HomeMy WebLinkAboutPatrick Kuehl 2025 Financial Disclosure
“An Equal Opportunity Employee with a commitment to workforce diversification”
CITY OF ITHACA
108 East Green Street, Ithaca, New York 14850-6590
OFFICE OF THE CITY CLERK Telephone: 607-274-6570
Department of Public Information & Technology Fax: 607-274-6432
Alan Karasin, City Clerk www.cityofithaca.org
December 20, 2024
Dear Mayor Cantelmo and Common Council Members
An important part of your responsibility as an elected official of the City of Ithaca 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.
If you have questions about filling out any part of the form, or you believe that completing an item(s) on the
form would be inappropriate for you, please feel free to consult with the City Attorney.
If 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 interest 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. If 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.
If, after you have filed the Financial Disclosure Form, your situation changes (e.g. change of address,
change in investments) it is your responsibility to report such changes as soon as possible.
Sincerely yours,
Alan Karasin
Alan Karasin,
City Clerk
**If you would like additional guidance as to what is meant by “conflict of interest” see NYS General
Municipal Law Section 800 and 801.
ANNUAL STATEMENT OF FINANCIAL DISCLOSURE CITY OF ITHACA, NEW YORK
For Year: __________
Directions: This form must be completed in its entirety and submitted to the City Clerk by February 1st 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. If 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 Ithaca.
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 IV, of the City of Ithaca Municipal Code.
Last Name First Name Middle Initial
Residential Address Number Street City State Zip Code
Telephone E-Mail Address
City Title Department
Spouse/Partner Last Name First Name Middle Initial
Household
Member
Household Member
Household Member Household Member
3. Financial Interests: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: _______
If yes, please identify the business or organization:
C.Associations and Organizations:
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.
Occupation Name of Business/Activity Regulated By If yes, nature of
Organization Position Held Date(s) Held
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.
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 Ithaca:
(Please describe the principal activities and nature of the connection or contract with the city.)
F.DBA (Doing 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: ________
G.Investments and other assets:
You may exclude Mutual Funds and Blind Trusts from this section. Please itemize and
describe all investments (e.g. capital stock, bonds, IRA, 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).
Property Address Owned By
Principle Activities Nature of Connection with the City
DBA Name(s) Owner
Investment (Please specify 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.
I.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 propertyin Tompkins County, of a value greater than $1,000, other than from a relative:
4.Other Information:A. To the best of your knowledge are you or anyone in your household involved in anyorganization or activity or holding any asset, excluding those listed above, that could be aconflict of interest in performing the duties of your city position?
Yes: ________ No: _______
If yes, please explain:
B. Do you have any holdings, assets, or property held under any other name?Yes: ________ No: _______ Please explain:
5.Certification:
I certify that the responses herein are true and I understand that any willful misstatementconstitutes a violation of the City of Ithaca Municipal Code and subjects me to penaltiesprovided in Section 55.12 of the City Code.
Signature Date
05/04 01/19
Amount of Loan Purpose of Loan Lender or Recipient
Gift Given To Received from