Laserfiche WebLink
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 Rj CoaNe?? , (name <br />of City Board, Commission, etc.) states under oath as follows: <br />I have a substantial interest in a business entity that may be involved in a vote or decision of the <br />governmental body described above, and the vote or decision may have a special economic effect on <br />the business entity that is distinguishable from the effect on the public. The name of the business entity <br />iS St7uTwrs-r -7Zx & S?, rC- 14/1il zs? <br />The nature and extent of my interest in the business entity is as follows: (check all that apply) <br />Ownership of 10 percent or more of the voting stock or shares of the business entity. <br />Ownership of 10 percent or more of the fair market value of the business entity. <br />Ownership of $5,000 or more of the fair market value of the business entity. <br />Funds received by me from the business entity exceed 10 percent of my gross income for <br />the previous year. <br />The interest described above belongs to a person related to me in the first degree by <br />consanguinity (natural kinship) or affinity (marriage). Relative's name and relation: <br />The vote or decision involving this interest is on Jew-i/?? 1, 199 -4- agenda of the <br />governmental body, and is described as follows: -Rgou no.i roeezsi -J6 C/ r-1 Is 0 Pp6S/71-10 1) 7r.- T,? <br />EXEUTED this r. day of %'c C? /3En , 199 5--. <br />Of <br />Signature <br />Printed Name ?CD13c? T ///oa? <br />RN TO AND SUBSCRIBED before me on the day of , 199 <br />ampANIS K. WOMACK <br />'1 Notary Public, State of Texas <br />f MY Commission Expires A413,1997 <br />FILED this day of <br />Nojqf? public" <br />St e of Texas <br />City <br />9 <br />7