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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 j! j CaLA 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 Saui't4wesf Tew-*x Uh;v,,v r +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 />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 />The vote or decision involving this interest is ontI -e t r <br />4. 19 30 agenda of the governmental <br />body, and is described as follows: f''ovtia v4, a Qe, 114- SWTTV <br />EXECUTED this day of 199 <br />c <br />Signature <br />Printed Name r.?G Zr f ?Q?Z <br />SWORN TO AND SUBSCR before me on the .J' d y of , 199-L. <br />.. JANIS K. WOMACK <br />NO <br />t -Votary Public, State Of Texas <br />Expires <br />'t <br />my commission ,` AUG. 13, 2001 Not public <br />oF State of Texas <br />FILED this day of 199/_ <br />Ci ecretary