1. Give details of any employment or business carried on by you

Name of Employer or Body

Description of Employment Activity

Occasional freelance consultancy on self-employed basis

2. State the name of the person who employs or has appointed you, the name of any firm in which you are a partner, and/or the name of any company for which you are a remunerated Director

Name of Person or Body making Payments

None

3. State the name of any person (other than a county council, county borough council, community council, fire authority or National Park authority) who has made a payment to you either in respect of your election or any other expenses incurred by you in carrying out your duties as a member

Name of the Person making the Payment

None

4. State the name of any corporate body which has a place of business or land in the NORTH WALES area, and in which you have a beneficial interest in a class of securities of that body that exceeds a nominal value of £25,000 or one hundredth of the total issued share capital of that body

Name of Corporate Body

None

5. Describe any contract for goods, services or works made between any Council or North Wales Fire and Rescue Authority in the NORTH WALES area and yourself or a firm in which you are a partner, a company of which you are a remunerated Director, or a body of the description specified in paragraph (d) above.

Description of Contract

None

6. Give the address or other description (sufficient to identify the location) of any land in which you have a beneficial interest* and which is in the NORTH WALES area. (*this means being the owner, landlord or tenant of property (including your home), other than under a trust.

Address/Description of Property

Nature of interest in Property

Address in the County of Flintshire

7. Give the address or other description (sufficient to identify the location) of any land where the landlord is ANY Council in the NORTH WALES area and the tenant is a firm in which you are a partner, a company of which you are a remunerated Director, or a body of the description specified in paragraph (d) above.

Address/Description of Land

Nature of Interest in Property

None

8. Give the address or other description (sufficient to identify the location) of any land in the NORTH WALES area in which you have a licence (whether alone or jointly with others) to occupy for 28 days or longer.

Address/Description of Property

None

9. Body to which you were appointed or nominated by the Council as its representative

Name of Body

Position

None

10. Public authority or body exercising functions of a public nature

Name of Body

Position

Public Service Staff Commission – Commissioner appointed by Minister (appointment ends March 2018)

North Wales Housing Association – Vice Chair

Denbighshire Citizens’ Advice – Vice Chair

Flintshire County Council – Audit Committee Vice Chair

11. Company, industrial and provident society, charity or body directed to charitable purposes

Name of Body

Position

North Wales Housing Association – Vice Chair

Denbighshire CAB - Volunteer

12. Body whose principal purposes includes the influence of public opinion or policy

Name of Body

Position

None

13. Trade Union or professional association

Name of Body

Position

None

14. Private club, society or association operating within the north wales area

Name of Body

Position

None

1.             Have you, a member of your close family, or Partnerships, Companies or Trusts in which you or members of your close family have a controlling interest, entered into a financial transaction with the Authority during the period 1 April 2019 and 31 March 2020 e.g.  Your brother owns a building company that was awarded a contract to refurbish a fire station.

YES / NO

Please provide further details below if you answered yes

2.             Have you, a member of your close family, or Partnerships, Companies or Trusts in which you or members of your close family have a controlling interest, entered into a non-financial transaction or have any other relevant interest with the Authority during the period 1 April 2019 and
31 March 2020 e.g. Your business has been issued with a fire report. 

YES / NO

Please provide further details below if you answered yes

Have you received any gifts and/or hospitality during the period 1 April 2019 and 31 March 2020?

Name of Body

Gift/Hospitality