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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%4-t?, C,ou vtu 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 a?-} t?rotier?-?es <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 <br />body, and is described as follows: lacer <br />EXECUTED this G41i day of <br />agenda of the governmental <br />area <br />Printed Name L ok s ??; .•o h Tr . <br />i J <br />SWORN TO AND SU ED befofe me on the K. <br />of X59 <br />WOMACK ; ?- <br />K <br />/ ?/ <br />om p,NIS otuxas <br />- 9ry Publ'ic' ?w l i, <br />. commission EXOTO <br />•?r }I AUG.13,2001 Not ry public <br />State of Texas <br />?E Ofw% <br />FILED this day of 199 <br />City Secretary