# Declaration Information

## General Information
- **Type of Declaration ID:** DI, **Label:** Déclaration d'intérêts
- **Label Mandate:** Elu local ou membre d’un établissement public de coopération intercommunale, **Type of Mandate:** Elu départemental
- **Cod Category Mandate:** LOC, **Name Category Mandate:** Elu local ou membre d’EPCI
- **Cod Type Mandate File:** departement, **Label Type Mandate:** Elu départemental
- **Label Organ:** Haute-Marne (52), **Code List Organ:** DEP
- **Help Text:** None
- **Organ Code:** DEP, **Organ Name:** Départements, **Organ Label:** Haute-Marne (52), **Declaration Label:** None
- **Declarant Quality:** None, **Declarant Quality for PDF:** Elu départemental/Haute-Marne (52)
- **Start Date Mandate:** 01/07/2021, **End Date Mandate:** None, **Last Declaration Date:** None
- **Marital Regime:** None, **Marital Regime Comments:** None
- **Company Name:** None, **Parent Company Name:** None, **Turnover:** None, **Number of Dwellings:** None
- **Declarant Civility:** M., **Declarant Name:** Gouverneur, **Declarant First Name:** Laurent
- **Declarant Email:**             [Données non publiées]        , **Declarant Telephone:** None, **Declarant Date of Birth:** 14/08/1963
- **Declarant Address:**             [Données non publiées]        , **Address Complement:**             [Données non publiées]        , **Postal Code:**             [Données non publiées]        , **City:**             [Données non publiées]        , **Country:**             [Données non publiées]        

## Attached Files
- **File Name:** VUE_PDF_DU_RECEPISSE_DU_DEPOT_XML, **Server File Name:** None

## Professional Activities
- **ID:** CREATION, **Label:** None, **Comment:**         [Données non publiées]    , **Conserved:** None, **Description:** Professeur des écoles, **Employer Name:** Education nationale, **Start Date:** 01/2012, **End Date:** 07/2015
  - **Remuneration Type:** Net, **Year:** [2012, 2013, 2014, 2015], **Amount:** [12772.0, 13707.0, 13665.0, 9063.0]
- **ID:** CREATION, **Label:** None, **Comment:** None, **Conserved:** None, **Description:** détachement éducation nationale, **Employer Name:** néant, **Start Date:** 07/2015, **End Date:** 09/2021
  - **Remuneration Type:** Net, **Year:** [2015, 2016, 2017, 2018, 2019, 2020, 2021], **Amount:** [0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0]

## Consultant Activities

## Volunteer Functions
- **ID:** CREATION, **Label:** None, **Comment:** None, **Conserved:** None, **Organization Name:** Cyclisme Bragard 52, **Activity Description:** Trésorier de l'association en 2015-2016

## Elective Mandates

## Spouse's Professional Activities
- **ID:** CREATION, **Label:** None, **Comment:** None, **Spouse Name:**             [Données non publiées]        , **Employer:** CH Genevieve de Gaulle Antonioz, **Activity Description:** SAGE FEMME         [Données non publiées]    

## Directing Participation
- **Participation ID:** CREATION, **Label:** None, **Comment:** None, **Conserved:** None, **Company Name:** GIP Haute Marne, **Description:** Membre du conseil d'administration, **Start Date:** 07/2015, **End Date:** 07/2021
  - **Remuneration Type:** Net, **Year:** [2015, 2016, 2017, 2018, 2019, 2020, 2021], **Amount:** [0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0]
- **Participation ID:** CREATION, **Label:** None, **Comment:** None, **Conserved:** None, **Company Name:** Hôpital Saint Charles Wassy, **Description:** Membre du conseil de surveillance, **Start Date:** 07/2015, **End Date:** 07/2021
  - **Remuneration Type:** Net, **Year:** [2015, 2016, 2017, 2018, 2019, 2020, 2021], **Amount:** [0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0]
- **Participation ID:** CREATION, **Label:** None, **Comment:** None, **Conserved:** None, **Company Name:** SCI         [Données non publiées]    , **Description:** GERANT ASSOCIE, **Start Date:** 07/2015, **End Date:** 07/2021
  - **Remuneration Type:** Net, **Year:** [2015, 2016, 2017, 2018, 2019, 2020, 2021], **Amount:** [0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0]
- **Participation ID:** CREATION, **Label:** None, **Comment:** None, **Conserved:** None, **Company Name:** SEM IMMOBAIL, **Description:** ADMINISTRATEUR, **Start Date:** 03/2016, **End Date:** 07/2021
  - **Remuneration Type:** Net, **Year:** [2016, 2017, 2018, 2019, 2020, 2021], **Amount:** [0.0, 0.0, 0.0, 0.0, 0.0, 0.0]
- **Participation ID:** CREATION, **Label:** None, **Comment:** None, **Conserved:** None, **Company Name:** SYNDICAT DU DER, **Description:** PRESIDENT, **Start Date:** 07/2015, **End Date:** 07/2021
  - **Remuneration Type:** Net, **Year:** [2015, 2016, 2017, 2018, 2019, 2020, 2021], **Amount:** [0.0, 0.0, 0.0, 0.0, 0.0, 0.0, 0.0]

## Financial Participations
- **ID:** CREATION, **Label:** None, **Comment:** None, **Company Name:** SCI         [Données non publiées]    , **Evaluation:** 153930, **Remuneration:** aucune rémunération, **Capital Held:** 100, **Number of Shares:** 1262

## Parliamentary Collaborators

## Observations