5519
MONTGOMERY COUNTY

OF ANY LIABILITY, RECEIVED AT ANY TIME DURING THE YEAR
FOR WHICH THE STATEMENT IS FILED, BY THE PERSON MAKING
THE STATEMENT, OR BY ANY OTHER PERSON AT THE DIRECTION OF
THE PERSON MAKING THE STATEMENT, FROM, OR ON BEHALF OF,
DIRECTLY OR INDIRECTLY, ANY PERSON WHO DOES BUSINESS WITH
THE COUNTY OR WHO IS REGULATED, INSPECTED OR LICENSED BY
THE COUNTY; PROVIDED, HOWEVER, NEITHER GIFTS RECEIVED
FROM THE SPOUSE OR A RELATIVE OF THE EMPLOYEE OR SPOUSE
UP TO AND INCLUDING A FIRST COUSIN OF THE PERSON MAKING
THE STATEMENT, OR FROM THE SPOUSE OF ANY SUCH RELATIVE,
NOR CAMPAIGN CONTRIBUTIONS WHICH ARE OTHERWISE REPORTED
AS REQUIRED BY LAW, NEED BE DISCLOSED. THIS SCHEDULE, AS
TO EACH SUCH GIFT, SHALL INCLUDE:

(1)    THE NATURE AND VALUE OF THE GIFT; AND

(2)    THE IDENTITY OF THE PERSON FROM WHOM, OR
ON BEHALF OF WHOM, DIRECTLY OR INDIRECTLY THE GIFT WAS
RECEIVED.

(F)    A SCHEDULE OF ALL OFFICES AND DIRECTORSHIPS
HELD AT ANY TIME DURING THE YEAR FOR WHICH THE STATEMENT
IS FILED IN ANY CORPORATION OR OTHER BUSINESS ENTITY.
THIS SCHEDULE, AS TO EACH SUCH OFFICE OR DIRECTORSHIP
SHALL INCLUDES

(1)    THE NAME AND ADDRESS OF THE PRINCIPAL
OFFICE OF THE BUSINESS ENTITY;

(2)    THE TITLE AND NATURE OF THE OFFICE OR
DIRECTORSHIP HELD; AND

(3)    THE TOTAL AMOUNT OF COMPENSATION
RECEIVED FROM THE CORPORATION OR OTHER BUSINESS ENTITY
DURING THE YEAR FOR WHICH THE STATEMENT IS FILED.

(G)    A SCHEDULE OF ALL LIABILITIES TO ANY PERSON
DOING BUSINESS WITH THE COUNTY OR WHO IS REGULATED,
INSPECTED OR LICENSED BY THE COUNTY, OWED AT ANY TIME
DURING THE YEAR FOR WHICH THE STATEMENT IS FILED,
EXCLUDING RETAIL CREDIT ACCOUNTS, BY THE PERSON MAKING
THE STATEMENT; AND ALL LIABILITIES TO ANY PERSON DOING
BUSINESS WITH THE COUNTY OR WHO IS REGULATED, INSPECTED
OR LICENSED BY THE COUNTY, OWED AT ANY TIME DURING THE
YEAR FOR WHICH THE STATEMENT IS FILED, EXCLUDING RETAIL
CREDIT ACCOUNTS, BY THE SPOUSE OR A CHILD OF THE PERSON
MAKING THE STATEMENT, IF THE PERSON MAKING THE STATEMENT
WAS INVOLVED IN THE TRANSACTION GIVING RISE TO THE
LIABILITY. THE SCHEDULE SHALL INCLUDE A LIST OF EACH
LIABILITY, EXCLUDING RETAIL CREDIT ACCOUNTS, IN EXCESS OF
$1000 REGARDLESS OF TO WHOM THE LIABILITY IS OWED.
RETAIL CREDIT ACCOUNTS OF ANY AMOUNT AND ALL OTHER
LIABILITIES OF LESS THAN $1000 EACH MAY BE REPORTED
COLLECTIVELY AS MISCELLANEOUS LIABILITIES. THIS