Professional Documents
Culture Documents
Texas
,xag Ethics Commission
P.O. Box
12070
Austin,Texas 78711-2070
(Tpp 1-800-73s-2989)
(s
FORM
PFS
COVER SHEET
TOTAL NUMBER OF PAGES FILED:
NRue
oFFqE USE
NTLE: FIRSTi MI
(\nrrttrne
NICKNAMEi LAST; SUFFIX
ACCOUNT #
rrt
GIY
a_:
Date Received
Si..qh
ADDRESS
t SI
pne^ Driv e
A..tr,*., -TX '19 t'f \
Q
Dor,\
J'
M ("r="^
3 teLepHoNr
AREA
(9rr
NUMBER
REASON
FOR FILING
STATEMENT
CODE
t8r,-35tI
Receipi
HD /
PM
lAmount
Dale Processed
Date lmaged
cRr.rotoRre
(rNDrcATE OFFTCE)
elecreo
0NDTcATE OFFTCE)
fl
npporrureD oFFrcER
oFFrcER
n execurvE
HEAD
f}
srnre
PARTY cHArR
M ornen
(INDICATE AGENCY)
(rNolcATE AGENCY)
(INDICATE PARTY)
(rNDrCATE POSTTTON)
Family members whose financial activity you are reporting (see instructions).
SPOUSE
DEPENDENT CHILD 1.
2.
3.
ln Parts 'l through 18, you will disclose your financial activity during the preceding calendar year. ln Parts 1 through 14, you are
required to disclose not only your own financial activity, but also that of your spouse or a dependent child (see instructions).
Revised 1013112014
'
463-5800
COVER SHEET
PAGE 2
Paper
Exception
d f..fn part 15 - Fees Received for Services Rendered to a Lobbyist or Lobbyist's Employer
d Nn Part 16 - Representation by Legislator Before StateAgency
d Nn part 17 - Benefits Derived from Functions Honoring Public Servant
d f.fn Part 18 - Legislative Continuances
www.ethics.state.tx.us
Revised 1013112014
EthicsCommission
Texas
P.O. Box
12070
Austin,Texas
78711-2070 (512)463-5800
(TDD 1-800-
STOCK
PART
lf the requested information is not applicable, indicate that on Page 2 of the Cover Sheet,
category of the amount of the net gain or loss realized from the
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
austNess ENTITY
slocx
NAME
HELD OR ACQUIRED BY
s NuNIerR oF SHARES
4 lF
SOLD
fl ner enru
fl NEr uoss
drr.
f] oepEruoenr cHtLD
fl spouse
d uess rHAN 1oo E too ro ass E soo ro sss E l,ooo ro 4,eee
E s,ooo ro e,eeg E to,ooo oR MoRE
E less rHAN $s,ooo E
BUSINESS ENTITY
n ruer eerru
fl
M nlen
ruEr
n rten
E lessrHAN 100
E s,ooo ro s,99e fl
D less rHAN $s,ooo E
E ner enrru
E ner loss
NUMBER OF SHARES
to,ooo oR MoRE
$s,ooo--$s,ssg
ruer erurl
Ner uoss
ruen
fl
spouse
$to'ooo-$za,ssg
$zs,ooo--oR MoRE
oepenoeruT cHtLD
NUMBER OF SHARES
fl
ruEr onIN
fl oeperuoeruT cHrLD
n spouse
E lessrHAN loo fl tooroqgg E soorosgs D t,oooro4,9ss
E s,ooo ro 9,999 n to,ooo oR MoRE
f] less rHAN $s,oog [ $s,ooo-$g,gss n sto.ooo-sza'ggs f] $zs'ooo-oR M9RE
n
rtEn
HEr uoss
COPY AND ATTACH ADDITIONAL PAGES
www.ethics.state.tx.us
rcssrHAN
BUSINESS ENTITY
SOLD
r,oooro4.eee
NAME
IF
oepemoeur cHtLD
E oeperuoeruT cHtLD
E spouse
E tooro+ss E sooroggg fl
BUSINESS ENTITY
SOLD
$zs'ooo--oR MoRE
NAME
NUMBER OF SHARES
lF
loss
SOLD
$to,ooo-$za'sss
NAME
E
E spousr
E t oo ro +gg E
BUSINESS ENTITY
lF
soo ro gsg
E t 'ooo ro 4,9ee
-d.=tt rHAN oo
n s,ooo ro e,eee fl to,ooo oR MoRE
n less rHAN $5'0oo E $s'ooo--$s'ssg E $to'ooo-$za'ggs f] $zs'ooo--oR MoRE
NUMBER OF SHARES
SOLD
$s,ooo-$s,gsg
lF
Soottracte -.Lrt.
