01-13-2015 (City Council) Conflict of Interest //'
tee/
AFFIDAVIT
THE STATE OF TEXAS §
COUNTY OF 6/,/„ §
I, // , a member of the Wylie City Council make this affidavit and hereby
on oath state th ollowing:
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):
X 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.
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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 participation on this matter whatsoever.
/S
Signed this /,M day of Le/07 , 20.06
OFFICIALS `�
Title: /jh G. Co.ncj/P(e 5
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 knowledge and belief.
Sworn to and subscribed before me on / _day of /r� -7/11, , 2006.
o Y P : CAROLE EHRLICH ; Notary Public in a for the State of Texas
n NOTARY PUBLIC
" * STATE OF TEXAS (' Q
41F or le' My Comm.Expires 08-03-2018 My commission expires: 6 c , /e
CONFLICT OF INTEREST AFFIDAVIT—Page 2