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This questionnaire reflects changes made to the law by H.B. 23, 84th
Leg., Regular Session.
This questionnaire is being filed in accordance with Chapter 176, Local
Government Code, by a vendor who has a business relationship as defined by
Section 176.001(1-a) with a local governmental entity and the vendor meets
requirements under Section 176.006(a).
By law this questionnaire must be filed with the records administrator of the
local governmental entity not later than the 7th business day after the date the
vendor becomes aware of facts that require the statement to be filed. See Section
176.006(a-1), Local Government Code.
A vendor commits an offense if the vendor knowingly violates Section 176.006,
Local Government Code. An offense under this section is a misdemeanor.
* Denotes a required field. |
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OFFICE USE ONLY |
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Date Received |
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4/19/2024
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1. |
Name of vendor who has a business
relationship with local governmental entity.
*All fields required
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2. |
(The law requires that you file an updated completed questionnaire with the
appropriate filing authority not later than the 7th business day after the date
on which you became aware that the originally filed questionnaire was incomplete
or inaccurate.)
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3. |
Name of local government officer about whom the information in this
section is being disclosed. If no employment or business and family
relationship exists, select "NONE". *
If your “business relationship” with the District local government officer is strictly a working relationship due to the local government officer’s position with the District, please select None.
Family Member and Family
Relationship Definitions.
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