KH CIQ 2021-04-22LOCAL GOVERNMENT OFFICER FORM CIS
CONFLICTS 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.
OFFICEUSEONLY
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
Date Received
in accordance with Chapter 176, Local Government Code.
`f' moi
1 1 Name of Local Government Officer
T't` 10
Karen Hunt
2 Office Held
Coppell Mayor
3 Name of vendor described by Sections 176.001(7) and 176.003(a), Local Government Code
Texas Municipal League
4 1 Description of the nature and extent of employment or other business relationship with vendor named in item 3
Mayor Hunt is the current president-elect of the Texas Municipal League.
51 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).
4/22/21 $872.14 Texas Legislative Hearing (Apr 6, 2021, Austin) hotel
Date Gift Accepted Description of Gift
4/22/21 $653.54 TML Region 2 Meeting (Apr 15, 2021, Amarillo) hotel and travel
Date Gift Accepted Description of Gift
Date Gift Accepted Description of Gift
(attach additional forms as necessary)
61 AFFIDAVIT
I swear under penalty of perjury that the above statement is true and correct. I acknowledge
that the disclosure applies to ea h family member (as defined by Section 176.001(2), Local
Government Code) of this local government I also ac owl ge that this statement
covers the 12-month period de cribed by ection 176.003(a) )(B) cal Government Code.
ASHLEY M. OWENS
�0�'PV hv6 �G l
Texas
Notary Notary Public, State of
:Tm Comm. Expires 02-24-2023
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Signature of Loc Government Officer
Notary ID 130128128
AFFIX NOTARY STAMP / SEAL ABOVE
*
Sworn to and subscribed before me, by the said � {` this the 2 day
of 20 Z—, to certify which, witness my hand and seal of office.
A0' &,1 jik A-
Signature of officer ministering oath Printed name of fficer administering oath Title o fficer administe oath
Adopted 8/7/2015