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Statement of economic interest for a public official

Official: Sivertson, Jan

Statement last updated: 1/4/2019

Occupation:	business owner
Employer:	Sivertson Gallery Inc. (self-employed)

	14 West Wisconsin Street
	Grand Marais, MN 55604

Positions held

Agency	Position held	Appointment date	Appointment ends	Appointment authority
Cook County	Commissioner	1/5/2015	12/31/2018	Elected
Arts, Board of the	Member-at-Large	3/24/2014	6/30/2018	Governor
Arts, Board of the	Member-at-Large	7/7/2013	3/24/2014	Governor

Sources of income

Name of source	Relationship to source
Name of source	Director	Officer	Owner	Member	Partner	Employer	Employee	Honorarium
Cook County, Minnesota
Sivertson Gallery

Business or professional activity categories

Business or professional activity category	Employee and owns 25% or more of business	Independent contractor
Retail - furniture & home furnishing stores
Retail - furniture & home furnishing stores

Securities

Name of security
Merrill Lynch IRA
Merrill Lynch Simple IRA

Real property

County	Address or section information	Owner	Mortgagee	Contract for deed	Option to buy $2500 rule	Option to buy $50000 rule
Cook	14 West Wisconsin Street
Cook	15 Blankenburg Lane

Pari-mutuel horse racing interests

None reported