Lehigh Safety Shoe Company LLCCONFLICT OF INTEREST QUESTIONNAIRE
For vendor or other person doing business with local governmental entity
This questi onnai re i s being fi I ed in accordance wi th chapter 176 of the Local
Government Code by a person doing buss ness with the governmental entity.
By law this quests onnai re must be f i I ed with the records administrator of the
local government not lata 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 pa -son committs an offense if the person violates Section 176.006, Local
Government Code An offense under this section is a Class C misdemeanor.
FORM CIQ
OFFICE USE ONLY
Date Received
1. Nameof person doing business with local governmental entity.
Lehigh Safety Shoe Company, LLC
2.
Check this box if you arefiling an update to a previously filed questionnaire.
(The law requi res that you file an updated completed questionnaire with the appropriate f i l i ng authority not later than
September 1 of the year for which an activity described in Section 176.006(a), Load Govemment Code, is pending and
not later than the 7th bus ness day after the date the originally filed questionnaire becomes i noompl ete or inaccurate.)
3. Describe each affiliation or business relationship with an employeeor 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.
❑ Robert Alley, Fire Chief
❑ Steve Beechy, Pa-ks & Rec
❑ Glenn Brown, City Manager
El Olivia Burnside, Inf. Tech.
❑ Pete Cal er, L andfi l l Mgr.
❑ Harvey Cargill, City Attorney
IN NONE
❑ Michael C ancey, Police Chief
❑ LanoeSimms, Planning$ Dev
❑ John Woody, W/WW
❑ Terry Childers, Deputy City Mgr
❑ Connie Hooks, City Secretary
❑ Jeff K ersten, Chief F n.Off i cer
0
❑ Becky Nugent, Public Relations
❑ Julie O' Connel i , Human Recces
❑ Mark Smith, Public Works
❑ Ed Spi l l ane, M uni d pal Judge
El Cheryl Turney, Purchasing Mgr.
❑ David Massey, Electric
Describe each affi I i all on or business relationship with an employee checked in Question 3 above
No affiliations exist.
4. Describe each affiliation or business relationship with a person who isa local government officer and
who appoints or employsa local gavernment officer of the local government entity that isthesubject of
thisquestionnaire. No affiliations exist.
City of College Station Elected Officals
College Station City Council
❑ Ron Silvia, Mayor
❑ Ron Gay, R ace 3
❑ David Ruesnk, Race6
❑ Ben White, Place 1
O Lynn Mdlhaney, Race4
I& NONE
❑ John Happ, R aoe 2
❑ Chri s Sootti, Race 5
City of College Station Committees, Boards, and Commissions
B/CS Library Committee
❑ Katherine Edwards
❑ Jeanne M i tchel I
❑ James Bradford
❑ Lary Ringer, Chairman
❑ May Frai Troy
O Jennifer Bohan
❑ Sarah Adams, Chair
❑ James Batenhorst
❑ David Chester
❑ Donald Braune
❑ Dan B. Seers, Chairman
❑ MikeLane
❑ Steve Parker, alternate
5t NONE
Cemetery Committee
❑ Virginia Reese
❑ Weldon Kruger
❑ RC Slocum
® NONE
Construction Board of
Adj ustments and
Appeals/Building & Standards
Commission
❑ Frank Cox
0 Larry D. Patton
❑ Glenn Thomas, al ternate
0 Don Sdierr
0 B. Carrel I Johnson
(51 NONE
❑ Kevin Myers
❑ Joe Wallace
O James Matson
❑ David Hart
O Charles Thomas, of ternate
❑ Quinn Williams
❑ Hillary Jessup, Chairman
❑ Haskell Monroe
❑ Ernie Wright
NONE
❑ Rebecca Epl en
❑ Rusl een Maurice
INJ NONE
❑ Jodi Wane-, Char
❑ Shawn Rhodes
❑ John Crompton
t NONE
❑ ,bhn Nichols, Char
❑ Martha Sanford
❑ Harold Strong
❑ Rick Heavy
❑ Alai King
❑ Susie Cox, alternate
❑ .lay Goss, Char
❑ DeniseWhisenant
Cj NONE
Historic Preservation Committee
❑ Bill Lancaster
❑ Jane Hughey
❑ Neal Nutall, Jr.
