GR COI 2014-04-08 AFFIDAVIT OF CONFLICT OF INTEREST
THE STATE OF TEXAS §
COUNTY OF DALLAS §
•
I, stir'1 as a member of the • CA.-7 Co nc I
make this affidavit and hereby on oath state the following: I, and/or a I on or persons r d to me in the
first degree by either affinity or consanguinity, have a substantial interest in a business entity that would be
peculiarly affected by a vote or decision of the as those terms are
defined in Chapter 171 of the Local Government Code.
Date of Meeting: A?r► 1 , 201
Agenda Item Number: 4
The Business Entity is: C-hAS¢
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 eoie for the previous
year.Q,ind Cus r-c,14 bust ias5
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 53414 day of Alt.('i 1 , (10-
Signature of Official
Title
;is(C Gul C c (
BEFORE ME, the undersigned authority, this day personally appeared G)c -.acfr and on
oath stated that the facts hereinabove stated are true to the best of their knowledg�belief.
SWORN TO AND SUBSCRIBED BEFORE ME on this � day of
�vnr n�B
CHRISTEL B PETTINOS
7^� My Commission Expires f '
,♦I
May 10, 2015
tary Public in and for the State • eras