HomeMy WebLinkAboutRice University CIQ 06.12.26CONFLICT OF INTEREST QUESTIONNAIRE - FORM CIQ
For vendor or other person doing business with local governmental entitv
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his questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session.
'is questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who has a business relationship as defined
Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a).
/ law this questionnaire must be filed with the records administrator of the local government entity not later than the 7th business day after the
ite the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code.
vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section is a
sdemeanor.
1 Name of vendor who has a business relationship with local governmental entity.
William Marsh Rice University
2
|—| Check this box if you are filing an update to a previously filed questionnaire.
requires you fi'e 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 inaccuratgj^^
3 Name oflocal government officer about whom the information in this section is being disclosed.
Name of Officer
nToSfaVlilT'Aknr °r-Kther brT r®la!ions^!p w!th the local government officer, or a family member of the officer, as described by Section
InmnSd f? ' V fr ^ Ty reIat‘°nS ** ^ the local government officer. This section, (item 3 including subparts A B C & D) must be
A Jh F™ ciq'^lSX" ^ ^ >7S-»»'<l-«), LociOo™™.™. Code.
A. Is the local government officer named in thissection receiving or likely to receive taxable income, other than investment income, from the vendor? '□Yes □No
I------1 Yes I I;
I No
□Yes □No
D.Describe each employment or business and family relationship with the local government officer namPA in this section.