Austin City Council Member Randi Shade's Personal Financial Disclosure, Filed April 2009 (part 1)
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- Words: 3,052
- Pages: 12
Texas Ethics Commission
P.O. Box 12070
Austin, Texas 78711-2070
(512)463-5800
PERSONAL FINANCIAL STATEMENT
1-800-325-8506
FORM
PFS
COVER SHEET OTAL NUMBER OF PAGES FILED:
Filed in accordance with chapter 572 of the Government Code. For filings requ red in 2009, covering calendar year ending December 31 , 2008. ,Use FOR vl PFS-INSTRUCTION GUIDE when completing this form. 1
NAME
TITLE" FIRST Ml
XA
1
k
(W;
NICKNAME. LAST; SUFFIX
»
ate Received
(Au^A rx wi> l^f
3
4
TELEPHONE NUMBER REASON FOR FILING STATEMENT
S^ f 7 "^
o£3
--,)
CO
Q ^o ^
TO
-*«
Receipt # HD / PM
Amount
Date Processed
PHONE NUMBER; EXTENSION
<S>(^> M~)i- t > 9 ^ Y
Date Imaged
n r.ANninATF m ElicTED nFFiHFR
°
t~\ •->
(CHECK IF FILER'S HOME ADDRESS)
AREA CODE
<^ ^-~
^ -^5^ 5
WIT, L«.foM^. (*> ^~^\. /
c-
C-O
-^ ^
ADDRESS • PO BOX' APT/ SUITE #; CITY; STATE; ZIP CODE
A
-Q
o J> fn
OFFICE USE QNlY r< 5f;
SX^i
gj
S
l
J
njj
- CCOUNT
(INDICATE OFFICE!
Aa C^NA
L^ib
• ° ^VxC< '
(INDICATE OFFICE)
O APPniNTFP OFF|rpR
(INDICATE AGENCY!
n FVFnimvF HFAD
(INDICATE AGENCY)
D FORMER OR RETIRED JUDGE SITTING BY ASSIGNMENT Q STATE PARTY i^HAIR !~l DTHFR
fINDICATF PARTY!
(INDICATE POSITION)
Family members whose financial activity you are reporting (filer must report information about the financial activity of the filer's spouse or dependent children if the filer had actual control over that activity):
spntiSE DEPENDENT C H|l n 1 9
3.
In Parts 1 through 18, you will disclose your financial activity during the preceding calendar year. In Parts 1 through 14, you are required to disclose not only your own financial activity, but also that of your spouse ur a dependent child IT you Had actual control over that person's financial activity.
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY PfeViSf;'! 1 ?/01/?008
P.O. Box 12070
Texas Ethics Commission
Austin. Texas 78711-2070
(512)463-5800
SOURCES OF OCCUFRATIONAL INCOME
1-800-325-8506
PART1A
[[] NOTAPPLICABLE
When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which t ne child is listed on the Cover Sheet. 1
INFORMATION RELATES TO
Q'FILER
CD SPOUSE
d DEPENDENT CHII n
NAME AND ADDRESS OF EMPLOYER / POSITION HELD
EMPLOYMENT
|
C/-A-, o-f >TH-ki
IX^EMPLOYED BY ANOTHER
NATURE OF OCCUPATION
D SELF-EMPLOYED
INFORMATION RELATES TO
[ (Check If Filer's Home Address)
fj FII FR
O spnufiF
fj nFPFNnFNTnmi n
NAME AND ADDRESS OF EMPLOYER / POSITION HELD
EMPLOYMENT
|
| (Check If Filer's Home Address)
D EMPLOYED BY ANOTHER
NATURE OF OCCUPATION
D SELF-EMPLOYED
INFORMATION RELATES TO
[H FILER
D SPOUSE
D DEPENDENT CHILD
NAME AND ADDRESS OF EMPLOYER /POSITION HELD | [ (Check If Filer's Home Address)
EMPLOYMENT
D EMPLOYED BY ANOTHER
D SELF-EMPLOYED
NATURE OF OCCUPATION
COPY A ND ATTACH ADDITIONAL PAGES AS NECESSARY
Texas Ethics Commission
P.O. Box 12070
(512)463-5800
Austin. Texas 78711-2070
RETAINERS \~fl
1 -800-325-8506
PART 1 B
NOT APPLICABLE
This section concerns fees received as a retainer by you, your spouse, or a dependent child (or by a business in which you, your spouse, or a dependent child have a "substantial interest") for a claim on future services in case of need, rather than for services on a matter specified at the time of contracting for or receiving the fee. Report information here only if the value of the work actually performed during the calendar year did not equal or exceed the value of the retainer. 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 ADDRESS
