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2022-07-29 Amelia Lorentson - Annual Confirmation - Register of Interests
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Yep Queensland
GEL? Government
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.
Deciaration
| 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
Po
a= 4 la 17 RD oD
i Date
You must sign this form and submit it to the chief executive officer (CEO) within 30 days of the end of each financial year.
Form 5 - OCTOBER 2020 - Amelia LorentsonSee the original
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Section 2
ep Queensland
CRAY Government
Related person register of interests annual confirmation
FORM 6 - Related person 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 the current register of interests for my related person Chris Winton Lorentson and certify that it is correct and up to date.
' Amelia Lorentson .
Name
Councillor Noosa Shire Council
Position / Council
To~ GF iF 120 2A
Si ‘ure Date
You must sign this form and submit it to the chief executive officer (CEO) within 30 days of the end of each financial year.
Form 6 - OCTOBER 2020 - Amelia LorentsonSection 3
we Queensland
EAS
4 TARO
CEA? Government
Related person register of interests annual confirmation
FORM 6 - Related person 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 the current register of interests for my related person Giorgia Lorentson and certify that it is correct and up to date.
Amelia Lorentson
Name
Councillor Noosa Shire Council
Position Council
EE ‘ XS | F | ROAD.
‘Signature Date
You must sign this form and submit it to the chief executive officer (CEO) within 30 days of the end of each financial year.
a
Form 6 - OCTOBER 2020 - Amelia LorentsonSection 4
Yep Queensland
(ERD Government
CSS ee i Ee
Related person register of interests annual confirmation
FORM 6 - Related person.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 the current register of interests for my related person Ben Lorentson and certify that it is correct and up to date.
Amelia Lorentson
Name
Councillor Noosa Shire Council
Position Council
atten. 291 71 AOAQ
Signature Date :
You must sign this form and submit it to the chief executive officer (CEO) within 30 days of the end of each financial year.
Form 6 - OCTOBER 2020 - Amelia LorentsonUsed in these records
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