HomeMy WebLinkAboutConflict of Interest 01.09.2024 Schroeder, JoshuaLOCAL GOVERNMENT CODE CHAPTER 171 CONFLICT OF INTEREST AFFIDAVIT
Council / Board / Commission:
Meeting Date:
Agenda Item Number:
. 'Lbo \J . 6+A_ 51rre:a1_k__
STATE OF TEXAS
COUNTY OF WILLIAMSON
I, , am a member of the (City Council, City Board,
Committee or Commission) of the City of Georgetown, and I hereby make 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: nULd &► M , -i,PW p. C-
I and/or person(s) related to me have a substantial interest in a business entity that ould 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 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 ahstain from all participation,
discussion and voting involving the matter identified in the above -referenced agenda item whatsoev
Further, Affiant sayeth not."
Printed Name:
Affiant's Signature
Date: so ZLA
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 9+111\6ay o#"5� Zpr=4.
Notary PulUic in and for the Late of Texas
ROBYN LOUISE DENSMORE County of Williamson
Notary ID #125657056
�� *t My Commission Expires
Qv April 15, 2026
A COPY OF THIS AFFIDA VIT MUST ALSO 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
Council / Board / Commission:1
Meeting Date:
Agenda Item Number: 4, , [� - u tz-t
V,;0 vi
STATE OF TEXAS
COUNTY OF WILLIAMSON
I, �0 1 �1�W-LaLeC , am a member of the (C's Councill City Board,
Committee or Commission) of the City of Georgetown, and I hereby make this affidavit and on my oath state e- a of wing:
"I have a conflict of interest pursuant to Chapter 2.20 in the above -referenced agenda matter for the following reason(s):
(71ie
II that are applicable)
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 affirmp$t I w I abstain from all participation,
discussion and voting involving the matter identified in the above -referenced agenda item yf atsoev
Further, Affiant sayeth not."
Printed Name:
Affiant's
101 M, MAN
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 , 2,604 .
or Pud' ROBYN LOUISE DENSMORE Notary Pu a in and for the State of Texas
r n Notary ID #125657056
Y N My Commission Expires County of Williamson
April 15, 2026
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: c ',
Meeting Date:
Agenda Item Number: i q Z3 - Z `Z-
STATE OF TEXAS
COUNTY OF WILLIAMSON
I, .,,)O&IA !�L-�eCAd , am a member of the _ (City yCouncil, City Board,
Committee or Commission) of the City of Georgetown, and I hereby make this affidavit in accordance wit theh provisions of Chapter
171 of the Texas Local Government Code, and hereby on my oath state the following,
A. Business Entity Name of Entity: U C
I and/or person(s) related to me have a substantial interest in a business entity JWould 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.
V/ 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."
Print&
Affiam
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.
h
SWORN TO AND SUBSCRIBED Before me on this day of S@6 -ZOZ.
{}xr va ROBYN l.OUISE DENSMORE
Notary ID #1256 77056
My Commission Expires
April 15, 2026pa
7f,-94� 9�_u�
No'ta—TywPublikAn and for the State o Texas
County of Williamson
A COPY OF THIS AFFIDAVIT MUST ALSO 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
Council /Board /Commission:
Meeting Date: °t
Agenda Item Number: J`' • Zwl Rg dlAg Zo- 3 -14 — ef-Z
STATE OF TEXAS
COUNTY OF WILLIAMSON
am a member of the (01Y CQ1.111-61City 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 2.20 in the above -referenced agenda matter for the following reason(s):
(check all that are applicable)
JThe 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."
Print&
Affiam
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, r��_, .
ROBYN LOUISE DENSMORE otary Ptl iG In and for t e State Of Texas
i Notary ID #125657056 County of Williamson
+� * My Commission Expires
''FaF April 15, 2026
A COPY OF THIS AFFIDAVIT MUST ALSO BE SENT TO THE CITY SECRETARY FOR THE CITY OF GEORGETOWN.
Chapter 2.20 Conflict of Interest Affidavit Revised 9.11.2023