Lee, Andy 02.26.2019AFFIDAVIT
STATE OF TEXAS )(
COUNTY OF WICHITA )(
I , 1 W04 Ice as a member of the 44400^J44J'(- 14"'01"5s'K9ke this affidavit and hereby on oath
state the following: I and/or a person or persons related to me, have a substanti I interest in a
business entity that would be peculiarly affected by a vote or decision of the 6zv S-t 41
, as those terms are defined in Chapter 171 of The Texas Local Government Code.
Date of Meeting: -2/o'4 / Item No. I
6
The business entity is —J�5F &—I 4),A1''W-'x - 406' ae,
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(have/has) a substantial interest in this business entity for the following reasons: (Check all which
are applicable.)
Ownership of 10% or more of the voting or shares of the business entity.
Ownership of $5,000 or more of the fair market value of the business entity.
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Funds received from the business entity exce d 10% his/her income for the previous year.
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Real property is involved and his/her has an equitable or legal ownership with a fair market
value of at least $2,500.
A relative of mine has a substantial interest in the business entity or property that would be
affected by a decision of the public body of which I am a member.
Upon the filing of this affidavit with the City Clerk.,, I affirm that I will abstain from voting on any
decision involving this business entity and from any further participation on this matter whatsoever.
Signed this 6n% day of 4404: , 20
Signature of Official
Title
BEFORE ME, the undersigned authority, this day personally appeared 41da lze.
and on oath stated that the facts hereinabove stated are true to the best of hi her knowledge and
belief.
Sworn to and subscribed before me on this the ' Tay of , 20-LT-.
c
My Commission Expires: AU .cJ
Notary Public in and for th;
I State of Texas
MARIE BALTHROP
a NOTARY PUBLIC
STATE OF TEXAS
• ' MfrComm. Exp.1QMM9