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CITY OF SAN MARCOS <br />DISCLOSURE AFFIDAVIT - BUSINESS ENTITY <br />STATE OF TEXAS <br />COUNTY OF HAYS I <br />The undersigned member of the City of San Marcos 7 h ro V Yk C l f (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 - the business entity that is <br />distin uishable from the effect on the public. The name of the business entity is 7 ��11G� S V7� <br />�Mt VIP4 , 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 />I am abstaining only to avoid the appearance of impropriety. <br />The vote or decision involving this interest is on the / l J X (date) agenda of the governmental body, <br />and is described as follows :, GU Gv% C '� 't1,.+�ev(ateu.P -Fier �V a r it <br />"7v& "- -k S-hwS SP r✓l <br />EXECUTED on 7/15111 (date). <br />SWORN TO AND SUBSCRIBED before me on <br />Notary h <br />FILED on l I <br />� f <br />COSM Form 11/10 <br />ELIZABETH TREVINO <br />Notary Public, State of Texas <br />My Commission Expires <br />October 18, 2011 <br />Signature Ik <br />Printed Name �f kn <br />(date). <br />Notary lic <br />State of Texas <br />1 <br />City Clerk o the City of Sb�i rcos <br />