Hollidaysburg, PA · Blair County
Professional Service Provider Municipal Pension Disclosure
This disclosure form collects information from professional service providers contracting with Hollidaysburg Borough’s municipal pension system about personnel, affiliations, contributions, gifts, and potential conflicts.
What this form is
The form requests information from the professional service provider to Hollidaysburg Borough’s municipal pension system, including names of service providers and affiliated entities, plus answers about contributions, gifts, relationships, and potential conflicts. Its text says Act 44 of 2009 requires annual disclosure of certain information from people or entities providing professional services to a municipal pension system. Complete and return it as soon as possible, or provide a written explanation if you believe you are not obligated to complete it.
Who needs it
A professional service provider with a contract to provide services to Hollidaysburg Borough’s municipal pension system may need to complete this disclosure.
How to submit it
Return the completed disclosure to Mr. Mark Schroyer, Borough Manager, Hollidaysburg Borough, 401 Blair Street, Hollidaysburg, PA 16648; the form says to return it as soon as possible.
About notarization
This disclosure is signed and dated without a notary; it identifies no notarized attachment or sworn step.
How to submit this form
- 1
Download The Disclosure
Download the Professional Service Provider Municipal Pension Disclosure PDF.
- 2
Complete The Form
Provide the requested information about service providers, affiliated entities, contributions, gifts, relationships, and potential conflicts.
- 3
Gather Any Additional Pages
Attach additional pages if needed to provide information about disclosed contributions, as the form permits.
- 4
Sign And Date
Have an authorized signer sign and date the disclosure.
- 5
Return It To The Borough
Send it to Mr. Mark Schroyer, Borough Manager, Hollidaysburg Borough, 401 Blair Street, Hollidaysburg, PA 16648.
Frequently asked questions
- Do I need a notary for the Professional Service Provider Municipal Pension Disclosure?
- No. The form calls for an authorized signature and date, but does not include a notary block or identify a notarized attachment or sworn step.
- How do I submit the Professional Service Provider Municipal Pension Disclosure?
- Return the completed disclosure to Mr. Mark Schroyer, Borough Manager, Hollidaysburg Borough, 401 Blair Street, Hollidaysburg, PA 16648. The form says to return it as soon as possible.
- Who completes this municipal pension disclosure?
- The form is addressed to the professional service provider to Hollidaysburg Borough’s municipal pension system and requests information about the provider, its personnel, and affiliated entities.
- What information does the disclosure request?
- It asks about professional service providers and affiliated entities, contributions, gifts, relationships with officials, intermediaries, and potential conflicts of interest.