Grassi, Michael 06.10.2020AFFIDAVIT
STATE OF TEXAS )(
COUNTY OF WICHITA )(
I, :J (2rL-IN; , as a member of the Z ��� make this affidavit and hereby on oath
state the following: I and/or a person or persons related to me, have a su stantial interest in a
business entity that would be peculiarly affected by a vote or decision of the
, as those terms are defined in Chapter 171 of The Texas Local (jover-nn4ent Cod .
Date of Meeting: U djo Item No. 6'VI:J
The business entity is 1. Iti55 c, ��-��s LL �-
I (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.
Funds received from the business entity exceed 10% of his/her income for the previous year.
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 4�9�)6 day of j J� , 20�CU --
Signature of Official
1�
Title
BEFORE ME, the undersigned authority, this day personally appeared _A�cAiaeA C��tss
and on oath stated that the facts hereinabove stated are true to the best of his/her -knowledge and
belief.
Sworn to and subscribed before me on this the �.( day of _ L` , 20�
My Commission Expires: _I__/ �'/
,6^� bov--)Notary'-Public in and for the
State of Texas
PY�� ERIN HAM
Pve ���
Notary Public, State of Texas
S'x.. P ° Comm. Expires 08-30-2023
Notary 10 132154014