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HomeMy WebLinkAbout16- Gift Disclosure Form - D. Fine - Slack Technologies Networking Dinner toe Bohr. i rn,CO.p10� Submit by Email Print Form City of Bozeman P.O.Box 1230/121 North Rouse Avenue Bozeman,Montana agenda@bozeman.net 59771 Phone:406-582-2320 -582-2344 Gift Disclosure Form ww.b zeman.ne www.bozeman.net Date: 12-19-2016 Name: David Fine Department: Economic Development Phone#: 406-582-2973 Email address: dfine@bozeman.net Who gave the item? Dean Roberts,Slack Technologies,Inc. For what purpose? Business networking following tour of Slack headquarters Describe the Item: Dinner($26 pork chop,and 2$9 beers in San Franscisco,CA What is the Items Estimated Value? 1$44 Have you reviewed the Gift Provision on page 10 of the City of Bozeman Ethics Handbook to verify this is an item you can receive? Drop-down List Yes Comments: By submitting this form,you are confirming that the information contained herein is correct and true to the best of your knowledge. A digital signature can be created through the'submit by e-mail'button.If you prefer,you can also print,sign and mail or deliver to the clerk's office. Thank you! t Signature: LT"-- If you have questions about the gift provision please call or e-mail the City Attorney at(406)582-2309.