Richmond Disclosure 2008
Content
PERSONAL FINANCIAL DISCLOSURE 65TIER 2il LSA-R.S. 42:1124.2
XORIGINAL REPORT
This Report Covers Calendar Year 2008
I]AMENDED REPORT
Office Held or Position
Date of Election
Sought
State Representative Date of Qualifuing
Full Name of Filer: Cedric L. Richmond Full Name of Spouse: NA Mailine Address: 7021 cove Drive
Street
Apt, #
70126
State
New Orleans CifY
Spouse's Occupation: NA
Zip Code
Spouse's Principal Business Address,
if any:
Suite #
Street
City
Select
State
Zip Code
One: X(A) il(A)
I certify that I have filed my federal income tax return for the previous year. I certi$/ that I have filed for an extension of my federal income tax return for the previous year.
tax retum for the previous year.
select
one: f](B) I certif,i that I have filed my state income
X(B) I certifu that I have
filed for an extension of my state income tax retum for the previous year.
CERTIFICATION OF ACCURACY
I do hereby certify that the information contained in this personal financial disclosure form is true and
correct to the best of my knowledge and belief.
Sisnature of Filer
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subsi:rib.,u
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,."::.f
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of
,204.
Printed Name:
ID#
Commission Expires
Page 1 of 13
e: '{4
SCHEDULE A
EMPLOYMENT INFORMATION
ffi
Check if Not Applicable
Please disclose the name of the employer, job title, a brief description of the job description for each full+ime or part-time employment position held by the individual or spouse.
[r'lter
Ispouse
Job
IFull-time fPart+ime
Title
State Representative
Employer Name
Employer Address
Street Suite #
City
Job Description
State
Zip Code
f
Riter Ispouse
Job Title
IFull-time fPart+ime
Employer Name
Employer Address
Street Suite #
City
Job Description
State
Zip Code
Initer Ispouse
Employer Name
Job Title
f,Full-time Itart+ime
Employer Address
Street Suite #
City
Job Description
State
Zip Code
f,niter
f,spouse
Job Title
IFull+ime IPart-time
Employer Name
Employer Address
Street Suite #
Cify
Job Descriotion
State
Zip Code
Page2ofl3
SCHEDULE B POSITIONS - BUSINESS
I
Check
if Not Applicable
The name, address, brief description, nafure of association, and the amount of interest in each business in which you or your spouse is a director, officer, owner, partner, member, or trustee, AND in which you or your spouse, either individually or collectively, owns an interest which exceeds ten Pgragol of that business.
Note: For this page ONLY, the "amount of interest" must be reported as a percentage figure.
ffiFiler fspouse flBoth
Name of Business Richmond & Associates, APLC
Amount of Interest 100
%
Address 7021 Cove Drive
Street Suite #
New Orleans
70126
State
City
Business Description Law Firm
Zip Code
Nature of Association Owner
fFiter fspouse flBoth
Name of Business
Amount of Interest
%
Address
Suite #
CifY
Business Description
State
Zip Code
Nature of Association
flr'iter
Address
f,Spouse
[notn
Amount of Interest
%
Name of Business
Suite #
City
Business Description
State
Zip Code
Nature of Association
Page3ofl3
SCHEDULE C POSITIONS. NONPROFIT
ffi
Check
if Not Applicable
The name, address, briefdescription of, and nature ofassociation with a nonprofit organization in which you or your spouse is a director or officer.
finiter
Address
fspouse
Nature of Association
Name of Organization
Suite #
City
Organization Description
State
Zip Code
f,r'iter
Address
f,spouse
Nature of Association
Name of Organization
Suite #
CitY Organization Description
State
Zip Code
firiler
Address
ffspouse
Nature of Association
Name of Organization
Street
Suite #
CitY Organization Description
State
Zip Code
Page4of13
X
Check
SCHEDULE D INCOME FROM THE STATE. POLITICAL SUBDIVISIONS. if Not Applicable AND/OR GAMING INTERESTS
The name, address, type, and amount of each source of income received by you or your spouse, or by any business in which you or your spouse, either individually or collectively, owns an interest which exceeds ten percent ofthat business, which is received from any of the following: . the state or any political subdivision as defined in Article VI ofthe Constitution oflouisiana; . services performed for or in connection with a gaming interest as defined in R.S. 18:1505.2L(3Xa). Note: For this page ONLY, the 'oamount of income'o must be reported as an exact dollar ligulg.
