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Home My WebLink AboutDavid Shapiro 2025 Financial DisclosureF o ?x a""lRA'It$ 1T CITY OF ITHACA 108 East Green Street, llhaca, New York 14850-6590 OFFICE OF THE CITY CLERK Department of Public lnformation & Technology Alan Karasin, City Clerk Telephone: 607 -27 4-6570 Fax: 607-274-6432 www.cityofithaca.org Dear Mayor Cantelmo and Common Council Members An important part of your responsibiljty as an elected official of the City of lthaca is the completion of a Financial Disclosure Form each year. The purpose of the Financial Disclosure Form is to enable government bodies to function as free from improper influences as possible. The Financial Disclosure Form is of significant importance because it is the measure against which you, your colleagues and the general public can judge the appropriateness of your voting/taking action on any item of business before the City government which might benefit your financial situation. Please complete the Financial Disclosure Form on the following pages and return it with your signature to the Clerk's Office on or before February 3, 2025. lf you have questions about filling out any part of the form, or you believe that mmpleting an item(s) on the form would be inappropriate for you, please feelfree to consult with the City Attorney. lf you are asked to deliberate on or cast a vote/make a decision about a matter where you think a financial benefit to you might be perceived (even though you are convinced that such is not the case) you should consult the City Attorney. To avoid even the appearance of a conflict of interesl you may also wish to explain to your fellow legislators/committee members before discussion on a matter begins (or a vote is taken) why you choose to vote or to recuse yourself. The Financial Disclosure Form is intended to address a majority of possible conflicts of interest. lf you ever find yourself expected to discuss or vote on a matter that could bring direct financial benefit to someone personally close to you, you should consider carefully whether you should recuse yourself from voting. lf, after you have filed the Financial Disclosure Form, your situation changes (e.9. change of address, change in investments) it is your responsibility to report such changes as soon as possible. Sincerely yours, A Lzru K ou.tzti.tr, Alan Karasin, City Clerk t'lf you would like additional guidance as to what is meant by "conflict of interest" see NYS General Municipal Law Section 800 and 801. An Equal Opportunity Employee with a commilment lo workforce diversificalion Decemhet 20, 2024 ANNUAL STATEMENT OF FINANCIAL DISCLOSURE CITY OF ITHACA, NEW YORK ror't"ar,2025 Directions: This form must be completed in its entirety and submitted to the City Clerk by February 13t of each year, regardless of whether there have been any changes in your financial information. Do not leave any spaces blank. Please indicate with a "N/A" only if the section is not applicable to you. lf you require more space to provide information, please attach additional sheets as necessary. Please consult with the City Attorney if you have any questions regarding the completion of this form. 1. Please provide your name, address and position with the City of lthaca. Last Name First Name Middle lnitial Shapiro David L Residential Address Number Street City State Zip Code 807 Milchell Street Ithaca NY 14850 Telephone E-Mail Address 607-592-9336 dshapiro@cityofilhaca.org City Title Department Alderperson Common Council 2. Please provide the name of your spouse, domestic partner, adult dependents, or adult H/M. When used in this statement, "H/M" shall mean other household members who reside with you and who intend to reside with you for the foreseeable future, and to whom you are committed to mutual care and support. When used in this statement, Domestic Partner shall mean a person defined as a domestic partner pursuant to Chapter 215, Article lV, of the City of lthaca Municipal Code. Spouse/Partner Last Name First Name Middle lnitial Household Member Shapiro Pamela Household Member Shapiro Solomon Household Member Household Member Please state any other employment, occupation, trade, business, office or business title or profession held by you, your spouse, domestic partner, adult dependents, or H/M. Please indicate whether such activity is licensed or regulated by any local agency. Occupation Name of Business/Activity Regulated By If yes, nature of [4anager Cayuga Medical Center DOH B. Leave of Absence: Are you on leave, paid or unpaid, from any business or organization?Yes: No: x lf yes, please identify the business or organization: C. Associations and Orqanizations: Please list any position that you hold in any proprietary or not-for-profit association, organization, or political party as an officer, decision or policy maker, whether you received monetary compensation or not. This includes honorary positions, self-appointed positions, and positions held by virtue of your municipal position. This excludes general membership and liaison roles where you have no decision or policy-making authority. Orqanization Position Held Date(s) Held 3. Financial lnterests: A. Outside Employment: I I D. Real Estate: List the location of all real estate in or within five (5) miles of Tompkins County that is owned in whole or in part by you, your spouse, domestic partner, adult dependents, or H/M. Property Address Owned By 807 Mitchell Street Seli, wile E. Business Connections: Please indicate if you, your spouse, domestic partner, adult dependents, or H/M, are involved in any profit-making or non-profit enterprise not previously disclosed, which has a business connection, including contracts, with the City of lthaca: (Please describe the principal activities and nature of the connection or contract with the city.) Principle Activities Nature of Connection with the City F. DBA (Doinq Business As): Do you or anyone in your household have a current DBA, or ownership in a corporation that has a DBA in Tompkins County? Yes: No: X DBA Name(s)Owner lnvestment (Please specify as noted above)Owned By Whom G. lnvestments and other assets: You may exclude Mutual Funds and Blind Trusts from this section. Please itemize and describe all investments (e.9. capital stock, bonds, lRA, trusts, etc.), which you, your spouse, domestic partner, adult dependents, or H/M hold in any business, corporation, or partnership as a majority owner or a significant interest (5% or more). H. Loans: List any outstanding loans payable or receivable over $1,000 involving people who live, work or own property in Tompkins county, excluding established financial institutions and family members. Amount of Loan Purpose of Loan Lender or Recipient L Gifts: List any personal gifts and who gave them received by you, your spouse, domestic partner, adult dependents, or H/M during the last 3 years from people who live, work or own property in Tompkins County, of a value greater than $'1,000, other than from a relative: Gift Given To Received from 4. Other lnformation: A. To the best of your knowledge are you or anyone in your household involved in any organization or activity or holding any asset, excluding those listed above, that could be a conflict of interest in performing the duties of your city position?Yes: No: x lf yes, please explain: B. Do you have any holdings, assets, or property held under any other name? Yes: _ No: x Please explain: 5. Certification: I certify that the ponses herern are true and I understand that any willful misstatement constitutes a n of the City of lthaca Municipal Code and subjects me to penalties .12 ot the City Code 213t25 Signature 05/04 01t19 Date