Nicholson, Ross
CONFLICT OF INTEREST QUESTIONNAIRE
For vendor or other pers6n doing business with local governmental entity
,
FORM CIQ
This questionnaire is being filed in accordance with chapter 176 of the Local
Government Code by a person doing business with the governmental entity.
I
By law this questionnaire must be filed with the records administrator of the
local govcrnment not later than the 7th business day after the date the person
becomes aware of facts that require the statement to be tiled. See Section
176.006, Local Government Code.
OFFICE USE ONLY
Date Received
01-24-06P02:31 'cvu
A person committs an offense ifthe person violates Section 176.006, Local
Government Code. An offense under this section is a Class C misdemeanor.
t. Name of person doing business with local governmental entity.
R055 r"tC"01.5oN
2.
D Check this box if you arc filing an update to a prcviously tilcd questionnaire.
(The law requires that YOll file an updated completed questionnaire with the appropriate tiling authority not later than
September I of the year for which an activity describcd in Section 1 76.006(a). Local Government Code, is pending and
not later than the 7th business day after the <.btc the originally filed questionnaire becomes incomplete or inaccurate.)
-] .-..--......-.
3. Dcsnihc cuch artiJiation or husincss rclationship with un cmployce or contractor of thc locul
governmental cntity who l11ukcs rccommcndutions to u locul governmcnt omccr of thc locul.govcrnmental
cntity wilh rcspcct to expenditnre of money.
o Robert Alley, Fire Chief
,
o Steve Beachy, Parks & Rec
o Glenn Brown, City Manager
o Olivia Burnside, Inf. Tech.
o Pete Caler, Landfill Mgr:
o Harvey Cargill, City Attorney
o John Woody, Utilities
o Michael Clancey, Police Chief 0 Charles McLemore, Public Works
o Joey Dunn, Planning & Dev 0 Becky Nugent, Public Relations
o Don Fazzino, Legislative Liason 0 Julie O'Connell, Human Resources
o Kim FOUIZ, Economic Dev 0 Mark Smith, Public Works
o Connie Hooks, City Secretary 0 Ed Spillane, Municipal Judge
o Jeff Kersten, Finance 0 Cheryl Tumey, Purchasing Mgr.
pNONE
Describe each affiliation or business relationship with an employee checked in Question 3 above:
I
4. Describe each affiliation or husiness rclationship with a person who is a local government ofticcr and
who appoints or employs a local government officer of the local government entity that is the subject of
this questionnaire.
o Ron Silvia, Mayor
o Ron Gay, Place 3
o Nancy Berry, Place 6
City of College Station Elected Officials
College Stlltion City Council
o Ben White, Place I
o Susan Lancaster, Place 4
;6 NONE
o John Happ, Place 2
o Chris Scotti, Place 5
City of College Stlltion Committees, Boards, llnd Commissions
o Larry Ringer, Chairman
o Eric Miller
o Lois Koontz
o Sarah Adams, Chair
o James Batcnhorst
o David Chester
o Dan B. Sears, Chairnlan
o Mike Lane
o Steve Parker, alternate
o Karen Kasper, Merchant
o Joey Dunn, Dir. Planning & Dev
~NONE I
B/CS Library Committee
o Katherine Edwards
o Jeanne Mitchell
o James Bradford
Cemctcry Committce
o Virginia Reese
o Mary Lind Bryan
p NONE
Construction BOllrd of
Adjustments and
Appeals/Building & Stllndards
Commission
o George McLean, Vice Chair
o Larry D. Patton
o David Ruesink, alternate
Fa~adc Improvcment Progrllm
Advisory Committce
o Valerian Miranda, Architect
o Robert Mosley, City Engineer
o Don Scherr
o Jo Berg
.0NONE
o Kevin Myers
o Joe Wallace
o Frank Cox
o David Hart, alternate
;6 NONE
o Rick Lemmons, Busincss Owncr
o Eric Barton, CD Coordinator
Historic Preservation Committee
o Hillary Jessup, Chainnan o Bill Lancaster o Marsha Crenwelge
o Marguerite Anthony o David Ruesink o Dipankar Sen
o Thomas Taylor o Ernie Wright ONeal Nutall, Jr.
