Schreiber, Nick 06.07.2024 4B RECEIVED IN
CITY CLERK'S OFFICE
AFFIDAVIT Date �617/2. LA
STATE OF TEXAS § By / �U •
Time /f•s '.
§
COUNTY OF WICHITA §
I, Ic. - Sc \rC, ( , as a member of the q6 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
distinguishable from the effect on the public by an action contemplated by the 46
, as those terms are defined in Chapter 171 of The Texas Local Government Code.
t
Date of Meeting: /7/ 20,241 Item No. Rivex 6e/to/. Pr.1 e a-
A
The business entity is Grail — tt ll
SeL.dra 4-Lf,601,7 Ar-ckr�•�$ (Cdba /-Ai
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:on
(---Own of 10% or more of the voting or shares of the business entity.
V Own10%or more of the fair market value of the business entity.
IC Own $1 5,000 or more of the fair market value of the business entity.
7 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 } day of t)kn� , 20 W
Signature of Official (/
I/6 e o,•4- Men b.�
Title
BEFORE ME, the undersigned authority, this daypersonallyappeared N l• ex
g Y, pp IY1'C� �'�r� b
and by oath stated that the facts herein stated are true and correct to the best of his/her_knowledge
and belief.
Sworn to and subscribed before me on this the 71day of j(,L( .L , 20_4.
My Commission Expires: �e
Notary Public in and fort/the
Ilr'✓13e l04ii State of Texas
r
.rah i' ,„ MARIE BALTHROP
`�' Notary Public,State of Texas
i.- My Commission Expires
k', / October 26,2027
`•°`•``" NOTARY ID 11738621