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MF-COI 2017-01-10 AFFIDAVIT OF CONFLICT OF INTEREST THE STATE OF TEXAS § COUNTY OF DALLAS § I, 1A2V W ctrliv dj as a member of the C-& Co LAACt I P 14 CQ 4, 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 interest in a business entity that would be peculiarly affected by a vote or decision of the C.1,4y C.o.tv\c.t1 as those terms are defined in Chapter 171 of the Local Government Code. Date of Meeting: J a v1 t C v Y L O , L©t3- Agenda Item Number: ci,.,( c r g A. po r4-%0,1% of- d'($) The Business Entity is : B 1 t<<✓I gS it y ?IQ Q Oar.. 1-4-4 Ov 0 41011/1( $i Itt t>16SItty A4 16-L5 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. fS Powl- X Funds received from the business entity a eed-1-044,-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$2,500. Upon the filing of this affidavit with the Official Record Keeper of the City, I affirm that I will abstain from voting on any decision involving this business entity and from any further participation on this matter whatsoever. Signed this ICA day of J Q \Vifvry , Zp . ....mr..z4l „0„ Signature of Officia Ci ty COkhl4 CA ` Pace_ Title BEFORE ME, the undersigned authority, this day personally appeared 1,1111/40-34 t►..1 t-2pnJY.0 N and on oath stated that the facts hereinabove stated are true to the best of their knowledge or belief. SWORN TO AND SUBSCRIBED BEFORE ME on this \O/14` day of ..,14�VA--9. 201-1 . 2/ - CHRISTEL 8 •fh =�• fat7xas PETTI$OS - 4 y Pucin a d for 04 May 10,2019 11� 1'21c‘2$OS--f\ '