01-12-2016 (City Council) Conflict of Interest AFFIDAVIT
THE STATE Or TEXAS
COUNTY OF Collin §
I, IIiory, (X)111r1ne 01' , a member of the Wylie City Council make this affidavit and hereby
on oath state the 'allowing:
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):
Y The business entity is le. /yews . I/we have a
substantial interest in this busine-gs 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
X 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
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• - /4e449//v Te`r `ot
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 / day of jna , -2496' .?0/6
lam% ,
OFFICIAL
Title: Z/� 4,),7c,/ /l te4 Place 5
BEFORE ME, the undersigned authority, this day personally appeared
/j//ice //,J ,tke 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 /a day of �luitAk-1 ,-2.99g. °go/ .-
p1PaY P(4 CAROLE EHRLICH Notary(Public in and for tate of Texas
,Y �I,. * NOTARY PUBLIC
,,, y STATE OF TEXAS _
My commission expires: f '3 /�
i SE+P My Comm.Expires 08-03-2018
CONFLICT OF INTEREST AFFIDAVIT—Page 2
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