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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 (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 50"i" U Wes +' 1- ^r <br />S-? 7C f-,e l?y?:Je f? f i - 1 <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 D LA t V Z (date) agenda of the governmental <br />body, and is described as follows: 2 - "r '¢ c,? 01 rA* " <br />+* Gov P.w?o,r's 4& -" <br />EXECUTED on Tti 1 y K, Zo o 2. (date <br />Signature <br />SWORI <br />Notary <br />FILED <br />COSM Form 4/02 <br />Printed Name f!?? A r L"'A I k?' VI ; ?1