r cunoscandprevederile art. 292din codulpenal lmpreuna ~r ......anul3=== i scadent~ la==ie=...

6
ANEXA Nr. 1: DECLARAJIE DE AVERE Go7HI/~1 Ell/it- A Subsemnatul/Subsemnata, 'i. .._ ~ , aV::lnrl functta de ...L<lN.':t:l·y'\'~ ...... " la QJ:(5:!T!"!:1.1:j\r3?~.. ~;{.CNP domiciliul h-.~.b;-:\·.. . r cunoscand prevederile art. 292 din Codul penal privind falsul in declaratll declar pe propria raspundere ca lmpreuna cu familial) detln urrnatoarele: =lI.Bunuri imobile ~J1.Terenuri NOTA: Se vor declara lncluslv cele aflate in alte tari. .---- i, -T-·---~--'--·~----~~·-. --------1 d i Cateoorl • I Anul J 5 f + l c t rt I Modul de, Tt 1 12) i A resa sau zona i a egona dobandtrtl upra ata I 0 a-pa e I dobandire: I u aru I c====-~ ~r=~~--~r=-:-=-::,:: ..~::~ * Categoriile indicate sunt: (1) agricol; (2) forestier; (3) intravilan; (4) luciu ---- de ape: (5) alte categorii de terenuri extravilane, daca se afla in circuitul civil. 32.Cladiri NOTA: Se vor declare lnclustv cele aflate in alte tari. '---------- ..·-·-----.. ---r--.. -- .. -----·--·l----- .. ----j--- .. - ... -.. --.-.---,.--- ... - ...... ----... --..- ...... -..]'-...----..---- ...... · ...... ·-.. ·--T.... -·-----·- .. - .... --.. -·------..-..----...; I Adresa sau zona i Categoria* d bA.nud'·" 1 Suprafata I Cota-parte II dMOb~uldde i Titularul2) i ! !! 0 an 1m I i 0 an Ire i ! [--~=~E[~B=~=~=~ i - - I I ! , Ii! * Categori-ile indicate sunt: (1) apartament; (2) casa de locuit; (3) casa de . vacanta: (4) spatll comerciale/de productle. 1 )Prin familie se lnteleqe sotul/sotla ~i copiii aflatl in lntretlnerea acestora. 2)La "Titular" se rnentioneaza, in cazul bunurilor proprii, numele proprietarului (titularul, sotul/sotta, copilul), iar in cazul bunurilor in coproprietate, cote-parte ~i numele coproprietarilor. 3II.Bunuri mobile 31.Autovehicule/autoturisme, tractoare, maslnl agricole, salupe, iahturi ~i alte mijloace de transport care sunt supuse lnrnatrtcular!t, potrivit legii :···---·,,---N~t~-~~-······-···-·-··---·····i···· .. -··----"-·M~~~~····· ············-·-··:·------N;·.···d~-b~~~-tT---·--r--·A~·~i·d~-f~-b·;i-~~-ti~··--T·-M~-d~i···d~-·d~bs~ r~~"-~--- .. ~"-~-~",'''~' ~_'~''A .. '~ .... r 'A·'·~-""-~~_' ~'~~_ ... ·_' __~__ .. _';:_.--~- .. ,,-----_--"......,A._.~-,_~ ~__~ .. ""'._ ... '._,, __._ .. ~.,_~ ..... ."~, .... ,~-_,A __~ ... _._~~_ .__ "'.,'._ ... ~.~~" .. ~..~ ~--- ---- ..---~. -. --". . -- .---- ._... -.."..:_d::=- "-_., =._ . .... .. __~ , ; - I ..... u_J ..-~.------- -- - -..~~ ..:~ 1-····..·__·:·_- ···----~······--·-····-·-·-· .. -········--·····i- ..~··-··-_.-- _..- _._. ·.._..__··__··_· ..····T---· '_'h ••••••• _ ••••• _ ••_-_ •.•- ••_ , ••, •••n , _0__' , L.. -.----.--~..:._-- -- __ J .. _ .. .. _ .._._._ .. .__ .. _i ._..__ ._. _ .___ . ._.l__ . . --.--.- __ .__ .. .. __L. . .. __ M'_ ••.•• ••__••• ••_! 32.Bunuri sub forma de metale pretloase, bijuterii, obiecte de arta ~i de cult, colectu de arta ~i nurnlsmatlca, obiecte care fac parte din patrimoniul cultural national sau universal, a carer valoare Insurnata depaseste 5.000 de euro NOTA: Se vor mentiona toate bunurile aflate in proprietate, indiferent daca ele se ~_!I_~~_a_u f1_~P~!~r.i~~_r.i~LR.:~rT1_a,ni~) I~ mornentu) _9_~c.lar.a.rii..... ._... _ ... .._,, _ Descriere sumara Anul dobandirii Valoarea estirnata ~.-=~~==========~~~~== ; !..--- .. M.o. ,_, ._ _ .•J DIRECTIA DE sANATATE PUBlICA .. ' JUOETUl i1A~GHITA . .1t!!&T N. 0, 't.o ! u,:srr-. r ..... .".t:l.t6.!•...•_ D::t:: H .. .lll.N.... IQ.18_ . --------------------

