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HomeMy WebLinkAboutAdvanced Filtration Concepts Inc CIQ 06.09.26CONFLICT OF INTEREST QUESTIONNAIRE FORM CJQ For vendor or other person doing business with local governmental entity This quustio11m1i1e 1eilccts ch�nyos 111,Hlc to the l11w by 11.B. 23, 84th Leg .. Reyul�1 Scssio11 Thi;; q11'a!<h nnair'! 1;; be:ng f.l!'(I In ;ice rct,rnce wi h CMr,ter 176 ! o-:.· Govern ,,nt Code, by ,1 vendor _.,h h'1$ a busin ,:; relatir,1 s pas oehnen by Section 176 001(1·J) wIlh a loc.11 gc�•emmcntal entit1 .:ind Ille vendCI meet� rcquiremen'.s under S('cllon 76 006:a) l:l·, 1aw m.s Quesi.onn:1Ire mus be hied 1·,1t11 he recoros at111 1111stra1m or rM, tocal over nrnent enLt•1 not fate, ttian Ille m ou_,nes� tlay ar er 1 e aaie 1IH! vendor be omes a·.-,we �1 fa s i al requ1re lhe ,·;Hi>meni io bi! I,ect �,;, Seci1on 11,:; 00.(a-1) Local G vemmPnt Co�e A •,enelo.r c mmItq an offense 1 "h ·e, nor 1-:no\·, ngl} ,10:a1e� 'e�t1on 1r O •. Loc,at ,o·:ernmen Code ?.n orteme unMr 1$ se,;11on 1s a mi�d�mcanor N�,me o vendor who ha .. a bosines relt.1 ion.ship wlth loc�E oov�rnmental entity. ADVANCED FILTRATION CONCEPTS, INC. □Check tlli& bu:-.: ,r ou J.1e f'itmg a uplblc to� p1e·,11ously filt.-d qucstionnan�. t1 r:e la•,1 rie-qu.re.'S 1n�1 y u .le an upda-tetl completed c1,1e!.f1.:;ona1r: \•;i1 th.e ��pprc.pn.J!e •HinQ a�nh ti1/ no ta1er in,,n the 71 ou mes,s d11y af:u :rhe c1�1 n '.':hic.h 'JOII br.carr,e r1•,·1ille 1hat the irn9i.n,1...l}1 fi'ed r;ueo;:110 n�,ire ·:a, inconi;--lete ; m;ii:cufa1e � N,m1c of Offi:er D,n::·t:c e::l:. t!!lJ:lo: n:.cr.t :-: .:;:!J:..�: bu:J;.:i.n :c::1�,:n::i.!::p •,•:1:b tb :.,,.1: ::-•;t:r:.t:lt .>ff:ct": o:;:. :'.i:ml:, :r:�n:b,: c:':b, o:·fi.:t.: l.! :i . .:r:bt-d :OJ 2.c•.:::o= 1-6.�1(,]t' ) �� .. .;.) .. � de!.�t,bi' .i.:.y :".1..c.ut:, :d.tlt.1.<l Lp \\.� l.bt �Jd] �::i•.1:1u:.::.�:l ..::·E!i.:-:1 ':'1::� -�=t�1::u..(1!..::!:.] 1:.::�d!.u� �:.:.l�;i� ... � .�. B C .i'. 0) !:.!•J.:.� b-: �:,.:r;pJHfil r�r �1.± c-:"fr:�? 1·,1th ltbcll: :�.-: v-e. ... d:r '!:.;u. c!t -=-U:.,)! Y!li¼.!:.t Ol CL'l� !".C1l!U.!. r�la�lCO!.b�. C c;,!-5.n":d �\ -.,iCU.;>::i : ':'e �·� !:· J-1). 1...:i.:a..l G-�\'ifl..1:%:.!?:� C.:.i::: • .ni.:b a -:.i�n.� r r�) i.: tb..1 f,;m, CIO n r.f.:�n�-:- A B Jt 1h! :·end .. , n,,�.:i�·.-�r.r: n lih,.,. �v r . .:ir.·? t�·•ii'� ,;-.:;�a t1! fr...ir: lr.·:utmm� n;.:;:c:nt. f":"c:r.. ·, .it th; <hr=;:t;('1, ci·�• .:i :c-::l • ,·=-11:.:r..an: .-.:"f .. •tj ,,i .... -! '�r. tl,i� -it-:::i ::. AX:> ·':-:11 t:...""":Jb� i::c.:n:.• :, ::-;-: rl'.::•;·.-d �i:m: i-�NJI zc·• r::!lu1�::JI r.:it:·"' C h th'!-f:..!Y �:e' :J-�:1 't'J�·1:,r.n.;_1H i!:i;l.::'"':�d �,· a :.:,:r 'l'fii."1.:"!l -,; ,1\:H ":-l�;:n.�H--.:i:..,,_. ";\,:h r.;rp�.::t �-:, ·.\·h1.:b �� lt::i1 �.:,·.-�r.: ,e•·: �ff.cH ;,::or.·e-� •:;: �"' � . .:ff : : :!n•"'�,,: .-,� b.:il.h :11� r-···r:-.,,rh: r� rn �ar·•n-: .:-r nl"'rti 4 06/09/2026