Virtual Candidate Information Sessions: February 9 & March 6, 2021 - City of Hyattsville
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CITY OF
HYATTSVILLE
FILING
DEADLINE:
ELECTION 2021 5:00 P.M.
MARCH 12, 2021
CANDIDATE PACKET
Virtual
Board of Supervisors of Elections Candidate
Greta Mosher, Chair
Information
Ann Frankle
Bessie McLean
Sessions:
Zachary Peters
February 9 &
Lisa Pineda March 6, 2021
electionboard@hyattsville.org
ELECTION 2021 QUICK FACTS
Approximately 11,000 registered
ELECTION DAY: voters in the City
TUESDAY, MAY 11, 2021 Ward 1: 3,000
Ward 2: 2,500
The 2021 City Election will be a Vote-by-Mail Election. All Ward 3: 2,600
registered voters will automatically receive a ballot in the mail. Ward 4: 1,600
Ballots may be returned via mail or to the ballot drop box Ward 5: 1,300
located at the Hyattsville City building, 4310 Gallatin Street.
The Board of Supervisors of Elections may host ballot drop-off Initial Voter Registration
events during the election season. These events would be Deadline: March 19, 2021
advertised to the public in advance. (voters may continue to register after this
date as ballots will be mailed on a rolling
basis)
There will be one polling center open at the City Building on
Election Day from 7 A.M. to 8 P.M. to assist voters who need
Ballots must be received by 8
to replace a damaged or lost ballot, require assistance, or
P.M. on Election Day.
complete same-day voter registration. All wards will vote at
Postmarked ballots will NOT be
this location on Election Day.
accepted!
A voter information hotline will be open beginning April 5
Voter Information Hotline:
Monday through Friday from 9 A.M. to 4 P.M. to assist with
301-322-7497 (M-F, 9 A.M. to 4
questions. Voters may also email questions to
P.M.) or email
votebymail@hyattsville.org. Candidates may direct any
votebymail@hyattsville.org
questions or concerns to electionboard@hyattsville.org.
BALLOT
PROCESSING &
RESULTS
Ballots will be mailed in early April. The Election
Board will begin to process returned ballots on
April 26, 2021. Dates of ballot processing will be
advertised and may be televised. Candidates,
agents of candidates, or individuals wishing to
observe the intake process must register as poll
watchers by 5 P.M. the day prior to the intake day
or Election Day. Only one poll watcher
representing a candidate may be present at a
time. To register, email cityclerk@hyattsville.org.
Preliminary results may be released after the
close of polls on Election Day. Certified results
are expected by May 14, 2021, however, the
timing of the results announcement is dependent
on the volume of ballots received.
2
RUN FOR CITY REQUIRED
COUNCIL! FORMS
Open Positions Candidate
Mayor Registration
City Councilmember
Ward 1
Ward 2
Ward 3 Financial
Ward 4
Ward 5
Disclosure
The Mayor serves "at large" and will fill the vacant
Statement
seat through May 2023. Candidates elected to Council
seats will serve 4-year terms, ending in May 2025.
Candidate
Qualifications
Biography
Resident of the City of Hyattsville
Registered Voter in the City
18 years of age upon day of election
Council candidates must reside in the Ward in
If applicable:
which they are running for office Campaign Account
Registration
Valid Identification Required Certificate of Contribution
Threshold
How Can I File? Change of Name Affidavit
Call (301) 985-5001 or email
electionboard@hyattsville.org to schedule an
appointment. All required forms must be
submitted prior to the filing deadline to be
certified as a candidate.
DEADLINE:
Learn More!
5:00 P.M.
MARCH 12, 2020
Attend a Virtual Candidate Information Session on
February 9 or March 6. You can also visit
hyattsville.org/elections for details.
3
OK I'M IN! CONTACT US
NOW WHAT?
Election Board
Attend the Mandatory Candidate Training Session on March electionboard@hyattsville.org
18, 2021 at 6 P.M. The meeting will be held virtually. Zoom
information will be emailed to all candidates. Ethics Commission
T. Carter Ross, Chair
Read the City Election and Ethics Code. This packet of Chris Currie
material is not intended to substitute the candidate's Michael Horlick
responsibility to read and understand the laws governing Kayleigh Kulp
elections and ethics in the State of Maryland and the City of David Sip
Hyattsville. ethics@hyattsville.org
Get in the know! Sign up for City news and alerts at Office of the City Clerk
hyattsville.org/notifyme. Laura Reams, City Clerk
Sean Corcoran, Deputy Clerk
State Voter lists can be obtained from the Board of Elections, (301) 985-5001
Prince George's County, (301) 341-7300. There is a $30.00 cityclerk@hyattsville.org
fee, payable to the County. The City-Only Voter List can be
obtained by emailing cityclerk@hyattsville.com.
Campaign Signs may NOT be placed
in the public right of way or in City CAMPAIGN SIGNS &
parks. Signs may be placed on private
property with the permission of the MATERIALS
owner.
On Election Day only, signs may be
placed at the polling center outside
the 100 foot radius. A painted line or Do NOT place signs in
sign will mark this distance. Signs the public right of way
must be removed at the close of polls. or in City parks!
All campaign materials must include
an authority line. This includes signs,
buttons, t-shirts, social media
advertisments, etc. The authority line
shall include the name, title, and
address of the person responsible for DO place signs on
the publication or distribution. An private property with
address may not be required if the permission of the
individual is registered with the City owner.
Clerk.
Candidates may NOT use the City
seal or logo in materials.
4
CAMPAIGN REQUIRED
FINANCE REPORTS
Mandatory Reporting
Initial Report:
Each candidate must file Campaign Finance reports April 20, 2021
detailing expenditures, contributions, and loans (if
applicable). Candidates must retain all receipts for
expenditures and submit with the report. Reportable
contributions and expenditures include cash, signs,
mailings, advertisements, in-kind contributions, and
Second Report:
any other items used for the furtherance of the May 4, 2021
campaign. The Ethics Commission is responsible for
the review & certification of finance reports. Submitted
reports are posted on the City's website for the public
to view. Annual Report:
Forms September 7, 2021
Forms are posted on the City's website and may be
submitted electronically or in hard copy. The forms
and reporting process will be reviewed at the Questions?
