KH-COI-2018-03-27AFFIDAVIT OF CONFLICT OF INTEREST
THE STATE OF TEXAS
COUNTY OF DALLAS §
I, as a member of the 1 (—OGl/1�1L�1�C
make this affidavit and here y on oath state the following: I, and/or a p s n or person alated 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, &,e A Goo CMI"Ci / as those terms are
defined in Chapter 171 of the Local Government Code.
Date of Meeting:
Agenda Item Number: J
The Business Entity is
WL
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, 00.
Upon the filing of this affidavit with the Official Record Keeper o 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 c day of 1 a
gnature of Official
M 04-,�
Title
BEFORE ME, the undersigned authority, this day personally appeared kdrim 5416 llu m and on
oath stated that the facts hereinabove stated are true to the best of their knowledge or belief.
SW�O'RlN, TO AND SUBSCRIBED BEFORE ME on this 27� day of �r
201 9 -
r'x JEAN DWINNELL
Notary Io k4576603 otar Public in and for the State of as
My Commission ExpireY
'' June 20.2021 s