HomeMy WebLinkAbout2024 John-Paul Brashear �h 13 202 F 1 E, -1---7, \--! - -.,
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y\I UNIFORM CONFLICT OF INTEREST DISCLOSURE STATEMYN
''/)J State Fo rn 54288(R2!8 15J Form 238
���% STATE BOARD OF ACCOUNTS t
CLERK' LARK CI COURTS
Indiana Code 35-44.1-1-4
A public servant who knowingly or intentionally has a pecuniary interest in or derives a profit from
a contract or purchase connected with an action by the governmental entity served by the public servant
commits conflict of interest, a Class D Felony. A public servant has a pecuniary Interest in a contract or
purchase if the contract or purchase will result or is Intended to result In an ascertainable increase in the
income or net worth of the public servant or a dependent of the public servant. "Dependent" means any
of the following: the spouse of a public servant; a child, stepchild, or adopetaee (rs as f a a andn any IC 1-9i2-2)
of a public servant who is u support
ispovided durinan g a year hteen by the public servant.
more than one-half(1/2)of whose p
The foregoing consists only of excerpts from IC 35-44.1-1-4. Care should be taken to review IC
35-44.1-1-4 In its entirety.
1. Name and Address of Public Servant Submitting Statement: John-Paul Brashear
2. Title or Position With Governmental Entity: GIS Administrator
3. a. Governmental Entity: City of Jeffersonville
b. County: Clark -
4. This statement is submitted(check one):
a. as a"single transaction"disclosure statement,as to my financial interest in a specific contract or
' governmental entity with or from ith the oa particular contractor)or vendech I e orropased to tie made by the
b.✓ as an "annual" disclosure statement, as to my financial Interest connected with any contracts or
purchases of the governmental entity which t serve, which are made on an ongoing basis with or
from particular contractors or vendors.
•
5. Name(s)of Contractor(s)or Vendor(s): John-Paul Brashear GIS Consulting Services
6. Description(s) of Contract(s) or Purchase(s) (Describe the kind of contract involved, and the
effectivedate and above.term
If dependent"is Involved,provide dependent'shase If ty name ande. Dates relationship.):required if 4(a)
is selected
Annual(CIS cnnauRng selvtars:or the City or JettersoeviPD drainage depl.
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7. Description of My Financial Interest (Describe in what manner the public servant or "depen-
dent"expects to derive a profit or financial benefit from, or otherwise has a pecuniaary in terest dolling
the above contract(s) or purchase(s); if reasonablydeterminable, state the app to
value of such profit or benefit.):
The total amount of GIS Servlcaa pertnrmeg w,ll nal ototaa0$13,000.00 fcr the 2024 ca!en0or year
(Attach extra pages if additional space is needed.)
8. Approval of Appointing Officer or Body (To be completed if the public servant was appointed by
an elected public servant or the board of trustees of a state-sup orted college or university.):
I(We)being the Or°,.1/4 v•-o` 'C3a
CIn0 of
(Title of Officer or Name of Governing Body)
Lx v-c...1 v' e. e i lock. ok and having the power to appoint
(Name of Govemthental Entity)
the above named public servant to the public position to which he or she holds, hereby approve the
participation to the appointed disclosing public servant in the above described contract(s) or
purchase(s) in which said public servant has a conflict of Interest as defined in Indiana Code 35-
rule,orregu regulation is notp to be cees not waive onstrued as a consent to any illegalection to conflict
ct lint prohibited by statute,
(--r: sl,_„,- Pir71)/4402& ---1:2010115,
E ed Official Office
9. Effective Dates (Conflict of interest statements must be submitted to the governmental entity prior
to final action on the contract or purchase.):
Date Subrnitt1d( nth,day,year) Date of Action on Conti ct or urchase(month,day,year)
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10. Affirmation of Public Servant: This disclosure was submitted to the governmental entity and
accepted by the governmental entity In a public meeting of the governmental entity prior to final
action on the contract or purchase, I affirm, under penalty of perjury, the truth and completeness of
the statements made above,and that I am the above named public servant.
Signed:— "`
Signature of Public Servant)
Date: j/3/9 -4-
(month, day, yeL p
Printed Name: �a{�k'Piv i rgSief
(Please print legibly.)
Email Address: jbrashear1575@gmail.com
Within fifteen (15) days after final action on the contract or purchase, copies of this statement must be
filed with the State Board of Accounts by uploading It here httos://eateway.ifionline.orgisbna cgi/which is
the preferred method of filing, or by mailing it to the State Board of Accounts, Indiana Government Center
Sianapolis, Indiana,
4-2785 and the Clerk of
Circuit Court f the county where the goverrnmenttaliennt entity took final action O on the contract or purchase.the
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