MF-COI 2017-02-28 AFFIDAVIT OF CONFLICT OF INTEREST
THE STATE OF TEXAS §
COUNTY OF DALLAS §
I, M1,4042-V I i A4-A)4CL 11,E as a member of the C_t 1ry tu'1 jl 1 Rare,
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 intere t in a business entity that would be
peculiarly affected by a vote or decision of the C--ty COLLfl(. 1 as those terms are
defined in Chapter 171 of the Local Government Code. f
Date of Meeting: Well o..vey ;8' L '2417—
Agenda Item Number: . C.
The Business Entity is : 44,t4ttly cjja
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 entity7�e ceed 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$2,500.
Upon the filing of this affidavit with the Official Record Keeper of the City, I affirm that I will abstain from
voting on any decision involving this business entity and from any further participation on this matter
whatsoever.
Signed this gv day of 7- .
f
Signature of Official
C, ` Coefeice/ Plate!P
Title
BEFORE ME, the undersigned authority, this day personally appeared MaNt+s:—Fivr.,11 l,.. and on
oath stated that the facts hereinabove stated are true to the best of their knowledge or belief.
SWORN TO AND SUBSCRIBED BEFORE ME on this ogiTM day of ,
ZOt1
CHRISTEL S PE
QF
My Commission '12101080$-`