CONFLICT OF INTEREST STATEMENT   JUNE 28, 2011:

Statements appear on FORM CIQ

CONFLICT OF INTEREST QUESTIONNAIRE:

For vendor or other person doing business with local governmental entity

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

This questionnaire is being filed 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 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 person becomes aware of facts that required the statement to be filed.  See Section 176.006, Local Government Code.

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

1.  Name of person who has a business relationship with local governmental entity. [Katy ISD]

KCAC, Inv. (dba Katy Blind and Shutters)

2. Check this box if you a 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 business day after the date the originally filed questionnaire becomes incomplete or inaccurate.)

3.  Name of local government officer with whom filer has employment or business relationship.

Names of Officer      John Crosby

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 CIQ 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 filer of the questionnaire?   Yes

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?  No

C.  Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership of 10 percent or more?   No

D.  Describe each employment or business relationship with the local government officer named in this section>

Delia Dibrell is employed by Katy Blinds and Shutters

Signature of person doing business with the governmental entity  Signed by   Unreadable but since I did an open record request for any Conflicts of Interest Statements by Henry Dibrell, I assume this is his signature or that of his wife.  Dated 6/28/11

[This Conflict of Interest Statement no longer appears on the Katy ISD web site.]