Lee, Andy 01.24.20171, as a member of the V opt.) 5,Sj PA-,/ make this
affidavit and hereby on oath state the following: I and/or a person or persons related to me;, have a
sual stantiinteres in a bu§iness entity that would P
Y eculiarly affected by a vote or decision of the
=D C.
Lg�, as those terms are defined a 171 of The Texas Local
Government Code.
Date of Meeting: Item No.:
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= 77
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I (have/has) a substantial interest in this business entity for the following reasons: (Check all is
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 de ision of the public body of which I a �g�mber. j&j,
R-IV7 of ---j 'Cop -
Upon the ng 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 this 4� y of 20 Z4_.
e: e, =
Signature of Official
a -
BEFORE ME, the undersigned authority, this day personally appeared
and on oath stated that the facts hereinabove stated are true to the best of (his1her) knowledge and
belief.
Sworn to and subscribed before me on this the �AkLday of 20
TRACySNORR ----�
My Notary ID # 8363834 ota ry Pu1 ��and for the
Expires 1900mber 9, 2017 State of Texas