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15 <br /> prior to December 31 annually thereafter, disclose: <br /> 1. Any interest he or she or his or her spouse or domestic partner has in real property <br /> situated in whole or in part in Orange County and the general description of that <br /> property. <br /> 2. Any legal, equitable, beneficial or contractual interest he or she or his or her spouse <br /> or domestic partner has in any business, firm or corporation, which is currently <br /> doing business with Orange County pursuant to contracts awarded by Orange <br /> County, or which is attempting, or has attempted in the past calendar year, to <br /> secure the award of a bid from Orange County or the approval of any Board or <br /> Agency of Orange County. <br /> 3. Failure to file a disclosure statement setting out the above required information shall <br /> result in immediate removal of the member from the applicable board. <br /> I agree with the Above Statement <br /> By checking this box I certify that this serves as an electronic version of my signature, for <br /> the sole purposes of this form. <br /> W I Agree <br /> Michael J Fath <br />