KH COI 2015-10-13 AFFIDAVIT OF CONFLICT OF INTEREST
THE STATE OF TEXAS §
COUNTY OF DALLAS §
I, ` Rt►1 Si2[6 I1.414,1 as a member of the C.1 ! Co[L(tC( I (wt�4yDre.)
make this affidavit and hereby on oath state the following: I, and/or a peon or persons related 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 CAN./ C.O uv c. I as those terms are
defined in Chapter 171 of the Local Government Code.
Date of Meeting: 0 c-t- r l3 2.0 t$
,
Agenda Item Number: .£ V
The Business Entity is : �ovt5 Ca��}Q¢ AO.zs is c cks�ow►�ity
4 4€4,c Mayo (K,5 4 buslAcds, Ly Iva r% uJ „
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.
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(4 i)140- r�w'k Of.Ric gccksCcgt
,
Upon the filing of this affidavit with the Official Record Keeper of the City, I affirm that I will abstain from L4g.s..s2
voting on any decision involving this business entity and from any further participation on this matter 44
40.004
whatsoever.
Signed this t3day of C:),f4rlipt1/ ,
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Title
BEFORE ME, the undersigned authority, this day personally appeared k-.Al2fc).J S 'rlka1nd 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 I day of lV G'r'ipes ,
.
*11:i MTEt 9 PET TINOS //
mr Corn: :,ssion Expirsi
May 1 0,2019
1 ► Notary Public in and f. the State of Te :s