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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 ` '? , (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 />e- <br />distinguishable from the effect on the public. The name of the business entity is Ti!,. L r 5'4 + <br />,? • ? ws: .? co <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 />V1 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 t40\1&V^4-40v' 3, 2,00 date) agenda of the governmental <br />body, and is described as follows: 'w%-,L-" ee" ' r <br />3? - z ri ,o .c fi- S e-sc /Good, y Z "V j e c ? (9 0 <br />EXECUTED on It l y aw1b 41- B?Za v? (date). / <br />Signature <br />Printed Name ?-? ?A `kkA <br />SWOR eon (date). <br />JANIS K. WOMACK <br />ao? aYPU??'"" <br />Notary Public, State of Texas <br />Notary ??. My Commission Expires <br />„ <br />°?;;yF " E?° August 13, 2005 Not y Public <br />-ji Sta a of Texas <br />(date). <br />FILED on V6 L <br />Pvv/ <br />City ¢jerk of the City of San Marcos <br />COSM Form 4/02