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HomeMy WebLinkAboutLehigh 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