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HomeMy WebLinkAboutKnife RiverCONFLICT 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. 2. FORM CIQ OFFICE USE ONLY Date Received SEP 202007 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 ❑ 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 ,ZIONE 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. City of College Station Elected Officials College Station City Council ❑ Ben White, Mayor 0 John Compton, Place 1 ❑ Ron Gay, Place 3 0 Lynn Mcllhaney, Place 4 ❑ David Ruesink, Place 6 NONE ❑ James Massey, Place 2 O 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 O NONE B/CS Library Committee ❑ Katherine Edwards ❑ Jeanne Mitchell O James Bradford Cemetery Committee O Virginia Reese O Weldon Kruger ❑ RC Slocum OKNONE Construction Board of Adjustments and Appeals/Building & Standards Commission O Frank Cox ❑ Larry D. Patton ❑ Glenn Thomas, alternate O Don Scherr O B. Carroll Johnson STONE ❑ Kevin Myers ❑ Joe Wallace O James Matson O David Hart O Charles Thomas, alternate A2NQuinn Williams ❑ Hillary Jessup, Chairman ❑ Haskell Monroe ❑ Ernie Wright (NONE Historic Preservation Committee ❑ Bill Lancaster ❑ Jane Hughey O 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 ❑ ZONE ❑ Jodi Warner, Chair ❑ Shawn Rhodes ❑ John Crompton NONE Parks and Recreation Board ❑ Kathleen Ireland ❑ Jody Ford O Harry Green Planning and Zoning Commission ❑ John Nichols, Chair ❑ Glenn Schroeder ❑ Marsha Sanford ❑ Dennis Christiansen ❑ Harold Strong Design Review Board ❑ Joan Perry ❑ Gary Thomas ❑ Gary Erwin ❑ Derek Dictson O Bill Davis ❑ Rick Heaney ❑ Hunter Goodwin ❑ Nancy Sawtelle ❑ Alan King ❑ Ward Wells ❑ John Nichols ❑ Susie Cox, alternate ❑ Robert Rayburn, alternate k NONE ❑ Jay Goss, Chair ❑ Denise Whisenant MNONE Zoning Board of Adjustments ❑ Joshua Benn ❑ Donald Braune O John Richards ❑ Thomas Mather O Larry Hodges O Glenn Brown, City Manager 0 Sharon Colson, Chair O Kenny Mallard CI Don Lewis O Gregg Baird O Chad Jones O Stephen Syptak, Chair 0 Tom Kirkland baN ONE 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 akl•IONE Wolf Pen Creek TIF Board O Marsha Sanford, Vice Chair O James Massey Outside Agency Funding Review O Charles Taylor o Sheryl Welford .11cTONE 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 HI 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 NONE O Roger Reese 0 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 0 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. El 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 El 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 El Chad Bohne, Intergovernmental Comm/TxDOT ❑ Michael Parks, Intergovernmental CommBVCOG ❑ Gary Arnold, Intergovernmental Comm/Brazos County Sheriff ❑ Gary Teston, Intergovernmental kNONE Comm/ Easterwood Airport 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 NONE ❑ Ron Gay bltl,NONE Brazos County Health Department ❑ Ben White LliONE Brazos Valley Council of Governments ilZ(NONE B/CS Metropolitan Planning Organization NONE BVCOG TMPA Regional Park Project Advisory Board lc BVSWMA Policy Advisory Board ❑ Chris Scotti City Center Committee ❑ Ben White Intergovernmental Committee ❑ Ben White pcZL_NONE ❑ Dave Ruesink ❑ John Happ O Dave Ruesink p‘NONE Joint City/School Intergovernmental Committee 0 Ben White