ffiniter f,spouse
flBusiness
Amount of Income $ 39,000.52
Name of Business, if applicable Name of Source of Income Louisiana houseof Representatives
Type of
Income:
P.O. Box 94062
ffiState
ilPolitical Subdivision IGaming Interest
Address
Street
Suite #
Baton Rouge
Louisiana
State
70804
City
Zip Code
Amount of Income $
flriler
flspouse flBusiness
Name of Business, if applicable Name of Source of Income
Type of
Address
Income:
f,State
IPoliticalSubdivision
f
Gaming Interest
Suite #
City
State
Zip Code
Amount of Income $
flniter
[Spouse [Business
Name of Business, if applicable
Name of Source of Income
Type of
Address
Income:
Street
IState
IPoliticalsubdivision
f
Gaming Interest
Suite #
City
State
Zip Code
Page5ofl3
SCHEDULE E INCOME RECEIVED FROM EMPLOYMENT
f,
Check if Not Applicable
of the nature of services rendered and the
Please disclose the name and address of the employer that provides income, job title, a brief description amount of income for each full-time or part-time employment position held by the individual or spouse.
INCOME SHALL BE RDPORTED BY CATEGORY. DO NOT INCLUDE INFORMATION WITH RESPECT TO INCOME DISCLOSED ON SCHEDULE D.
INCOME RECEIVED THROUGH SELF-EMPLOYMENT SHALL BE DISCLOSED ON SCHEDULE F.
ffiRiterfSpouse flFull-time ffiPart-time
Employer Name Louisiana House of
I II nry Amount of Income: I n X n
Representatives
Job
Title Legislator
Employer Address P.O.Box 94062
Street Suite # LA
State
Baton Rouge
70804
Cify
Nature of services rendered pursuant to the employment Legislator
Zip Code
Iriter f
Spouse
Ifull-time
IPart-time
I II MIV Amountoflncome: [ ! n n
Job Title
Employer Name
Employer Address
Street Suite #
CitY Nafure of services rendered pursuant to the employment
State
Zip Code
Ir'iler f
Spouse
If'ull-time Ilart-time
Employer Name
I il IIIIV Amountoflncome: I n n n
Job Title
Employer Address
Street Suite #
City
Nature of services rendered pursuant to the employment
State
Zip Code
Page6of13
SCHEDULE F INCOME FROM BUSINESS INTERESTS
I
Check if Not Applicable
The name and address of all businesses which provide income to you or your spouse, including a brief description of the nature of services rendered for each business or the reason such income was received, and the aggregate amount (in value ranges by category) of such income, excluding income reported in another section of this report. Do NoT INCLUDE
INFORMATION WITH RESPECT TO INCOME DISCLOSED ON SCHEDULES D AND/OR E.
Aggregate Amount
I II IIIIV of Income received from the business interests listed on Schedule F: n n X n
ffiniter
ISpouse
Name of Business Richmond & Associates
Address 7021 Cove Drive
Street Suite #
New Orleans
70126
State
Cify
Zip Code
Description of services rendered for the business or a reason the income was received;
Attorney
flniter f
Spouse
Name of Business
Address
Street Suite #
Ciry
State
Zip Code
Description of services rendered for the business or a reason the income was received:
f Filer f
Spouse
Name of Business
Address
Street Suite #
Cify
State
Zip Code
Description of services rendered for the business or a reason the income was received:
Page7of13
SCHEDULE G OTHER INCOME if Not Applicable A description of any other type of income, exceeding $1,000 received by the individual or spouse, including a brief description of the nature of the services rendered or the reason such income was received, and the amount of income (in value ranges by category), excluding income reported in another section ofthis report. Note: Do NOT include income derived from child support and alimony payments contained in a court order OR from disability payments from any source. Do Nor INCLIJDE INF0RMATIoN WITH REsPEcr ro INcoME DIscLosDD oN
Check
SCIIEDULES D, E andior F.
