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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 0:!b GOu w U ( (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 ?7owY1?1`, e-d- Tech 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 $15,000 or more of the fair market value of the business entity. <br />X 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 P14 2.10 2.401 (date) agenda of the governmental <br />body, and is described as. follows: ?-4- F[a 6;4 m- stzvyi -? ?(a.?r+? ?^+t rtt-vu r li <br />EXECUTED on a!,, Z l 2©o l Sc,JTSU. <br />(date). <br />r <br />Signature <br />Printed Name -? ?? kA 1a vt r h <br />9-2, (date). <br />SWORN TO AND 5UBSCRM4 <br />Notary Stamp: <br />A?- ?4 <br />y Public <br />of Texas <br />FILED on L// / ILd/1 AI U / I 1.1114'V tl l Jdate). <br />COSM Form 9/99