Professional Documents
Culture Documents
Describe ail beneficial interests in real property held or acquired by you, your spouse, or a dependent chiid during the '
calendar year, if the interest was sold, also indicate the category of the amount of the net gain or loss realized from the sale.
For an explanation of "beneficial interest" and other specific directions for completing this section, see FORM PFS-- '
INSTRUCTION GUIDE.
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 Cover Sheet.
1 1
1
HELD OR ACQUIRED BY Qf FILER U/SPOUSE D DEPENDENT CHILD
2 //ft,) r/ •£? STREET ADDRESS. INCLUDING CITY. COUNTY AMD STATE
STREET ADDRESS
Q~] NOT AVAILABLE
**"f rf?s/rci/j00r
f j CHECK IF FILER'S HOME ADDRESS
NUMBER OF LOTS OR ACRES AND NAME OF COUNTY 'AhERE LOCATED
3
DESCRIPTION
D LCTS
4
NAMES OF PERSONS
RETAINING AN INTEREST
l~i NOTAPPLICABLE ^?A-&fy/ <&?*'
5
IF SO^-D
0NflT GAIN D LESS THAN $5,000 Q $5,000-49,999 D $10,000-524.999 CS-S2§/X)0--OR MORE
Lj NET LOSS
NAMES OF PERSONS
RETAINING AN INTEREST
! ~ NOTAPPLICABLE
•SEVERED MINERAL INTEREST)
IF SOLD
NET GAIN _ LESS THAN 55,000 21 S; OOC-B9,999 C 510,000-324 039 "~ J25.0CO-CR .MORE
~ NET LOSS
Describe ail beneficial interests in real property held or acquired by you. your spouse, or a dependent child during the
calendar year. If the interest was sold, also indicate the category of the amount of the net gain or loss realized from the sale.
For an explanation of "beneficial interest" and other specific directions for completing this section, see FORM PFS-
1
INSTRUCTION GUIDE.
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 Cover Sheet.
G ACRES
NAMES OF PERSONS
RETAINING AN INTEREST
LJ NOT APPLICABLE
.SEVERED MINERAL INTEREST)
IF SOLD
r] NET GAIN Q LESS THAN S5,OCO D $5.000--S9,999 U $10.000--S24,999 i_J 325,000-OR MORE
Q MET LOSS
NAMES OF PERSONS
RETAINING AN INTEREST
~ NOT APPLICABLE
SEVERED MINERAL INTEREST
IF SOLD
MET GAIN _ LESS THAN 55,000 _ 55.CCO-S9 3S9 _ 310.00C-S24.099 . S25.0CO-OR MORE i
Describe all beneficial interests in real property held or acquired by you, your spouse, or a dependent child during the
calendar year. If the interest was sold, also indicate the category of the amount of the net gain or loss realized from the sale.
For an explanation of "beneficial interest" and other specific directions for completing this section, see FORM PFS-
INSTRUCTION GUIDE.
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 Cover Sheet.
1
HELD OR ACQUIRED BY r5*tflER ''-"SPOUSE I • DEPENDENT CHILD
STf
I 2 STREET ADDRESS X2- _/ *EET ADDRESS, INCLUCINGCITY, COUNTY ANO STATE
/£03 S^i&'Su/^.
fjj NOTAVAILABLE
fjj CHECK IF FILER'S HOME ADDRESS Jt/,t.J.-S* /*//ff /*
NUMBER OF LCTS OR ACRES AND NAME OF COUNTY WHERE LOCATED
3
DESCRIPTION
///?<?// sk^/j/ /SJ^' tr/s^S*0
Q LOTS
/Jt//&Lb Sj^fy-)
LJ ACRES
4
NAMES OF PERSONS
Jfet/*/ / ' ^7^ ' &/^
RETAINING AN INTEREST
f~i NOT APPLICABLE
(SEVERED MINERAL INTEREST)
5
IF SOLD
fj NET GAIN Q LESS THAN $5. 000 Q $5,COO--$9,999 Q $10.000-424,999 D S25.000-ORMORE
[j NET LOSS
NAMES OF PERSONS
RETAINING AN INTEREST
~ MOT APPLICABLE
•SEVERED MINERAL INTEREST)
IF SOLD
J MET GAIN •U LESS THAN 55,000 __ S5.CCC--39.S99 'Z $10, 000-32-4 099 1 325.0CO-OR MORE
j NOTAPPLICABLE
Describe all beneficial interests in real property held or acquired by you, your spouse, or a dependent child during the
calendar year. If the interest was sold, also indicate the category of the amount of the net gain or loss realized from the sale.
