)
Any employment, office, trade,
profession or vocation
'r~
y~ F~ \~L
D~ ~~r:~~lU
V~ C~LtJ
Sponsors
Names of people and organisations who payor
have paid or given a financial benefit towards:
(i)
NORFOLK O.C~
my appointment with the Authority; or
(ii)
The expenses I incur in carrying out my
duties for the Authority:
Ar~.
1
This includes
membership of other
public bodies,
company
directorships or
trusteeships etc but
only if you receive
payment or other gain
(including expenses)
in return.
This does not include
expenses paid by the
Authority but does
include payment or
financial benefit from
a Trade Union.
ES
~
Share holdings
Names of any company or other body which
has a place of business or owns land in the
North Norfolk District Council's area and in which
I have shares or other securities with a nominal
value of more than £25,000 or are more than 1%
of the total issued share capital or of anyone
class of share capital
:Sf~ Nfl~ J'1~l (~
~- V~ ~~ i>~
~L(;j
~.J- F~ ~ uJ.
Contracts
Contracts with the North Norfolk District
Council's and myself (or spouse or partner) ...QL. a
firm in which I (or my spouse or partner) is a
business partner, or a company of which I (or
my spouse or partner) am a director...Q[ a
company or other body in which I (or my spouse
or partner) has a shareholding as defined above
List contracts which
are for goods,
services or works. Do
not list contracts
which have been
completed.
Land and
Property
Address or description of the following:
This is wide enough
to include your
houses, flats and
moorings. It also
includes land held in
trust for you.
(a)
Premises in the North Norfolk District
Council's area which are owned or leased or
in which there is an other beneficial interest.
9~ r~
HJJ
r~
,I-f'
f
!-J
~L~Lu-~
'J1)~
))~~ A~
ws-J. ~
1~~
(b)
P)emises let by the Authority to a firm or
company in which I (or my spouse or partner) is
a business partner or director or has a
shareholding as defined above.
r
--.
2
If necessary, in order
to clearly identify your
land, a plan should
be attached edging it
in red.
©
North Norfolk District Council's area in
respect of which I have a licence to occupy for at
least a calendar month.
Lobby Groups
Clubs and
Societies
These include:
I am a member of
these groups which
seek to influence
public opinion or
policy:
•
•
political parties
bodies such as
Friends of the
Earth,
Countryside
Alliance, etc (if
applicable)
•
trade unions
These are not
required by section
30 of the Act but
please respond
I am a member of these clubs and societies:
~J/- ~~
M
N~ (~~) dJ~
~~N~M
3
These are not
required by section
30 of the Act but
please respond. The
Auth.ority will decide
on tne13lh JUly
whether these will
form part of the
register. If not the
information will be
destroyed
Gifts and
Hospitality
This section only
applies to gifts or
hospitality received in
your capacity as a
Member of the
Authority.
I have received a gift or hospitality worth £25 or
over from the following persons or bodies or
other organisations:
You do not have to
specify the nature or
value of the gift or
hospitality but you
may do so if you
wish.
If you are not sure of
the value of the gift or
hospitality, please
estimate it.
Also, you should
register an
accumulation of small
gifts from the same
source over a short
period which add up
to £25 or over.
These are not
required by section
30 of the Act but
please respond. The
Authority will decide
on the 131t1 July
whether these will
form part of the
register. If not the
information will be
destroyed
.
Signed: '"
Dated:
Received by the
S' ne .
19 d
Dated:
·
NOI._
•.
,
VVUI 1"11
.
,
.
,
NORTH NORFOLK mSTRICT COUNCIL Ij
..
(f2"JUL ~26"~:-:-:-:~"'"''''''
4
.
.
THE RELEVANT AUTHORITIES (DISCLOSABLE PECUNIARY INTERESTS)
REGULATIONS 2012
THE REGISTER OF MEMBERS' INTERESTS
REGIS"rRATION OF PECUNIARY AND OTHER INTERESTS
Members must give written notice of their interests and any changes
• within 28 days of election or appointment to office (if that is later)
• within 28 days of any change to the interests
• within 28 days of disclosing an interest at a meeting (where not otherwise
entered in the register)
• within 28 days of becoming aware of the interest when solely discharging a
function of the authority as a member of the Council's executive.
