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CITY OF SAN MARC OS <br />DISCLOSURE AFFIDAVIT-BUSINESS ENTITY <br />STATE OF TEXAS <br />COUNTY OF HAYS <br />The undersigned member of the City of San Marcos Cam, Gou H c; / <br />of City Board, Commission, etc.) states under oath as follows: _, (name <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 />5 K12t We, -C' <br />is -t- <br />T?Y?r She VN? ?G'r Cr ?-iw <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 />consanguini (natural kinship) or affinity (marriage). Relative's name and relation: <br />ar av?f- t. <br />The vote or decision involving this interest is on }-lie4,? rt q0 fg99 agenda of the governmental <br />body, and is described as follows: rare ew.ewt ,,?; oS 0 f'L+wc1 T2x ?•r Stu fe Um ; ?e •r,+L, <br />r?o v+ti R, ?c Gt a t,J ¢. I is <br />EXECUTED this c1f2, day ofd J?-- , 199 <br />Signature <br />Printed Name_ R "a<- 9+e-V--?r ride Z <br />AND SUBSCRIBED before me on the da of , 199 <br />s NotaryU b l I C <br />State of Texas <br />2E- <br />FILED this _? day of 199 <br />z 111. 1 r i ?I a <br />City Secretary