Hensley, William CIQ 5.30.23CONFLICTOFINTERESTQUESTIONNAIRE-FORMCIQForvendororotherpersondoingbusinesswithlocalgovernmentalentityThisquestionnairereflectschangesmadetothelawbyH.B.23,84thLeg.,RegularSession.ThisquestionnaireisbeingfiledinaccordancewithChapter176,LocalGovernmentCode,byavendorwhohasabusinessrelationshipasdefinedbySection176.001(1-a)withalocalgovernmentalentityandthevendormeetsrequirementsunderSection176.006(a)andbyCityofDentonEthicsCode,Ordinance18-757.Bylawthisquestionnairemustbefiledwiththerecordsadministratorofthelocalgovernmententitynotlaterthanthe7thbusinessdayafterthLdatethevendorbecomesawareoffactsthatrequirethestatementtobefiled.SeeSection176.006(a-1),LocalGovernmentCode.AvendorcommitsanoffenseifthevendorknowinglyviolatesSection176.006,LocalGovernmentCode.Anoffenseunderthissectionisamisdemeanor.iNameofvendorwhohasabusinessrelationshipwithlocalgovernmentalentity.WilliamHensley2Checkthisboxifyouarefilinganupdatetoapreviouslyfiledquestionnaire.(Thelawrequiresthatyoufileanupdatedcompletedquestionnairewiththeappropriatefilingauthoritynotlaterthanthe7thbusinessdayafterthedateonwhichyoubecameawarethattheoriginallyfiledquestionnairewasincompleteorinaccurate.)JNameoflocalgovernmentofficeraboutwhomtheinformationinthissectionisbeingdisclosed.NameofOfficerDescribeeachemploymentorotherbusinessrelationshipwiththelocalgovernmentofficer,orafamilymemberoftheofficer,asdescribedbySection176.003(a)(2)(A).Alsodescribeanyfamilyrelationshipwiththelocalgovernmentofficer.Thissection.(item3includingsubpartsA.B.C&D).mustbecompletedforeachofficerwithwhomthevendorhasanemploymentorotherbusinessrelationshipasdefinedbySection176.001(1-a),LocalGovernmentCode.AttachadditionalpagestothisFormCIQasnecessaly.A.Isthelocalgovernmentofficernamedinthissectionreceivingorlikelytoreceivetaxableincome,otherthaninvestmentincome,fromthevendor?YesNoB.Isthevendorreceivingorlikelytoreceivetaxableincome,otherthaninvestmentincome,fromoratthedirectionofthelocalgovernmentofficernamedinthissectionANDthetaxableincomeisnotreceivedfromthelocalgovernmentalentity?YesNoC.Isthefilerofthisquestionnaireemployedbyacorporationorotherbusinessentitywithrespecttowhichthelocalgovernmentofficerservesasanofficerordirector,orholdsanownershipofonepercentormore?EJYesNoD.Describeeachemploymentorbusinessandfamilyrelationshipwiththelocalgovernmentofficernamedinthissection.41ElIhavenoConflictofInteresttodisclose.4dordoingbisines’ittitIiegovenirnentalentity5/30/2023DateSignatureo
CONFLICTOFINTERESTQUESTIONNAIREForvendordoingbusinesswithlocalgovernmentalentityAcompletecopyofChapter176oftheLocalGovernmentCodemaybefoundathttp://www.statutes.legis.state.tx.us,DoesLGihtrnILG.I76.htm.Foreasyreference,belowaresomeofthesectionscitedonthisform.LocalGovernmentCode176.001(1-a):“Businessrelationship’meansaconnectionbetweentwoormorepartiesbasedoncommercialactivityofoneofthepartiesThetemidoesnotincludeaconnectionbasedon:(A)atransactionthatissubjecttorateorfeeregulationbyafederal,state,orlocalgovernmentalentityoranagencyofafederal,state,orlocalgovernmentalentity:(B)atransactionconductedatapriceandsubjecttotermsavailabletothepublic;or(C)apurchaseorleaseofgoodsorservicesfromapersonthatischarteredbyastateorfederalagencyandthatissubjecttoregularexaminationby,andreportingto.thatagency.LocalGovernmentCode176.003(a)(2)(A)and(B):(A)Alocalgovernmentofficershallfileaconflictsdisclosurestatementwithrespecttoavendorif:(2)thevendor:(A)hasanemploymentorotherbusinessrelationshipwiththelocalgovernmentofficerorafamilymemberoftheofficerthatresultsintheofficerorfamilymeinberreceivingtaxableincome,otherthaninvestmentincome,thatexceedsS2,500duringthe12-monthperiodprecedingthedatethattheofficerbecomesawarethat(i)acontractbetweenthelocalgovernmentalentityandvendorhasbeenexecuted:or(ii)thelocalgovernmentalentityisconsideringenteringintoacontractwiththevendor,(B)hasgiventothelocalgovernmentofficerorafamilymensberoftheofficeroneormoregiftsthathaveanaggregatevalueofmorethan$100inthe12-monthperiodprecedingthedatetheofficerbecomesawarethat:(i)acontractbetweenthelocalgovernmentalentityandvendorhasbeenexecuted;or(ii)thelocalgovernmentalentityisconsideringenteringintoacontractwiththevendor.LocalGovernmentCode176.006(a)and(a-I)(a)Avendorshalltileacompletedconflictofinterestquestionnaireifthevendorhasabusinessrelationshipwithalocalgovernmentalentityand:(I)hasanemploymentorotherbusinessrelationshipwithabeatgovernmentofficerofthatlocalgovernmentalentity,orafamilymemberoftheofficer,describedbySection176.003(a)(2)(A):(2)hasgivenalocalgovernmentofficerofthatlocalgovernmentalentity,orafamilymemberoftheofficer,oneormoregiftswiththeaggregatevaluespecifiedbySection176.003(a)(2)(B).excludinganygiftdescribedbySectionI76003(a-l);or(3)hasafamilyrelationshipwithalocalgovensmentofficerofthatlocalgovernmentalentity.(a-I)Thecompletedconflictofinterestquestionnairemustbefiledwiththeappropriaterecordsadministratornotlaterthantheseventhbusinessdayafterthelaterof:(I)thedatethatthevendor:(A)beginsdiscussionsornegotiationstoenterintoacontractwiththelocalgovernmentalentity:or(B)submitstothelocalgovernmentalentityanapplication,responsetoarequestforproposalsorbids,correspondence.oranotherwritingrelatedtoapotentialcontractwiththelocalgovernmentalentity;or(2)thedatethevendorbecomesaware:(A)ofanemploymentorotherbusinessrelationshipwithalocalgovernmentofficer,orafamilynsernberoftheofficer.describedbySubsection(a):(B)thatthevendorhasgivenoneormoregiftsdescribedbySubsection(a):or(C)ofafamilyrelationshipwithalocalgovensrnentollicer.CityofDentonEthicsCodeOrdinanceNumber18-757Definitions:Relative:afamilymensberrelatedtoaCityOfficialwithinthethird35degxeeofaffinity(marriage)orconsanguinity(bloodoradoption)CityOfficial:forpurposeofthisarticle,thetermconsistsoftheCouncilMembers.DepartmentHeads,ormemberoftheBoardofEthics,PlanningandzoningComnsissionMembers.BoardofAdjustment.HistoricLandmarkCommission,orPublicUtilitiesBoardVendor:apersonwhoprovidesorseekstoprovidegoods,services,andorrealpropertytotheCityinexchangeforcompensation.ThisdefinitiondoesnotincludethosepropertyownersfromwhomtheC’ityacquirespublicright-of-wayorotherrealpropertyinterestsforpublicuse.PertheCityofDentonEthicsCode,Section2-273.—Prohibitions(3)ItshallbeaviolationofthisArticleforaVendortoofferorgiveaGifttoCityOfficialexceedingfiftydollars(S50.00)pergift,ormultiplegiftcumulativeLyvaluedatmorethantwohundreddollars(S200.00)perasinglefiscalyear.PertheCityofDentonEthicsCode.Section2-282.—Disposition(b),(5)IneligibilityIftheBoardofEthicsfindsthataVendorhasviolatedthisArticle,theBoardmayreeonsmendtotheCityManagerthattheVendorbedeemedineligibletoenterintoaCitycontractorotherarrangementforgoods.services,orrealproperty.foraperiodofone(1)year.:ormprovidedbyTexasEthicsCommissionwww.ethics.state.tx.usRevised11/30/2015