Mississippi Ethics Commission

SECTION A: Name and Address information.

Last Name: Teeuwissen

First Name: Pieter

Middle Name:

Title: Mr.

Suffix:

Mailing Address: 5920 Dabney Drive, Jackson MS 39206

SECTION B: List of title(s), position(s) or office(s) in government held by the filer.

SECTION C: List of all other occupations of the filer, filer's spouse and any person over the age of twenty-one (21) who resided in the household during the entire preceding calendar year.

SECTION D: List of all the names and addresses of all businesses for which any of the following statements are true for the filer, filer's spouse and any person over the age of twenty-one (21) who resided in the household during the entire preceding calendar year, including the name of any position in or relationship to the business.

1. Receives more than Two Thousand Five Hundred Dollars ($2,500,00) per year in income from the business.
2. Owns ten percent (10%) or more of the fair market value in the business, either directly or through another business.
3. Owns an ownership interest in the business, the fair market value of which exceeds Five Thousand Dollars ($5,000.00) or
4. Is an employee, director or officer of the business.

SECTION E: List of person or business and the nature of business the filer represented or intervened for compensation before an authority of state or local government, excluding the courts, on any matter other than uncontested or routine matters, only if the filer is (1) an elected official, (2) an executive director or head of a state agency or (3) a president or trustee of a state-supported college, university or community or junior college, including members of the State Board for Community and Junior Colleges and the State Board of Institutions of Higher Learning.

SECTION F: List of all public bodies, whether federal, state or local government, from which the filer, filer's spouse or any person over the age of twenty-one (21) who resided in the household during the entire preceding calendar year received compensation in excess of One Thousand dollars ($1,000.00) during the preceding calendar year, whether the compensation was paid directly or indirectly through another person or business.

I hereby certify the information set forth in this statement is accurate and complete to the best of my knowledge. I understand it is a crime to knowingly fail to disclose information required by law and is publishable by a fine of Ten Thousand Dollars (10,000.00).

Mr.Pieter Teeuwissen SIGNATURE

01/08/2024 DATE