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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 City Council, (name of City Board, <br />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 Southwest Texas State University. <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 April 8. 1996 agenda of the governmental body, and <br />is described as follows: Agenda Item 8.D.2- Termination of License Agreement with SWTSU. <br />EXECUTED this Y day of I A , 199. <br />Signature <br />Printed Name f--T c a 67VA P_ V` V 6- <br />"" 'I!!!l I?IR' befor me on the day of , 199_V <br />JAMS K WOMACK <br />{ 1 j4gam f?ubk, sale of Texas <br />?''•or fah.13.'99' Notayy public <br />State of Texas <br />FILED this day of ? L,4,,, , 199 . <br />City//Secretary