ao eatin VERMONT HOUSE OF REPRESENTATIVES. Scawcic OFFICE OF THE CLERK. serve on, or am a member of, de following Bourds, Commissions, of Fits that ne regulared by law ot that receive funding frotn the State ¥e Board, Entity, or Conaiwann Name, and Posiion (@.¢. Bourd Member, Board! Chi) Daclteie My tmployer,_ fade 4 Le _ {Salary disclosure not requitéd) 2019 Signed iis /2f day of bcd. BLEWMEM Printed Name, please sign on back