Laserfiche WebLink
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 Cl :?, Cock ca 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 5w&-IM W es+ '%xa,S 5- J,1, ;Vus -kl <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 />V 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 -f tie L. 4 L40 19 $` agenda of the governmental <br />body, and is described as follows: ,?=e" 4-7?e-r <br />EXECUTED this 7-4-I k day of 4- 199-L- <br />?' /hi / ///;, <br />Signature <br />Printed Name 1^.--& O i kAA Ka K s k <br />I?.. RIBED before me th day o , 199 <br />:°t'Qy P'9?C <br />Sarah Z. De Los Santos <br />ry Public, State of Texa <br />o ?OIIMIIOf1 Expires Aug. 23, 20 <br />??rpOFtE+r N tary pu lic <br />State of Texas <br />FILED this day of AMU-4- , 199 f <br />City