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 | 8
          g    ¢ | Name of donor 12(1)(a)                  Description of the gift/s 12(1)(b)
              we
        LJ | LJ | Not applicable                        PO
        Ee
        CT
        CT
        CT
        CT
             a
             a
        CT
               a
         13. Sponsored hospitality benefits
               g                                           .
          xs   © | Source of the contribution for travel or                    .     :
          g    E   accommodation received 13(a)            Purpose of the benefit received 13(b)
               é                                                                                           |
        [LJ | LJ | Not applicable
        0
         CD
        0
        ET
        0
        CT
        a
       CC
         14. Memberships of political parties, bodies, associations and trade or professional
         organisations                                 !
               ©
          3 | 6
          y    ¢ | Name of organisation 14                Address of organisation 14
               2                       |                                                                   |
                   Pomona Arts Inc                        The Majestic Theatre, 3 Factory Street,
                                                           Pomona, QLD, 4568
       fe io | Surfrider Foundation Australia             [email protected]
!      | Dd | LI | Cooroy RSL                             25 Maple St, Cooroy QLD 4563                     |
        CN
        CT
        a
        CE

                                               | sonar     Ftd, 200 x —~Date: 25/09/2020                   |
                                                           A
                                                                                 ee
       Form 2 — Register of interests of a councillor and their related persons                            |
       Version no: October 2018                                                       Page 7 of 14         |