1
FEE RECEIVED FROM
2
NAME OF BUSINESS
FEE RECEIVED BY D FILER OR FILER'S BUSINESS D SPOUSE OR SPOUSE'S BUSINESS D DEPENDENT CHILD OR CHILD'S BUSINESS
3
FEE AMOUNT
D LESS THAN $5,000
D $5,000-$9,999
D S10,000--$24,999
Q $25,000~OR MORE
NAME AND ADDRESS
FEE RECEIVED FROM
NAME OF BUSINESS
FEE RECEIVED BY D FILER OR FILER'S BUSINESS D SPOUSE OR SPOUSE'S BUSINESS D DEPENDENT CHILD OR CHILD'S BUSINESS
FEE AMOUNT j
_
L"H LESS THAN $5,000
EH S5,000-$9,999
CH $10,000-S24,999
__
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
fj $25,000-OR MORE
Texas bthics Commission
P.O. Box 12070
(512) 463-5800
Austin, Texas 78711-2070
STOCK
1 -800-325-8506
PART 2
0NOT APPLICABLE
List each business entity in which you, your spouse, or a dependent child held or acquired stock during the calendar year and indicate the category of the number of shares held or acquired. If some or all of the stock was sold, also indicate the category of the amount of the net gain or loss realized from the sale. For more information, see FORM PFSINSTRUCTION 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
BUSINESS ENTITY
2
STOCK HELD OR ACQUIRED BY
D FILER
Q SPOUSE
3
NUMBER OF SHARES
D LESS THAN 100
D 100 TO 499
D 5,000 TO 9.999
D 10,000 OR MORE
D LESS THAN $5,000
D $5,000-$9,999
4 IF SOLD
D NET GAIN
D DEPENDENT CHILD
D 500 TO 999
D S10.000-$24,999
D1 ,000 TO 4,999
G 325,000-OR MORE
D NET LOSS
BUSINESS ENTITY
MAME
STOCK HELD OR ACQUIRED BY
D FILER
D SPOUSE
NUMBER OF SHARES
D LESS THAN 100
D 100 TO 499
D 5,000 TO 9,999
D 10,000 OR MORE
D LESS THAN $5,000
D $5,000-$9,999
IF SOLD
D NET GAIN
D DEPENDENT CHILD
D 500 TO 999
1G ,000 TO 4,999
D S10,000--$24,999
D 325,000-OR MORE
D NET LOSS
BUSINESS ENTITY
NAME
STOCK HELD OR ACQUIRED BY
D FILER
G SPOUSE
NUMBER OF SHARES
D LESS THAN 100
D 100 TO 499
D 5,000 TO 9,999
G 10,000 OR MORE
D LESS THAN $5,000
G $5,000-$9,999
IF SOLD
D NET GAIN
G DEPENDENT CHILD _
Q 500 TO 999
1,000 Q TO 4,999
Q 310,000-324,999
G $25,000-OR MORE
D NET LOSS
BUSINESS ENTITY
NAME
STOCK HELD OR ACQUIRED BY
D FILER
Q SPOUSE
NUMBER OF SHARES
D LESS THAN 100
G 100 TO 499
D 5,000 TO 9,999
G 10,000 OR MORE
D LESS THAN $5,000
Q $5,000-$9,999
IF SOLD
D NET GAIN
G DEPENDENT CHILD
G 500 TO 999
1Q,000 TO 4,999
Q 31 0,000-324,999
G $25,000-OR MORE
Q NET LOSS
BUSINESS ENTITY
NAME
STOCK HELD OR ACQUIRED BY
D FILER
G SPOUSE
NUMBER OF SHARES
D LESS THAN 100
G 100 TO 499
G 5,000 TO 9,999
D 10,000 OR MORE
D LESS THAN $5.000
O S5,000-$9,999
IF SOLD
G NET GAIN D NET LOSS
G DEPENDENT CHILD
G 500 TO 999
Q S10.000-S24.999
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
1,000 Q TO 4.999
Q
$25.000-OR MORE
P.O. Box 12070
Texas Ethics Commission
(512) 463-5800
Austin, Texas 78711-2070
BONDS, NOTES & OTHER COMMERCIAL PAPER
1 -800-325-8506
PARTS
NOT APPLICABLE
List all bonds, notes, and other commercial paper held or acquired by you, your spouse, or a dependent child during the calendar year. If sold, indicate the category of the amount of the net gain or loss realized from the sale. 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. DESCRIPTION OF INSTRUMENT HELD OR ACQUIRED BY FILER
D SPOUSE
D DEPENDENT CHILD
IF SOLD D LESS THAN 85,000
D NET GAIN
D $5,000--$9,999
D $10,000--$24,999
D $25,000--OR MORE
D NET LOSS
DESCRIPTION OF INSTRUMENT HELD OR ACQUIRED BY D FILER
D SPOUSE
D DEPENDENT CHILD
IF SOLD D LESS THAN $5,000
D NET GAIN
D $5,000-$9,999
D S10,000-$24,999
D S25.000--OR MORE
D NET LOSS
DESCRIPTION OF INSTRUMENT HELD OR ACQUIRED BY D FILER
D SPOUSE
D DEPENDENT CHILD
IF SOLD D NET GAIN
D LESS THAN $5,000
D S5!000-$9,999
D $10,000-324,999
LJ NET LOSS
