Grassi, Michael 07.12.2023 Planning and Zoning Commission CONFLICT OF INTEREST AFFIDAVIT
THE STATE OF TEXAS §
COUNTY OF WICHITA §
I, M? L. t erLss i (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] :Za021 Mis3i/r ,Qi.
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;
V (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 OK day of 3 t.,I v . AGO.!3
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Signature
BEFORE ME, the undersigned authority, this day personally appeared /"`tI GiT1s4, [name of affiant] and by oath
stated that the facts herein stated are true and correct.
�
SWORN TO AND SUBSCRIBED BEFORE ME before me on this / J
day of a zy , 2-° 3
MCIAA )* Q �[ d
Notair Public in and for the Stag of Texas ;"1w: MARIE BALTHROP
�: � Notary Public,State of Texas
10/ak/.2fa3 • i� *- My Commission Expires
My commission expires: = �o�j6„f potol�er2g,2023
r / NOTARY ID 1173062-1