Laserfiche WebLink
CITY OF SAN MARC05 <br />DISCLOSURE AFFIDAVIT-BUSINESS ENTITY <br />STATE OF TEXAS <br />COUNTY OF HAYS <br />The undersigned member of the City of San Marcos C:, K (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 ff rom the effect on the public. The name of the business entity is 5-a A: doe s4- Terms <br />'I?•--e U VI e- 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 theJ_A <br />body, and is described as follows: <br />re?-?i' wi <br />EXECUTED on J 6L ti yLa.wt Z g. 2-,902- (date). <br />Signature <br />Printed Name <br />5 k R) e e me or <br />s+.• ?,• <br />Notary Public. State of Texas <br />No f ° My Commission Expires <br />P' August 13, 2005 <br />State of Texas <br />Zg?LOOL (date) agenda of the governmental <br />?V -A.' arGA4 0.e0 140i C4 Sltr%/ QwgS <br />t. <br />?--OL VL e 14 U <br />I-W <br />FILED on CW (date). <br />City <br /> <br />COSM Form 9/99