Lee, Andy 06.28.2016STATE OF TEXAS
COUNTY OF WICHITA
1, as a member of the LQ-�o&md-('k LPIVOK95imake 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!!;G5 L)on s those
terms are defined in Chapter 171 of The Texas Local Government Code.
Date of Meeting: (0 - Qg - I (Q Agenda Item No.:
The business entity is: -4voq
Business'
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.
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,
I I I LIF,&I JTJ I fit E I A I f.19 011[ t.1 I j r-1--imm 2141 umj a to N I IL0111 1r. -I 0 M 141 il ir-Ij Wig my Fol I em 4 rj a 1111100013-10
Signed this 4En day of Ck Ne, 2 O_L (,o
7
Signature of Official
Title
BEFORE ME, the undersigned authority, this day personally appeared C - P�nairtu,) Lee,
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 c day of :S�Oe-- —, 20
Ok-
Notary Public
UNDA MERRILL
Nlolary PuNic, State of Tpxos
Corrrn Expires 12.22-201
NOt aly ID 482691-4