HOOPER CIry M-EmED Conflict of Interest Form - 2025 andate/Oricenolder. Due R. Eowers Office: City Council 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 the individual's employers during the preceding year. Current Employer(s): Retined Previous Employer(s): 1B: Fore each employer described in Item 1A, al brief description of the employment, including the individual's occupation, and, as applicable, job title. Current Employment: NA Previous Employment: 2A:The name of any entity* in which thei individual is an owner or officer, or was an owner or officer during the preceding year. NA 2B: A brief description of the type of business or activity conducted by the entity(ies) described in Item 2A NA 2C: Individual's position in the entity(ies) described in Item 2A NH Page 1 of4 3A: The name ofe eachi individual from whom, or entity from which, the individual has received $5,000 or more in income during the preceding year.** Fowers Produce 3B: Al brief description of the type of business or activity conducted by the individual or entity described in Item 3A.** FrJuce Sals 4A: The name of each entity in which the individual holds any stocks or bonds having a 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). NA 4B: Abrief description of the type of business or activity conducted by the entity(ies) described in Item 4A. NA 5A: The name of each entity or organization not described in Items 2A through 4B of this formi in which the individual currently serves, or: served int the preceding year, ont the board of directors or in any other type of paid leadership capacity. NA 5B: Abrief description ofthe type of business or activity conducted by the entity(ies) or organization(s) described in Item 5A NA 5C: Description of the type of advisory position held by the individual within the entity(ies) organization(s) described in Item 5A. NA Page 2of4 6A (Optional): Description of any real property in which the individual holds an ownership or other financial interest that thei individual believes may constitute a conflict ofi interest. None 6B (Optional): Description of type of interest held by thei individual ini the property(ies) described in Item 6A. Nonc 7A: The name(s) of the individual's spouse and any other adult residing int the individual's household who is not related by blood or marriage, as applicable. Spouse: Other Adults: NA 7B: Fori 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): Spouse's Previous Employer(s): NH 7C: Ab brief description oft 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. NA 8A(Optional): A description of any other matter ori interest that the individual believes may constitute a conflict of interest. NA Page 3 of4 Date: 1-16-2025 i,t the regulated officeholder or candidate, believe this form is true and accurate to the best of my knowledge. (Check box) haas Candldate/Oficeholders Signature Page 4 of4