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Office of The Integrity Commission
OFFICE OF THE OFFICE OF THE INTEGRITY COMMISSIONINTEGRITY COMMISSION
PREPARATION OF DECLARATION OF INCOME, ASSETS PREPARATION OF DECLARATION OF INCOME, ASSETS AND LIABILITIES (FORM A)AND LIABILITIES (FORM A)
&&STATEMENT OF REGISTRABLE INTERESTS (FORM B)STATEMENT OF REGISTRABLE INTERESTS (FORM B)
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Office of The Integrity Commission
CONTENTS
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GENERAL INSTRUCTIONSGENERAL INSTRUCTIONS
PERSONS REQUIRED TO FILE
All persons in public life are required to file declarations of their income, assets and liabilities
with the Commission. The Schedule to the Integrity in Public Life Act, 2000 (hereinafter referred to as “the Act”), lists the persons in
public life as follows:
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DISCLOSURE REQUIREMENTSDISCLOSURE REQUIREMENTS (3) Where a person in public life holds money or other property in trust for another person, he shall so state in his declaration but shall not be required to disclose the terms of the trust.(4) For the purposes of a declaration under this Act, the income, assets and liabilities of a person in public life include the income, assets and liabilities acquired, held or incurred by any other person as his agent or on his behalf.
(5)Where, in a declaration filed with the Commission, a person in public life discloses an income which is insufficient to support the accretion in value of the net assets disclosed so as to raise the inference that there must have been other income to account for the extent of the acquisition of such assets, the person in public life will be deemed to have been in possession of such income which has not been disclosed and the onus
shall be on him to establish the source of that further income.
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DEADLINES FOR FILINGDEADLINES FOR FILING Section 11(1) and (2) of the Act specifies the deadlines for the filing of the declarations.
Within three (3) months of becoming a person in public life, a person shall complete and file with the Commission, in the prescribed form, a declaration of his income, assets and liabilities in respect of the previous year.Thereafter, on 31st May in each succeeding year that he is a person in public life, he shall file further declarations of his income, assets and liabilities.The time for furnishing of a declaration may be extended by the Commission, in any particular case, for good cause, for a period not
exceeding six (6) months.
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REQUEST FOR FURTHER PARTICULARS Under section 13 of the Act, the Commission may request from a declarant, any information or explanation relevant to a declaration made by him and which would assist in its examination.The Commission may require that –(a) a declarant furnish such particulars relating to his financial affairs as may be considered necessary; (b) a declarant or his duly appointed agent attend at the offices of the Commission in order to verify his declaration;
(c) a declaration be certified by a chartered or certified accountant
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Duty to Furnish DeclarationDuty to Furnish Declaration• Within three (3) months
• Complete and file with the Commission
• Declaration of income, assets and liabilities
• In respect of the previous year, and
• On the 31st May in each succeeding yearSec 11. (1)
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No. Persons in Public Life Declaration Year Due Date For Filing
1. Became a person in public life at any time during 2006
2005
2006
a) Three (3) months after becoming a person in public life
b) 31st May 2007
2. Was a person in public life throughout 2006 2006 31st May 2007
3. Ceased to be a person in public life at any time during 2006
2005
2006
a) 31st May 2006
b) 31st May 2007
4. Becomes a person in public life at any time during 2007
2006
2007
a) Three (3) months after becoming a person in public life
b) 31st May 2008
5. Ceased to be a person in public life at any time during 2007
2006
2007
(a) 31st May 2007
(b) 31st May 2008
Duty to Furnish DeclarationDuty to Furnish Declaration
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Contents of the Declaration (Form A)Contents of the Declaration (Form A)
“ A declaration required under this Act, shall include such particulars as are known to the declarant, of the income, assets and liabilities of himself, spouse and his dependent children”.
