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Whiteley, Bobby 11.16.2021 City Council CONFLICT OF INTEREST AFFIDAVIT THE STATE OF TEXAS § COUNTY OF WICHITA § I, goilY Wk;4e )a% (printed name of affiant), a local public official, make this affidavit and hereby on oath state the following: I have a substantial interest in a business entity or real property that may receive a special economic effect that is distinguishable from the effect on the public by an action contemplated by the City of Wichita Falls. The business entity or real property in which I have a substantial interest is: [name and address of business and/or description of property' /t' C)/ LATri Q of /cG L.A.) Acii•?;o,\J *TM k 2 • • 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 [check all that apply]: (1) own 10% or more of the voting stock or shares of the business entity; (2) own 10% or more of the fair market valued of the business entity; (3) own $15,000 or more of the fair market value of the business entity; (4) receive from the business entity funds that exceed 10% of [my, his, her] gross income for the previous year; (5) have/has an equitable or legal ownership of real property with a fair market value of $2,500 or more. Upon filing of this affidavit with the official record keeper of the city, 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 J() 41\ day of November, 2021 (.) Signature BEFORE ME, the undersigned authority, this day personally appeared 66.611Y I A 0L.jf/0/ [name of affiant] and by oath stated that the facts herein stated are true and correct. 1 6 L* SWORN TO AND SUBSCRIBED BEFORE ME before me on this day of November, 2021. leWas-0- ./eatiltA Notaby Public in and for tie State of Texas RECEIVED IN CITY CLERK'S OFFICE My commission expires: 101.2,61 ;COS,? I 1�1 1 Date I By 11111 Time 9:puay.-‘ 4�n j•, MAPub BALTHROP � � Notary Public,State of Texas + My Commission Expires October 26,2023,,,,,. NOTARY ID 1173862-1