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Texas
Ethics
Commission
P.O.
Box
12070
Austin
Texas
78711-2070
(512)463-5800
1-800-325-8506
PERSONAL
FINANCIAL
STATEMENT
FORM
PFS
COVER
SHEET
Filed
in
accordance with
chapter
572 of the
Government Code.
For
filings required
in
2009, covering calendar
year
ending December 31
2008.Use FORM
PFS-INSTRUCTION
GUIDE
wnen
completing this form.
1
NAME
2
ADDRESS
3
TELEPHONENUMBER
j
4
REASONFOR FILINGSTATEMENT
TITLE;FIRST;
Ml
A
Jfo/v/
A/
fi/e
NICKNAME;
LAST SUFFIXADORESS
,
PO
BOX.
APT
/
SUITE *
CITY'
STATE.
ZiP CODE
Y/0/
ftS,
/*/«&<*&
A
f
4«s,r>
7t?3*
|
|
(CHECK
IF
FILER'S
HOME ADDRESS)
AREA
CODE PHONE NUMBER; EXTENSION
(
3~/l
)
W?~
/JT
J?
TOTAL
NUMBEROF
PAGES
FILED;ACCOUNT
#
r-o
*^:>
'
-
if3
—
31
»
OFFICE
USE
OfJEY
°
Dale
Received
Erj'
"H
=
^.
I
—
O
CD
"
O
z>
~0
-H
^3
m
X
CO
—
Receipt #
fNJ
CJ
HO .'
PM
AmounlDate Processed
Date
Imaged
Q
nAisininATF
(INDICATE
QFFICFJ
fT-'n
Fr.TFD
OFFICER
(INDICATE OFFICE)
P
APP^INTFD OFFICER
<
INDICATE
A^FKIHYI
G
FXEf.llTIVF
HFAD
.INDICATE
AGFNCYI
LJ
FORMER OR RETIRED JUDGE SITTING BY ASSIGNMENT
I I
STATE
PARTY
rHAIR
. _
,
NDICATE
PARTY)I
I
OTHFR
(INDICATE POSITION)
'
Family
members whose
financial
activity
you are
reporting
(filer
must report
information about
the
financial
activity
of the
filer's
spouse
or
dependentchildrenif thefilerhadactual control over that
activity):
SPOUSEDEPENDENT
C
MILD
1
?
. _ .
3
In Parts
1 through 18, you
will
disclose
your
financial
activity
during the preceding calendar
year.
In
Parts
1 through
14,
you arerequired to disclose not
only
your own
financial activity,
butalso
that
of
your spouse
or a
dependent child
if you had actual
control
over
that person's financial activity.
COPY
AND
ATTACH ADDITIONAL PAGES
AS
NECESSARY
Texas
Ethics Commission
P.O.
Box12070
Austin.
Texas
78711-2070
(512)463-5800 1-800-325-8506
SOURCES OF OCCUPATIONAL INCOME
PART
1A
NOT
APPLICABLE
i
When reporting information about
a
dependent
child's
activity,
indicate
the
child
about whom
you are
reporting
by
;
'
providing
thenumber under whichthe
child
islistedon theCover Sheet.
1
INFORMATION RELATES
TO
EMPLOYMENT
Q
EMPLOYED
BY
ANOTHER
LJ
SELF-EMPLOYED
3-flLER
U
SPOUSE
J
DEPENDENT
CHILD
._
NAMEAND
ADDRESS
CF
EMPLOYER.'
POSITION
HELD
(Chech If
Filer's
Home
Address)
NATURE
OF
OCCUPATION
INFORMATION
RELATES TO
D
FILER
Q-SPOUSE
D
DEPENDENT CHILD
r
EMPLOYMENT
NAME
AND
ADDRESS
OF
EMPLOYER
/
POSITION
bELD
r^
(Check
If
Filer's
Home
AJdress)
J
EMPLOYED
BY
ANOTHERSELF-EMPLOYED
NATURE OF OCCUPATION
INFORMATION RELATES
TO
EMPLOYMENT
D
EMPLOYED
BY
ANOTHER
G
FILER
J
SPOUSE
D
DEPENDENT CHILD
_
NAME
AND ADDRESS OF
EMPLOYER
,
POS'TIONHELD
_J (Check
If
Filer's
Home
Address)
G
SELF-EMPLOYED
NATURE
OF
OCCUPATION
COPY
AND
ATTACH ADDITIONAL PAGES
AS
NECESSARY
iitiJ
12,0
If 2000
Texas
Ethics Commission
P.O.
Box12070Austin,
Texas
78711-2070
(512)
463-5800
1
-800-325-8506
RETAINERS
PART
1 B
OT APPLICABLE
This section concerns fees receivedas
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 forservices
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 duringthecalendar yeardid notequalorexceedthevalueof theretainer.Formoreinformation,
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.
FEE
RECEIVED FROM
NAMEAND ADDRESS
FEE RECEIVED BY
NAWE
OF BUSINESS
D
FILER
OR
FILER'S
BUSINESS
D
SPOUSE
OR
SPOUSE'S
BUSINESS
D
DEPENDENT CHILD
OR
CHILD'SBUSINESS
FEE
AMOUNT
CD
LESS THAN $5,000
C
$5,000-S9,999
Q
$10,000-424,999
Q
$25,000--OR MORE
FEE RECEIVED FROM
NAME AMD
ADDRESS
FEE
RECEIVED
BY
FEE AMOUNT
NAME
OF BUSINESS
D
FILER
OR
FILER'S
BUSINESS
D
SPOUSEORSPOUSE'S BUSINESS
—
U
DEPENDENT
CHILD
_
OR
CHILD'S BUSINESS
D
LESS THAN 55,000
D
$5,000-49,999
L]
$10,000--S24,999
D
S25.QOO-OR
MORE
COPY
AND
ATTACH
ADDITIONAL
PAGES
AS
NECESSARY
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