AS NECESSARY
Revised 1013'112014
Texas'Ethias
Commission
P.O. Box
12070
Austin, Texas
Zgl11-2070
(5
PART 6
and do NOT include this
ldentify each guarantor of a loan and each person or financial institution to whom you, your spouse, or
a dependent child had a total financial liability of more than $1,000 in the form of a personal note or notes or lease
agreement at any time during the calendar year and indicate the category of the amount of the liability. 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 underwhich the child is listed on the Cover Sheet.
1
PERSON OR INSTITUTION
HOLDING NOTE OR
LEASEAGREEMENT
2
Fc.r".r
Credit
LIABILITY OF
Cr,.=*
M spouse
orperuoeruT cHILD
GUARANTOR
4
AMOUNT
PERSON OR INSTITUTION
HOLDING NOTE OR
LEASEAGREEMENT
$r,ooo-$a,ggs D
GgCLt
$s,ooo-$g,sss
fl
(Gou..ncv-e,-,'^.1 Ec^po1ee s
Credit \fni"'')
LIABILITY OF
t,,,,*
spouse
S'tS
GUARANTOR
AMOUNT
$r,ooo-$a,gss E
$s,ooo-$g,ggg
#rro,ooo-rrr,nrn E
$zs,ooo-oR MoRE
PERSON OR INSTITUTION
HOLDING NOTE OR
LEASEAGREEMENT
LIABILITY OF
E rrEn
spouse
oEprruoEruT cHtLD
GUARANTOR
AMOUNT
E $r,ooo-$q,ssg E
$s,ooo-$s,ggg
sro,ooo-$z+,sgg
$zs,ooo-oR MoRE
Revised 1013112014
Austin, Texas 7 87
1'l -2O7
(512)463-s800
crDD 1-800-735-2989)
PART 7A
and do NOT include this
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.
HELD OR ACQUIRED BY
M rtlen
z StReetRDDRESS
oeperuoeNTCHtLD
ff
*orouo,*rr.
f]
3 oescntpttolt
[d spouse
G.l.zt"
oores
Dcr.la ,*nc. Cou.r,\a
lors
do"*..
\$euu ocex i cs
a NAlr,tES oF PERSoNS
RETAINING AN INTEREST
!
u
ruorncelrcesle
(SEVERED MTNERAL TNTEREST)
tr soto
!
!
Hrronn
$s,ooo-$s,gss
f]
$to,ooo--$z+,ssg
$zs,ooo-oRMoRE
uerloss
HELD ORACQUIRED BY
ruEn
n oeperuoeruT cHtLD
spousg
STREETADDRESS
I
fl
lessrxnru$s,ooo
Nornvruueele
cnrcx
DESCRIPTION
!
I
r-ors
ncnes
NAMES OF PERSONS
RETAINING AN INTEREST
noraeelrcRau
IF SOLD
I
I
rer
oerru
ss,ooo-ss,sss
fl
$ro,ooo-$z+,sss
fl $zs,ooo-oR MoRE
Herloss
Revised '10131120'14
PERSONAL
FI
Austin, Texas
7 87 11 -2Q7
(51 2)
(TDD 1-800-735-2989)
463-5800
The law requires the personal financial statement to be verified. The verification page must have the signature of the
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.
April
,20 15
Clristine
Singh
the 23rd,
day of
Arnidal ,Martnez
Signature of otflcer
this
Notary Public
Title of otflcer administerinq oath
ARMIDA MARTINEZ
www.ethics.state.tx. us
Revised 1013112014