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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 C. ?? ? c; (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 -7, +? iL w2S'f i (f mac. f S-?+e Jo <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 35,000 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 b <br />consanguinity natural kinship) or affinity (marriage). Relative's name and relation.y <br />The vote or decision involving this interest is on 41-,t rat-arLGt if t 99q agenda of the governmental <br />body, and is described as follows: LJc?cw 'v? S? ss;vv?_Co?,,.m t?i'.0- w"- tI ,.e, <br />EXECUTED this 1-!5'+ day of Mo-v--ck 199 <br />Signature - <br />Printed Name 1 i cfc- 14e v'VLavtcQe-2- <br />S D before me on the /day of u4i 199 /j <br />Notary Public, State of ]Texas N t p: My Commission Expi <br />AUG. 13 2001 <br />°--°` Nota public <br />Stat of Texas <br />FILED this day of , )Pj-,/ 199 /1 <br />City Se retary