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The entity submitting this sworn statement, or one or more of the officers, directors, <br /> executives, partners, shareholders, employees, members, or agents, who are active in management of <br /> the entity, have the following relationships with a County Commissioner or County employee: <br /> Name of Affiliate Name of County Commissioner Relationship <br /> or entity or Employee <br /> 8. Based on information and belief, the Disclosure of Financial Conflict of Interest statement, which I <br /> have marked below, is true in relation to the entity submitting this sworn statement. [Please indicate <br /> which statement applies.] <br /> X Neither the entity submitting this sworn statement, nor any officers, directors, executives, <br /> partners, shareholders, employees, members, or agents who are active in management of the entity, <br /> have any financial or business relationships as defined under item number 6 above, with any County <br /> Commissioner or County employee. <br /> The entity submitting this sworn statement, or one or more of the officers, directors, <br /> executives, partners, shareholders, employees, members, or agents, who are active in management of <br /> the entity, has the following financial or business relationships with a County Commissioner or <br /> County employee: <br /> Name of Affiliate or Entity Name of County Commissioner Description of Business or Financial <br /> or Employee Relationship <br /> Local Jobs Grant Applicant Sworn Statement on Disclosure of Relationships Page 2 of 3183 <br />