12-15-2020 (Planning & Zoning) Conflict of Interest Meeting Date: /0-is-2r7
Item No:
AFFIDAVIT
THE STATE OF TEXAS §
COUNTY OF
I, 3RYim R)GEc E , a member of the Wylie ?4 Z CoNMiTTE-6T make this affidavit and
hereby on oath state the following:
1. I, and/or a person or persons related to me in the first degree by consanguinity or affinity,as
determined under Chapter 573, Government Code, (hereinafter referred to as "relative")
have a substantial interest in (place an "x" by the paragraph(s) that apply):
a business entity which could receive a special economic effect on the business
entity that is distinguishable from the effect on the public; and/or
real property which is reasonably foreseeable to receive a special economic effect on
the value of the property distinguishable from its effect on the public,
as a result of a vote or decision of the as those terms are defined in Chapter
171, Local Government Code.
2. Complete as applicable (place an "x" by the paragraph(s) that apply):
The business entity is . I/we have a substantial interest in
this business entity for the following reasons (place an "x" by the paragraph(s) that
apply):
I and/or my relative own 10% or more of the voting shares of the business
entity or I and/or my relative own either 10% or more or $15,000 or more of
the fair market value of the business entity; and/or
Funds received by me and/or my relative exceed 10% of my and/or my
relative's gross income for the previous year.
The real property is described as and is generally
located at . I/we have a substantial interest in this
property because the interest is an equitable or legal ownership with a fair market
value of$2,500 or more.
A relative of mine has substantial interest in the business entity or property that
would be affected by my decision of the public body of which I am a member.
Other:
Conflict of Interest Affidavit Page 1 of 2 Revised 2/22/2018
Upon the filing of this affidavit with the City Secretary of the City of Wylie, Texas, I affirm that I will
abstain from voting on any decision involving this business entity and/or real property and from any
further participation on this matter whatsoever.
Signed this i5 day of Z49e,e— , 2 '20
Fl L
Title: PfZ-- IZ/C—E--- C-.41.4/17 •
BEFORE ME, the undersigned authority,this day personally appeared and
on oath stated that the facts hereinabove stated are true to the best of their'knowlee and belief.
Sworn to and subscribed before me on t day of tk,ce Ai, ; ,
- -'—'(-P 41-..,:, NOTARY FA
v: i., BiiicE...Y- r,
4, 4,.: STATE OF TEXAS
(
ID#S852142 Nota Pulfc in and for the Site of Texas
4 j>17E-of 1.**. my Comm Expires 01-31-2021 My commission expires:
Conflict of Interest Affidavit Page 1 of 2 Revised 2/22/2018