Candidate Training. Forms may not be submitted
before the due date and are due by 1 P.M. on the due ethics@hyattsville.org
date.
Treasurer & Campaign Account Failure to file reports
Each candidate shall appoint a campaign treasurer. A
may lead to fines
candidate may serve as their own treasurer if they do and/or refusal to allow
not intend to receive more than $1,000 in
contributions (excluding self contributions or those
the individual to hold
from a spouse/domestic partner). office.
Restrictions & Penalties
Maximum contribution per contributor: $500
The following are prohibited: ALL REPORTS DUE
Anonymous contributions
Contributions from businesses or PACs BY 1:00 P.M.
Personal use of campaign funds
Cash withdrawals from campaign account ON THE DUE DATE
The Election Board may impose fines and/or sanctions for
candidates in violation of these and other campaign laws,
including failure to file required reports. (City Code, Chapter 8)
5
VOTER
INFORMATION The Board of Elections will
Qualifications host voter registration
At least 16 years of age events throughout election
Reside in the City of Hyattsville for thirty (30) days
season. Information on
Does not claim the right to vote elsewhere in the
U.S. these events will be
Has not been found by a Court to be unable to published via the City's
communicate a desire to vote communications mediums.
Is registered in accordance with the Hyattsville
City Charter and Code
Candidates, agents of
How to Register: candidates, or
Voters eligible to vote in State and County elections representatives of political
are encouraged to register using the Maryland State
action committees may
Voter Registration Form via elections.state.md.us
NOT handle completed
Voters not eligible to vote in State/County elections voter forms or ballots.
may register using the Hyattsville City Voter Registry
Form at hyattsville.org/elections
COMPLAINTS
The Board of Elections will investigate and resolve any written complaints
relating to voting, the validity of any ballot, candidate certification,
violations of City Code, or other City election matters within the authority
of the Board.
The Board has the authority to conduct investigations, hold hearings,
conciliate and/or dismiss complaints, issue orders, and implement
enforcement actions.
Complaints must be written and submitted via email to
electionboard@hyattsville.org, or dropped off or mailed to the City
Building.
6ELECTION CALENDAR
Candidate Registration Opens, Register by appointment: email
Mon, February 1, 2021
cityclerk@hyattsville.org
Tues, February 9, 2021 Virtual Candidate Information Session, 6 - 8 P.M.
Sat, March 6, 2021 Virtual Candidate Information Session, 10 - 12 P.M.
Fri, March 12, 2021 Candidate Registration Deadline, 5 P.M.
Mon, March 15, 2021 Candidate Withdrawal Deadline, 5 P.M.
Thurs, March 18, 2021 Virtual Mandatory Candidate Meeting, 6 - 8 P.M.
Deadline to receive ballot automatically by mail.
Fri, March 19, 2021 Voters may register past this deadline and will receive ballots on a rolling basis.
Same-day registration will be held on Election Day.
March 29 - April 9, 2021 Ballots mailed to registered voters
Tues, April 20, 2021 Deadline: Initial Campaign Finance Report, 1 P.M.
Mon, April 26, 2021 Board begins ballot intake. Dates/Times to be Published
Tues, May 4, 2021 Deadline: Second Campaign Finance Report, 1 P.M.
Tues, May 11, 2021 Election Day; Polling Center open from 7 A.M. to 8 P.M.
Mon, May 17, 2021 Certification of Election Results, 7 P.M.
Mon, June 7, 2021 Oath of Office, 7 P.M.
7FORMS
Page: 1 Candidate Checklist
Pages: 2-3 Candidate Registration Form
Page: 4-23 Financial Disclosure Instructions & Statement
Page: 24 Candidate Biography
Page: 25 Campaign Account Registration
Pages: 26 Certificate of Contribution Threshold
Pages: 27 Change of Name Affidavit
REFERENCE MATERIALS
Charter Amendment Resolution 2020-01: Changing Election Day, Certification Time & Council
Officer Elections
Charter Amendment Resolution 2021-01: Close of Candidate Registration
Ordinance 2020-06: Authorizing Vote-by-Mail Procedures
Ordinance 2020-07: Ballot Intake Procedures
Resolution 2020-09: Designating 2021 as an all Vote-by-Mail election
City Code, Chapter 10: Ethics
8CANDIDATE CHECKLIST
Candidate Name:
Candidate Registration Form
Financial Disclosure Form
Candidate Biography (written statement and photo)
Supplemental Forms:
Campaign Account Registration
Required if a candidate raises over $1,000
Certificate of Contribution Threshold
Required if a candidate does not intend to raise or expend over $1,000
Change of Name Affidavit
Required if a candidate requests a name other than their full legal name to appear on the ballot
Office Use Only
Date & Time Received:
Registrar (Print & Sign):
1CITY OF HYATTSVILLE, MARYLAND
2021 CANDIDATE REGISTRATION FORM
Name of Candidate:
Name to Appear on the Ballot: (if different from legal name, candidate must submit an Affidavit of Name Change)
Pronouns:
Office Sought:
Ward:
Phone #: Email:
If you have appointed a treasurer, please list their information below. Candidates may serve as their own treasurer if
they do not intend to raise over $1,000. Candidates without a treasurer must complete the Certification of
Contribution Threshold Form.
Treasurer Name:
Pronouns:
Treasurer Address:
Phone #: Email:
Candidate Certification:
I hereby certify, under penalty of perjury, that:
- I am a U.S. Citizen.
- I am a registered voter and a resident of the City of Hyattsville, Maryland.
- If I am running as a Councilmember, I am a resident of the Ward in which I seek office.
- I will be at least 18 years of age on Election Day,
- I will comply with all requirements of the Hyattsville City Charter and Code applicable to the election process, and will file all
required campaign finance reports and the financial disclosure form.
And I hereby request that my name be placed on the ballot for the 2021 City of Hyattsville Election.
Candidate Signature Date:
Treasurer Certification:
I hereby certify, that:
- I accept the appointment of treasurer. As treasurer for the candidate listed above, I will comply with all requirements of the
Hyattsville City Charter and Code applicable to the election process and will file all required campaign finance reports.
Treasurer Signature Date:
Candidate Packet Forms, Page | 2CITY OF HYATTSVILLE, MARYLAND
2021 CANDIDATE REGISTRATION FORM
Hyattsville City Charter, Article II.
