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CITY OF SAN MARCOS DISCLOSURE AFFIDAVIT - BUSINESS ENTITY STATE OF TEXAS COUNTY OF HAYS 00C The undersi 9 Y ned member of the Cit of San Marcos �� ! (name of Cit Board, Commission, etc.) states under oath as follows: I Y I have a substantial interest in a business entity that may be involved in a vote or decision of the governmental body described above, and the vote or decision may have a special economic effect on the business nt!y that is distinguishable from the effect on the public. The name of the business entity is /eXGtf SAC_ �� ✓err/ Ed Al arC The nature and extent of my interest in the business entity is as follows: (check all that apply) Ownership of 10 percent or more of the voting stock or shares of the business entity. Ownership of 10 percent or more of the fair market value of the business entity. ,, O�wnip of $15,000 or more of the fair market value of the business entity. Funds received by me from the business entity exceed 10 percent of my gross income for the previous year. The interest described above belongs to a person related to me in the first degree by consanguinity (natural kinship) or affinity (marriage). Relative's name and relation: I am abstaining only to avoid the appearance of impropriety. c, .LM 7l' ,J ,� 2 � Z d /l & The vote or decision involvin his inter st is on the , I (date) Benda oft governmental body, and is described as follows: s u lht� Z0 —.Z r' 4Ca w CJCui r o -- Ar , 4 ;tv EXECUTED on (0 (date). Signature SWORN TO AND SUBSCRIBED before me on FILED on co I I I I Printed / N ' aame n ✓1 LV (date). 1 Notary Xlic State of Texas (date). City Cle of the City of a Marcos COSM Form 11/10 ELIZABETH TREVINO Notar = Notary Public, State of Texas := My Commission Expires O 16, 2011 FILED on co I I I I Printed / N ' aame n ✓1 LV (date). 1 Notary Xlic State of Texas (date). City Cle of the City of a Marcos COSM Form 11/10