Brancheau, Tim-CL 2012-02-14AFFIDAVIT OF CONFLICT OF INTEREST
THE STATE OF TEXAS
COUNTY OF DALLAS
I, Ti wl B V` as a member of the v CO u vtc i
make this affidavit and hereby on oath state the following: I, and/or a on or persons related to me in the
first degree by either affinity or consanguinity, have a, spbstanti al interest in a business entity that would be
peculiarly affected by a vote or decision of the f v Cal tA V% c i l as those terms are
defined in Chapter 171 of the Local Government Code.
Date of Meeting: F q b Ni t a y y 14 ZO t Z
Agenda Item Number: t 3 1
The Business Entity is: CCV u NCt � VVIt Wl b" " Sl cbS W ► fia In
f a wi y loo �Q s ad
I have 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 10% or $15,000 or more of the fair market value of the business entity.
Funds received from the business entity exceed 10% of my gross income for the previous
year.
Real property is involved and I have an equitable or legal ownership with a fair market value
of at least $2,500.
Upon the filing of this affidavit with the Official Record Keeper of the City, 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 day of V EI ✓U 6Ctr 1/
C. �y Co K. VI C
Title
BEFORE ME, the undersigned authority, this day personally appeared 7 eQ 'k V e-k [a L.c and on
oath stated that the facts hereinabove stated are true to the best of their knowledge or belief.
SWORN TO AND SUBSCRIBED BEFORE ME on this 14 day of 1 ruu v X
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