il
ffiniter Ispouse
Description of Income
Sale of Timber
IilIIIIV Amountoflncome: I X n I
Description of service rendered or the reason the income was received:
Sale of Timber
firiterfspouse
Description of Income
I II ru1y Amountoflncome: I n ! tr
Description of service rendered or the reason the income was received:
finiter fispouse
Description of Income
I II III IV Amountoflncome: I n n n
Description of service rendered or the reason the income was received:
Page8ofl3
SCHEDULE H IMMOVABLE PROPERTY if Not Applicable A brief description, fair market value or use value ( in value ranges by category ) as determined by the
Check
il
assessor for
purposes of ad valorem taxes, and the location of the properfy by state and parish or county of each parcel of immovable property in which you or your spouse, either individually or collectively, has an interest provided that the fair market value or use value as determined bv the assessor exceeds $2.000.
ffiniter fspouse IBoth
Location ofproperfy: Country United States Parish/County Orleans Properfy Description:
Residence
Value of Property:
State Louisiana
ntr
Iil
NX
MIV
ffir'iter fspouse IBoth
Location ofproperly: Country United States Parish/County Orleans Property Description:
Rental Property State Lousiana
MIV III Value of Property: n n
xn
ffifiter fspouse
Location of property:
f,Both
Value of
State Mississippi
I
Property:
n
nxn
II rury
Country United States Parish/County Jefferson Davis Property Description:
Page9of13
SCHEDULE I INVESTMENT HOLDINGS if Not Applicable The name and a brief description of each investment security having a value excepding $5.Q00 held by you or your spouse, excluding variable annuities, variable life insurance, variable universal life insurance, whole life insurance, any other life insurance product, mutual funds, education investment accounts, retirement investment accounts, government bonds, and cash or cash equivalent investments. (NOTE: Exclude any information conceming any properry held and administered for any person other than you or your spouse under a trust, tutorship, curatorship, or other custodial
ffi
Check
instrument.)
Individualo Spouse, or Both
Name of Security
Description
f,Riler Ispouse
f
Both
Iriter
ISpouse
IBoth
f,r'iter
f,spouse
f,Both
fniter
f
Spouse
IBoth
f,r'lter Ispouse
IBoth Initer
f f
Spouse
Both
friter
flSpouse
IBoth
f,niter
ISpouse
IBoth
Irlter
Ispouse f,Both
Ir'lter
flSpouse
IBoth
Page 10 of 13
SCHEDULE J TRANSACTIONS
ffi Check if Not Applicable A brief description, amount (in value ranges by category), and date of any purchase or sale, in exce.ss.of $5,000, of any immovable properfy AND of any personally owned tax credit certificates, stocks, bonds, or commodities futures, including any option to acquire or dispose of any immovable property or of any personally owned tax credit certificates, stocks, bonds, or commodities futures. (NOTE: Exclude variable annuities, variable life insurance, variable universal life insurance, whole life insurance, any other life insurance product, mutual funds, education investment accounts, retirement investment accounts, government bonds, cash or cash equivalent investments.)
