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Institute for Creative Music, Inc. CIQ 5.30.23 CONFLICT OF INTEREST QUESTIONNAIRE - FORM CIQ For vendor or other person doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a) and by City of Denton Ethics Code, Ordinance 18-757. By law this questionnaire must be filed with the records administrator of the local government 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 Government Code. A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section is a misdemeanor. 1 Name of vendor who has a business relationship with local governmental entity. 2 Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.) 3 Name of local government officer about whom the information in this section is being disclosed. 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CONFLICT OF INTEREST QUESTIONNAIRE For vendor doing business with local governmental entity  $FRPSOHWHFRS\RI&KDSWHURIWKH/RFDO*RYHUQPHQW&RGHPD\EHIRXQGDWKWWSZZZVWDWXWHVOHJLVVWDWHW[XV'RFV/*KWP/*KWP)RUHDV\ UHIHUHQFHEHORZDUHVRPHRIWKHVHFWLRQVFLWHGRQWKLVIRUP  Local Government Code § 176.001(1-a): %XVLQHVVUHODWLRQVKLSPHDQVDFRQQHFWLRQEHWZHHQWZRRUPRUHSDUWLHVEDVHGRQFRPPHUFLDODFWLYLW\RIRQHRIWKH SDUWLHV7KHWHUPGRHVQRWLQFOXGHDFRQQHFWLRQEDVHGRQ $ DWUDQVDFWLRQWKDWLVVXEMHFWWRUDWHRUIHHUHJXODWLRQE\DIHGHUDOVWDWHRUORFDOJRYHUQPHQWDOHQWLW\RUDQDJHQF\RIDIHGHUDOVWDWHRUORFDO JRYHUQPHQWDOHQWLW\ % DWUDQVDFWLRQFRQGXFWHGDWDSULFHDQGVXEMHFWWRWHUPVDYDLODEOHWRWKHSXEOLFRU & DSXUFKDVHRUOHDVHRIJRRGVRUVHUYLFHVIURPDSHUVRQWKDWLVFKDUWHUHGE\DVWDWHRUIHGHUDODJHQF\DQGWKDWLVVXEMHFWWRUHJXODUH[DPLQDWLRQE\ DQGUHSRUWLQJWRWKDWDJHQF\  Local Government Code § 176.003(a)(2)(A) and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ocal Government Code § 176.006(a) and (a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ity of Denton Ethics Code Ordinance Number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±3URKLELWLRQV  ,WVKDOOEHDYLRODWLRQRIWKLV$UWLFOHIRUD9HQGRUWRRIIHURUJLYHD*LIWWR&LW\2IILFLDOH[FHHGLQJILIW\GROODUV  SHUJLIWRUPXOWLSOHJLIWV FXPXODWLYHO\YDOXHGDWPRUHWKDQWZRKXQGUHGGROODUV  SHUDVLQJOHILVFDO\HDU  3HUWKH&LW\RI'HQWRQ(WKLFV&RGH6HFWLRQ±'LVSRVLWLRQ E   ,QHOLJLELOLW\ ,IWKH%RDUGRI(WKLFVILQGVWKDWD9HQGRUKDVYLRODWHGWKLV$UWLFOHWKH%RDUGPD\UHFRPPHQGWRWKH&LW\0DQDJHUWKDWWKH9HQGRUEHGHHPHG LQHOLJLEOHWRHQWHULQWRD&LW\FRQWUDFWRURWKHUDUUDQJHPHQWIRUJRRGVVHUYLFHVRUUHDOSURSHUW\IRUDSHULRGRIRQH  \HDU Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015