Laserfiche WebLink
CONFLICT OF INTEREST AFFIDAVIT <br /> THE STATE OF TEXAS $ <br /> COUNTY OF HARRIS § <br /> I, 6 k V Ui EA1 , G LKd✓ as a member of the City of La Porte CQ+vv't i /it iA <br /> , make this 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 /> Govt Code, and a vote is to be taken or a decision is to be made that will have a special <br /> economic effect on this business entity or real property. <br /> Tae agenda item on C� b4.40#0y, t¢ 20 1 r , affecting this business entity or real <br /> property is: 14 a .1'1 1 g C4.) ---- Ceiv-f -dve deyer/tyy <br /> COMPLETE (A) OR (B): (A) The business entity is (! e,M , e 2 ?o ff �,�ve+*tf (name); or <br /> (B) The real property is located at: <br /> I have a substantial interest for the following reasons: (check all which are applicable) <br /> Ownership of 10% or more of the voting stock or shares of the business entity. <br /> Ownership of 10% or more or $15,000 or more of the fair market value of the <br /> business entity. <br /> ✓ Funds received from the business entity exceed 10% of gross income for the <br /> previous year. <br /> Real property is involved atxt I have an equitable or legal ownership of the <br /> property with a fair market value of at least $2,500. <br /> A relative of mine has a substantial interest in the business entity or real <br /> property that would be affected by a decision of the public body of which I <br /> am a member. <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 /> Singed this 19 day of Ig/3R_ ' ,Ly L 20 /o . <br /> E. . 4.,..„,64,..A,. <br /> .' Signature of Official <br /> THE STATE OF TEXAS § <br /> COUNTY OF HARRIS $ <br /> 13e re me 'C,QRjQr on this day personally appeared <br /> ( . 9� /<c„ known to me to be the person whose name is subscrlbed to the <br /> foregoing instrument and acknowledged to me that he/she executed the same for the purposes and <br /> consideration therein expressed. <br /> Given under my hand and seal of office this f day of j-. <br /> ( ) - <br /> ;�.W"." C TQGART <br /> .21.... / •r r r <br /> l i <br /> = Notary Publi , State of <br /> '' ' i * ti My Com Expires Y Texas i <br /> atary Public in : , a /the Sta •. fins :. December 2E, 2013 <br />