Who completes the Act 44 Pension Services Disclosure Form?

Contractors providing professional services to Fountain Hill Borough’s pension system complete the form when the borough identifies them as subject to the disclosure requirements.

What information does the disclosure form request?

It asks about contractors and related personnel, lobbying, contributions, gifts, business relationships with municipal officials, and possible conflicts of interest.

How do I submit the Act 44 disclosure form?

Return the completed form to Fountain Hill Borough, Attn: Anthony Branco (CAO), at 941 Long Street, Fountain Hill, PA 18015.

Do I need a notary for the Act 44 disclosure form?

No. The document has no notary block; the contractor’s authorized representative signs and dates the verification.

Fountain Hill, PA · Lehigh County

No notary required

Act 44 Pension Services Disclosure Form

This disclosure form is for contractors providing professional services to Fountain Hill Borough’s pension system who must report information about their business and related personnel.

What this form is

The form collects disclosures from contractors providing professional services to Fountain Hill Borough’s pension system, including information about contractors, affiliated entities, lobbyists, contributions, gifts, and possible conflicts of interest. The document says contractors identified as subject to Act 44 requirements must complete and submit it. It also requests written updates when certain information changes and requires a municipal acknowledgment letter for a disclosed financial, commercial, or business relationship.

Who needs it

Contractors providing professional services to Fountain Hill Borough’s pension system who are identified by the borough as subject to the disclosure requirements need this form.

How to submit it

Return the completed form to Fountain Hill Borough, Attn: Anthony Branco (CAO), 941 Long Street, Fountain Hill, PA 18015. The form also lists [email protected] as the CAO’s email address.

About notarization

This document is signed without a notary; the contractor’s authorized representative signs and dates the verification.

How to submit this form

1
Download The Form
Download the Act 44 Pension Services Disclosure Form PDF.
2
Complete The Disclosure
Provide the requested contractor, personnel, contribution, relationship, and conflict-of-interest information.
3
Gather Any Attachments
If disclosing a business relationship with a listed municipal official, attach the municipality’s written acknowledgment and consent letter.
4
Sign And Submit
Have an authorized representative sign and date the verification, then return the form to the borough address listed on it.

Frequently asked questions

Who completes the Act 44 Pension Services Disclosure Form?: Contractors providing professional services to Fountain Hill Borough’s pension system complete the form when the borough identifies them as subject to the disclosure requirements.
What information does the disclosure form request?: It asks about contractors and related personnel, lobbying, contributions, gifts, business relationships with municipal officials, and possible conflicts of interest.
How do I submit the Act 44 disclosure form?: Return the completed form to Fountain Hill Borough, Attn: Anthony Branco (CAO), at 941 Long Street, Fountain Hill, PA 18015.
Do I need a notary for the Act 44 disclosure form?: No. The document has no notary block; the contractor’s authorized representative signs and dates the verification.

Need something notarized?

This Act 44 Pension Services Disclosure Form doesn’t need a notary — but if you have another Fountain Hill form that does, a commissioned online notary can help.