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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 i hCoLA V% 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 _Sautliwesf Texotr `;?+t Om;vrirc; 4-L, <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.hAe ks4; 3o? t agenda of the governmental <br />body, and is described as follows: cow.?av+vhc _Qe.11 - (Zc ote? c.? - __L-1 le-1--r-1 <br />EXECUTED this day of Aron , r-?- , 199 <br />Signature ,_ti v <br />1 <br />Printed Name-Ta vi e 9,14 s G11 <br />S .0411 &1 liacrl before me on the ?v d y of <br />PpY JANIS K. WOMACK <br />N+ 1 Notary Public, state of Texas <br />My Commission Expires <br />AUG. 13, 2001 Nota ublic <br />State of Texas <br />ri <br />199. <br />FILED this day of 199 <br />City cretary