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MIN JUN 28 2005 (2) ABSTENTION AFFIDAVIT THE STATE OF TEXAS § COUNTY OF JEFFERSON § i, G wo Goocksm , as a member of the Council (City Council, commission,or board)make this affidavit and hereby on oath state the ollowing: I, and/or a person or persons related to me, have a substantial interest in a business entity that would be peculiarly affected by a vote or decision of the Cif C,nune'A (city council, commission, or board) as those terms are defined in V.T.C.A., Local Government Code, §171.002. c�.d � The business entity is: L (Name) (Address) ("I," or name of relative and relationship) have/has a substantial interest in this business entity for the following reasons: (check all of which are applicable.) Ownership of 10 percent or more of the voting stock or shares of the business entity. Ownership of either 10 percent or more or $5,000 or more of the fair market value of the business entity. Funds received from the business entity exceed 10 percent of (my, her, his) gross income for the previous year. Real property is involved, and (I, he, she) have an interest which is an equitable or legal ownership with a fair market value of at least $2,500. A relative of mine, within the first or second degree by blood or marriage, 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 filing of this affidavit with the City Clerk, I affirm that I will abstain from voting on any decision involving this business entity and from any further participation on this matter whatsoever. Signed this the day of �t, 1v� , 20 : Can g� Oft Signature of official my`'— August 12."07, Title BEFORE ME, the undersigned authority, on this day personally appeared (�(A)/ CsC�OC�SO/� and on oath stated that the facts hereinabove stated are true to the best of hislifer knowledge or belief. SWORN to and subscribed before me on this the At day of -;Sune , 2005-- IANM 'tary P j,a of Texas ssion Expires: Notary Public in an or the State of Texas August 12,2M