Sec 12. (1),
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Contents of the Declaration (Form A)Contents of the Declaration (Form A)(Notwithstanding subsection (1), where)(Notwithstanding subsection (1), where)
(a) the spouse was not living with the declarant for a continuous period of
six months during the period in relation to which the declaration was made;
Sec 12. (2) (a),
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Contents of the Declaration (Form A)Contents of the Declaration (Form A) (Notwithstanding subsection (1), where)(Notwithstanding subsection (1), where)
(b) a dependent child was not ordinarily living with the
declarant at any time during the period in relation to which the declaration was made
Sec 12. (2) (b)
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DefinitionDefinition – “ – “Spouse”Spouse”
“a person to whom the person in public life is married or living with in a conjugal relationship outside of marriage, but does not include a person with whom the person in public life has made a separation agreement, or if their support or obligations and family property have been dealt with in a court order”
Sec. 2.
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DefinitionDefinition – “ – “Dependent Child”Dependent Child”
“the child of a person, including a child of the family, step-child or adopted child, whether of full age or not, who is unmarried and being maintained by such person”
Sec 2.
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DefinitionDefinition – “ – “Assets”Assets”
“all property, including money, beneficially held in Trinidad and Tobago or elsewhere and all rights and benefits enjoyed on a continuing basis”
Sec 2.
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DefinitionDefinition – “ – “Liability”Liability”
“ any obligation to pay or transfer money or money’s worth in Trinidad and Tobago or elsewhere”
Sec. 2.
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DefinitionDefinition – “Income” – “Income”
“all income, from whatever source derived acquired in or out of Trinidad and Tobago, whether directly or indirectly, as money or money’s worth and includes all receipts by way of salary, fees, wages, perquisites, profits, gains, emoluments, rents, interest, commissions, bonus, pension, annuity or benefit and all income within the meaning of the Income Tax Act”.
Sec. 2.
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“ “Prescribed Form”Prescribed Form”
“the declaration shall be in such form as the Commission may from time to time prescribe and may be accompanied, if the declarant so wishes, by a statement relating to his net worth as indicated by details of his income, assets and liabilities.”
Sec.11.(3)
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CONFIDENTIAL (Regulation 3)
FORM A
REPUBLIC OF TRINIDAD AND TOBAGO
INTEGRITY COMMISSION The Integrity in Public Life Act, 2000
DECLARATION OF INCOME, ASSETS AND LIABILITIES
FOR THE YEAR ENDED 31st DECEMBER, 2006
(Pursuant to section 11 of the Integrity in Public Life Act, 2000)(Please read the instructions before completing this form)
(If there is insufficient space for the items falling under any PART,additional information may be supplied on separate sheets.)
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PART 1IDENTIFICATION SECTION
NAME OF DECLARANT(SURNAME, OTHER NAMES
PUBLIC OFFICE HELD
HOME ADDRESS OF DECLARANT OFFICE ADDRESS OF DECLARANT
Date of YYYY MM DD Tel. (Home):
Birth: Fax:
Tel. (Office) Fax:
NIS
No. e-mail: e-mail:
NAME OF DECLARANT’S SPOUSE (SURNAME, OTHER NAMES)
HOME ADDRESS OF DECLARANT’S SPOUSE
Name of Declarant’s Dependent Children(SURNAME, OTHER NAMES)
OFFICE ADDRESS OF DECLARANT’S SPOUSE (If applicable)
Page 2
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Name and Address of Employer
Recipient’s Name (Declarant / Spouse
/ Dependent Child)
