|
Name of relevant person making disclosure
|
Description of gift
|
Name and address of person who made gift
|
Date gift was received
|
Estimated value of gift at time it was made |
Nature of relationship between relevant person and person who made gift |
For a gift that is
a travel contribution— description and date of travel
|
For an excluded
gift under s. 5.62(1B)(a) —the date of the approval referred to in
s. 5.62(1B)(a)(ii)and the reasons for the approval
|