WILLIAM M, MAGILL, Clerk House of Repress-Motives Melissa•Kucserik, State.House First AssistantClerk Montpelier, VT05633-5501 RebecoaSilbernagel, Tel: (802) 828-2247 Second Assistant Clerk hcierkalegistate.vtus Jeremy Weiss, Journal Clerk Dierdre Allen, Resolution Clerk VERMONT HOUSE OF REPRESENTATIVES Chris Ditrneyer, OFFICE OF THE CLERK Clerk Assistant House of Representatives Disclosure Form Name: -Gyu I serve on, or am a member of, the following Boards, Commissions, or Entities that are regulated by law or that receive funding from the State: Remuneration Board, Entity, or Commission Name, No Yes- Yes and Position (e.g. Board Member, Only Board Chair) Expenses e.&. milea V5 A (-(cid:9) 8°C‘c(cid:9) it'QfP'lls My Employer:(cid:9) 0)4e..._ (-1-1 (Salary disclosure not required) Signed this 17 day of df d ,v4vvy , 2019 Printed Name, please sign on back