Upload: others

Post on 23-Jan-2021

6 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: r cunoscandprevederile art. 292din Codulpenal lmpreuna ~r ......anul3=== I Scadent~ la==IE= Valoare_=~~=: 1 =:~:3VI.Cadouri, servicii sau avantaje primite gratuit sau subventionate

ANEXA Nr. 1:DECLARAJIE DE AVERE Go7HI/~1 Ell/it- A

Subsemnatul/Subsemnata, 'i. .._ ~ , aV::lnrl functta de... L<lN.':t:l·y'\'~ ...... " la QJ:(5:!T!"!:1.1:j\r3?~..~;{.CNPdomiciliul h-.~.b;-:\·.. . r cunoscand prevederile art. 292 din Codul penalprivind falsul in declaratll declar pe propria raspundere ca lmpreuna cufamilial) detln urrnatoarele:=lI.Bunuri imobile~J1.TerenuriNOTA:Se vor declara lncluslv cele aflate in alte tari.

.---- i, -T-·---~--'--·~----~~·-.--------1d i Cateoorl • I Anul J 5 f + l c t rt I Modul de, Tt 1 12) iA resa sau zona i a egona dobandtrtl upra ata I 0 a-pa e I dobandire: I u aru I

c====-~~r=~~--~r=-:-=-::,::..~::~* Categoriile indicate sunt: (1) agricol; (2) forestier; (3) intravilan; (4) luciu ---­de ape: (5) alte categorii de terenuri extravilane, daca se afla in circuitulcivil.32.CladiriNOTA:Se vor declare lnclustv cele aflate in alte tari.'---------- ..·-·----- ..---r--..-- ..-----·--·l----- ..----j--- ..- ...-..--.-.---,.--- ...-......----...--..- ......-..]'- ...---- ..---- ......·......·-..·--T....-·-----·- ..-....--..-·------..- ..---- ...;

I Adresa sau zona i Categoria* d bA.nud'·" 1 Suprafata I Cota-parte II dMOb~uldde i Titularul2) i! !! 0 an 1m I i 0 an Ire i ![--~=~E[~B=~=~=~~~~~i - - I I ! , Ii!* Categori-ile indicate sunt: (1) apartament; (2) casa de locuit; (3) casa de .vacanta: (4) spatll comerciale/de productle.1)Prin familie se lnteleqe sotul/sotla ~i copiii aflatl in lntretlnerea acestora.2)La "Titular" se rnentioneaza, in cazul bunurilor proprii, numeleproprietarului (titularul, sotul/sotta, copilul), iar in cazul bunurilor incoproprietate, cote-parte ~i numele coproprietarilor.3II.Bunuri mobile31.Autovehicule/autoturisme, tractoare, maslnl agricole, salupe, iahturi ~ialte mijloace de transport care sunt supuse lnrnatrtcular!t, potrivit legii:···---·,,---N~t~-~~-······-···-·-··---·····i····..-··----"-·M~~~~·················-·-··:·------N;·.···d~-b~~~-tT---·--r--·A~·~i·d~-f~-b·;i-~~-ti~··--T·-M~-d~i···d~-·d~bs~·d·i~~········1r~~"-~---·..~"-~-~",'''~'··~_'~''A ..'~....r 'A·'·~-""-~~_' ~'~~_...·_'__~__ .._';:_.--~- ..,,-----_--"......,A._.~-,_~ ~__~..""'._...'._,,__._..~.,_~..... ."~,....,~-_,A__~..._._~~_.__"'.,'._...~.~~"..~..~~--- ----..---~. -. --". . -- .---- ._... -.."..:_d::=- "- _., =._ . .... ..__~, ; - I .....u_J..-~.------- -- - - ..~~..:~ 1-····..·__·:·_- ···----~······--·-····-·-·-· ..-········--·····i- ..~··-··-_.-- _..- _._. ·.._..__··__··_·..····T---· '_'h ••••••• _ ••••• _ •• _-_ •.•- ••_ , ••, •••n , _0__' ,

