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Elliott Construction, Ltd. - UpdateCONFLICT 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. Elliott Construction,LTD 2. FORM CIQ OFFICE USE ONLY Date Received SEP 2 0 2007 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 1 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. ❑ Glenn Brown, City Manager ❑ Robert Alley, Fire Chief ❑ Pete Caler, Landfill Mgr. ❑ David Gwin, Economic Dev. ❑ David Massey, Electric ❑ Bob Cowell, Planning & Dev ❑ Cheryl Turney, Purchasing Mgr. ❑ Terry Childers, Deputy City Mgr O Steve Beachy, Parks & Rec O Harvey Cargill, City Attorney O Connie Hooks, City Secretary ❑ Becky Nugent, Public Relations O Mark Smith, Public Works O Dave Coleman, W/WW O Kathy Merrill, Asst. City Mgr. O Ben Roper, Inf. Tech. O Michael Clancey, Police Chief O Jeff Kersten, Chief Fin.Officer O Julie O'Connell, Human Resources O Ed Spillane, Municipal Judge El NONE Describe each affiliation or business relationship with an employee checked in Question 3 above: 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. CI Ben White, Mayor 0 Ron Gay, Place 3 0 David Ruesink, Place 6 City of College Station Elected Officials College Station City Council O John Compton, Place 1 O Lynn Mcllhaney, Place 4 E NONE 0 James Massey, Place 2 O Chris Scotti, Place 5 City of College Station Committees, Boards, and Commissions B/CS Library Committee O Katherine Edwards 0 Larry Ringer, Chairman O Mary Fran Troy O Sonio Margarita Gangotena CI Sarah Adams, Chair O James Batenhorst El David Chester O Donald Braune Cl Dan B. Sears, Chairman CI Mike Lane O Steve Parker, alternate Di NONE O Jeanne Mitchell O James Bradford Cemetery Committee O Virginia Reese O Weldon Kruger O RC Slocum n NONE Construction Board of Adjustments and Appeals/Building & Standards Commission O Frank Cox 0 Larry D. Patton GI Glenn Thomas, alternate Cl Don Scherr O B. Carroll Johnson Pc1 NONE 0 Kevin Myers 1:1 Joe Wallace O James Matson 0 David Hart O Charles Thomas, alternate O Quinn Williams ❑ Hillary Jessup, Chairman ❑ Haskell Monroe ❑ Ernie Wright ❑ NONE Historic Preservation Committee ❑ Bill Lancaster ❑ Jane Hughey ❑ Neal Nutall, Jr. Joint Relief Funding Review Committee ❑ Marguerite Anthony O Meredith Waller ❑ Colleen Risinger El Tedi Ellison El J. Kevin Byrne El Deborah Deitering ❑ Rusleen Maurice ❑ Reba Ragdale El Lel NONE El Jodi Warner, Chair E l Shawn Rhodes ❑ John Crompton ® NONE El John Nichols, Chair ❑ Marsha Sanford El Harold Strong E l Rick Heaney El Alan King ❑ Susie Cox, alternate ❑ Jay Goss, Chair ❑ Denise Whisenant ® NONE Parks and Recreation Board El Kathleen Ireland El Jody Ford ❑ Harry Green Planning and Zoning Commission ❑ Glenn Schroeder El Dennis Christiansen In NONE Design Review Board ❑ Hunter Goodwin ❑ Ward Wells El Robert Rayburn, alternate Zoning Board of Adjustments El Joshua Benn ❑ l Donald Braune ❑ Joan Perry ❑ Gary Thomas ❑ Gary Erwin El Derek Dictson O Bill Davis El Nancy Sawtelle ❑ John Nichols ® NONE ❑ John Richards ❑ Thomas Mather O Larry Hodges 0 Glenn Brown, City Manager O Sharon Colson, Chair • Kenny Mallard O Don Lewis O Gregg Baird O Chad Jones O Stephen Syptak, Chair O Tom Kirkland El NONE O Hugh Lindsay, Area I O John Crompton, Area II O Steve Arden, Area HI O Hugh Stearns, Area IV O Andrew Burleson, Student Resident O Dorthea Robinson, Alternate, ETJ Resident O Chris Scotti, Councilmember O Hillary Jessup, Historic Preservation O Lloyd Wasserman, County Commission Research Valley Partnership Board of Directors O Larry Mariott PE NONE Wolf Pen Creek TIF Board O Marsha Sanford, Vice Chair O James Massey Outside Agency Funding Review O Charles Taylor O Sheryl Welford 1 NONE Northgate Tax Increment Finance Board O David Scarmardo O Glenn Thomas Comprehensive Plan Committee O John Richards, Area I O Brian Bochner, Area II O Laurie Corbelli, Area III O Jerry Cooper, Area IV O Kristina Campbell, Alternate, Student Resident O Craig Hall, Resident -At -Large O Lynn Mcllhaney, Alternate, Councilmember O Gary Erwin, Parks & Rec O Larry Haskins, Northgate District Assoc. O Chris Scotti, Councilman O Marc Chaloupka DE NONE O Roger Reese O Carolyn Berrow O Anne Jackson O Dale O'Reiley O David Hart, Alternate, Area I O Dennis Corrington, Alternate, Area II O Tom Taylor, Alternate, Area III O Adrian Williams, Alternate, Area IV O Douglas Rape', ETJ Resident O Mike Guido, Alternate, Resident -At -Large O Bill Davis, P&Z O Kathleen Ireland, Parks & Rec Alternate O Bo Miles, Building & Land Development ❑ Larry Marriott, Home Builders Assoc. ❑ Tedi Ellison, Intergovernmental Comm/Chamber of Commerce ❑ James Massey, Intergovernmental Comm/TAMU Admin ❑ Dr. Clark Ealy, Intergovernmental Comm/CSISD ❑ Chuck Martinez, Intergovernmental Comm/ Research Valley Patnership ❑ Linda LaSut, Intergovernmental Comm/MPO ❑ Lindsey Guindi, Intergovernmental Comm/Chamber of Commerce ❑ Rodney Weis, Intergovernmental Comm/TAMU Transit ❑ Dr. Colleen Netterville, Intergovernmental Comm/BISD ❑ Margie Lucas, Intergovernmental Comm/ Brazos Transit District ❑ Chad Bohne, Intergovernmental Comm/TxDOT ❑ Michael Parks, Intergovernmental Comm/BVCOG ❑ Gary Arnold, Intergovernmental Comm/Brazos County Sheriff ❑ Gary Teston, Intergovernmental Comm/ Easterwood Airport ® 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. Brazos County Health Department O Lynn Mcllhaney 0 Ben White 4 NONE Brazos Valley Council of Governments O Mayor El NONE B/CS Metropolitan Planning Organization O Mayor G3 NONE BVCOG TMPA Regional Park Project Advisory Board O Lynn Mcllhaney Ill NONE BVSWMA Policy Advisory Board O Mayor 0 Chris Scotti gcl NONE City Center Committee O Ron Silvia 0 Ben White 0 Dave Ruesink 21 NONE Intergovernmental Committee O Ron Gay 0 Ben White 0 John Happ CI NONE ❑ Dave Ruesink ® NONE Joint City/School Intergovernmental Committee ❑ Ben White ❑ John Happ Sister Cities Association ❑ Dave Ruesink ® NONE ❑ Ron Gay O Ken Fogle O Michael Parker, BVCOG O Ron Gay O John Nichols O Joan Perry Transportation Committee O John Happ O Linda LaSuit, MPO O Bryan Woods, TxDOT Wolf Pen Creek Oversight Committee ❑ Chris Scotti O Marsha Sanford ❑ Sharon Colson ❑ Lynn Mcllhaney ❑ Dennis Christianson, TTI NONE ❑ Marc Chaloupka ❑ Jodi Warner El NONE Describe each affiliation or business relationship with an employee checked in Question 4 above: Adopted 01/13/06 CONFLICT OF INTEREST QUESTIONNAIRE 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 officer with whom the tiler has affiliation or other relationship. Attach additional pages to this Form CIQ as necessary. 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. FORM CIQ 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 x 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. 6. Signature of person doing business with the governmental entity Date Adopted 01/13/06 CONFLICT 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. Elliott Construction,LTD 2. FORM CIQ OFFICE USE ONLY Date Received 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 1 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. ❑ Glenn Brown, City Manager ❑ Robert Alley, Fire Chief ❑ Pete Cater, Landfill Mgr. ❑ David Gwin, Economic Dev. ❑ David Massey, Electric ❑ Bob Cowell, Planning & Dev ❑ Cheryl Turney, Purchasing Mgr. ❑ Terry Childers, Deputy City Mgr ❑ Steve Beachy, Parks & Rec ❑ Harvey Cargill, City Attorney ❑ Connie Hooks, City Secretary ❑ Becky Nugent, Public Relations ❑ Mark Smith, Public Works ❑ Dave Coleman, W/WW ❑ Kathy Merrill, Asst. City Mgr. ❑ Ben Roper, Inf. Tech. ❑ Michael Clancey, Police Chief ❑ Jeff Kersten, Chief Fin.Officer ❑ Julie O'Connell, Human Resources ❑ Ed Spillane, Municipal Judge NONE Describe each affiliation or business relationship with an employee checked in Question 3 above: 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. O Ben White, Mayor O Ron Gay, Place 3 O David Ruesink, Place 6 City of College Station Elected Officials College Station City Council O OPEN, Place 1 0 Lynn Mcllhaney, Place 4 NONE O James Massey, Place 2 El Chris Scotti, Place 5 City of College Station