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 61(,J711 C"Iv c._.Q (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 <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 />V 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 -?k b. z't, i 9lq 2 agenda of the governmental <br />body, and is described as follows: 12- ?,.? ??r-x wfi v+1 <br />EXECUTED this Z h- day of 199 <br />Signature <br />Printed Name- <br />._.......;e0 D SUBSCRI before me on the day of <br />199 <br />AN <br />` JAMS K WOMACK <br />No" Puw1c, state of Two <br />Nota public <br />-State of Texas <br />FILED this'day of ___? 199 . <br />City Sec tary