Joint Relief Funding Review
Committee
❑ J. Kevin Byrne
❑ Chalotte M i kul ee
Parks and Recreation Board
❑ Kathleen I rel and
❑ Jody Ford
❑ Harry Green
Planning and Zoning
Commission
O Glenn Schroeder
❑ Dennis Christiwan
IN NONE
Design Review Board
❑ Hunte Goodwin
❑ Wad Wells
❑ Robert Rayburn, alternate
Zoning Board of Adjustments
❑ Joshua Bern
❑ Donald Braune
❑ MagueriteAnthony
❑ Meredith Waller
❑ Col I een Risinger
❑ Deborah D a teri ng
❑ Peggy Samson
❑ Joan Perry
❑ Gay Thomas
❑ Gay Erwin
❑ Derek Di aeon
❑ Bill Davis
O Nancy Sawtelle
O John Nichols
IN NONE
❑ John Richards
❑ Thomas Mather
❑ Larry Hodges
❑ Glenn Brown, City Manager
❑ Sharon Colson, Char
❑ Kenny M al I and
❑ Don Lewis
❑ Gregg Baird
O Chad Jones
O Stephen SAX* Char
❑ Tom Kirkland
E NONE
❑ Hugh Lindsay, Area I
❑ John Crompton, Area II
❑ Steve A rden, Area III
❑ Hugh Stearns, Area IV
O Andrew Burleson, student Res dent
❑ Dorthea Robinson, Alternate,
ETJ Resident
❑ Chris Scotti, Couna I member
❑ Hi I lay Jessup, H i stori c
Preservation
❑ L l oyd Wasserman, County
Commission
Research Valley Partnership
Board of Directors
0 Lary Mariott
IN NONE
Wolf Pen Creek TIF Board
❑ Marsha Sanford, Vi oe Chaff r
❑ James M asset'
Outsi de Agency Funding Review
❑
Chafes Taylor
❑ Sheryl Welford
IN NONE
NorthgateTax Incremait
Finance Board
❑ David Sca-ma-do
❑ Glenn Thomas
Comprehensive Plan Committee
❑ John Richards, Area I
❑ Brian Bochner, Area II
❑ LaurieCorbelli, Area III
❑ Jerry Cooper, Area IV
❑ Kristina Campbell, Alternate,
Student Resident
❑ Crag Hal, Resident -At -Large
O Lynn M d I haney, AI te-nate,
Counci I member
❑ Gay Erwin, Parks & Rec
❑ Larry Haskins, Northgate
District Assoc.
❑ Chris Scott', Cound I man
❑ Mac Chdoupka
15I NONE
❑ Roger Reese
❑ Caolyn Berrow
❑ Anne Jackson
❑ Dale O'Riley
0
0
David Hart, Alternate, Area I
Dennis Corrington, Alternate, Area I I
Tom Taylor, Alternate, Area Ill
Adria) Williams, Alternee Area I V
Douglas Rape' , ETJ Resident
❑ Mike Guido, Alternate
Resi dent -A t -Large
O Bill Davis, P&Z
❑ Kathleen Ireland, Perks& Rec
Alternate
O Bo Miles, Building& Land
Development
❑ Lary Marriott, Home Builders
Assoc.
❑ Tedi Ellison, Intergovernmental
Comm/Chamber of Commerce
❑ James Massey, I ntergovernmental
Comm/TAM U A dmi n
❑ Dr. Clark Ealy, I ntergovernmentat
Comm/CSI So
❑ Chuck Mat nez,
I ntergovernmental Comm/
Research Val I ey Patnershi p
❑ Linda LaSut, Intergovernmental
Comm/M PO
❑ Lindsey Guindi, Intergovernmental
Comm/Charter of Commerce
❑ Rodney Weis, Intergovernmental
Comm/TAM U Trans t
❑ Dr. Colleen NetterviII�
Intergovernmental Comm/BISD
O Magi eLucas,
I ntergovernmental Comm/
Brazos Trans t Di sari ct
❑ Chad Bohn; Intergovernmental
Comm/TxDOT
❑ Michael Parks, Intergovernmental
CommBVCOG
❑ Gary Arnold, I ntergovernmental
Comm/Brazos County Sheriff
❑ Gay Teston, Intergovernmental
Comm/ Easterwood Airport
Ii NONE
Thefollowing individuals ar e appointed by the City Council to represent the City of College Station on
joint committees with other governmental agencies and community groups
Brazos County Health
Department
❑ Lynn McIlhaney
❑ Ron Silvia, Mayor
❑ Ron Silvia, Mayor
0 Lynn Mcllhaney
❑ Ron Silvia, Mayor
❑ Ron Silvia
Q NONE
❑ Ron Gay
NONE
❑ Ben White a NONE
Brazos Valley Council of
Governments
[ NONE
B/CS Metropolitan Planning
Organization
IN NONE
BVCOG TM PA Regional Park
Project Advisory Board
NI NONE
BVSWMA Policy Advisory
Board
El Chris Scotti
City Center Committee
0 Ben White
Intergovernmental Committee
❑ Ben White
IN NONE
0 Dave Ruesi nk
❑ John Happ