Texas Association of School Administrators 10-8-2007
Thomas E.Randle President lamarCISD
TEXASASSOCIATION OFSCHOOL ADMINISTRATORS 406East J1lhStreet. Austin, TX78701-2617 . 512-477-6361, 800-725-TASA (8272). Fox:512-482-8658 . www.TASAnet.org
RickHoward President-Elect Comanche ISO
JohnFolks Vice-President Northside ISO Kay E.Waggoner PastPresident Grapevine-Colleyville ISO Michael Sandroussi Edcouch-Elsa
ISO, 1
HenryD. Herrera AliceISO,2
October 8, 2007
RECEIVED Pauline Hargrove Superintendent Little Cypress-Mauriceville 6586 FM 1130 Orange, TX 77632-1107
Larry W. Nichols
OCT CISD
1 ~ 2007
SUPERfNTENDENT'S OFFICE
RE: Contlict of Interest Questionnaire
Calhoun County ISO,3
LelandWilliams
Dear Pauline:
Dickinson ISO,4
JamesM. McGowan Silsbee ISO,5 Mike Cargill BryanISO,6 Mary AnnWhiteker Hudson ISO,7 Eddie Johnson Harts Bluff ISO, 8
..ALS a current or potentia! vendor of the sc~ol d~striGt~the Texas ",A...sf:ociation of School Administrators (TASA) is required to file a contlict of interest questionnaire with the records administrator of the school district in accordance with Chapter 176 of the Local Government Code, which was created by H.B. 914 during the 79th Regular Session. Enclosed is TASA' s completed questionnaire. School district's who currently maintain a website are required to post each vendor's questionnaire on the district's website.
JohnBaker Seymour ISO,9
H.JohnFuller Wylie ISO, 10 JerryW.Roy lewisvilleISO,11 Rod Townsend
Chapter 176 was recently amended by H.B. 1491 during the 80th Regular Session. An updated Q & A on the requirements of Chapter 176 is posted on TASA's homepage, which can be accessed at http://www.tasanet.org. If you have any questions, please don"t hesitate to contact Amy Beneski, associate executive director, or me.
Him ISO,12 Ryder F. Warren
Sincerely,
Marble Falls ISO, 13
KentLeFevre Jim Ned CISD, 14 Russ F. Perry Nueces Canyon (ISO, 15
DavidG. Foote DalhartISO,16 Mike Motheral Sundown ISO, 17 Michael
Downes
Big Spring ISO, 18
RudyBarreda Tornillo ISO, 19
Richard A. Middleton North East ISO, 20
Rose Cameron CopperasCoveISO,At-large Jesus H. Chavez RoundRockISO,At-large
AltonL.Frailey KatyISO,At-large GloriaGallegos Pasadena ISO,At-large
JohnnyL. Veselka Executive Director
Ta--:.
?~¥:?Ld4-
Johnny L. Veselka
Executive Director Enclosure
FORM
CONFLICT OF INTEREST QUESTIONNAIRE
CIQ
For vendor or other person doing business with local governmental entity OFACE USE ONLY
This questionnaire reflects changes made to the>lawby H.B. 1491, 80th Leg., Regular Session. This questionnaire is bEqingfiled in accordance with Chapter 176, Local Government Code by a person who has a business relationship as defined by Section-176.001 (1-a) with a local.governmental entity and the:person meets requirements unaerSection 1'76.006(a).' By law this questionnaire must be filed with the records administrator of the local governmental
Date Received
entity not later than the 7th business day after the date the person becomes aware of facts that require the statement to be filed. See Section 176.006, Local Government Code.
A person commits an offense if the person knowinglyviolates Section 176.006, Local Government Code. An offense under this section is a Class C misdemeanor. Name of person who has a business relationship with local governmental entity.
Texas Association" of School Administrators [XJ
Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th businessday afterthe date the originallyfiled questionnairebecomesincompleteor inaccurate.)
Name of local government officer with whom flier has employment or business relationship.
Not Applicable Name of Officer
This section (item 3 including subparts A, B, C & D) must be completed for each officer with whom the filer has an employment or other business relationship as defined by Section 176.001 (1-a), Local Government Code. Attach additional pages to this Form cia as necessary. A. Is the local government officer named in this section receiving or likely to receive taxable income, other than investment income, from the tiler of the questionnaire?
DYes
DNO
B. Is the filer of the questionnaire receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer named in this section AND the taxable income is not received from the local governmental entity? .