For an explanation of "beneficial interest" and other specific directions for completing this section, see FORM PFS-
INSTRUCTION GUIDE.
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 Cover Sheet.
1
HELD OR ACQUIRED BY U/FILER [ZTspousE Q DEPENDENT CHILD
G ACRES
22
4
NAMES OF PERSONS
RETAINING AN INTEREST
G NOTAPPLICABLE
(SEVERED MINERAL INTEREST)
5
IF SOLD
G NET GAIN Q LESS THAN $5,000 G $5,000-59 999 G $10,000-$24,999 Q $25,000-OR MORE
G NET LOSS
G ACRES
NAMES OF PERSONS / ./ J
RETAINING AN INTEREST
G NOTAPPLICABLE
(SEVERED MINERAL INTEREST)
IF SOLD
G NET GAIN Q LESS THAN I5.COO Q $5,COO--$9.999 C $10,000-$24,999 Q $25,OQO-OR MORE
G NET LOSS
Q/NiQTAPPLICABlE
I Describe all beneficial interests in business entities held or acquired by you, your spouse, or a dependent child during the
calendar year. If the interest was sold, also indicate the category of the amount of the net gain or loss realized from the sale.
For an explanation of "beneficial interest" and other specific directions for completing this section, see FORM PFS--
INSTRUCTION GUIDE.
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 Cover Sheet.
3
IF SOLD
D LESS THAN $5,000 D $5,000-49,999 Q $10,000-$24,999 G $25,000--OR MORE
D NET GAIN
Q NET LOSS
IF SOLD
D LESS THAN $5,000 D $5,000--$9,999 Q $10,000--$24,999 D $25,000--OR MORE
D NET GAIN
G NET LOSS
I , . . _ _
|
I
IF SOLD
G LESS THAN 55,000 Q 55,000-$9,999 G $10,000-524,999 G $25,OCO-OR MORE
G NET GAIN
U NET LOSS
GIFTS PARTS
NOT APPLICABLE
Identify any person or organization that has given a gift worth more than $250 to you, your spouse, or a dependent child, and
describe the gift. The description of a gift of cash or a cash equivalent, such as a negotiable instrument or gift certificate, must
include a statement of the value of the gift. Do not include: 1) expenditures required to be reported by a person required to be
registered as a lobbyist under chapter 305 of the Government Code; 2) political contributions reported as required by law; or
3) gifts given by a person related to the recipient within the second degree by consanguinity or affinity. For more information,
see FORM PFS-INSTRUCTION GUIDE.
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 Cover Sheet.
NAME AND AC DRESS
1
DONOR
2
RECIPIENT D FILER D SPOUSE G DEPENDENT CHILD
3
DESCRIPTION OF GIFT
DESCRIPTION OF GIFT •
DESCRIPTION OF GIFT
NOTAPPLICABLE
i Identify each source of income received by you, your spouse, or a dependent child as beneficiary of a trust and indicate the
j category of the amount of income received. Also identify each asset of the trust from which the beneficiary received more
I than $500 in income, if the identity of the asset is known. For more information, see FORM PFS--INSTRUCTION GUIDE.
j 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 Cover Sheet.
NAME OF TRUST
SOURCE
9
QCMPPIPIARV f~j FILER G'SPfUSE D DEPENDENT CHILD
3
INCOME D LESS THAN S5.0CO D S5,000--S9,999 G $1 0,000-424,999 G S25.000--OR MORE
4
ASSETS FROM WHICH
OVER $500 WAS RECEIVED
G UNKNOWN
NAME OF TRUST
SOURCE
D UNKNOWN
i
NAME OF TRUST
SOURCE
G UNKNOWN
V] NOTAPPLICABLE
Identify each blind trust that complies with section 572.023(c) of the Government Code. See FORM PFS-INSTRUCTION
GUIDE.
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 Cover Sheet.