L..-.----.--~..:._---- __ J .._.. .._ .._._._.. .__.._i ._..__ ._. _ .___. ._.l__ . . --.--.- __.__.. . .__L. . ..__ M'_ ••.•• ••__••• ••_!32.Bunuri sub forma de metale pretloase, bijuterii, obiecte de arta ~i de cult,colectu de arta ~i nurnlsmatlca, obiecte care fac parte din patrimoniul culturalnational sau universal, a carer valoare Insurnata depaseste 5.000 de euroNOTA:Se vor mentiona toate bunurile aflate in proprietate, indiferent daca ele se~_!I_~~_a_uf1_~P~!~r.i~~_r.i~LR.:~rT1_a,ni~)I~ mornentu) _9_~c.lar.a.rii.. ... ._..._... .._,, _

Descriere sumara Anul dobandirii Valoarea estirnata~.-=~~==========~~~~==~;!..--- .. M.o. ,_, ._ _ .•J

DIRECTIA DE sANATATEPUBlICA..' JUOETUl i1A~GHITA

. .1t!!&T N. 0,'t.o !u,:srr -. r......".t:l.t6.!•...• _D::t:: H ...lll.N....IQ.18_ .

--------------------

Page 2: r cunoscandprevederile art. 292din Codulpenal lmpreuna ~r ......anul3=== I Scadent~ la==IE= Valoare_=~~=: 1 =:~:3VI.Cadouri, servicii sau avantaje primite gratuit sau subventionate

- .- ~--. .--..- .._--_._ . -_ .......f I ==:=:_-. -- -t---~-----~~-:::~~~====~:~_=~]=~===~=:===:====~=[=-=~-=-=~~=~~===~=::====:~:=J3III.Bunuri mobile, a carer valoare depaseste 3.000 de euro fiecare, ~ibunuri imobile lnstralnate in ultimele 12 lunir-Nat;':a bunului-r- Data in~t;:ainariil!p~-;;oan; cat~~-;;~~-;= ---Fo~~-';instrainarii--r----v~io~~e;: instramat I , a lnstralnat I I. ._---,-------_._---- - -- ., ---, '. __._---_._------ -j

, I:'-.-,,--- -------T---"-----l----------r-, -===~==J3IV.Active financiare31.Conturi ~i depozite bancare, fonduri de investlttl, forme echivalente deeconomisire ~i investire, inclusiv cardurlle de credit, daca valoarea Insurnataa tuturor acestora depaseste 5.000 de euroNOTA:Se vor declara inclusiv cele aflate in bancl sau mstltutu financiare dinstralnatate.! Institutia c;~~~dministr~aZ~; ad~sa ace~tei~-l----Ti~~T-;~u-;~---TD-;~Zhi~ in-r--'-~~~~;~;;~~~~;~-~i --I:---~;=:.-------'--]---=r--L:L-===~-l*--Categ-oriile-indicate s'un-i-:--'( 1)" cant --c-urent sau echivaie-rite--ClncTusiv--car,,);----------,-,-­(2) depozit bancar sau echivalente; (3) fonduri de lnvestttu sau echivalente,inclusiv fonduri private de pensii sau alte sisteme cu acumulare (se vordeclara cele aferente anului fiscal anterior).32.Plasamente, lnvestitlt directe ~i imprumuturi acordate, daca valoarea depiata lnsumata a tuturor acestora depaseste 5.000 de euroNOTA:Se vor declara inclusiv investitiile ~i particlparlle in strainatate.i Emitentt,itlu/societatea,in care ~e:soana I ,. ----l-;;~~:-tit,uri / co~a-~~T------:--'-ji este actlonar sau asoctat/beneftctar de I Tlpul rtici Valoareatotala la ZI II imprumut ! ,pa I rpare I