A. Election; tenure.
The Mayor shall be elected from the city at large and shall be elected for a term of four (4) years. One (1)
Councilman shall be elected from each ward of the city concurrent with the election of the Mayor, and one
(1) Councilman shall be elected from each ward of the city two (2) years thereafter. Each Councilman shall
be elected for a term of four (4) years, except in case of an election to fill a vacancy in that office, in which
case the election shall be until the next regular city election. The Mayor and Councilmen shall hold their
respective offices for the several terms aforesaid and until their successors shall have been duly elected
and qualified, unless otherwise terminated by operation of law. The Mayor and all Councilmen shall retain
throughout their respective terms of office all the qualifications necessary for their election, and their failure
to retain all such qualifications shall ipso facto cause a forfeiture of their respective offices.
B. Qualifications.
No persons shall be eligible as Mayor or Councilmen except those who, upon the day of election, shall be
citizens of the United States, registered voters of the City of Hyattsville, actual bona fide residents of the City
of Hyattsville and, in the case of Councilmen, residents of the ward from which they shall be elected.
C. Restrictions.
Neither the Mayor nor any of the Councilmen shall hold any other office with the city during their respective
terms of office, neither shall they nor any other officer of the city, either directly or indirectly through the
medium or agency of other persons, enter into any contract or contracts with the city.
Candidate Packet Forms, Page | 3CITY OF HYATTSVILLE, MARYLAND
FINANCIAL DISCLOSURE INSTRUCTIONS
Thank for your willingness to work to better the City of Hyattsville and its residents through public service.
Under the City Charter §10-9, and in accordance with State law, elected officials, candidates for public
office, and certain city staff and appointees are required to file a Financial Disclosure Statement. The goal
is to make clear any potential conflicts of interest or undue influence that may exist and is necessary to
ensure transparency and accordance with State ethical guidelines.
The Financial Disclosure Statement may seem complicated, but for most individuals, compliance is
relatively simple. This document should help in avoiding common oversights that may occur when filling
out the forms.
A. [PAGE 1] Please make certain the contact information you provide on the first page is correct and
that the completed form is properly notarized. To schedule an appointment to notarize your form,
please contact City Clerk, Laura Reams at (301) 985-5009 or cityclerk@hyattsville.org.
B. [PAGES 2–3] Please check “yes” or “no” for each question (A–K). If you check “no” for any of the
questions, you do not need to complete or return the form associated with the question. Please
check the associated form if there are any questions about the information being sought.
C. [PAGES 4–5] Schedule A asks about property you own or rent, including timeshares. You must
submit a separate Schedule A for each property. If you own the property (or jointly own it with
your spouse), you must answer Questions 1–10. If you rent the property, you most likely need
only answer Questions 1, 2, and 4.
a. Question 3: “Attributable” means if the property is owned by an estate or trust and you
have a future ownership stake in the property.
b. Question 4: If you rent your property, please mark yourself as the tenant.
c. Question 6: If you have a mortgage, please check “yes” and note the loan holder on the
following line.
d. Question 10: “Consideration” means the value provided in return for something. If you
purchased the property, the consideration is the sale price paid. If you inherited the
property, the consideration is the fair market value at the time of acquisition. If you sold
or otherwise transferred some or all of your interest in the property over the past year,
please answer Questions 11A–11C.
D. [PAGES 6–7] Schedule B asks about ownership stakes you have in any business. You only should
report stocks held in publicly traded corporations if you own more than 10% of the company’s
shares or your stake is greater than $25,000. Please file a separate Schedule B for each business
in which you hold a reportable ownership stake.
a. Question 7D: See definition for “consideration” in item C. d. in this document.
E. [PAGES 8–9] Schedule C asks specifically about an interest in a business or entity that does
business with the City of Hyattsville. You may have previously reported your ownership in
Schedule B.
a. Question 5D: See definition for “consideration” in item C. d. of this document.
Candidate Packet Forms, Page | 4CITY OF HYATTSVILLE, MARYLAND
FINANCIAL DISCLOSURE INSTRUCTIONS
F. [PAGE 10] Schedule D asks if you or your immediate family (spouse or children) are employed by
or serve on the board or otherwise have oversight of a business or entity that does business with
the City of Hyattsville. Please file a separate Schedule D for each qualifying person or position.
G. [PAGE 11] Schedule E asks about debts owed, excluding retail credit, personal credit card, and
similar accounts, to financial entities that do business with the City.
H. [PAGE 12] Schedule F asks about gifts you may have received relative to your position as an
elected official or candidate for office. Please complete a separate Schedule F for each gift-giver.
I. [PAGE 13] Schedule G asks if your spouse or child is employed by the City of Hyattsville in any
capacity.
J. [PAGE 14-15] Schedule H asks about your employer and your spouse’s employer. Complete
Question 1 if you are an employee; Question 2 if you are a business owner. Complete a separate
Schedule H for yourself and for your spouse if you are both employed. Dependent children’s
employment need be reported only if their employer is regulated by the City or does more than
$10,000 worth of business with the city.
K. [PAGE 16] Schedule I asks if you have acted as a paid representative for anyone before a city
agency, for example as a legal counsel, lobbyist, or consultant.
L. [PAGE 17] Schedule J asks about ownership stakes in a business regulated by the City.
M. [PAGE 18] Schedule K is an opportunity to disclose any additional potential conflicts of interest or
financial encumbrances with which you may be involved.
Most people end up only filing Schedule A and Schedule H (and Schedule B, if they own a business). The
most common mistake people make is not filing separate Schedule H’s for themselves and their spouse.
If you have any questions or concerns about the Financial Disclosure Statement, please direct your
questions to the City of Hyattsville Ethics Commission at ethics@hyattsville.org, or to City Clerk, Laura
Reams at (301) 985-5009 or cityclerk@hyattsville.org.
Candidate Packet Forms, Page | 5CITY OF HYATTSVILLE
ELECTED OFFICIAL
FINANCIAL DISCLOSURE STATEMENT — FORM #1
1. Fill in the preliminary information requested in the box below. Be sure to identify
correctly the reporting period.
2. Upon completion of your financial disclosure statement, sign and date the lower
portion of the page and make the required oath or affirmation before a notary public
or other officer authorized to take oaths.
