HomeMy WebLinkAbout2021 06-011 RAYMOND HYLAND06-011
SEC-1COMMONWEALTH
REV.p % ZHOFPENNSYLVANIA STATEMENT OF FINANCIAL INTERESTS PENNS)783-1 10eTOL ETHICSCOM932-09 6
(717) 783-1610 ATOLL FREE 1-800-932-0936
PLEASE PRINT NEATLY
01 LAST NAME FIRST NAME MI SUFFIX
H I Y I L I A I N I D R I A I Y I M 10 1 N I D El D =-
02 ADDRESS City State Zip Code Area Code Phone
700 WILLIAMSBURG COURT ICRANBERRY TOWNSHIP = = (724 ) 779-2167
NOTE: IF YOU ARE INCLUDING ATTACHMENTS, DO NOT INCLUDE ANYTHING THAT BEARS YOUR SOCIAL SECURITY NUMBER OR FINANCIAL ACCOUNT NUMBERS.
03 STATUS Check applicable block or blocks, more than one block may be marked. (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
if you are filing are amending
B ® Nominee C ❑ Public Official (Former) D ❑ Public Employee (Former) as a solicitor an original filing
04 PUBLIC POSITION OR PUBLIC OFFICE (administrator, member, Commissioner, job title, etc.) ® seeking ❑ hold ❑ held
A B R I G A D I E R G E N E R A L
❑ seekin-1 I -I I TTj--]---T-T- Ig ® hold ❑ held
B ic011--r0l-
O N E LI I v I I I I I I -ILI
05 GOVERNMENTAL ENTITY in which you areNwre an Official, Employee, Candidate or Nominee (e.g., dept, agency, authority, borough, board, commission, county, school district, twp, etc.)
A P A A I R N A T I O N A L JGJUJAT7R D
BJ_PJAJ JA111RIINJAIT1110INJAILI
06 OCCUPATION OR PROFESSION (This may be the same as block 4) YEAR The information in blocks 8 through 15 below represents financial interests for
07
COLONEL, PA AIR NATIONAL GUARD the PRIOR calendar year indicated:
121012-11
08 REAL ESTATE INTERESTS (See instructions on page 2) If NONE, check this box.
09 CREDITORS (See instructions on page 2). Creditor (Name and Address) ff NONE, check this box. ❑
NamAddress:
Name: [U.S. BANK P.O. BOX 790179, ST. LOUIS, MO 63179 Interest Rate
USAA 1050 MCDERMOTT FWY, SAN ANTONIO, TX 78288 9.9%
I
10 DIRECT OR INDIRECT SOURCES OF INCOME including (but not limited to) all employment (See instructions on pg. 2) ONLY IF N -• (OFFICIAL USE ONLY)
check this(biock, . ❑ - �•
DEFENSE FINANCE & ACCOUNTING SERVICES/PA NATIONAL GUARD 8899 EAST 56TH STREET, INDIANAPOLIS, IN 46249
Name: Address:
DEFENSE FINANCE & ACCOUNTING SERVICES/PA NATIONAL GUARD (DRILL PAY) RM 1907, 1240E 9TH ST, CP 1, CLEVELAND, OH 44l
11
GIFTS (See instructions on page 2) If NONE, check this box.
Source of Gift YValue of Gift
Address of Source of Gift Circumstances (including description) of Gift
I 0
12
TRANSPORTATION, LODGING, HOSPITALITY (See instructions on page 2) If NONE, check this box. ® Value
Source (Name and Address)
LL 11 1 1 LL I I I I I I I I T-1.
m
13
OFFICE, DIRECTORSHIP OR EMPLOYMENT IN ANY BUSINESS (See instructions on page 2) If NONE, check this box.
Business Entity (Name and Address) Position Heid
Name: I Address:
14
FINANCIAL INTEREST IN ANY LEGAL ENTITY IN BUSINESS FOR PROFIT (See instructions on page 2) If NONE, check this box.
Name and Address of Business
IInterest Held
15
BUSINESS INTERESTS TRANSFERRED TO IMMEDIATE FAMILY MEMBER See instructions on page 2 If NONE check this box.
Business (Name and Address) Interest Held
Transferee (Name and Addre RelationshipDate Transferred
I
I ne undersigned hereby a s that th oregoing informatio
to the penalties prescribe by 18 P S. §490 (un rn f si
Signature iel
THIS FORM IS C SIDERED DE TENT
i correct to the pest or saga per5WS Knowledge, information and beliet; said affirmation being made subject
(ties) and the Public Official and Employee Ethics Act, 65 Pa.C:S. §1109(b).
Enter Current Date orb
BLOCK ABOVE IS NOT COMPLETED. MAKE A COPY FOR YOUR ECORDS.
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