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shareholder, a member, an administrator, an executor or trustee connected with the above- <br />named entity, or the spouse of any of them. <br />MARK THE APPROPRIATE PARAGRAPH. If paragraph (B) is checked, Cuyahoga County is <br />- -- prohibit -ed -by -Section -3517 1a. of the -Ohio -Revised-0de-ftorn-awardinga-rion-competitively <br />bid contract over $500.00 to the entity during the current calendar year unless County <br />Council makes a direct award. <br />❑ (A) NO ONE PRINCIPAL of the above-named entity made one or more contributions to the <br />Executive or the Executive's Committee during the two previous calendar years (January <br />1St of year one to December 31s' of year two) that totaled more than $1,000.00 per <br />individual <br />❑ (B) ONE OR MORE PRINCIPALS of the above-named entity made, as individual(s), one or <br />more contributions to the Executive or the Executive's Committee during the two <br />previous calendar years (January 11t of year one to December 311t of year two) that <br />totaled more than $1,000.00 <br />SECTION III. NON-PROFIT AND FOR-PROFIT CORPORATIONS AND <br />BUSINESS TRUSTS <br />ASK <br />❑ NON-PROFIT CORPORATION ❑ FOR-PROFIT CORPORATION <br />❑ BUSINESS TRUST (OTHER THAN INCORPORATED PROFESSIONAL ASSOCIATIONS) <br />For purposes of Section III, a "principal" means an individual or, an entity owning more than <br />20% of the corporation or business trust or the spouse of any such individual. <br />MARK THE APPROPRIATE PARAGRAPH. If paragraph (C) is checked, Cuyahoga County is <br />prohibited by Section 3517.13 of the Ohio Revised Code from awarding a non -competitively <br />bid contract over $500.00 to the entity during the current calendar year unless County <br />Council makes a direct award. If paragraph (D) is checked, Cuyahoga County is prohibited by <br />Section 3599.03 from awarding a contract to the non-profit corporation. <br />❑ (A) NO INDIVIDUAL or entity owned more than 20% of the corporation or business trust <br />during the two previous calendar years (January 1St of year one to December 31St of year two) <br />❑ (B) NO PRINCIPAL of the above-named entity made, as an individual, one or more <br />contributions to the Executive or the Executive's Committee during the two previous calendar <br />years (January 1St of year one to December 31St of year two) that totaled more than $1,000.00 <br />❑ (C) ONE OR MORE PRINCIPALS of the above-named entity made one or more contributions <br />+ to the Executive or the Executive's Committee during the two previous calendar years (January <br />11t of year one to December 31St of year two) that totaled more than $1,000.00 <br />2079 East Ninth Street I Cleveland, Ohio 44115 1216-698-0000 1 www.cuyahogacounty.us <br />