• Embed Doc
  • Copy Link
  • Readcast
  • Collections
  • CommentGo Back
 
Texas Ethics Commission
P.O.
Box12070
Austin, Texas 78711-2070
-
 
---
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 December
31,2007.
Use
FORM
PFS-INSTRUCTION
GUIDE
when completing this form.
TOTAL
NUMBER
OF
PAGES
FILED:
28
ACCOUNT #
1
NAME
2
ADDRESS
TITLE;
FIRST; Ml
Dr.
Brian
J.
OFFICE USE ONLY
Date Received
NICKNAME;
LAST; SUFFIX
Eades
ADDRESS
/
PO
BOX; APT / SUITE #; CITY; STATE; ZIP CODE
3208 S. Ong, Amarillo,
TX
79109
(CHECK IF
FILER'S
HOMEADDRESS)
Receipt
#
HD/PM
Amount
3
TELEPHONE
NUMBER
AREA
CODE PHONE NUMBER; EXTENSION
( 806 ) 355-6330
Date ProcessedDate
Imaged
4
REASONFOR
FILING
STATEMENT
L°
CANDIDATE
17]
ELECTED OFFICER
City
Commission Place
2
APPOINTED OFFICER
EXECUTIVE HEAD
FORMER OR RETIRED JUDGE SITTING BY ASSIGNMENT
]
STATE PARTY
CHAIR
OTHER
(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 ordependent children if the filer had actual control over that activity):
Jennifer
J.
Eades
SPOUSEDEPENDENT CHILD
1.
2.
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,
butalso thatof
your
spouse
or a
dependent child
if you had actual
control
overthatperson's
financial activity.
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
SOURCES
OF
OCCUPATIONAL INCOME
PART
1
A
Q
NOTAPPLICABLE
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
INFORMATION RELATES
TO
2
EMPLOYMENT
[7]
EMPLOYED BYANOTHER
Q
SELF-EMPLOYED
INFORMATION
RELATES
TO
EMPLOYMENT
[7
EMPLOYED
BY
ANOTHER
[j|
SELF-EMPLOYED
INFORMATION RELATES
TO
EMPLOYMENT
Q]
EMPLOYED
BY
ANOTHER
("*"[
OELP-EMPLOYED
[/]
Fll
FR
QJRPOIISF
["")
DEPENDENT
HHII
D
NAME AND ADDRESS OF EMPLOYER / POSITION HELD
~j
(Check
IfFiler's
Home
Address)
Women's
Healthcare
Associates,
PLLC
1301
S.
Coulter,
Suite
300
Amarillo,
TX
79106
NATURE
OF OCCUPATION
Physician/OB-GYN
Q
FILER
[/JsPOiiRF
£]]
DEPENDENT CHILD
NAME
AND
ADDRESS
OF
EMPLOYER
/
POSITION HELD
^
(Check
If
Fler's
Home Address)
Wisian
and
Breeding
PLLC
801 South
Fillmore,
Suite 730
Amarillo,
TX
79101
NATUREOFOCCUPATION
Certified Public
Accountant
H
FILER
~\
RP<">!
I$E [~~]
nFPFMHFNT HHII n
NAME
AND
ADDRESS
OF
EMPLOYER
/
POSITION HELD
]
(Check
If
Filer's
Home Address)
NATURE
OF OCCUPATION
COPY AND ATTACH
ADDITIONAL
PAGES
AS NECESSARY
 
exas
cs
ommsson
..
 
usn,
exas
-
(512)
463-5800
1
-800-325-850
RETAINERS
PART
1 B
\7\
NOTAPPLICABLE
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") fora claim on future services in case of need, rather than forserviceson amatter specifiedat the
time
ofcontracting
for
orreceivingthefee. Report information here
only
if thevalueofthe 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 byproviding the number under which the
child
is listed on the Cover Sheet.
1
FEE RECEIVED FROM
2
FEE
RECEIVED
BY
3
FEE
AMOUNTFEE RECEIVED FROMFEE RECEIVED BYFEEAMOUNT
NAME
AND
ADDRESSNAME
OF
BUSINESS
~|
FILER
OR
Fl
PR'SRMSINIFRS
~
SPOUSE
DR SPOUSE'S BUSINESS
~]
DEPENDENT CHILD
""
OR
CHILD'S BUSINESS
I I
LESS THAN $5,000
I I
$5,000-$9,999
I I
$10,000-$24,999
| |
$25,000-OR
MORE
NAME
AND
ADDRESS
NAME
OF
BUSINESS
I
FILER
OR
Fl
PR'S
RURNFSS
~~\
SPOUSE
np
SPOUSE'S BUSINESS
~|
DEPENDENT CHILD
1
'
OR
CHILD'S BUSINESS
[
|
LESS THAN $5,000
Q
$5,000-$9,999
|
|
$10,000-$24,999
[^]
$25,000-OR
MORE
COPY
AND
ATTACH ADDITIONAL PAGES
AS
NECESSARY
of 00

Leave a Comment

You must be to leave a comment.
Submit
Characters: ...
You must be to leave a comment.
Submit
Characters: ...