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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 C ?' ?c1.,? G%? (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 ?o K-f'Lt,,?c S?" 1 2?c a s <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 Ma -C LA 2-F, 2002 (date) agenda of the governmental <br />body, and is described as follows: 1744 w? I-1 .!E - VUe r..4s d a01 a a+4VLC11w194%t <br />EXECUTED on M gtYc-k 2,5710 Zoo Z (date). <br />SWORN TO AND SUBSCRIBED before me on <br />Noto <br />sa°?.? JANIS K. WOMACK <br />Notary Public, State of Texas <br />any, :?.,s My Commission Expires <br />"•.',; oFNE{+' August 13, 2005 <br />t ? <br />FILED on V I i 11 i? V- <br />Signature` <br />Printed Name J A"e S'0 to <br />r p ? <br />,t <br />n r m J . I? ln??.fisf'. <br />Notary Public <br />State of Texas <br />City Secre4ary <br />COSM Form 9/99