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CONFl.ICT OF INTEREST QUESTIONNAIRE FOI" vendor or other person doing business with local governmental entity FORM CIQ This questionnaire is being filed in accordance with chapter 176 of the local Government Code by a person doing business wiih the governmental entity. By law this questionn.aire must be filed willi the records administrator of fue focal government not later-than the 7th business day after the date the person becomes aware of fac.."s that require the statement to be filed. See Section 176.006, Local Govemme"lt 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. OFACEUSEONt.Y ~ Name of person doing business with focal governmentai entity. I Melva Cardenas, Executive Director Texas Association of School Personnel Administrators (TASPA) l!J [Xl Check this boxt{you arefHmg an update to a pre'iOOuslyfifed questionnaire. ~ne fmlf requires ifl..:rt you file an updated oo~iEd quesTIoonaire woffifu fue appropriatemmg aufuority not later than i ~r 1 of the year for which an ac!}1Jity described in SedIDn 176Jjp:J6{ap, local Gwemment Code, is pen-::fingami Hot iater than the 7fu business day aller fue dare i!he oroginalRy flied queSiiilnna1re becomes incomplete Of inaccurate.} '3 Des:crmeeadi!am!iation O!:'Dusmess ~"MtfIanempbyeem-~of1he ~Igovemmemaiemity who makes recommendations to a f:oeaW govemmem ofi"ICeI" oftllie focal govemmen1a1 entity \!Iitil respect to expenditure of money. None ;ti Describe each affiliation or business relationship wiCha person who is a f(Mdl1 government officer and who appoints or employs a local govemmentofficer of the EoeaI governmental entity that is the subjeetofthis questionnaire. None

CONFl.ICT OF INTEREST QUESTIONNAIRE FORM · CONFl.ICT OF INTEREST QUESTIONNAIRE FOI" vendor or other person doing business with local governmental entity FORM CIQ This questionnaire

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Page 1: CONFl.ICT OF INTEREST QUESTIONNAIRE FORM · CONFl.ICT OF INTEREST QUESTIONNAIRE FOI" vendor or other person doing business with local governmental entity FORM CIQ This questionnaire

CONFl.ICT OF INTEREST QUESTIONNAIREFOI" vendor or other person doing business with local governmental entity

FORM CIQ

This questionnaire is being filed in accordance with chapter 176 of the localGovernment Code by a person doing business wiih the governmental entity.

By law this questionn.aire must be filed willi the records administrator of fuefocal government not later-than the 7th business day after the date the personbecomes aware of fac.."s that require the statement to be filed. See Section176.006, Local Govemme"lt Code.

A person commits an offense if the person violates Section 176.006. localGovernment Code. An offense under this section is a Class C misdemeanor.

OFACEUSEONt.Y

~ Name of person doing business with focal governmentai entity.

I Melva Cardenas, Executive DirectorTexas Association of School Personnel Administrators (TASPA)

l!J

[Xl Check this boxt{you arefHmg an update to a pre'iOOuslyfifed questionnaire.

~ne fmlf requires ifl..:rt you file an updated oo~iEd quesTIoonaire woffifu fue appropriatemmg aufuority not later thani ~r 1 of the year for which an ac!}1Jity described in SedIDn 176Jjp:J6{ap,local Gwemment Code, is pen-::fingami

Hot iater than the 7fu business day aller fue dare i!he oroginalRy flied queSiiilnna1re becomes incomplete Of inaccurate.}

'3 Des:crmeeadi!am!iation O!:'Dusmess ~"MtfIanempbyeem-~of1he ~Igovemmemaiemity who makesrecommendations to a f:oeaWgovemmem ofi"ICeI"oftllie focal govemmen1a1 entity \!Iitil respect to expenditure of money.

None

;ti Describe each affiliation or business relationship wiCha person who is a f(Mdl1government officer and who appoints oremploys a local govemmentofficer of the EoeaIgovernmental entity that is the subjeetofthis questionnaire.

None

Page 2: CONFl.ICT OF INTEREST QUESTIONNAIRE FORM · CONFl.ICT OF INTEREST QUESTIONNAIRE FOI" vendor or other person doing business with local governmental entity FORM CIQ This questionnaire

CONFUCT' OF INTEREST QUESTIONNAIRE FORM CIQPage 2FOT vendor or other person doing business with local governmental entity

~ Name offof:af govemmentofficerwiUt wbom fiIerbas afIifiation or busifress reIa1ionsmp. (Complete this section only if tileanswerm A. B. ore is YEs.)

TIiTiSsedion, Em 5 mowing ~m. A,. B, C &; D, must be ~ fm" each offica w-ffirl wna."u the ~ nas affillatron orhus..Jrress~1p_ ~ ~ pages to thS Foon cia as ~_

A ~. tlle ibcm: g;~velmmem oflffil:er O1amed m tlhis sedIDn receMng Of!illrely ro receiive i!axahIe ini:Qms from It'.e filer of thequesOOmalre?

! iYes

B_ Is tits frler Oow i."re ilfUesmlUi!1lMire rea:i:"Iiiurg «~af io ;recaw Wixabte ;:ocume ~"<1( or at fue dirediioo of the local governmentofficer ~ m this sedion AND ~e mXiibIe ~ is net nom fue tccaJ\ gO";relT!mernai entitt-?

D:~Yes, '-

c_ ISt."r.efi.lero,ffuiis ques".m:mnaire ~ .~~ a ~mOOn Of' other ~'1eSS efititf fum me local government o.'ficer servesas an officer or direcror, or h~ an ~ of 10 pen::em or more?

Dyes

None

Feb 1,2010