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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+ cl? c.r 1 (name of City Board, <br />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 governmental body <br />described above, and the vote or decision may have a special economic effect on the business entity that is <br />distinguishable from the effect on the public. The name of the business entity is Soy.. }'Li77?e rt ) P,cKr <br />?af2 (J1??t/?rr?-{? <br />The nature and extent of my interest in the business entity is as follows: (check all that apply) r <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 $15,000 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 the previous year. <br />The interest described above belongs to a person related to me in the first degree by consanguinity (natural <br />kinship) or affinity (marriage). Relative's name and relation: <br />The vote or decision involving this interest is on the 06-? b?-1(; g 99 (date) agenda of the governmental <br />body, and is described as follows: mss,,-.. mo,,t-,n, L. tense. lcp,r L)S4 v>- Przz-c,?n'c,e F TO I dS <br />EXECUTED on Q C,f-0b-e? 111, l 9q cl (date). <br />r <br />Signature <br />Printed Name 4-G,titCso vi <br />j' <br />5 WO o, '? ;1D S1? 1 1R `Wo me on <br />'? - Notary Public, State Texas <br />• My Commission Exp pires <br />Notar AUG. 13, 2001 <br />Not y Public <br />'11Z OF State of Texas <br />FILED on l ` l (date). <br />A <br />City Secretary <br />(date). <br />COSM Form 9/99