1
NAME OF TRUST
NAME AND ADDRESS
2
TRUSTEE
3
BENEFICIARY
D FILER D SPOUSE Q DEPENDENT CHILD
4
FAIR MARKET VALUE
D LESS THAN $5,000 D $5,000--$9,999 Q $10,000-524,999 D S25.000-OR MORE
5
DATE CREATED
NAME OF TRUST
BENEFICIARY
D FILER D SPOUSE D DEPENDENT CHILD
DATE CREATED
NAME OF TRUST
BENEFICIARY
D FILER G SPOUSE G DEPENDENT CHILD
DATE CREATED
n NOTAPPLICABLE
Describe all assets of each corporation, firm, partnership, limited partnership, limited liability partnership, professional
corporation, professional association, joint venture, or other business association in which you, your spouse, or a depen-
dent child held, acquired, or sold 50 percent or more of the outstanding ownership and indicate the category of the amount
of the assets. For more information, see FORM PFS-INSTRUCTION GUIDE.
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 Cover Sheet.
1
^ NAME AND ADDRESS
BUSINESS _^-/ s) j j f^flcheck If Filer's Home Address)
ASSOCIATION
MOT APPLICABLE
Describe all liabilities of each corporation, firm, partnership, limited partnership, limited liability partnership, professional
corporation, professional association, joint venture, or other business association in which you, your spouse, or a depen-
dent child held, acquired, or sold 50 percent or more of the outstanding ownership and indicate the category of the amount
of the assets. For more information, see FORM PFS-INSTRUCTION GUIDE.
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 Cover Sheet.
NAME AND AOOSESS
BUSINESS eck If Filer's Home Address)
ASSOCIATION
f'fe
2
BUSINESS TYPE
I . _—
3
I HELD,ACQUIRED, D FILER SPOUSE D DEPENDENT CHILD
OR SOLD BY
DESCRIPTION CATEGORY
LIABILITIES
Q LESS THAN $5,000 G $5.000-49,999
List all boards of directors of which you, your spouse, or a dependent child are a member and all executive positions you,
your spouse, or a dependent child hold in corporations, firms, partnerships, limited partnerships, limited liability partner-
ships, professional corporal ons, professional associations, joint ventures, other business associations, or proprietorships,
stating the name of the organization and the position held. For more information, see FORM PFS--INSTRUCTION GUIDE.
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 Cover Sheet.
ORGANIZATION
/y*//? T^uSs) /7^> 4/7 ^?// 4-srSsr
2
POSITION HELD
$?oso/ fr?s* ^s/-
3
POSITION HELD BY Q^ILeR D SPOUSE D DEPENDENT CHILD
ORGANIZATION
(///?,/<?£/ ^<?y
POSITION HELD
fa/*/ /?2"*£sS
POSITION HELD BY D FILER 3SPOUSE Q DEPENDENT CHILD
ORGANIZATION
LSs/h?/? WWA/C? / /P^srg^
<r
POSITION HELD
/&?/£/ ^"1 ^^
ORGANIZATION
& fftl/i'ds LJ^rits'T, hf ffofrftfft /"Vcsrsitf/C,/?-^
fccefr i*lM&\ &*t»>7r*'e
POSITION HELD
Aase/ ^^^
POSITION HELD BY D FILER 0SPOUSE D DEPENDENT CHILD
ORGANIZATION
POSITION HELD
Re.sed 12/01/2008
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-3506
I Identify any person who provided you with necessary transportation, meals, or lodging, as permitted under section 36.07(b)
i of the Penal Code, in connection with a conference or similar event in which you rendered services, such as addressing an
: audience or participating in a seminar, that were more than perfunctory. Also provide the amount of the expenditures on
transportation, meals, or lodging. You are not required to include items you have already reported as political contributions
on a campaign finance report, or expenditures required to be reported by a lobbyist under the lobby law (chapter 305 of the
i Government Code). For more information, see FORM PFS--INSTRUCTION GUIDE.
•'
1 NAME AND ADDRESS
PROVIDER
2
AMOUNT
AMOUNT
AMOUNT
AMOUNT
Identify each corporation, firm, partnership, limited partnership, limited liability partnership, professional corporation, profes-
sional association, joint venture, or other business association, other than a publicly-held corporation, in which you, your
spouse, or a dependent child, and a person registered as a lobbyist under chapter 305 of the Government Code that both have
an interest. For more information, see FORM PFS--INSTRUCTION GUIDE.
