e for initial lodgement of your register of interests, or

Department of Local Government, Racing and Multicultural Affairs
 Ci.                                       ee eee             ——
‘ SSS
)    | ca EEaREaTNEST
             $   Name (or                        sige                             2 i
        =    2   description) of trust Nature of activities of Name of each beneficiary or class
        <tis                         trust 6(b)                of beneficiary 6(c)
             w | 6(a)
       DX [EJ | Notapplicable |
      Ee
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      PE
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     Pee et                        pi     i =               ih            en ee

             © | Name (or                         segs
             >   description) of      Nature of activities of
             2         slau, aie      partnership/joint venture | Nature of interest 7(c)
             o | Partnership/joint    7(b)
             & | venture 7(a)
       Xf [LJ | Notapplicable        ft
        IN
      Oe
      Ey
      a
      a
      EN
          ee

      1      o
             3                                       Purpose for which
             £                        Approximate | land is
                 of land 8(a)         8(b)           be used 8(c)        Nature of interest 8(d)
     [Kd [EJ [Pomona                | 1000sqm      | Residential       | Jointmortgage
       ED
      PED
      Ey
      PED
      CD
         a
      CE
                                               ee
                                                                  ia

     Form 2 — Register of interests of a councillor and their related persons
     Version no: October 2018                                                     Page 5 of 14