I Would Like To Be Notified If Someone Looks At My Form
Regular Reporting Period:
January 1 through December 31, 2020
PLEASE PRINT OR TYPE
FIRST NAME INITIAL LAST NAME
CURRENT OFFICE ADDRESS (WHERE YOU CAN BE SENT CORRESPONDENCE)
CANDIDATE FOR ELECTED OFFICIAL
OFFICE FOR WHICH CERTIFICATE OF CANDIDACY IS BEING OR HAS BEEN FILED, IF ANY
E-MAIL ADDRESS
This financial disclosure statement describes all interests and related transactions and matters required to
be disclosed by the City’s Ethics Ordinance with respect to the period indicated and pertaining to the person
filing the statement. The statement consists of this cover sheet, the checklist, and Schedules A through L.
I hereby make oath or affirm under the penalties of perjury that the contents of this financial disclosure
statement, including the Schedules attached hereto, are complete, true and correct to the best of my knowledge,
information and belief.
Signature of Person Filing:
(SEAL) Date:
Sworn to before me this day of
Signature of Notary Public:
Printed/Typed Name of Notary Public:
My Commission Expires:
Candidate Packet Forms, Page | 6Candidate Packet Forms, Page | 6
Instructions: Check the proper block to Questions A through L as it applies to the reporting period only. Do
not leave any question on the page unanswered. If you check "Yes" to any question be sure to complete the
corresponding Schedule. If you check “No” you need not complete or submit the corresponding Schedule.
NOTE: Most individuals are obligated to complete Schedule A (because they own or rent property) and at
least one copy of Schedule H (because they and/or their spouse earn a salary from employment and/or self-
employment).
Definitions:
“Attributable”: An interest is “attributable” to you if the interest is held by a trust or an estate and
you (1) are a beneficiary of the trust or estate; or (2) you will in the future have the right to be the
owner or beneficiary; or (3) have the authority to revoke the trust.
“Immediate family” shall include you, your spouse/domestic partner, or any child of you or of the spouse/
domestic partner.
During the reporting period:
YES NO
A. I held an interest by ownership or by lease in real property. (If
"Yes," complete Schedule A.) A.
B. I held an interest in corporations, partnerships and similar entities. B.
(If "Yes," complete Schedule B.)
C. I or an immediate family member held an interest in a business
entity which did business with the City. (If "Yes", complete C.
Schedule C.)
D. I or an immediate family member was a partner or held an office,
directorship, or salaried employment in or with a business entity D.
that did business with the City. (If "Yes," complete Schedule D.)
E. I or an immediate family member owed debts (excluding retail credit
accounts) to a person or entity that did business with the City. (If E.
"Yes," complete Schedule E.)
F. I or an immediate family member received any gift from persons F.
that did business with the City, were regulated by the City, or were
registered or required to register as a lobbyist for the City. (If
"Yes," complete Schedule F.)
G. A member of my immediate family was employed by the City of
Hyattsville during the reporting period. (If "Yes," complete G.
Schedule G.)
H. I or a member of my immediate family received a salary or was sole
or partial owner of a business entity from which earned income was H.
received. (If "Yes," complete Schedule H.)
I. I represented a person for compensation before a City agency other I.
than in a judicial or quasi-judicial proceeding. (If "Yes," complete
Schedule I.)
J. I and/or a member of my immediate family, together or separately
hold either 10% or more of the capital stock or stock worth J.
$25,000.00 or more in a corporation subject to regulation by the
City or any interest in a partnership, limited liability partnership or
limited liability company subject to regulation by the City. (If "Yes,"
2
Candidate Packet Forms, Page | 8complete Schedule J.)
K. Is there additional information you wish to disclose? (If "Yes," K.
complete Schedule K.)
3 Candidate Packet Forms, Page | 9Schedule A — Real Property Interests
Do you have any interest (as an owner or renter or tenant, including interests in
timeshares) in real property in Maryland or in any other State or Country?
Yes
No (Go to Schedule B)
If Yes; (Answer each question below. A separate Schedule A will be required
for each property you need to disclose.)
1. What is the address or legal description of the property? (Give Street Address, if you know it.
If the property is your primary residence, you may enter the lot and block legal description instead, if you
wish)
Street Address
City/State/Zip
2. What kind of property is it?
Improved (indicate whether property is residential or commercial property, etc.):
Unimproved (vacant lot):
3. Is the interest held by you or is it attributable to you? (See definition of “attributable”
on page 2).
Owned: Attributable:
4. Are you the owner or tenant?
Owner_ Tenant
5. Do you hold the interest solely or is it jointly held with another?
Solely Jointly Tenants by the Entirety
(owned jointly with spouse)
If held jointly, or by tenants by the entirety, the name(s) of the other joint
owner(s):
6. Are there any legal conditions or encumbrances on the property that you are obliged to
pay? (Example: mortgages, liens, contracts, options, etc.)
Yes
No
4
Candidate Packet Forms, Page | 10If yes, what is/are the name(s) of the lender(s), creditor(s), lien holder(s),
etc?_
7. What date was the property acquired?
8. How was the property acquired? (Example: purchase, gift, inheritance, etc.)
9. From whom was the property acquired? (Name of individual or entity from whom you purchased
or inherited the property or who gifted the property to you.)
10. Have you transferred any interest in this property during the reporting period?
Yes
No
If Yes;
10.A. What percentage of interest did you transfer:_ %
10.B. What consideration did you receive for the interest (money, property, services?):
10.C. To whom did you transfer the interest:
Please complete Schedule A for each additional real property in Maryland,
any other State or any other Country in which you have an interest as an
owner, renter, or tenant, including timeshares.
5 Candidate Packet Forms, Page | 11Schedule B — Interests in Corporations and Partnerships
Did you have any interest in any corporations, partnerships, limited liability partnerships
(LLP) or limited liability companies (LLC) during the reporting period whether or not the
entity did business with the City?
Note: You need not include a trust fund, 401(k), 403(b), IRA or other fund that is part of
a pension or profit-sharing plan that has more than 25 participants and qualifies as a
tax-exempt trust under IRS rules. You also do not need to include stock ownership if it
is less than either ten percent (10%) of the total of the stock of the company or worth
less than $25,000.00.
Yes
No (Go to Schedule C)
If Yes; (Answer each question below. A separate Schedule B will be required for
each interest you need to disclose.)