Title
of
Office
Gross
Annual
Earnings
BATA Declarant Director $24,000
RCL LTD Declarant Manager $140,000
Hi Fi Dependent Child Cashier $24,000
AAA Spouse Supervisor $60,000
Page 3
1. INCOME FROM EMPLOYMENT-GOVERNMENT/NON-GOVERNMENT (Include receipts from any Ministry, Dept., Board, Agency, etc.)
PART II
DETAILS OF INCOME (OF DECLARANT, SPOUSE AND OTHER DEPENDENT CHILDREN
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PART II
2. INCOME FROM TRADE PROFESSION OR VOCATION
(Please state Net Income – after deduction of expenses)
Name and Address of Business
Nature of Business
Recipient's Name (Declarant / Spouse
/ Dependent Child)
Annual Net
IncomeY2K
POS
Computer
Repairs
Declarant $165,000
Hair & Now
POS
Hair-Dressing
Spouse $35,000
Page 4
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Address and Description of
Property
Tenant’s Name
Recipient's Name (Declarant / Spouse
/ Dependent Child)
Annual Net
Income
# 2 Sail Road
Bell Air
Apartment
Tom
Jones
Declarant $40,000
# 18 Bath Road
West Mooring
Apartment
Rita
Hall
Spouse $23,000
Page 4
PART II
INCOME FROM PROPERTY(Please state net income after deduction of expenses)
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PART II
4. INTEREST INCOME
Name and Address of Organization /
Person from whom Interest Received
Recipient’s Name
(Declarant / Spouse /
Dependent Child
Annual
Income
$
First Bank. Port of Spain Declarant $2,000
Unit Trust, (Money Market Fund) Declarant $5,000
Band Credit Union, (Savings alc.) Spouse $1,600
RBTT Bank (Roytrin Money Mkt) Dependent $3,000
A Friend, POS Declarant $8,000
Treasury Bonds, POS Declarant $1,000
Page 5
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PART II5. DIVIDEND INCOME (from shares and
stock)
Page 5
Name and Address of Organization
from which Dividend Received
Recipient’s Name
(Declarant / Spouse /
Dependent Child)
Annual
Income
$
Public Company, Port of Spain Declarant $9,000
Private Company. Port of Spain Declarant $7,000
Unit Trust (Growth & Income Fund) Declarant $5,000
Credit Union (Shares Account) Declarant $1,000
Public Company, Port of Spain Spouse $8,000
The Trust Equity. POS Spouse $3,000
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Page 6
Description
of any
Assets
Sold
In Whose
Name
Held
(Declarant
/Spouse/
Dependent
Child)
Purchase
Price
And
Additional
Capital
Expenditure
( a )
Expenses
Relative
To
Sale
( b)
$
Proceeds
Of
Sale
( c )
$
Gains/
Profit[c-(a+b)]
$
House Declarant $500,000. 20,000 820,000 300,000
Car Declarant $40,000 1,000 25,000 (16,000)
Part II6. GAINS / PROFIT
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Part II 7. OTHER BENEFITS FROM EMPLOYMENT
Name and
Address of
Employer
Recipient’s Name
(Declarant / Spouse /
Dependent Child)
Description
Of
Benefit
Value
$
GOTT
POSDeclarant M/V Tax
Exemption$25,000
BASA Declarant Motor Vehicle
$150,000
GOTT
POSDeclarant Housing
Allowance$96,000
Private Company
Spouse Education Grant
$25,000
Page 6(Including but not limited to housing / traveling)
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Part II 8. OTHER INCOME (not herein previously declared – including but not
limited to receipts by way of commissions, bonuses, pensions, trust, annuities) – See Note
below.
: Under section 2 of the Integrity in Public Life Act, “income” means all income, from whatever source derived/acquired in or out of Trinidad and Tobago, whether directly or indirectly, as money or money’s worth and includes all receipts by way of salary, fees, wages, perquisites, profits, gains, emoluments, rents, interest, commissions, bonus, pension, annuity or benefit and all income within the meaning of the Income Tax Act.
