fl eee Seca ik VERMONT HOUSE OF REPRESENTATIVES Su hecon OFFICE OF THE CLERK House of Representatives Disclosure Form Name:_- Sore Crm coerce serve on, oF am member of, the following Boards, Commissions, or Entities that are ‘regulated by law or that receive funding Grom the State: Remuneration ‘Bourd, Entity, or Commission Name, | No Yes Yes and Position (eg. Bourd Member, Only Boud Chait) Expeuses E7 Carte nou ee doers Razer Coe (Gum net x Heosme Tas) My Employer._NONE™ (Sulry discon aot equa) Signed this 42 day of_S derventy? 2019 Seort Compost. Printed Nume, please sign on back