i_., .. -=~.., ~_"._., ,__ ..__"., ::- ._.,,__~* Categoriile indicate sunt: (1) hartii de valoare detinute (titluri de stat,certificate, obliqatlunl): (2) actiunl sau parti sociale in socletatt comerciale;(3) imprumuturi acordate in nume personal.33.Alte active producatoare de venituri nete, care insumate depasescechivalentul a 5.000 de euro pe an:NOTA:Se vor declara inclusiv cele aflate in stratnatate.=lV.DatoriiDebite, ipoteci, garantii emise in beneficiul unui tert, bunuri achlzitlonate insistem leasing ~i alte asemenea bunuri, daca valoarea insumata a tuturoracestora depaseste 5.000 de euroNOTA:Se vor declara inclusiv pasivele financiare acumuJate in strainatate.

Creditor Contractat in anul I Scadent la I Valoare 1~==~~~-_--3===~==E=_=~~=:=:~

Page 3: r cunoscandprevederile art. 292din Codulpenal lmpreuna ~r ......anul3=== I Scadent~ la==IE= Valoare_=~~=: 1 =:~:3VI.Cadouri, servicii sau avantaje primite gratuit sau subventionate

:3VI.Cadouri, servicii sau avantaje primite gratuit sau subventionate fata devaloarea de piata din partea unor persoane, orqanizatlt, societati comerciale,regii autonome, companu/soctetatt natlonale sau instltutll publlce rornanestlsau stralne, lncluslv burse, credite, qarantl], decontarl de cheltuieli, alteledecat cele ale angajatorului, a carer valoare indlvlduala depaseste 500 de

*euror- "-"'~i~-~"~"'~~~,;~~'~'-~~-~;~~',-, s~~~~····~e~~~l~~·····~·~·~ele;········-·r-se-~~~~i;~;~~~:j~:~~~t~i··---·r·····-··-~~~i~~·;··~~:~;-·~·~~~·~·~·~···············l

~~=~~==F·~~=-=----·--·-------··-··----r-····-·--···------:== ...---l---- ....--------.~-:------··-·---~~~:~:~<1{~~~~"--....----" .."-- ...i·--·~··--·"-·····~-·-. --~···-···-···--···---"~:~~----~--=-=~===:F===-·---=~=~-==---1~3:C~p~==-------~--_+ -------·=-----------T--·----------·-------~---·-----r-------------------·-~=:JI __.._._._._.. ._._.._..__._ Z_.__._ --:----..--.- - -..-- -.--.---.- ._.__. ____..___.__..__ _._ .._ _..__ _.__._._._.__ _.__._._..___..__.. __ _._.__ ..J* Se excepteaza de la declarare cadourile ~i tratatllle uzuale primite dinpartea rudelor de gradul I ~i al II-lea.:3VII.Venituri ale declarantului ~i ale membrilor sai de familie, realizate Inultimul an fiscal Incheiat (potrivit art. 41 din Legea nr. 571/2003 privindCod'dl fiscal, cu modificarile ~i cornpletertle ulterioare)NOTA:Se vor declara tnclustv veniturile provenite din stralnatate.f-------;;~~~~~~~-;·~~~~:~--I-s-~;;~-~~-~~~l~~--~ume'~~-r-S~~~~~:~~~l/~~b~~~t~·i-T-·--~~~;~:;--~;~;··~~~~~~·~--····--···Ir1.V;'ih;rid-;;;;~ri-i ----. . -'111.1.Titular -- [:137> f/6QGkAM_ 1_. S/~l~III" r-- YT_==·~7iO---_]I.:'[ !=p~~.~'~~Ir=~~~~~~===_ri:2:--S-;;tI~~ti~···-----··········---·-------··-r-:--·---·····················-··-----··----·····-···--1····· ---- - -.----- -- ----.-.-- .···.=1:~==·----·-=====~--=-=:~~:::=1·:-.:...~~:;;---====~:---------T----------------·--------=+=====~==- -----1r-------------r----.----------------,.---------.--- ----i---··--·-·--------------1f~l~=-:"=~~~==-~-==~==-~:-=~=F==-~=~-==j12.2.Sot/sotie I -~I

