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CITY OF SAN MARCOS <br />DISCLOSURE AFFIDAVIT - BUSINESS ENTITY <br />STATE OF TEXAS <br />COUNTY OF HAYS <br />The undersigned member of the City of San Marcos City Council (name of City Board, Commission, etc.) <br />states under oath as follows: <br />Ovoid Q te e ir- r—ner`f- <br />I have a su ti interest in governmental body a above, anthe v e or decisiyi" ma have aecial conocri a ct on theess <br />entity that is distingable fro °effect on th The name of the businesntity is ° *.. <br />The nature and extent of my interest in the business entity is as follows: (check all that apply) <br />1 <br />N IA __ Ownership of 10 percent or more of the voting stock or shares of the business entity. <br />fJ 1 A Ownership of 10 percent or more of the fair market value of the business entity. <br />I.1 Ownership of $5,000 or more of the fair market value of the business entity. <br />t1 a Funds received by me from the business entity exceed 10 percent of my gross income for the previous <br />year. <br />N JA The interest described above belongs to a person related to me in the first degree by consanguinity (natural <br />kinship) or affinity (marriage). Relative's name and relation. <br />The vote or decision involving this interest is on January 6 2015 agenda of the governmental body,, <br />and is described as follows: Item 11 Resolution 2015 -04R Case Develo ment Ltd for an <br />agreement that q'rants a SmartCode Height Warrant allowing two additional stories to be added <br />for construction of a c'roDosed building at 101 Concho Street <br />EXECUTED this h _ __ day of January , 2015 <br />Signature <br />Printed Name <br />SWORN TO AND SUBSCRIBED before me on the day of , 20m'�. <br />®�w � m° JAP�� LSE P'T"j0110d <br />�° <br />�R 6 �� �s ku „ St 'Ite gat C�xa� <br />Notary Stamp. ,•. °� yeas oas�dv Fx aKt3 <br />cr�h OA 201 _rw <br />ej *eaaeneae ary ublic <br />Ot <br />tate of Texas <br />FILED this day mm 20..,, <br />v„ <br />City Cle't^ , of the" City o(I an Mir' s <br />