Form 2—Register of interests of a

Department of Local Government, Racing and Multicultural Affairs

»       12. Gifts over $500 or all gifts totalling more than $500
             @
             3
             ¢ | Name of donor 12(1)(a)                  Description of the gift/s 12(1)(b)
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       [LJ | LJ | Not applicable                        Pe
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        13. Sponsored hospitality benefits                                                       :
              2
              Q   Source of the contribution for travel or Purpose of the benefit received 13(b)
              6 | accommodation received 13(a)
              a
       [LJ | LJ _| Not applicable                                                                  |
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      PC
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       A
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      PCD
        14. Memberships of political parties, bodies, associations and trade or professional
        organisations
              ®
              2
              ¢ | Name of organisation 14                 Address of organisation 14
              co
       [LJ | LJ | Not applicable                        Se
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                                              a   Saget hoy ST SEN                  Date: 15/04/2020
                                5                            CC           —
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       Form 2 — Register of interests of a councillor and their related persons
      Version no: October 2018                                                        Page 7 of 14