Tidioute, PA · Warren County
Act 44 Pension Services Disclosure Form
Contractors providing professional services to Tidioute Borough’s pension system use this disclosure form to report personnel, relationships, contributions, and other required information.
What this form is
The form requests annual disclosures from contractors paid by a Tidioute Borough pension fund for professional services. It asks about the pension plan served, contractor personnel and affiliations, lobbying, contributions, gifts, business relationships, and potential conflicts of interest. The document says to submit the completed disclosure by December 1, 2025, and to update information in writing as changes occur.
Who needs it
A contractor receiving payment from a Tidioute Borough pension fund for professional services must complete the disclosure form.
How to submit it
Return the completed form to Tidioute Borough, Attn: Amanda Mesel, Borough Manager, 129 Main Street. The form also lists 814-484-7424 and [email protected].
About notarization
This document is signed without a notary; the verification states that the facts are true and correct subject to penalties for unsworn falsification.
How to submit this form
- 1
Download The Form
Download the Act 44 Pension Services Disclosure Form for Tidioute Borough.
- 2
Complete The Disclosure
Answer the questions about the pension system, contractor personnel, affiliations, contributions, relationships, and conflicts.
- 3
Gather Any Attachments
Provide detailed answers on a separate sheet when required. If reporting a financial relationship, attach the borough’s acknowledgment and consent letter.
- 4
Submit To The Borough
Return the completed disclosure to Tidioute Borough, Attn: Amanda Mesel, Borough Manager, 129 Main Street.
Frequently asked questions
- Do I need a notary for the Act 44 disclosure form?
- No. This document is signed without a notary. Its verification is an unsworn statement, and it warns that false statements are subject to penalties.
- How do I submit the Act 44 disclosure form?
- Return the completed form to Tidioute Borough, Attn: Amanda Mesel, Borough Manager, 129 Main Street. The form also lists a telephone number and email address.
- Who must complete this disclosure form?
- The form says contractors providing professional services under contract to a Tidioute Borough pension fund and receiving payment from it must complete the disclosure.
- What information does the disclosure request?
- It asks about the pension plan served, contractor personnel, affiliations, lobbying, contributions, gifts, business relationships, and potential conflicts of interest.