HomeMy WebLinkAboutWebb_Andy - P&Z 04.15.2014 COICouncil/ Board
Agenda
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STATE OF TEXAS
COUNTY OFWILLIIAMSON CONFLICT OF INTEREST AFFIDAVIT
l ) I, �r,�y wfb� ,resideat 103 Vlllnyt PAnk Q, .Iamamamberofthe
�l 2 (City Council, City Board, Committee or Commission) ofthe City ofGeorgetown, and I
hereby make this affidavit and on my oath state the following--
'I,
ollowing:
'7, and/or a person or business entity whose interest is imputed to me under Chapter 171 ofthe Local Government Code and/or
Chapter 2.20 ofthe City ofGeorgetown Code ofOrdinances, have a "substantial interest'ht a business entity or in real property (as
defined by Chapter 171 ofthe Texas Local Government Code and Sec. 2.20.020.M ofthe City ofGeorgetown Code ofOrdinances)
and/or an "economic interest" (as defined in Sec. 2.20.020.E ofthe City ofGeorgetown Code ofOrdinances) in the matter that is
identified and described on the above -referenced agenda item
'4 have a conflict of interest in the above -referenced agenda matter for the following reason(s): (check all that are applicable).
A. "Substantial Interest"
_ I or a person related to me m the fast or second degree have an ownership of 10% or more ofthe voting stock or shares ofthe
business entity
_ I or a person related to me in the fust or second degree haw an ownership of 10% or more ofthe fair market value ofthe
business entity or have an ownership of$15,000 or more ofthe fair market value ofthe business entity.
I or a person related to me in the fast or second degree received funds fromthe business entity in excess of 10% ofu ry/lth/her
gross income for the previous year.
I or a person related to mem the fast or second degree have an equitable or legal ownership or interest in real property with a
fair market value of$2,500 or more.
B. "Economic Interest"
I or a person or entity whose interest is imputed to me under Chapter 2.20 ofthe City ofGeorgetown Code ofOrdinances have
a legal or equitable interest in real or personal property or a fiduciary obligation to such property or contractual right in such
C� property that is more than minimal or insignificant and would be recognized by reasonable persons to have weight in deciding a
case or an issue. A City official may not take any official action that the official knows is likely to affect the substantial
economic interests of
❑ the City official's fandly member or a business entity for which the city official serves as an officer, director, or in a
policy-making position,
❑ a person or business entity from whoM within the past 12 months, the C ity official or official's spouse, directly or
indirectly, has solicited, received and not rejected or accepted an officer ofemploymeM or is engaged in negotiations
pertaining to business opportunities.
C. "Other"
For reasons other than those listed abo/ve, I have a cot of interest (Please specify, e.g. Sec. 2.24.170 or other reason):
)aJJg WIT -4,n 7dlo' /loft 711s(ll rL ra l0!
"Upon filing ofthis affidavit with the recording secretary and/or the City Secretary, I aifrrn that I will abstain from all participation,
discussion and voting involving the matter identified in the above -referenced agenda itemwhatsoever.
Further, Affiant sayethnot "
Printed Name- A nJ W Aw{
Affaries rim M
Date: ISS 14
BEFORE ME, the undersigned authority, on this day personally appeared the above -ranted person who on oath stated that the facts
hereinabove stated are true to the best ofhis/her knowledge or belief
SWORN TO AND SUBSCRIBED before me on this /S dayof r' e2ol y
s`o5"v,4, STEPHANIEMICKANMCNICKLE No licinandforthe fa[eofTe
Notary Public,StataofTexas Co»ntyofWilliamson
MdMy Commission Expires
TWAFFIDAPIIS LNAiM@P-T ITHT ISAEETING. IFAFFIANTHASCHECKEDANYOFTLITEMS UNDER
SECTION"A"RELAT AFFIDAVD'MUSTALSORESENTTO THE CDYSECRETARYFOR THECHYOF
GEORGETOWN. Conflict of Interest Afftdavii Revised Z 19.1011 ❑