STATE OF NEW YO
LOCATION: ALFRED E. SMITH OFFICE BULDlNCi
MAILING ADDRESS; LEGISLATIVE OFFICE BUILDING * TO BO
PHONE:(S~~)AK-?R~MUS
The term r@calendary e a w &I1 mean the year e n h q the December 31st
preceding the date o f f i l h g of che annual statement.
(bl List any off ice, trusteeship, directorship,
partnership, or position of any nature, 'whether
compensated or not, held by t h e spouse or imemancipated
child of the reporting i n d i v i d u a l , with any firm,
corporation, association, partnership, or
organization other than the S t a t e of New York. Include
compensated honorary positions ; do HOT list meniberehip or
uncompensated honorary positions. If t h e listed entit
was licensed by any s t a t e or local agency, was regulate
by any state regulatory agency or local agency, or, as
regular and significant part of the business or activit
of said entity, d i d business w i t h , or had matters othe
t h a n ministerial matters before, any state or l o c a l
agency, l i s t the name of any such agency.
State o r
Position Organization Locql Agency
F
8. List below all n o t e s and accounts receivable, other than
from goods or services sold, held by the reporting
i n d i v i d u a l at t h e close of the taxable year l a s t occurring
p r i o r to the d a t e of filing and other debts owed to such
individual at t h e close of the taxable year l a s t o c c u r r i n g
p r i o r to t h e date of filing, in EXCESS of $1,000, including
ny, excluding securities reported i nitern 16 herein above
ebts, n o t e s and accounts receivable owed to the individua
y a relative s h a l l not be reported.
Type of Obligat
Date Due, and K
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