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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 Ci z, C ot, oa+ ? (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 SoLjrt% t,-ia5 '• T- kou <br />5- to y h iVP..?S i -1j <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 $15,000 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 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 J14 v, e 1 I , 100 1 (date) agenda of <br />body, and is described as follows: &&AW4-`cA l Seeyfc-e r "^171? a LWA-y > - 5W <br />COSM Form 9/99 <br />EXECUTED on Sl.? v+ a (J Z- C) O (date). <br />Signature d <br />Printed Name & H e 1±1::?:j k S" o