II--------------r----------i

- - - I - - - - i.i2:-S~tI~otie .----- - -.-- 'T- --- --.----- --- - ----r- ..-------- - ---- -- :c--- l.-------I'-------'----=--.---------r:- ---=___.J14. Venituridin lnvestlttl I:4:··i~-nt;;_i~·~-------------··-----T---- -.- ------ - I ---.--.......---.----- - ---- ..]..--.-- .-..------....-.---- - - -····-··1

.=:-:~.-:=~-~:.--:::=~-:-~-:-·:=::==-=L--~:=-=-~=-:::~~- -=:~~~-::=:]I:~~:::==-~~~~-~=----~::--~~~:~~·=:-~=:r~:~·-:::-·:~~:=~~-~:-:~-=~=:::~::-~:-~]'4.2.Sot/sotie i ;!.-----.------ .-- ..-L-------==.~--==-~==~=r==_ ..=====-=_-==I~:·. .. ~=-<is. Venituridin pensii -r1. Titular

'3. Venituridin cedarea folosinteibunurilor[3.1. Titular i, - ~ --.-.- - -..- _, -,- ___ _..- -"'f"--- - _ _.__ .

........_- _.. __." _ ··T········-

-------------------. -

Page 4: r cunoscandprevederile art. 292din Codulpenal lmpreuna ~r ......anul3=== I Scadent~ la==IE= Valoare_=~~=: 1 =:~:3VI.Cadouri, servicii sau avantaje primite gratuit sau subventionate

:7. Veniturl din premii ~i din joeuri de noroe !;.-.--------~------ .---~.---.-- ••-----.-~ •.~--------.. .---.-.-- ..-.-----.-~-- -...--- ••.••--- •••••--,- - ~ •.- ..•- .••-.-.-.----,-.--- ..- ..•__ •.•_. .•••.•,,_ __..•.117.1. Titular . iE-~~~:~~i:--·-"-····-·~--f::::==:·~=~-=-----~=i=====---=:~=F::===:=====I

Ir-::---:::------:-:-:--~-::F-=----+_------------T-~--------r_--~----.---J17:_~:.C::().E.~~.. ... _ . .__ __ .. __ _.._.__ _ ..__..__.._..----. __. . _J! _.~_..~._ ".._.._..~._c __ __._._ ..__ , ·····.·_.. __ _.__, c.. .c_.__ _. ~. __ -.-.---- -·-···-···..-------·-·- ·-·"-·······--··"~-·_·_."_._. c ".•.- - -.~ •.'- ..--, ..- , , ...Ji8. Venituri din alte surse I,._--.__ ._--_._ __ _ .._--_ _-_ _._-_ ..,-_ -_ __ .._ _-_ __ ..__._-.__ .._._--_._._--_ --_ _--- .._ .._._ .._ _ ..__ .._-----_ __ - _._ _-_ ....•._._._----_ .......•_.__ __ _ ,i8.1. Titular i

r -1- --:=-]~.3:-copii----- ;-~==--=~==~_=~=_=~-.~~I~~==~~~=~~==.=·~:=~=~~~~.-~r:-_·-_-__.. __-_-.=~=-__--~.-=~~..--_._-~..~)I!,-_.__ ..._._.__ ... --- --,--- "._. -, -,

L_ ~~~==~==~======~==~;===~==~===;=±==;=========__jPrezenta declaratle constituie act public ~i raspund potrivit legii penale pentruinexactitatea sau caracterul incomplet al datelor mentlonats.Data complet~ri/.piJ...!~H,I.(:: ..M.....,Semnatura

18.2. Sottsotie

Page 5: r cunoscandprevederile art. 292din Codulpenal lmpreuna ~r ......anul3=== I Scadent~ la==IE= Valoare_=~~=: 1 =:~:3VI.Cadouri, servicii sau avantaje primite gratuit sau subventionate

DIREC TIA DE SANATATE PUBLIcAJUOETUl ~A'RGHITA

, -Wrl N~:......J.J..l..2.J.._C':!;!!~ J.A ..J.UN Z.gJt ..