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
Q 325,000-OR MORE
Texas Ethics Commission
P.O. Box 12070
(51 2) 463-5800
Austin, Texas 78711-2070
MUTUAL FUNDS
1 -800-325-8506
PART 4
rj NOTAPPLICABLE
List each mutual fund and the number of shares in that mutual fund that you, your spouse, or a dependent child held or acquired during the calendar year and indicate the category of the number of shares of mutual funds held or acquired. If some or all of the shares of a mutual fund were sold, also indicate the category of the amount of the net gain or loss realized from the sale. 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
1 MUTUAL FUND
2
SHARES OF MUTUAL FUND HELD OR ACQUIRED BY
3 NUMBER OF SHARES OF MUTUAL FUND
4 IF SOLD
G NET GAIN
PQ/FILER
G SPOUSE
G DEPENDENT CHILD
G LESS THAN 100
Q 100 TO 499
6"^000 TO 9,999
D 10,000 OR MORE
G LESS THAN $5,000
G $5,000-S9,999
1,000 TO 4,999 G
Q 500 TO 999
G $10,000-$24,999
G S25.000-OR MORE
Q NET LOSS NAME
MUTUAL FUND
(_ t£.-KvTX/r/^'n
/ 1 ^><< r-V (_ 6. S\
SHARES OF MUTUAL FUND HELD OR ACQUIRED BY NUMBER OF SHARES OF MUTUAL FUND
IF SOLD
G NET GAIN
Q'FILER
G SPOUSE
G DEPENDENT CHILD
G LESS THAN 100
Q^OO TO 499
G 500 TO 999
Q 5,000 TO 9,999
G 10,000 OR MORE
G LESS THAN $5,000
G $5,000-$9,999
G $10,000-$24,999
G1 ,000 TO 4,999
G S25.000-OR MORE
Q NET LOSS NAME
MUTUAL FUND
/ SHARES OF MUTUAL FUND HELD OR ACQUIRED BY NUMBER OF SHARES OF MUTUAL FUND
IF SOLD
f ! IA.LO
EJ FILER
G SPOUSE
Q DEPENDENT CHILD
G LESS THAN 100
Q l 00 TO 499
G 5.000 TO 9,999
G 1 0,000 OR MORE
G LESS THAN $5,000
Q $5,000-39,999
Q^OO TO 999
D NET GAIN G SlO;000-$24,999
G NET LOSS
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
1 ,000 TO 4,999 G
G 825,000-OR MORE
Texas Ethics Commission
P.O. Box 12070
(512)463-5800
Austin. Texas 78711-2070
INCOME FROM INTEREST, DIVIDENDS, ROYALTIES & RENTS
1-800-325-8506
PART 5
| | NOTAPPLICABLE
List each source of income you, your spouse, or a dependent child received in excess of $500 that was derived from interest, dividends, royalties, and rents during the calendar year and indicate the category of the amount of the income. 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 AN; ADDRESS
SOURCE OF INCOME
3 A-
RECEIVED BY FILER
AMOUNT
500-$4,999
SPOUSE
D DEPENDENT CHILD
D $5,000-$9,999
D $10,000-324,999
Q $25,000-OR MORE
NAME AND ADDRESS
SOURCE OF INCOME
RECEIVED BY D FILER
AMOUNT
D $500-34,999
D SPOUSE
D DEPENDENT CHILD
D $5,000-59,999
Q $10,000-$24,999
Q $25,000-OR MORE
NAME AND ADDRESS
SOURCE OF INCOME
RECEIVED BY D FILER
AMOUNT
D 5SUU"54,999
D SPOUSE
D 55,000-59,999
D DEPENDENT CHILD
D $10,000-524,999
Q S25.000-OR MORE
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 1P/01.2008
P.O. Box 12070
Texas Ethics Commission
(512) 463-5800
Austin. Texas 78711-2070
PERSONAL NOTES AND LEASE AGREEMENTS
1 -800-325-8506
PART 6
^NOTAPPLICABLE
Identify 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 under which the child is listed on the Cover Sheet. PERSON OR INSTITUTION HOLDING NOTE OR LEASE AGREEMENT 2
LIABILITY OF fj Fll FR
Q SPDUSF
D DFPFNnFNTr.HII n
GUARANTOR 4
AMOUNT
D $1,000-54,999
D $5,000»$9,999
D $10,000-324,999
D S25.000-OR MORE
PERSON OR INSTITUTION HOLDING NOTE OR LEASE AGREEMENT LIABILITY OF Q Fll FR
n SPOUSE
[H HFRFNinPNTCHII n
GUARANTOR AMOUNT
D $1,000-34,999
D 35,000-39,999
D $10,000-324,999
D 325,000-OR MORE
PERSON OR INSTITUTION HOLDING NOTE OR LEASE AGREEMENT LIABILITY OF L~] FILER
D RPniJSF
G nFRFNOFNTCHII n
GUARANTOR AMOUNT
D $1,000-54.999
L] 35,000-59,999
D $10,000-S24,999
D 525,000-OR MORE
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 12.-0*.'?OOS
