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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 ? Gcc 1 (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 So vieff-Te,ra r <br />k- 0 vv J <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 />y/ 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 064-011e-4-2j2-001 (date) agenda of the governmental <br />body, and is described as follows: 14e-? -A lol?.r-cLo-v, n=o=t4 ?keex-e-lT' j <br />EXECUTED on d G4-y L-J-C? 2 Z ZO D 1 (date). 12. <br />Signature <br />\ Printed Name ?d- Vw' I-Lo' I Ka. tit i <br />....... a <br />/ nn <br />d 6V 0 (date). <br />S <br />me on <br />W f <br />Notary Public, State of Texas <br />?.. My Commission Expires <br />Not <br />August 13, 2005 <br />tNotyic <br />State of Texas <br />FILED on IV A)? - j <br />J'ii <br />City <br />l <br />_JV <br />COSM Form 9/99