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CONFLICT OF INTEREST QUESTIONNAIRE For vendor or other person doing business with local
governmental entity |
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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 commits an offense if the person violates Section 176.006, Local
Government Code. An offense under this section is a Class C misdemeanor. |
Date Received |
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Name of person doing business with local governmental entity. Center for Equity and
Adequacy in Public School Finance Inc. |
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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.) |
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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. None |
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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 governmental entity that is the subject of this
questionnaire.
None |
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CONFLICT OF INTEREST QUESTIONNAIRE For vendor or other person doing business with local
governmental entity |
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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.)
affiliation or business relationship. Attach additional pages to this
Form CIQ as necessary. 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 serve as an officer or director, or holds an ownership of 10 percent or more?
Yes X
No D.
Describe each affiliation or business relationship. |
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Describe any other affiliation or
business relationship that might cause a conflict of interest. |
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Wayne Pierce, Executive
Director Center
for Equity and Adequacy in Public School Finance Inc .
Signature or
person doing business with the governmental entity |