McCulloch, Douglas 03.06.2023 Planning and Zoning Commission AFFIDAVIT
STATE OF TEXAS §
§
COUNTY OF WICHIT §
/fir, 'Q; eica aoci4 .
I, f �/ /► 1 . as a member of the / / zc (-4-i make this affidavit
and hereby on oath state the following: I and/or a person or pet ons relateSto me, 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 Co v),Y11, 316r)
, as those terms are defined in Chapter 171 of The Texas Local Government Code.
Date of Meeting: /T ho2 `o
3 Item No. Y
The business entity is ��1� D-4C , ?/o/)/29'� a(
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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.
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 I / day of 416 1,tt i- , 20 ) j
jfA)
Signature of Official
P41 Cumn„1 rd ernbk".
Title /� �r
BEFORE ME, the undersigned authority, this day personally appeared / (�o1. i PlcCLIIOW-
and by oath stated that the facts herein stated are true and correct to the best of his/her_knowledge
and belief. -�,�n
Sworn to and subscribed before me on this the y�v day of I ► 'ar(-h 20 .
My Commission Expires:
of ry Public in and for the
. I TI-IC]fP State of Texas
%„ e'\ Notary Public,State of Texas
4,t * My Commission Expires
;•��.4'/ October 26,2023
`°,''', NOTARY ID 1173®®2-1