HomeMy WebLinkAboutDisclosure of Interest Affidavit Under State Law DISCLOSURE OF INTEREST AFFIDAVIT
UNDER STATE LAW
STATE OF TEXAS §
COUNTY OF BRAZOS §
BEFORE ME, the undersigned authority, on this day personally appeared
t/yard FLO0 , in his/her capacity as a member of
Minn_Liv Z4rlina domm155iaa , after being by me duly sworn, stated his/her oath the
following: J
Chcd Acid , do hereby state that I have a substantial
interest in a business entity for the following reasons: (check all that are applicable)
I or my relative have an interest in ownership of ten percent (10%) or more of the
voting stock, or shares of ten percent (10%) or more or $15,000 or more of the
fair market value of the business entity.
Funds received from the business entity exceed ten percent (10%) of mine or my
relative's gross income for the previous year.
I or my relative have an equitable or legal ownership in real property owned by
the business entity with a fair market value of$2,500 or more.
I or my relative is acting as a developer of the tract in the above-referenced
Agenda Item.
I shall abstain from discussion or vote in this matter and refrain from attempting to influence the
vote of any other member.
A- NemLer
J �.
an//tul Member's Si:,44111
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Position
GIVEN UNDER MY HAND AND SEAL OF OFFICE on this the aZO day of
*Met/ ,„&al•
411116
Notary 'ubli in :;/for the State of Texas
l�Susan Hazlett
1y My Commission Expires
r /Cr July 24,2004
O:counciUstate.doc
Texas Local Government Code§171