812 - Financial disclosure for local elected officials and certain officers and employees of counties, cities, towns and villages.

§  812.  Financial  disclosure for local elected officials and certain  officers and employees of counties, cities, towns and villages.    1. (a) Any political  subdivision  or  other  county,  city,  town  or  village  to  which  all  of  the  provisions  of  this  section are made  applicable, whether  as  the  result  of  the  provisions  contained  in  subdivision  two of section eight hundred eleven of this article or as a  result of an election to be subject to the provisions of this section as  permitted by subdivision two of this section, shall require (i) each  of  its  local elected officials and local officers and employees, (ii) each  local political party  official  and  (iii)  each  candidate  for  local  elected  official with respect to such political subdivision, to file an  annual statement of financial disclosure containing the information  and  in  the  form  set forth in subdivision five of this section except that  disclosure requirements for  assessors  who  are  not  covered  by  this  article  shall  be governed by the requirements of section three hundred  thirty-six of the real property tax law. Such statement shall  be  filed  on  or  before  the  fifteenth  day of May with respect to the preceding  calendar year, except that:    (i) a person who is subject to  the  reporting  requirements  of  this  subdivision  and  who  timely filed with the internal revenue service an  application for automatic extension of time in which to file his or  her  individual  income  tax return for the immediately preceding calendar or  fiscal  year  shall  be  required  to  file  such  financial  disclosure  statement on or before May fifteenth but may, without being subjected to  any  civil  penalty  on  account of a deficient statement, indicate with  respect to any item of the disclosure statement  that  information  with  respect  thereto  is  lacking  but  will  be supplied in a supplementary  statement of financial disclosure, which shall be filed on or before the  seventh day after  the  expiration  of  the  period  of  such  automatic  extension  of  time  within  which  to  file  such individual income tax  return,  provided  that  failure  to  file  or  to  timely   file   such  supplementary  statement  of  financial  disclosure  or the filing of an  incomplete or deficient supplementary statement of financial  disclosure  shall  be  subject  to the notice and penalty provisions of this section  respecting  annual  statements  of  financial  disclosure  as  if   such  supplementary statement were an annual statement;    (ii)  a  person who is required to file an annual financial disclosure  statement with  the  temporary  state  commission  on  local  government  ethics,  and who is granted an additional period of time within which to  file such statement due to  justifiable  cause  or  undue  hardship,  in  accordance  with  required  rules and regulations on the subject adopted  pursuant to paragraph c of subdivision nine  of  section  eight  hundred  thirteen   of  this  article,  shall  file  such  statement  within  the  additional period of time granted;    (iii) candidates for  local  elected  official  who  file  designating  petitions for nomination at a primary election shall file such statement  within  seven  days  after the last day allowed by law for the filing of  designating petitions naming them as candidates for the next  succeeding  primary election;    (iv)  candidates for independent nomination for local elected official  who have not been designated by a party to receive  a  nomination  shall  file  such statement within seven days after the last day allowed by law  for the filing  of  independent  nominating  petitions  naming  them  as  candidates  for local elected official in the next succeeding general or  special or village election; and    (v) candidates for local elected official who receive  the  nomination  of  a  party  for  a special election or who receive the nomination of a  party  other  than  at  a  primary  election  (whether  or  not  for  anuncontested  office)  shall  file such statement within seven days after  the date of the meeting  of  the  party  committee  at  which  they  are  nominated.    (b)  As used in this subdivision, the terms "party", "committee" (when  used in conjuction with the  term  "party"),  "designation",  "primary",  "primary election", "nomination", "independent nomination", "ballot" and  "uncontested  office" shall have the same meanings as those contained in  section 1-104 of the election law.    (c) Such statement shall  be  filed  with  the  appropriate  body,  as  defined in section eight hundred ten of this article.    (d)  The  appropriate body, as defined in section eight hundred ten of  this article, shall obtain from the "board of elections", as  such  term  is defined in section 1-104 of the election law, lists of all candidates  for  local  elected  official,  and from such lists, shall determine and  publish lists of those candidates who have not, within  ten  days  after  the  required  date  for  filing  such  statement,  filed  the statement  required by this subdivision.    (e) Local political party officials and any person  required  to  file  such  statement who commences employment after May fifteenth of any year  shall file such statement within thirty days after commencing employment  or of taking the position of local political party official, as the case  may be.    (f) A person who  is  subject  to  the  filing  requirements  of  both  subdivision  two  of  section seventy-three-a of the public officers law  and of this subdivision may satisfy the requirements of this subdivision  by  filing  a  copy  of  the  statement  filed   pursuant   to   section  seventy-three-a of the public officers law with the appropriate body, as  defined  in  section eight hundred ten of this article, on or before the  filing   deadline   provided   in    such    section    seventy-three-a,  notwithstanding   the   filing   deadline   otherwise  imposed  by  this  subdivision.    (g) A person who  is  subject  to  the  filing  requirements  of  this  subdivision  from  more  than  one political subdivision within the same  county may satisfy the requirements of this subdivision by  filing  only  one  annual  statement of financial disclosure with the appropriate body  (as is required in that county) for the county in which  such  political  subdivisions  are located or if such political subdivisions cross one or  more county boundary lines, then such single filing may be made for  any  of  the  counties in which one of such political subdivisions is located  provided, however, that the appropriate  bodies  (as  required  by  such  other  counties)  are  notified  of  the  name  of  the  county  of such  compliance by the person who is subjected to the filing requirements  of  this  subdivision,  within  the  time limit for filing specified in this  subdivision.    (h) A local elected official who is  simultaneously  a  candidate  for  local elected official shall satisfy the filing deadline requirements of  this  subdivision  by complying only with the deadline applicable to one  who holds such local elected office.    (i) A candidate whose name will appear on  both  a  party  designating  petition  and  on an independent nominating petition for the same office  or who will be listed on the election ballot for the  same  office  more  than  once  shall  satisfy  the  filing  deadline  requirements  of this  subdivision by complying with the earliest applicable deadline only.    2. The governing body of a county, city,  town  or  village  having  a  population  of  less  than  fifty thousand may by local law or ordinance  elect to be subject to the provisions of this section.  In  such  event,  any such city, county, town or village shall be deemed to be a political  subdivision under this section.3. Any political subdivision or other county, city, town or village to  which all of the provisions of this section are made applicable, whether  as  a  result  of the provisions contained in subdivision two of section  eight hundred eleven of this article or as a result of an election to be  subject  to  the  provisions of this section as permitted by subdivision  two of this section, may elect to remove itself from the  ambit  of  all  (but  not some) provisions of this section (other than this subdivision)  by adopting a local law, ordinance or resolution specifically  referring  to  the authority conferred by this subdivision. Provided, however, that  the terms of such local law, ordinance or resolution shall be subject to  the following conditions and limitations:    (a) Such local law, ordinance  or  resolution  must  provide  for  the  promulgation  of  a  form of an annual statement of financial disclosure  described in subdivision one of section eight  hundred  eleven  of  this  article  for use with respect to information the governing body requires  to be reported for the calendar year next succeeding the year  in  which  such  local  law,  ordinance  or  resolution is adopted and for use with  respect to information required to be reported for  subsequent  calendar  years;  and  shall  provide  for the filing of completed statements with  either the temporary state commission on local government ethics or with  the board of ethics of the political subdivision or other  municipality,  as  specified in subdivision one of section eight hundred eleven of this  article.    (b) Such removal shall not be effective with  respect  to  the  annual  financial  disclosure statement for the calendar year in which the local  law, ordinance or resolution is adopted (the filing of  which  statement  is  due  on  May  fifteenth  of  the  next  succeeding year with certain  exceptions), nor shall such removal be effective  with  respect  to  any  required  annual  financial  disclosure  statement  for  the immediately  preceding calendar year (the filing of which statement  is  due  on  May  fifteenth  (with  certain exceptions) of the calendar year in which such  local law, ordinance or resolution is adopted), nor shall  such  removal  be  effective  with respect to any other preceding year but such removal  shall apply first to the statement which would  have  been  due  on  May  fifteenth  (with  certain exceptions) of the second year next succeeding  the year in which such local law, ordinance or  resolution  is  adopted,  and  such  removal  shall  apply  thereafter  to  subsequent  statements  otherwise due pursuant to this section.    (c) Such removal  shall  not  affect  the  power  to  impose,  or  the  imposition  of,  a  penalty for failure to file, or for false filing, of  any required annual financial disclosure statement.    (d) The local law, ordinance or resolution referred  to  in  paragraph  (a)  of  this  subdivision  or  any  other  such local law, ordinance or  resolution so adopted may make provision for any other right,  power  or  privilege  granted  by  subdivision  one  of  such section eight hundred  eleven.    4. Nothing contained in this section shall be construed as  precluding  the  governing body of a political subdivision from requiring additional  and/or more detailed items of financial disclosure than are set forth in  subdivision five hereinbelow.    