Libra Tech Corp COIQ 2020CONFLICT OF INTEREST QUESTIONNAIRE
For vendor or other person doing business with local governmental entity
FORM CIQ
This questionnairg reflects changes made to the law by H.B. 23, &4th Leg., Regular Sesslon.
This questionnaire is being filed in accordance with Chapter 176, Local Govemment Code, by a vendor who has a business relationship as definedby Section 176.001(1-a) with a local govemmental entity and the vendor meets requirements under Section 176.006(a).
By law this questionnaire must be filed with the records administrator of the local govemment entity not later than the 7th business day after the
date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Govemment Code.
A vendor commiE an offense if the vendor knowingly violates Section 176.006, Local Govemment Code. An offense under this section is a
misdemeanor.
Name of vendor who a business relationship with local govemmental entitlr.
Check this box if you are filing an update to a previously filed questionnaire.
(l'he law requires that you file an updated completed questionnaire with lhe appropriate filing authority not later than the 7h business day
after the date on whicft you became aware that the originally filed questionnaire was incomplete or inaccurate.)
! X"." of local government olficer about whom the informatlon in this section is being disclosed.
nlru
Name of fficer
Describe each ernploynent or other business relationship with the lccal governmeat o{ficer, or a family member of &e officer, as described by Section
176.003(a)(2)(A). Also describe any family relations hip with the local governmetrt officer. This section, (itern 3 including subparts A, B, C & D), must be
completed for oach officer with whom the vendor has an employment or other business relationship as defined by Section I 76.00 1( I -a), Local Govemment Code.
Attach additional pages to this Form CIQ as necessary.
A. Is the local govunment officer named in this section receiving or likely to reeeive taxable income, other tlan investment incomg &om the vendor?n
"".V*.
B. Is the vendor receiving or likely to receive taxable income, ottrer than investment income, fiom or at tlre direction of the local government officer named in
this section AND the taxable income is not received from the local govemmental entity?
[-l r.*ff*"
C. Is the {iler ofthis questionnaire employed by a corporation or other business entity with respect $o which the local goverrunent officer sei'ves as an officer
or director, or holds an ownership of one percent or more?
Yes Nil *"
D.Describe each ernploynent or business and family relationship with the local govemment officer named in this section.
$ , n.r" no Conflicl of lnterest to disclose.