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HomeMy WebLinkAboutCLM Construction, LLCCONFLICT OF INTEREST QUESTIONNAIRE . For vendor or other person doing business with local governmental entity FORM CIQ fhis 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. 2. CZ C.1 6/60 0/(1 C- 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. O Glenn Brown, City Manager O Robert Alley, Fire Chief O Pete Caler, Landfill Mgr. O David Gwin, Economic Dev. 0 David Massey, Electric O Bob Cowell, Planning & Dev O Cheryl Turney, Purchasing Mgr. O Terry Childers, Deputy City Mgr El Steve Beachy, Parks & Rec O Harvey Cargill, City Attorney O Connie Hooks, City Secretary 0 Becky Nugent, Public Relations O Mark Smith, Public Works O John Woody, W/WW O Kathy Merrill, Asst. City Mgr. O Ben Roper, Inf. Tech. O Michael Clancey, Police Chief O Jeff Kersten, Chief Fin.Officer 0 Julie O'Connell, Human Resources O Ed Spillane, Municipal Judge )2Ck NONE Describe each affiliation or business relationship wi ployee 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 O Lynn Mcllhaney, Place 4 ' NONE ❑ James Massey, Place 2 ❑ Chris Scotti, Place 5 City of College Station Committees, Boards, and Commissions O Larry Ringer, Chairman ❑ Mary Fran Troy ❑ Sonio Margarita Gangotena _-❑ Sarah Adams, Chair O James Batenhorst O David Chester O Donald Braune O Dan B. Sears, Chairman O Mike Lane 0 Steve Parker, alternate ,NONE B/CS Library Committee ❑ Katherine Edwards ❑ Jeanne Mitchell ❑ James Bradford Cemetery Committee O Virginia Reese ❑ Weldon Kruger ❑ RC Slocum NONE Construction Board of Adjustments and Appeals/Building & Standards Commission O Frank Cox ❑ Larry D. Patton 0 Glenn Thomas, alternate O Don Schen O B. Carroll Johnson `NONE O Kevin Myers ❑ Joe Wallace O James Matson ❑ David Hart ❑ Charles Thomas, alternate O Quinn Williams O Hillary Jessup, Chairman CJ Haskell Monroe O Ernie Wright A NONE Historic Preservation Committee O Bill Lancaster O Jane Hughey O Neal Nutall, Jr. Joint Relief Funding Review Committee O Marguerite Anthony El Meredith Waller O Colleen Risinger O Tedi Ellison 0 J. Kevin Byrne 0 Deborah Deitering O Rusleen Maurice 0 Reba Ragdale 0 ;Et NONE 0 Jodi Warner, Chair O Shawn Rhodes O John Crompton NONE El 0 John Nichols, Chair O Marsha Sanford O Harold Strong Parks and Recreation Board O Kathleen Ireland O Jody Ford O Harry Green Planning and Zoning Commission O Glenn Schroeder O Dennis Christiansen ONE Design Review Board El Joan Perry El Gary Thomas O Gary Erwin O Derek Dictson O Bill Davis O Rick Heaney 0 Hunter Goodwin 0 Nancy Sawtelle El Alan King 0 Ward Wells 0 John Nichols O Susie Cox, alternate 0 Robert Rayburn, alternate $-NONE 0 Jay Goss, Chair 0 Denise Whisenant g NONE Zoning Board of Adjustments 0 Joshua Benn El Donald Braune El John Richards 0 Thomas Mather • 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 ter -NONE O Hugh Lindsay, Area I O John Crompton, Area II O Steve Arden, Area III 0 Hugh Stearns, Area IV O Andrew Burleson, Student Resident O Dorthea Robinson, Alternate, ETJ Resident O Chris Scotti, Councilmember 0 Hillary Jessup, Historic Preservation O Lloyd Wasserman, County Commission Research Valley Partnership Board of Directors O Larry Mariott NONE Wolf Pen Creek TIF Board O Marsha Sanford, Vice Chair O James Massey Outside Agency Funding Review O Charles Taylor O Sheryl Welford izt 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 W O Kristina Campbell, Alternate, Student Resident O Craig Hall, Resident -At -Large O Lynn McIlhaney, Alternate, Councilmember O Gary Erwin, Parks & Rec O Larry Haskins, Northgate District Assoc. O Chris Scotti, Councilman O Marc Chaloupka 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. O Tedi Ellison, Intergovernmental Comm/Chamber of Commerce O James Massey, Intergovernmental Comm/TAMU Admin 0 Dr. Clark Ealy, Intergovernmental Comrn/CSISD O Chuck Martinez, Intergovernmental Comm/ Research Valley Patnership 0 Linda LaSut, Intergovernmental C omm/MP 0 O Lindsey Guindi, Intergovernmental Comm/Chamber of Commerce O Rodney Weis, Intergovernmental Comm/TAMU Transit 0 Dr. Colleen Netterville, Intergovernmental Comm/BISD O Margie Lucas, Intergovernmental Comm/ Brazos Transit District O Chad Bohne, Intergovernmental C omm/TxD 0 T O Michael Parks, Intergovernmental Comm/BVCOG O Gary Arnold, Intergovernmental Comm/Brazos County Sheriff O Gary Teston, Intergovernmental Comm/ Easterwood Airport IX 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 %NONE Brazos Valley Council of Governments O Mayor-{iir NONE B/CS Metropolitan Planning Organization O Mayor g NONE BVCOG TMPA Regional Park Project Advisory Board O Lynn Mcllhaney pg NONE BVSWMA Policy Advisory Board O Mayor 0" Chris Scotti ;4,NONE City Center Committee O Ron Silvia 0 Ben White 0 Dave Ruesink 7:1 NONE Intergovernmental Committee O Ron Gay 0 Ben White 0 John Happ NONE r] Dave Ruesink NONE Joint City/School Intergovernmental Committee 0 Ben White 0 John Happ Sister Cities Association O Dave Ruesink 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 cg NONE O Ron Gay O John Nichols ---- 0 Joan Perry Wolf Pen Creek Oversight Committee O Chris Scotti O Marsha Sanford O Sharon Colson 0 Marc Chaloupka 0 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 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 No D. Describe each affiliation or business relationship. 6. Si 4 07 on 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 fhis 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. /0/(() C. - 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. El Glenn Brown, City Manager El Robert Alley, Fire Chief O Pete Caler, Landfill Mgr. El David Gwin, Economic Dev. El David Massey, Electric O Bob Cowell, Planning & Dev 121 Cheryl Turney, Purchasing Mgr. O Terry Childers, Deputy City Mgr El Steve Beachy, Parks & Rec El Harvey Cargill, City Attorney CI Connie Hooks, City Secretary El Becky Nugent, Public Relations O Mark Smith, Public Works El John Woody, W/WW CI Kathy Merrill, Asst. City Mgr. El Ben Roper, Inf. Tech. o Michael Clancey, Police Chief El Jeff Kersten, Chief Fin.Officer CI Julie O'Connell, Human Resources CI 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 "ANONE City of College Station Elected Officials College Station City Council O OPEN, Place 1 O James Massey, Place 2 O Lynn Mcllhaney, Place 4 0 Chris Scotti, Place 5 City of College Station Committees, Boards, and Commissions O Larry Ringer, Chairman O Mary Fran Troy O Sonio Margarita Gangotena — 0 Sarah Adams, Chair O James Batenhorst O David Chester O Donald Braune O Dan B. Sears, Chairman O Mike Lane O Steve Parker, alternate 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 NONE Construction Board of Adjustments and Appeals/Building & Standards Commission O Frank Cox O Larry D. Patton O Glenn Thomas, alternate O Don Scherr O B. Carroll Johnson NONE O Kevin Myers O Joe Wallace O James Matson O David Hart O Charles Thomas, alternate O Quinn Williams O Hillary Jessup, Chairman —__ 0 Haskell Monroe O Ernie Wright NONE Historic Preservation Committee O Bill Lancaster O Jane Hughey 0 Neal Nutall, Jr. Joint Relief