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Amarillo City Commissioner Madison Scott 2008 ethics form

Amarillo City Commissioner Madison Scott 2008 ethics form

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Published by jpeebles
Amarillo, Texas, City Commissioner Madison Scott's 2008 personal financial disclosure form, covering calendar year 2007. Posted by Texas Watchdog (www.texaswatchdog.org).
Amarillo, Texas, City Commissioner Madison Scott's 2008 personal financial disclosure form, covering calendar year 2007. Posted by Texas Watchdog (www.texaswatchdog.org).

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Published by: jpeebles on Feb 12, 2009
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06/16/2009

 
Texas
Ethics Commission
P.O.
Box
12070Austin,
Texas
78711-20705263-5800
1-800-32-80
PERSONAL
FINANCIAL STATEMENT
FORM
PFS
COVER SHEET
Filed
in
accordance with
chapter
572 of the
Government
Code.
For
filings required
in
2008,
covering
calendar
year
ending
December31,2007.
Use
FORM
PFS--INSTRUCTION
GUIDE when
completing
this
form.
TOTALNUMBER
OF
PAGES
FILED:
ACCOUNT
#
1
NAME
2
ADDRESS
CheckIf
F
liar's
Home Address
3
TELEPHONENUMBER
TITLE; FIRST;
Ml
Madison
.E..
OFFICE USE ONLY
Date
ReceivedNICKNAME; LAST; SUFFIX
Scott
ADDRESS
/
POBOX;
APT
/
SDITE
#;
CITY;STATE;
ZIP
CODE
720 S.
Tyler,
Suite
100
Amarillo,
TX
79101
Receipt #HD/PM
AREA
CODE
PHONE
NUMBER;EXTENSION
Date
Processed
(806
)
467-2600
Date
Imaged
REASON
FOR
FILING
STATEMENT
D
CANDIDATE
D
ELECTED
OFFICER
City
Commissioner,
Place
1
D
APPOINTED OFFICER
I
EXECUTIVE HEAD
D
FORMER
OR
RETIRED JUDGE SITTING
BY
ASSIGNMENT
I
STATE PARTY CHAIROTHER
(INDICATE OFFICE)(INDICATE OFFICE)(INDICATE AGENCY)(INDICATE
AGENCY)
_
(INDICATE
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):
SPOUSE
D'Nan
Scott
DEPENDENT
CHILD
12.
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
or a
dependent child
if you had
actual control
over
that
person's financial activitv.
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
 
exas
cs ommsson
..
ox2070
usn,
exas
-
-
 
---
SOURCES
OF OCCUPATIONAL INCOME
PART
1A
NOT
APPLICABLE
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.INFORMATION RELATES TO
,
FILER
D
SPOUSE
D
DEPENDENT
CHILD
EMPLOYMENT
D
EMPLOYED
BYANOTHER
NAME AND ADDRESS OF
EMPLOYER/
POSITION HELD
[]
(Check
If
Filer's
HomeAddress)
GallagherBenefit Services,
Inc.
1900
W.
Loop
S.
r
Suite
1600
Houston,TX
77027
Senior Benefits Consultant
D
SELF-EMPLOYED
INFORMATION RELATES
TO
NATURE
OF OCCUPATION
Employee
Benefits
FILER
D
SPOUSE
D
DEPENDENT CHILD
EMPLOYMENT
NAME
AND ADDRESS OF EMPLOYER / POSITION HELD
Q
(Check
If
Piter's
Home Address)
D
EMPLOYED
BY
ANOTHER
D
SELF-EMPLOYED
INFORMATION RELATES
TO
EMPLOYMENT
D
EMPLOYED
BY
ANOTHER
D
SELF-EMPLOYED
COPY
Al
cty
or Amarillo
Amarillo,
TX
79101
Cty
Commissioner
Place
1
NATURE OF
OCCUPATION
D
FII
FR
n
SPOUSE
D
DFPFNDFNT P.HII
n
NAME
AND ADDRESS OF EMPLOYER / POSITION HELD
fJJ
(Check
If
Filer's
Home
Address)
NATURE
OF
OCCUPATION
>JD
ATTACH
ADDITIONAL
PAGES
AS
NECESSARY
 
Texas
Ethics
Commission
P.O.
Box
12070
usn,
exas
787-2070
(12)
43-800
1
-800-32-80
RETAINERS
NOT
APPLICABLE
PART
1B
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 adependent
child
havea"substantial interest")for aclaimonfuture servicesincaseofneed, rather thanforservices on a matter specified at the time of contracting for or receiving the fee. Report information here only if the value ofthework actually performed duringthecalendar yeardid notequalorexceedthevalueof theretainer.Formore 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
ts
listed
on the
Cover Sheet.
FEE
RECEIVED FROM
NAME AND ADDRESS
FEE
RECEIVED
BY
NAME
OF BUSINESS
D
FILER
OR
FILERS BUSINESS
D
SPOUSE
OR
SPOUSE'S BUSINESS
D
DEPENDENT CHILD
OR
CHILDS
BUSINESS
FEE AMOUNT
D
LESS THAN $5,000
D
$5,000-$9,999
D
$10,000-$24,999
D
$25,000-OR
MORE
FEE
RECEIVED FROM
NAMEANDADDRESS
FEE
RECEIVED
BY
NAME
OF
BUSINESS
D
FILER
OR
FILER'S BUSINESS
D
SPOUSE
OR
SPOUSE'S BUSINESS
D
DEPENDENT CHILD
OR
CHILDS BUSINESS
FEE AMOUNT
D
LESS THAN
$5.000
D
$5,000~$9,999
D
$10,000-$24,999
D
$25,000-OR
MORE
COPY AND
ATTACH ADDITIONAL
PAGES
AS
NECESSARY

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