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Te rest of Part 2 and 3) I request exemption for: â–¡ Financial Interest â–¡ Employment Financial Interest Employment Name of Entity where the financial interest Employment to be Exempted: exists: Address of Entity: Your Position/Job Title: Interest to be Exempted: Current Value: â–¡ Under $1,000 $5,000 â–¡$5,000-$10,000 or More â–¡$1,000- â–¡$10,000 Explain below why you believe you may have financial interests or an employment situation that, in the absence of an exemption, will conflict.

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