Laserfiche WebLink
<br /> CITY OF SAN MARCOS lL{ftf <br /> DISCLOSURE AFFIDAVIT-BUSINESS ENTITY <br /> ~ATE OF TEXAS <br /> '- .JUNTY OF HAYS <br /> The undersigned member of the City of San Marcos , (name <br /> of City Board, 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 <br /> governmental body described above, and the vote or decision may have a special economic effect on <br /> the business entity that is distinguishable from the effect on the public. The name of the business entity <br /> I ne 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 /> <br /> Ownership of $5,000 or more of the fair market value of the business entity. <br /> <br /> Funds received by me from the business entity exceed 10 percent of my gross income for <br /> the previous year. <br /> The interest described above belongs to a person related to me in the first degree by <br /> . consanguinity (natural kinship) or affinity (marriage). Relative's name and relation: <br /> . '" <br /> The vote or decision involving this interest is on -' 199- agenda of the <br /> governmental body, and is described as follows: <br /> <br /> - <br /> <br /> EUTED this day of ,199~. <br /> <br /> Signature <br /> <br /> Printed Name <br /> SWORN TO AND SUBSCRIBED before me on the - day of ,199_. <br /> <br /> Notary Stamp: <br /> Notary public <br /> State of Texas <br /> -.., .ED this day of ,199_. <br /> <br /> City Secretary <br /> 4.4 "'.'H,.C"'"".' -. ~ - _. ., _'0"'" .-. .., ... -.. <br /> 0---.-,..,., no' <br />