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09-21-2022 (WEDC) Conflict of Interest r 1 AFFIDAVIT THE STATE OF TEXAS § COUNTY OF COLLIN § I, 0 At , a member of the Wylie Economic Development Board, make hil 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. Other: t G ►-3 ` y A A- Ce\DV0-ev5 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 participatign on this matter whatsoever. Signed this 7, ) )1- day of ' 4-/ , 022 Wylie Economic Develo ent Board ember BEFORE ME, the undersigned authority, this day personally appeared ibilnD i RI' and on oath stated that the facts hereinabove stated are true to the best of their knowledge and belief. �,,]� / ' � Sworn to and subscribed before me on D� day of ` c , 2022. -R--14/1444ta AUL n/V-- Notary Public in and for the State of Texas Ay.%%%%%% RACHAEL HERMES I •�&, Notary Public.State of Texas ;���y P1-r f Comm.Expires 08-27.2024 �•of ; My commission expires: g�V''ag7 �_ „ ..u122� Notary ID t 2589481f8 CONFLICT OF INTEREST AFFIDAVIT—Page 2