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HomeMy WebLinkAboutMargaret Fabrizio 2025 Financial DisclosureANNUAL STATEMENT OF FINANCIAL DISCLOSURE CITY OF ITHACA, NEW YORK ^025Fot Year: Z Directions: This form must be completed in its entirety and submitted to the City Clerk by February 'l st 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 FABRIZIO MARGARET J Residential Address Number Street City State Zip Code 105 105 Cascadilla Park Rd NY 14850-3804 Telephone E-Mail Address 607 351 6631 mfabrizio@cityofi thaca.org City Title Department Alderperson,sth Ward Common Council 2. Please provide the name ofyour spouse, domeslic partner, adult dependents, or adult HiM. 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 Jordan Andrew M Household Member Household Member Household Member Ithaca 3. Financial lnterests: A. Outside Employment: 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. 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: Occupation Name of Business/Activity Regulated By physical therapist Cayuga Health state and local heallh aqencies 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. Organization Position Held Date(s) Held lf yes, nature of 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 105 Cascadilla Park Road, lthaca, NY Margaret Fabrizio and Andrew Jordan 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 none 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 lnvestme nts 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). lnvestment (Please specif,T as noted above)Owned By Whom 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 ofyour 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: 5. Certification: I certify that the responses herein are true and I understand that any willful misstatement constitutes a violation of the Ci of lthaca Municipal Code and subjects me to penalties provided in Se q t irargarel Signature 05/04 01t19 12120/24 Date B. Do you have any holdings, assets, or property held under any other name? Yes: _ No: x Please explain: City Code.