Individual, Spouse, or Both
Transaction Date Description of Transaction
Amount
Ir'iter
f f
Spouse
Both
nnf,n
IilIIIIV
f,niter
flSpouse
f
Both
f
Ir'iter
Spouse
f,Both
trnntr IilruIV nnnn
NTf,N
IIIIIIIV IiltIIIV
IIIMIV
Initer
f,spouse
IBoth Ir'lter
Ispouse
f
Both
f,nlter
flSpouse
IBoth
Initer
f,spouse
IBoth
nnnn IilIIIIV nnnn IUruIV trnnn
ntrtrtr nntrt]
IUIIIIV IUIIIIV
Iniler
Ispouse
IilIIIry
f
Both
f f f f
f,riter
Spouse
Both
fr"iler
Spouse
Both
nnnx
Page11of13
SCHEDULE K
LIABILITIES
ffi
Check if Not Applicable
The name and address of each creditor, and name of each guarantor, if any, to whom you or your spouse owes any liability which exceeds $10,000 on the last day of the reporting period. NOTE: Exclude the following: . any loan secured by movable property, if such loan does not exceed the purchase price of the movable properfy which secures it; ' any liability, secured or unsecured, which is guaranteed by you or your spouse for a business in which you or your spouse owns any interest, provided that the liability is in the name of the business and, if the liability is a loan, that you or your spouse does not use proceeds from the loan for personal use unrelated to business; . any loan by a licensed financial institution which loans money in the ordinary course of business; . any liability resulting from a consumer credit transaction as defined in R.S. 9:3516(13); and, . any loan from an immediate family member, unless such family member is a registered lobbyist, or his principal or employer is a registered lobbyist, or he employs or is a principal of a registered lobbyist, or unless such familv member has a contract with the state.
Iriler
ISpouse
Name of Creditor
Address
Street Suite #
City
Name of Guarantor
State
Zip Code
(if any)
Inlter f
Spouse
Name of Creditor
Address
Street Suite #
City Name of Guarantor
State
Zip Code
(if any)
Initer
Ispouse
Name of Creditor
Address
Street Suite #
CitY
State
Zip Code
Name of Guarantor
(if any)
Page12of13
SCHEDULE L OTHER OFFICES/POSITIONS if Not Applicable Please set forth below any and all other office/positions held which would trigger a filing under Section 1124.2.1 (Tier 2.1) and/or Section 1124.3 (Tier 3) of the Code of Governmental Ethics.
Check
X
NAME OF POSITION OR OFFICE HELD:
Page 13 of 13
XORIGINAL REPORT
This Report Covers Calendar Year 2008
I]AMENDED REPORT
Office Held or Position
Date of Election
Sought
State Representative Date of Qualifuing
Full Name of Filer: Cedric L. Richmond Full Name of Spouse: NA Mailine Address: 7021 cove Drive
Street
Apt, #
70126
State
New Orleans CifY
Spouse's Occupation: NA
Zip Code
Spouse's Principal Business Address,
if any:
Suite #
Street
City
Select
State
Zip Code
One: X(A) il(A)
I certify that I have filed my federal income tax return for the previous year. I certi$/ that I have filed for an extension of my federal income tax return for the previous year.
tax retum for the previous year.
select
one: f](B) I certif,i that I have filed my state income
X(B) I certifu that I have
filed for an extension of my state income tax retum for the previous year.
CERTIFICATION OF ACCURACY
I do hereby certify that the information contained in this personal financial disclosure form is true and
correct to the best of my knowledge and belief.
Sisnature of Filer
tT".r jTnd
subsi:rib.,u
\- t[,[,,tl,t'v it,
,."::.f
.4,, u /, ,l 0hr/1
e,t}iis
.t
lB%uy
of
,204.
Printed Name:
ID#
Commission Expires
Page 1 of 13
e: '{4
SCHEDULE A
EMPLOYMENT INFORMATION
ffi
Check if Not Applicable
Please disclose the name of the employer, job title, a brief description of the job description for each full+ime or part-time employment position held by the individual or spouse.
