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HomeMy WebLinkAboutBrave 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