HomeMy WebLinkAboutConflict of Interest 02.27.2025 Pitts. KevinLOCAL GOVERNMENT CODE CHAPTER 171 CONFLICT OF INTEREST AFFIDAVIT
t
cil board/ C�mmission. ....-
I
Date:
Agenda Item Number:
STATE OF TEXAS
COUNTY OF WILLIAMSON
` + I, KWIR � am a member of the t 0 (City Council, City. Board,
Committee or Commission) of the City of Georgetown,' and I hereby miKe 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:4 1 un IL Ct,+t
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 $15000 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. Reap 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: 1'tv,^
Pr5
Affianfs Signature: /,
Date: _ I,% .2 .-
: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 SUBSCRIBER before me on this 49 day of ,
�yywuurrr KAREN FROST
Notary Public in and for the State of Texas'
_° • s'sNotary Public, State of Texas
- • = County of Williamson
Comm. Expires 05-24-2028
Notary ID 10536084
A COPY OF THIS AFFIDA VITMUSTALSO 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
/ RgBoard / Commission:
Meeting Date: ,
Agenda Item Number:
STATE OF TEXAS
COUNTY OF WILLIAMSON
am a member of the `t tN Lm e-(City Council, City Board,
Committee or Commission) of the City of Georgetown, and I hereby make th-K affidavit and on my oath state the following:
"I have a conflict of interest pursuant to Chapter Z20 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 awns 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:.. l% ,,A I
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 +day of
t ,•ap", KAREN FROST Notary Pub] c in an for the Sta e of —as
z` o 0
nENotary Public, State of Texas
Comm. Expires 05-24-2028 County of Williamson
+,1,,10 Notary ID '10636084
A COPY OF THIS AFFI➢AVIT MUSTALSO BE SENT TO THE CITY SECRETARY FOR THE CITY OF GEORGETOWN.
Chapter 2.20 Conflict of'Interest Af davit Revised 9. I L2023
LOCAL GOVERNMENT CODE CHAPTER 171 CONFLICT OF INTEREST AFFIDAVIT
nCoun ` Board / Com fission:
Meeting Date:
Agenda Item Number: -4
STATE OF TEXAS
COUNTY OF WILLIAMSON
I, el�t:16 am a member of the e Gci? tit (City Council, City Board,
Committee or Commission) of the City of Georgetown, and I hereby make4is 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 ofEntity: Mla/)Lk � ,b
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 entityexceed 10 percent of gross income for p g a 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: /4-cviv1 Pr
Affiant's Signature:
Date: Imo%
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 05 day of
FF-
i!!r "_
KAREfQ FROST Notary Iic in and for the State of Texas
=Notary Public. State of TexasCounty of Williamson
+:' Comm, Expires 45 24-2028
o` Notary lD 10536g84
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
CHAPTER 2.20 CONFLICT OF INTEREST AFFIDAVIT
ou / Board / Commission:
Meeting Date:{ 2
Agenda Item Number: .
STATE OF TEXAS
COUNTY OF WILLIAMSON
am a member of the ' .
7 : p (Crty :Council, City Board,
Committee or Commission) of the City of Georgetown, and I hereby— make this affidavit and on my oath state the following:
"I have a conflict of interest pursuant to Chapter Z20 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: 16411A r
y!
Affiant's Signature: /'
Date: / 3F.- 1.10
07-
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
4uuui KAREN`FROST
Not Public in and for the State of Texas
Notary Public, State of Texas �'
Comm. Expires 05-24-2028 County of Williamson
�rmti� Notary 1D 10536084
A COPY OF THISAFFIDAVIT MUSTALSO BE SENT TO THE CITY SECRETARYFOR THE CITY OFGEORGETOWN,
Chapter 2.20 Conflict of Interest;4fdavit Revised 9.11,2023