LOCAL GOVERNMENT OFFICER FORM CISCONFLICTS DISCLOSURE STATEMENT(Instructions for completing and filing this form are provided on the next page.)

This questionnaire reflects changes made to the law by H.B. 1491, 80th Leg., Regular Session. OFFICE USE ONLY

This is the notice to the appropriate local governmental entity that the following localgovernment officer has become aware of facts that require the officer to file this statement DateReceived

in accordance with Chapter 176, Local Government Code.

~ Name of Local Government Officer

Ronnie Cole

l:J Office Held

Member, Grayson County Junior College District Trustee

l.:J Name of person described by Sections 176.002(a) and 176.003(a), Local Government Code

Virginia Cook, Virginia Cook Realtors (Broker), 5950 Sherry Lane, Dallas, Texas 75225

~ Description of the nature and extent of employment or other business relationship with person named in item 3I work as an independent contractor for Virginia Cook Realtors as a sales associate. My income from saidagreement exceeds $2500 for the previous 12 months. Virginia Cook is an entity that will represent the collegein one or more property transactions.

~ List gifts accepted by the local government officer and any family member, excluding gifts described by Section176.003(a-1), if aggregate value of the gifts accepted from person named in item 3 exceed $250 during the 12-monthperiod described by Section 176.003(a)(2)(8)

Date Gift Accepted Description of Gift

Date Gift Accepted Description of Gift

Date Gift Accepted Description of Gift

(attach additional forms as necessary)

~ AFFIDAVITI swearunderpenaltyof perjurythat the abovestatementis trueand correct.I acknowledgethat the disclosureapplies to a family member(as defined by Section 176.001(2), LocalGovernmentCode)of this localgovernmentofficer. I also acknowledgethat this statement

-, oo:~the 12-mo",h"hodd'''12-.'' 003(,), Lo~1Government Cod,. JiIl,,·y"i,'·'·:

MARSHA STARR.(:r*T~Notary PUblic. Stat~of Texas'A1 - d~•.C!'''';'.;'' •.•.#!IJj MV COmmis-sion Expires

~ --.1.'t Of ·1""'~··t. Signatureof LocalGovernmentOfficer~···'''4.''···'' Oecemb~r"4.2()1 7 •.

AFFIX NOTARY STAMP I SEAL ABOVE

Swornto andsubscribedbeforeme,bythesaid~ ,this the~ day

of~, 2014..-, to certifywhich,witnessmyhandandsealof office.

Signatureof officeradministeringoath Printednameof officeradministeringoath Title of officeradministeringoath

Adopted 06/29/2007

Grayson College091501

ETHICSCONFLICT OF INTEREST DISCLOSURES

BBFA(EXHIBIT)

EXHIBIT A

AFFIDAVIT DISCLOSING SUBSTANTIAL INTERESTIN A BUSINESS ENTITY OR REAL PROPERTY

STATE OF TEXASCOUNTY OF Grayson

I, Ronnie Cole (name), as a local public official of theGrayson County Junior College District, make this affidavit and hereby on oath

state the following: I, or a person(s) related to me in the first degree, have a substantial in-terest in:

[X] a business entity, as those terms are defined in Local Government Code Sections171.001-171.002, that would experience a special economic effect distinguishablefrom its effect on the public by a vote or decision of the Board.

or

o real property for which it is reasonably foreseeable that the Board's action or my actionwill have a special economic effect on the value of the property distinguishable from itseffect on the public.

The business entity or real property is (name/address of business or description of property):Virginia Cook Realtors.

("I" or name of relative and relationship) Ronnie Cole (have)(has) asubstantial interest in this business entity or real property as follows: (check all that apply)

ooo181o

Ownership of ten percent or more of the voting stock or shares of the 'busi~ess entity.Ownership of ten percent or more of the fair market value of the business entity.Ownership of $15,000 or more of the fair market value of the business entity.Funds received from the business entity exceed ten percent of mv gross incomefor the previous year.Real property is involved and (/, she, he) (have)(has) an equitable or legal ownershipwith a fair market value of at least $2,500.

Virginia Cook Realtors has an agreement with me (Ronnie Cole) as an independentcontractor, sales associate. My income from said agreement exceeds $2500 for theprevious 12 months. As a member of the Grayson College Board of Trustees and as arepresentative of the Trustees serving the Grayson College Foundation Board, I willabstain from participating in any decision of the Grayson College Foundation involv-ing this property. In the event that I receive any financial gain from transactions relat-ed to this property, I will donate the same amount to the Grayson College Foundation.

The statements contained herein are based on my personal knowledge and are true and cor-rect.

DATE ISSUED: 1/24/2006UPDATE 20BBFA(EXHIBIT)-LJC

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Grayson College091501

ETHICSCONFLICT OF INTEREST DISCLOSURES

BBFA(EXHIBIT)

Upon the filing of this affidavit with the Board's secretary, I affirm that I shall abstain from par-ticipation in any decision involving this business entity or real property, unless permitted ac-cording to Loc. Gov't Code Sec. 171.004(c).

Signed this;...c:::::=-.-_day of (month), (year).

SigC~ialTitle

STATE OF TEXAS

COUNTYOF~~=4~~=~~~ _

Sworn to and subs(year).

_1_ day of ~ (month), ~

\....•..

!1>:~o;;~P..il;;;;;... MAR$HA STARR.I.{~~l.i NotaryPublic, Sta~eer.r exas\i..-:~ ...';.>j My Qm\missiOo Expires~,~".".c.' . . .~'.,••P.f.~••••, .' Oece~r 4, 2017. .

DATE ISSUED: 1/24/2006UPDATE 20BBFA(EXHIBIT)-LJC

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