[r'lter
Ispouse
Job
IFull-time fPart+ime
Title
State Representative
Employer Name
Employer Address
Street Suite #
City
Job Description
State
Zip Code
f
Riter Ispouse
Job Title
IFull-time fPart+ime
Employer Name
Employer Address
Street Suite #
City
Job Description
State
Zip Code
Initer Ispouse
Employer Name
Job Title
f,Full-time Itart+ime
Employer Address
Street Suite #
City
Job Description
State
Zip Code
f,niter
f,spouse
Job Title
IFull+ime IPart-time
Employer Name
Employer Address
Street Suite #
Cify
Job Descriotion
State
Zip Code
Page2ofl3
SCHEDULE B POSITIONS - BUSINESS
I
Check
if Not Applicable
The name, address, brief description, nafure of association, and the amount of interest in each business in which you or your spouse is a director, officer, owner, partner, member, or trustee, AND in which you or your spouse, either individually or collectively, owns an interest which exceeds ten Pgragol of that business.
Note: For this page ONLY, the "amount of interest" must be reported as a percentage figure.
ffiFiler fspouse flBoth
Name of Business Richmond & Associates, APLC
Amount of Interest 100
%
Address 7021 Cove Drive
Street Suite #
New Orleans
70126
State
City
Business Description Law Firm
Zip Code
Nature of Association Owner
fFiter fspouse flBoth
Name of Business
Amount of Interest
%
Address
Suite #
CifY
Business Description
State
Zip Code
Nature of Association
flr'iter
Address
f,Spouse
[notn
Amount of Interest
%
Name of Business
Suite #
City
Business Description
State
Zip Code
Nature of Association
Page3ofl3
SCHEDULE C POSITIONS. NONPROFIT
ffi
Check
if Not Applicable
The name, address, briefdescription of, and nature ofassociation with a nonprofit organization in which you or your spouse is a director or officer.
finiter
Address
fspouse
Nature of Association
Name of Organization
Suite #
City
Organization Description
State
Zip Code
f,r'iter
Address
f,spouse
Nature of Association
Name of Organization
Suite #
CitY Organization Description
State
Zip Code
firiler
Address
ffspouse
Nature of Association
Name of Organization
Street
Suite #
CitY Organization Description
State
Zip Code
Page4of13
X
Check
SCHEDULE D INCOME FROM THE STATE. POLITICAL SUBDIVISIONS. if Not Applicable AND/OR GAMING INTERESTS
The name, address, type, and amount of each source of income received by you or your spouse, or by any business in which you or your spouse, either individually or collectively, owns an interest which exceeds ten percent ofthat business, which is received from any of the following: . the state or any political subdivision as defined in Article VI ofthe Constitution oflouisiana; . services performed for or in connection with a gaming interest as defined in R.S. 18:1505.2L(3Xa). Note: For this page ONLY, the 'oamount of income'o must be reported as an exact dollar ligulg.
ffiniter f,spouse
flBusiness
Amount of Income $ 39,000.52
Name of Business, if applicable Name of Source of Income Louisiana houseof Representatives
Type of
Income:
P.O. Box 94062
ffiState
ilPolitical Subdivision IGaming Interest
Address
Street
Suite #
Baton Rouge
Louisiana
State
70804
City
Zip Code
Amount of Income $
flriler
flspouse flBusiness
Name of Business, if applicable Name of Source of Income
Type of
Address
Income:
f,State
IPoliticalSubdivision
f
Gaming Interest
Suite #
City
State
Zip Code
Amount of Income $
flniter
[Spouse [Business
Name of Business, if applicable
Name of Source of Income
Type of
Address
Income:
Street
IState
IPoliticalsubdivision
f
Gaming Interest
Suite #
City
State
Zip Code
Page5ofl3
SCHEDULE E INCOME RECEIVED FROM EMPLOYMENT
f,
Check if Not Applicable
of the nature of services rendered and the
Please disclose the name and address of the employer that provides income, job title, a brief description amount of income for each full-time or part-time employment position held by the individual or spouse.
INCOME SHALL BE RDPORTED BY CATEGORY. DO NOT INCLUDE INFORMATION WITH RESPECT TO INCOME DISCLOSED ON SCHEDULE D.