++ Net of Tax* Estimated
Source of Income and
Address
Recipient’s Name
(Declarant / Spouse / Dependent Child)
Description
Of
Income
Value
$
RICO, POS Declarant Annuity $12,000
SBTT, POS Spouse ESOP $60,000
Page 7
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DECLARANT’S STATEMENT OF ANY GIFT, FEE, OR PERSONAL BENEFIT
[PURSUANT TO SECTION 27(3) OF THE ACT]Complete this statement if you have received a gift, fee or personal benefit as an incident of the protocol or social obligations that normally accompany the responsibilities of your office, where the value of the gift, fee or benefit exceeds $2,000.00 or where the total value of the gifts, fees or benefits received directly or indirectly from one source, in any twelve-month period, exceeds $2,000.00. List all gifts, fees or benefits where the total value of the gifts, fees or benefits received directly or indirectly from one source, in any twelve-month period exceeds $2,000.00.
Date of Receipt
Name and Address of Donor
Description of Gift, Fee or Benefit
Value
$
20/12/2006 XP Ltd. Frederick St. POS
Pen and Holder 1,800.00
24/12/2006 XP Ltd. Frederick St. POS
Electronic Desk Clock 600.00
2,400.00
Page 8
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PART IIIDETAILS OF ASSETS
(OF DECLARANT, SPOUSE AND DEPENDENT CHILDREN)
1. REAL PROPERTY
1.1 LAND AND BUILDINGS (INCLUDING TOWNHOUSES AND CONDOMINIUMS)
Address and Description of Property including Land and Floor Areas
In Whose Name Held
(Declarant/ Spouse / Dependent Child)
Date of Acquisition
Original Cost
$
Cost ofAdditions
Estimated Value as at Dec.31, 2006
*#4 Paradise St. Hillview
16,000 sq. ft. land
2 Storey House
Declarant 1980 150,000 75,000 800,000
+#2 Sail Rd. Bell Air
5000 sq. ft. ApartmentDeclarant 1995 750,000 1,200,000
#25 Southwind Ave. Maracas
Flat House 5,000 sq. ft.
Spouse 1959 70,000 250,000
Page 9
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PART III 1.2 LAND (WITHOUT BUILDINGS)
Address, Description and Area of Land
In Whose Name Held
(Declarant / Spouse / Dependent Child)
Date of Acquisition
Original Cost
$
Estimated Value as at Dec. 31. 2006
$
* LP 120, Poole Village Maracas
3 Acres land
Declarant 1980 125,000 400,000
# 25 Los Eros Village, Santa Flora
26 Acres Land
Spouse 1958 15,000 900,000
Page 10
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2. AMOUNTS HELD IN BANKS
AND FINANCIAL INSTITUTIONS (not including Unit Trust and Mutual Funds)
PART III
Name and Address of Institution
Type of Account
In Whose Name Held
(Declarant / Spouse / Dependent Child)
Account Number
Balance as at Dec. 31. 2006
$
First Bank POS
Savings Declarant 123456 60,000
Page 11
Second Bank POS
Fixed Deposit
Spouse 56742 20,000
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3. UNIT TRUST AND MUTUAL FUNDS
PART III
Page 12
Name and Address of Institution
In Whose Name Held
(Declarant / Spouse / Dependent Child)
Number of Units Held
Value as at Dec. 31 2006 $
Unit Trust (Growth & Income Fund)
Declarant 6,050 21,000-
Unit Trust (Money Market Mutual Fund)
Declarant 400 10,000-
*
*
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4. CASH AND VALUABLES HELD IN SAFETY DEPOSIT BOXES
PART III
Name and Address of Institution
Description of Cash/Valuables
In Whose Name Held
(Declarant / Spouse / Dependent Child)
Value
$
Second Bank Ltd.Frederick St. POS
U.S. $ Declarant 600,000
D.N Ltd.
