Goodwin, Hunter R.AFFIDAVIT OF CONFLICT OF INTEREST
STATE OF TEXAS
COUNTY OF BRAZOS
Uviv &'CCL.A
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 City
CcS*'"-`) ► -Z.-$ A as those terms are defined in Chapter 171, Texas Local
Go rnment Code.
as a member of the City of
make this affidavit and hereby, on oath, state the
The business entity is:
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(have/has) a substantial interest in this business
entity for the following reasons: (Check all that are applicable.)
[ijwn 10% or more of the voting stock or shares of the business entity;
El'iown either 10% or more or $5,000 or more of the fair market value of the
business entity;
❑ Funds received by me from the business entity exceed 10% of my gross
inc e for the previous year;
EI1eal property is involved and (I/we) have an equitable or legal ownership with
a fair market value of $2,500 or more;
❑ 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 Secretary, 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 2.4'? day of ()Cke...v- , 20 12,.
gnat e'of Off
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Title
BEFORE ME, the undersigned authority, on this day personally appeared
/Dj2tr+ HG00J ,who after being by me duly sworn and on his oath
deposed and says that he/she has ready the above and foregoing and that every statement
contained therein is with his/her personal knowledge and is true and correct.
Notary Public, State of Texas