ANEXA Nr. 2:DECLARATIE DE INTERESE GoTH A'e.'D ~ v.t-SUbSefT1natUI/SUbsem~ata, ~ ..RiJ.: ~~~::O~(~.< ...... , la ... f!?-; .. c;,'IT~f. ..... " CNP........................... , cunoscand prevederile art. 292 dinfalsul in declaratll, declar pe propria raspundere:ri~A~~ci~ts~'~actiona~-;Oci~tij~~~e-':~~I~'~~~~p~'~iv~~~-i'~i~ti-~~ti~;~i~;"'-i'~-~tit~'ii'i-'de--c'~'di't;-'g~~p~-~i--d~-'int'~'~~~-"-'----'-""-'-:economic, precum Si membru in asociatii, fundatii sau alte organizatii neguvernamentale: . ,_J

iNr. de parti r: Valoarea totala a iUnitatea Calitatea detinuta isocia Ie sau partilor socia Ie si/sau a ]- denumirea Si adresa - I

, de actluru actiunilor jri:i:-'-::~""""'-""'" '.;:= ..m'-=-"'"'"'"~="',f"" .'.-..''"-''--=--=--=====t==::===t===-."=-'~----- ....' If ..,----'m-"~-.,~::::::::--~ .'- _.."'_'m.' "__ '_ ..,.. ,;'"',.,"' __ ',._ __ '_.," __'-'-"+--.---'----r-~-~--------i_ _.___._ _._- _.. .. -.,_,_._-,-__ _ _ __ _. ._ __ - _.._.._ _ - _- -., _ _..-- - -.._._ ---- - _ - .._-..- ---- -.---..-.- - -----.- ..-'---'--'112. Calitatea de membru in organele de conducere, administrare Si control ale societatilor comerciale, ale regiilor Ilautonome, ale cornoanmor/sooetatuor nationale, ale institutiilor de credit, ale grupurilor de interes economic, ale Ilasociatiilor sau fundatiilor ori ale altor organizatii neguvernamentale: :

