BOARD FINANCIAL DISCLOSURE STATEMENT FORMS
Financial Disclosure Statement Form
Instructions to compete the Financial Disclosure Statement Form
1. Why must I file a Financial Disclosure Statement Form?
The Local Government Ethics Law and the Atlantic County Code of Ethics requires
that officers of Atlantic County must annually file a financial disclosure
statement. Atlantic County Code, Chapter 20, see also N.J.S.A.40A:9.22.1, et.
seq. "Local government officer" means any person, whether compensated
or not, whether part-time or full-time: (1) elected to any office of a local
government agency; (2) serving on a local government agency which has the authority
to enact ordinances, approve development applications or grant zoning variances;
(3) who is a member of an independent municipal, county or regional authority;
or (4) who is a managerial executive or confidential employee of a local government
agency as defined in section 3 of the "New Jersey Employer-Employee Relations
Act." N. J.S.A.40A:9-22.1, et.seq.
2. What if I have questions regarding the Financial Disclosure Statement
The Atlantic County Ethics Board is the ultimate authority on the meaning of
the ethics law. Any filer can ask the Board for an official advisory opinion
on the application of the ethics law to his/her specific situation or by calling
Carol N. Goloff, J.D., A.P.M., the Board Solicitor, at (609) 646-1333 or in writing mailed to the address below.
Atlantic County Ethics Board.
c/o Carol N. Goloff, J.D., A.P.M.
2216 Shore Road
The Dr. Peter Marvel House
Northfield, NJ 08225
3. How do I file the form?
Filers must complete the original Financial Disclosure Statement Form as made available on the State of New Jersey Department of Community Affairs website .
4. What can happen if I don't file?
If those who are required to complete a financial disclosure form do
not file before the specified deadline, nonfilers may be subject to
a fine of not less than $100.00 nor more than $500.00 and the Atlantic
County Ethics Board may recommend further actions up to and including
removal from his/her position. N.J.S.A.40A:9.22-10.
5. Section I. - Personal
A) The first part of Section I requires that I fill out information
on the local government I serve. How do I complete this section correctly?
Filers must list the county they serve. Since the filer serves a county,
leave the municipality section blank. Do not fill in the name of the municipality
you live in under this portion of Section 1. If you serve a regional authority
or other local government authority, please list that name under "other".
B) Section I of the Form requires that I list the positions I hold.
What does that mean and what if I hold more than one?
"Positions held" refers to your title as a local government officer
or employee. If you hold more than one position which requires you to complete
this form, please list the county agency, title and term for each position.
If you hold more than one position, but they are all for Atlantic County, only
one form must be completed and filed. If you serve at different levels of local
government such as for the county, a regional authority and/or municipal government,
you must file separate forms with each entity. An example would be city council
and board of freeholders. You may list both positions on one form if you serve
at different levels; however, the form must be filed in each local government.
6. Section II - Financial Information
A) What period of time is applicable?
The financial information required in Section II is based on information
for the prior calendar year.
B) Is this section applicable only to the filer?
Information must be provided for the person filing and members of the
immediate family. "Member of the immediate family" means
the spouse and/or dependent child of a local government officer or
employee residing in the same household. N.J.S.A.40A:9-22.1, et. Seq.
Do I have to send in my tax returns along with the Financial Disclosure
No. Under no circumstances should you attach any personal financial documents
or forms such as tax returns or Social Security number to the Financial
D) Am I required to list the financial information of a "domestic
Currently, the law does not specify this requirement. The Atlantic County
Ethics Board, however, would prefer that the information be included.
E) Do I have to list sources of income other than my county salary?
You must list your county job. In addition, you must consider as income
all sources of income over $2,000.00, except income from publicly traded
stocks. Earned and unearned income must be reported. Earned income
is that received for one's labor or services such as salaries and
wages. Unearned income is monetary compensation received when no
labor or services are exchanged, such as social security, pension,
interest income or rental property income. Each source of income,
earned or unearned, exceeding $2,000.00 received by the county officer
or employee or a member of his/her immediate family during the preceding
calendar year must be listed. Amounts of income should not be reported.
Do I have to report child support payments?
Yes, if the income exceeds $2,000.00 per year; but you need not disclose
G) Do I have to report if I worked as a personal representative
for an estate?
You must disclose if you worked as a personal representative for an
estate only if that role has resulted in your receiving income over
$2,000.00 in the preceding calendar year. However, you need not disclose
the amount of compensation.
H) Do I have to report an inheritance and,
if so, is that considered income or a gift?
An inheritance is a gift and the source should be reported.
I) Do I have
to list any fees or honoraria?
Yes, you and your immediate family members must list each source of
fees and honoraria having an aggregate amount exceeding $250.00, from
any single source for personal appearances, speeches or writings received
by you and/or a member of your immediate family during the preceding
calendar year. You need not list the amount of the fees or honoraria,
just the source.
J) Do I have to report any gifts, reimbursements or prepaid
Yes, you must list each source of gifts, reimbursements or prepaid
expenses exceeding $400.00 from any single source, excluding relatives,
received by you or a member of your immediate family during the preceding
calendar year. You should not list the amounts. Examples include mileage
reimbursement, hotel and meal expenses, travel expenses, vacations,
K) Do I have to list all business interests in which I hold an interest?
You must list the name and address of all business organizations in
which you or a member of your immediate family hold more than 10% of
the profits, assets, or stocks, except publicly traded corporations.
L) Do I have to list all real estate I own?
Yes, you must provide a description of all real property in New Jersey
in which you or a member of your immediate family held any interest
in during the preceding calendar year. This would include your dwelling
as well as a vacation home, rental property, etc.