o Colleen Risinger j4'NONE
Joint Relief Funding Review
Committee
o Rebecca Eplen o J. Kevin Byrne o Mary Sherwood
o Rusleen Maurice o Charlotte Mikulee o Peggy Samson
yfNONE
Parks und Recrcation Board
o Kathleen Ireland o Glenn Schroeder o Jodi Warner
o Carol Blaschke o Jeannie McCandless o Gary Thomas
o John Crompton o lIarry Green o Gary Erwin
,5 NONE
Planning and Zoning
Commission
o Scott Shafer, Chainnan o John Nichols o Ken Reynolds
o Marsha Sanford o Dennis Christiansen o Bill Davis
o Harold Strong p NONE
Design Review Bourd
ORick Heany o Hunter Goodwin o Nancy Sawtelle
o Alan King o Ward Wells o Scott Shafer
o Susie Cox, alternate o Rober! Rayburn, alternate ~ONE
Zoning Board of Adjustments
o Jay Goss, Chair o Joshua Benn o John Richards
o Graham Sheffy o Donald Braune o Charles Taylor
o Denise Whisenant o Derek Dictson /NONE
o David Hickson
. I
o Glenn Brown, City Manager
,
o Sharon Colson, Chair
o Kenny Mallard
Research Valley Partnership
Board of Directors
o Larry Mariott
j'SNONE
Wolf Pcn Crcck TIF Board
o Marsha Sanford, Vice Chair
o James Massey
o Chris Scotti, Councilman
o Marc Chaloupka
p NONE
The following individnaJare appointcd by the City Council to represent the City of Collcge Station on
joint committees with oth~r governmental agencies and community groups.
I
o Susan Lancaster
o Ron Silvia, Mayor
o Ron Silvia, Mayor
o Susan Lancaster
o Ron Silvia, Mayor
Brazos County Heulth
Department
o Nancy Berry
Brazos Vallcy Council of
Gnvcrnmcnts Board of Directors
)1NONE
BICS Metropolitan Planning
Organization
P NONE
BVCOG TMPA Rcgional Park
Project Advisory Board
pNONE
BVSWMA Policy Advisory
Boun!
o Susan Lancaster
pONE
;z{NONE
City Center Committee
o Ron Silvia
p{ NONE
o Ben White
o Nancy Berry
Intcrgovcrnmcntal Committce
o Nancy Berry
ylNONE
o Ben White
o John lIapp
Joint City/School
Intcrgovernmcntal Committee
o Nancy Berry
JZf'NONE
o Ben White
o John Happ
Sistcr Citics Association
o Ron Gay
J!f NONE
Transport:ttion Committec
o Ron Gay
Olinda LaSuit, MPO
o Bryan Woods, TxDOT I
I
o John llapp
o Dennis Christianson, TTI
yfNONE
o Ken Fogle
o Michael Parker, BVCOG
I WolfPcn Creek Oversight
Committce
o Ron Gay I o Chris Scotti %NONE
,
I
Describe each affiliation or business relationship with an employee checked in Question 4 above:
Adopted 01113/06
I
CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ
For vendor or other pers6n doing husiness with local governmental entity
I
I
This section, item 5 including subparts A, B, C & 0, must be completed for each officer with whom the filer
has affiliation or other relationship. Attach additional pages to this Form CIQ as necessary.
I
5. Nal11e of local government ofliccr with whom tiler hns affiliation or husiness relntionship. (Complete
this section onlv if the allswer to A, B, or C is YES.
. I
A. Is the local govenunent :officer named in this section receiving or likely to receive taxable income from the
filcr of the questionnaire?
D
Yes
I
JZf
No
I
B. Is the filer of the questidnnaire receiving or likely to receive taxable income from or at the direction of the
local government officer mimed in this section AND the taxable income is not from the local governmental
entity? I
D Yesj
JZf
No
C. Is the filer of this questionnaire affiliated with a corporation or other business entity that the local
govcrnment officcr serves as an officer or director, or holds an ownership of 10 percenl or more?
Yes I
I
I
I
D. Describe each affiliatioJ or business relationship.
I
D
~
No
6.
!fl1 ~
Signature of person doingl business with the governmental entity
I
;1'1 J'ANvf}l'f 200"
Date
Adopted 0 II I 3/06