GR COI 2016-03-08 AFFIDAVIT OF CONFLICT OF INTEREST
THE STATE OF TEXAS §
COUNTY OF DALLAS� _
A §
1, c - ky RLZV1 as a member of the C i y C a IA v'1 C t
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 inte,eI t in a business entity that would be
peculiarly affected by a vote or decision of the C`1Y Ct %IA as those terms are
defined in Chapter 171 of the Local Government Code.
Date of Meeting: m‘02.4.14 $ , Z O t �p
Agenda Item Number: 610
The Business Entity is : Suv gOLttt(1 s
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.
Utv* ' c:C4y Emacs 0rdti%1a4tec.. C t h% 1moN.1:10/ is • 'Not 4-o reu4ses4
Upon the filing of this affidavit with the Official Record Keeper of the City, I affirm that I ill abstain from Ill WI
voting on any decision involving this business entity and from any further participation on this matter
whatsoever.
Signed this S 444 day of VV1 14i2C1/1 , �' ''1 „ .
r �. 1
Signatu'e of Official
Couv I iti.mbWv flag.. 44/'Mayor Afv T7-441
Title
BEFORE ME, the undersigned authority, this day personally appeared (ir``�- and on
oath stated that the facts hereinabove stated are true to the best of their knowledgMor belief.
SWORN2� �TO AND SUBSCRIBED BEFORE ME on this % day oftl...-
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4 "-JO` MTEL COMM PETT1NOS � .
'^�, My COU 1 otary Public in and for the State of Texa