HomeMy WebLinkAboutAffidavit-City Council-Lindamood-10/04/2023STATE OF TEXAS:
COUNTY OF TARRANT:
AFFIDAVIT
The undersigned, as a member of the City of Colleyville (name of board or commission)
rl+v =eil makes this Affidavit relative to
item nLhnber on the Octahey 4 dda3 agenda dated the
"k day of 20��, and hereby on oath states the following:
I, and/or a person or persons related to
below names business entity, that would
(name of board or commission)
terms are defined in Section 171.001, c.
me, have a substantial interest in my own business, or in the
be peculiarly affected by a vote or decision of the Colleyville
!OUV1Li I as those
seq., Texas
The business entity is (name) J 7 C S "1ltnndi+io/L located at
(address)
•DPWbOWA 0, house✓ on 'phis prc�po, }}yy
1, and/or such relative or relatives have a substantial interest in this business entity for the following
reasons: (Check all which are applicable.)
() Own 10% or more of the voting stock or shares of the business entity or of the fair market
value of the business entity. The business entity is likely to receive an economic benefit if a
title insurance policy is issued on the property in the above entitled case.
() Own $5,000 or more of the fair market value of the business entity.
() Funds received from the business entity exceed 10% of my and/or such relative's or
relatives' income for the previous year.
() Real property is involved and I, and/or my relative or relatives have an equitable or legal
ownership with a fair market value of at least $2,500.
() A relative of mine has a substantial interest in the business entity or property that would be
affected by a decision of the public body of which I am a member.
Upon the filing of this Affidavit with the City Secretary of the City of Colleyville, I affirm that I will abstain
from voting on any decision involving this business entity and from any further participation on this
whatsoever.
SIGNEQ this G4kday o 20 oi3 .
Signature of Official
-Rauh✓
Title
BE ORE MEsy the undersigned authority, this day personally appeared
by UAtQVVt6 I , , and on oath stated that the facts hereinabove
stated ard true to the best of his/her knowledge or belief.
Sworn to and subscribed to before me on this Gkk day of 0C}0b4ar 20 Ot&
ANGELALARSON Not— wand for the State of Texas
a. ,-`
My Notary ID # 133961970
'4.',Y;vo Expires September15,2026 My Commission Expires: 5e Kwb1z 15, aoac,