1st St. POSJewelry Spouse 100,000
Page 13
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5. LIFE INSURANCE POLICIESPART III
Company Type of Policy
In Whose Name Held (Declarant/Spouse/
Dependent Child)
Annual Premium Paid
$
Sum Assured
Cash Surrender Value
$
BLICO Life Declarant 6,000.00 500,000 100,000
Angel Life
*Annuity Declarant 7,250.00 - 15,000 -
ALLCO Term Declarant 1,200.00 - -
BLICO Life Spouse 2,500.00 250,000 50,000
Page 14
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6. COMPANY SHARES AND STOCKS
6.1 COMPANY SHARES AND STOCK [(QUOTED), i.e., Traded on the Stock Exchange]
PART III
Page 15
Name of Company
Stock Units/ Shares Held
In Whose Name Held
(Declarant / Spouse / Dependent Child)
Market Value as at Dec. 31, 2006
$TT
Public Co. Ltd.
25,000 Declarant 75,000*
+
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6.2 COMPANY SHARES AND STOCK (UNQUOTED)
PART III
Page 16
Name and Address of Company
Nature of Business
Stock Units/ Shares Held
In Whose Name Held (Declarant/Spouse/
Dependent Child)
Estimated Value
$
Private Company Ltd.
Advertising 75,000 Declarant 300,000
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7. INVESTMENT IN PARTNERSHIPS, JOINT VENTURES
AND OTHER BUSINESSES
PART III
Page 16
Name and Address of Company or Business
Nature of Business
Percentage Ownership
In Whose Name Held (Declarant / Spouse / Dependent Child)
Investment
As at Dec. 31 2006
$
Y2K, POS PC Repairs
100% Declarant 900,000
Hair & Now, POS
Hair Dressing
100% Spouse 200,000
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8. OTHER ASSETS 8.1 MOTOR VEHICLES
PART III
Page 17
Make and Model
Registration Number
Year of Acquisition
Purchasing Price
$
In Whose Name Held (Declarant/ Spouse/ Dependent Child)
Estimated Value as at Dec. 31. 2006
$
Nissan Sentra
XPB 4075 1999 65,000.00 Spouse 30,000
Audi A4
XPM 80 2005 250,000.00 Declarant 240,000
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8.2 MONEY LOANEDPART III
Page 17
Name and Address of Borrower
Amount Lent
$
Date Lent
In Whose Name Held
(Declarant / Spouse / Dependent Child)
Balance due as at Dec. 31. 2006
$
A. Friend
San Juan
100,000 2000 Declarant 50,000
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8.3 GOVERNMENT AND CORPORATE BONDS
PART III
Page 18
Issuing Organisation
In Whose Name Held (Declarant/ Spouse/ Dependent Child)
Date of Purchase
Interest Rate
Maturity Date
Face Value
$
Southern Bank of T&T
Declarant 2003 6 ½ % 2010 50,000
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8.4 CREDIT UNIONSPART III
Page 18
Name and Address of Credit Union
Type of Account (Shares/
Savings/
Fixed
Deposit)
In Whose Name Held (Declarant/ Spouse/ Dependent Child)
Account Number
Balance as at Dec. 31, 2006
$
Band Credit Union, POS
Fixed Deposit
Declarant 12678 25,000
POS Credit Union, POS
Shares Declarant 4532 20,000
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8.5 ANY OTHER ASSETS (not herein previously declared- including but not limited to Boats,
Jewelry, Paintings, Coin Collections, etc.).See Note below.
PART III
Page 19
Description Location In Whose Name Held (Declarant/ Spouse/ Dependent Child)
Value as at Dec. 31, 2006
$
Speed Boat 27’
Power Boat Chaguanas
Declarant 250, 000
Jewelry Home Spouse 100, 000
Note: Under Section 2 of the Integrity in Public Life Act, 2000, “assets” means all property, including money, beneficially held in Trinidad and Tobago or elsewhere and all rights and benefits enjoyed on a continuing basis.
