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e for initial lodgement of your register of interests, or

of 14

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1    oO
)      3. Positions held as an officer of corporations
              @
              © | Name of              Nature of corporation’s                ,
              E   corporation 3(a)     activities 3(c)            Nature of offies Held 3[s)
             mw
      TX! | LJ | Not applicable       a
     Tho
         0
          TO
     POO
        hfO
     PO
      a eG
      ‘Ohio                   —
                                                                                                              1
        4. Beneficial interests in trusts or nominee corporations
              g   Name (or                                                                                    |
              © | description) of trust | Nature of activities of Nature of interest 4(c)
              E   or corporation’s     trust/corporation 4(b)
             o | name 4(a)                                                                                    |
       MJ [LJ | Not applicable        a
        0                                                                                                     |
          top                                                                                                 |
      Po                                                                                                      |
       TO
      PO
      TOfO
       (fo                       —S
      fo
        5. Self-managed superannuation fund
                                              The nature of the          The investments or other
              © | Name or description of the | activities of the fund    interests in property held, of
              E   fund 5(2)(a)                5(2)(b)                    which the relevant person is
             ne                                                          aware, by the fund 5(2)(c)
       TE |B | Rot apptcabie                 a
      OF   0  eG                                                                                              |
       OO                                                                                                     |
      PO

                                                         Re eg) tae mocam
                                                              -                                               |
                                                                      iV LS
      Form 2 — Register of interests of a councillor and their related persons
      Version no: October 2018                                                        Page 4 of 14

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