(PLEASE COMPLETE IN BLOCK CAPITALS AND USE ADDITIONAL PAGES IF
NECESSARY)
TO: THE MONITORING OFFICER, NORTH NORFOLK DISTRICT COUNCIL
I, :",,-.~
~
~
.
~.'\.~.. ~~~.~
~~."'.~
~.
~.~
(please print your full name)
a member of the Bodham Parish Council, hereby give notice that I have set out
below under the appropriate headings my interests which I am required to
declare under the Members' Code of Conduct and I have put "none" where I
have no such interests under any heading.
(Please read carefully the guidance notes on the reverse before you complete and
sign this form.)
PECUNIARY INrERESTS
(i)
Employment, office, trade, profession or vocation I (or my spouse I
partner) undertake for profit, remuneration or other gain:
(ii)
Name of employer(s) or post held in organisation listed in (i) above:
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(iii)
Any payments or provisions or other financial benefit I have received
within the past 12 months of this declaration in relation to my role as a
member or towards my election expenses:
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(iv)
Any payments or provisions or other financial benefit I have received
within the past 12 months of this declaration in relation to my role as a
member or towards my election expenses from a Trade Union:
(v)
Any contract I (or my spouse I partner) have entered into with the
Council in which goods or services are to be provided or works are to be
executed which has not been fully discharged:
(vi)
Any contract that a firm in which I (or my spouse! partner) am either a
partner, director, or hold securities that constitute a beneficial interest,
has entered into with the Council in which goods or services are to be
provided or works are to be executed which has not been fully
discharged:
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2012
(vii)
Any beneficial interest in land (of mine' my spouse' partner's) which is
within the Council's area:
(viii) Any license (whether yourself' your spouse' partner's or held with
others) to occupy land in the area for a month or longer
(ix)
Tenancies you' your spouse' partner hold where the Council is the
landlord:
(x)
Any firm you' your spouse' partner are a partner or director of, or hold
securities in, that is a tenant where the Council is the landlord:
2012
(xi)
A beneficial interest (of you or your spouse I partner) in securities of a
body where that body has a place of business, or land in the area of the
authority AND EITHER:
a. The total nominal value of the securities exceeds £25,000 or one
hundredth of the total issued share capital of that body;
b. If the share capital of that body is of more than one class, the total
nominal value of the shares of anyone class in which you have a
beneficial interest exceeds one hundredth of the total issued
share capital of that class
OTHER INTERESTS
These constitute any other interests you may have which impact upon your
role within the Council. Such interests may include:
• Membership of political parties, pressure groups, trade unions,
charitable, voluntary or social enterprise organisations;
• Membership of another public sector organisation;
• Any other bodies not declared as a pecuniary interest in which you
have a position of general control or management;
• Outside bodies to which you have been appointed by the Council
• Non-remunerated advice, guidance or consultancy you have
provided on an ongoing basis, or specifically within a past 12 month
period;
• Lobbying you have participated in, or matters you have been lobbied
on (particularly where you may be predetermined on an individual
matter);
• Organisations in which you have a beneficial interest which does not
meet the requirements of (ix) a or b above.
• Any other matters you consider should be disclosed
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2012
•
Pecuniary interests held by other members of your family or close
associates which are likely to impact on your role as a Councillor
SENSITIVE INTERESTS
Please highlight above any interests (whether pecuniary or other interests)
you consider to be sensitive by entering "sensitive" in brackets after the
interest. Sensitive interests are usually those where declaration may lead to
the member being subject to violence or intimidation.
Such interests will be reviewed by the Monitoring Officer, and if they are in
agreement, the register of interests will simply state you have the interest, and
not provide any details.
(Please use another page if there is insufficient room for your entry under any
section. Securely attach the additional page to this form).
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2012
Tick if additional page(s) attached.
I recognise that it is a breach of the Code of Conduct to:
(1)
omit information that should be given in this notice;
(2)
provide information that is materially false or misleading;
(3)
fail to give further notices in order to bring up to date information given in this
notice, and/or declare an interest that I acquire after the date of this notice
and have to declare.
Monitoring Officer
Councillor
Si
Date '" .., .
