Notification by a Member of Disclosable Pecuniary and Non-Pecuniary 
Interests 
I, (lu// name) 
a iUenrber of (authoitl) 
MIDDLETON-ON-THE.WOLDS PARISH COUNCIL 
The Localism Act 2011 
(lr) Anr- pavment or provision of any other financial benefit (other than from &e authonn) 
made or prorided wrthin the relevant pedod in respect of anv expenses incurred bv me in 
carn ing out duties as a L'Iember, or tou-ards mv election expeoses. This includes any 
paymenr or financial benefit from a trade union q,-ithin the meaning of the Trade l-lnion 
and Labour Relauons (Consolidation) Act 1992. 
The Relevant Authorities (Disclosable Pecuniary Interests) Regulations 2012 
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GIVE NOTICE that I have the follou'ing pecunian and non-pecuniarl iflterests (pka.w state 'Norue" 
wbere apprpiale): 
PART A - PECUNIARY INTERESTS 
NB - In accordance rvirh Section 34 of the Localism,\ct 2011, a person commits an offence if, 
u,'ithout reasonable excuse, thev fail to registet their pecunian' interests rvrthin 28 davs of taking 
office or fail to update their register within 28 dal s of a change to their pecuniary interests. 
The following drsclosable Pecuniary Intetests of mrseli mv spouse or cir-il partner or afl)'person 
s,'ith whom I am living as husband or wife or 
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persofl w'ith rvhom I am iir-ing as if w-e x'ere ciril 
paftners. 
(") ,\nv employment, office, trade, profession or rocation carried on f<x profir or garn. 
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(.) Any contract which is made betrveen anv of the above named persons (or a body in which 
ant of the above named persorls har-e a beneficial tnterest*) and the audrorirr, under r*'hich 
goods or services are to be provided or works are to be executed, and which has not been 
full,v discharged. 
* Body in which an-v of the above named persons has a beneficial interest means a {irm rn 
rvhrch any of the above named persons is a parrner or a bodv corporate of which anv of 
the above named persons is a director, or in the securities of whrch any of the abol,e named 
pe$ons has a beneficial interest. 
(,t) Any beneficial interest in land which is w-ithin the area of the authont\'. 
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(.) Anv licence (alone or joindr p-ith others) to occupv land in the area of the authorifl for a 
month or longer. 
(0 i.nr- tenanq'where (to mv knowledge) the landlotd is the authonn. and the renant is a 
bodv in whrch anv of the above named persons have a beneficial interest. 
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(s) Anv beneficial intetest in securities of a bodr,- rvhere that bodr' (to mv know'ledge) has a 
place of business or land in the area of the authority; and either the total nominal r.alue of 
the secunties exceeds {25,000 or ofle hundredth of the total issued share capital of that 
bodv; or if the share capital of that bodv is of more than one class, rhe total nominal value 
of the shares of anv one class in which anv of the above named persons has a beneficial 
interest exceeds one hundredth of the total issued share capital of that class. 
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PART B . NON-PECUNIARY INTERESTS 
The following Non-Pecuniary interests of mvself. 
(r) Bodres to rvhich I am appointed or nominated bv the authorifi (ie outside bodv 
apporntments) othet than bodres in which the authority has an interest. 
(b) Bodies exercising fuoctions of a public narure of which I am a N{ember (rnciuding local 
enterprise parmerships, other councils, pubtc health bodies, school governing bodies). 
G) Bodies drected to chantable purposes of rvhich I am a N[ember (including the Lions, the 
N'fasons. a Parochial Church Council; not iust bodies registered with the Charitv 
Commission. 
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(d) Bodres u'hose principal purposes include influence of public oprnion or policl (including 
anv pohtrcal pattv or trade uaion) of rvhich I am a lv'fember. 
(.) Any voluntarr'' rvork undertaken trv me. 
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(0 Anv pemon from rvhich I have received i, *.v capacifi as a Nlember a gift or hospitalitr 
that amounts to the value of at least {25. 
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Signed: 
NOTE: A member must within 28 days of becoming awate of any to the interests 
specified above, provide written aotificatioa to the authoriqfs monitoring officet of that 
chaage. 
IN'IERN-\L - received and reviewed bl Democratic Sen.ices 
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