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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-0 V?11 C , I (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 _ COO- K 1?n w c f f T?.,? •? r 5" - *c l,h ; ?t rs +-3, <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 -nu Ayr-,1 f2, 19 9 q agenda of the governmental <br />body, and is described as follows: Co tea,,, aA a- f'4,.r!#_f a1 c1(s- ewd l t.? .6 o <br />EXECUTED this 11+U day of n I 199 _: > F <br />. <br />Signature <br />Printed Name I I I ,; ,. 1 y , <br />SW N TC1 AIVn _ D before me on the % da of r qq_?__ <br />io`;?;; JANIS K. WOMACK <br />J p?tary Public, State of Texas <br />N t a '" ' My Commission EOMS <br />AUG. 13, 2001 Not public <br />State of Texas <br />FILED this day of 199?j <br />City ecretary