PROIEC HOOPER CITY Conflict of Interest Form - 2025 Candlidate/Oficeholder: Debra Marigni Office: Gty Domal Member 1A:T 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 individualsemployers during the preceding year. Current Employer(s): Hocper City 5580w 4bops Hooper, wtah URS Corp. Desert Stockton, utah Previous Chemical Employer(s): Depot 1B: For each employer described in Item 1A, a brief description of the employment, including the individual's occupation, and, as applicable, job title. Current Employment: Previous Employment: Parmmedic Supervisor Resonsible for response, Biochewical exposure's, Chnical 4 OSHI daily EIENy 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. N/A 2B: Al brief description of the type of business or activity conducted by the entity(ies) described in Item 2A NR 2C: Individual's position in the entity(ies) described in Item 2A MIA 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.* .** NA 3B: Al brief description of the type of business or activity conducted by thei individual or entity described in Item 3A.** N/R 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). N/A 4B: Abrief description of the type of business or activity conducted by the entity(ies) described in Item 4A. N/n 5A: The name of each entity or organization not described in Items 2A through 4B of this form in which the individual currently serves, or served int the preceding year, on the board of directors or in any other type of paid leadership capacity. NIA 5B: Abrief description oft the type of business or activity conducted by the entity(ies) or organization(s) described in Item 5A N/A 5C: Description of the type of advisory position held by thei individual within the entity(ies) organization(s) described in Item 5A. N/A Page2of4 6A (Optional): Description of any real property in which the individual holds an ownership or othert financial interest that the individual believes may constitutea a confictofinterest. NIA 6B (Optional): Description of type ofinterest held by thei individual in the property(ies) described in Item 6A. N)A 7A: The name(s) of thei individual's spouse and any other adult residing in the individual's household who is not related by blood or marriage, as applicable. Spouse: Brent Warigoni Other Adults: Nichoas Mariqon 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): Relired Spouse's Previous Employer(s): Wilhans Iwternational 3450 Sam Willaws Dnive Ogden, Utah 7C: Abrief description oft the employment and stcupation ofe each adult who resides in the individual's household and is not related to the individual by! blood or marriage. NA 8A (Optional): Adescription ofany other matter ori interest that the individual believesmay constitute a conflict of interest. N/A Page 3 of4 Date: Qan 24,0035 pi,ti the regulated officeholder or candidate, believe this form is true and accurate to the best of my knowledge. (Check box) Ahdhyai Candldate/Ofiekoldefs Signature Page 4 of4