01-07-2020 (Planning & Zoning) Conflict of Interest .1—k-ev 45
AFFIDAVIT
THE STATE OF TEXAS §
COUNTY OF C01\;(1 §
I, tt+PYAN I2otG--KS , a member of the Wylie Planning & Zoning 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 City Council 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
$15,000.00 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 $2,500.00 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
K:\Board Members\Conflict of Interest Form for Council Meetings 2016.doc
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 77N day of c.J,4,a,30A2y , ZOZfO
o OFFICIAL
Title: C�
Title: 2- T3cCL_-
B FORE ME, the undersigned authority, this day personally appeared
vy0,4.(Zo v and on oath stated that the facts hereinabove stated are true to the
best of theirnowledge and belief.
Sworn to and subscribed before me on 1 day of Z, , au
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blic in and Fr•r the State of Texas
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CONFLICT OF INTEREST AFFIDAVIT—Page 2
K:\Board Members\Conflict of Interest Form for Council Meetings 2016.doc