5. The annual statement of  financial  disclosure  shall  contain  the  information and shall be in the form set forth hereinbelow:                 ANNUAL STATEMENT OF FINANCIAL DISCLOSURE FOR     (Insert Name of Political Subdivision) - (For calendar year ________)1. Name ________________________________________________________________  2. (a) Title of Position _______________________________________________     (b) Department, Agency or other Governmental Entity _________________     (c) Address of Present Office _______________________________________     (d) Office Telephone Number _________________________________________  3. (a) Marital  Status  ______________. If married, please give spouse's         full name including maiden name where applicable.          ________________________________________ .      (b) List the names of all unemancipated children.          ___________________________________         ___________________________________         ___________________________________         ___________________________________         ___________________________________        Answer each of the following questions completely, with respect  to     calendar  year  _________, unless another period or date is otherwise     specified. If additional space is needed, attach additional pages.       Whenever a "value" or "amount" is required to be  reported  herein,     such  value  or  amount  shall be reported as being within one of the     following Categories: Category A - under $5,000; Category B -  $5,000     to under $20,000; Category C - $20,000 to under $60,000; Category D -     $60,000  to  under $100,000; Category E - $100,000 to under $250,000;     and Category F - $250,000  or  over.  A  reporting  individual  shall     indicate the Category by letter only.       For  the  purposes  of  this  statement,  anywhere  the term "local     agency" shall appear such term shall mean a local agency, as  defined     in  section  eight  hundred  ten of the general municipal law, of the     political subdivision for which this financial  disclosure  statement     has been filed.   4. (a) List  any  office,  trusteeship,  directorship,  partnership,  or     position of any nature including honorary positions,  if  known,  and     excluding  membership  positions, whether compensated or not, held by     the reporting individual with  any  firm,  corporation,  association,     partnership,  or  other organization other than the State of New York     or (insert  name  of  political  subdivision).  If  said  entity  was     licensed  by  any  state  or local agency, was regulated by any state     regulatory agency or local agency, or, as a regular  and  significant     part  of  the business or activity of said entity, did business with,     or had matters other than ministerial matters before,  any  state  or     local agency, list the name of any such agency.                                                                State or     Position             Organization                        Local Agency      _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________      (b) List  any  office,  trusteeship,  directorship,  partnership,  or     position of any nature including honorary positions,  if  known,  and     excluding  membership  positions, whether compensated or not, held bythe spouse or unemancipated child of the reporting  individual,  with     any   firm,   corporation,   association,   partnership,   or   other     organization other than the State of New York.  If  said  entity  was     licensed  by  any  state  or local agency, was regulated by any state     regulatory agency or local agency, or, as a regular  and  significant     part  of  the business or activity of said entity, did business with,     or had matters other than ministerial matters before,  any  state  or     local agency, list the name of any such agency.                                                                State or     Position             Organization                        Local Agency      _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________   5. (a) List  the  name,  address  and  description  of  any  occupation,     employment, trade, business or profession engaged in by the reporting     individual. If such activity was  licensed  by  any  state  or  local     agency, was regulated by any state regulatory agency or local agency,     or,  as a regular and significant part of the business or activity of     said entity, did business with, or had matters other than ministerial     matters before, any state or local agency, list the name of any  such     agency.                                                               State or                       Name & Address                          Local        Position       of Organization       Description       Agency      _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________      (b) If  the spouse or unemancipated child of the reporting individual     was  engaged  in  any  occupation,  employment,  trade,  business  or     profession  which activity was licensed by any state or local agency,     was regulated by any state regulatory agency or local agency, or,  as     a  regular  and  significant part of the business or activity of said     entity, did business with, or  had  matters  other  than  ministerial     matters before, any state or local agency, list the name, address and     description  of  such  occupation,  employment,  trade,  business  or     profession and the name of any such agency.                                                               State or                       Name & Address                          Local        Position       of Organization       Description       Agency      _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________6. List any interest, in excess of $1,000, excluding  bonds  and  notes,     held  by  the  reporting  individual,  such  individual's  spouse  or     unemancipated child, or partnership of which any  such  person  is  a     member,  or corporation, ten per centum or more of the stock of which     is  owned  or  controlled  by  any  such  person,  whether  vested or     contingent, in any contract made or executed  by  a  state  or  local     agency  and  include the name of the entity which holds such interest     and the relationship of the reporting individual or such individual's     spouse or such  child  to  such  entity  and  the  interest  in  such     contract.  