7 2J IL 1 006a 3J each employee or contractor the local who makes recommendations to INTEREST QUESTIONNAIRE CIQ For vendor other person doing with local governmental entity 1 Complete ID: 871499
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- -- - 7 - - - - 2J ~;-IL~~~, 1 006(a), pending and later than the business day after the date the originally filed questionnaire becomes incomplete 3J each employee or contractor the local who makes recommendations to INTEREST QUESTIONNAIRE CIQ For vendor other person doing with local governmental entity 1 (Complete this section only the answer This section, item subparts A, B, C & must be completed each officer with whom the filer has affiliation or other relationship. Attach additional pages this Form CIQ the local government officer named this section receiving or likel
2 y to receive taxable income from the fil
y to receive taxable income from the filer of the Is the filer of the questionnaire receiving or likely receive taxable income from or the direction the local government officer named in this section the taxable income is not from the local governmental entity? Is the filer of this questionnaire affiliated with corporation or other business entity that the local government officer serves an officer or percent or more? Describe each affiliation business relationship. r30w Signature of person with the governmental entity date ' / BSN SPDRTS PC gar( 7726 Adopted 11/02/2005 DALLAS, TEXAS 75m