Laserfiche WebLink
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 Son Marcos 0147, ?Gt t , (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 °f ex-4- 54-j-,-F-4- <br />?,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 />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 <br />body, and is described as follows: .2+rw. 2G - Tzll <br />L414-14 <br />agenda of the <br />EXECUTED on i 1 2 ? 2,p o4 (date). <br />Signature it &fm? <br />SWORN TO AND SUBSCRIBED before me on <br />Notar&/Public <br />State of Texas <br />of San Marcos <br />COSM Form 4/02