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J <br />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 8-1-1- day of 4Xt i, , 199 6 <br />Signature <br />Printed Name --Z3,5v, % ?oi??i <br />day of , 199 <br />UBSCRIBED before me on the T <br />????nv pvA <br />t NIS K WOMACK I <br />r, Sfate of Texas <br />t?'E Of tfc+'6 MOWA4 M 1997 Not ry public <br />State of Texas <br />FILED this day of , 199 <br />?? <br />/J OA44A') oj/ <br />City cretary