Get Tx Tec Ciq 2007

FORM CONFLICT OF INTEREST QUESTIONNAIRE CIQ For vendor or other person doing business with local governmental entity OFFICE USE ONLY This questionnaire reflects changes made to the law by H. 001 1-a Local Government Code. Attach 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 investment income from the filer of the questionnaire Yes No B. B. 1491 80th Leg. Regular Session* by a person who has a business relationship as defined by Section 176. 001 1-a with a local governmental entity and the person meets requirements under Section 176. 006 a. Date Received By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day after the date the person becomes aware of facts that require the statement to be filed* See Section 176. 006 Local Government Code. A person commits an offense if the person knowingly violates Section 176. 006 Local Government Code. An offense under this section is a Class C misdemeanor. Name of person who has a business relationship with local governmental entity. 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 the originally filed questionnaire becomes incomplete or inaccurate. Name of local government officer with whom filer has employment or business relationship* Name of Officer This section item 3 including subparts A B C D must be completed for each officer with whom the filer has an employment or other business relationship as defined by Section 176. Is the filer of the questionnaire receiving or likely to receive taxable income other than investment income from or at the direction of the local government officer named in this section AND the taxable income is not received from the local government officer serves as an officer or director or holds an ownership of 10 percent or more D. Describe each employment or business relationship with the local government officer named in this section* Signature of person doing business with the governmental entity Date Adopted 06/29/2007. B. 1491 80th Leg. Regular Session* by a person who has a business relationship as defined by Section 176. 001 1-a with a local governmental entity and the person meets requirements under Section 176. 006 a. 001 1-a with a local governmental entity and the person meets requirements under Section 176. 006 a. Date Received By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day after the date the person becomes aware of facts that require the statement to be filed* See Section 176. Date Received By law this questionnaire must be filed with the records administrator of the local governmental entity not later than the 7th business day after the date the person becomes aware of facts that require the statement to be filed* See Section 176. 006 Local Government Code. A person commits an offense if the person knowingly violates Section 176. .