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Contents

1.    Type of declaration and the reporting period

2019

2.1.    Information about the declarant

HUSAK
VADYM
ANATOLIIOVYCH
[Confidential information]
[Confidential information]
[Confidential information]
[Confidential information]

Registered place of residence:
Ukraine
[Confidential information]
Birky / Oleksandrivskyi raion / Kirovohradska oblast / Ukraina
[Confidential information]
[Confidential information]
[Confidential information]
[Confidential information]
[Confidential information]

Place of actual residence or a postal address where the National Agency for Corruption Prevention can send correspondence to the declarant:

Place of work:
Aleksandrovsky correctional center №104

junior inspector of surveillance and security

Category of the official position (if applicable):
Public service position
[Not applicable]

No

No

No

2.2.   Information about the declarant's family members

Relationship with the declarant Full Name Citizenship Tax number: Series and passport number of Ukrainian citizen or ID card or birth certificate Unique entry number in the Unified State Demographic Register
motherLast Name: KyrpychovaFirst Name:Nataliia Patronymic:Mykolaivna Date of Birth:[Confidential information]Ukraine[Confidential information][Confidential information][Confidential information]
stepfatherLast Name: KyrpychovFirst Name:Ruslan Patronymic:VasylovychDate of Birth:[Confidential information]Ukraine[Confidential information][Confidential information][Confidential information]
full brotherLast Name: KabanetsFirst Name:Oleksandr Patronymic:ViktorovychDate of Birth:[Confidential information]Ukraine[Confidential information][Confidential information][Confidential information]

3.    Immovable property

The declarant or his family members have no objects for declaration in this section

4.    Objects of unfinished construction

The declarant or his family members have no objects for declaration in this section

5.    Valuable movable property (other than vehicles)

The declarant or his family members have no objects for declaration in this section

6.   Valuable movable property - vehicles

The declarant or his family members have no objects for declaration in this section

7.   Securities

The declarant or his family members have no objects for declaration in this section

8.   Corporate rights

The declarant or his family members have no objects for declaration in this section

9.   Legal entities, trusts or other similar legal entities, the ultimate beneficial owner (controller) of which is the declaring entity or his family members

The declarant or his family members have no objects for declaration in this section

10.   Intangible assets

The declarant or his family members have no objects for declaration in this section

11.   Revenues, including gifts

The declarant or his family members have no objects for declaration in this section

12.   Cash assets

The declarant or his family members have no objects for declaration in this section

12.1.   Banking and other financial institutions holding accounts of the declaring entity or his family

The declarant or his family members have no objects for declaration in this section

13.   Financial obligations

The declarant or his family members have no objects for declaration in this section

14.   Expenses and transactions of the declarant

The declarant or his family members have no objects for declaration in this section

15.    The concurrent job of the declarant

The declarant or his family members have no objects for declaration in this section

16.   Membership of the declarant in organizations and their bodies

The declarant or his family members have no objects for declaration in this section Membership in the organs of organizations.The declarant or his family members have no objects for declaration in this section

Document signed:

HUSAK VADYM ANATOLIIOVYCH

Full name in other languages

Гусак Вадим Анатольевич, Husak Wadym Anatolijowytsch, Gusak Vadim Anatolevich, Gusak Vadim Anatol'evich, Husak Vadȳm Anatoliĭovȳch, Husak Vadym Anatoliyovych, Husak Vadym Anatolijovych, Housak Vadym Anatoliyovytch, Гусак Вадим Анатолиевич, Gusac Vadym Anatoliiovych, Husak Vadym Anatoliiovych, Husak Vadym Anatolijovyč, Gusak Vadim Anatolievich, Gusak Vadim Anatolìjovič, Gusak Vadim Anatol'yevich, Gusak Vadim Anatolijovič, Gusak Vadim Anatolijovich, Gusak Vadym Anatoliiovych, Гусак Вадим Анатолійович