Your Name:
Financial Interests
1. Do you have or do you know if an immediate family member has a financial interest in an entity we do business with or controls any shares or debt or equity securities, or have any other investment interest in an entity we do business with? You may exclude ownership or control of shares in publicly listed companies, unless it is likely that you will be involved in the management of our business relationship with that entity or you are likely to be involved in making business contract decisions in relation to that entity.
Yes (describe below) No
Business Interests
2. Do you have or do you know if an immediate family member has any private business dealings with an entity we do business with that generate revenue or expenses for you (excluding normal business as a member of the public)? If yes, you should disclose the nature of the dealings and the revenue or expenses generated.
Yes (describe below) No
3. Do you have or do you know if an immediate family member has any legal or serious dispute involving an entity we do business with or with Selwyn District Council?
Yes (describe below) No
4. Do you have or do you know if an immediate family member has any governance, management or membership role, or other professional business association with any: trusts, societies, community, advocacy or similar groups that receive financial grants or support from Selwyn District Council?
Yes (describe below) No
5. Do you have or do you know if an immediate family member has any private business association, contracts, or dealings with a Selwyn District Councillor, Community Board Member or Senior Manager?
Yes (describe below) No
Personal Relationships
6. Do you have any close personal relationships with an owner, director, or senior manager of an entity we do business with?
Yes (describe below) No
7. Do you have any close personal relationships with a Selwyn District Councillor, Community Board Member or member of senior management that could create an actual or perceived conflict of interest?
Yes (describe below) No
Employment Relationships
8. Do you know if any of your family members recently accepted (or are intending to accept) a senior management position with an entity we do business with?
Yes (describe below) No
9. Do you know if any of your family members are a member of the governing body of an entity we do business with?
Yes (describe below) No
10. Do you know if any of your family members are employed with an entity that we do business with?
Yes (describe below) No
11. Do you know if your spouse (or partner) is a member of a news media organisation, or someone who writes or prepares articles, or broadcasts for public media?
Yes (describe below) No
Other Interests
12. Do you own property in the Selwyn District, whether owned directly or indirectly through a Trust or other related party, i.e. spouse?
Yes (describe below) No
13. Have you received any gifts or offers of gifts, services or benefits which have a value of $50 or more in your capacity as an elected member in the past 12 months?
Yes (describe below) No
Declaration
The information contained in this disclosure is to the best of my knowledge complete and accurate as at the date of completion. I confirm that to the best of my knowledge have included in this disclosure details of any interests held by myself and close family members through trusts or companies.
Submit

Register of Pecuniary and other Specified Interests of members

Members' statutory responsibilities

The Local Authorities (Members' Interests) Act 1968 applies to the pecuniary interests of members of local authorities. The Act:

  • Controls the making of contracts worth more than $25,000 in a financial year between members and their authority; and
  • Prohibits members from participating in matters before the authority in which they have a pecuniary interest, other than an interest in common with the public.

The Act regulates the actions of individual members, not the actions of their authorities.

Members, not their authorities, may be prosecuted for breaches of the Act.

The Act also applies to members of committees of the local authority (regardless of whether a committee member is also a member of the authority).

Managing pecuniary and other specified interests of members
An effective way of supporting members comply with their responsibilities is to maintain an interests register. Although the register would be maintained by staff, ultimate responsibility for compliance with the Act remains with members themselves.

Disclosure of pecuniary and other specified interests will act as a reminder to members of the need to be alert for conflicts of interest, and will help managers identify potential conflicts that may arise. The register should be updated regularly to help reduce the risk of conflicts of interest arising, and will assist in identifying conflicts of interest at an early stage.

Categories of interest

Members are requested to complete the following return and declare relevant interests in the following categories for themselves and close family members.

  • Employment - disclosure of employment and/or directorships.
  • Shareholdings - disclosure of shareholdings in companies and business entities. Including interests in partnerships, joint ventures or other businesses (other than shares held through a managed fund).
  • Interests in trusts - disclosure of interests in trusts where the member is Trustee or Beneficiary.
  • Real estate holdings - disclosure of ownership of property, whether owned directly or indirectly through a Trust or other related party, i.e. spouse.
  • Gifts received - disclosure of all gifts received in the capacity of an elected member in the past 12 months.

Close members of the family of a person are those family members who may be expected to influence, or be influenced by, that person in their dealings with the entity and include:

  • a. that person's children and spouse or domestic partner;
  • b. children of that person's spouse or domestic partner; and
  • c. dependants of that person or that person's spouse or domestic partner.

How the register will be updated

Members will be requested to complete this form in July each year (to coincide with annual reporting requirements) to both include any new interests and confirm that any interests included previously are still relevant.

Members are able to update their interest declaration at any time during the year to ensure that all pecuniary interests are recorded.

Conflicts of interest

The interest register should also be used to identify conflicts of interest to assist in managing these appropriately.

Available for public inspection

Although the interest register will not be published, the register may need to be available for public inspection for members of the public who request to view the register. This would involve an official information request under the Official Information Act 1982.