Sister Cities Association O Dave Ruesink ONE Transportation Committee 0 John Happ O Ron Gay 0 John Happ 0 Lynn McIlhaney O Ken Fogle 0 Linda LaSuit, MPO 0 Dennis Christianson, TTI 0 Michael Parker, BVCOG 0 Bryan Woods, TxDOT N._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 WKONE 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 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. („00; vtvn W I ) I CaP1/4 5 A. Is the local government officer named in this section receiving or likely to receive taxable income from the filer of the questionnaire? Yes Mt . (c): 1\4w 5 ►5 ewlT eJ L7 No -4VQ/ 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 M 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. Signa ure of erson doing business with the governmental entity Date 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 OFFICE USE ONLY Government Code by a person doing business with the governmental entity. Date Received 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 bksiness with local governmental entity. (.\‘ 2. JeX 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. O David Gwin, Economic Dev. ❑ David Massey, Electric ❑ Bob Cowell, Planning & Dev ❑ Cheryl Turney, Purchasing Mgr. O Terry Childers, Deputy City Mgr ❑ Steve Beachy, Parks & Rec ❑ Harvey Cargill, City Attorney ❑ Connie Hooks, City Secretary O Becky Nugent, Public Relations ❑ Mark Smith, Public Works ❑ John Woody, W/WW ❑ Kathy Merrill, Asst. City Mgr. O Ben Roper, Inf. Tech. ❑ Michael Clancey, Police Chief ❑ Jeff Kersten, Chief Fin.Officer O 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 McIlhaney, Place 4 NONE ❑ 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 O Donald Braune ❑ Dan B. Sears, Chairman ❑ Mike Lane ❑ Steve Parker, alternate O NONE B/CS Library Committee ❑ Katherine Edwards 0 Don Schen ❑ Jeanne Mitchell 0 B. Carroll Johnson ❑ James Bradford (NONE Cemetery Committee ❑ Virginia Reese ❑ Weldon Kruger ❑ RC Slocum KNONE Construction Board of Adjustments and Appeals/Building & Standards Commission ❑ Frank Cox ❑ Larry D. Patton ❑ Glenn Thomas, alternate ❑ Kevin Myers ❑ Joe Wallace O James Matson ❑ David Hart ❑ Charles Thomas, alternate L74uinn Williams ❑ Hillary Jessup, Chairman ❑ Haskell Monroe ❑ Ernie Wright X NONE ❑ Tedi Ellison ❑ Rusleen Maurice NONE ❑ Jodi Warner, Chair ❑ Shawn Rhodes ❑ John Crompton NONE O John Nichols, Chair ❑ Marsha Sanford O Harold Strong ❑ Rick Heaney ❑ Alan King ❑ Susie Cox, alternate ❑ Jay Goss, Chair ❑ Denise Whisenant NONE Historic Preservation Committee ❑ Bill Lancaster ❑ Jane Hughey ❑ Neal Nutall, Jr. Joint Relief Funding Review Committee ❑ J. Kevin Byrne ❑ Reba Ragdale Parks and Recreation Board ❑ Kathleen Ireland ❑ Jody Ford ❑ Harry Green Planning and Zoning Commission O Glenn Schroeder ❑ Dennis Christiansen NONE Design Review Board ❑ Marguerite Anthony ❑ Meredith Waller ❑ Colleen Risinger ❑ Deborah Deitering 0 ❑ Joan Perry ❑ Gary Thomas ❑ Gary Erwin ❑ Derek Dictson ❑ Bill Davis ❑ Hunter Goodwin ❑ Nancy Sawtelle ❑ Ward Wells ❑ John Nichols O Robert Rayburn, alternate NONE Zoning Board of Adjustments ❑ Joshua Benn O Donald Braune ❑ John Richards O 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 /^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 El Larry Mariott pl. NONE Wolf Pen Creek TIF Board ❑ Marsha Sanford, Vice Chair ❑ James