KH CIQ-2014-05-13 AFFIDAVIT OF CONFLICT OF INTEREST
THE STATE OF TEXAS §
COUNTY OF DALLAS §
I, K C&V.V Y St`b O g UV as a member of the (- t-'1 (4 u✓tc-t I
make this affidavit and hereby on oath state the following: I, and/or a person or persons related to me in the
first degree by either affinity or consanguinity, have a substantial intereit in a business entity that would be
peculiarly affected by a vote or decision of the C-i 4y Cpu% C.i I as those terms are
defined in Chapter 171 of the Local Government Code.
Date of Meeting: VIA- I l,3 44t 2( if
Agenda Item Number: l 3 "ncA
T h e Business Entity is : F V' 'b4 u'1 k ; ct.ie‘c c,8
'-t. IP u rc.('iO.-5a aci ('1►40CDv✓Mr¢/Svf-Iwa.Liz.
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.
Ownerssvhtipp4iof 10%or$15,000 or more of the fair market value of the business entity.
Funds recented 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 1,344A- day of WI(4,41 , • 0
- - - — - - - - -- . 1A.L4A 44 ii .� .
4 ,�,""`"' — — — ( i:a1 ature of Official
0 d` CHRISTEL B PETTINOS `
' , �I� My Commission Expires `
11 May 10, 2015'''41110111111'f VA�gypv�
`,�s Title //
BEFORE ME, the undersigned authority, this day personally appeared C a_i�4-.S[,1 ft 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 l ) day of ,
20 \Lk-- .
// / i ii//' i � i✓
otary Public "and for the State of r xas