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CITY OF SAN MARCOS I `/-- <br />DISCLOSURE AFFIDAVIT-BUSINESS ENTITY ' f\/ ?n <br />CT-? V 1..x..1 <br />STATE OF TEXAS <br />COUNTY OF HAYS <br />The undersigned member of the City of San Marcos E >> VA Ed- (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 usiness entity that is distin uishable from the effect on the public. The name of the business entity <br />is-20A+[AIAIe Tic. S1c, e U" i'y <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 C . _ 199, agenda of the <br />governmental body, and is described as follows: } 14 14 c, r,? e T A6 U,_ --& <br />EXEUTED this day of Qw 199 <br />Signature <br />Printed Name <br />JANIS K. WOMACK <br />ctarY My Cor mPlly ?Uete g. Texas <br />AuO. 13.1997 <br />FILED this day of <br />before me on the day of 99 r <br />Nototy public <br />State of Texas <br />199 <br />70, 1