(DFFICT Te
Due By April 25, 2008 Uhre
Rhode Island. Ethics Commission
2007 YEARLY FINANCIAL STATEMENT
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ANTHONY ¥ mxccorrs
32 COUNTRY. HL, LANE
NORTE KINGSTON RI'02852-
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UNLESS OTHERWISE SPECIFIED. :
PLEASE ANSWER ALL QUESTIONS AND WHERE YOUR ANSWER IS “NONE” OR “NOT APPLICABLE” SO
‘STATE. ANSWERS SHOULD BE PRINTED OR TYPED, and additional sheets may be used if more space is needed.
For clarification of any question, read instruction sheet.
Note: If you are a state or municipal official or employee that is required to fle a Yearly Financial Statement, a failure to fle the
Siatement isa violation ofthe law and may subject you to substantial penalties, including fines. Ifyou received a 2007 Year-
ly Financial Statement in the mail but believe you did not hold a public position in 2007 or 2008 that requires such
fling, you should contact the Ethics Commission (See Instruction Sheet for contact information).
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3._ List Public Position(s) you hold and governmental unit:
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2012, 2004, 200 &
‘BRERA, SRE OR REGIONAL
I wa elected on was appointed on AM Iwas hired on _U/4
aie) (date) Tate)
it you no longer held public position, state date of termination of resignation AYA
4, List elected office(s) for which you were/are @ candidate in either calendar year 2007 or 2008 (Read instruction #4)
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5. List the following: NAME OF SPOUSE NAME(S) OF DEPENDENT CHILD OR CHILDREN
COUEEN MICCOLIS Arison miccocts
rapndA fAICcoel §List the names of any employer from which you, your spouse, or dependent child received $1,000 or more gross
Income during calendar year 2007. Ifself-employed, list any occupation from which $ 1,000 or more gross income was
received. If employed by a state or municipal agency, or if selfemployed and services were rendered to a state or
municipal agency for an amount of income in excess of $250, list the date and nature of services rendered. Ifthe
public position or employment listed in #3, above, provides you with an amount of gross income in excess
of $250 it must be listed here. (Do Not List Amounts.)
NAME OF FAMILY ‘awe ano Aooness DATES AND NATURE
NE EMILOYED orem OvER OR GOCUPATION orSaectSRNDERED |
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cos TATEL, INC. en
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PACHA. Uh 2.208 3 Senioe CordSveraas~
List the address or legal description of any real estate, other than your principal residence, in which you, your spouse,
or dependent child had a financial interest.
NAMES NATURE OF INTEREST [ADDRESS OR DESCRIPTION
Aurion) F.nlecous,TR- Co-owner BUT NO 260 When AVE
Pavano ge (NEST EAST PREM DEW EE [01
oeuy
List the name of any trust, name and address of the trustee of any trust, from which you, your spouse, or dependent
child or children individually received $1,000 or more gross income. List assets if known. (Do Not List Amounts.)
name or trust: _A/A
NAME. OF TRUSTEE AND ADDRESS: AWA
[NAME OF FAMILY MEMBER
RECEIVING TRUSTINCOME: §_W/
assers: w/e —
List the name and address of any business, profit or non-profit, in which you, your spouse, or dependent child held
a position as a director, officer, partner, trustee, or a management position.
NAME OF FAMILY MEMBER NAME AND ADDRESS OF BUSINESS Postrion
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10. List the name and address of any interested person, or business entity, that made total gifts or total contribu-
cash or property during calendar year 2007 to you, your spouse, or dependent child,
tions in excess of $101
Certain gifts from relatives and certain campaign contributions are excluded. (See instruction #10)
NAME AND ADDRESS OF PERSON OR ENTITY
MAKING GIFT OR CONTRIBUTION
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NAME OF PERSON RECEIVING
(GIFTOR CONTRIBUTION
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11. List the name and address of any business in which you, your spouse, or dependent child individually or
collectively holds a 10% or greater ownership interest, or a $6,000 or greater ownership or Investment interest,
NAME AND ADDRESS OF BUSINESS
NAME OF FAMILY MEMBER
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12. any business listed in #11, above, did business in excess of a total of $250 in calendar year 2007 with a state or
‘municipal agency, AND you are a member or employee of the agency or exercise direct or legislative control over
the agency, list the following:
NAME AND ADDRESS NAME OF AGENCY DATE AND NATURE:
(OF BUSINESS (OF TRANSACTION
w/a WA
ah / /o
13. If any business listed in #11, above, was @ business entity subject to direct regulation by a state or municipal
agency, AND you are a member or employee of the agency or exercise direct or legislative control over the
agency, list the following:
[NAME OF REGULATING AGENCY
NAME AND ADDRESS OF BUSINESS
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