HOOPER CITy Conflict of Interest Form - 2025 andate/Oriceholder. Byan A:l Office: CiCascil atlage 1A: The name(s) and address(es) of each of the individual's current employer(s) and name(s) and address(es) of each of thei individual's employers during the preceding year. Current Employer(s): 0.s. Fosla! Servce 5948 W. 5500 is Abopey ut R431 Previous Employer(s): 1B: For each employer described in Item 1A, a brief description oft the employment, including the individual's occupation, and, as applicable, job title. Current Employment: Posfmastev Previous Employment: 2A: The name of any entity* in which the individual is an owner or officer, or was an owner or officer during the preceding year. None 2B: Al brief description oft the type of business or activity conducted by the entity(ies) described in Item 2A M/A 2C: Individual's position in the entity(ies) described in Item 2A M/A Page 1 of4 3A: The name ofe each individual from whom, or entity from which, the individual has received $5,000 or more in income during the preceding year.** Nane 3B: Al brief description of the type of business or activity conducted by the individual or entity described in Item 3A.** N/A 4A:The name of each entity in which the individual holds any stocks or bonds having at fair market value of $5,000 or more as of the date of the disclosure form or during the preceding year (excluding funds that are managed by a third party, including blind trusts, managed investment accounts, and mutual funds). Wone 4B: Ab brief description ofthe type of business or activity conducted by the entity(ies) described in Item 4A. N/A 5A: The name of each entity or organization not described in Items 2A through 4B of this formi in which thei individual currently serves, or served int the preceding year, on the board of directors or in any other type of paid leadership capacity. Weber Fire Dutnet 5B: Abrief description of the type of business soractivtyconducted byt the entity(ies) or organization(s) described in Item 5A Member Board 5C: Description of the type of advisory position held by thei individual within the entity(ies) organization(s) described in Item 5A. Once a wonth Boad MA eehng Page2of4 6A( (Optional): Description of any real propertyi in which the individual holds an ownership or other financial interest thatt thei individual believes may constitute a conflict ofi interest. None 6B (Optional): Description of type ofi interest held byt the individual in the property(ies) described in Item 6A. M/A 7A:T The name(s) of the individual's spouse and any other adult residing ini the individual's household whoi is not related by blood or marriage, as applicable. Spouse: Cid; Hill Other Adults: Novl 7B: For the individual's spouse, the name(s) and address(es) of each current employer(s) and name(s) and address(es) of each employer(s) during the preceding year. Spouse's Current Employer(s): Bailge Elementary Scho!, Spouse's Previous Employer(s): Roy, UT 84067 7C: Abrief description of the employment and occupation of each adult who resides in the individual's household and is not related to the individual by blood or marriage. lefpnle Teacher BAOptomal,Adewription ofa any other matter ori interest that the individual believes may constitute a conflict of interest. Page 3 of4 Date: Jqn 16:2025 , the regulated officeholder or candidate, believe this form is true and accurate to the best of my knowledge. (Check box) ti - Candlaate/Oticenolders Signature Page 4 of4