DYes
DNO
C. Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the tocal government officer serves as an officer or director, or holds an ownership of 10 percent or more? DYes
DNO
D. Describe each employment or business relationship with the local government officer named in this section.
October 8, 2007 Date
Johuny L. Veselka, £xecutive Director
AdoptedMJ~g/~M7
TEXASASSOCIATION OFSCHOOL ADMINISTRATORS 406East J1lhStreet. Austin, TX78701-2617 . 512-477-6361, 800-725-TASA (8272). Fox:512-482-8658 . www.TASAnet.org
RickHoward President-Elect Comanche ISO
JohnFolks Vice-President Northside ISO Kay E.Waggoner PastPresident Grapevine-Colleyville ISO Michael Sandroussi Edcouch-Elsa
ISO, 1
HenryD. Herrera AliceISO,2
October 8, 2007
RECEIVED Pauline Hargrove Superintendent Little Cypress-Mauriceville 6586 FM 1130 Orange, TX 77632-1107
Larry W. Nichols
OCT CISD
1 ~ 2007
SUPERfNTENDENT'S OFFICE
RE: Contlict of Interest Questionnaire
Calhoun County ISO,3
LelandWilliams
Dear Pauline:
Dickinson ISO,4
JamesM. McGowan Silsbee ISO,5 Mike Cargill BryanISO,6 Mary AnnWhiteker Hudson ISO,7 Eddie Johnson Harts Bluff ISO, 8
..ALS a current or potentia! vendor of the sc~ol d~striGt~the Texas ",A...sf:ociation of School Administrators (TASA) is required to file a contlict of interest questionnaire with the records administrator of the school district in accordance with Chapter 176 of the Local Government Code, which was created by H.B. 914 during the 79th Regular Session. Enclosed is TASA' s completed questionnaire. School district's who currently maintain a website are required to post each vendor's questionnaire on the district's website.
JohnBaker Seymour ISO,9
H.JohnFuller Wylie ISO, 10 JerryW.Roy lewisvilleISO,11 Rod Townsend
Chapter 176 was recently amended by H.B. 1491 during the 80th Regular Session. An updated Q & A on the requirements of Chapter 176 is posted on TASA's homepage, which can be accessed at http://www.tasanet.org. If you have any questions, please don"t hesitate to contact Amy Beneski, associate executive director, or me.
Him ISO,12 Ryder F. Warren
Sincerely,
Marble Falls ISO, 13
KentLeFevre Jim Ned CISD, 14 Russ F. Perry Nueces Canyon (ISO, 15
DavidG. Foote DalhartISO,16 Mike Motheral Sundown ISO, 17 Michael
Downes
Big Spring ISO, 18
RudyBarreda Tornillo ISO, 19
Richard A. Middleton North East ISO, 20
Rose Cameron CopperasCoveISO,At-large Jesus H. Chavez RoundRockISO,At-large
AltonL.Frailey KatyISO,At-large GloriaGallegos Pasadena ISO,At-large
JohnnyL. Veselka Executive Director
Ta--:.
?~¥:?Ld4-
Johnny L. Veselka
Executive Director Enclosure
FORM
CONFLICT OF INTEREST QUESTIONNAIRE
CIQ
For vendor or other person doing business with local governmental entity OFACE USE ONLY
This questionnaire reflects changes made to the>lawby H.B. 1491, 80th Leg., Regular Session. This questionnaire is bEqingfiled in accordance with Chapter 176, Local Government Code by a person who has a business relationship as defined by Section-176.001 (1-a) with a local.governmental entity and the:person meets requirements unaerSection 1'76.006(a).' By law this questionnaire must be filed with the records administrator of the local governmental
Date Received
entity not later than the 7th business day after the date the person becomes aware of facts that require the statement to be filed. See Section 176.006, Local Government Code.
A person commits an offense if the person knowinglyviolates Section 176.006, Local Government Code. An offense under this section is a Class C misdemeanor. Name of person who has a business relationship with local governmental entity.
Texas Association" of School Administrators [XJ
Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th businessday afterthe date the originallyfiled questionnairebecomesincompleteor inaccurate.)
Name of local government officer with whom flier has employment or business relationship.
Not Applicable Name of Officer
This section (item 3 including subparts A, B, C & D) must be completed for each officer with whom the filer has an employment or other business relationship as defined by Section 176.001 (1-a), Local Government Code. Attach additional pages to this Form cia as necessary. A. Is the local government officer named in this section receiving or likely to receive taxable income, other than investment income, from the tiler of the questionnaire?
DYes
DNO
B. Is the filer of the questionnaire receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer named in this section AND the taxable income is not received from the local governmental entity? .
DYes
DNO
C. Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the tocal government officer serves as an officer or director, or holds an ownership of 10 percent or more? DYes
DNO
D. Describe each employment or business relationship with the local government officer named in this section.
October 8, 2007 Date
Johuny L. Veselka, £xecutive Director
AdoptedMJ~g/~M7
