KH COI 2015-07-14 AFFIDAVIT OF CONFLICT OF INTEREST
THE STATE OF TEXAS §
COUNTY OF DALLAS §
I, f r ,CSL v rLai-Q(4 `i U'w`i"as a member of the Cts • I C4- rat,A( <
e i
make this affidavit and hereby on oath state the following: I, and/or a P on or persons related to me in the
first degree by either affinity or consanguinity, have a sub •Cinterpt in a business entity that would be
peculiar of theCrs ` -y .or, AL, . as those terms are
_m 171 of the Local Government Cod
Chapter q
�\' Date of eeting: sltft \\/ I X315_`
Agenda Item Number: • lG X f"(.0 'U-k SSt`,,rJ ( A)
The Business Entity is: S i f V) 1Y\�d riji:) [-t 1 1Z1:1(7cI lbet CCW,11 kiLs-LrA,A1- 6 r &p L LC
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; +LO. btd&sry e% .cvt-1-;-4-y I -5 aL C uts`f I- &'
6.4 .`1t,_t fj up i Ol er's
Real property is involved and I have an equitable or legal ownership v�'ith a lir market value
of at least$2,500.
Upon the filing of this affidavit with the Official Record Keeper of the City, I affirm that I will abstain from
voting on any decision involving this business entity and from any further participation on this matter
whatsoever.
Signed this I day of ,--ildi
(ti-li , M S
. , 4...4, 44 ��...L
S.a s • 1 e of Official
of
Title I
BEFORE ME, the undersigned authority, this day personally appeared 11.1 S. w}-r and on
oath stated that the facts hereinabove stated are true to the best of their knowledge or belief.
SWORN TO AND SUBSCRIBED,. BEFORE ME on this ( day of �...I ,
1 CHRI$TEL B PETTINOS : /
My Commission Expires ' , Ale
ED
May 10,:2019 I . 46- r�A
i otary Public in . ii sr le State of T
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