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HomeMy WebLinkAbout20260327 Cling Byrom_Conflict Disclosure StatementLOCAL GOVERNMENT OFFICER CONFLICTS FORM CIS 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. 23, 84th Leg., Regular Session. This is the notice to the appropriate local governmental entity that the following local government officer has become aware of facts that require the officer to file this statement in accordance with Chapter 176, Local Government Code. OFFICE USE ONLY Date Received RFC EWE ' MAR 27 TY OF FFf�5; CITY SECRETARY'S OFFIC €AM10 2:_ 1 Name of Local Government Officer Clint Byrom 2 Office Held Pearland City Council 3 Name of vendor described by Sections 176.001(7) and 176.003(a), Local Government Code Frontier Waste Solutions 4 Description of the nature and extent of each employment or other business relationship and each family relationship with vendor named in item 3. Frontier Waste provides construction dumpsters for my company's projects in Crystal Beach as they purchased my previous supplier. 5 List gifts accepted by the local government officer and any family member, if aggregate value of the gifts accepted from vendor named in item 3 exceeds $100 during the 12 -month period described by Section 176.003(a)(2)(B). Date Gift Accepted Description of Gift 2 Tickets to the Pearland ISD annual gala _3/21/26 Date Gift Accepted Description of Gift Date Gift Accepted Description of Gift (attach additional forms as necessary) 6 SIGNATURE I swear under penalty of perjury that the above statement is true and correct. I acknowledge that the disclosure applies to each family member (as defined by Section 176.001(2), Local Government Code) of this local government officer. I also acknowledge that this statement covers the 12 -month per descr d by Section 176.003(a)(2)(B), Local Government Code. . e"""--------- (1) A .�`"rp''�(, RYCCA HEYDE PILLING - '.'• ms's Notary Public, State of Texa Nf Comm. Expires 02-14-2027 'VA $;: ‘`‘ Notary ID 134200229 ig e of Local Government Officer ease complete either option below: NOTARY Sworn STAMP/SEAL toand subscribed before me by C I ( (1 f - By rOr1' this the Q-10) day of h/1are/h , 2C)of 1p to 'fywhic ,witn al of office. / �m��►�ndand I .�Xiltit 'K\IGCA llif.18t esf l � I A- 4111 (-) A-55 r5" . ignatu of officer administ ng oath a -tinted name of officer administering oath Title of officer administering oath OR (2) Unsworn Declaration My name is Byrom , and my date of birth is 30, 1980 _Clint _July My address is Conroe Lake Ct. Pearland USA _3904 _TX, _77581_ (street) (city) (state) (zip code) (country) Executed in County, State of Texas , on the 24th day M ch , 2026 _Brazoria_ nth) (year) Si a Government Officer (Declarant) Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020