Get PA SEC-1 2016
WHSDXV STATE ETHICS COMMISSION STATEMENT OF FINANCIAL INTERESTS THIS FORM IS CONSIDERED DEFICIENT IF ANY BLOCK IS NOT COMPLETED OR DO NOT USE FORMS PRINTED TOMISSING YEAR 2012 (Rev. 01/12) IF SIGNATURE ORPRIOR DATE IS THIS FORM IS CONSIDERED IF ANY BLOCK IS NOT COMPLETED SIGN THE FORM USING THEDEFICIENT CURRENT DATE - DO NOT BACK DATE SIGNATUREOR IF SIGNATURE OR DATE IS MISSING THOSE REQUIRED FILETHE FOR CURRENT MORE THAN ONE- POSITION MUSTDATE FILE IN ALL FILING SIGN THE FORM TO USING DATE D.
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