Browne, Jack 07.14.2021 AFFIDAVIT
STATE OF TEXAS §
§
COUNTY OF WICHITA §
I, 6L (-31,2,/•-/Ly , as a member of the \i lvtvlIvl, f C;vll``� make this affidavit
and hereby on oath state the following: I and/or a person or persons related to me, have a substantial
interest in a business entity or real property that may receive a special economic effect that is
(d lstinguishab a from the effect on the public by an action contemplated by the CASE. 'R-Z k-- 0(.�_
v1 4E -e_, 1fF.tu a s th 19 terms are defined in Chapter 171 of The Texas Local Government Code.
Date of Meeting: Item No. eA 21 -04
The business entity is ,Y, 5 iu, ( f'./ ts,.. c-,w vt`ttAl 74-OG 1a(kYck•c-
Iofo/ Qut)aj -pf - _1,1) o-s' Cft \?...2,1 04-
I or a person that is related to me within the first degree of consanguinity(blood)or affinity (marriage)
as defined by state law has a substantial interest in this business entity or real property for the following
reasons:
Own of 10%or more of the voting or shares of the business entity.
/.--,Own10%or more of the fair market value of the business entity.
d--'Own $15,000 or more of the fair market value of the business entity.
Funds received from the business entity exceed 10%of my/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.
Upon filing of this affidavit with the City Clerk, I affirm that I shall abstain from voting or further
participating in any matter involving the business entity or real property, unless allowed by law.
Signed this it/ day ofil1.f , 20 2-
Signature of OfficialIdzi , t• -?_.05z.ez_..4,,___.
Title
BEFORE ME, the undersigned authority, this day personally appeared G.rAe- 6 rs_
and by oath stated that the facts herein stated are true and correct to the best of his/her knowledge
and belief.
1,4 Fh
Sworn to and subscribed before me on this the 1-I day of Sot 46 , 20. L( .
cov,1
My Commission Expires: T
] Notary Public in and for the
/
` 3c) / C'2, 3 State of Texas
0,V; ,,r THEODORE STOLL
t'''� }f%Notary Public.State of Texas
` r* Comm.Expires 08.30.2023
4, ` NotaiylD13216401-4