Committees, Boards, and Commissions O Larry Ringer, Chairman O Mary Fran Troy O Sonio Margarita Gangotena O Sarah Adams, Chair O James Batenhorst O David Chester O Donald Braune O Dan B. Sears, Chairman O Mike Lane O Steve Parker, alternate 53 NONE B/CS Library Committee O Katherine Edwards O Jeanne Mitchell O James Bradford Cemetery Committee O Virginia Reese O Weldon Kruger O RC Slocum El NONE Construction Board of Adjustments and Appeals/Building & Standards Commission O Frank Cox 0 Larry D. Patton O Glenn Thomas, alternate O Don Scherr O B. Carroll Johnson El NONE O Kevin Myers O Joe Wallace O James Matson O David Hart O Charles Thomas, alternate O Quinn Williams O Hillary Jessup, Chairman O Haskell Monroe O Ernie Wright D2 NONE O Tedi Ellison O Rusleen Maurice NONE O Jodi Warner, Chair O Shawn Rhodes O John Crompton C3 NONE O John Nichols, Chair O Marsha Sanford O Harold Strong O Rick Heaney O Alan King O Susie Cox, alternate O Jay Goss, Chair O Denise Whisenant 13 NONE Historic Preservation Committee O Bill Lancaster O Jane Hughey O Neal Nutall, Jr. Joint Relief Funding Review Committee O Marguerite Anthony O Meredith Waller O Colleen Risinger O J. Kevin Byrne 0 Deborah Deitering O Reba Ragdale 0 Parks and Recreation Board O Kathleen Ireland O Jody Ford O Harry Green Planning and Zoning Commission O Glenn Schroeder O Dennis Christiansen 121 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 Joan Perry O Gary Thomas O Gary Erwin O Derek Dictson O Bill Davis O Nancy Sawtelle O John Nichols 13 NONE O John Richards O Thomas Mather O Larry Hodges O Glenn Brown, City Manager O Sharon Colson, Chair O Kenny Mallard O Don Lewis O Gregg Baird O Chad Jones O Stephen Syptak, Chair O Tom Kirkland EN NONE O Hugh Lindsay, Area I O John Crompton, Area II O Steve Arden, Area III O Hugh Stearns, Area IV O Andrew Burleson, Student Resident O Dorthea Robinson, Alternate, ETJ Resident O Chris Scotti, Councilmember O Hillary Jessup, Historic Preservation O Lloyd Wasserman, County Commission Research Valley Partnership Board of Directors O Larry Mariott 13 NONE Wolf Pen Creek TIF Board O Marsha Sanford, Vice Chair O James Massey Outside Agency Funding Review O Charles Taylor O Sheryl Welford 13d NONE Northgate Tax Increment Finance Board O David Scarmardo O Glenn Thomas Comprehensive Plan Committee O John Richards, Area I O Brian Bochner, Area II • Laurie Corbelli, Area III O Jerry Cooper, Area IV O Kristina Campbell, Alternate, Student Resident O Craig Hall, Resident -At -Large O Lynn Mcllhaney, Alternate, Councilmember O Gary Erwin, Parks & Rec O Larry Haskins, Northgate District Assoc. O Chris Scotti, Councilman O Marc Chaloupka [21 NONE O Roger Reese O Carolyn Berrow O Anne Jackson O Dale O'Reiley O David Hart, Alternate, Area I O Dennis Corrington, Alternate, Area 11 o Tom Taylor, Alternate, Area III 0 Adrian Williams, Alternate, Area IV o Douglas Rape', ETJ Resident O Mike Guido, Alternate, Resident -At -Large O Bill Davis, P&Z O Kathleen Ireland, Parks & Rec Alternate O Bo Miles, Building & Land Development ❑ Larry Marriott, Home Builders Assoc. ❑ Tedi Ellison, Intergovernmental Comm/Chamber of Commerce ❑ James Massey, Intergovernmental Comm/TAMU Admin ❑ Dr. Clark Ealy, Intergovernmental Comm/CSISD ❑ Chuck Martinez, Intergovernmental Comm/ Research Valley Patnership ❑ Linda LaSut, Intergovernmental Comm/MPO ❑ Lindsey Guindi, Intergovernmental Comm/Chamber of Commerce ❑ Rodney Weis, Intergovernmental Comm/TAMU Transit ❑ Dr. Colleen Netterville, Intergovernmental Comm/BISD ❑ Margie Lucas, Intergovernmental Comm/ Brazos Transit District ❑ Chad Bohne, Intergovernmental Comm/TxDOT ❑ Michael Parks, Intergovernmental Comm/BVCOG ❑ Gary Arnold, Intergovernmental Comm/Brazos County Sheriff O Gary Teston, Intergovernmental Comm/ Easterwood Airport 14 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 Lynn Mcllhaney O Mayor O Mayor O Lynn Mcllhaney O Mayor O Ron Silvia E ig NONE Brazos County Health Department 0 Ben White IS] NONE Brazos Valley Council of Governments CD NONE B/CS Metropolitan