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HomeMy WebLinkAbout2025 John-Paul Braschear FILE . FEB 1 UNIFORM CONFLICT OF INTEREST DISCLOSURE STATEMENTCLEI 0 2025 Cr � ; Stole Form 54266(R2/6-15)/Form 236 , STATE BOARD OF ACCOUNTS \ail K I ARK CI CUIT 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 adoptee (as defined in IC 31-9-2-2) of a public servant who is unemancipated and less than eighteen (18) years of age; and any individual more than one-half(1/2)of whose support is provided during a year by the public servant. 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 purchase connected with the governmental entity which I serve, proposed to be made by the governmental entity with or from a particular contractor or vendor; or b._ as an"annual" disclosure statement, as to my financial Interest connected with any contracts or purchases of the governmental entity which I 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 6. Description(s) of Contract(s) or Purchase(s) (Describe the kind of contract involved, and the effective date and term of the contract or purchase if reasonably determinable. Dates required if 4(a) is selected above. If"dependent"is involved,provide dependent's name and relationship.): Per!orrr GIS consulting services for Sly of Jefersonvlile slormwateddratrage dept.dunng toe 425 calendar year. Page 1of3 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 pecuniary interest in, the above contract(s) or purchase(s); if reasonably determinable, state the approximate dollar value of such profit or benefit.): As sperifled In the 2025 contract the total amount of GIS services performed wit rot exceed$15,000.00 for the 2025 calendar year,ann any amourt quieter will need to be ran escalated I(necessary. (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-supported college or university.): I (We)being the C^ or- of (Titled of Officer or Nam of Governing Body) C 4- �X-=-Q. `l 01 r ,Q and having the power to appoint (Name\of Governmental 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- 44.1-1-4; however, this approval does not waive any objection to any conflict prohibited by statute, rule,or regulation and Is not to be construed as a consent to any illegal act. 4) - ,(._:_p(-- ' Elected 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.): 1/22/25 1 {2q i c Date Submitted(month,day,year) Date of Action on Contract or Purchase(month,day,year) Page 2 of 3 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. �Q,� Signed: r lr P *i, l d 4 4/ (Signature of Public Servant) Date: 1/22/2025 (month, day,year) Printed Name: Jokh`t+'atJI 01-ashegf. (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 https://gateway.lfionline.orglsboa col/which Is the preferred method of filing,or by mailing it to the State Board of Accounts, Indiana Government Center South, 302 West Washington Street, Room E418, Indianapolis, Indiana, 46204-2765 and the Clerk of the Circuit Court of the county where the governmental entity took final action on the contract or purchase. Page 3 of 3