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HomeMy WebLinkAboutConflict of Interest 08.13.2024 Schroeder, JoshuaLOCAL GOVERNMENT CODE CHAPTER 171 CONFLICT OF INTEREST AFFIDAVIT Council /Board /Commission: Cd Gt L Meeting Date: L{ Agenda Item Numbe . a. AQce.� 1�� �,,i a rL Sic, • 551 • o`ti t � Co wsu�. l ��-i o � w i-i'►1. 14�fowr� STATE OF TEXAS , L w1, G�sD COUNTY OF WILLIAMSON I, �::5c6k h( (, am a member of the (-cil.l.rlC, ` (City Council, City Board, Committee or Commission) of the City of Georgetown, and I hereby makq t is 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: SnAeA P& " BwA I and/or person(s) related to me have a substantial interest in a business entity that would b 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 $2,50 r more, and it is reasonably foreseeable that the action presently pending will have a special economic effect o 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 discussion and voting involving the matter identified in the above -referenced agenda item wj Further, Affiant sayeth not." Printed Name: Affiant'snS_ign_ature: Date: I I will abstain rom all participation, BEFORE ME, the undersigned authority, on this day personally appeared the above -named person who on oath stated that the facts hereinabove state d are true to the best of his/her knowledge or belief. SWORN TO AND SUBSCRE3ED before me on this J�hay of , %Z4. .►ay °�s ROBYN LOUISE DENSMORE Notary P 1ic in and for a State of Texas _ Notary II) #125657056 County of Williamson �a My Commission Expires Apri 55, 2026 A COPY OF THIS AFFIDA VIT , BUST ALSO BE SENT TO THE CITY SECRETARY FOR THE CITY OF GEORGETOWN. Chapter 171 Conflict of Interest Affidavit Revised 9.11.2023 CHAPTER 2.20 CONFLICT OF INTEREST AFFIDAVIT Council / Board Commission: ( 0_A_ 1G Meeting Date: ♦ 2 Agenda Item Numbe . i0 STATE OF TEXAS -L • CJS� • O-j l CpnLK.I f7i1,� f�1v� W i ilk_ A*r &U ZSCI COUNTY OF WILLIAMSON n I, )CSk ��r�-�,�(./{� , am a member of the (City Council, City Board, Committee or Commission) of the City of Georgetown, and I hereby make thi affidavit and 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 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 ontity from which I receive or my family member receives more than 10% of our gross income in the previous year. The item involves real propery 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 alsc submitted a Chapter 171 Conflict of Interest Affidavit that I�not have a conflict of interest under Chapter 171 of the Local Government Code." "Upon filing of this affidavit with th.- recording secretary and/or the City Secretary, I affiriTy4h I will abstain from acipation, discussion and voting involving the matter identified in the above -referenced agenda item VffiaVcever. Further, Affant sayeth not." Printed Name: Affiant's Date: BEFORE ME, the undersigned authority, on this day personally appeared the above -named person who on oath stated that the facts hereinabove states are true to the best of his/her knowledge or belief. SWORN TO AND SUBSCRIBED before me on this 1�day of 5 , &N. �►�` ���, ROBYN LO JISE DENSMORE = r Notary iD #125657056 Notary P�icinand for the Stat�OfTex�as My Commission Expires County of Williamson Apnl 15, 2026WWWAP A COPY OF THIS AFFIDAVIT MUST ALS O BE SENT TO THE CITY SECRETARY FOR THE CITY OF GEORGETOWN. Chapter 2.20 Conflict of Interest Affu avit Revised 9.11.2023