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CITY OF SAN MARCOS <br />DISCLOSURE AFFIDAVIT <br />STATE OF TEXAS <br />COUNTY OF HAYS <br />I, — /;-WT, 6 Lm 5 - �,- I a member of the City Council of the City of San Marcos, make this affidavit, and <br />hereby on oath state tW following: <br />I have a substantial interest in the below named entity that may be involved in a vote or decision of the governmental body <br />described above, and the vote or decision may have a special economic effect on the named entity that is distinguishable <br />from the effect on the public. <br />The name of the business entity is: *-sr HOK-irJs LLO, <br />The real property is: . I Q-7 - I ( q -C^T- H-0 0 Ori 5 <br />The nature and extent of my interest in the business entity is as follows: (check all that apply) <br />I,,- 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 $15,000 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 the previous year. <br />The interest described above belongs to a person related to me in the first degree by consanguinity (natural kinship) or <br />affinity (marriage). Relative's name and relation: <br />I am abstaining only to avoid the appearance of impropriety. <br />The vote or decision involving this interest ispon the <br />(date) agenda of the go , vermmental body, and is <br />�p <br />described as follows: �4 <br />EXECUTED on JAY) C Z0 i -7- (date). <br />Signature <br />Printed Nam� <br />-I- <br />SWORN TO AND SUBSCRIBED before me on Z, (date), 0 <br />Notary S TAMMY K. COOK <br />Notary Public, state of Texas <br />My Commission Expires1�4ry Public <br />bI j <br />November 29, 2016 State of Texas <br />FILED on � vu Lo (dated 1'.'11`-�.'.'-,1' <br />COSM Form 11/10 <br />