INCOME RECEIVED THROUGH SELF-EMPLOYMENT SHALL BE DISCLOSED ON SCHEDULE F.
ffiRiterfSpouse flFull-time ffiPart-time
Employer Name Louisiana House of
I II nry Amount of Income: I n X n
Representatives
Job
Title Legislator
Employer Address P.O.Box 94062
Street Suite # LA
State
Baton Rouge
70804
Cify
Nature of services rendered pursuant to the employment Legislator
Zip Code
Iriter f
Spouse
Ifull-time
IPart-time
I II MIV Amountoflncome: [ ! n n
Job Title
Employer Name
Employer Address
Street Suite #
CitY Nafure of services rendered pursuant to the employment
State
Zip Code
Ir'iler f
Spouse
If'ull-time Ilart-time
Employer Name
I il IIIIV Amountoflncome: I n n n
Job Title
Employer Address
Street Suite #
City
Nature of services rendered pursuant to the employment
State
Zip Code
Page6of13
SCHEDULE F INCOME FROM BUSINESS INTERESTS
I
Check if Not Applicable
The name and address of all businesses which provide income to you or your spouse, including a brief description of the nature of services rendered for each business or the reason such income was received, and the aggregate amount (in value ranges by category) of such income, excluding income reported in another section of this report. Do NoT INCLUDE
INFORMATION WITH RESPECT TO INCOME DISCLOSED ON SCHEDULES D AND/OR E.
Aggregate Amount
I II IIIIV of Income received from the business interests listed on Schedule F: n n X n
ffiniter
ISpouse
Name of Business Richmond & Associates
Address 7021 Cove Drive
Street Suite #
New Orleans
70126
State
Cify
Zip Code
Description of services rendered for the business or a reason the income was received;
Attorney
flniter f
Spouse
Name of Business
Address
Street Suite #
Ciry
State
Zip Code
Description of services rendered for the business or a reason the income was received:
f Filer f
Spouse
Name of Business
Address
Street Suite #
Cify
State
Zip Code
Description of services rendered for the business or a reason the income was received:
Page7of13
SCHEDULE G OTHER INCOME if Not Applicable A description of any other type of income, exceeding $1,000 received by the individual or spouse, including a brief description of the nature of the services rendered or the reason such income was received, and the amount of income (in value ranges by category), excluding income reported in another section ofthis report. Note: Do NOT include income derived from child support and alimony payments contained in a court order OR from disability payments from any source. Do Nor INCLIJDE INF0RMATIoN WITH REsPEcr ro INcoME DIscLosDD oN
Check
SCIIEDULES D, E andior F.
il
ffiniter Ispouse
Description of Income
Sale of Timber
IilIIIIV Amountoflncome: I X n I
Description of service rendered or the reason the income was received:
Sale of Timber
firiterfspouse
Description of Income
I II ru1y Amountoflncome: I n ! tr
Description of service rendered or the reason the income was received:
finiter fispouse
Description of Income
I II III IV Amountoflncome: I n n n
Description of service rendered or the reason the income was received:
Page8ofl3
SCHEDULE H IMMOVABLE PROPERTY if Not Applicable A brief description, fair market value or use value ( in value ranges by category ) as determined by the
Check
il
assessor for
purposes of ad valorem taxes, and the location of the properfy by state and parish or county of each parcel of immovable property in which you or your spouse, either individually or collectively, has an interest provided that the fair market value or use value as determined bv the assessor exceeds $2.000.
ffiniter fspouse IBoth
Location ofproperfy: Country United States Parish/County Orleans Properfy Description:
Residence
Value of Property:
State Louisiana
ntr
Iil
NX
MIV
ffir'iter fspouse IBoth
Location ofproperly: Country United States Parish/County Orleans Property Description:
Rental Property State Lousiana
MIV III Value of Property: n n
xn
ffifiter fspouse
Location of property:
f,Both
Value of
State Mississippi
I
Property:
n
nxn
II rury
Country United States Parish/County Jefferson Davis Property Description:
Page9of13
SCHEDULE I INVESTMENT HOLDINGS if Not Applicable The name and a brief description of each investment security having a value excepding $5.Q00 held by you or your spouse, excluding variable annuities, variable life insurance, variable universal life insurance, whole life insurance, any other life insurance product, mutual funds, education investment accounts, retirement investment accounts, government bonds, and cash or cash equivalent investments. (NOTE: Exclude any information conceming any properry held and administered for any person other than you or your spouse under a trust, tutorship, curatorship, or other custodial
ffi
Check
instrument.)