1. What is the name of the entity? Include the complete name of the entity, do not
identify solely by trading symbol:_
2. Does the stock of the corporation trade on a stock exchange?
Yes
No
If “no,” the legal address of the entity’s principal office.
3. Is the interest held by you or is it attributable to you? (See definition of “attributable”
on page 2).
Owned:_ Attributable:
4. Do you hold the interest in your name alone, or is it held jointly?
In your name alone: Jointly:_
If jointly, the percentage of your interest: %
5. What is the nature of your interest? (Example: stock, notes, bonds, puts, calls,
straddles, purchase options, etc.) If in a non-publicly traded entity or LLP or LLC, report
your percentage of ownership.
6 Candidate Packet Forms, Page | 12Type:
percentage of ownership:_ %
6. Are there any legal conditions or encumbrances that apply to your interest in the
entity? (Example: mortgages, liens, contracts, options, etc.)
No
Yes; If yes, name of entity holding the encumbrance:
7. Did you acquire an interest in the entity during the reporting period?
Yes
No
If Yes;
7A. In what month was the interest acquired?
7B. How was the interest in the entity acquired? (Example: purchase, gift, will,
etc.):
7C. From whom did you acquire the interest in the entity? (If you purchased it from a brokerage,
the name of the brokerage):
8. Have you transferred any interest in this entity during the reporting period?
Yes
No
If Yes;
8A. What portion of the interest was transferred?
8B. To whom did you transfer your interest in the entity?_
If you have additional interests in corporations or partnerships, please complete
a copy of Schedule B for each additional entry
7
Candidate Packet Forms, Page | 13Schedule C — Interests in Business Entities
Doing Business with the City
Do you have an interest in any business entity that did business with the City during the
reporting period?
Yes
No (Go to Schedule D)
If Yes; (Answer each question below. A separate Schedule C will be required for
each business entity to be disclosed.)
1. Name and Address of the Principal office of the business entity?
Name:
Address:
City/State/Zip:
2. Is the interest held by you or is it attributable to you? (See definition of “attributable”
on page 2).
Owned: Attributable:
3. Do you hold the interest solely or is it jointly held with another?
Solely: Jointly:_
If jointly, the percentage of your joint interest: %
4. Are there any legal conditions or encumbrances that apply to your interest in the
entity? (Example: mortgages, liens, contracts, options, etc.)
Yes, If yes give name of creditor:
No
5. Was any interest acquired during the reporting year?
Yes
No
8 Candidate Packet Forms, Page | 14If Yes;
5A. What month was the interest acquired?
5B. How was the interest in the entity acquired? (Example: purchase, gift, will, etc.)
5C. From whom did you acquire the interest?
6. Did you transfer any of your interest during the reporting period?
Yes
No
If yes;
6A. What percentage of interest, if less than all, was transferred? %
6B. To whom did you transfer your interest in the entity?_
If you have additional interests in entities that did business with the
City during the reporting year, please complete a copy of Schedule C
for each additional entry.
9 Candidate Packet Forms, Page | 15Schedule D — Officers, Directorships, Salaried Employment and Similar Interests
During the reporting period, did you or any member of your immediate family have any
pay arrangement or paid employment or hold any office or directorship with an entity that
did business with the City?
Yes
No (Go to Schedule E)
If Yes; (Answer each question below. A separate Schedule D will be required
for each disclosure.)
1. What is the name and address of the business entity?
Name:
Address: _
City/State/Zip:
2. Who was the individual who held the position or interest listed above? (Example: yourself,
spouse, dependent child)
Self: Spouse: Dependent child:_
2A. Name of spouse or dependent child:
3. What is the title of the office you, your spouse or dependent child held? (Example: limited
partner, director, treasurer, chair of the board of trustees, consultant, etc.)
4. What year did the position begin?
5. With what City Department did the business entity do business?_
6. What was the nature of the business? (Example: regulated by your agency, registered under the
lobbying law, or involved with sales and contracts with the City)
If necessary, please complete a copy of Schedule D for each additional entry.
10
Candidate Packet Forms, Page | 16Schedule E — Debts You Owe
During the reporting period, did you owe a debt (excluding a retail credit account) to a
financial entity that did business with the City? [NOTE: If, on Schedule A, B or C, you
listed a financial entity that did business with the City as the holder of your
mortgage or other encumbrance, you must complete Schedule E with regard to
that indebtedness.]
Yes
No (Go to Schedule F)
If Yes; (Answer each question below. A separate Schedule E will be required for
each debt to be disclosed.)
1. To whom did you owe the debt? (Do not include consumer credit debts)
2. When was the debt incurred?
3. What are the interest rate and terms of payment of the debt?
Interest Rate_
Terms (monthly, bimonthly, annually, etc.):
4. What was the amount of the debt as of the end of the reporting period?
over $25,000.00 under $25,000.00
5. Did the principal of the debt increase or decrease during the reporting
period?
6. Was any security given for the debt?
Yes
No
If Yes; Please state what type of security was given (home, car, boat, etc):
7. If this is a transaction in which you were involved, but which resulted in a debt being
owed by your spouse or dependent child, identify your spouse or child and describe the
transaction.
If necessary, please complete additional Schedule E form(s) for any
additional entries.
11 Candidate Packet Forms, Page | 17Schedule F — Gifts
During the reporting period, did you receive any gift(s), directly or indirectly, in excess of
a value of $20.00 or a series of gifts from the same donor with a cumulative value of
$100.00 or more from a person or entity who: 1) did business with the City; 2) engaged
in an activity that was regulated or controlled by the City; or 3) was a regulated lobbyist?
Gifts received from a member of your immediate family or from your parent, do not need
to be disclosed.
Yes
No (Go to Schedule E)
If Yes; (Answer each question below. A separate Schedule F will be required for
each gift.)
1. Who gave you the gift?
2. What was the nature of the gift? (Example: book, restaurant meal, theater tickets, etc.)
3. What was the value of the gift?
4. If the gift was given to someone else at your direction, list the identity of the recipient
of the gift.
Please complete additional Schedule F form(s), if necessary, for any additional
entries.
12 Candidate Packet Forms, Page | 18Schedule G — Family Members Employed by the City
During the reporting period, were any members of your immediate family (spouse or
dependent children) employed by the City in any capacity?
