Toogood, David 02.12.2018LOCAL 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 taw by H.B. 23, 84th Leg., Regular Session.
OFFICE USE ONLY
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.
Name of Local Government Officer
David Toogood
2 Office Field
Board Member - Wichita Falls Economic Development Corporation
3 Name of vendor described by Sections 176.001(7) and 176.003(a), Local Government Code
Sheppard AFB and Work Services Corporation
4 1 Description of the nature and extent of each employment or other business relationship and each family relationship
with vendor named in item 3.
1. 1 am the CEO of Work Services Corporation - a Wichita Falls non-profit Corp. I am also retired from the USAF.
2. Work Services Corporation performs approximately $17.8M in non-competitive set -aside services for SAFB.
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 176.043(a)(2)(B).
Date Gift Accepted Description of Gift
Date Gift Accepted Description of Gift
Date Gift Accepted Description of Gift
(attach additional forms as necessary)
6 AFFIDAVIT
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
..�.,.,.r.�...r.w� rnment Code) of this local government officer. I also acknowledge that this statement
.`"""'. LINDA MERRILL ca s the 12-month period described by Section 176.003(a)(2)(B), Local Government Code.
Notary Public, State of Texas
12-22-2018
. P Comm. Expires
Notary ID 482691-4�
Signature of Local G emment Officer
AFFIX NOTARY STAMP t SEAL ABOVE
Sworn to and subscribed before me, by the said QU t , C)(D So C& this the t-/ day
�e�C�iU% �
of - 20 t , to certify which, witness my hand and seal of office.
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Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/3012015