McCulloch, Douglas 2025-06-03 Planning & Zoning Commission AFFIDAVIT FOR CONFLICT OF INTEREST
STATE OF TEXAS )(
COUNTY OF WICHITA )(
I,%,1 /S5 in citee(ocit as a member of the ?/4nn+n eli Zm»114 j. 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 that would be peculiarly affected by a vote or decision of the P/anrllnij i 0-onrni5 as
those terms are defined in Chapter 171 of The Texas Local Government Code.
Date of Meeting: 1-14-0..4.. tl , Z 0-Lc Agenda Item No.: F 2 S- O S
The business entity is: YYm.e n'1. ?r Ia( LA-¢-1/141S o.G✓-elo7nn.eh 1--) L I C
Business Name
-4 L l t -Seta-6 Go.-2-5 4- 10164.4.07 , Sadie 666 G(.) " 7 ' 7T in'
Address
I (have/has)a substantial interest in this business entity for the following reasons: (Check all which are
applicable.)
X 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.
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 and from any further participation on this matter whatsoever.
Signed t 's rrl day of Jam Q,
' ul/- - , 20� 5
I 6
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Signature hifficial
Title
BEFORE ME, the undersigned authority,this day personally appeared ! 1 o, JOU UYC(L.1locl.,
and on oath stated that the facts hereinabove stated are true to the est of(his/her) owledge
and belief.
r� _"7-
Sworn to and subscribed before me on this the3 day of JtLLi e- , 20•2' v .
_ 1 KATHRYN MAE HILL ?\ G/ p
;� .ram My Notary tD#131804699 N tar`y Pu c in nd for the
•'.'&,a, • E> es November21,2026 State of T xas