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CITY OF SAN MARCOS <br />DISCLOSURE AFFIDAVIT-BU INESS ENTITY <br />STATE OF TEXAS <br />COUNTY OF HAYS <br />The undersigned member of the City of San Marcos C iCOCA MI 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_Saut14wes+ Te,,^.r 5-?-?-t-c (1vr;verr;+z, <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 on4lAe kIf, <br />3o r agenda of the governmental <br />body, and is described as follows: COHn a v>, vG+ a hle.I'I - <br />EXECUTED this ,?0 ., day of 1% r4- 199 _ <br />Signature <br />Printed Name_ . E>% ? 4o rye- <br />SWORN TO ANDS ED 4Notao on the day of , 199L <br />{ JANIS K. WOMACK ) <br />NOta` Starry Public, State of Texas n / <br />my Cmmission Expires •••/// <br />i.,F. AUG. 13, 2001 blic <br />Stat e of Texas <br />FILED this day of 199/1 <br />J <br />City Se retary