HomeMy WebLinkAboutConflict of Interest 03.27.2024 Hood, ShawnLOCAL GOVERNMENT CODE CHAPTER 171 CONFLICT OF INTEREST AFFIDAVIT
Council / Board / Commission: Ci (il
Meeting Date: Hjuc,,,�, t -Z
Agenda Item Number: pjV j� CND —
STATE OF TEXAS S,-6oL%4 %d1ov� Qn. A � •p�p�
COUNTY OF WILLIAMSON
1, , am a member of the i Counci City Board,
Committee or Commission) of the City of Georgetown, and I hereby make this affidavit in accordance with the provisions of Chapter
171 of the Texas Local Government Code, and hereby on my oath state the following:
A. Business Entity Name of Entity:y V, �64
I and/or person(s) related to me have a substantial interest in a business entity that would be specially affected economically by the
agenda item listed above. The nature and extent of the interest is:
Ownership of 10 percent or more of the voting stock or shares of the business entity or ownership of $15,000 or
more of the fair market value of the business entity.
Funds received from the business entity exceed 10 percent of gross income for the previous twelve months.
B. zill
perty
and/or person(s) related to me, have an interest in real property that has a fair market value of $2,500 or more,
and it is reasonably foreseeable that the action presently pending will have a special economic effect on the value of
the property, distinguishable from the effect on the public.
"Upon filing of this affidavit with the recording secretary and/or the City Secretary, I affirm that I will abstain from all participation,
discussion and voting involving the matter identified in the above -referenced agenda item whatsoever.
Further, Affiant sayeth not.
Printed Name: Mob &L
ROBYN LOWSE DENSMORE
Notary ID #12565705 AAffiant's Signature:
My Commission Expires
April 15, 2026 Date: Pax cA;eZ&o
BEFORE ME, the undersigned authority, on this day personally appeared the above -named person who on oath stated
that the facts hereinabove stated are true to the best of his/her knowledge or belief.
SWORN TO AND SUBSCRIBED before me on this �day of ,
Notary Pu is in and for the State of Texas
County of Williamson
A COPY OF THIS AFFIDA VIT MUST ALSO BE SENT TO THE CITY SECRETARY FOR THE CITY OF GEORGETOWN.
Chapter 171 Conflict oflnterestAffidavit Revised 9.11.2023