P.O. Box 12070
Texas Ethics Commission
Austin, Texas 78711-2070
(512) 463-5800
INTERESTS IN REAL PROPERTY
1 -800-325-8506
PART 7 A
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. HELD OR ACQUIRED BY 2
FILER
D SPOUSE
J DEPENDENT CHILD
STREET ADDRESS INCLUDING CITY. COUNTY, AND STAT
STREETADDRESS NpW/AILABLE CHECK IF FILER'S HOME ADDRESS
3
NUMBER OF LOTS OR ACRES AND NAME OF COUNTY WHERE LOCATED
DESCRIPTION [j LOTS ~1 ACRES
NAMES OF PERSONS RETAILING AN INTEREST L^NOT APPLICABLE (SEVERED MINERAL INTEREST)
IF SOLD Q NET GAIN
D LESS THAN 35,000
D $5,000-$9,999
D 310,000-324,999
D S25.000--OR MORE
n NET LOSS
HELD OR ACQUIRED BY
D FILER
D SPOUSE
D DEPENDENT CHILD
STREET ADDRESS. INCLUDING CITY, COUNTY, AND STATE
STREETADDRESS [~| NOTAVAILABLE fj CHECK IF FILER'S HOME ADDRESS
NUMBER OF LOTS OR ACRES AND NAME OF COUNTY WHERE LOCATED
DESCRIPTION D LOTS L~] ACRES
NAMES OF PERSONS RETAINING AN INTEREST D NOTAPPLICABLE (SEVERED MINERAL INTEREST)
IF SOLD Q NET GAIN j
D LESS THAN S5.000
D S5,000-S9,999
D S10,000--S24.999
D S25.000-OR MORE
I NCTLO66
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY flevised 15,01/5008
P.O. Box 12070
Texas Ethics Commission
(512) 463-5800
Austin. Texas 78711-2070
INTERESTS IN BUSINESS ENTITIES
1 -800-325-8506
PART 7B
OTAPPLICABLE
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. HELD OR ACQUIRED BY
D FILER
|
DESCRIPTION
D DEPENDENT CHILD
D SPOUSE
NAME AND ADDRESS | (Check if Filer's Home Address)
IF SOLD D LESS THAN S5,OQO
D NET GAIN
D $5,000-$9,999
Q $10,000--$24,999
Q $25,000--OR MORE
D NET LOSS
HELD OR ACQUIRED BY
D FILER
D SPOUSE
D DEPENDENT CHILD
NAME AND ADDRESS [~~] (Check If Filer's Home Address)
DESCRIPTION
IF SOLD D LESS THAN $5,000
D NET GAIN
D $5,000-$9,999
D $10,000-$24,999
Q $25,000-OR MORE
D NET LOSS
HELD OR ACQUIRED BY
D FILER
D SPOUSE
D DEPENDENT CHILD
NAME AND ADDRESS
DESCRIPTION
fj (Check If Filer's Home Address)
IF SOLD
D NET GAIN
D LESS THAN $5,000
D $5,000-39,999
Q $10,000-$24,999
D NET LOSS
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
D 525,000-OR MORE
P.O. Box 12070
Texas Ethics Commission
Austin, Texas 78711-2070
(51 2) 463-5800
1 -800-325-8506
PART 8
GIFTS 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 ADDRESS
DONOR
RECIPIENT
ILER
DESCRIPTION OF GIFT
D SPOUSE
D DEPENDENT CHILD
(' ( v o o o NAME AND ADDRESS
DONOR
RECIPIENT
D FILER
D SPOUSE
D DEPENDENT CHILD
DESCRIPTION OF GIFT
NAME AND ADDRESS
DONOR
RECIPIENT
D FILER
D SPOUSE
D DEPENDENT CHILD
DESCRIPTION OF GIFT
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
P.O. Box 12070
Texas Ethics Commission
(512) 463-5800
Austin, Texas 78711-2070
TRUSTJNCOME
1 -800-325-8506
PART 9
n'NOT APPLICABLE
Identify each source of income received by you, your spouse, or a dependent child as beneficiary of a trust and indicate the category of the amount of income received. Also identify each asset of the trust from which the beneficiary received more than $500 in income, if the identity of the asset is known. 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 OF TRUST
SOURCE
2
BENEFICIARY
D FILER
INCOME
D LESS THAN $5,000
l~l nFPFNDFNTCHII D
D SPOUSE
3
4
D $5,000-39,999
D $10,000-$24,999
D S25.000-OR MORE
ASSETS FROM WHICH OVER $500 WAS RECEIVED D UNKNOWN NAME OF TRUST
SOURCE
BENEFICIARY
D FILER
INCOME
D LESS THAN $5,000
D SPOUSE
f] nFPFNDFNTCHII D
D $5,000-$9,999
D $10,000-S24,999
D $25,000-OR MORE
ASSETS FROM WHICH OVER $500 WAS RECEIVED D UNKNOWN NAME OF TRUST
SOURCE
BENEFICIARY
D FILER
INCOME
[j LESS THAN $5,000
D SPOUSE
D $5,000-$9,999
D DEPENDENT CHILD
D 310,000-524,999