Do  not  list  any  interest in any such contract on which     final payment has been made and all obligations  under  the  contract     except  from guarantees and warranties have been performed, provided,     however, that such an interest must be listed if there  has  been  an     ongoing  dispute during the calendar year for which this statement is     filed with respect to any such guarantees or warranties. Do not  list     any  interest  in a contract made or executed by a state agency after     public notice and pursuant to a process for competitive bidding or  a     process for competitive requests for proposals.                    Entity        Relationship    Contracting     Category       Self,     Which Held       to Entity        State or         of     Spouse or   Interest in     and Interest       Local        Value of       Child      Contract       in Contract        Agency       Contract      _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________   7. List  any position the reporting individual held as an officer of any     political party  or  political  organization,  as  a  member  of  any     political  party  committee, or as a political party district leader.     The term "party" shall have  the  same  meaning  as  "party"  in  the     election  law.  The  term "political organization" means any party or     independent body as defined in the election law or  any  organization     that  is  affiliated  with  or a subsidiary of a party or independent     body.      _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________   8. (a) If the reporting individual practices law,  is  licensed  by  the     department  of  state as a real estate broker or agent or practices a     profession licensed by the department of education,  give  a  general     description  of  the principal subject areas of matters undertaken by     such individual.  Additionally, if such an individual practices  with     a  firm or corporation and is a partner or shareholder of the firm or     corporation, give a general description of principal subject areas of     matters undertaken by such firm or corporation. Do not list the  name     of the individual clients, customers or patients.      _____________________________________________________________________     _____________________________________________________________________     __________________________________________________________________________________________________________________________________________     _____________________________________________________________________      (b) List  the  name, principal address and general description or the     nature of the business activity of any entity in which the  reporting     individual or such individual's spouse had an investment in excess of     $1,000  excluding  investments  in  securities  and interests in real     property.      _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________   9. List each source  of  gifts,  excluding  campaign  contributions,  in     excess of $1,000, received during the reporting period for which this     statement  is  filed by the reporting individual or such individual's     spouse or unemancipated child from the same  donor,  excluding  gifts     from  a relative. Include the name and address of the donor. The term     "gifts" does not include reimbursements, which  term  is  defined  in     item 10. Indicate the value and nature of each such gift.                                                                   Category     Self,                                                           of     Spouse or      Name of                       Nature          Value of     Child           Donor         Address        of Gift           Gift      _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________     _____________________________________________________________________   10. Identify  and  briefly describe the source of any reimbursements for      expenditures, excluding campaign expenditures  and  expenditures  in      connection   with   official  duties  reimbursed  by  the  political      subdivision for which this statement has been filed,  in  excess  of      $1,000  from  each  such source. For purposes of this item, the term      "reimbursements" shall mean any travel-related expenses provided  by      nongovernmental  sources and for activities related to the reporting      individual's  official  duties  such   as,   speaking   engagements,      conferences,  or  factfinding events. The term "reimbursements" does      not include gifts reported under item 9.       Source                              Description       ____________________________________________________________________      ____________________________________________________________________      ____________________________________________________________________      ____________________________________________________________________      ____________________________________________________________________   11. List the identity and value, if reasonably  ascertainable,  of  each      interest  in a trust, estate or other beneficial interest, including      retirement plans other than retirement plans of  the  state  of  New      York  or  the  city  of  New  York,  and deferred compensation plans      established in accordance with the internal revenue code,  in  whichthe  reporting  individual  held  a beneficial interest in excess of      $1,000 at  any  time  during  the  preceding  year.  