Meriden Council members questionnaire

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City of Meriden, Connecticut DEPARTMENT OF LAW

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142 EAST MAIN STREET

MERIDEN. CONNECllCUT 06450-8022 TELEPHONE (203) 630-4045 FAX (203) 630-7907

Michael D. Quinn, Esq. Corporation Counsel

March 12,2009

Dear Prospective Board/Commission member: Congratulations on your nomination to a board or commission for the City of Meriden.

Your willingness to volunteer your time is greatly appreciated. On behalf of the Mayor and City Council, I am writing to request that you provide answers to the following questions for purposes of the nomination process. We respect your right to privacy and will hold your answers in the strictest of confidences. However, failure to provide complete and accurate answers may result in a decision by the Mayor and the City Council not to confirm you for this position.

Please fill out and answer the questions in the attached questionnaire and return it to the Mayor's Office, c/o Jacqueline Fordiani, Constituent Caseworker, 142 East Main Street, Meriden, CT 06450, by the close of business on Thursday, March 26, 2009. ALL nominees are required to comply, regardless of whether you have served before. To reiterate, failure to complete and return this questionnaire by the deadline may result in your not being confirmed for a board or commission position. This questionnaire is in addition to any letter you might have received regarding delinquent taxes.

Very truly yours,

/~ Michael D. Quinn Corporation Counsel

MDQ:p attachment

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City of Meriden, Connecticut

142 EAST MAIN STREET MERIDEN, CONNECTICUT 06450-8022

BOARD & COMMISSION NOMINEE QUESTIONNAIRE

NAME: ADDRESS:

CONTACT NUMBER: _ _ _ _ _'"'--_ _ _ _ _ _ _ __

1) Are you currently delinquent in paying any Real Estate taxes, Water/Sewer use charges, and/or Motor Vehicle taxes to the City of Meriden for yourself and/or any business that you have an ownership interest in? .

If yes, will these delinquent taxes be paid in full before April 6, 2009?_ _ __ If no, then please attach a separate piece of paper explaining what your situation is and when it might be rectified.

2) Are you or a business in which you have an ownership interest in currently a party to any litigation against the City of Meriden? For purposes of this question, "litigation" is defined as a lawsuit or claim of any nature. _ _ _ __ If yes, then please attach a separate piece of paper identifying the name of the lawsuit or claim and its current status.

3) Have you ever been convicted of a felony in the state of Connecticut or any other state?- - - - If yes, then please attach a separate piece of paper detailing this conviction.

Thank you for taking the time to answer this questionnaire. Please be advised that if your answers to any of these questions changes during your tenn of office you are required to notify the Mayor's Office immediately regarding what has changed. Additionally, if your party affiliation changes during your tenn of office you are also required to notify the Mayor's Office as any change in party affiliation may affect your ability to continue to serve on the board or commission.