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<br /> CITY OF SAN MARCOS <br /> BOARD AND COMMISSION DISCLOSURE FORM <br /> Name: <br /> Address: <br /> <br /> Board or Commission on which you serve: <br /> List the names of business entities (including for-profit, non-profit or government entities) in which <br /> you have a substantial interest (See note 1 below) that may be involved in the discussions or <br /> decisions of your Board or Commission: [attach an additional sheet if necessary] <br /> 1. <br /> 2. <br /> 3. <br /> 4. <br /> List tracts of real property in which you have an interest $2,500 or more in value that may be <br /> involved in the discussions or decisions of your Board or Commission (give street address, or <br /> location and approximate size): [attach an additional sheet if necessary] <br /> 1. <br /> 2. <br /> 3. <br /> 4. <br /> Certification: I certify that I have read this statement, and that the information on it and attached <br /> to it is true, complete and correct. <br /> Signature <br /> Date <br /> Notes: <br /> 1. You have a substantial interest in a business entity if you 1) own 10% or more of its voting stock, 2) own <br /> 10% or $15,000 or more of its market value, or 3) received more than 10% of your gross income for the <br /> previous year from the entity. <br /> 2. Whether your business or real property interests may be involved in your Board or Commission's <br /> discussions or decisions depends mostly on the nature of the routine business that comes before your <br /> Board or Commission. Two questions to ask are: a) Does my Board or Commission make <br /> recommendations on purchases from businesses such as those in which I have an interest? b) Does my <br /> Board or Commission regulate businesses or real property such as those in which I have an interest? <br /> If the answer to either question is yes, you must disclose the business/real property interests involved on <br /> this form. <br /> 3. If an item on an agenda of your Board or Commission may have a special economic effect on a business <br /> entity or real property interest of yours, state law requires you to disclose that interest on a form provided <br /> by the City, and to abstain from any discussion or vote on the item. <br /> If you have any questions, please call the City Attorney's office at 393-8150. <br />