Massey Outside Agency Funding Review ❑ Charles Taylor ❑ Sheryl Welford c1ONE Northgate Tax Increment Finance Board ❑ David Scarmardo ❑ Glenn Thomas Comprehensive Plan Committee ❑ John Richards, Area I ❑ Brian Bochner, Area II ❑ Laurie Corbelli, Area III ❑ Jerry Cooper, Area IV ❑ 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 O 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 O Bo Miles, Building & Land Development ❑ Larry Marriott, Home Builders Assoc. O Tedi Ellison, Intergovernmental Comm/Chamber of Commerce O James Massey, Intergovernmental Comm/TAMU Admin ❑ Dr. Clark Ealy, Intergovernmental Comm/CSISD ❑ Chuck Martinez, Intergovernmental Comm/ Research Valley Patnership O Linda LaSut, Intergovernmental Comm/MPO ❑ Lindsey Guindi, Intergovernmental Comm/Chamber of Commerce ❑ Rodney Weis, Intergovernmental Comm/TAMU Transit O Dr. Colleen Netterville, Intergovernmental CommBISD ❑ Margie Lucas, Intergovernmental Comm/ Brazos Transit District ❑ Chad Bohne, Intergovernmental Comm/TxDOT ❑ Michael Parks, Intergovernmental CommBVCOG O 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 ❑ Lynn Mcllhaney ❑ Ben White NONE Brazos Valley Council of Governments ❑ Mayor pQ NONE B/CS Metropolitan Planning Organization O Mayor CkNONE BVCOG TMPA Regional Park Project Advisory Board ❑ Lynn Mcllhaney NONE BVSWMA Policy Advisory Board 0 Mayor ❑ Chris Scotti gkNONE City Center Committee ❑ Ron Silvia 0 Ben White 0 Dave Ruesink t9LNONE Intergovernmental Committee ❑ Ron Gay ❑ Ben White 0 John Happ NONE ❑ Dave Ruesink 65KNONE Joint City/School Intergovernmental Committee ❑ Ben White ❑ John Happ Sister Cities Association ❑ Dave Ruesink /LNONE Transportation Committee ❑ Ron Gay 0 John Happ 0 Lynn Mcllhaney O Ken Fogle 0 Linda LaSuit, MPO 0 Dennis Christianson, TTI O Michael Parker, BVCOG ❑ Bryan Woods, TxDOT NONE ❑ Ron Gay ❑ John Nichols ❑ Joan Perry Wolf Pen Creek Oversight Committee ❑ Chris Scotti ❑ Marsha Sanford ❑ Sharon Colson ❑ Marc Chaloupka ❑ Jodi Warner 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 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 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. kif. cu X11 io,,.s ;s evielleyod Signa ire 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. FORM CIQ OFFICE USE ONLY Date Received 1. Name of person doing business with local governmental entity. 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 ❑ Pete Caler, 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 ❑ 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 ❑ Lynn Mcllhaney, Place 4 ❑ Chris Scotti, Place 5 ❑ David Ruesink, Place 6 NONE City of College Station Elected Officials College Station City Council ❑ OPEN, Place 1 ❑ James Massey, Place 2 City of College Station Committees, Boards, and Commissions B/CS Library Committee ❑ Katherine Edwards ❑ Larry Ringer, Chairman ❑ Mary Fran Troy ❑ Sonio Margarita Gangotena ❑ Sarah Adams, Chair ❑ James Batenhorst ❑ David Chester O Donald Braune ❑ Dan B. Sears, Chairman O Mike Lane ❑ Steve Parker, alternate O NONE ❑ Jeanne Mitchell ❑ James Bradford Cemetery Committee ❑ Virginia Reese ❑ Weldon Kruger ❑ RC Slocum ‘;,14NONE Construction Board of Adjustments and Appeals/Building & Standards Commission ❑ Frank Cox ❑ Larry D. Patton ❑ Glenn Thomas, alternate ❑ Don Scherr ❑ B. Carroll Johnson NONE ❑ Kevin Myers ❑ Joe Wallace ❑ James Matson ❑ David Hart ❑ Charles Thomas, alternate Quinn Williams ❑ Hillary Jessup, Chairman ❑ Haskell Monroe ❑ Ernie Wright Dig -NONE Historic Preservation Committee ❑ Bill Lancaster ❑ Jane Hughey Cl Neal Nutall, Jr. Joint Relief Funding Review Committee ❑ Marguerite Anthony ❑ Meredith Waller ❑ Colleen Risinger ❑ Tedi Ellison ❑ J. Kevin Byrne ❑ Deborah Deitering ❑ Rusleen Maurice Cl Reba Ragdale ❑ -NONE ❑ Jodi Warner, Chair ❑ Shawn Rhodes ❑ John Crompton NONE Parks and Recreation Board ❑ Kathleen Ireland ❑ Jody Ford ❑ Harry Green Planning and Zoning Commission ❑ John Nichols, Chair ❑ Glenn Schroeder ❑ Marsha Sanford ❑ Dennis Christiansen ❑ Harold Strong (NONE Design Review Board ❑ Joan Perry ❑ Gary Thomas ❑ Gary Erwin ❑ Derek Dictson ❑ Bill Davis ❑ Rick Heaney ❑ Hunter Goodwin ❑ Nancy Sawtelle ❑ Alan King ❑ Ward Wells ❑ John Nichols ❑ Susie Cox, alternate ❑ Robert Rayburn, alternate NONE ❑ Jay Goss, Chair ❑ Denise Whisenant NONE Zoning Board of Adjustments ❑ Joshua Benn ❑ Donald Braune Cl John Richards ❑ Thomas Mather ❑ Larry Hodges ❑ Glenn Brown, City Manager ❑ Sharon Colson, Chair ❑ Kenny Mallard ❑ Don Lewis ❑ Gregg Baird ❑ Chad Jones ❑ Stephen Syptak, Chair ❑ Tom Kirkland kNONE ❑ 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 NONE Wolf Pen Creek TIF Board ❑ Marsha Sanford, Vice Chair ❑ James Massey Outside Agency Funding Review ❑ Charles Taylor ❑ Sheryl Welford cK NONE Northgate Tax Increment Finance Board ❑ David Scarmardo ❑ Glenn Thomas Comprehensive Plan Committee ❑ John Richards, Area I ❑ Brian Bochner, Area II ❑ Laurie Corbelli, Area III ❑ Jerry Cooper, Area IV ❑ 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 ONE ❑ Roger Reese ❑ Carolyn Berrow ❑ Anne Jackson ❑ Dale O'Reiley ❑ David Hart, Alternate, Area I ❑ Dennis Corrington, Alternate, Area 11 ❑ Tom Taylor, Alternate, Area III ❑ Adrian Williams, Alternate, Area TV ❑ 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 O Lindsey Guindi, Intergovernmental Comm/Chamber of Commerce ❑ Rodney Weis, Intergovernmental Comm/TAMU Transit O Dr. Colleen Netterville, Intergovernmental Comm/BISD O Margie Lucas, Intergovernmental Comm/ Brazos Transit District ❑ Chad Bohne, Intergovernmental Comm/TxDOT ❑ Michael Parks, Intergovernmental Comm/B VCOG ❑ Gary Arnold, Intergovernmental Comm/Brazos County Sheriff ❑ Gary Teston, Intergovernmental Comm/ Easterwood Airport cW.LNIONE 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 ❑ Lynn Mcllhaney ❑ Ben White ( ONE Brazos Valley Council of Governments ❑ Mayor NONE B/CS Metropolitan Planning Organization ❑ Mayor N.AONE BVCOG TMPA Regional Park Project Advisory Board ❑ Lynn Mcllhaney 1C NONE BVSWMA Policy Advisory Board ❑ Mayor ❑ Chris Scotti ONE City Center Committee ❑ Ron Silvia ❑ Ben White ❑ Dave Ruesink NONE Intergovernmental Committee ❑ Ron Gay ❑ Ben White ❑ John Happ NONE ❑ Dave Ruesink MNONE Joint City/School Intergovernmental Committee ❑ Ben White ❑ John Happ Sister Cities Association ❑ Dave Ruesink NONE Transportation Committee ❑ Ron Gay ❑ John Happ ❑ Lynn Mcllhaney ❑ Ken Fogle ❑ Linda LaSuit, MPO ❑ Dennis Christianson, TTI ❑ Michael Parker, BVCOG ❑ Bryan Woods, TxDOT IIS<ONE ❑ Ron Gay ❑ John Nichols ❑ Joan Perry Wolf Pen Creek Oversight Committee ❑ Chris Scotti ❑ Marsha Sanford ❑ Sharon Colson ❑ Marc Chaloupka ❑ Jodi Warner C 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? V 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. 