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PART 1VDETAILS OF LIABILITIES
(OF DECLARANT, SPOUSE AND DEPENDENT CHILD)
1. MORTGAGE LOANS
Page 20
Name and Address of Lender
Name of Borrower(Declarant/ Spouse/ Dependent Child)
Property/ Asset Mortgaged
Original Loan and Date Incurred
Interest Rate and Term
Amt. Paid for the year
Balance Owing as at Dec. 31, 2006
$
XYZ Bank and Mortgage Company
Declarant # 4 Paradise St. Bell Air
-150,000
-1980
12 ½ %
25 yrs
20,000 5,000
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8.5 OTHER LIABILITIES (including but not limited to Judgment
Debts). See Note below
PART IV
Page 21
Name and Address of Organization/ Person Owed
Name of debtor (Declarant/ Spouse/ Dependent Child)
Date Debt Incurred
Original Debt
$
Amt. Repaid during year
$
Amt. Owing as at Dec. 31, 2006
$
Third Citizen’s Bank Penal (Credit Card)
Declarant 1999 25,000 5,000 8,000
NOTE: Under Section 2 of the Integrity in Public Life Act, 2000, “liability” includes any obligation to pay or transfer money or money’s worth in Trinidad and Tobago or elsewhere.
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PART VDECLARATION
I declare that I have given a full return of the particulars, as are known to me, of the income from every source whatsoever, and of the assets and liabilities, of my spouse, my dependent children and myself, required to be filed in accordance with the provisions of the Integrity in Public Life Act, 2000, in respect of the year ended 31st December, 2006.
Dated this …….day of ………………, 2007……………………………….. .. Signature of Declarant
Page 22
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INTRODUCTION
STATEMENT OF REGISTRABLE
INTERESTS
(FORM B)
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INTRODUCTION
“ A person in public life shall file with his declaration , an additional Statement of Registrable Interests in the prescribed form, which shall contain the information required by subsection (3), (a-i).”
Sec. 14 (1)
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A Statement of Registrable Interests filed under subsection (1) shall
contain information relating to a person in public life in respect of-
3. (a) Particulars of any directorships held in any company or other corporate body;
(b) Particulars of any contract made with the State;
(c) The name or description of any company, partnership or association in which the person is an investor; Sec. 14.
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A Statement of Registrable Interests filed under subsection (1) shall
contain information relating to a person in public life in respect of-
3. (d) A concise description of any trust to which the person is a beneficiary or trustee;
(e) Beneficial interest held in any land; (f) Any fund to which the person
contributes; Sec. 14
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A Statement of Registrable Interests filed under subsection (1) shall
contain information relating to a person in public life in respect of-
3. (g) Particulars of any political, trade or professional association to which the person belongs;
(h) Particulars relating to sources of income; Sec. 14
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A Statement of Registrable Interests filed under subsection (1) shall
contain information relating to a person in public life in respect of-
3. (i) Any other substantial interest whether of a pecuniary nature or not, which he considers may appear to raise a material conflict between his private interests and his public duty. Sec. 14
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CONFIDENTIAL (Regulation 3)
FORM B
REPUBLIC OF TRINIDAD AND TOBAGO
INTEGRITY COMMISSION
STATEMENT OF REGISTRABLE INTERESTS FOR THE YEAR ENDED 31st DECEMBER, 2006
(Pursuant to section 14 of the Integrity in Public Life Act, 2000)
Complete this form and file it together with the Declaration of Income, Assets and Liabilities which you are required to file with the Integrity Commission under section 11 of the Integrity in Public Life Act, 2000 [Section14 (1)].
Note: There is no requirement to disclose in this statement, the actual amount of any financial benefit, contribution or interests. [Section 14(5)].
Please notify the Registrar of the Commission of any change which may occur in this Statement within six weeks of such change occurring.
[Section 14(4)].
(Where insufficient space has been provided for the items falling under any section, additional information may be supplied on separate sheets.)
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STATEMENT OF REGISTRABLE INTERESTS
NAME OF DECLARANT………John Doe………………..
PUBLIC OFFICE HELD……Director BASA……………
ADDRESS…# 18 Sky View Road, …………………………
……Ranch Villas, Port-of-Spain……………….
