Brave ArchitectureCONFLICT OF INTEREST QUESTIONNAIRE
For vendor or other person doing business with local governmental entity
This questionnaire is being filed in accordance with chapter 176 of the Local
Government Code by a person doing business with the governmental entity.
By law this questionnaire must be filed with the records administrator of the
local government 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 committs an offense if the person violates Section 176.006, Local
Government Code. An offense under this section is a Class C misdemeanor.
1. Name of person doing business with local governmental entity.
Brave / Architecture
FORM CIQ
2.
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
September I of the year for which an activity described in Section 176.006(a), Local Government Code, is pending and
not later than the 7th business day after the date the originally filed questionnaire becomes incomplete or inaccurate.)
3. Describe each affiliation or business relationship with an employee or contractor of the local
governmental entity who makes recommendations to a local government officer of the local governmental
entity with respect to expenditure of money.
El Robert Alley, Fire Chief
❑ Steve Beachy, Parks & Rec
❑ Glenn Brown, City Manager
D Olivia Burnside, Inf. Tech.
El Pete Caler, Landfill Mgr.
El Harvey Cargill, City Attorney
El John Woody, Utilities
El Michael Clanccy, Police Chief
❑ Joey Dunn, Planning & Dev
El Don Fazz_ino, Legislative Liason
❑ Charles Wood, Economic Dev
El Connie Hooks, City Secretary
❑ Jeff Kersten, Finance
':4
NONE
D Charles McLemore, Public Works
❑ Becky Nugent, Public Relations
❑ Julie O'Connell, Human Resources
❑ Mark Smith, Public Works
El Ed Spillane, Municipal Judge
❑ Cheryl Turney, Purchasing Mgr.
Describe each affiliation or business relationship with an employee checked in Question 3 above:
None
4. Describe each affiliation or business relationship with a person who is a local government officer and
who appoints or employs a local government officer of the local government entity that is the subject of
this questionnaire.
0 Ron Silvia, Mayor
0 Ron Gay, Place 3
O Nancy Berry, Place 6
City of College Station Elected Officials
College Station City Council
O Ben White, Place 1
O Susan Lancaster, Place 4
NONE
0 John Happ, Place 2
El Chris Scotti, Place 5
City of College Station Committees, Boards, and Commissions
0 Larry Ringer, Chairman
El Eric Miller
O Lois Koontz
O Sarah Adams, Chair
O James Batenhorst
0 David Chester
O Dan B. Scars, Chairman
O Mike Lane
O Steve Parker, alternate
B/CS Library Committee
O Katherine Edwards
O Jeanne Mitchell
El James Bradford
Cemetery Committee
O Virginia Reese
O Mary Lind Bryan
i NONE
Construction Board of
Adjustments and
Appeals/Building & Standards
Commission
O George McLean, Vice Chair
O Larry D. Patton
O David Ruesink, alternate
Facade Improvement Program
Advisory Committee
O Don Seherr
O Jo Berg
*J NONE
O Kevin Myers
O Joe Wallace
O Frank Cox
0 David Hart, alternate
NONE
El Karen Kasper, Merchant 0 Valerian Miranda, Architect 0 Rick Lemmons, Business Owner
O Joey Dunn, Dir. Planning & Dev 0 Robert Mosley, City Engineer 0 Eric Barton, CD Coordinator
• NONE
D I lillary Jessup, Chairman
O Marguerite Anthony
El Thomas Taylor
O Colleen Risinger
D Rebecca Eplen
El Rusleen Maurice
J NONE
O Kathleen Ireland
O Carol Blaschke
O John Crompton
JD NONE
O Scott Shafer, Chairman
O Marsha Sanford
O Harold Strong
O Rick ileany
0 Alan King
El Susie Cox, alternate
O Jay Goss, Chair
El Graham Shcffy
O Denise Whisenant
Historic Preservation Committee
0 Bill Lancaster
O David Ruesink
El Ernie Wright
• NONE
Joint Relief Funding Review
Committee
O J. Kevin Byrne
El Charlotte Mikulee
Parks and Recreation Board
0 Glenn Schroeder
O Jeannie McCandless
O Harry Green
Planning and Zoning
Commission
El John Nichols
0 Dennis Christiansen
9 NONE
Design Review Board
O Hunter Goodwin
O Ward Wells
O Robert Rayburn, alternate
Zoning Board of Adjustments
O Joshua Benn
O Donald Braune
O Derek Dictson
0 Marsha Crenwelge
El Dipankar Sen
0 Neal Nutall, Jr.
0 Mary Sherwood
O Peggy Samson
O Jodi Warner
El Gary Thomas
• Gary Erwin
O Ken Reynolds
O Bill Davis
0 Nancy Sawtelle
O Scott Shafer
51 NONE
O John Richards
O Charles Taylor
51 NONE
CI David Hickson
CI Glenn Brown, City Manager
0 Sharon Colson, Chair
0 Kenny Mallard
Research Valley Partnership
Board of Directors
O Larry Marion
NONE
Wolf Pen Creek TIF Board
O Marsha Sanford, Vice Chair
O James Massey
El Chris Scotti, Councilman
0 Marc Chaloupka
NONE
The following individuals are appointed by the City Council to represent the City of College Station on
joint committees with other governmental agencies and community groups.
O Susan Lancaster
O Ron Silvia, Mayor
0 Ron Silvia, Mayor
0 Susan Lancaster
0 Ron Silvia, Mayor
Brazos County Health
Department
D Nancy Berry in NONE
Brazos Valley Council of
Governments Board of Directors
• NONE
B/CS Metropolitan Planning
Organization
• NONE
BVCOG TMPA Regional Park
Project Advisory Board
E NONE
BVSWMA Policy Advisory
Board
0 Susan Lancaster ER NONE
El Ron Silvia
NONE
0 Nancy Berry
Di NONE
0 Nancy Berry
a NONE
City Center Committee
0 Ben White 0 Nancy Berry
Intergovernmental Committee
0 Ben White U John Happ
Joint city/School
Intergovernmental Committee
0 Ben White 0 John Happ
Sister Cities Association
0 Ron Gay J NONE
0 Ron Gay
0 Linda LaSuit, MPO
CI Bryan Woods, TxDOT
Transportation Committee
0 John Happ
0 Dennis Christianson, TTI
kl NONE
0 Ken Fogle
El Michael Parker, BVCOG
Wolf Pen Creek Oversight
Committee
0 Ron Gay
0 Chris Scotti
1 NONE
Describe each affiliation or business relationship with an employee checked in Question 4 above:
None
Adopted 01/13/06
CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ
For vendor or other person doing business with local governmental entity
This section, item 5 including subparts A, B, C & D, must be completed for each o
has affiliation or other relationship. Attach additional pages to this Form CIQ as nec
fficer with whom the filer
essary.
5. Name of local government officer with whom filer has affiliation or business relationship. (Complete
this section only if the answer to A, B, or C is YES.
A. Is the local government officer named in this section receiving or likely to receive taxable income from the
filer of the questionnaire?
Yes
x
No
B. Is the filer of the questionnaire receiving or likely to receive taxable income from or at the direction of the
local government officer named in this section AND the taxable income is not from the local governmental
entity?
Yes
No
C. Is the filer of this questionnaire affiliated with a corporation or other business entity that the local
government officer serves as an officer or director, or holds an ownership of 10 percent or more?
Yes
x
No
D. Describe each affiliation or business relationship.
None
. 604
•
ignature of person doing business with the governmental entity
011 . ?► J
Date
Adopted 01/13/06