Do  not  report      interests   in   a   trust,  estate  or  other  beneficial  interest      established by or for, or the estate of, a relative.                                           Category                                             of      Identity                             Value*       ____________________________________________________________________      ____________________________________________________________________      ____________________________________________________________________      ____________________________________________________________________      ____________________________________________________________________       _______________      * The  value  of  such interest shall be reported only if reasonably        ascertainable.   12. (a) Describe the  terms  of,  and  the  parties  to,  any  contract,      promise, or other agreement between the reporting individual and any      person,  firm, or corporation with respect to the employment of such      individual after leaving office or position (other than a  leave  of      absence).       ____________________________________________________________________      ____________________________________________________________________      ____________________________________________________________________      ____________________________________________________________________      ____________________________________________________________________       (b)  Describe  the  parties  to  and  the  terms  of  any  agreement      providing for continuation of payments or benefits to the  reporting      individual  in excess of $1,000 from a prior employer other than the      political subdivision for  which  this  statement  is  filed.  (This      includes   interests   in   or  contributions  to  a  pension  fund,      profit-sharing  plan,  or  life   or   health   insurance;   buy-out      agreements; severance payments; etc.)       ____________________________________________________________________      ____________________________________________________________________      ____________________________________________________________________      ____________________________________________________________________      ____________________________________________________________________   13. List  below  the nature and amount of any income in excess of $1,000      from each source for the reporting individual and such  individual's      spouse  for  the  taxable  year  last occurring prior to the date of      filing. Nature of income includes, but is not limited to, salary for      government employment,  income  from  other  compensated  employment      whether   public  or  private,  directorships  and  other  fiduciary      positions, contractual arrangements, teaching income,  partnerships,      honorariums,  lecture fees, consultant fees, bank and bond interest,      dividends, income derived from  a  trust,  real  estate  rents,  and      recognized  gains  from  the  sale  or  exchange  of  real  or other      property. Income from a business or profession and real estate rents      shall be reported with the source identified by the building address      in the case of real estate rents and otherwise by the  name  of  theentity  and  not by the name of the individual customers, clients or      tenants, with  the  aggregate  net  income  before  taxes  for  each      building  address  or entity. The receipt of maintenance received in      connection  with  a  matrimonial  action,  alimony and child support      payments shall not be listed.                                                         Category      Self/                                                of      Spouse         Source         Nature               Amount       ____________________________________________________________________      ____________________________________________________________________      ____________________________________________________________________      ____________________________________________________________________      ____________________________________________________________________   14. List the sources of any deferred income in  excess  of  $1,000  from      each  source  to  be  paid to the reporting individual following the      close of the calendar year for which this  disclosure  statement  is      filed,   other  than  deferred  compensation  reported  in  item  11      hereinabove.   Deferred  income  derived  from  the  practice  of  a      profession  shall  be  listed in the aggregate and shall identify as      the source, the  name  of  the  firm,  corporation,  partnership  or      association  through  which  the  income  was derived, but shall not      identify individual clients.                                                Category                                                  of      Source                                    Amount       ____________________________________________________________________      ____________________________________________________________________      ____________________________________________________________________      ____________________________________________________________________      ____________________________________________________________________   15. List each assignment of income in excess of $1000, and each transfer      other than to a relative during the reporting period for which  this      statement  is  filed for less than fair consideration of an interest      in a trust, estate or other beneficial interest, securities or  real      property,  by  the  reporting  individual, in excess of $1000, which      would otherwise be required to be reported herein and is not or  has      not been so reported.                                                               