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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? +z, CoL, ,,c-; ( (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 Sov--el-t ?.lt r' eKA-r S- je. U;g i \1trs ; j7, <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 />V 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 />Iti1 Q r0?tt re-+ -- h/ i e <br />The vote or decision involving this interest is on -`L+o- Acce? y &-e Z ! i5 j 9 agenda of the governmental <br />body, and is described as follows: ft? 8.3. G) -P?v?e,•?rTax S??-?.C??,,?r,-,,.??,,,,?ew? <br />EXECUTED this Z15-4- day of D??e-?wbPi? 1 gg $ <br />SWORN TO AND SUBSCRIBED <br />Notary $ta <br />My, ommission Exrir:•r <br />FILED this day of _ <br />r ? <br />Signature <br />Printed Name ? e r? n cQ. <br />State of Texas <br />199 ?/? <br />?/, <br />City Aecretary