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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 Son Marcos4 Gau +" (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 enti that is <br />distinguishable from the effect on the public. The name of the business entity is Sa ,,-t' k vJQ J+ Pxa I <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 nc-+a b 41"90 L 00 L(dote) agenda of the governmental <br />a" n-? 3o <br />body, and is described as follows: 1+cv.,% 5 = Me i v%e?r S a't a bA114014w-,?.0 <br />/k o? r+.`w•tn+7P ?.(rY? ( l r{'or+. v?t - yti+P ; v, p r r g -reA.t(gr"' e g c-14- w?q?t <br />EXECUTED on Q?it-ab er Zo y (dotes- J+ (?JJ /? // QQ <br />Signature <br />SWORN; <br />Notary St <br />FILED on <br />COSM Form 9/99 <br />Printed Name d PA I "()Zo h I Vk