Category      Item Assigned                 Assigned or                  of      or Transferred                Transferred to             Value       ____________________________________________________________________      ____________________________________________________________________      ____________________________________________________________________      ____________________________________________________________________      ____________________________________________________________________   16. List  below  the  type  and  market  value of securities held by the      reporting individual or such individual's spouse from  each  issuing      entity  in  excess  of  $1,000 at the close of the taxable year last      occurring prior to the date of filing, including  the  name  of  theissuing  entity  exclusive  of  securities  held  by  the  reporting      individual  issued  by  a  professional  corporation.  Whenever   an      interest  in  securities  exists  through a beneficial interest in a      trust, the securities held in such trust shall be listed only if the      reporting   individual   has  knowledge  thereof  except  where  the      reporting  individual  or  the  reporting  individual's  spouse  has      transferred  assets  to  such  trust for his or her benefit in which      event  such  securities  shall  be  listed  unless  they   are   not      ascertainable  by  the  reporting  individual because the trustee is      under an obligation  or  has  been  instructed  in  writing  not  to      disclose  the  contents  of  the  trust to the reporting individual.      Securities of  which  the  reporting  individual  or  the  reporting      individual's  spouse  is  the  owner  of  record  but  in which such      individual or the reporting individual's spouse  has  no  beneficial      interest  shall  not  be listed. Indicate percentage of ownership if      the reporting person or the reporting  person's  spouse  holds  more      than  five  percent of the stock of a corporation in which the stock      is publicly traded or more than  ten  percent  of  the  stock  of  a      corporation  in  which  the  stock is not publicly traded. Also list      securities owned for investment purposes by a corporation more  than      fifty  percent  of  the stock of which is owned or controlled by the      reporting individual or such individual's spouse. For the purpose of      this item the term "securities" shall mean bonds, mortgages,  notes,      obligations,  warrants and stocks of any class, investment interests      in limited or general partnerships and certificates of deposits  and      such other evidences of indebtedness and certificates of interest as      are  usually  referred  to  as securities. The market value for such      securities shall be reported only if  reasonably  ascertainable  and      shall  not  be  reported if the security is an interest in a general      partnership that was listed in item 8 (a)  or  if  the  security  is      corporate  stock,  not  publicly traded, in a trade or business of a      reporting individual or a reporting individual's spouse.                                          Category of                                         Market Value as                                         of the close of                                         the taxable year                                         last occurring   Percentage                                         prior to the     of corporate      Self/       Issuing    Type of     filing of this   stock owned or      Spouse      Entity     Security    statement        controlled      __________  _________  __________  ______________   ______________      __________  _________  __________  ______________   ______________      __________  _________  __________  ______________   ______________      __________  _________  __________  ______________   ______________      __________  _________  __________  ______________   ______________   17. List below the location, size,  general  nature,  acquisition  date,      market  value  and  percentage  of ownership of any real property in      which any vested or contingent interest in excess of $1,000 is  held      by  the  reporting  individual or the reporting individual's spouse.      Also  list  real  property  owned  for  investment  purposes  by   a      corporation  more  than fifty percent of the stock of which is owned      or controlled by  the  reporting  individual  or  such  individual's      spouse.  Do  not  list  any  real  property  which is the primary or      secondary personal residence of  the  reporting  individual  or  the      reporting  individual's spouse, except where there is a co-owner who      is other than a relative.Self/                                           Category      Spouse/                                            of     Percentage      Other                    General  Acquisition    Market       of      Party    Location  Size  Nature      Date        Value    Ownership       ______   ________  ____  ______   ___________  ________  ___________      ______   ________  ____  ______   ___________  ________  ___________      ______   ________  ____  ______   ___________  ________  ___________      ______   ________  ____  ______   ___________  ________  ___________      ______   ________  ____  ______   ___________  ________  ___________   18. List  below all notes and accounts receivable, other than from goods      or services sold, held by the reporting individual at the  close  of      the  taxable  year  last  occurring  prior to the date of filing and      other debts owed to such individual at the close of the taxable year      last occurring prior to the date of filing,  in  excess  of  $1,000,      including  the  name of the debtor, type of obligation, date due and      the nature of the collateral  securing  payment  of  each,  if  any,      excluding  securities  reported in item 16 hereinabove. Debts, notes      and accounts receivable owed to the individual by a  relative  shall      not be reported.                           