ASSETS FROM WHICH OVER $500 WAS RECEIVED D UNKNOWN
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
D S25.000-OR MORE
P.O. Box 12070
Austin, Texas 78711-2070
(512)463-5800
PERSONAL FINANCIAL STATEMENT
1-800-325-8506
FORM
PFS
COVER SHEET OTAL NUMBER OF PAGES FILED:
Filed in accordance with chapter 572 of the Government Code. For filings requ red in 2009, covering calendar year ending December 31 , 2008. ,Use FOR vl PFS-INSTRUCTION GUIDE when completing this form. 1
NAME
TITLE" FIRST Ml
XA
1
k
(W;
NICKNAME. LAST; SUFFIX
»
ate Received
(Au^A rx wi> l^f
3
4
TELEPHONE NUMBER REASON FOR FILING STATEMENT
S^ f 7 "^
o£3
--,)
CO
Q ^o ^
TO
-*«
Receipt # HD / PM
Amount
Date Processed
PHONE NUMBER; EXTENSION
<S>(^> M~)i- t > 9 ^ Y
Date Imaged
n r.ANninATF m ElicTED nFFiHFR
°
t~\ •->
(CHECK IF FILER'S HOME ADDRESS)
AREA CODE
<^ ^-~
^ -^5^ 5
WIT, L«.foM^. (*> ^~^\. /
c-
C-O
-^ ^
ADDRESS • PO BOX' APT/ SUITE #; CITY; STATE; ZIP CODE
A
-Q
o J> fn
OFFICE USE QNlY r< 5f;
SX^i
gj
S
l
J
njj
- CCOUNT
(INDICATE OFFICE!
Aa C^NA
L^ib
• ° ^VxC< '
(INDICATE OFFICE)
O APPniNTFP OFF|rpR
(INDICATE AGENCY!
n FVFnimvF HFAD
(INDICATE AGENCY)
D FORMER OR RETIRED JUDGE SITTING BY ASSIGNMENT Q STATE PARTY i^HAIR !~l DTHFR
fINDICATF PARTY!
(INDICATE POSITION)
Family members whose financial activity you are reporting (filer must report information about the financial activity of the filer's spouse or dependent children if the filer had actual control over that activity):
spntiSE DEPENDENT C H|l n 1 9
3.
In Parts 1 through 18, you will disclose your financial activity during the preceding calendar year. In Parts 1 through 14, you are required to disclose not only your own financial activity, but also that of your spouse ur a dependent child IT you Had actual control over that person's financial activity.
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY PfeViSf;'! 1 ?/01/?008
P.O. Box 12070
Texas Ethics Commission
Austin. Texas 78711-2070
(512)463-5800
SOURCES OF OCCUFRATIONAL INCOME
1-800-325-8506
PART1A
[[] NOTAPPLICABLE
When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which t ne child is listed on the Cover Sheet. 1
INFORMATION RELATES TO
Q'FILER
CD SPOUSE
d DEPENDENT CHII n
NAME AND ADDRESS OF EMPLOYER / POSITION HELD
EMPLOYMENT
|
C/-A-, o-f >TH-ki
IX^EMPLOYED BY ANOTHER
NATURE OF OCCUPATION
D SELF-EMPLOYED
INFORMATION RELATES TO
[ (Check If Filer's Home Address)
fj FII FR
O spnufiF
fj nFPFNnFNTnmi n
NAME AND ADDRESS OF EMPLOYER / POSITION HELD
EMPLOYMENT
|
| (Check If Filer's Home Address)
D EMPLOYED BY ANOTHER
NATURE OF OCCUPATION
D SELF-EMPLOYED
INFORMATION RELATES TO
[H FILER
D SPOUSE
D DEPENDENT CHILD
NAME AND ADDRESS OF EMPLOYER /POSITION HELD | [ (Check If Filer's Home Address)
EMPLOYMENT
D EMPLOYED BY ANOTHER
D SELF-EMPLOYED
NATURE OF OCCUPATION
COPY A ND ATTACH ADDITIONAL PAGES AS NECESSARY
Texas Ethics Commission
P.O. Box 12070
(512)463-5800
Austin. Texas 78711-2070
RETAINERS \~fl
1 -800-325-8506
PART 1 B
NOT APPLICABLE
This section concerns fees received as a retainer by you, your spouse, or a dependent child (or by a business in which you, your spouse, or a dependent child have a "substantial interest") for a claim on future services in case of need, rather than for services on a matter specified at the time of contracting for or receiving the fee. Report information here only if the value of the work actually performed during the calendar year did not equal or exceed the value of the retainer. 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 ADDRESS
1
FEE RECEIVED FROM
2
NAME OF BUSINESS
FEE RECEIVED BY D FILER OR FILER'S BUSINESS D SPOUSE OR SPOUSE'S BUSINESS D DEPENDENT CHILD OR CHILD'S BUSINESS