Funding Review Committee O Marguerite Anthony 0 Meredith Waller O Colleen Risinger O Tedi Ellison 0 J. Kevin Byrne 0 Deborah Deitering O Rusleen Maurice 0 Reba Ragdale 0 NONE O Jodi Warner, Chair O Shawn Rhodes O John Crompton 4st ,NONE Parks and Recreation Board O Kathleen Ireland O Jody Ford O Harry Green Planning and Zoning Commission O John Nichols, Chair 0 Glenn Schroeder O Marsha Sanford 0 Dennis Christiansen O Harold Strong pf,...NONE Design Review Board O Joan Perry O Gary Thomas O Gary Erwin O Derek Dictson O Bill Davis O Rick Heaney 0 Hunter Goodwin 0 Nancy Sawtelle O Alan King 0 Ward Wells 0 John Nichols O Susie Cox, alternate 0 Robert Rayburn, alternate 1$ -NONE O Jay Goss, Chair 0 Denise Whisenant yz NONE Zoning Board of Adjustments O Joshua Benn O Donald Braune O John Richards O Thomas Mather 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 0 Tom Kirkland -NONE O Hugh Lindsay, Area I CI John Crompton, Area II O Steve Arden, Area III O Hugh Steams, Area IV O Andrew Burleson, Student Resident El Dorthea Robinson, Alternate, ETJ Resident O Chris Scotti, Councilmember 0 Hillary Jessup, Historic Preservation O Lloyd Wasserman, County Commission Research Valley Partnership Board of Directors CI Larry Mariott NONE Wolf Pen Creek TIF Board El Marsha Sanford, Vice Chair O James Massey Outside Agency Funding Review CI Charles Taylor O Sheryl Welford izt 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 1:1 Lynn Mcllhaney, Alternate, Councilmember O Gary Erwin, Parks & Rec O Larry Haskins, Northgate District Assoc. 0 Chris Scotti, Councilman 0 Marc Chaloupka yl NONE O Roger Reese O Carolyn Berrow O Anne Jackson O Dale O'Reiley CI 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 O Larry Marriott, Home Builders Assoc. O Tedi Ellison, Intergovernmental Comm/Chamber of Commerce O James Massey, Intergovernmental CommITAMU Admin O Dr. Clark Ealy, Intergovernmental Conun/CSISD El Chuck Martinez, Intergovernmental Comm/ Research Valley Patnership O Linda LaSut, Intergovernmental Comm/MPO O Lindsey Guindi, Intergovernmental Comm/Chamber of Commerce CI Rodney Weis, Intergovernmental Comm/TAMU Transit O Dr. Colleen Netterville, Intergovernmental Comm/BISD O Margie Lucas, Intergovernmental Comm/ Brazos Transit District O Chad Bohne, Intergovernmental CommITxDOT O Michael Parks, Intergovernmental Comm/I3VCOG O Gary Arnold, Intergovernmental Comm/Brazos County Sheriff O 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 'NONE Brazos Valley Council of Governments O Mayor -ix NONE B/CS Metropolitan Planning Organization O Mayor Vf NONE BVCOG TMPA Regional Park Project Advisory Board O Lynn Mcllhaney p4 NONE BVSWMA Policy Advisory Board O Mayor ET Chris Scotti ,NONE City Center Committee O Ron Silvia 0 Ben White 0 Dave Ruesink 381 NONE Intergovernmental Committee O Ron Gay 0 Ben White 0 John Happ rZkNONE r3 Dave Ruesink NONE O Dave Ruesink Joint City/School Intergovernmental Committee O Ben White 0 John Happ Sister Cities Association pLNONE Transportation Committee O Ron Gay CI John Happ 0 Lynn Mcllhaney O Ken Fogle CI Linda LaSuit, MPO CI Dennis Christianson, TTI O Michael Parker, BVCOG CI Bryan Woods, TxDOT g NONE CI Ron Gay O John Nichols CI Joan Perry Wolf Pen Creek Oversight Committee CI Chris Scotti O Marsha Sanford O Sharon Colson 0 Marc Chaloupka CI 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 aas 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 No D. Describe each affiliation or business relationship. 6. inkA ifil21117. w.erwoin•usiness with the governmental entity Adopted 01/13/06