Individualo Spouse, or Both
Name of Security
Description
f,Riler Ispouse
f
Both
Iriter
ISpouse
IBoth
f,r'iter
f,spouse
f,Both
fniter
f
Spouse
IBoth
f,r'lter Ispouse
IBoth Initer
f f
Spouse
Both
friter
flSpouse
IBoth
f,niter
ISpouse
IBoth
Irlter
Ispouse f,Both
Ir'lter
flSpouse
IBoth
Page 10 of 13
SCHEDULE J TRANSACTIONS
ffi Check if Not Applicable A brief description, amount (in value ranges by category), and date of any purchase or sale, in exce.ss.of $5,000, of any immovable properfy AND of any personally owned tax credit certificates, stocks, bonds, or commodities futures, including any option to acquire or dispose of any immovable property or of any personally owned tax credit certificates, stocks, bonds, or commodities futures. (NOTE: Exclude variable annuities, variable life insurance, variable universal life insurance, whole life insurance, any other life insurance product, mutual funds, education investment accounts, retirement investment accounts, government bonds, cash or cash equivalent investments.)
Individual, Spouse, or Both
Transaction Date Description of Transaction
Amount
Ir'iter
f f
Spouse
Both
nnf,n
IilIIIIV
f,niter
flSpouse
f
Both
f
Ir'iter
Spouse
f,Both
trnntr IilruIV nnnn
NTf,N
IIIIIIIV IiltIIIV
IIIMIV
Initer
f,spouse
IBoth Ir'lter
Ispouse
f
Both
f,nlter
flSpouse
IBoth
Initer
f,spouse
IBoth
nnnn IilIIIIV nnnn IUruIV trnnn
ntrtrtr nntrt]
IUIIIIV IUIIIIV
Iniler
Ispouse
IilIIIry
f
Both
f f f f
f,riter
Spouse
Both
fr"iler
Spouse
Both
nnnx
Page11of13
SCHEDULE K
LIABILITIES
ffi
Check if Not Applicable
The name and address of each creditor, and name of each guarantor, if any, to whom you or your spouse owes any liability which exceeds $10,000 on the last day of the reporting period. NOTE: Exclude the following: . any loan secured by movable property, if such loan does not exceed the purchase price of the movable properfy which secures it; ' any liability, secured or unsecured, which is guaranteed by you or your spouse for a business in which you or your spouse owns any interest, provided that the liability is in the name of the business and, if the liability is a loan, that you or your spouse does not use proceeds from the loan for personal use unrelated to business; . any loan by a licensed financial institution which loans money in the ordinary course of business; . any liability resulting from a consumer credit transaction as defined in R.S. 9:3516(13); and, . any loan from an immediate family member, unless such family member is a registered lobbyist, or his principal or employer is a registered lobbyist, or he employs or is a principal of a registered lobbyist, or unless such familv member has a contract with the state.
Iriler
ISpouse
Name of Creditor
Address
Street Suite #
City
Name of Guarantor
State
Zip Code
(if any)
Inlter f
Spouse
Name of Creditor
Address
Street Suite #
City Name of Guarantor
State
Zip Code
(if any)
Initer
Ispouse
Name of Creditor
Address
Street Suite #
CitY
State
Zip Code
Name of Guarantor
(if any)
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SCHEDULE L OTHER OFFICES/POSITIONS if Not Applicable Please set forth below any and all other office/positions held which would trigger a filing under Section 1124.2.1 (Tier 2.1) and/or Section 1124.3 (Tier 3) of the Code of Governmental Ethics.
Check
X
NAME OF POSITION OR OFFICE HELD:
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