04); LU MCOAA Ls ewylord 6. Signature of erson oing 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. FORM CIQ OFFICE USE ONLY Date Received 1. Name of person doing business with local governmental entity. KK; fe (e ver 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 ❑ Terry Childers, Deputy City Mgr ❑ Kathy Merrill, Asst. City Mgr. ❑ Robert Alley, Fire Chief ❑ Steve Beachy, Parks & Rec ❑ Olivia Burnside, Inf. Tech. ❑ Pete Caler, Landfill Mgr. ❑ Harvey Cargill, City Attorney ❑ Michael Clancey, Police Chief ❑ David Gwin, Economic Dev. ❑ Connie Hooks, City Secretary 0 Jeff Kersten, Chief Fin.Officer ❑ David Massey, Electric ❑ Becky Nugent, Public Relations 0 Julie O'Connell, Human Resources ❑ Lance Simms, Planning & Dev ❑ Mark Smith, Public Works 0 Ed Spillane, Municipal Judge ❑ Cheryl Turney, Purchasing Mgr. 0 John Woody, W/WWNONE 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 ❑ Ron Gay, Place 3 ❑ David Ruesink, Place 6 City of College Station Elected Officials College Station City Council ❑ Ben White, Place 1 ❑ Lynn McIlhaney, Place 4 NONE ❑ John Happ, 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 ❑ NONE B/CS Library Committee ❑ Katherine Edwards ❑ Jeanne Mitchell ❑ James Bradford Cemetery Committee ❑ Virginia Reese ❑ Weldon Kruger El RC Slocum bl<1\10NE Construction Board of Adjustments and Appeals/Building & Standards Commission ❑ Frank Cox ❑ Larry D. Patton ❑ Glenn Thomas, alternate ❑ Don Scherr El B. Carroll Johnson tg NONE El Kevin Myers ❑ Joe Wallace ❑ James Matson ❑ David Hart ❑ Charles Thomas, alternate N 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 ❑ Meredith Waller ❑ Colleen Risinger ❑ Tedi Ellison ❑ J. Kevin Byrne 0 Deborah Deitering ❑ Rusleen Maurice 0 Reba Ragdale ❑ dZNONE ❑ Jodi Warner, Chair ❑ Shawn Rhodes ❑ John Crompton (ZNONE Parks and Recreation Board ❑ Kathleen Ireland ❑ Jody Ford ❑ Harry Green Planning and Zoning Commission ❑ John Nichols, Chair 0 Glenn Schroeder ❑ Marsha Sanford ❑ Dennis Christiansen ❑ Harold Strong NONE Design Review Board O Joan Perry O Gary Thomas ❑ Gary Erwin ❑ Derek Dictson ❑ Bill Davis ❑ Rick Heaney 0 Hunter Goodwin 0 Nancy Sawtelle ❑ Alan King 0 Ward Wells 0 John Nichols ❑ Susie Cox, alternate 0 Robert Rayburn, alternate NONE ❑ Jay Goss, Chair ❑ Denise Whisenant XNONE Zoning Board of Adjustments ❑ Joshua Benn ❑ Donald Braune ❑ John Richards O Thomas Mather ❑ Larry Hodges ❑ Glenn Brown, City Manager ❑ Sharon Colson, Chair ❑ Kenny Mallard ❑ Don Lewis ❑ Gregg Baird ❑ Chad Jones ❑ Stephen Syptak, Chair ❑ Tom Kirkland 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 NONE Wolf Pen Creek TIF Board ❑ Marsha Sanford, Vice Chair ❑ James Massey Outside Agency Funding Review ❑ Charles Taylor O Sheryl Welford NONE Northgate Tax Increment Finance Board ❑ David Scarmardo ❑ Glenn Thomas Comprehensive Plan Committee ❑ John Richards, Area I ❑ Brian Bochner, Area II ❑ Laurie Corbelli, Area III ❑ Jerry Cooper, Area IV ❑ Kristina Campbell, Alternate, Student Resident ❑ Craig Hall, Resident -At -Large ❑ Lynn Mcllhaney, Alternate, Councilmember O 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. O 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 O Dr. Colleen Netterville, Intergovernmental Comm/BISD ❑ Margie Lucas, Intergovernmental