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Signed
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Date
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Please return this form to the Monitoring Officer, North Norfolk District Council
2012
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, - - - - . - - - - - - - - - - - - - - - - - - - - - - - - - - , - - - - - - - - - - - - - ,...------=--="':"""::-­
North Norfolk District Council Register Qf
1\.,i,~T;"~ i1JORFOLK D.C.
Members' Interests (Parish Councillors)
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Notes
Name
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Bodham Parish Council
(a) Please state in
full the names of any
organisations referred
to rather than use
abbreviations or
acronyms.
These are the interests which you are required to
register with the Authority by section 30 of the Localism
Act 2011
(b) Please if
possible type your
responses.
It is a breach of the Code and an offence to fail to
disclose a registerable interest within 28 days of taking
office with the Authority or within 28 days of declaring a
new interest at a meeting.
You must register your interests and interests of your
spouse or civil partner or a person with whom you live
as a spouse or civil partner.
© Where there is no
interest please write
"NONE".
(d) There is no need
to register "sensitive
information" provided
the Authority's
Monitoring Officer
agrees. 'Sensitive
information" is
information which, if
made public, could
lead to you or a
person connected to
you being subjected
to violence or
intimidation.
Registered Interests
Employment
Sponsors
(a)
Any employment, office, trade,
profession or vocation
This includes
membership of other
public bodies,
company
directorships or
trusteeships etc but
only if you receive
payment or other gain
(including expenses)
in return.
Names of people and organisations who payor
have paid or given a financial benefit towards:
This does not include
expenses paid by the
Authority but does
include payment or
financial benefit from
a Trade Union.
(i)
my appointment with the Authority; or
(ii)
The expenses I incur in carrying out my
duties for the Authority:
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POSTAL Si:HVi C~S
Shareholdings
Names of any company or other body which
has a place of business or owns land in the
North Norfolk District Council's area and in which
I have shares or other securities with a nominal
value of more than £25,000 or are more than 1%
of the total issued share capital or of anyone
class of share capital
c0
Contracts
,
,
(it
Contracts with the North Norfolk District
Council's and myself (or spouse or partner)..QL a
firm in which I (or my spouse or partner) is a
business partner, or a company of which I (or
my spouse or partner) am a director...Q[ a
company or other body in which I (or my spouse
or partner) has a shareholding as defined above
List contracts which
are for goods,
services or works. Do
not list contracts
which have been
completed.
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Land and
Property
Address or description of the following:
(a)
Premises in the North Norfolk District
Council's area which are owned or leased or
in which there is an other beneficial interest.
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(b)
Premises let by the Authority to a firm or
company in which I (or my spouse or partner) is
a business partner or director or has a
shareholding as defined above.
2
This is wide enough
to include your
houses, flats and
moorings. It also
includes land held in
trust for you.
If necessary, in order
to clearly identify your
land, a plan should
be attached edging it
in red.
North Norfolk District Council's ,area in
©
respect of which I have a licence to occupy for at
least a calendar month.
Lobby Groups
These include:
I am a member of
these groups which
seek to influence
public opinion or
policy:
•
•
•
political parties
bodies such as
Friends of the
Earth,
Countryside
Alliance, etc (if
applicable)
• trade unions
These are not
required by section
30 of the Act but
please respond
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Clubs and
Societies
I am a member of these clubs and societies:
These are not
required by section
30 of the Act but
please respond. The
Authority will decide
on the 13th July
whether these will
form part of the
register. If not the
information will be
destroyed
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Gifts and
Hospitality
I have received a gift or hospitality worth £25 or
over from the following persons or bodies or
other organisations:
This section only
applies to gifts or
hospitality received in
your capacity as a
Member of the
Authority.
You do not have to
specify the nature or
value of the gift or
hospitality but you
may do so if you
wish.
If you are not sure of
the value of the gift or
hospitality, please
estimate it.
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Also, you should
register an
accumulation of small
gifts from the same
source over a short
period which add up
to £25 or over.
These are not
required by section
30 of the Act but
please respond. The
Authority will decide
on the 13tn July
whether these will
form part of the
register. If not the
information will be
destroyed
Signed:
Dated: .. , '"
Received by the """II~lI#"''''''I-N<~~,Qj.&M;j~~~~!MI------_
Signed:
Dated:
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NORIH..NORFOP\.PJSTA.l.CT C.Q.w.N.CI.~
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111 MAR ltJ15
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