HomeMy WebLinkAboutNash, Richard CIQ 09.22.26·· • • -• ,_._. • _"'.._u • 1v1,1,t.l-'\lll"i:C .;-----------------::---=--'-====-For vendor or other erson doin business with I FORM CIQ
This questionnaire reflects changes made to the law b H B
ocal overnmental entl
. . Y • • 23• 84th Leg., Regular Seaalon.This qu�st1onnaire is being tiled in accordance with Chapter 176 L I G �ih7C:c���� 7�����!��� ���;7Iocal governmental entity and th� i;�doro;:r;:�:���� au:_�0 �s a business relationship as defi
B I h. ' · • · on 7&.006(a) and by City of Dentmy aw t Is questionnaire must be filed with the records administrator of the local date the vendor becomes aware of facts that require the statement to be flied. se::.:1nt76entlty not la ter than the 7th business day afte .008(•1), Local Government Code.A _vendor commits an offense if the vendor knowingly violates Section 176 006 L 1 misdemeanor. • ' oca Government Code. An offense under this sectio1 Name of vendor who has a buslnes rel tlon hip with local governmental entity.
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□ Check this bo if you are filing an update to a previously flied queetlonnalN.
(The law requires that you file an updated completed questionnaire with the appropriate fling after the date on which you became aware that the orlglnaHy filed questionnaire was incomplell -:=::..� than the rt' businessame of local go ernment officer about whom the information In this section it belnl dllcloled.
Describe each employment or other business relationship with the local government officer, or a family member of the officer. • described by Sectionl76.003(aX2)(A). Also descnbe any family relations hip with the local government officer. This sectioa. (rtem 3 including..,,_. A. B, C & D). must becompleted for each officer with whom the vendor bas an employment or other business relatiODlhip II defined by Section 176.001(1-a). Local Goverm:mmtAttach additional pages to this Form CIQ as necessary.
A.Is the local government officer named in this section receiving or likely to receive taxable income. other than invesanent income, from the vendot?
D Yes �
B.Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer
this section AND the taxable income is not received from the local governmental entity?
Oves �
c.Is the filer of this questionnaire eq,loyed by a corporation or other business entity with respeci to which the local government officer � as an o
or director, or bolds an ownership of one percent or more?
D Yes
D.Describe each employment or business and family relationship with the local government officer named in this section.6----L ,D'-" ._ C 5' J-e,o/ ,/Ga.../
4 �-no Conflict of lntarNt to dlaclOH,
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Signature of vendor doing business with the governmental entity Date