SUBMITTED GOVERNMENT OFFICER CONFLICTS DISCLOSURE STATEMENT LOCAL GOVERNMENT OFFICER (FORM CIS) 

Section 176.003 of the Local Government Code requires certain local government officers to file this form. A "local government officer" is defined as a member of the governing body of a local government entity; a director, superintendent, administrator, president, or other person designated as the executive officer of a local governmental entity; or an agent of a local governmental entity who exercises discretion in the planning, recommending, selecting, or contracting of a vendor.