3
FEE AMOUNT
D LESS THAN $5,000
D $5,000-$9,999
D S10,000--$24,999
Q $25,000~OR MORE
NAME AND ADDRESS
FEE RECEIVED FROM
NAME OF BUSINESS
FEE RECEIVED BY D FILER OR FILER'S BUSINESS D SPOUSE OR SPOUSE'S BUSINESS D DEPENDENT CHILD OR CHILD'S BUSINESS
FEE AMOUNT j
_
L"H LESS THAN $5,000
EH S5,000-$9,999
CH $10,000-S24,999
__
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
fj $25,000-OR MORE
Texas bthics Commission
P.O. Box 12070
(512) 463-5800
Austin, Texas 78711-2070
STOCK
1 -800-325-8506
PART 2
0NOT APPLICABLE
List each business entity in which you, your spouse, or a dependent child held or acquired stock during the calendar year and indicate the category of the number of shares held or acquired. If some or all of the stock was sold, also indicate the category of the amount of the net gain or loss realized from the sale. For more information, see FORM PFSINSTRUCTION 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
BUSINESS ENTITY
2
STOCK HELD OR ACQUIRED BY
D FILER
Q SPOUSE
3
NUMBER OF SHARES
D LESS THAN 100
D 100 TO 499
D 5,000 TO 9.999
D 10,000 OR MORE
D LESS THAN $5,000
D $5,000-$9,999
4 IF SOLD
D NET GAIN
D DEPENDENT CHILD
D 500 TO 999
D S10.000-$24,999
D1 ,000 TO 4,999
G 325,000-OR MORE
D NET LOSS
BUSINESS ENTITY
MAME
STOCK HELD OR ACQUIRED BY
D FILER
D SPOUSE
NUMBER OF SHARES
D LESS THAN 100
D 100 TO 499
D 5,000 TO 9,999
D 10,000 OR MORE
D LESS THAN $5,000
D $5,000-$9,999
IF SOLD
D NET GAIN
D DEPENDENT CHILD
D 500 TO 999
1G ,000 TO 4,999
D S10,000--$24,999
D 325,000-OR MORE
D NET LOSS
BUSINESS ENTITY
NAME
STOCK HELD OR ACQUIRED BY
D FILER
G SPOUSE
NUMBER OF SHARES
D LESS THAN 100
D 100 TO 499
D 5,000 TO 9,999
G 10,000 OR MORE
D LESS THAN $5,000
G $5,000-$9,999
IF SOLD
D NET GAIN
G DEPENDENT CHILD _
Q 500 TO 999
1,000 Q TO 4,999
Q 310,000-324,999
G $25,000-OR MORE
D NET LOSS
BUSINESS ENTITY
NAME
STOCK HELD OR ACQUIRED BY
D FILER
Q SPOUSE
NUMBER OF SHARES
D LESS THAN 100
G 100 TO 499
D 5,000 TO 9,999
G 10,000 OR MORE
D LESS THAN $5,000
Q $5,000-$9,999
IF SOLD
D NET GAIN
G DEPENDENT CHILD
G 500 TO 999
1Q,000 TO 4,999
Q 31 0,000-324,999
G $25,000-OR MORE
Q NET LOSS
BUSINESS ENTITY
NAME
STOCK HELD OR ACQUIRED BY
D FILER
G SPOUSE
NUMBER OF SHARES
D LESS THAN 100
G 100 TO 499
G 5,000 TO 9,999
D 10,000 OR MORE
D LESS THAN $5.000
O S5,000-$9,999
IF SOLD
G NET GAIN D NET LOSS
G DEPENDENT CHILD
G 500 TO 999
Q S10.000-S24.999
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
1,000 Q TO 4.999
Q
$25.000-OR MORE
P.O. Box 12070
Texas Ethics Commission
(512) 463-5800
Austin, Texas 78711-2070
BONDS, NOTES & OTHER COMMERCIAL PAPER
1 -800-325-8506
PARTS
NOT APPLICABLE
List all bonds, notes, and other commercial paper held or acquired by you, your spouse, or a dependent child during the calendar year. If sold, indicate the category of the amount of the net gain or loss realized from the sale. 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. DESCRIPTION OF INSTRUMENT HELD OR ACQUIRED BY FILER
D SPOUSE
D DEPENDENT CHILD
IF SOLD D LESS THAN 85,000
D NET GAIN
D $5,000--$9,999
D $10,000--$24,999
D $25,000--OR MORE
D NET LOSS
DESCRIPTION OF INSTRUMENT HELD OR ACQUIRED BY D FILER
D SPOUSE
D DEPENDENT CHILD
IF SOLD D LESS THAN $5,000
D NET GAIN
D $5,000-$9,999
D S10,000-$24,999
D S25.000--OR MORE
D NET LOSS
DESCRIPTION OF INSTRUMENT HELD OR ACQUIRED BY D FILER
D SPOUSE
D DEPENDENT CHILD
IF SOLD D NET GAIN
D LESS THAN $5,000
D S5!000-$9,999
D $10,000-324,999
LJ NET LOSS
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
Q 325,000-OR MORE
Texas Ethics Commission
P.O. Box 12070
