KH COI 2016-07-26 AFFIDAVIT OF CONFLICT OF INTEREST
THE STATE OF TEXAS §
COUNTY OF DALLAS §
I, kgr,ri Szlbo Nun4- as a member of the CAy CO u 1/16
make this affidavit and hereby on oath state the following: I, and/or a peron or persons related to me in the
first degree by either affinity or consanguinity, have a substantial intere t in a business entity that would be
peculiarly affected by a vote or decision of the C y C.j LW CI 1 (vn sypv ) as those terms are
defined in Chapter 171 of the Local Government Code. <
Date of Meeting: J L .y 210 1 ZD l (o
Agenda Item Number: 13
The Business Entity is : Fro s# 13 ba/.1!,
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.
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 o710'N'' day of , l— . /
a 41.4l►A•d %1/ 4A. '
i, ature o'i fficial
WI bkyolr
Title
BEFORE ME, the undersigned authority, this day personally appeared Vet.rc,r-S,by-4.4...---t 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 o26 day of
?o/c .
MISTS.it PEmNoa
� otary Public in d for th State of Texas
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My Commission Spires
Myr 10.201