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Register of interests annual confirmation

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ses                                                        |
                                                                                         wp Queensland
                                                                                         ‘EP Government

Register of interests annual confirmation
FORM 5       - Councillors and councillor advisors Local Government Act 2009
Mayors, councillors and councillor advisors whose registers of interests have not changed can submit the below declaration to
provide annual confirmation of their register of interests.
If your interests have changed, submit an updated Form 3 — Register of interest update before completing this declaration.
Complete a separate annual confirmation Form 6 - Related person register of interests annual confirmation for EACH of your related
persons if their interests have not changed.
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 interests 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
 Amelia Lorentson
 Name
 Councillor                                                        Noosa Shire Council
 Position                                                          Council
                 .      f-                                         7     1  F    12 O2/
     tury                                                          ate *

   Form 5 - OCTOBER 2020 - Amelia Lorentson
Full text of the other 3 sections

Section 2

DiS
                                                                                                            ‘aq? Queensland
                                                                                                             CARP Government

                      Register of interests

                       Amelia Lorentson
                       Name
                       Councillor                                                     Noosa Shire Council
                       Position                                                       Council
                      This document is an extract.To view the full register visit your council's public office.             :

                      Shares in corporations (not including private companies)
                         Name of corporation

                         Viking Mines
                         Immuted Ltd

                      Shares in privately owned companies                                               ?
                                                                                        eait:           Company's and subsidiaries’
                         Name of company                        Nature of company's activities          r                i         :
                                                                                                         investments and interests in property

                       Positions as executive officer of a corporation
                         Name of corporation                     Nature of corporation's activities      Nature of person's role

.                      Beneficial interest in a trusts or nominee corporations
                              oe            P        (           Nature of activities      .             Nature of your interest
                         Name of trust or corporation (or
                         description of trust)

                       Self-managed superannuation funds
                  :                                                                                      Investments or other interests in
                         Name or description of fund             Nature of fund's activities
                                                                                                         property held
         .               Chris Winton Lorentson & Amelia
                         Lorentson as Trustee for Lorentson      Investments                             2/17 Noosa Parade Noosa Heads 4567
                         Superannuation Fund

                       Trustee of family or business trusts
                                       ae                                           ee                   Name of each beneficiary or class of
                         Name or description of trust            Nature of trust's activities                   ae
                                                                                                         beneficiary

                       Partnerships or joint ventures
                                                                                     Nature of interest (e.g.      Investments or interests in
                         Name or description           Nature of the activities                        (eg
                                                                                     owner)                        property

                       Extract - 8 July 2021 - Amelia Lorentson         Of

Section 3

Vea Queensland
                                                                                       CER? Government

Land (including houses, rentals and other properties)
  Sitti   oniocalitwotland      Aporosinnatelstee             Purpose for which land is     Nature of interest (e.g.
                   y             BF                           used                          owned, leased, rented)
    ubu             of lan

Liabilities more than $10,000 (excluding department store and credit card accounts)
  Type of liability                                           Name of bank or creditor

Debentures and similar investments                            .
  Name of corporation the investment is
                                          Nature of corporation's business        Nature of investment

Savings and investment accounts held with financial institutions
  Name of bank or institution                                 Type of account

                                                                                                                                         |

Gifts valued at $500 or more, or multiple gifts totalling $500 or more.

                                                              Ticket to Noosa Eat & Drink Long Lunch with Youngcare , 1
                                                              ticket to Tourism Noosa Lunch at Frenchies Brasserie
  Tourism Noosa                                               Noosaville 12 March 2021, 1 ticket to Noosa Eat & Drink
                                                              Festival Long Lunch 11 June 2021, 1 ticket Noosa Eat & Drink
                                                              Festival VIP Party 12 June 2021

Sponsored travel or accommodation benefits
  Name of person or source who contributed to your travel                                     a    5
                  <                                           Nature and purpose of the benefit received
  or accommodation

Memberships of political parties, and trade or professional organisations
  Name of organisation
  Noosa Chamber of Commerce & Industry

Positions as executive officer of an organisation                 .
  Name of organisation
 a                                                                                                                                       |
                                                         |
Extract - 8 July 2021 - Amelia Lorentson                 (
                                                       P   an é

Section 4

Yea? Queensland
                                                                                      (EXP Government

Donations made to other people or organisations valued at $500 or more, or multiple donations totalling $500 or more
                                                                                                                                     ,

Other assets over $5000
  Details of other assets                               ;

Other sources of income of $500 or more per year

Other interests that appear to raise or could potentially raise a conflict between your interest and the public interest
  Other interests

 Extract - 8 July 2021 - Amelia Lorentson

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