IVG Energy Ltd CIQ 07.09.2025CONFLICT OF INTEREST QUESTIONNAIRE -FORM CIQ
For vendor or other person doinQ business with local Qovernmental 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.) 1-.J Name of lornl go1·ernmcnl orticrr aboul whom lhc infornrntion in this section is being disclosed.
Name of Officer
Describe each employment or other business relationship with the local goYemment ofl1cer, or a fomily member of the ofl1cer, as described by Section I 76.003(a)(2)(A). Also describe any fomily relations hip with the local goYemmcnt omccr. ll1is section, (item 3 including subparts A, B, C & D), must be completed for each omcer with whom the yendor has an employment or other business relationship as defined by Section 176.00 I ( I-a), Local GoYernment Code. Attach additional pages to this Fonn CIQ as necessary.
A.Is the local government ofl1cer named in this section receiving or likely to receive taxable income, other than investment income, from the vendor?D Yes □No
B.ls the vendor receiYing or likely to receive taxable income, other than inYestment income, from or at the direction of the local government omcer named inthis section AND the taxable income is not receiYed from the local governmental entity?D Yes □No
C.ls the filer of this questionnaire employed by a corporation or other business entity with respect to which the local government ofl1cer serves as an omccror director, or holds an 01111crship of one percent or more?
D Yes □No
D.Describe each employment or business and family relationship with the local government omcer named in this section.
4 f2I I have no Conflict of Interest to disclose.
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Signature of vendor doing business with the go,rernmental entity Date