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GENERAL NOTICE OF REGISTRABLE INTERESTS: TOWN OR

PARISH COUNCILLORS

The Relevant Authorities (Disclosable Pecuniary Interests)

Regulations 2012 Register of Members' lnterests
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Council hereby give notice to the Clerk oflhe Council and lhe lvlonitoring Officer for Cheshire
East Council of those disclosable pecuniary interests which I am required to declare under The
Relevant Authorities (Disclosable Pecuniary lnterests) Regulations 2012 and my Town/Parish
(delete as appropiate) Council's Code of Conduct.
I undersland that in so doing I must also declare not only my own interests but also any interest I
am a\,vare ofthat belongs to my spouse or partner, as defined in my Council's Code of Conduct.

Where I have no such inlerests under any heading I have endorsed the form "none".

Additional lnformation
The notes to this form give general guidance,'butare nol necessarily comprehensive. Please
consult the Monitoring Officer if additional information is required.

Underthe Localism AcI201'l and the above Regulations you must register your pecuniary
interests. lf you fail lo do so, and then participate (speak or vote or both) at a Town or Parish
Council or commiilee meeting, you may be committing a criminal offence.
The information that you give on ihis form is required to be kept in a Registerthat must be
available for inspection by the public. lt musl also be available for inspection on your
Town/Parish Council's website (if applicable) and on Cheshire Easl Council's website so it is
imporlant that you keep it up to date. Gifts or hospitalily received for a value of8100.00 or more
should be included on a separate form.
You musi, within 28 days of becoming aware of any change of circumstances notify the Clerk to
lhe Council and/or Cheshire East Council's Monitoring Officer asking that the information be
included in your Register of Members' lnterests.
The Ac{ provides that if information relating to your interests is "sensitive', that is to say if you
and lhe Monitoring Officer agree that disclosure of ils details could lead you, or someone
connected with you, to be vulnerable to violence or intimidation, it need not be included in the
Register, even if it is a disclosable pecuniary interest. Please consult the Monitoring Officer if
additional information is required on this issue.

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1 DISCLOSABLE PECUNIARY INTERESTS

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{a) Your Employment, Office, Trade, Profossion or vocation

Please giv6 details of(i) every employment, rob, trade, buslness orvocation you have, for
which you receive any beneflt or gain (i,e. profit, aalary or bonofit in kind) including a ahort
description ofthe activlty e.g. 'Accountant' or 'Famed and (ii) tho namo of any employer or
body,Ilrm orcompany which you own or in whoao socuritios you have any beneficial
interest. Thls must include any remuneration as a Oiroctor.

Name of Employer

Description of
Business

Description of Employment

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(bl Your Spouse or Partner's Employment, Office, Trade, Profession or Vocation

of(i) every employment,lob, trado, busincss orvocation your spouso or
partner ha6, forwhich they rocoivo any b6nelit or gain (i.e. profit, salary or benefit ln kind)
includlng a short doscription of tho activity .9. 'Accountant' or 'Farmed and (ii) the name ot
any employ6r or body, tiim or company which they own oa in virhose secuaitiea they have
any benoficial interost, This must includc any rehuneration as a Director.
Ploase glve details

Name of Employer

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Description of
Business

Description of Employment

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2 SPONSORSHIP
Please glve details of any poEon or body (othor than the Town or Parlsh Councll) who has
made any payment lo you in respect ofyourelection orany expenses you have incurred in
carrying out your dutios as a Town or P.rish Councilloa. Please also include any payment
orfinancial bonelit received from a lraale Unlon.

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3 SECURITIES
3 (a) Secu ties: Your lnterests in Compani6
Please give details of any body which has a place of business or owns land ln the Council's
area and in which you have a beneticial intereat (a shareholding) of mors than 25,000
(nominal value) or more than l/lo()lh of the total ahare issue of that body (whichever is the
lower) or if there ia more than on6 claas of 3haro, tho total nominal valuo ofSharoa in any
class of that body of more than l/'100t' of the total sharea of that class.

