I hereby certify that all information provided in connection with this application at any time is true and correct to the best of my knowledge and agree that any misrepresentation or false statement made in connection with this application will be grounds for disqualification to serve on the Texas Wine Industry Development Advisory Committee.
I further certify that:
• Neither I nor my spouse is employed by or participated in the management of a business entity or other organization regulated by or receiving funds from the Texas Department of Agriculture (TDA); own or control, directly or indirectly, more than a 10 percent interest in a business entity or other organization regulated by or receiving funds from TDA; or use or receive a substantial amount of tangible goods, services or funds from TDA;
• I am not required to register as a lobbyist under Chapter 105 of the Government Code because of my activities for compensation on behalf of a profession related to the operation of TDA;
• I authorize TDA to conduct a background investigation, including a criminal background check, in relation to this application.
NOTICE: This application becomes public record and is subject to disclosure. With few exceptions, you have the right to request and be informed about the information the state of Texas collects about you. You are entitled to receive and review the information upon request. You also have the right to ask the state agency to correct any information that is determined to be incorrect. (Reference: Government Code, Sections 552.021, 552.023, and 559.004.).