Type of Obligation,                Category                          Date Due, and Nature                  of      Name of Debtor      of Collateral, if any               Amount       __________________ ____________________________ __________________      __________________ ____________________________ __________________      __________________ ____________________________ __________________      __________________ ____________________________ __________________      __________________ ____________________________ __________________   19. List  below  all  liabilities  of  the reporting individual and such      individual's spouse, in excess of $5,000 as of the date of filing of      this statement, other than liabilities to a relative.  Do  not  list      liabilities  incurred  by,  or  guarantees  made  by,  the reporting      individual or such individual's spouse  or  by  any  proprietorship,      partnership or corporation in which the reporting individual or such      individual's  spouse  has  an interest, when incurred or made in the      ordinary course of the trade, business or professional  practice  of      the  reporting  individual  or such individual's spouse. Include the      name of the creditor and any collateral pledged by  such  individual      to  secure  payment  of  any  such liability. A reporting individual      shall not list any obligation to pay maintenance in connection  with      a  matrimonial  action, alimony or child support payments. Revolving      charge account information shall only  be  set  forth  if  liability      thereon  is  in  excess  of  $5,000  at the time of filing. Any loan      issued in the ordinary course of business by a financial institution      to  finance  educational  costs,  the  cost  of  home  purchase   or      improvements  for a primary or secondary residence, or purchase of a      personally owned motor vehicle, household  furniture  or  appliances      shall  be  excluded.  If  any  such  reportable  liability  has been      guaranteed by any third person, list  the  liability  and  name  the      guarantor.                                                         Category      Name of Creditor      Type of Liability              of      or Guarantor        and Collateral, if any         Amount__________________ ____________________________ __________________      __________________ ____________________________ __________________      __________________ ____________________________ __________________      __________________ ____________________________ __________________      __________________ ____________________________ __________________        The  requirements  of  law  relating to the reporting of financial      interests are in the public interest and  no  adverse  inference  of      unethical  or  illegal conduct or behavior will be drawn merely from      compliance with these requirements.       _____________________________________           _____________________      (Signature of Reporting Individual)             Date (month/day/year)     6. A reporting individual who knowingly and wilfully fails to file  an  annual  statement  of financial disclosure or who knowingly and wilfully  with intent to deceive makes a  false  statement  or  gives  information  which  such  individual knows to be false on such statement of financial  disclosure filed pursuant to this section  shall  be  assessed  a  civil  penalty in an amount not to exceed ten thousand dollars. Assessment of a  civil  penalty  hereunder shall be made by the appropriate body, as such  term is defined in section eight hundred ten  of  this  article.  For  a  violation  of this subdivision, other than for conduct which constitutes  a violation of subdivision twelve of section seventy-three of the public  officers law, the board of ethics of the political subdivision or  other  municipality  may,  in lieu of a civil penalty, refer a violation to the  appropriate prosecutor and upon such conviction,  but  only  after  such  referral, such violation shall be punishable as a class A misdemeanor. A  civil penalty for false filing may not be imposed hereunder in the event  a category of "value" or "amount" reported hereunder is incorrect unless  such  reported  information  is falsely understated. Notwithstanding any  other provision of law to the  contrary,  no  other  penalty,  civil  or  criminal may be imposed for a failure to file, or for a false filing, of  such   statement,  except  that  the  appointing  authority  may  impose  disciplinary action as otherwise provided by law. Each appropriate body,  as such term is defined in section eight hundred ten  of  this  article,  shall  adopt rules governing the conduct of adjudicatory proceedings and  appeals relating  to  the  assessment  of  the  civil  penalties  herein  authorized.   Such  rules  shall  provide  for  due  process  procedural  mechanisms substantially similar to those set forth in article three  of  the  state  administrative procedure act but such mechanisms need not be  identical in terms or scope. Assessment of  a  civil  penalty  shall  be  final  unless  modified,  suspended  or  vacated  within  thirty days of  imposition and upon becoming final shall be subject  to  review  at  the  instance  of the affected reporting individual in a proceeding commenced  against the appropriate body, pursuant to article seventy-eight  of  the  civil practice law and rules.