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HomeMy WebLinkAboutSchroeder_Josh - Council 11.09.2021 COISTATE OF TEXAS COUNTY OF WILLIAMSON CONFLICT OF INTEREST AFFIDAVIT 1, and/or a person or business entity whose interest is imputed to me under Chapter 171 of the Local Government Code and/or Chapter 2.20 of the City of Georgetown Code of Ordinances, have a "substantial interest" in a business entity or in real property (as defined by Chapter 171 of the Texas Local Government Code and Sec. 2.20.020.M of the City of Georgetown Code of Ordinances) and/or an "economic interest" (as defined in Sec. 2.20.020.E of the City of Georgetown Code of Ordinances) in the matter that is identified and described on the above -referenced agenda item. "I 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 tome in the first or second degree have an ownership of 10% or more of the voting stock or shares of the business entity or have an ownership of 10% or more of the fair market value of the business entity. 1 or a person related to me in the first or second degree have an ownership of $15,000 or more of the fair market value of the business entity. 1 or a person related to me in the first or second degree received funds from the business entity in excess of 10% of my/his/her gross income for the previous year. I or a person related to me in the first 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 of the City of Georgetown Code of Ordinances have a legal or equitable interest in real or personal property or a fiduciary obligation to such property or contractual right in such 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. C. "Other" For reasons other than those listed above, I have a conflict of interest (Please specify, e.g. Sec. 2.24.170 or other reason) "Upon filing of this affidavit with the recording secretary and/or the City Secretary, I affirrAhat 1 will abstain from all participation, discussion and voting involving the matter identified in the above -referenced agenda item whatsoever. Further, Affiant sayeth not." Affiant's Signature: ar'-7.7-- ROBYN LOUISE DENSMORE My NotaryID * 125657056 PrintedName: pQ Apra 15, 2022 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 if t�AL q N tary Public ' and for the State of Texas County of Williamson THIS AFFIDAVIT SHALL BE KEPT WITH THE OFFICIAL MINUTES OF THIS MEETING. IF AFFIANT HAS CHECKED ANY OF THE ITEMS UNDER SECTION "A" RELATING TO "SUBSTANTIAL INTEREST," A COPY OF THIS AFFIDAVIT MUST ALSO BE SENT TO THE CITY SECRETARY FOR THE CITY OF GEORGETOWN. Conflict of Interest Affidavit Rev. 01 /2021 STATE OF TEXAS COUNTY OF WILLIAMSON Meeting Type and Date _ C ,t Agenda Item No. Agenda Item Topic I, �5Y` I am a member of the -1 P c^ commission) of the City of Geort CONFLICT OF INTEREST AFFIDAVIT gO(,k,nc(&ho✓v "I, and/or a person or business entity whose interest is imputed to me under Chapter 171 of the Local Government Code and/or Chapter 2.20 of the City of Georgetown Code of Ordinances, have a "substantial interest'' in a business entity or in real property (as defined by Chapter 171 of the Texas Local Government Code and Sec. 2.20.020.M of the City of Georgetown Code of Ordinances) and/or an "economic interest" (as defined in Sec. 2.20.020.E of the City of Georgetown Code of Ordinances) in the matter that is identified and described on the above -referenced agenda item. "I 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 tome in the first or second degree have an ownership of 10% or more of the voting stock or shares of the business entity or have an ownership of 10% or more of the fair market value of the business entity. I or a person related to me in the first or second degree have an ownership of $15,000 or more of the fair market value of the business entity. I or a person related to me in the first or second degree received funds from the business entity in excess of 10% of my/his/her gross income for the previous year. I or a person related to me in the first 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 of the City of Georgetown Code of Ordinances have a legal or equitable interest in real or personal property or a fiduciary obligation to such property or contractual right in such 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. C. "Other" For reasons other than those listed above, I have a conflict of interest (Please specify, e.g. Sec. 2.24.170 or other reason) "Upon filing of this affidavit with the recording secretary and/or the City Secretary, I affirm at I will abstain from all participation, discussion and voting involving the matter identified in the above -referenced agenda item whatsoever. / Further, Affiant sayeth not." Affiant's Signature: ROBYN LOUISE DENSMORE Printed Name:ro My Notary ID # 1256,°7056 Date: i :l Expires Agri! 15, 2022 .t. BEF a undersigned aut ority, 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. / 21 SWORN TO AND SUBSCRIBED before me on this day of j� ;ti { 20g. Z,,"v — 1 �, Notary P lic in and for the State of Texas County of Williamson THIS AFFIDAVIT SHALL BE KEPT WITH THE OFFICIAL MINUTES OF THIS MEETING. IF AFFIANT HAS CHECKED ANY OF THE ITEMS UNDER SECTION "A" RELATING TO "SUBSTANTIAL INTEREST," A COPY OF THIS AFFIDAVIT MUST ALSO BE SENT TO THE CITY SECRETARY FOR THE CITY OF GEORGETOWN. Conflict of Interest Affidavit Rev. 01 /2021