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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 Gam, Cavwtc.j (name <br />of City Board, Commission, etc.) states under oath as follows: <br />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 _,r+ f' ?Q *Y-4- e, r <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 -I'G.*- ' ( Z? 1498 agenda of the governmental <br />body, and is described as follows: ( esvy,; ,4 ord• - ZI 0g, 1 M - 3?n1? a ,*-J 21 1 z I I?-35 <br />EXECUTED this 2,7+1, day of <br />I fllv7 IBED before me on the Z day of 19 <br />JANIS K. WOMACK f <br />htr Y c ? .ub , Stat9 of TOM f????j? <br />1 EXON <br />2001 NO rY Public <br />AUG. t3, <br />State of Texas <br />FILED this ?_ day of 199 <br /> <br />City ecretary <br />Printed Name -?- OV% +4,4