e for initial lodgement of your register of interests, or

15. Other assets over $5,000                                                                          |
         g                                                                                               |
         € | Details of other asset/s 15                                                                 |
         &                                                                                               |
  ' XM | £1 | Not applicable
 Po
  On
  Oe
  a                                                                                                      |
   0                                                                                                     |
     0                                                                                                   |
  0 e                                                                                                    |
 Po                                                                                                      |
   46. Other sources of income more than $500 a year                                                     |
         $
    3    2   Source of income 16                                                                         |
          oO
         e                                                                                               |
  ITN | £1 [ Not applicable
Oe 0                                                                                                     |
  Oe                                                                                                     |
Oe 0
   0
  PO
  OF
     0                                                                                                   |
   0                                                                                                     |
    17. Other financial or non-financial interests known to the relevant person that raise, appear to    |
   raise or could potentially raise, a conflict between the interest and your duty as a councillor
  al Other Interests 17
          °
          5
         ce
  PM | LJ | Not applicable                                                                               |
   ON                                                                                                    |
  OF   0
         0
 Po
 Oe
   Oe                                                                                                    |
 Po                                                                                                      |
a
                                                            <=                                           |

  Form 2 — Register of interests of a councillor and their related persons
  Version no: October 2018                                                       Page 8 of 14