(51 2) 463-5800
Austin, Texas 78711-2070
MUTUAL FUNDS
1 -800-325-8506
PART 4
rj NOTAPPLICABLE
List each mutual fund and the number of shares in that mutual fund that you, your spouse, or a dependent child held or acquired during the calendar year and indicate the category of the number of shares of mutual funds held or acquired. If some or all of the shares of a mutual fund were sold, also indicate the category of the amount of the net gain or loss realized from the sale. 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
1 MUTUAL FUND
2
SHARES OF MUTUAL FUND HELD OR ACQUIRED BY
3 NUMBER OF SHARES OF MUTUAL FUND
4 IF SOLD
G NET GAIN
PQ/FILER
G SPOUSE
G DEPENDENT CHILD
G LESS THAN 100
Q 100 TO 499
6"^000 TO 9,999
D 10,000 OR MORE
G LESS THAN $5,000
G $5,000-S9,999
1,000 TO 4,999 G
Q 500 TO 999
G $10,000-$24,999
G S25.000-OR MORE
Q NET LOSS NAME
MUTUAL FUND
(_ t£.-KvTX/r/^'n
/ 1 ^><< r-V (_ 6. S\
SHARES OF MUTUAL FUND HELD OR ACQUIRED BY NUMBER OF SHARES OF MUTUAL FUND
IF SOLD
G NET GAIN
Q'FILER
G SPOUSE
G DEPENDENT CHILD
G LESS THAN 100
Q^OO TO 499
G 500 TO 999
Q 5,000 TO 9,999
G 10,000 OR MORE
G LESS THAN $5,000
G $5,000-$9,999
G $10,000-$24,999
G1 ,000 TO 4,999
G S25.000-OR MORE
Q NET LOSS NAME
MUTUAL FUND
/ SHARES OF MUTUAL FUND HELD OR ACQUIRED BY NUMBER OF SHARES OF MUTUAL FUND
IF SOLD
f ! IA.LO
EJ FILER
G SPOUSE
Q DEPENDENT CHILD
G LESS THAN 100
Q l 00 TO 499
G 5.000 TO 9,999
G 1 0,000 OR MORE
G LESS THAN $5,000
Q $5,000-39,999
Q^OO TO 999
D NET GAIN G SlO;000-$24,999
G NET LOSS
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
1 ,000 TO 4,999 G
G 825,000-OR MORE
Texas Ethics Commission
P.O. Box 12070
(512)463-5800
Austin. Texas 78711-2070
INCOME FROM INTEREST, DIVIDENDS, ROYALTIES & RENTS
1-800-325-8506
PART 5
| | NOTAPPLICABLE
List each source of income you, your spouse, or a dependent child received in excess of $500 that was derived from interest, dividends, royalties, and rents during the calendar year and indicate the category of the amount of the income. 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 AN; ADDRESS
SOURCE OF INCOME
3 A-
RECEIVED BY FILER
AMOUNT
500-$4,999
SPOUSE
D DEPENDENT CHILD
D $5,000-$9,999
D $10,000-324,999
Q $25,000-OR MORE
NAME AND ADDRESS
SOURCE OF INCOME
RECEIVED BY D FILER
AMOUNT
D $500-34,999
D SPOUSE
D DEPENDENT CHILD
D $5,000-59,999
Q $10,000-$24,999
Q $25,000-OR MORE
NAME AND ADDRESS
SOURCE OF INCOME
RECEIVED BY D FILER
AMOUNT
D 5SUU"54,999
D SPOUSE
D 55,000-59,999
D DEPENDENT CHILD
D $10,000-524,999
Q S25.000-OR MORE
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 1P/01.2008
P.O. Box 12070
Texas Ethics Commission
(512) 463-5800
Austin. Texas 78711-2070
PERSONAL NOTES AND LEASE AGREEMENTS
1 -800-325-8506
PART 6
^NOTAPPLICABLE
Identify 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 under which the child is listed on the Cover Sheet. PERSON OR INSTITUTION HOLDING NOTE OR LEASE AGREEMENT 2
LIABILITY OF fj Fll FR
Q SPDUSF
D DFPFNnFNTr.HII n
GUARANTOR 4
AMOUNT
D $1,000-54,999
D $5,000»$9,999
D $10,000-324,999
D S25.000-OR MORE
PERSON OR INSTITUTION HOLDING NOTE OR LEASE AGREEMENT LIABILITY OF Q Fll FR
n SPOUSE
[H HFRFNinPNTCHII n
GUARANTOR AMOUNT
D $1,000-34,999
D 35,000-39,999
D $10,000-324,999
D 325,000-OR MORE
PERSON OR INSTITUTION HOLDING NOTE OR LEASE AGREEMENT LIABILITY OF L~] FILER
D RPniJSF
G nFRFNOFNTCHII n
GUARANTOR AMOUNT
D $1,000-54.999
L] 35,000-59,999
D $10,000-S24,999
D 525,000-OR MORE
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 12.-0*.'?OOS
P.O. Box 12070
Texas Ethics Commission
Austin, Texas 78711-2070
(512) 463-5800
