Statement of economic interest for a public official

Official: Jacobs, Jeffrey W

Statement last updated: 10/31/2016

Occupation:	Compensation Judge
Employer:	Self-employed


	Edina, MN 55439

Positions held

Agency	Position held	Appointment date	Appointment ends	Appointment authority
Administrative Hearings, Court of	Contract-Administrative Law Judge	8/1/2016	9/14/2016	Chief Administrative Law Judge
Administrative Hearings, Court of	Compensation Judge	12/17/2010	8/1/2011	Chief Administrative Law Judge

Sources of income

Name of source	Relationship to source
Name of source	Director	Officer	Owner	Member	Partner	Employer	Employee	Honorarium
Self-employment/Arbitrator

Business or professional activity categories

Business or professional activity category	Employee and owns 25% or more of business	Independent contractor
Professional, Scientific, & Technical Services (Legal, Accounting, Payroll, & Tax Preparation Services)

Securities

Name of security
none

Real property

County	Address or section information	Owner	Mortgagee	Contract for deed	Option to buy $2500 rule	Option to buy $50000 rule
Cass	1041 Loon Dr
Hennepin	4378 Glen Pl

Pari-mutuel horse racing interests

None reported