KH COI 2014-10-14 AFFIDAVIT OF CONFLICT OF INTEREST
THE STATE OF TEXAS §
COUNTY OF DALLAS §
I, 14 RE L1 S21.66 4rLtV1,1 as a member of the C4yy C-Otalt_.y 1
make this affidavit and hereby on oath state the following: I, and/or a perfon or persons related to me in the
first degree by either affinity or consanguinity, have a ubstantial int rest in a business entity that would be
peculiarly affected by a vote or decision of the C1 t �ci as those terms are
defined in Chapter 171 of the Local Government Code.
Date of Meeting: OC)cobfar 14 t 2D4
Agenda Item Number: 2 .A
The Business Entity is: -?-4414 &re)kr
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.
'11. ¢m t o w •S Ake p o 1.4-69 44144444-"Ar 46(-- abet Lis
1 N-a5 p rkpa po k
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 l 44 day of d0101u/ t
, CHRISTEL B PETTINOS is ature 0 Ifficial
7,4*,‘r cMy Commission Expires
May 10, 2015
S,.�o,�•�s 1Y\i4yi2V
Title
BEFORE ME, the undersigned authority, this day personally appeared_ A..re-rt SC bo t'l 7 and on
oath stated that the facts hereinabove stated are true to the best of their knowledge or belief.
SW.22R TO AND SUBSCRIBED BEFORE ME on this \`' day of \QL*n Ler ,
otary Pubc in . d
li for the State of Ttxas