Planning Organization El NONE BVCOG TMPA Regional Park Project Advisory Board al NONE BVSWMA Policy Advisory Board 0 Chris Scotti City Center Committee 0 Ben White Intergovernmental Committee 0 Ron Gay 0 Ben White 1;1 NONE [ NONE 0 Dave Ruesink 0 John Happ O Dave Ruesink O NONE Joint City/School Intergovernmental Committee O Ben White 0 John Happ Sister Cities Association O Dave Ruesink 0 NONE Transportation Committee O Ron Gay 0 John Happ 0 Lynn Mcllhaney O Ken Fogle 0 Linda LaSuit, MPO 0 Dennis Christianson, TTI O Michael Parker, BVCOG 0 Bryan Woods, TxDOT P NONE O Ron Gay O John Nichols O Joan Perry Wolf Pen Creek Oversight Committee O Chris Scotti O Marsha Sanford O Sharon Colson O Marc Chaloupka O Jodi Warner EIS NONE Describe each affiliation or business relationship with an employee checked in Question 4 above: 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 officer with whom the filer has affiliation or other relationship. Attach additional pages to this Form CIQ as necessary. 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 x 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. 6. Signature of person doing business with the governmental entity Date Adopted 01/13/06 CONFLICT OF INTEREST QUESTIONNAIRE For vendor or other person 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. 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. OFFICE USE ONLY Date Received 1. Name of person doing business with local governmental entity. Elliott Construction,LTD 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 1 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. ❑ Glenn Brown, City Manager ❑ Robert Alley, Fire Chief El Pete Caler, Landfill Mgr. ❑ David Gwin, Economic Dev. El David Massey, Electric ❑ Bob Cowell, Planning & Dev ❑ Cheryl Turney, Purchasing Mgr. ❑ Terry Childers, Deputy City Mgr ❑ Steve Beachy, Parks & Rec ❑ Harvey Cargill, City Attorney ❑ Connie Hooks, City Secretary El Becky Nugent, Public Relations ❑ Mark Smith, Public Works El John Woody, W/WW ❑ Kathy Merrill, Asst. City Mgr. ❑ Ben Roper, Inf. Tech. ❑ Michael Clancey, Police Chief ❑ Jeff Kersten, Chief Fin.Officer ❑ Julie O'Connell, Human Resources ❑ Ed Spillane, Municipal Judge ❑ NONE Describe each affiliation or business relationship with an employee checked in Question 3 above: 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. ❑ Ben White, Mayor ❑ Ron Gay, Place 3 ❑ David Ruesink, Place 6 City of College Station Elected Officials College Station City Council ❑ OPEN, Place 1 ❑ Lynn Mcllhaney, Place 4 Lel NONE O James Massey, Place 2 ❑ Chris Scotti, Place 5 City of College Station Committees, Boards, and Commissions ❑ Larry Ringer, Chairman ❑ Mary Fran Troy ❑ Sonio Margarita Gangotena ❑ Sarah Adams, Chair ❑ James Batenhorst ❑ David Chester ❑ Donald Braune ❑ Dan B. Sears, Chairman ❑ Mike Lane ❑ Steve Parker, alternate a NONE B/CS Library Committee ❑ Katherine Edwards O Jeanne Mitchell O James Bradford Cemetery Committee ❑ Virginia Reese ❑ Weldon Kruger ❑ RC Slocum ® NONE Construction Board of Adjustments and Appeals/Building & Standards Commission ❑ Frank Cox ❑ Larry D. Patton ❑ Glenn Thomas, alternate ❑ Don Scherr ❑ B. Carroll Johnson tt1 NONE ❑ Kevin Myers ❑ Joe Wallace ❑ James Matson ❑ David Hart ❑ Charles Thomas, alternate ❑ Quinn Williams ❑ Hillary Jessup, Chairman ❑ Haskell Monroe ❑ Ernie Wright ® NONE Historic Preservation Committee O Bill Lancaster ❑ Jane Hughey ❑ Neal Nutall, Jr. Joint Relief Funding Review Committee ❑ Marguerite Anthony ❑ Meredith Waller ❑ Colleen Risinger ❑ Tedi Ellison ❑ J. Kevin Byrne ❑ Deborah Deitering ❑ Rusleen Maurice ❑ Reba Ragdale ❑ ® NONE ❑ Jodi Warner, Chair ❑ Shawn Rhodes ❑ John Crompton i7 NONE ❑ John Nichols, Chair ❑ Marsha Sanford ❑ Harold Strong ❑ Rick Heaney ❑ Alan King ❑ Susie Cox, alternate ❑ Jay Goss, Chair ❑ Denise Whisenant 12c1 NONE Parks and Recreation Board ❑ Kathleen Ireland ❑ Jody Ford ❑ Harry Green Planning and Zoning Commission ❑ Glenn Schroeder ❑ Dennis Christiansen 0 NONE Design Review Board ❑ Hunter Goodwin ❑ Ward Wells ❑ Robert Rayburn, alternate Zoning Board of Adjustments ❑ Joshua Benn ❑ Donald Braune ❑ Joan Perry ❑ Gary Thomas El Gary Erwin ❑ Derek Dictson ❑ Bill Davis ❑ Nancy Sawtelle ❑ John Nichols tJ NONE ❑ John Richards ❑ Thomas Mather ❑ Larry Hodges O Glenn Brown, City Manager ❑ Sharon Colson, Chair ❑ Kenny Mallard ❑ Don Lewis ❑ Gregg Baird ❑ Chad Jones ❑ Stephen Syptak, Chair O Tom Kirkland Li NONE ❑ Hugh Lindsay, Area I ❑ John Crompton, Area II ❑ Steve Arden, Area III ❑ Hugh Stearns, Area IV ❑ Andrew Burleson, Student Resident ❑ Dorthea Robinson, Alternate, ETJ Resident ❑ Chris Scotti, Councilmember ❑ Hillary Jessup, Historic Preservation ❑ Lloyd Wasserman, County Commission Research Valley Partnership Board of Directors ❑ Larry Mariott ll NONE Wolf Pen Creek TIF Board ❑ Marsha Sanford, Vice Chair ❑ James Massey Outside Agency Funding Review ❑ Charles Taylor ❑ Sheryl Welford ® NONE Northgate Tax Increment Finance Board ❑ David Scarmardo ❑ Glenn Thomas Comprehensive Plan Committee O John Richards, Area I ❑ Brian Bochner, Area II ❑ Laurie Corbelli, Area III ❑ Jerry Cooper, Area IV O Kristina Campbell, Alternate, Student Resident ❑ Craig Hall, Resident -At -Large ❑ Lynn Mcllhaney, Alternate, Councilmember ❑ Gary Erwin, Parks & Rec ❑ Larry Haskins, Northgate District Assoc. ❑ Chris Scotti, Councilman ❑ Marc Chaloupka ® NONE ❑ Roger Reese ❑ Carolyn Berrow ❑ Anne Jackson ❑ Dale O'Reiley ❑ David Hart, Alternate, Area I ❑ Dennis Corrington, Alternate, Area II ❑ Tom Taylor, Alternate, Area III ❑ Adrian Williams, Alternate, Area IV ❑ Douglas Rape', ETJ Resident ❑ Mike Guido, Alternate, Resident -At -Large ❑ Bill Davis, P&Z ❑ Kathleen Ireland, Parks & Rec Alternate ❑ Bo Miles, Building & Land Development ❑ Larry Marriott, Home Builders Assoc. ❑ Tedi Ellison, Intergovernmental Comm/Chamber of Commerce ❑ James Massey, Intergovernmental Comm/TAMU Admin ❑ Dr. Clark Ealy, Intergovernmental Comm/CSISD ❑ Chuck Martinez, Intergovernmental Comm/ Research Valley Patnership ❑ Linda LaSut, Intergovernmental Comm/MPO ❑ Lindsey Guindi, Intergovernmental Comm/Chamber of Commerce ❑ Rodney Weis, Intergovernmental Comm/TAMU Transit ❑ Dr. Colleen Netterville, Intergovernmental Comm/BISD ❑ Margie Lucas, Intergovernmental Comm/ Brazos Transit District ❑ Chad Bohne, Intergovernmental Comm/TxDOT ❑ Michael Parks, Intergovernmental Comm/BVCOG ❑ Gary Arnold, Intergovernmental Comm/Brazos County Sheriff ❑ Gary Teston, Intergovernmental Comm/ Easterwood Airport LII 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. ❑ Lynn Mcllhaney ❑ Mayor ❑ Mayor ❑ Lynn Mcllhaney ❑ Mayor ❑ Ron Silvia DI NONE ❑ Ron Gay Di NONE Brazos County Health Department 0 Ben White ® NONE Brazos Valley Council of Governments ® NONE B/CS Metropolitan Planning Organization ® NONE BVCOG TMPA Regional Park Project Advisory Board I NONE BVSWMA Policy Advisory Board O Chris Scotti City Center Committee O Ben White Intergovernmental Committee ❑ Ben White ® NONE ❑ Dave Ruesink 0 John Happ ❑ Dave Ruesink 12 NONE Joint City/School Intergovernmental Committee 0 Ben White 0 John Happ Sister Cities Association ❑ Dave Ruesink ® NONE ❑ Ron Gay ❑ Ken Fogle ❑ Michael Parker, BVCOG ❑ Ron Gay ❑ John Nichols O Joan Perry Transportation Committee ❑ John Happ ❑ Linda LaSuit, MPO ❑ Bryan Woods, TxDOT Wolf Pen Creek Oversight Committee ❑ Chris Scotti ❑ Marsha Sanford ❑ Sharon Colson ❑ Lynn Mcllhaney ❑ Dennis Christianson, TTI ❑ NONE ❑ Marc Chaloupka ❑ Jodi Warner If NONE Describe each affiliation or business relationship with an employee checked in Question 4 above: Adopted 01/13/06 CONFLICT OF INTEREST QUESTIONNAIRE For vendor or other person doing business with local governmental entity FORM CIQ This Section item 5 including subparts A, B, C & D, must be completed for each o off with whom the filer has affiliation or other relationship. Attach additional pages to this Form CIQ as nec 5. Name of local government officer with whom filer has affiliation or business this section only if the answer to A, B, or C is YES. essary. relationship. (Complete 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 X 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. 