HomeMy WebLinkAboutConflict of Interest 06.12.2024 Schroeder, JoshuaLOCAL GOVERNMENT CODE CHAPTER 171 CONFLICT OF INTEREST AFFIDAVIT
Council / Board / Commission: O V, �[
Meeting Date: ►
Agenda Item Number: r [� V e,
STATE OF TEXAS
202� - -SwP
COUNTY OF WILLIAMSON
am a member of the (City Council, City Board,
Committee or Commission) of the City of Georgetown, and I here y- this affidavi in accordance with the provisions of Chapter
171 of the Texas Local Government Code, and hereby on my oath state the following:
A. Business Entitv Name of Entity: Jh OD A � 1A d + Z OX'a PL
I and/or person(s) related to me have a substantial interest in a business entity that wou]2Me 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. Real Property
I 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:
Affiant's Signature:
Date:
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 kI' day of7S .
Notary Publ in and for the tate of Texas
tr*Y'�a ROBYN LOUISE DENSMORE County of Williamson
Notary ID #125657056
N }� My Commission Expires
�i ovt¢ April 15, 2026
A COPY OF THIS AFFIDA VIT MUST ALSO BE SENT TO THE CITY SECRETARYFOR THE CITY OF GEORGETOWN.
Chapter 171 Conflict of Interest Affidavit Revised 9.11.2023
CHAPTER 2.20 CONFLICT OF INTEREST AFFIDAVIT
Council / Board / Commission: eor ` DZI\
Meeting Date:
Agenda Item Number: N a — D (.O�1e_
STATE OF TEXAS -zp2 Lk — 3 "Sop
COUNTY OF WILLIAMSON
� t 1
1, �S q9_0L" , am a member of the WN l (City Council, City Board,
Committee or Commission) of the City of Georgetown, and I hereby M-akhItliis affidavit ajo on my oath state the following:
"I have a conflict of interest pursuant to Chapter 2.20 in the above -referenced agenda matter for the following reason(s):
(check l that are applicable)
(check
item involves my outside employer or the outside employer of a member of my family or household.
The item involves a business entity I or my family owns five percent more of a voting stock or share or five thousand
dollars or more of FMV.
The item involves a business entity from which I receive or my family member receives more than 10% of our gross income in
the previous year.
The item involves real property in which I or a family member or member of my household have an equitable interest or legal
ownership.
The item involves a person or business entity from whom I or a member of my family solicited or received and did not reject a
good faith offer of employment within the past six months.
"I further attest that if I have not also submitted a Chapter 171 Conflict of Interest Affidavit that I do not have a conflict of interest under
Chapter 171 of the Local Government Code."
"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 whatsoeypr.
Further, Affiant sayeth not."
Printed Name:
Affiant's Signawe:
Date:
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 l (""—day of,-_S� , 7014.
1
Notary P tic in and for a Late of Texas
=#1250657056
MORE County of Williamson
'r7056pires
A COPYOF THIS AFFIDA VIT MUST ALSO BE SENT TO THE CITY SECRETARYFOR THE CITY OF GEORGETOWN.
C h a p t e r 2. 2 0 Conflict of Interest Affidavit Revised 9.11.2023