Yes
No (Go to Schedule H)
If Yes; (Answer each question below. A separate Schedule G will be required
for each member of the immediate family who is employed by the City.)
1. What is the relation and name of the immediate family member employed by the City?
2. What is the name of the agency that employed the member of your immediate family?
3. What was the title of your immediate family member’s position in the City agency
during the reporting period?
If necessary, please complete additional Schedule G form(s) for any
additional entries.
13 Candidate Packet Forms, Page | 19Schedule H — Employment/Business Ownership
During the reporting period, did you or any member of your immediate family, receive any
earned income from an entity other than the City of Hyattsville? Please note that your
dependent child’s employment or business ownership does not need to be disclosed unless
the place of employment or the business entity is subject to regulation or the authority of
the City or has contracts in excess of $10,000.00 with the City.
Note: If your total income was covered by Section D, it is not necessary to complete
Section H.
Yes
No (Go to Schedule I)
If Yes; (A separate Schedule H will be required for each member of the
immediate family who had employment or ownership of a business entity. Both
questions below should be answered for each individual to which the Schedule H
applies.)
1. If, during the reporting period, you or a member of your immediate family had
employment from which you or they earned income, list the relation, name, and address
of the employment. Check If Does Not Apply
Name:
Relationship:
Name of Employer:
Address:
City/State/Zip:
2. If, during the reporting period, you or a member of your immediate family wholly or
partially owned any business entity from which income was earned, list the relation, name
and address of the business entity. Check If Does Not Apply
Name:
Relationship:
Name of Business Entity:
Address:
City/State/Zip:
If necessary, please complete additional Schedule H form(s) for any additional
immediate family members or members of your household.
14
Candidate Packet Forms, Page | 20Schedule I — Disclosure of Interest — Representation before a City Agency
Did you represent a person for compensation before a City agency other than in a judicial
or quasi-judicial proceeding?
Yes
No (Go to Schedule J)
If Yes; (Answer each question below. A separate Schedule I will be required for
each interest to be disclosed.)
1. I am representing or represented for compensation.
Name:
As an:
Before:
Date:
For the following consideration:
If necessary, please complete additional Schedule I form(s) for any additional
entries.
15
Candidate Packet Forms, Page | 21Schedule J — Disclosure of Interest: Interest in a Business Regulated by a City
Agency (i.e. business located in the City or regularly doing business in the City).
Did you, your spouse or dependent children together or separately have either 10% or
more of the capital stock or stock worth $25,000.00 or more in a corporation subject to
regulation by the City or any interest in a partnership, limited liability partnership or
limited liability company subject to regulation by a City agency?
Yes
No (Go to Schedule K)
If Yes; (Answer each question below. A separate Schedule K will be required for
each interest to be disclosed.)
I hereby report that I and/or Name of Immediate Family Member:
First:
Middle:
Last:
My (spouse, self, dependent child) together or separately own
a reportable interest in:
This Business Entity is subject to regulation by:
If necessary, please complete additional Schedule J form(s) for any
additional entries.
16
Candidate Packet Forms, Page | 22Schedule K - Other
Is there any additional information you would like to disclose?
Candidate Packet Forms, Page | 23CITY OF HYATTSVILLE, MARYLAND
2021 CANDIDATE BIOGRAPHY
The City of Hyattsville will publish the 2021 Election Guide with a photograph and a 150-word
biography from all registered candidates.
Please provide information for the publication in the 2021 Election Guide as follows:
Candidate Biography
The biography must not exceed 150 words. Candidates may add up to three (3) lines for contact
information and social media. This will not count towards the 150 words unless it is incorporated
into the text of the biography.
Photograph
Submit a photograph showing head and shoulders taken with a digital camera or phone, using the
highest quality setting on the camera. In order to allow for the best reproduction in the Election
Guide, we ask that the photograph be current and submitted in a .png, or .jpeg format.
Deadline
In order to appear in the 2021 Election Guide, biographies and photographs must be submitted
to the City Clerk by 5:00 p.m. on Friday, March 12, 2021.
If the City Clerk does not receive a biography or photograph by March 12, 2021, the Election Guide
will include the name of the candidate and a statement that the individual declined to submit the
Candidate Biography.
Biographies and photographs must be submitted via e-mail to cityclerk@hyattsville.org.
Candidate Packet Forms, Page | 24CITY OF HYATTSVILLE, MARYLAND
2021 CAMPAIGN ACCOUNT REGISTRATION
Hyattsville City Code, Chapter 8, Elections
§ 8-32. Campaign Accounts
If contributions received by a candidate exceed a total of one thousand dollars ($1,000.00), all
campaign funds must be deposited into one account opened with a financial institution and such
funds shall not be commingled with any other funds or accounts.
Candidate Name:
Office Sought:
Treasurer Name:
Name of Bank:
Address:
Name of Account:
Account Type:
Account Number:
I hereby affirm under the penalties of perjury that I have personal knowledge of the information
set forth above, and that all such information is true:
SIGNATURE OF TREASURER DATE
SIGNATURE OF CANDIDATE DATE
Candidate Packet Forms, Page | 25CITY OF HYATTSVILLE, MARYLAND
2021 CAMPAIGN FINANCE REPORT – CERTIFICATION OF CONTRIBUTION THRESHOLD
CANDIDATE NAME:
OFFICE SOUGHT:
This certification is used to declare or withdraw a candidate's intent to accept contributions of more
than $1,000 in the current election cycle.
Candidates who do not accept contributions of more than $1,000 are exempt from the requirement to
open a separate campaign bank account, report the account, and to appoint a campaign treasurer. See
Hyattsville City Code, Chapter 8, Article VII.
This certification does not remove the requirement for all candidates to submit campaign finance reports.
☐ I certify that this campaign does not intend to receive contributions of more than $1,000 during the
current election cycle. This certification will remain in effect until the end of the election cycle unless it
is withdrawn. If this campaign accepts contributions of more than $1,000 during this election cycle, I
understand that I must, within two (2) days, report such to the City Clerk, open a campaign bank account,
appoint a treasurer, and file all appropriate forms.
☐ I am withdrawing my Certification to remain at or under the $1,000 threshold for contributions. I will
now be required to open a campaign bank account, report the account, appoint a treasurer, and file all
appropriate forms.
