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Election System of the Virgin Islands
Sunny Isle Shopping Center, Christiansted, St. Croix, V.I. (340) 773-1021
Lockhart Gardens, St. Thomas, V.I.  (340) 774-3107
Market Place, St. John (340) 776-6535
P.O. Box 1499, Kingshill, St. Croix, U.S. Virgin Islands  00851  /  P.O. Box 6038, St. Thomas, U.S. Virgin Islands  00801
FINANCIAL DISCLOSURE REPORT
PART TWO
Please type or print legibly in ink.
Please complete all entries.
Please sign completed form.
List the fair market value (as of the date of filing) of each item listed under paragraph (1) of PART ONE of this report and the amount of income derived therefrom during the preceding calendar year.
(Please attach additional numbered pages, if required).
Election System of the Virgin Islands
FINANCIAL DISCLOSURE REPORT – PART TWO
Page 2
List the amount of income derived during the preceding calendar year from each item listed under paragraph (2) of PART ONE.
(Please attach additional numbered pages, if required).
List the amount of income derived during the preceding calendar year from each source listed under Paragraph (3) of PART ONE.
List the amount of indebtedness owed during the preceding calendar year to each creditor listed under paragraph (4) of PART ONE.
(Signature)
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Election System of the Virgin Islands
B.Maldonado
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"System
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"System
"Arial Black
Election System of the Virgin Islands
Bookman Old Style
Sunny Isle Shopping Center
, Christiansted, St. Croix, V.I. (340) 773
1021
Lockhart Gardens
, St. Thomas, V.I.  (340) 774
3107
Market Place, St. John (340)
6535
P.O. Box 1499
Kingshill
St. Croix
U.S. Virgin Islan
00851
P.O. Box 6038
St. Thoma
U.S. Virgin Islands
00801
"Arial Black
FINANCIAL DISCLOSURE REPORT
PART
Please type or print legibly in ink.
Please complete all entries.
Please sign completed form.
Bookman Old Style
"Gautami
1Courier New
Name of Person Filing:
Bookman Old Style
1Courier New
Positio
n Held:
"Gautami
Department or Agency:
Spouse’s Name, if Married:
Children’s Names, if
Any:
Filing Date
"Arial
List the
fair market value
(as of the date of filing) of each item listed un
Bookman Old Style
paragraph (1) of PART ONE of this
report and the amount of income derived
therefrom during the preceding calendar year.
Bookman Old Style
"Arial
(Please attach additional numbered pages, if required).
"Arial Black
"Arial
VI BOE
Election System of the Virgin Islands
Title
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