6. Signature of person doing business with the governmental entity 8-2-07 Date Adopted 01/13/06 CONFLICT 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 atter 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. Elliott Construction, LTD 2. FORM CIQ OFFICE USE ONLY Date Received 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 tiling authority not later than September 1 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. ❑ Glenn Brown, City Manager ❑ Terry Childers, Deputy City Mgr ❑ Kathy Merrill, Asst. City Mgr. ❑ Robert Alley, Fire Chief ❑ Steve Beachy, Parks & Rec ❑ Ben Roper, Inf. Tech. ❑ Pete Caler, Landfill Mgr. ❑ Harvey Cargill, City Attorney ❑ Michael Clancey, Police Chief ❑ David Gwin, Economic Dev. ❑ Connie Hooks, City Secretary ❑ Jeff Kersten, Chief Fin.Officer ❑ David Massey, Electric ❑ Becky Nugent, Public Relations ❑ Julie O'Connell, Human Resources ❑ Bob Cowell, Planning & Dev ❑ Mark Smith, Public Works ❑ Ed Spillane, Municipal Judge ❑ Cheryl Turney, Purchasing Mgr. ❑ John Woody, W/WW n NONE Describe each affiliation or business relationship with an employee checked in Question 3 above: 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. O Ben White, Mayor O Ron Gay, Place 3 0 David Ruesink, Place 6 City of College Station Elected Officials College Station City Council O OPEN, Place 1 O Lynn Mcllhaney, Place 4 54 NONE O James Massey, Place 2 D Chris Scotti, Place 5 City of College Station Committees, Boards, and Commissions B/CS Library Committee O Katherine Edwards O Larry Ringer, Chairman O Mary Fran Troy • Sonio Margarita Gangotena O Sarah Adams, Chair O James Batenhorst 0 David Chester 0 Donald Braune O Dan B. Sears, Chairman O Mike Lane O Steve Parker, alternate a NONE O Jeanne Mitchell O James Bradford Cemetery Committee O Virginia Reese O Weldon Kruger O RC Slocum Il NONE Construction Board of Adjustments and Appeals/Building & Standards Commission O Frank Cox Larry D. Patton O Glenn Thomas, alternate O Don Scherr O B. Carroll Johnson ll NONE O Kevin Myers O Joe Wallace O James Matson O David Hart O Charles Thomas, alternate O Quinn Williams llillary Jessup, Chairman ❑ Haskell Monroe ❑ Ernie Wright 3� NONE Historic Preservation Committee ❑ Bill Lancaster O Jane Hughey ❑ Neal Nutall, Jr. Joint Relief Funding Review Committee ❑ Marguerite Anthony ❑ Meredith Waller ❑ Colleen Risinger ❑ Tedi Ellison ❑ J. Kevin Byrne ❑ Deborah Deitering ❑ Rusleen Maurice ❑ Reba Ragdale ❑ Xl NONE ❑ Jodi Warner, Chair ❑ Shawn Rhodes John Crompton t�T NONE ❑ John Nichols, Chair ❑ Marsha Sanford ❑ Harold Strong ❑ Rick Heaney ❑ Alan King ❑ Susie Cox, alternate Jay Goss, Chair Li Denise Whisenant ❑ NONE Parks and Recreation Board ❑ Kathleen Ireland ❑ Jody Ford ❑ Harry Green Planning and Zoning Commission ❑ Glenn Schroeder ❑ Dennis Christiansen i NONE Design Review Board ❑ Hunter Goodwin ❑ Ward Wells ❑ Robert Rayburn, alternate Zoning Board of Adjustments ❑ Joshua Benn O Donald Braune ❑ Joan Perry ❑ Gary Thomas ❑ Gary Erwin ❑ Derek Dictson ❑ Bill Davis ❑ Nancy Sawtelle ❑ John Nichols 12 NONE ❑ John Richards ❑ Thomas Mather Li Larry !lodges D Glenn Brown, City Manager CI Sharon Colson, Chair Li Kenny Mallard 11 Don Lewis lit L-..] Gregg Baird - LI Chad Jones 4.. F.] Stephen Syptak, Chair 111 Tom Kirkland k1 NONE O Hugh Lindsay, Area I El John Crompton, Area II D Steve Arden, Area III 1 Hugh Stearns, Area IV Andrew Burleson, Student Resident LI Dorthea Robinson, Alternate, ETJ Resident ['I Chris Scotti, Councilmember LI I lillary Jessup, Historic Preservation LI Lloyd Wasserman, County Commission Research Valley Partnership Board of Directors O Larry Mariott I NONE Wolf Pen Creek TIF Board O Marsha Sanford, Vice Chair O James Massey Outside Agency Funding Review O Charles Taylor CI Sheryl Welford FM NONE Northgate Tax Increment Finance Board O David Scarmardo O Glenn Thomas Comprehensive Plan Committee CI John Richards, Arca I ID Brian Bochner, Area 11 O Laurie Corbelli, Area III 0 Jerry Cooper, Area IV O Kristina Campbell, Alternate, Student Resident LI Craig Hall, Resident -At -Large CI Lynn McIlhaney, Alternate, Councilmember O Gary Erwin, Parks & Rec CI Larry Haskins, Northgate District Assoc. 