2025-07-10-Amelia-Lorentson-ROI-Annual-Confirmation

RES A p Queensland Cee Government Eee en i 6h TS Register of interests annual confirmation FORM 5 - Councillors and councillor advisors Local Government Act 2009 Mayors, councillors and councillor advisors whose related persons' registers of interests have not changed can submit the below declaration to provide annual confirmation of these register of interests. Complete a separate form for EACH of your related persons if their interests have not changed. If one of your related persons interests has changed, submit and updated Form 4 - Related person register of interest update before completing this declaration. If you fail to correctly submit or update your register of interests as required you may be guilty of misconduct or an integrity offence and may face significant penalties. When completing this form, refer to the Registers of interest notes, Local Government Act 2009/Local Government Regulation 2012 and City of Brisbane Act 2010/City of Brisbane Regulation 2012. If you are unsure of your obligations it is strongly recommended that you seek independent legal advice. Declaration | have reviewed my current register of interests and certify that it is correct and up to date Name Councillor Noosa Shire Council Position Council ic , GS », iy !0 7 i OA S Signatuté : Date ie You must sign this form and submit it to the chief executive officer (CEO) within 30 days of the end of each financial year. You can print a Register of Interests form by selecting a PDF from the list below: e Form1-New Register of Interests ([2) 440.6 KB) e Form 2-New Related Person Register of Interests ([4 431.0 KB) ° Form 3 - Register of Interests Update ([2) 159.5 KB) e Form 4 - Related Persons Register of Interests Update ([ 152.8 KB) e Form 5 - Register of Interests Annual Confirmation ([email protected] KB) e Form 6 - Related Person Register of Interests Annual Confirmation ([2 115.6 KB) Form 5 - OCTOBER 2020 - Amelia Lorentson :