1-Conflict of Interest.pdf

This document is a Conflict of Interest Questionnaire (Form CIQ) for vendors or persons doing business with a local governmental entity, as mandated by H.B. 1491, 80th Legislature, Regular Session, and Chapter 176 of the Local Government Code. The form requires disclosure of business relationships between a vendor and local government officials, with specific filing requirements including submission within 7 business days of becoming aware of facts requiring the statement.

The questionnaire contains several key sections for reporting potential conflicts of interest, including questions about taxable income received from or in connection with the local governmental entity, employment by corporations where the local government officer serves as an officer or director, and ownership stakes. The form must be filed with the records administrator of the local governmental entity, and knowingly violating the disclosure requirements constitutes a Class C misdemeanor. The document was adopted on 06/29/2007 and provides spaces for detailed information about the business relationship, including the names of the person with the business relationship and the local government officer involved.