0 Chris Scotti, Councilman CI Marc Chaloupka EX NONE 0 Roger Reese CI Carolyn Berrow CI Anne Jackson LI Dale O'Reiley LI David Hart, Alternate, Area I O Dennis Corrington, Alternate. Area it Cl Tom Taylor, Alternate, Area III El Adrian Williams, Alternate. Area IV O Douglas Rape', ETJ Resident CI Mike Guido, Alternate, Resident -At -Large El Bill Davis, P&Z O Kathleen Ireland, Parks & Rec Alternate 0 Bo Miles, Building & Land Development Ill Larry Marriott, Home Builders Assoc. 111 Tcdi Ellison, Intergovernmental Comm/Chamber of Commerce 0 James Massey, Intergovernmental Comm/TAMU Admin 111 Dr. Clark Ealy, Intergovernmental Comm/CS I SD 0 Chuck Martinez, Intergovernmental Comm/ Research Valley Patnership 0 Linda LaSut, Intergovernmental Comm/MPO 0 Lindsey Guindi, Intergoverhmental Comm/Chamber of Commerce El Rodney Weis, Intergovernmental Comm/TAMU Transit 1:1 Dr. Colleen Netterville, Intergovernmental Comm/BISD 0 Margie Lucas, Intergovernmental Comm/ Brazos Transit District 0 Chad Bohne, Intergovernmental Comm/TxDOT 0 Michael Parks, Intergovernmental Comrn/BVCOG El Gary Arnold, Intergovernmental Comm/Brazos County Sheriff 0 Gary Teston, Intergovernmental Comm/ Easterwood Airport (56 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. ❑ Lynn Mclihaney ❑ Mayor ❑ Mayor ❑ Lynn Mcllhaney ❑ Mayor ❑ Ron Silvia 1 NONE ❑ Ron Gay K1 NONE Brazos County Health Department ❑ Ben White Il NONE Brazos Valley Council of Governments 1 NONE B/CS Metropolitan Planning Organization E NONE BVCOG TMPA Regional Park Project Advisory Board • NONE BVSWMA Policy Advisory Board ❑ Chris Scotti City Center Committee ❑ Ben White Intergovernmental Committee ❑ Ben White ® NONE ❑ Dave Ruesink ❑ John Happ 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 he completed for each officer with whom the filer has affiliation or other relationship. Attach additional pages to this Form CIQ as necessary. 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 tiler of the questionnaire? Yes No N/ A 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 N/ A 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 No D. Describe each affiliation or business relationship. 6. NIA N/A 511;7)-7/7/ Signature of person doing business with the governmental entity Date Adopted 01/13/06 LI Dave Ruesink KJ NONE Joint City/School Intergovernmental Committee El BeneWhite 0 John Happ Sister Cities Association 0 Dave Ruesink I/ NONE O Ron Gay O Ken Fogle D Michael Parker, BVCOG O Ron Gay O John Nichols 0 Joan Perry Transportation Committee John Happ LI Linda LaSuit, MPO 0 Bryan Woods, Tx DOT Wolf Pen Creek Oversight Committee O Chris Scotti O Marsha Sanford D Sharon Colson LI Lynn Mcllhaney El Dennis Christianson, TTI KJ NONE 0 Marc Chaloupka 0 Jodi Warner J NONE Describe each affiliation or business relationship with an employee checked in Question 4 above: Adopted 01/13/06 CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ 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. 5csi. /iAzi#4- # 2. OFFICE USE ONLY 1 Date Received 2-07-06A10:50 RCVD 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 1 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. ❑ Robert Alley, Fire Chief ❑ Steve Beachy, Parks & Rec O Glenn Brown, City Manager O Olivia Burnside, Inf. Tech. ❑ Pete Caler, Landfill Mgr. ❑ Harvey Cargill, City Attorney ❑ John Woody, Utilities ❑ Michael Clancey, Police Chief ❑ Joey Dunn, Planning & Dev O Don Fazzino, Legislative Liason O Kim Foutz, Economic Dev ❑ Connie Hooks, City Secretary ❑ Jeff Kersten, Finance NONE ❑ Charles McLemore, Public Works ❑ Becky Nugent, Public Relations ❑ Julie O'Connell, Human Resources ❑ Mark Smith, Public Works ❑ Ed Spillane, Municipal Judge ❑ Cheryl Turney, Purchasing Mgr. Describe each affiliation or business relationship with an employee checked in