Page 2
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1. I HOLD DIRECTORSHIPS IN THE FOLLOWING COMPANIES OR OTHER
CORPORATE BODIES:
The following information is provided pursuant to section 14(3) of the Act:
Name of Company or other Corporate Body
Address
Health and Safety Authority.
St. Joseph
Private Company Ltd. Frederick Street, P.O.S.
Page 2
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2. I HAVE MADE CONTRACTS WITH THE STATE AS FOLLOWS:
Date of Contract
Particulars of Obligations Undertaken
15-06-2006
Repairs of Computers and Accessories. Contract with the Ministry of the Interior.
Page 2
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STATEMENT OF REGISTRABLE INTERESTS- (Continued)
3. I HAVE INVESTMENTS IN THE FOLLOWING COMPANIES, PARTNERSHIPS OR ASSOCIATIONS:
Page 3
Name of Company/ Partnership/Association
Address
Public Company Ltd. Frederick St. P.O.S.
Private Company Ltd. Frederick St. P.O.S.
Y2K Maraval Road, P.O.S.
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4. I HOLD THE POSITION OF TRUSTEE IN THE FOLLOWING
TRUSTS:
Name of Trust Brief Particulars of Trust
WXY Trust Environment
Public Donors
Page 3
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5. I HOLD THE POSITION OF BENEFICIARY IN THE FOLLOWING
TRUSTS:
Name of Trust Brief Particulars of Trust
John Doe Trust Ltd. Because of potential conflict of interest, I transferred my business, Tate and Co., into a blind Trust.
Page 3
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STATEMENT OF REGISTRABLE INTERESTS-(Continued)
6. I HAVE BENEFICIAL INTEREST IN THE FOLLOWING LANDS:
Location, Description and Area of Land
Beneficial Interest
#4 Paradise St., Hillview 16,000 sq.ft. land
100%
#2 Sail Rd., Bell Air 5,000 sq.ft. land 100%
LP 120 Poole Village 3 Acres land 100%
Page 4
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7. I HAVE BEEN MAKING CONTRIBUTIONS TO THE
FOLLOWING FUNDS:
Name and Address of Fund
Controller of Fund
The Trust, Ind. Square, POS.
Unit Trust Corporation
SBTT Bank POS SOY MUTUAL
Page 4
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8. I HOLD MEMBERSHIP IN THE FOLLOWING POLITICAL, TRADE OR
PROFESSIONAL ASSOCIATIONS:
Name and Address of Association
Nature of Association
(Political/Trade/Professional)
LAP Political Party, POS
Political
Page 4
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STATEMENT OF REGISTRABLE INTERESTS-CONTINUED
9. I HAVE RECEIVED INCOME FROM THE FOLLOWING SOURCES:
Description of Income SourceSalaries, Benefits and Allowance B.A.T.A, GOTT, Private
Company, HCL
Income from Trade
Income from Property Rental
Y2K
Apartment Bld. East Moorings
Interest Income
Dividend Income
Treasury Bond-First Bank, The Trust, ROY Mutual Funds, A. Friend
Public Co., Private Co., The Trust, Credit Union
Gains/ Profits/ (Loss)
Annuity
Disposal of House, Motor Vehicle
RICO
Page 5
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10. I HAVE THE FOLLOWING OTHER SUBSTANTIAL INTERESTS WHICH MAY
APPEAR TO RAISE A MATERIAL CONFLICT BETWEEN MY PRIVATE INTEREST AND MY PUBLIC DUTY:
Nature of Interest (Pecuniary or Non-Pecuniary) ____________________________________________________________________________________
__________________________________________
Dated this 31st day of May, 2007
Signature of Declarant……………………
Page 5
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FREQUENTLY ASKED QUESTIONS
When completing the Declaration of Income, Assets and Liabilities and the
Statement of Registrable Interests
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