IF WITHDRAWING CERTIFICATION, YOU MUST COMPLETE THE TREASURER APPOINTMENT BELOW.
Candidate Signature Date:
APPOINTMENT OF TREASURER UPON WITHDRAWAL OF CERTIFICATION
Treasurer Name:
Pronouns:
Treasurer Address:
Phone #: Email:
Treasurer Certification:
I hereby certify, that:
- I accept the appointment of treasurer. As treasurer for the candidate listed above, I will comply with all
requirements of the Hyattsville City Charter and Code applicable to the election process and will file all
required campaign finance reports.
Treasurer Signature Date:
Candidate Packet Forms, Page | 26CITY OF HYATTSVILLE, MARYLAND
2021 CANDIDATE CHANGE OF NAME AFFIDAVIT
AFFIDAVIT OF CANDIDATE
PRINT FULL NAME
I, hereby affirm under the penalties of perjury
PRINT FULL NAME
that I am over eighteen (18) years of age, am competent to testify, have personal knowledge
of the facts and circumstances set forth below, and that all such facts and circumstances are true:
1. I am generally known by the name
PRINT NAME AS YOU WOULD LIKE IT TO APPEAR ON
THE BALLOT
2. I am generally known by the name above, in paragraph 1, in:
INITIAL AND SELECT ONLY ONE – DO NOT SELECT MORE THAN ONE
Press accounts
Everyday encounters with members of the community, OR
Both press accounts and everyday encounters with members of the community
I solemnly affirm under the penalties of perjury and upon personal knowledge that the contents
of the foregoing paper are true.
AFFIANT’S SIGNATURE DATE
WITNESS DATE
Candidate Packet Forms, Page | 27HYATTSVILLE CHARTER AND CODE
Chapter 10
CODE OF ETHICS
§ 10-1. Applicability.
§ 10-2. Establishment of Ethics Commission; responsibilities.
§ 10-3. Regulations and Final Orders of the Commission.
§ 10-4. Judicial Review.
§ 10-5. Confidentiality
§ 10-6. Conflicts of Interest and Prohibitions
§ 10-7. Solicitation and/or acceptance of gifts.
§ 10-8. Exemption or modification of provisions
§ 10-9. Filing of financial disclosure statement.
§ 10-10. Filing of Financial Disclosure Statements by Non-Elected Officials.
§ 10-11. Filing of registration statement; contents
§ 10-12. All disclosure statements to be filed with Commission and open to public inspection.
§ 10-13. Definitions
§ 10-14. Enforcement; violations and penalties
§ 10-1. Applicability. [Amended 12-5-16 by HO-2016-02]
Except as provided in § 10-9, the provisions of this chapter shall apply to the Mayor, City Council
members, City Administrator, Treasurer, Clerk, Department Directors, members of City boards and
commissions, all City employees, candidates for elective City office and persons lobbying under
section 10-11 before City officials, boards or commissions.
§ 10-2. Establishment of Ethics Commission; responsibilities.
A. Appointment & Term. There shall be a City Ethics Commission, composed of five (5)
members, appointed by the Mayor and approved by the City Council. The tenure of each member
shall be three (3) years or until a successor is appointed, whichever is longer, and members may
only be removed for cause. The Commission shall be advised by the advisor to the Commission
who shall ordinarily be the City Attorney. The advisor to the Commission shall assist the
Commission in fulfilling its duties and powers and shall act on behalf of the Commission if it is
unable to do so for any reason.
B. Duties and Powers
1. To devise, receive and maintain all forms generated by this chapter.
2. To provide published advisory opinions to persons subject to this chapter as to the
applicability of the provisions of this chapter or that may violate this chapter or any election
finance law of the City.
3. To investigate, process and make determinations as to any conduct or violations of this
chapter, complaints filed by any person alleging violations of this chapter or any election finance
law by persons subject to this act.
4. To conduct a public information program regarding the purposes and application of this
Chapter.
Page 40HYATTSVILLE CHARTER AND CODE
5. To adopt regulations to implement this Chapter.
6. To act in an official capacity only when a quorum of at least three (3) members are present.
If the Commission is unable to assemble a quorum, the advisor to the Commission shall act in
their absence.
7. To issue subpoenas for persons and evidence and to judicially enforce such subpoenas.
8. The Commission shall certify to the State Ethics Commission on or before October 1 of each
year that the City of Hyattsville is in compliance with the requirements of State Government
Article, Title 15, Subtitle 8, Annotated Code of Maryland, for elected local officials.
9. The Commission shall determine if changes to this chapter are required to be in compliance
with the requirements of State Government Article, Title 15, Subtitle 8, Annotated Code of
Maryland, and shall forward any recommended changes and amendments to the City Council
for enactment.
§ 10-3. Regulations and Final Orders of the Commission.
A. The Commission shall issue regulations including but not limited to procedures for advisory
opinions, written statements of complaints, investigations, notice to complainants and respondents,
opportunity to cure, dismissal of complaints, preliminary and adjudicatory hearings, the issuance of
subpoenas by the Commission for witnesses and evidence, and final written orders. Such
regulations shall be modeled whenever practical on any state ethics laws or regulations and must be
approved by the City Council.
B. If, after a hearing, the Commission determines that a violation has occurred, the Commission
shall issue an order which may include, but is not limited to, any of the following:
1. Direction to the respondent to cease and desist from the violation;
2. A written reprimand; or
3. Recommendation to the City Council or appropriate authority any discipline of the
respondent, including censure or removal, if that discipline is authorized by law.
C. The Commission shall submit to the City Council, the Complainant and the Respondent a written
copy of any order issued if a violation is found.
§10-4 Judicial Review.
A. If the Respondent is aggrieved by a final order of the Commission, the Respondent may seek
judicial review as provided in title 10, Subtitle 2 of the State Government Article (Administrative
Procedure Act – Contested Cases).
B. The order of the Commission is stayed automatically until the time for seeking judicial review
has expired.
C. The filing of a Petition for Judicial Review does not automatically stay the enforcement of the
order.
§10-5. Confidentiality.
Page 41HYATTSVILLE CHARTER AND CODE
A. Except as provided below, any investigation, written statement or complaint, including the
proceedings, meetings and activities of the Commission and its staff relating to such are confidential
and may not be disclosed by the Commission or staff, complainant, or respondent.
