N.H. Rev. Stat. § 14-B:8 — NH Code / Title I / Chapter 14-B / Section 8
14-B:8 Financial Disclosure Form.
Status: in_force

Every representative, senator, and officer of the house of representatives and the senate, shall file with the legislative ethics committee a financial disclosure form no later than the third Friday of January in the first legislative session of the biennium. If the legislator's or legislative officer's financial circumstances change, he or she shall file a new financial disclosure form prior to participation in any official activity which would have been affected by the change. The financial disclosure form shall include the following information: I. The name, address, office, county or district, and telephone number of the reporting individual. II. The name, address, and type of any business, profession, or other organization (including any unit of government) in which the reporting individual or reporting individual's household member was an employee, officer, director, associate, partner, or proprietor, 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 year. Sources of retirement benefits other than federal retirement and/or disability benefits shall be included. If the individual filing the financial interest statement or that individual's household member has no qualifying income he or she shall report this by writing his or her initials following the statement: "My or my household member's income does not qualify ___ ." III. A statement of whether the reporting individual or reporting individual's household member has a financial interest in any of the businesses, professions, occupations, groups, or matters listed in this paragraph and a place on the form where the nature of the financial interest shall be described for each matter, as applicable. (a) Any profession, occupation, or business licensed or certified by the state of New Hampshire, listing each such profession, occupation, or category of business. (b) Health care. (c) Insurance. (d) Real estate, including brokers, agents, developers, and landlords. (e) Banking or financial services. (f) State of New Hampshire, county, or municipal employment. (g) The New Hampshire retirement system. (h) The current use land assessment program. (i) Restaurants and lodging. (j) The sale and distribution of alcoholic beverages. (k) The practice of law. (l) Any business regulated by the public utilities commission. (m) Legal forms of gambling or charitable gaming. (n) Education. (o) Water resources. (p) Agriculture. (q) New Hampshire taxes, specifying if business profits tax or business enterprise tax. (r) A place where the reporting individual may, but is not required by this chapter to, specify any other area for which he or she or a household member has a financial interest. IV. The following statement regarding the disclosure of financial interest: "You have a financial interest in a business, profession, occupation, group, or matter listed in this section if a change in law, administrative rule, or other official action by the general court affecting the listed business, profession, occupation, group, or matter would potentially have a financial effect on you or a household member that is distinct from and greater than the interests of the public at large." V. The following statement regarding the filing of a declaration of intent form: "If your participation in an official activity creates a conflict of interest not disclosed by the information on this form, you must complete and file a Declaration of Intent Form in accordance with section 6 of the Ethics Guidelines. Also, if such activity could reasonably have greater benefit or detriment to you or a household member than other members of a group identified in this form, a Declaration of Intent Form is required. See section 6 of the Ethics Guidelines for information regarding particular conflicts of interest you may have." VI. The following statement followed by a line for the person filing the form to sign and date the form: "I hereby swear or affirm that the foregoing information is true and complete to the best of my knowledge and belief." VII. The full text of RSA 14-B:10.