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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'41 , Co c,t ,,, 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 56?,-t'I.?wa r? Te,W,,.r S+c+e <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 />X 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 />rV Gz-(? at, rc- J i & <br />The vote or decision involving this interest is once k.-+ 2 t999 agenda of the governmental <br />body, and is described as follows: („t,, a ,? ?,ft e ,,? e s - 5(,?1! S C? /, rc c n? e ., <br />EXECUTED this 23 rd. day of k.s -}- , 199 <br />Signature <br />jVle, Pri nted Name nZ <br />EVAMG. 1B D before me on the day of 99blic, State of Texas <br />mmission Excaros 13,2001 Notar?,public <br />State of Texas <br />FILED this _day of 199.4-/ <br />?/ 114 <br />City Secretary