08-04-2021 (WEDC) Conflict of Interest AFFIDAVIT
THE STATE OF TEXAS §
COUNTY OF COLLI §
I, 0 , a member of the Wylie Economic Development Board, 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 Wylie Economic Development Board as
those terms are defined in Chapter 171, Local Government Code:
2. 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. /J
Other: 7 ?A✓ d/' O)
G r
CONFLICT OF INTEREST AFFIDAVIT—Page 1
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 participat+on on this matter whatsoever.
Signed this Ll d��/�~ day of ('m , 2021
Wylie Eco omi DevelopmentBoard Member
BUORE ME, the undersigned authority, this day personally appeared
(-iry0 nit/mot' and on oath stated that the facts hereinabove stated are true to the
best of their knowledge and belief. uh �(��
Sworn to and subscribed before me on '�' ' day of d , 2021.
�����Y o'''' RACHAEL HERMES • 'R�(74/44. -/- /"4�iA`�
~'� Notary Public in and for the State of Texas
.'%&Notary Public,State of Texas7s Comm.Expires 08-27.2024
te;:` Notary ID 125694998
a'�'°` My commission expires: O-072-elf
CONFLICT OF INTEREST AFFIDAVIT—Page 2