HomeMy WebLinkAbout2020 93-017 TAMMY FREY (2)COMMONWEALTH OF PENNSYLVANIA
SEC-1 REV,01/20
01 LAST NAME
q3 — 0
STATEMENT OF FINANCIAL INTERESTS PENNSYLVANIASTAIeETHICSCOMMISSIOr
(717) 703-1610 -TOLL FREE 1,=-932.0931
PLEASE PRINT NEATLY
FIRST NAME MI SUFFIX
a
02 AD RES effoo (bupinowl or oveTmental) or hom City j Stoic Zip C d Area Code Phone
au'lize12U Ile s�, C -5- s
NOTE: IF YOU ARE INCLUDING ATTACHMENTS, DO N13'r INCLUDE AN YTHI I FIAT BEAMS YOUR SOCIAL SECURITY NUMBER OR FINANCIAL ACCOUNT NUMBER&
03 STATUS Check applicable block or blocks, more than one block may be meI ►ked, (See instructions on page 2) ❑ Check this
A ❑ Candidate (including write-in) C ❑ Public Official (Current) : D ❑ Public Employee (Current) E ❑ Check this block block If you
you are filing are amending
B Nominee C ubIIC Official (Farmer) D 112,Afta Employee (Farmer) as a solicitor an original filing
04 PUBLIC POSITION OR PUBLIC OFFICE (administrator, member, Commissioner, jo4 title, eta) ❑ f6 wking ❑ hold held
A
6
05 GOVERNMENTAL ENTRY In wNch you arelwere an Official, Employee, Candidate or Ntlminee (e.g., dept, agency, authority, borough, board, commisslon, coufrty, schwI district, twp, etc.)
A E210'J anlK � jF7 I I F I V cl I I c 14111 IT Al el v-FztTo
B
06 OCCUPATION OR PROFESSION (This may be the same as block 4) 07 YEAR SEE INSTRUCTIONS. _
�� �� n Informatlon In Blocks 8 -15 represents 2 l;i O
' disclosure for the calendar year listed hors:
08 REAL ESTATE INTER STS (See instructions on page 2) N NONE, check tNls box,
09 CREDITORS (See instructions on paga 2) Credhor (Name and Address) If NONE, clock this box.
Nym4:...'� CM Interim Ilata
-- _. Address: C—)
10 DIRECT OR INOIRECT SOURCES OF INCOME including (but not limited to) all employment. (See Instructions on pg. 2) OI�L`Y; Its NONE, (OFFICIAL USE ONLY)(
_..,�, .__, _ I check thislblvclyr""n1
me: pflQY ._ !address:,.�Y.�Q�!?�'1e• �K .. :J. a.
—r— _
11 GIFTS (See instructions an page 2) If NONE, chock this box.'
sourao of Glh
Address of Source of Gift
Voluo of Ord
Circumstances (Including description) of 014
12 TRANSPORTATION, LODGING, HOSPITALITY (See Instructions on page 21, If NONE, check this box.
13 OFFICE. DIRECTORSHIP,OIN ANY BUSINESS (See instrluctlons on page 2) If NONE, chock this box.
Business Entity (Name and Address)
6L' fS �01, er chrcv►% j t! 1'-1Li
. GJ�a�.�;�e Le
Value
Position Maid (i.e., *freer, director,
y j�(�,�� MolorM etc.) L3 t
Name: ._ ,J . - — --•G_. � ... i �,�( ��wl CG II
_ Address: Y)f/j�l CL' -- �•72ft f S n7 nt /C
14 FINANCIAL INTEREST IN ANY LEGAL ENTITY IN BUSINESS FOR PROFIT, (See Instructions on page 2) If NONE, check this box. Interest Held (i.e., 50h, 10%, etc.)
Name and Address of Business
10 Nu5INE55 INTERESTS TRANSFERRED TO IMMEDIATE FAMILY MEMBER (See instructions on page 2) If NONE, check this box.
Business (Name and Addr w)
Interest Nail
Transferee (Nome and Addraao) j Relationship
The undersigned hereby df rn
to the penaltleS prescribed byy/,
Signature Lt
THIS F RM IS
Date Treneferred
hat the foregoing inbrmation Is true and correct to the beet of said person's knowledge, information and belief,, said affirmation being made subject
Pa.C.S. s4904 (unsworn falsification to authorities) `,and the Public Official and Employee Ethics Act, 65 Ps.C.S. V 109(b).
Enter Current Date �l
3NS RED DEFICIEN F ANY BLOCK ABOVE IS NOT COMPLETED. MAKE A COPY FOR YOUR RECORDS,
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