Instructions For Form 19 - General Assembly Financial Disclosure Statement (Page 6 of 9) in pdf

must report your personal residence if it is owned directly by you, attributable to you or

rented by you. Note also that all appropriate information (e.g., date, seller, etc.) must be reported

for land you own whether or not you have constructed improvements on it.

Schedule A deals with real property interests only; do not report here your interests in business

entities. If real property held by an entity is attributable to you, or is a partnership, limited liability

partnership, or limited liability company property, list the real property on this Schedule. Report your

interest in the entity on Schedule B, C, or H (whichever is appropriate) if it falls within the reporting

requirements of those Schedules.

Please answer the Questions 1 through 11 as appropriate. The Ethics Law requires for each

property to be disclosed that you give the location, the type of property, the nature and extent of your

interest, the identity of other persons holding an interest in the property, encumbrances, date and

manner of acquisition, the identity of the person from whom you acquired the property, and the nature

and amount of consideration. Additionally, if you transferred the property during the calendar year,

the name of the person to whom you transferred the property, the portion of interest transferred and

the amount of consideration received are required to be disclosed.

SCHEDULE B. Interests in Corporations/Partnerships

Report all interests in any corporation, partnership, limited liability partnership or limited

liability company held by you during the reporting period, whether or not the entity does business

with the State. Examples of frequently disclosed items on this schedule are corporate stocks,

corporate bonds, and partnerships. Interests in publicly traded mutual funds or exchange-traded

funds traded on a national scale need not be disclosed unless the mutual fund or exchange-traded

fund is composed primarily of holdings of stocks and interests in a specific sector or area that is

regulated by the filer’s governmental unit. Filers are not required to disclose holdings in an Internal

Revenue Service qualified trust or college savings plan. This would include the State of Maryland §

401(a), § 401(k) and § 457 (deferred compensation) plans. This would also include Maryland College

Savings Plans, such as 529 investment accounts. Other possible qualified retirement accounts

include 403(b) plans. Filers must determine whether the plan in which they participate meets the

requirements for exemption from disclosure. (See definition of “interest” in glossary of terms.)

Please answer the Questions 1 through 8 as appropriate. The Ethics Law requires for each

interest to be disclosed that you give the name and address of the entity, the nature and extent of

your interest, the amount of the interest, other interests held in the entity, and any encumbrances or

conditions. Additionally, if the interest was acquired during the calendar year, the date and manner of

acquisition, the identity of the person from whom you acquired the interest, and the nature and amount

of consideration will need to be disclosed. If the acquisition solely consists of an addition to an

existing, publicly traded corporate interest acquired by dividend or dividend reinvestment and the total

value is less than $500, you need not provide any additional information.

Finally, if you transferred the interest during the calendar year, the name of the person to whom

you transferred the interest (if known), the portion of interest transferred and the amount of

consideration received.

NOTE: In lieu of completing a separate Schedule B for each interest owned, you may upload a

year-end statement from your broker identifying your holdings, provided the statement includes all of

the information required by Schedule B for each interest you held during the calendar year. Do not

confuse a year-end statement (acceptable), reflecting the activity during the course of the entire

calendar year, with a statement for the month of December (not acceptable), reflecting only the activity

during the month of December. If you elect to upload a year-end statement, you should redact

information such as account numbers and social security numbers before doing so, as the statement

is available for review by the public.

Page 6 of 9

October1, 2017

Instructions For Form 19 - General Assembly Financial Disclosure Statement Page 6

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