,or recessary to ateclatu the nalutu or size ol the holding, sirnply the name ol the
cofipany of olh@t body.

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3 (b) Socurities: lnterests in Companies owned by your Spouse or Partner

Please give detalls of body which has a plac. of businosa or owns land in the Council's area
and in which you are awar6lhat your apouso or civil partner has a beneficial interest (a
shareholding) of more than 25,000 (nominal valuo) or mot6 than l/100r' of the tot.l shar6
is3u6 of that body (whichovgr is lho low6r) or iflhere is more than one class of share, the
total nominal valu6 of shares in any class of that body of more than 1/100$ofthe total
aharos of that class.
lrole.' ,, is ,or recessary to declarc the nature ot $ize ol lhe holding, simply the name of lhe
conrpany or other body.

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4 CONTRACTS
4(a) Contracts: for Goods, Works or Services wlth the Council
Pl6as6 giv6 dotails of any curent, exlstlng contracts for 9ood3, works or sorvic6$ bolween
the Town or Paaish Council and you or any body, flrm or company by which you aro
omployod or which you own or ln which you havo a benoticial intercst, rcfered to at 3 above.

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4(b) Contracts: for Goods, Works or Servicos btwoon lhe Council and your Spouse or

Partner
Ploase give detalls of any currant, existing co_ntracb for goods, works or seruicoa between
the Tosrn or Pariah Council and your spouse or partner, oa with any body, fim or company
by which they are employsd orwhich they own or in whose securities thsy havo a benelicial
interest, referrod to at 3 abovo.

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5 LANDHOLDINGS AND LICENCES IN THE AREA

5(a) Landholdings and Licenses in the Area
Please give the addross or other doscription (sufficient to ider*ify the location) of any land or
property in the Council's area in which you have a beneficlal Interest, indicating whether you
are th6 owner, lGssee ortenant. You should include land in whlch you may have a licence,
alone or with others, to occupy {or a period of ono month or longer. You must include the
land and house you live in and for example any allotments you rent or use.

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5(b) Landholdings and Licanses in the Ar.ea belonging to your Spouse or Partner
Please give the address or olher description (sufiiciont to idontify the location) of any land or
proporty in the Council's area in which you are aware that your apouas or partnGr haa a
beneficial interest, indlcatirg whether they are the ownor, logsco or lenant. You should
includo any land in which they may have a licence, alon6 or with othara, to occupy for a
period of one month or longor, 3uch aa for axample any allotmenls they renl or use.

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6 GORPORATE TENANCIES IN THE AREA

6(a) Corporate Tenancies; Land leased from the Town or Parish Council
Plcase give the address or other descdption (sufiiciont to identify th6location) of any land
leased or licensed from the Council by you or any body, fiIm or company bywhich you are
employed orvyhich you own or in which you have a benoficial inl6rst (specilied at 3 above).

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6(b) Corporate Tenancies: Land leased from the Town or Parish Council by your

Spouse or Partner

Pleaae give tho addross or other descdption (sufflclent to identify the location) of any land
Srat you are awarc of that is leased or licensed ftom th6 Council by yourspouse or padner

or any body, tirm or company by which they are smployed or which lhey own or in whoso
socurities they have a beneficial interest (apecitiod at 3 abovo),

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DECLARATION
I recognise that
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il lfailto comply with th6 Cod of Conduct for i/lembeE of

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(i) omit any information that should be included ln thls Notice;

(ii) give false or mlsleadlng lirfonrlatlon; or
(iii) do not t.ll the Clork of the Council or Cheshire East Councll's Monitoring Officor of any
changes to this Notice or new intereEts I acquire,

that thls may be a criminal offenco and/or th6 mattor may be rcforod to Cheshire East
Council's Audit and Goyemance Sub4ommittse for inveltigation.

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FOR OFFICE USE ONLY

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