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<br />CONFLICT OF INTEREST AFFIDAVIT <br /> <br />THE STATE OF TEXAS i <br />COUNTY OF HARRIS ~ <br /> <br />I. ~ V L-~ GAtS €L-JU>.u -s (\- as a member of the City of La Porte ~ V IV LIL.- <br />, make tlrls affidavit and hereby on oath state the following: I have a <br />substantial interest in a business entity or real property as defined in Chapter 171, Texas Local <br />Government Code, and a vote is to be 1ak.en or a decision is to be made that will have a special <br />economic effect on this business eotity or real property. <br /> <br />The agenda item c)( t'JvW\b-e.-IO ~(L J~ 'Lv, ?D~, affecting this business entity or real <br />property is: r-. -e "IL !Lt!.."5,)t,v-!t J,/ .A V+AMP../#-J ~..e. ~ \-t. ~ . Ol() ~ n-e <br />~\Js\o;c( CoN.,-ho,uo F ('t-\'"~'; oN fZA-+~ (Jfl-OC.-Q-<?{/I/lf] ") S. "LOIO-/7 <br />COMPLETE (A) OR (B): (A) The business entity is c.e.~~ ~O(N~ EiN.f'1ItJtj (name); or <br />(B) The real property is located at: <br /> <br />I have a substantial interest for the following reasons: (check all which are applicable) <br /> <br />_ Ownership of 10% or more of the voting stock or shares Dfthe business entity. <br />_ Ownership of 10% or more or $15,(0) or more of the fair market value Dithe <br />~ entity <br />V Ftm1s ~ed from the business entity exceed 10% of gross income for the <br />previoos year. <br />_ Real property is involved ml I have an equitable or legal ownership of the <br />property with a fair marl.:et value of at least $2,500. <br />_ A relative of mine has a substmtial interest in !be business entity or real <br />property that would be a:ffected by a decision of the public body of which I <br />am a member. <br /> <br />Upon filing of this affidavit with the City Secretary, I affirm that I will abstain from voting on any <br />decision involving this business entity or real property and from any further participation on this <br />matter by discussion or debate. <br /> <br />Singed this 2<0 day of <br /> <br />~UL~ ,20~. <br />ChJ ~} <br />Signature of Official <br /> <br />THE STATE OF TEXAS ~ <br />COUNTY OF HARRIS ~ <br /> <br />~me 11 ~; /Ie-H on this day personally appeared <br />, of"'iJjL..lcnown to me to be the person whose name is subscribed to the <br />foregoing' and aclaxlwledged to me that he/she executed the same for the purposes and <br />consideration therein expressed. <br /> <br />Given under my hand and seal of office ~~ day of , 2O~. <br />(SEAL) <br /> <br /> <br />MARTHA GILLETT <br />My Commission Expires <br />August 31. -2013 <br /> <br /> <br />--- -- -- ~.,...~" .. <br />