LOCAL GOVERNMENT OFFICER CONFLICTS DISCLOSURE FORM CIS STATEMENT (Instructions for completing andi filing this form arep provided oni ther nextp 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 oft facts that require the officert toi filei this statement Date Received OFFICEUSEONLY inaccordance with Chapter 176, Local Government Code. Name of Local Government Officer Charles CAte 2 Office Held Alderman D:trret S Name of vendor described by Sections 176.001(7) and 176.003(a), Local Government Code LAw Ofhieof Thomas P. Cate, P.C. Description of the nature and extent ofe each employment or other business with vendor namedi in item 3. relationship: and each familyrelationship OfBcer i) AA employec ot Lww O1Bice o7honmsf.Cate from vendor named in item 3 exceeds $100 during the 12-month family member, if aggregate value of the gifts accepted P.c. List gifts accepted by the local government officer and any Date Gift Accepted NIA Description of Gift Date Gift Accepted NIA Description of Gift Date Gift Accepted NIA Description of Gift period described by Section 176.003(a)(2XB). (attach additional forms as necessary) AFFIDAVIT Iswear under penalty of perjury that the above statement is true and correct. acknowledge that the disclosure applies to each family member (as defined by Section 176.001(2), Local Government Code) of this local government officer. l'also acknowledge that this statement covers the 12-month period described by Section 176.003(a)(2)B), Local Government Code. REBECCAE GARRISON Notary ID: #11501305 My Commission Expires August 2,2022 62247 Signature of Local Government Officer AFFIX NOTARY STAMP / SEAL ABOVE Sworntoa ands subscribed! before me, byt thes said_ Bbuc Oboa Signature of officer administering oath Form provided by Texas Ethics Commission Chmes Cale this the_ 174 day akPaskc Title of oflicerédministering oath ofDecember 2020 tocertify which, witness my hand and seal ofc office. Pebecs EGrisin Printed name of officer administering oath www.ethies.state.k.us Revised 11/30/2015 CONFLICT OF INTEREST QUESTIONNAIRE vendor doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. This questionnaire is being filed in accordance with Chapter 176, Local Government has a business relationship as defined by Section 176.001(1-a) vendor meets requirements under Section 176.006(a). Byl lawt this questionnaire must bef filed witht the records administrator oft the local filed. See Section 176.006(a-1), Local Government Code. A vendor commits an offense ift the vendor knowingly violates Section offense under this section is a misdemeanor. FORM For CIQ OFFICEUSEONLY Code, by a vendor who Date Received with a local governmental entity and the than the 7th business day after the datet the vendor becomes aware of facts governmental entity not later that require the statement to be 176.006, Local Government Code. An 1 Name of vendor who has al business relationship with local governmental LAw OIRct a Thoms P. Care, P.C. entity. 2] Checkt this! boxi ifyous aret filing an update toap previously filed questionnaire. (The you became aware that the originally filed questionnaire was Name ofl local government officerabout whomi thei information is being disclosed. completed questionnaire with the appropriate filing authority not later than the 7th business lawr requires thaty youf filea anu updated day after the date on which incomplete or inaccurate.) Charles Cole Name of Officer Describe each employment or other business relationship with the local officer, as described by Section 176.003(a/(2)(A). Also describe government officer, or a family member of the Complete subparts Aa and Bi foreach employment or business any family relationship with thel local government officer. Charles Cate 'w AA Empleyee ot 4e Law O4fru o CIQ as necessary. relationship described. Attach additional pagest toi this Form Thomas P. Cate A. Is the local government officer or a family member of the officer other than investment income, from the vendor? receiving or likely to receive taxable income, Yes No B. Ist thev vendor receiving orl likely to receive taxable income, other than investment of the local government officer or at family member of the officer AND the taxable income, from or at the direction local governmental entity? income is not received from the Yes No 5] Describe each employment or business relationship that the vendor namedi in other business entity with respect to which the local government officer Section 1 maintains witha a corporation or ownership interest of one percent or more. serves as an officer or director, or holds an None 6 Check this boxi ift the vendor has given thel local government officer or a as described in Section 176.003(a)(2/B), family member of the officer one or more gifts excluding gifts described in Section 176.003(a-1). 7 LAw ofbice et homas V.CATE,RC, ly den PG Pruibery Signature of vendor doing business wiht the governmental entity Oetemloer Date ,2020 Form provided by Texas Ethics Commission www.ethies.state.kus Revised 11/30/2015 THE STATE OFT TEXAS COUNTY OF ATASCOSA I,. Charles T. Cate $ $ S make this affidavit andl hereby on oath state the following: (printed name of affiant), a local public official, Ihave a substantial interest in a business entity or real thati is distinguishable: from the effect ont thep and/or description ofproperty) THOMAS Iora aj person that is related to me within the first degree of property that may receive a special economic effect public! by an action contemplated by the City of P.CATE, P.C. The business or Lytle entity real property iny whichIhaveas substantial interest is: Iname and address oft business defined by state law has a substantial interest in this business consanguinity (blood) or affinity (marriage) as reasons [circle all that apply): entity or real property for the following own 10% or more oft the voting stock or shares ofthel business own 10% ori more oft the fair market valued ofthel business entity; own $15,000 or more oft the fair market value oft the business entity; receive from thel business entity funds that exceed 10%of entity; (5) have/has an equitable orl legal ownership ofr real property with ai fair Upon filing of this affidavit with the official record keeper of the Signed this 14th dayof_ December 2020. income for the previous year; MY mp his, her]gross market value of$2,500 or more. voting or further participating in any matter involving the business city, Iaffirm that I shall abstain from by law. entity or real property, unless allowed LIREE Signature of Affiant CHARLES T. CATE Affiant BEFORE. ME, the undersigned authority, this day personally appeared. SWORNTO AND SUBSCRIBED BEFORE MEI before me on [name ofafiant and by oath stated that the facts herein CharlesT.Cate stated are true and correct. 2026 this 14th day of December oaConpo Notary Public: in and fort the State ofTexas My commission expires: 12//2021 JOSIEI MC CAMPA Myl Notaryl ID#5 5088816 Expires December 11, 2021