Trice, Marcela 01.26.2021 Landmark Commission AFFIDAVIT FOR CONFLICT OF INTEREST
STATE OF TEXAS )(
COUNTY OF WICHITA )(
1, IUIO�VCdA I ' I C as a member of the Ett.(1U1()10VIL 6,01111 frinake 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 that would be peculiarly affected by a vote or decision of the as
those terms are defined in Chapter 171 of The Texas Local Government Code.
Date of Meeting: 6( ' to ' vV M Agenda Item No.: •1
i
The business entity is: =`i 7i C'" A S —PrrCJt, V �I
Business Name •
,
Address ZD 0`i 6,6 ?—- lit SLIt 20,)
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 stock or shares of the business entity.
Ownership of$5,000 or more of the fair market value of the business entity.
SL.A L 1 tT :T
X Funds received from the business entity exceed 10% of(his/her) income for the previous year.
Real property is involved and (he/she) 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 andl from any further participation on this matter whatsoever.
Signed this 2,( J day of f r(/1 . 20
t/ o Mtn
Signature of Official
Title
BEFORE ME, the undersigned authority, this day personally appeared Marcel& 1 h cc
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 a.to°r`^ day of -4An , 20:)- ( .
U
r r"�"^•. MNfliE 5NLTHRQR Webt-G4) 1 -C�C`� `i '/
:���i,°�� ,ryPubnc.stataotTwe NotaryPublic in and for the
* j� t My Commission
wF`"{ NOTARY26, State of Texas