Loading...
02-23-2016 (City Council) Conflict of Interest AFFIDAVIT THE STATE OF/TEX ..J2'`AS• " § COUNTY OF (( ,v § , i I, I° I w*f5 , a member of the Wylie City Council 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: tir vim, f9vo, e 4 • CONFLICT OF INTEREST AFFIDAVIT—Page 1 L:\Conflict of Interest-2006-2007\Conflict of Interest Form for Council Meetings 2009.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. ZDIti Signed this 2-3 day of FA vita Y6- ,'2e9& OFFIC,(AL Title: - 3 BEF�ORE/ ME, the undersigned authority, this day personally appeared l Oda GUJ,vts2s and on oath stated that the facts hereinabove stated are true to the best of their knowledge and belief. X Sworn to and subscribed before me on o?3 day of `,�,6 209e. �> = CAROLE EHRLICH ***f NOTARY PUBLIC Notary ublic in and fo tate of Texas STATE OF TEXAS 4`44607 My Comm,Expires 08-03-2018 My commission expires: P f— , '// CONFLICT OF INTEREST AFFIDAVIT—Page 2 L:\Conflict of Interest-2006-2007\Conflict of Interest Form for Council Meetings 2009.doc