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 Gtr-, C,ov.,^u (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 ibvz ! n `1!2:4 _ Fe r?--i r., T..c . <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 OCC -. 13, i4i j 7 agenda of the governmental <br />body, and is described as follows: -T f v,,,,, ? 3 - F> Ir.L <br />EXECUTED this 13-'?l d <br /> <br />. fit. <br />SWORN T <br />Notary Sta <br />FILED this day of <br />of OC,fvb&-Y- <br />, 199 <br />ame fr-e d i?e?r" <br />k fore me on the _/?_ d?y of 4 199-. <br />r uLctly I.JUUiiI. <br />State of Texas <br />199 <br />c <br />City ecretary <br /> <br />1 <br />%g JANIS K. wCMACK <br />v\ Notary public, state of Texas Signature <br />. ` i My Commission Exores <br />AUG. '13,2001 -f<° ?Printed N