Registration of s' Pecuniary Interests Localism Act 2011 - Section 29 and 30 and The Relevant Authorities (Disclosable Pecuniary Interests) Regulations 2012 A member of ROMSEY EXTRA Parish I Town Council GIVE NOTICE that I have the following pecuniary interests which are specified for the purposes of section 30(3) of the Localism Act 2011 (please state 'none' where appropriate) PLEASE READ THE NOTES AND DEFINITIONS AT THE END OF THIS FORM WHICH MAY ASSIST. (1) Employment, office, trade, profession or vocation Any employment, office, trade, profession or vocation carried on for profit or gain.
(2) Sponsorship Any payment or provision of any other financial benefit (other than from the ParishfTown Council) made or provided within the relevant period in respect of any expenses incurred by you in carrying out duties as a member, or towards your election expenses. This includes any payment or financial benefit from a trade union within the meaning of the Trade Union and Labour Relations (Consolidation) Act 1992. (3) Contracts Any contract which is made between the relevant person (or a body in which the relevant person has a beneficial interest) and the Borough Council - (a) (b) under which goods or services are to be provided or works are to be executed; and which has not been fully discharged. (4) Land Any beneficial interest in land which is within the area of the Borough Council. 2
\ \)\i;;el.. e..c~~ ilo I'-tb\:;.t S6~,. 14<2... (5) Licences Any licence (alone or jointly with others) to occupy land in the area of the Borough Council for a month or longer. 3
(6) Corporate Tenancies Any tenancy where, to your knowledge- (i) (ii) the landlord is the Borough Council; and the tenant is a body in which the relevant person has a beneficial interest. (a) that body, to your knowledge, has a place of business of land in the area of the Borough Council; and (b) (7) Securities Any beneficial interest in securities of a body where- either- (i) the total nominal value of the securities exceeds 25,000 or one hundredth of the total issued share capital of that body; or (ii) if the share capital of that body is of more than one class, the total nominal value of the share of anyone class in which the relevant person has a beneficial interest exceeds one hundredth of the total issued share capital of that class. 4
N '1\. Date Signed Notes (i) Please check your entries in the register regularly to ensure that they are up to date. Any revisions must be notified in writing (including email) by you to your Clerk who will confirm receipt of your notification and that the entry will be made to your pages on the register and who will pass on the information to Test Valley Borough Council's Monitoring Officer. Forms for updates can be obtained from your Clerk. (ii) Where appropriate you must also complete details in relation to the pecuniary interests of your spouse or civil partner or person you live with as if they are a spouse or civil partner. 5
Definitions. For the purposes of this form - "relevant person" means that a pecuniary interest is a 'disclosable pecuniary interest' in relation to you if it is your interest, or it is an interest of your: (i) (ii) (iii) spouse or civil partner, a person with whom you are living as husband and wife, or a person with whom you are living as civil partners, and you are aware that the other person has the interest. "relevant period" means 12 months ending with the day on which the member gives the notification.. "the Act" means the Localism Act 2011 ; "body in which the relevant person has a beneficial interest" means a firm in which the relevant person is a partner or a body corporate of which the relevant person is a director, or in the securities of which the relevant person has a beneficial interest; "director" includes a member of the committee or management of an industrial and provident society; "beneficial interest" means in relation to land ownership of the freehold or leasehold interest or any other interest such as an option to purchase. In relation to other classes of property such as securities it means ownership. "land" includes an easement, servitude, interest or right in or over land which does not carry with it a right for the relevant person (alone or jointly with another) to occupy the land or to receive income; and "securities" means shares, debentures, debenture stock, loan stock, bonds, units of a collective investment scheme within the meaning of the Financial Services and Markets Act 2000(b) and other securities of any description, other than money with a building society. 6