B. Disclosures allowed:
1. The Commission may release any information at any time if the Respondent agrees in writing
to the release and the release, in the discretion of the commission, would not adversely impact
any other person, business entity or entity.
2. On request of the Respondent, the Commission at any time shall disclose the identity of the
complainant to the respondent.
3. If the Commission, while considering a matter, finds that there are reasonable grounds to
believe that a person or entity may have committed a criminal offense, the Commission
promptly shall refer the matter to an appropriate prosecuting authority, and the commission shall
make available to the prosecuting authority all pertinent evidence under its control.
4. Upon a finding of a violation, the records of the proceedings and investigation shall be public.
§ 10-6. Conflicts of interest and prohibitions . [Amended 8-6-18 by HO 2018-02]
A. All City elected officials, officials appointed to City boards and commissions subject to this
Chapter, and employees are subject to this Section.
B. Unless otherwise permitted by Commission regulation or opinion or in the exercise of an
administrative or ministerial duty that does not affect the disposition or decision of the matter at
issue, an official or employee may not participate on behalf of the City in:
1. Any matter in which, to the knowledge of the official or employee, the official or employee,
or a qualified relative of the official or employee has an interest.
2. Any matter in which any of the following is a party:
i. A business entity in which the official or employee has a direct financial interest of which
the official or employee may reasonably be expected to know;
ii. A business entity for which the official, employee or, a qualified relative of the
official or employee is an officer, director, trustee, partner, or employee;
iii. A business entity with which the official or employee or, to the knowledge of the
official or employee, a qualified relative is negotiating employment or has any
arrangement concerning prospective employment.
iv. If the contract reasonably could be expected to result in a conflict between the
private interests of the official or employee and the official duties of the official or
employee, a business entity that is a party to an existing contract with the official or
employee, or which, to the knowledge of the official or employee, is a party to a
contract with a qualified relative;
v. An entity, doing business with the City, in which a direct financial interest is owned
by another entity in which the official or employee has a direct financial interest, if the
official or employee may be reasonably expected to know of both direct financial
interest; or
vi. A business entity that:
Page 42HYATTSVILLE CHARTER AND CODE
a The official or employee knows is a creditor or oblige of the official or
employee or a qualified relative of the official or employee with respect to
a thing of economic value; and
b. As a creditor or obligee, is in a position to directly and substantially
affect the interest of the official or employee or a qualified relative of the
official or employee.
3. A person who is disqualified from participating under paragraphs 1 or 2 of this subsection
shall disclose the nature and circumstances of the conflict and may participate or act if:
i. The disqualification leaves a body with less than a quorum capable of acting;
ii. The disqualified official or employee is required by law to act; or
iii. The disqualified official or employee is the only person authorized to act.
4. The prohibitions of paragraph 1 and 2 of this subsection do not apply if participation is
allowed by regulation or opinion of the Commission.
5. A former regulated lobbyist who is or becomes subject to this chapter as an employee or
official, other than an elected official or an appointed official, may not participate in a case,
contract, or other specific matter as an employee or official, other than an elected official or
appointed official, for one calendar year after the termination of the registration of the former
regulated lobbyist if the former regulated lobbyist previously assisted or represented another
party for compensation in the matter.
6. All persons subject to this chapter shall file a statement with the Commission disclosing
any interest or employment, the holding of which would require disqualification from
participation pursuant to § 10-6 of this Chapter, as soon as possible and at least seven (7) days
before such matter is scheduled to occur.
C. Employment and financial interest restrictions.
1. Except as permitted by regulation of the Commission when the interest is disclosed or when
the employment does not create a conflict of interest or appearance of conflict, an official or
employee may not:
i. Be employed by or have a financial interest in any entity:
a. Subject to the authority of the official or employee or the City agency, board,
commission with which the official or employee is affiliated; or
b. That is negotiating or has entered a contract with the agency, board, or
commission with which the official or employee is affiliated; or
ii. Hold any other employment relationship that would impair the impartiality or
independence of judgment of the official or employee.
2. This prohibition does not apply to:
i. An official or employee who is appointed to a regulatory or licensing authority
pursuant to a statutory requirement that person subject to the jurisdiction of the
authority be represented in appointments to the authority;
ii. Subject to other provisions of law, a member of a board or commission in regard to
a financial interest or employment held at the time of appointment, provided the
Page 43HYATTSVILLE CHARTER AND CODE
financial interest or employment is publicly disclosed to the appointing authority and
the Commission;
iii. An official or employee whose duties are ministerial, if the private employment or
financial interest does not create a conflict of interest or the appearance of a conflict
of interest, as permitted by and in accordance with regulations adopted by the
Commission; or
iv. Employment or financial interests allowed by regulation of the Commission if the
employment does not create a conflict of interest or the appearance of a conflict of
interest or the financial interest is disclosed.
D. Post-employment limitations and restrictions.
1. A former official or employee may not assist or represent any party other than the City for
compensation in a case, contract, or other specific matter involving the City if that matter is
one in which the former official or employee significantly participated as an official or
employee.
2. A former elected official may not assist or represent another party for compensation in a
matter that is the subject of legislative action for one (1) calendar yar after the elected
officialleaves office.
E. Contingent compensation. Except in a judicial or quasi-judicial proceeding, an official or
employee may not assist or represent a party for contingent compensation in any matter before or
involving the City.
F. Use of prestige of office.
1. i. An official or employee may not intentionally use the prestige of office or public position :
a. For the private gain of that official or employee or the private gain of another; or
b. To influence, except as part of the official duties of the official or employee or as a
usual and customary constituent service without additional compensation, the award of
a State or local contract to a specific person
ii. An official not directly or indirectly initiate a solicitation for a person to retain the
compensated services of a particular regulated lobbyist or lobbying firm.
2. This subsection does not prohibit the performance of usual and customary constituent
services by an elected local official without additional compensation.
3. i. An official, other than an elected official, or employee may not use public resources or
the title of the official or employee to solicit a contribution as that term is defined in the
Election Law Article.
ii. An elected official may not use public resources to solicit a contribution as that term is
defined in the Election Law Article.
§ 10-7. Solicitation and/or acceptance of gifts.
A. An official or employee may not solicit any gift.
B. An official or employee may not directly solicit or facilitate the solicitation of a gift, on behalf
of another person, from an individual regulated lobbyist.
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