Statement of Economic Interest Page 1 of 4 Statement of Economic Interest All information on this form is public information. Instructions and helpful hints will appear as you go through the form. Address questions to the City's Ethics Officer at (612) 673-3230� or the City Clerk's Department at (612) 673-2216�. Type of Filing Elected Official - City Office Personal Information Name Jacob Frey Address City Minneapolis State MN Zip 55414 Telephone (daytime) c.::, 0 rr;O -u::j -· >-< ::,:; __, -r, rr, -io -.J -l. fTI -0 �JO ...... � -i w CJ1 -'· ·--,, .'l >""l"I O' .n, z;;; 0 ..,.. ;1- 612-968-4443 Employment Information Occupation City Council Member Employer City of Minneapolis Address of Employer 350 South 5th Street, Room 307 City Minneapolis State MN Zip 55415 Email jacob.frey@minneapolismn.gov Period Coverage Type of Statement Amended Statement Date of statement being amended 02/17/2017 http://wwwdocs.minneapolismn.gov/sei/ 2/17/2017 Page2 of 4 Statement of Economic lnterest Sources of Compensation Name of Source Halunen Law Relationship Member g M M E M M Spouse or Domestic Partner - Sources of Compensation Name of Source Sarah Clarke - Hylden Advocacy & Law Relationship Member E E M E M M Securities Held in Associated Businesses Name of Security + Add More Spouse or Domestic Partner - Securities Held in Associated Businesses Name of Security + Add More Real Property County http ://wwwdocs.minneapolismn. gov/sei/ Ownership Type Acreage - if applicable 211712017 Statement of Economic Interest Page 3 of4 Address and city; Or section, township, range M g E Spouse or Domestic Partner - Real Property County Address and city; Or section, township, range Ownership Type Acreage - if applicable Pari-Mutuel Horse Racing lnterest Description of lnterest (horse, stable, etc.) Type M Official Direct lnterest g Official lndirect lnterest M Family lnterest Spouse or Domestic Partner - Pari-Mutuel Horse Racing lnterest Official Direct I nterest Offi Type g Description of Interest (horse, stable, etc.) cial lndirect lnterest Family lnterest http ://wwwdocs.minneapolismn. gov/sei/ 2lt7l20r7 Page 4 of 4 Statement of Economic Interest Loans Name of Security Spouse or Domestic Partner - Loans Name of Security Any person who signs and certifies to be true a report or statement which the person knows contains false information, or who knowingly omits required information, is subject to a civil penalty imposed by the Minnesota Campaign Finance & Public Disclosure Board of up to $3,000 and is subject to criminal prosecution for a gross misdemeanor. You're not done, press the submit button to complete the form. Submit l, Jacob Frey, certify that the information contained on this form is complete, true and correct. Sign Date 2- l7- Any person who srgns and certifies to be true a repoft or statement which the person knows contains false information, or who knowingly omits required information, is subject to a civil penalty imposed by the Minnesota Campaign Finance & Public Disclosure Board of up to $3,000 and is subject to criminal prosecution for a gross misdemeanor. Due to the required signature, the completed statement must be signed and delivered to Minneapolis City Clerk's Office, 350 South Sth Street, Room 304, Minneapolis, MN 55415, or it may be faxed to (612) 673-2756e. http ://wwwdocs.minneapolismn. gov/sei/ 21r712017