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Executive Order 98-04
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Employee and Relative Disclosure Report
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Agency Information:
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Submitter Name:
(First and Last Name)
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Agency Number:
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Agency Name:
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For what quarter do you need to disclose?
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January 1 - March 31
April 1 - June 30
July 1 - September 30
October 1 - December 31
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Year:
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Do you have anything to report this quarter?:
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No
Yes
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