Unitatea i Calitatea detinuta 1 Valoarea i,--,.-- "' _,__ __.._._ ,..,_~..9~_L!~,i~~?~L~~~~~ ..~__..m'.__ '. __ ._.• • _ _ ,__ • ,1__ _ _ ,._ , " _l!?:~~~!~~i.I~~.J

~~~"'~..--~~ ..==~,----=--! -=--==~_~_~--I: ~"'===--=r_~ .._...._~~. .____...13.Calitatea de membru in cadrul asoclatitlcr profesionale si/sau sindicale:f3·..i:'".~''~·''-'~''''''··-'--·'''''''·''-.·-''--''-''-'-..''''·'''"'''--'''-'''''''--''''''''''''''-"""~",,,'"''~'''''~''-'''''''''''''''"'""" """",,".,,.,,,,,,,,,0,,,,

functla de.., domiciliat in

Codul penal privind

. --i

j4. Calitatea de me~bru in organele de conducere, administrare Si control, retribuite s~u neretribuite, detinute in'cadruI .P!..t!~~~c:1,~_p.?!i!~~E:!.,,,~~.~_g~_9~j~~_l!_t~}__~E:!_~_r:!'l_~E:!?__p_~!!i~_~~LE~~~!C:~_,_.." ",_..__._",_',.." " _' , .." .._.." .~Cl=-_:;:~_"5. Contracte, inclusiv cele de asistenta juridical consultants Si civile, obtinute sau aflate in derulare in timpul i'exercitarii functiilor, mandatelor sau demnitatilor publice flnantate de la bugetul de stat, local Si din fonduri externe ori I!incheiate cu socletatl comerciale cu capital de stat sau unde statui este actionar majoritar/minoritar: I

i:~l-~~~efic~~r~~ ..~~~~:~ract~:~:~-I~-, - ..."-..-f-~~~~!~~j~~·:·lP:~~f-e~aUt::r--~:~~---·~.i :-~h~:--II·-~~rat:"-:.I"-~t·~-t,O:,;:!.;" I /d ' l ad denurnl a os / tractulull me eieru I' 0 a a a "iprenume e enurrurea Sl a resa enurrurea Sl /. d' + t icon rac u UI! t ct I .tcontractu UI' ttl';, adresa mere mta ! icon ra u UI! .con rac u UI!; Icontractul i !;:[Titular ----- I ---~" -".,-.--.-.'""-;--'-------,- ,-'--,

,----"""."""'''"' "".", ..,,"""'" '" ·1""""'" ,,,,,---- .. ,,,,,,, "'1'":Sot/sotie .i"'-""----"m.''''''-''-''''''''''l''''''.''''''''-.':''- .....'''.,,-.':'' ' ,"."""..-. '''''1'''''-- ".".--."""",,,- ""1",Rude de gradul I ) ale titularu'ui ..~~~~~:!~~~~~:~~/:~~f/!~~,~~~7Jl~~~~~~~·'···-·"········1--.-."··,·········r/ ",.. ,,"""

, ndividuale, cabinete asociate, societatl I,civile profesionale sau societati civile I ,I

jprofesionale cu raspundere limitata care -.L----+----~----t----;---idesfasoara profesia de avocat / Organizati;,::i:l.---"neguvernamentale /Fundatii/Asociatii2) i,,, I ' :~).....:""e.~~~~~.I.,~..~~,r:n~~!f!.~~_~LY.~.~.y,,~.~...~!"-~I~E~I£~~!~~_~~~=.-.'~.":===--~....·,,"=~~~'""--"-'-..---,,~j"s. Contracte, inclusiv cele de aSistenta juridica, consultanta juridical consultanta Si civile, obtinute ori aflate in,derulare in timpul exercitarii functiilor, mandatelor sau demnitatilor publice finantate de la bugetul de stat, local Si dinifonduri externe ori incheiate cu societati comerciale cu capital de stat sau unde statui este actionar!majOritar/minoritar:

.....--.- .._.,,_._._-_.- _, _ .5.1. Beneficiarul de contract:

---- ,..·· .. " ..·..1

.~..-..~..... -,---.- -..~---..---.-.,

Institutia Procedura Tipul.__._--_._---_ .. - Data Durata Valoarea

Page 6: r cunoscandprevederile art. 292din Codulpenal lmpreuna ~r ......anul3=== I Scadent~ la==IE= Valoare_=~~=: 1 =:~:3VI.Cadouri, servicii sau avantaje primite gratuit sau subventionate

prin care a " contractului incheierii I contractului I totala a !fost : contractului I I contractului I

lncrectntat I' '!

contractu I J I i~~!l'ar_::.:.::::::.::_:.::_.________ Ii! r-----l~otlsotie ::.::-----~-~-~l--r~~~~~~~=~~-~~-]:~-.:.---~==~~r-···=::::==:=:~r=---------··~.:·-T-------------~ _._.._--.J!Rude de gradul 11) ale I I, ! I I'! 'iititularului !

[nurnele, prenumele/ denumirea contractanta:~i adresa denumirea ~i

adresa

J! .(Ia data:03-mai- !

12013anexa !12modificat !ide Actul din iILegea i1116/2013 !') Ii __ I

iSocietati comerciale/Persoana'fizica autortzata/ Asociatllfarnthale/Cablnete individuale,!cabinete asociate, societatijcivile profesionale sau societatiicivile profesionale cu!raspundere limitata careJdesfa~oara profesia de!avocat/Organizatiiineguvernamentale/Fundatii/~~ociatii2~) _

1) Prin rude de gradul I se inteleqe p~kinti pe linie ascendenta ~i copii pe liniedescendents,·~·(Iadata 03-mai-2013 anexa 2 modificat de Actul din Legea 116/2013 )2) Se vor declara numele, denumirea ~i adresa beneficiarului de contractunde, prin calitatea detlnuta, titularul, sotul/sotla ~i rudele de gradul I obtlncontracte, asa cum sunt definite la pct. 5. Nu se declare contractelesocletatllor comerciale pe actlunl la care declarantul irnpreuna cu sotul/sotla~i rudele de gradul I detln mai putln de 5% din capita lui social al socletatll,indiferent de modul de dobandlre a acttunllor.i~(Iadata 03-mai-2013 anexa 2 modificat de Actul din Legea 116/2013)Prezenta declaratle constituie act public ~i raspund potrivit legii penale pentruinexactitatea sau caracterul incomplet al dateter mentlonate.Data cornpletarf h!S .. ~':'.r:f!.r;,.,toI~Sernnatura '~ - _Publicat in Monitorul Oficial cu nurnarul 621 din data de 2 septembrie 2010