NAME AND ADDRESS
1
BUSINESS ENTITY
2
INTEREST HELD BY D FILER D SPOUSE D DEPENDENT CHILD
^^ -.- . . —
Report any fee you received for providing services to or on behalf of a person required to be registered as a lobbyist under
chapter 305 of the Government Code, or for providing services to or on behalf of a person you actually know directly compen-
sates or reimburses a person required to be registered as a lobbyist. Report the name of each person or entity for which the
services were provided, and indicate the category of the amount of each fee. For more information, see FORM PFS-
INSTRUCTION GUIDE.
1
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
2
FEE CATEGORY D LESS THAN $5,000 D S5.000--S9.999 Q $10,000-$24.999 O S25.000--OR MORE
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
I
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
This section applies only to members of the Texas Legislature. A member of the Texas Legislature who represents a person
for compensation before a state agency in the executive branch must provide the name of the agency, the
name of the person represented, and the category of the amount of the fee received for the representation. For more
information, see FORM PFS--INSTRUCTION GUIDE.
Note: Beginning September 1, 2003, legislators may not, for compensation, represent another person before a state
agency in the executive branch. The prohibition does not apply if: (1 ) the representation is pursuant to an attorney/client
relationship in a criminal law matter; (2) the representation involves the filing of documents that involve only ministerial acts
on the part of the agency; or (3) the representation is in regard to a matter for which the legislator was hired before
September 1,2003.
1
STATE AGENCY
PERSON REPRESENTED
[3
FEE CATEGORY D LESS THAN $5,000 D $5,000--S9,999 O $1 0,000-524,999 Q S25.000--OR MORE
STATE AGENCY
PERSON REPRESENTED
STATE AGENCY
PERSON REPRESENTED
STATE AGENCY
PERSON REPRESENTED
Revised 12/01/2003
Texas Ethics Commission P.O. Sox 12070 Austin, Texas 78711-2070 (512)463-5300 1-800-325-8506
Section 36.10 of the Penal Code provides that the gift prohibitions set out in section 36.08 of the Penal Code do not apply
to a benefit derived from a function in honor or appreciation of a public servant required to file a statement under chapter 572
of the Government Code or title 15 of the Election Code if the benefit and the source of any benefit over 550 in value are: 1)
reported in the statement and 2) the benefit is used solely to defray expenses that accrue in the performance of duties or
activities in connection with the office which are nonreimbursable by the state or a political subdivision. If such a benefit is
received and is not reported by the public servant under title 15 of the Election Code, the benefit is reportable here. For more
information, see FORM PFS-INSTRUCTION GUIDE.
NAME AND ADDRESS
SOURCE OF BENEFIT
BENEFIT
BENEFIT
BENEFIT
BENEFIT
0 iNOT APPLICABLE
Identify any legislative continuance that you have applied for or obtained under section 30.003 of the Civil Practice
and Remedies Code, or under another law or rule that requires or permits a court to grant continuances on the
grounds that an attorney for a party is a member or member-elect of the legislature.
1
NAME OF PARTY
REPRESENTED
2
DATE RETAINED
3
STYLE, CAUSE NUMBER,
COURT & JURISDICTION
4
DATE OF CONTINUANCE
APPLICATION
5
WAS CONTINUANCE
GRANTED? n YES n NO
r^^^^^^T^ ^^~^^^^^^ - ~~ - ~- —
NAME OF PARTY
REPRESENTED
DATE RETAINED
DATE OF CONTINUANCE
APPLICATION
WAS CONTINUANCE
GRANTED? n YES n NO
Revises 12/ot'20G8
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506
I The law requires the personal financial statement to be verified The verification page must have the signature of the
I individual required to file the personal financial statement, as well as the signature and stamp or seal of office of a notary
! public or other person authorized by law to administer oaths and affirmations. Without proper verification, the statement
is not considered filed.
Signature of Filer
COMMISSION EXCIWl:
Sworn to and subscribed before me, by the said iMMj^Khis the _ J. day of
y ' I f\ i (/ '_ , 20 U , to certify which, witness my hand and seal of office.