Form 2—Register of interests of a

Department of Local Government, Racing and Multicultural Affairs

)       6. Trustee of family or business trusts
              S | Name (or
              °   deser   tion) of trust Nature of activities of    Name of each beneficiary or class
              E   6     P               trust 6(b)                  of beneficiary 6(c)
              ow | (a)
       [LJ | LJ _| Not applicable
      POD
      PO
            es
      PC
      PCD
       ML                                                                                       ee
        7. Interests in partnerships and joint ventures
              $   Herne (or              Nature of activities of
              © | description) of                 Se fai §                    .
              €             a            partnership/joint venture | Nature of interest 7(c)
              @ | Partnership/joint      7(b)
              & | venture 7(a)
       [LJ | LJ | Not applicable      PO
        0
       CD
        0
       CD
      PE
       Cy
      PC
        8. Interests in land
               ©                                                        y
               3                                         Purpose for which
               E                         Approximate _ | land is
              g | Suburb or locality     size of land    used/intended to
                   of land 8(a)          8(b)            be used 8(c)          Nature of interest 8(d)
       [LJ | LJ | PeregianBeach | 600sqm__*_| Residential home
      PE
       PCD
       CD
       PCD
      POD
       CD
      PC

                                                                   —_—y?         ~
                                                        Signature: BELLE                 Date: 05/06/2020
       Form 2 — Register of interests of a councillor and their related persons
      Version no: October 2018                                                          Page 5 of 14