INTERESTS IN REAL PROPERTY
1 -800-325-8506
PART 7 A
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. HELD OR ACQUIRED BY 2
FILER
D SPOUSE
J DEPENDENT CHILD
STREET ADDRESS INCLUDING CITY. COUNTY, AND STAT
STREETADDRESS NpW/AILABLE CHECK IF FILER'S HOME ADDRESS
3
NUMBER OF LOTS OR ACRES AND NAME OF COUNTY WHERE LOCATED
DESCRIPTION [j LOTS ~1 ACRES
NAMES OF PERSONS RETAILING AN INTEREST L^NOT APPLICABLE (SEVERED MINERAL INTEREST)
IF SOLD Q NET GAIN
D LESS THAN 35,000
D $5,000-$9,999
D 310,000-324,999
D S25.000--OR MORE
n NET LOSS
HELD OR ACQUIRED BY
D FILER
D SPOUSE
D DEPENDENT CHILD
STREET ADDRESS. INCLUDING CITY, COUNTY, AND STATE
STREETADDRESS [~| NOTAVAILABLE fj CHECK IF FILER'S HOME ADDRESS
NUMBER OF LOTS OR ACRES AND NAME OF COUNTY WHERE LOCATED
DESCRIPTION D LOTS L~] ACRES
NAMES OF PERSONS RETAINING AN INTEREST D NOTAPPLICABLE (SEVERED MINERAL INTEREST)
IF SOLD Q NET GAIN j
D LESS THAN S5.000
D S5,000-S9,999
D S10,000--S24.999
D S25.000-OR MORE
I NCTLO66
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY flevised 15,01/5008
P.O. Box 12070
Texas Ethics Commission
(512) 463-5800
Austin. Texas 78711-2070
INTERESTS IN BUSINESS ENTITIES
1 -800-325-8506
PART 7B
OTAPPLICABLE
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. HELD OR ACQUIRED BY
D FILER
|
DESCRIPTION
D DEPENDENT CHILD
D SPOUSE
NAME AND ADDRESS | (Check if Filer's Home Address)
IF SOLD D LESS THAN S5,OQO
D NET GAIN
D $5,000-$9,999
Q $10,000--$24,999
Q $25,000--OR MORE
D NET LOSS
HELD OR ACQUIRED BY
D FILER
D SPOUSE
D DEPENDENT CHILD
NAME AND ADDRESS [~~] (Check If Filer's Home Address)
DESCRIPTION
IF SOLD D LESS THAN $5,000
D NET GAIN
D $5,000-$9,999
D $10,000-$24,999
Q $25,000-OR MORE
D NET LOSS
HELD OR ACQUIRED BY
D FILER
D SPOUSE
D DEPENDENT CHILD
NAME AND ADDRESS
DESCRIPTION
fj (Check If Filer's Home Address)
IF SOLD
D NET GAIN
D LESS THAN $5,000
D $5,000-39,999
Q $10,000-$24,999
D NET LOSS
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
D 525,000-OR MORE
P.O. Box 12070
Texas Ethics Commission
Austin, Texas 78711-2070
(51 2) 463-5800
1 -800-325-8506
PART 8
GIFTS 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 ADDRESS
DONOR
RECIPIENT
ILER
DESCRIPTION OF GIFT
D SPOUSE
D DEPENDENT CHILD
(' ( v o o o NAME AND ADDRESS
DONOR
RECIPIENT
D FILER
D SPOUSE
D DEPENDENT CHILD
DESCRIPTION OF GIFT
NAME AND ADDRESS
DONOR
RECIPIENT
D FILER
D SPOUSE
D DEPENDENT CHILD
DESCRIPTION OF GIFT
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
P.O. Box 12070
Texas Ethics Commission
(512) 463-5800
Austin, Texas 78711-2070
TRUSTJNCOME
1 -800-325-8506
PART 9
n'NOT APPLICABLE
Identify each source of income received by you, your spouse, or a dependent child as beneficiary of a trust and indicate the category of the amount of income received. Also identify each asset of the trust from which the beneficiary received more than $500 in income, if the identity of the asset is known. 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 OF TRUST
SOURCE
2
BENEFICIARY
D FILER
INCOME
D LESS THAN $5,000
l~l nFPFNDFNTCHII D
D SPOUSE
3
4
D $5,000-39,999
D $10,000-$24,999
D S25.000-OR MORE
ASSETS FROM WHICH OVER $500 WAS RECEIVED D UNKNOWN NAME OF TRUST
SOURCE
BENEFICIARY
D FILER
INCOME
D LESS THAN $5,000
D SPOUSE
f] nFPFNDFNTCHII D
D $5,000-$9,999
D $10,000-S24,999
D $25,000-OR MORE
ASSETS FROM WHICH OVER $500 WAS RECEIVED D UNKNOWN NAME OF TRUST
SOURCE
BENEFICIARY
D FILER
INCOME
[j LESS THAN $5,000
D SPOUSE
D $5,000-$9,999
D DEPENDENT CHILD
D 310,000-524,999
ASSETS FROM WHICH OVER $500 WAS RECEIVED D UNKNOWN
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
D S25.000-OR MORE
