You are on page 1of 4
“Toxas Ethles Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5600 __ 1-800-925-8506 CORRECTED FINANCIAL STATEMENT OFFICE USE ONLY AND RECEIVE! GOOD-FAITH AFFIDAVIT FEB 17 2010 [Attach Any Part of Your Financial Statement Form Needed to Report and Explain Corrections pier ics Cor Fes Name (rai aa cory Sere — Abel Herrero 00054318 “en mn Sere kam 11-10 | ‘Date Processed | af vec Fuens hou nts FEB 1 8 2010 = Dale Image 411 Magee Lane, Robstown, Texas 78380 The correction(s) filed with this affidavit apply to my financial statement due in x] 2009 [] 2008 [[] 2007 2008 [CJ 2005 2004 [[] Other (Remeniber: The fancial statement you le covers the proceng calenéar years ety, Thus m repo dus fn 1989 cover amin for calendar year 1888) Explanation of Correction The statement is corrected to include board menberships for my spouse as well as accounts receivables and accounts payables as liabilities and assets to listed business associations that were inadvertently omitted from the original statement. The omissions were made in good faith, This correction is made not later than the 14th business day after it was determined that the omissions were made. | swear, or affirm, under penalty of perjury, that this corrected est report is true and correct LBR, ONE Ray Seen ioe Check ONLY if applicable: | swear, of affirm, that | am filing this corrected report not later than the 14th business day after the date | learned that the report as originally filed is inaccurate or incomplete. | swear, or affirm, that any error or omission in the report as originally fled was mage in gpod faith “rat [ABFUK NOTARY STAMP SEAL ABOVE wor to and subscribes netore me by CUM [Lerner otis tne UHI gy ot Cdrrrereny 20 10, to cortty which, witness my hand and soal of office WG L BRAD NOMR Pvauc ‘Signature of oificer administering oath) ‘Pant name of olfcer administering oath Tile of i CHL Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2079 (512)463-5800__ 1-800-325-8506 ASSETS OF BUSINESS ASSOCIATIONS PaRT 11A, 1 sotaPpucante Describe all assets of each corporation, fim, partnership, limited partnership, limited labilly 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 oustanding 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 chila’s activity, indicate the child about whom you are reporting by providing the number under which the child is listed on the Cover Sheet. " BUSINESS 2 Cl oho erg Hone adres) ‘ASSOCIATION By eines Horne eAhene, ~ KODSTDLWAL XS TEBE: 2 BUSINESS TYPE ST ConporAaTion’ 3 HELD, ACQUIRED, OR SOLD BY Orwer (A srouse (D1 bepenpent cH Fl Less tan ss000 C1 $5.000-89 888 4 ASSETS ‘esareTon Stocks CO stocoo-se4.998 C1] $28,000-0R MORE LESS THAN $5,000 [1] $5.000-s9,988 Computers 1 sto.000-s24,999 [$25,000.08 MORE Wi Less THAN $5,000 [1 $8,c00-s9,099 Furniture D1 st0.000-s24,099 [) s25,000-R MORE tess than $5,000 [1 88,000--9,999 BR st0,000-s24,999 C1] $25,000--0k MORE Di tess Than $5,000 C1 $5,c00-s9,999 flecovnts Receivable Di si000-s24,999 $25,000-0R MORE Cites THAN $5,000 11 $5,000-$9,909 Ci s10,000-#24,999 1] $25,000-08 MORE Ctess tHaw $5,000 C1] $s,000-59 988 Ci sto.000~-s24,999 1] $25,000-0R MORE Ces Tuan $5,000] $5,000--39.999 T i i I I | \ 1 I | \ 1 | Vehicles 1 \ 1 i | | | i | | i | 1 i i i | 1 s10.000-824,299[] $25.000-0R MORE, COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY ‘Texas Ethics Commission P.0,80x12070___Austin, Texas 78711-2070 (612)463-5800, 1-800-325-8506 LIABILITIES OF BUSINESS ASSOCIATIONS (11 NoraPPucaste Part 11B Describe all lables of each corporation, firm, parinership imited partnership, limited liabilly partnership, professional | corporation, professional association, joint venture, or other business association in which you, your spouse, or a depen- dent child held, acquired, of sold 50 percent or more ofthe outstanding ownership and indicate the category of the amount ofthe 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. * BUSINESS i Bors Home Aeseess) ASSOCIATION S_ 7280. wets Hone Health, Ener 2 BUSINESS TYPE Lon pokerio. 3 HELD,ACQUIRED, OR SOLD BY Crier WK] spouse CD oepenvenr cH “ WABILITIES eel careconr C1 Less THAN $5,000 Rent £& s10,000-524,999 Ces THAN $5,000 Vehicles C1 s10,000.-824,999 Recounts Payable Cl tess THAN $5,000 1 s10,000--824,999 Cl Less THAN $5,000 CO s10,000--s24.009 Di tess THAN 55,000 1D s10,000-s24 999 Di tess THAN 85.000 C1 s10,000-824,909 C1 Less THAN $5,000 CO s10,000--$24,999 Less THAN $5,000 1D s10,000-s24,909 T | I | | | I 1 | | | 1 | | | | 1 1 | | | 1 | | | | | | | 1 | | | | 0) s5,000-s9,999 C s25,000-0R MORE C1 s5,000-$9,999 BW s25,000-08 MORE C1s5.000-s9,909 1 825.000-08 MORE C1 ss.000-s9,988 1 825,000.-0R MORE 0 s5,000.-59,909 C s25,000-0R MORE 11 s5,000--s9,999 C1 s25,000-0R MORE 11 s5.000--s9,099 Ds25,000-oF WORE 1D s5.000-s9,999 07 s25,000-0R MORE COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY ‘Texas Ethics Commission, P.O, Box 12070 Austin, Texas 78711-2070 (512)463-5800__ 1-800-325-8506 BOARDS AND EXECUTIVE POSITIONS ParT 12 [ Notappuicaate Tata boards of directors of which you, your spouse, ora dependent child are a member ‘and all executive positions you, your spouse, or a dependent child holdin corporations, fms, partnerships, limited partnerships, limited liability partner Thins professional corporations, professional associations joint ventures, offer bustieSe ‘associations, or proprietorships, Stating the name of the organization and the postion held. For more information, S96 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 islisted on the Cover Sheet * ORGANIZATION Legislative Study Group ? posITION HELD Viee- Chaig OSITION HELD BY Werner Osrou Co pepent cH ORGANIZATION Saint Benediets Hie Health Lake POSITION HELD Directoe /CEO POSITION HELD BY Over WM spouse (Di erenoenr cto — —= 1 ORGANIZATION PRobstownl Community Health CeuteR Fats POSITION HELD Bored Member POSITION HELD BY Orter Ri spouse (i bepenoent cto ORGANIZATION POSITION HELO POSITION HELD BY Orner ( souse Cloerenoenr cuitD ——— ee EE nl ORGANIZATION POSITION HELD POSITION HELD BY Orner Cseouse (Cl verenoent cH —— a ——— COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY

You might also like