Conon/ Brazos Transit District ❑ Chad Bohne, Intergovernmental Comm/TxDOT ❑ Michael Parks, Intergovernmental CommBVCOG ❑ 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 ❑ Ben White NONE Brazos Valley Council of Governments /� O Ron Silvia, Mayor ONE B/CS Metropolitan Planning Organization ❑ Ron Silvia, Mayor bEr NONE BVCOG TMPA Regional Park Project Advisory Board O Lynn Mcllhaney vK NONE BVSWMA Policy Advisory Board ❑ Ron Silvia, Mayor ❑ Chris Scotti CONE City Center Committee ❑ Ron Silvia 0 Ben White Cl Dave Ruesink (,<NONE Intergovernmental Committee ❑ Ron Gay 0 Ben White ❑ John Happ NONE ❑ Dave Ruesink NONE Joint City/School Intergovernmental Committee ❑ Ben White ❑ John Happ Sister Cities Association ❑ Dave Ruesink .j ONE Transportation Committee ❑ Ron Gay 0 John Happ 0 Lynn Mcllhaney ❑ Ken Fogle 0 Linda LaSuit, MPO 0 Dennis Christianson, TTI ❑ Michael Parker, BVCOG 0 Bryan Woods, TxDOT LONE ❑ Ron Gay ❑ John Nichols ❑ Joan Perry Wolf Pen Creek Oversight Committee ❑ Chris Scotti ❑ Marc Chaloupka ❑ Marsha Sanford 0 Jodi Warner ❑ Sharon Colson NONE Describe each affiliation or business relationship with an employee checked in Question 4 above: Adopted 01/13/06 CONFLICT OF INTEREST QUESTIONNAIRE FORM Cu) 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. 00;14,1 L.(J ;) awl S A. Is the local government officer named in this section receiving or likely to receive taxable income from the filer of the questionnaire? Yes r. (,0;11cu s ;s5 es" bye 1°1 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. Nor Gv;11.0)A4 i5 0,,,4110y,01 101 k4.4 Q;,iaV 6. 0 Signature0o on doing business with the governmental entity Date /o3 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, Loca P 2-01-06P03 : 23 r<, Government Code. An offense under this section is a Class C misdemean' OFFICE USE ONLY Date Received 1. Name of person doing business with local governmental entity. 2. 644 fi— ctki aw%at4r5 , .4.51C- A K 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. Name each employee or contractor of the local governmental entity who makes recommendations to a local government officer of the governmental entity with respect to expenditures of money AND describe the affiliation or business relationship. Robert Alley, Fire Chief Michael Clancey, Police Chief Charles McLemore, Public Works • • ■ Steve Beachy, Parks & Rec Joey Dunn, Planning & Dev Becky Nugent, Public Relations • ■ ■ Glenn Brown, City Manager Don Fazzino, Legislative Liason Julie O'Connell, Human Resources ■ ■ ■ Olivia Burnside, Inf. Tech. Kim Foutz, Economic Dev Mark Smith, Public Works • ■ ■ Pete Caler, Landfill Mgr. Connie Hooks, City Secretary Ed Spillane, Municipal Judge ■ ■ ■ Harvey Cargill, City Attorney Jeff Kersten, Finance Cheryl Turney, Purchasing Mgr. ■ ■ ■ John Woody, Utilities X NONE • 4. Name each local government officer who appoints or employs local government officers of the governmental entity for which this questionnaire is filed AND describe the affiliation or business relationship. City of College Station Elected Officials City of College Station Committees, Boards, and Commissions College Station City Council B/CS Library Committee ❑ Ron Silvia, Mayor ❑ John Happ, Place 2 • Ben White, Place 1 • George McLean, Vice Chair ■ Frank Cox Don Scherr • Ron Gay, Place 3 • Susan Lancaster, Place 4 ■ Chris Scotti, Place 5 ■ Larry D. Patton W' NONE It NONE • Nancy Berry, Place 6 Jo Berg City of College Station Committees, Boards, and Commissions Construction Board of Adjustments and Appeals/Building & Standards Commission B/CS Library Committee Larry Ringer, Chairman • George McLean, Vice Chair ■ Frank Cox Don Scherr • • Katherine Edwards ■ ■ Larry D. Patton Eric Miller It NONE ❑ David Ruesink, alternate Jo Berg • ■ Jeanne Mitchell ■ Lois Koontz [ James Bradford NONE • Construction Board of Adjustments and Appeals/Building & Standards Commission Cemetery Committee Sarah Adams, Chair • George McLean, Vice Chair ■ Frank Cox Kevin Myers • • Virginia Reese IN ■ Larry D. Patton James Batenhorst It NONE ❑ David Ruesink, alternate Joe Wallace • ■ Mary Lind Bryan ■ David Chester jaNONE • Construction Board of Adjustments and Appeals/Building & Standards Commission • Dan B. Sears, Chairman • George McLean, Vice Chair ■ Frank Cox • Mike Lane ■ Larry D. Patton ■ David Hart, alternate It NONE ❑ David Ruesink, alternate kNONE • Steve Parker, alternate Facade Improvement Program Advisory Committee • Karen Kasper, Merchant ■ Valerian Miranda, Architect ■ Rick Lemmons, Business Owner • Joey Dunn, Dir. Planning & Dev ■ Robert Mosley, City Engineer • Eric Barton, CD Coordinator It NONE Historic Preservation Committee Parks and Recreation Board Hillary Jessup, Chairman J. Kevin Byrne Bill Lancaster Mary Sherwood Marsha Crenwelge • ■ ■ ■ Marguerite Anthony Carol Blaschke David Ruesink • Rusleen Maurice Dipankar Sen • ■ ■ ■ Thomas Taylor John Crompton Ernie Wright Harry Green Neal Nutall, Jr. • ■ ■ ■ Colleen Risinger Rt. NONE • Joint Relief Funding Review Committee Parks and Recreation Board Scott Shafer, Chairman J. Kevin Byrne Mary Sherwood • Rebecca Eplen ■ ■ ■ ■ Charlotte Mikulee Carol Blaschke Peggy Samson • Rusleen Maurice • • RLNONE ■ ■ John Crompton Planning and Zoning Commission Parks and Recreation Board Scott Shafer, Chairman Kathleen Ireland Glenn Schroeder • Jodi Warner • ■ ■ Carol Blaschke Bill Davis Jeannie McCandless ■ Dennis Christiansen Gary Thomas • ■ ■ John Crompton • Harry Green ER NONE Gary Erwin • ■ ■ oEI NONE Planning and Zoning Commission Design Review Board Scott Shafer, Chairman Rick Heany Ken Reynolds • • John Nichols ■ ■ Marsha Sanford Alan King Bill Davis • ■ Dennis Christiansen ■ • Harold Strong efff NONE Susie Cox, alternate • Design Review Board Rick Heany Hunter Goodwin Nancy Sawtelle ■ ■ • Alan King Ward Wells Scott Shafer • ■ • Susie Cox, alternate Robert Rayburn, alternate ER NONE ■ ■ Zoning Board of Adjustments Jay Goss, Chair Joshua Benn John Richards • • ■ Graham Sheffy Donald Braune Charles Taylor • ■ ■ Denise Whisenant Derek Dictson &Z. NONE • ■ Research Valley Partnership Board of Directors Wolf Pen Creek TIF Board David Hickson Sharon Colson, Chair Chris Scotti, Councilman • • Larry Mariott • ■ Glenn Brown, City Manager E' NONE Kenny Mallard • Wolf Pen Creek TIF Board Sharon Colson, Chair Marsha Sanford, Vice Chair Marc Chaloupka • ■ • Kenny Mallard James Massey NONE • ■ 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 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 a No D. Describe each affiliation or business relationship. 6. Af/ii - yal,k;• //ZG/D l� Signature of person doing business with the governmental entity Date Adopted 11/02/2005