Question 3 above: 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. ❑ Ron Silvia, Mayor O Ron Gay, Place 3 ❑ Nancy Berry, Place 6 City of College Station Elected Officials College Station City Council ❑ Ben White, Place 1 ❑ John Happ, Place 2 ❑ Susan Lancaster, Place 4 0 Chris Scotti, Place 5 jX1( NONE City of College Station Committees, Boards, and Commissions B/CS Library Committee ❑ Larry Ringer, Chairman ❑ Katherine Edwards 0 Don Scherr O Eric Miller ❑ Jeanne Mitchell ❑ Jo Berg ❑ Lois Koontz ❑ James Bradford ' NONE Cemetery Committee ❑ Sarah Adams, Chair ❑ Virginia Reese ❑ James Batenhorst ❑ Mary Lind Bryan ❑ David Chester %NONE Construction Board of Adjustments and Appeals/Building & Standards Commission ❑ Kevin Myers ❑ Joe Wallace O Dan B. Sears, Chairman 0 George McLean, Vice Chair ❑ Frank Cox ❑ Mike Lane ❑ Larry D. Patton ❑ David Hart, alternate ❑ Steve Parker, alternate ❑ David Ruesink, alternate ,NONE ❑ Karen Kasper, Merchant ❑ Joey Dunn, Dir. Planning & Dev NONE Facade Improvement Program Advisory Committee ❑ Valerian Miranda, Architect ❑ Rick Lemmons, Business Owner ❑ Robert Mosley, City Engineer ❑ Eric Barton, CD Coordinator ❑ Hillary Jessup, Chairman ❑ Marguerite Anthony ❑ Thomas Taylor ❑ Colleen Risinger ❑ Rebecca Eplen ❑ Rusleen Maurice 12( NONE El Kathleen Ireland ❑ Carol Blaschke ❑ John Crompton lEr NONE ❑ Scott Shafer, Chairman ❑ Marsha Sanford ❑ Harold Strong ❑ Rick Heany ❑ Alan King ❑ Susie Cox, alternate ❑ Jay Goss, Chair ❑ Graham Sheffy El Denise Whisenant Historic Preservation Committee ❑ Bill Lancaster ❑ David Ruesink ❑ Ernie Wright %NONE Joint Relief Funding Review Committee ❑ J. Kevin Byrne ❑ Charlotte Mikulee Parks and Recreation Board ❑ Glenn Schroeder ❑ Jeannie McCandless El Harry Green Planning and Zoning Commission El John Nichols ❑ Dennis Christiansen 121: NONE Design Review Board El Hunter Goodwin ❑ Ward Wells El Robert Rayburn, alternate Zoning Board of Adjustments ❑ Joshua Benn ❑ Donald Braune ❑ Derek Dictson ❑ Marsha Crenwelge ❑ Dipankar Sen ❑ Neal Nutall, Jr ❑ Mary Sherwood El Peggy Samson ❑ Jodi Warner ❑ Gary Thomas El Gary Erwin ❑ l Ken Reynolds ❑ Bill Davis El Nancy Sawtelle El Scott Shafer T'S' NONE ❑ John Richards ❑ Charles Taylor X( NONE ❑ David Hickson ❑ Glenn Brown, City Manager ❑ Sharon Colson, Chair ❑ Kenny Mallard Research Valley Partnership Board of Directors ❑ Larry Mariott ,181 NONE Wolf Pen Creek TIF Board ❑ Marsha Sanford, Vice Chair ❑ James Massey Cl Chris Scotti, Councilman ❑ 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. Brazos County Health Department ❑ Susan Lancaster ❑ Nancy Berry NONE Brazos Valley Council of Governments Board of Directors ❑ Ron Silvia, Mayor X NONE B/CS Metropolitan Planning Organization ❑ Ron Silvia, Mayor PeNONE BVCOG TMPA Regional Park Project Advisory Board ❑ Susan Lancaster NONE BVSWMA Policy Advisory Board 1� O Ron Silvia, Mayor 0 Susan Lancaster ,&] NONE ❑ Ron Silvia le NONE ❑ Nancy Berry 1J NONE ❑ Nancy Berry NONE City Center Committee ❑ Ben White ❑ Nancy Berry Intergovernmental Committee 0 Ben White 0 John Happ Joint City/School Intergovernmental Committee ❑ Ben White 0 John Happ Sister Cities Association El Ron Gay NONE Transportation Committee Cl Ron Gay ❑ John Happ ❑ Linda LaSuit, MPO ❑ Dennis Christianson, TTI El Bryan Woods, TxDOT 'NONE ❑ Ken Fogle ❑ Michael Parker, BVCOG Describe each affiliation or business relationship with an employee checked in Question 4 above: Adopted 01/13/06 Wolf Pen Creek Oversight Committee Ron Gay Chris Scotti ,NONE • • Describe each affiliation or business relationship with an employee checked in Question 4 above: 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 officer with whom the filer has affiliation or other relationship. Attach additional pages to this Form C.IQ as necessary. 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 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 No D. Describe each affiliation or business relationship. 6. Signature of person doing business with the governmental entity Date Adopted 01/13/06