HomeMy WebLinkAboutConflict of Interest 06.26.2024 Parr_AmandaCHAPTER 2.20 CONFLICT OF INTEREST AFFIDAVIT
Council / Board / ommission: 1
Meeting Date:
A cnda item Number: 2. ',
. 551.0-1.2 : D eA locroa-Ai about t QcoLaa�r
STATE OF TEXAS - Quo O�nerr� �rm+.�kwe S`r
COUNTY OF WILLIAMSON � r�� SW IM4 a&ot-
I,P_Qj, am a member of the (City Council, City Board,
Committee or Commission) of the City of Georgetown, and I hereby maize t6is affidavit and on i y 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 all that are applicable)
The 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 whatsoever.
Further, Affiant sayeth not." ��
Printed Name:
Affiant's Si nature:
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 day of Ju�+r�p_ ,z6z 14.
ROBYN LOUISE DENSMORE
° Notary ID #125657056 Notary PuKAc in and for the State of Texas
}* My Commission Expires County of Williamson
h or April 15, 1026
A COPY OF THIS AFFIDA VIT MUST ALSO BE SENT TO THE CITY SECRETARYFOR THE CITY OF GEORGETOWN.
Chapter 2.20 Conflict of Interest Affidavit Revised 9.11.2023
LOCAL GOVERNMENT CODE CHAPTER 171 CONFLICT OF INTEREST AFFIDAVIT
Council /Board /Commission:
Meeting Date: X5
Agenda item Number: 2. A FW_u-A-h\X_i byL
615l . p- 2 '. Del : e c A-iov� akoL, A rT
STATE OF TEXAS pr,,� own�� c�u.`h�U ,�tcv+� (;k NoL l0 Aect
COUNTY OF WILLIAMSON C— 8 SW P�j�1� Ck_A �
am a member of the Qpr 1J Cn (City Council, City Board,
Committee or Commission) of the City of Georgetown, and I hereby ma this affidavit ' ccordance 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:521AA�J96[eik Uh i V�
I and/or person(s) related to me have a substantial interest in a business entity that would be spec' y 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: �]L�� �5Il
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 ,�_. , I
R01YN LOUISE DENSMCRE Notary P lic in and for the State of Texas
Notary ID ft125657056 County of Williamson
My Commission Expires
April 15, 2026
A COPY OF THIS AFFIDA VIT MUST ALSO BE SENT TO THE CITY SECRETARY FOR THE CITY OF GEORGETOWN.
Chapter 171 Conflict of Interest Affidavit Revised 9.11.2023