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CITY OF SAN MARCOS <br />DISCLOSURE AFFIDAVIT <br />STATE OF TEXAS <br />COUNTY OF HAYS <br />I, d t ! 1 I Q f 1 6 , a member of the City Council of the City of San Marcos, make this affidavit, and <br />hereby on oath state the following: <br />I have a substantial interest in the below named entity or described property that may be involved in a vote or decision of <br />the governmental body described above, and the vote or decision may have a special economic effect on the named entity <br />or property that is distinguishable from the effect on the public. <br />The name of the business entity is: <br />The real property is: <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 />-XZFunds 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 kinship) or <br />affinity (marriage). Relative's name and relation: <br />I am abstaining only to avoid the appearance of impropriety. <br />I have received more than $300 in campaign contributions from this person, business entity, or association. <br />The vote or decision involving this interest is on the C4 d (date) agenda of the governmental body, and is <br />described as follows: `+/. ! Yl <br />�G'eiulf rai r fl <br />EXECUTED on (date). <br />d <br />Signature <br />Printed Name E8 mi hal &t to r ",t - <br />SWORN TO AND SUBSCRIBED before me on <br />Notar TAMMY K COOK raryf <br />My Notary ID # 12592665aNblicExpires November 29, 2022 exa, <br />FILED on " t —I —) - ( (j / (,2 (date). <br />of the <br />COSM Form 12/2018 <br />(date). <br />an Marcos <br />