CL-COI 2017-11-14 AFFIDAVIT OF CONFLICT OF INTEREST
THE STATE OF TEXAS §
COUNTY OF DALLAS § n
I, C )r .C L C
as a member of the t 4-)e Ceti vIC it P14C e
make this affidavit and h eby on oath state the following: I, and/or a persbn or persons related to me in the
first degree by either affinity or consanguinity, have a s bstantial interest 'n a business entity that would be
peculiarly affected by a vote or decision of the C.14y C o u ike I. 1 as those terms are
defined in Chapter 171 of the Local Governmentr' Code.
Date of Meeting: 1\) W LdD htg,(/' 14 , 2-0 L 7-
Agenda Item Numbers: $( ) tu#,A a- ,
The Business Entity is : piv'SOV4UQ VI (AG re CLS Pio c/
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 Ilave an,re�vg'gitable or leggy owners 'p with a fair,�narket value
of at least$2,500..00 inO ri o it w i rl,l n zoo t est_ w! oVClZy 5i4iloc t
4.44 raS�J¢ a1rkt i{-r Ht5
Upon the filing of this affid it 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 1444 day of kio VINA4(J4 t , 2.(91 .
X
Signatu ial
Couaca k aatigov Pim t..
Title
BEFORE ME, the undersigned authority, this day personally appeared 0.14FF LO/1/414 and on
oath stated that the facts hereinabove stated are true to the best of their knowledge or belief.
SWOORN1 TO AND SUBSCRIBED BEFORE ME on this I4M day of 1\10/04Sect—i,
, /
CtN ISTEL 8 PETTIN08 'AA,it&
',^I ht 1Mq CMsy 1ss0ion 20tH 9 irss otary Public in and for the State of exas