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HomeMy WebLinkAboutAlphonso, MarkCity of Colleyville Financial Disdosure and Business ConFlict of Interest Forms PERSONAL FINANCIAL STATEMENY AFFIDAVIT Financial Disclosure and Business Conflict of Interest Forms shall be provided by candidates for Mayor and City Council and by applicants seeking appointments to the Planning and Zoning Commission or the Zoning Board of Adjustment, and shall file such forms within two (2) business days following the end of the candidate Fling period, or if for appointment, within (2) business day following the end of the application period stated in the official City advertisement for application for the position. The city manager and the city manager's senior staff inembers (including any staff member who is appointed with City Council approval) shail also file the same within thirty (30) days of hiring. All person(s), as outiined above, shall have a duty to file supplemental disclosures annually and within five (5) business days of an occurrence of any change in the information reflected in the forms previously filed by the individual. Before I, me, the undersigned authority, personally appeared: ��ar I� ,��'�� �ns,+ 1��Q�__ ��_ who, after being duly sworn upon their oath and deposed and stated as follows: Mark Alphonso "My name is and I hereby submit for filing the attached Financial Disclosure and Business Conflict of Interest forms. I have personal knowledge of all information contained in said forms and all information contained in the forms is true and correct." "Further, all information contained in the forms is c that has been withheld or not disclosed which is disclosed by the forms." ,�/' � .�, There is no information = to or required to be Sworn to and subscribed before me, this the �� day of %�:��^ HEFIBERTOALMARAZ Notary ID N132122665 ��+ My Commissian Explres Auqust 8. 2 ..... Nota INITIAL HERE: Sep¢c �� h-r� CE Of DATE: 20?' City of Colleyville Financial Disclosure and Business Conflict of Interest Forms INFORMATION STATEMENT TOTAL NUMBER OF PAGES FILED: OFFICE USE ONLY 1 NAME First, MI Date Received Mark , Isidore Last, Suffix Alphonso ZADDRESS Address/City/state/Zip 5104 Old Oak Ln. Colleyville, Texas 76034 3 TELEPHONE Area Code, Phone Number, Extension NUMBER 214-929-6446 ° REASON 0 EMPLOYEE (CIN MANAGER OR *SENIOR STAFF) FOR PILING � CANDIDATE (INDICATE oFFice> STATEMENT 0 ELECTED OFFICIAL grvoicnre aFFice� m ZONING BOARD OF AD]USTMENT�naPucaNroanavoiNree>applicant m PLANNING & ZONING COMMISSION cAPP�«NTORAPPo,NTEE> applicant �Two (2) business days following the end of the candidate filing period or if appointment, following the end of the application period stated in the official city advertisement for the position. � Supplemental disclosure filed annually and within five (5) business days of an occurrence in previously filed form. *SENIOR STAFF is defined as those employees who are classified as directors and above in the City's classification system and the City Manager and City Secretary. s SPOUSE NAME Dr. Helene M. Alphonso DEPENDENT 1. AlexanderAlphonso CHILD/CHILDREN Z Mia Alphonso NAME(S) 3. 4. COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY INITIAL HERE: r� DATE: 9�8/207c! City of Colleyville Financial Disclosure and Business Conflict of Interest Forms INTERESTS IN REAL PROPERTY Section 1 Describe the location, size, and current use of all property owned within the included map, or held in trust by the filer, spouse, and any dependent minor children, or any business entity in which the person has a financial interest. When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which the child is listed on the Information Statement. HELD OR ACQUIRED BY FILER SPOUSE DEPENDENT CHILD # Z DESCRIPTION 1 Fort Worth Lot City 1 Tarrant Block County NOAHS at F� Subdivision O Ad Valorum Tax Account Number 2.57 acre; 41728181 Acre(s) and Tract � STREET ADDRESS STREET ADDRESS, INCLUDING CITY, COUNTY, AND STATE 4301 Walnut Creek Dr. Fort Worth Texas Tarrant County 4 NAME LIST THE NAMES AND ADDRESSES OF OTHER PERSONS OR BUSINESS ENTITIES WHICH OWN AN INTEREST IN THE REAL PROPERTY Dalmore Event Venue LLC � INDIVIDUAL Century Hall LLC (both at 5104 Old Oak Ln. Colleyville � BUSINESS Texasl � 1 HELD OR ACQUIRED BY FILER SPOUSE DEPENDENT CHILD # ZDESCRIPTION 6R-1 Colleyville Lot City 1 Tarrant Block County Winding cree Subdivision 0 Ad Valorum Tax Account Number 2.33 acre: 42439076 Acre(s) and Tract O 3 STREET ADDRESS STREET ADDRESS, INCLUDING CITY, COUNTY, AND STATE 6504 Colleyville Blvd. Colleyville Texas 76034 Tarrant County ° NAME LIST THE NAMES AND ADDRESSES OF OTHER PERSONS OR BUSINESS ENTITIES WHICH OWN AN INTEREST IN THE REAL PROPERTY JAMZ AVB Holdings LLC D INDIVIDUAL Monclair Operating LLC (both at 7135 suite 102, Coleyville Q BUSINESS Bivd, Colleyville Texas) COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY ❑ NOT APPLICABLE INITIAL HERE: 1_ 1� DATE: 9�19�22 City of Colleyville Financial Disclosure and Business Conflict of Interest Forms FEE, SALARY, OR GIFT Section 2 The name and address of any person or corporation which currently has or during the precedin9 twelve (12) months has had a direct or indirect contractual relationship with the City and from which the person(s), their spouse, or dependent minor children have received a fee, salary, or gift of value exceeding one hundred dollars ($100.00). When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which the child is listed on the Information Statement. 1 RECIPIENT 0 FILER OSPOUSE �DEPENDENT CHILD #_ ZFEE, SALARY, GIFT NAME AND ADDRESS 3 DESCRIPTION OF FEE, SALARY, GIFT 1 RECIPIENT OFILER OSPOUSE �DEPENDENT CHILD #_ 2 FEE, SALARY, GIFT NAME AND ADDRESS DESCRIPTION OF FEE, SALARY, GIFT 1 RECIPIENT OFILER OSPOUSE �DEPENDENT CHILD #_ Z FEE, SALARY, GIFT NAME AND ADDRESS 3 DESCRIPTION OF FEE, SALARY, GIFT COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY � NOT APPLICABLE INITIAL HERE: � DATE: 9�19�22 City of Colleyville Financial Disclosure and Business Conflict of Interest Forms BUSINESS INTERESTS Section 3 The name and address of any corporation or business, which currently has or in the preceding twelve (12) months has had a direct or indirect contractual relationship with the City, of which person(s), their spouse, or any dependent minor children own more than two percent (2%) of the outstanding equity interest or more than two percent (2%) of the assets. When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which the child is listed on the Information Statement. ' HELD OR ACQUIRED BY OFILER �SPOUSE ODEPENDENT CHILD #_ Z DESCRIPTION NAME AND ADDRESS 3 NATURE OF BUSINESS 1 HELD OR ACQUIRED BY OFILER OSPOUSE ODEPENDENT CHILD #_ Z DESCRIPTION NAME AND ADDRESS 3 NATURE OF BUSINESS 1 HELD OR ACQUIRED BY �FILER OSPOUSE ODEPENDENT CHILD #_ ZDESCRIPTION NAMEAND ADDRESS 3 NATURE OF BUSINESS COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY � NOT APPLICABLE INITIAL HERE: � DATE: 9��9�22 Financial Disclosure and Business Conflict of Interest Disclosure Area Map The map includes Tarrant, Denton, and Dallas Counties. N C�Ty � W�E �. COLLEYVILLE S