Rimersburg, PA · Clarion County
2025 Act 44 Pension Services Disclosure Form
This annual disclosure form is for contractors providing professional services to Rimersburg Borough pension systems and receiving payment from a pension fund.
What this form is
The form collects information about a contractor’s services, personnel, subcontractors, affiliations, contributions, gifts, relationships with municipal officials, and potential conflicts of interest. Rimersburg Borough says covered contractors must complete and submit it annually, with updates in writing as changes occur. The form also directs contractors to attach detailed responses on a separate sheet when a question requires further information.
Who needs it
Entities providing contracted professional services to a Rimersburg Borough pension system and receiving payment from its pension fund must complete the disclosure.
How to submit it
Return the completed form to Rimersburg Borough, Attn: Dana Solida, Borough Secretary (CAO), 27 Main St., Rimersburg, PA 16248-4333, or email [email protected]. The form states a December 1, 2025 submission date.
About notarization
This document is signed and dated without a notary; the verification describes the statements as unsworn, and no notarized attachment is specified.
How to submit this form
- 1
Download the Form
Download the 2025 Act 44 disclosure form for professional services to Rimersburg Borough pension systems.
- 2
Complete the Disclosure
Identify the pension system and answer the questions; provide further information for affirmative responses.
- 3
Gather Attachments
Attach separate sheets with required detailed responses and, if applicable, the municipal entity’s acknowledgment letter for a disclosed business relationship.
- 4
Submit to the Borough
Return the completed form to the Borough Secretary at the listed address or email address.
Frequently asked questions
- Do I need a notary for the Act 44 disclosure form?
- No. The form is signed and dated without a notary. Its verification describes the statements as unsworn, and it does not specify a notarized attachment.
- Who completes the Rimersburg Act 44 disclosure?
- A contractor providing professional services under contract to a Rimersburg Borough pension system and receiving payment from the pension fund must complete the form.
- How do I submit the disclosure form?
- Return it to Rimersburg Borough, Attn: Dana Solida, Borough Secretary (CAO), at 27 Main St., Rimersburg, PA 16248-4333, or email [email protected].