Laserfiche WebLink
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 I. h3 Ccu via; j (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 5'ow+(Atjes4-Te)e*,s 9*4-ate OM yarsi:L71 <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 />X 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 44e Au)k s 194 9 agenda of the governmental <br />body, and is described as follows: C4w,^,%c,4 a h!e1 s rc?_l.?ccw?ewf c-arr?f?.?-f 441,4,k SuJT?v. <br />EXECUTED this tM day of 4- jm y4- , 199,7 <br />Signature <br />L <br />Printed Name J a'll <- C&I <br />SWORN TO AND SUBSCRIBED before me on the ay of 199 <br />-2 JANIS K. WOMACjNo d <br />Nota <br />ry Notary Public, State of Te <br />i y Commission Expires bIIC <br />ry AUG. 13, 2001 <br />of Texas <br />FILED this day of , 199 <br />Ci Secretary