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 ?, Gowwc; , (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 3,roW r? tKq _ j rwri r. T,* .-z <br />. <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 <br />body, and is described as follows: 2 i-em 1 z •y. C?) <br />EXECUTED this 2-9+U day of <br />-) 199 <br />Signature <br />Printed Name Fv-e.-cC. 6 C,.q? <br />agenda of the governmental <br />'ORN TO AND SUBSCRIBED before me on the ay of , 199, <br />, <br />ary ttamp,, aw,? 410 <br />No ry public <br />State of Texas <br />FILED this day of ,199 <br />City ecretary