Hatch Mott MacDonald - Annual 2015Please type or print in ink
NAME OF FILER (LAST)
1- C L Vl 5
1. Office, Agend , or Court
Agency Name (Do not use afronyms),
Date Initial Filing R
STATEMENT OF ECONOMIC INTERESTS Official Use Only
COVER PAGE Q
(FIRST)
Division, Board, R611artment, gistnct, if applicable \ Your Position
► If flying for multiple pose ons, list below or on 6n attachment. (Do not use acronyms)
Agency:
Position.
ME
2. Jurisdiction of Office (Check at least one box)
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County ❑ County of
[ity of C`11 Y,( ,)u ❑Other
3. Type of Statement (Check at least one box)
(V Annual: The period covered is January 1, 2015, through ❑ Leaving Office: Date Left _J
December 31, 2015. (Check one)
.or-
The period covered is through O The period covered is January 1, 2015, through the date of
December 31, 2015. -or- leaving office.
❑ Assuming Office: Date assumed O The period covered is —J _I through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part 1.
4. Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
❑ Schedule A -1 - Investments - schedule attached ❑ Schedule C - income, Loans, & Business Positions - schedule attached
❑ Schedule A -2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule B - Real Property - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
-or-
e - No reportable interests on any schedule
5. Verifi
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Bus Hess
��-► I r G 1 a �, d� Cf
I have used all reasonable diligence in preparing this statement, I have reviewed this statement