RSA 15-A:5 Form of Disclosure.

The secretary of state shall establish a uniform statement of financial interests, which may be in paper or electronic form.
I. The statement of financial interest shall include:
(a) The full text of RSA 15-A.
(b) The full name, work address, work phone number, primary occupation, and, if different, the office, appointment, or employment with government held by person filing the statement of financial interest.
(c) The name, address, and type of any profession, business, or other organization in which the reporting individual or family member was an officer, director, associate, partner, proprietor, or employee, or served in any other professional or advisory capacity, and from which any income in excess of $10,000 was derived during the preceding calendar ye