MF-COI 2017-03-28 AFFIDAVIT OF CONFLICT OF INTEREST
THE STATE OF TEXAS §
COUNTY OF DALLAS §
I, Mary as a member of the Ccwnej
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, hav a substantial interest in a business entity that would be
peculiarly affected by a vote or decision of the - ) r_ E as those terms are
defined in Chapter 171 of the Local Government Code.
Date of Meeting: rt 2S 20 1'1
Agenda Item Number: 2.17)
The Business Entity is : 1 nn n.4-1 Lrt14 3 I B.11,n�s
misLr, 1 A4 iIt&_-4S
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 2%TM day of Mor c- ,
Signature of Official ‘7'
Title
BEFORE ME, the undersigned authority, this day personally appeared MA-NI• 71-^.1c,,1•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 2�0`" day of 11/4-144-4rfti_
MA MOSUL B PETTINOS
My ComMlsslon Expires Notary Public in an• or the StT xas
State of
�I its,10.2019
1 Lti I o o I