You are on page 1of 24
‘Texas Ethics Commission P.0.80x 12070 ___ Austin, Texas 78711-2070 (612) 463-5800 _ 1-800-325-8506 PERSONAL FINANCIAL STATEMENT Form PFS COVER SHEET Flledin accordance with chapter 872 of the Government Code. For lings required in 2010, covering calendar year ending December 31,2008, | —=— Use FORM PFS-INSTRUCTION GUIDE when completing this form. 5134 T NAME Theat a OFFICE USE ONLY o]34 Kim Uthetton eee cain as, SuPrix RECEIVED frorn = MAY 172010 FADDRESS [Toons To ponarraaren orca aaE O Fie &. 1th Cotewman iT ¥ 70834 | Texas Ethics Commission [ET conecx i eer’s Home Aoonessy 3 TELEPHONE | -es cone FRE MONDE ETON NUMBER: ( (32S ) 6306- Bo714 = REASON ea ee ‘STATEMENT Ol evecteo office — ONBICATE OFFICE) Erevonenerres Corttat (omade River (lund, neosrnen Ql execurive weap ONOCATE AGENCY) C1 FORMER OR RETIRED JUDGE SITTING BY ASSIGNMENT Oi state parry craie —____ oscars par Gomer — wo.oare ream Family members whose financial actly you are reporting (ler must repor information about the nancial acy ofthe filers spouse or \sependontchildron fhe flor had actual contol ove tat acy) ou Aivorsod : ceraweronn JO0K in. Horne | In Ports 1 through 18, you wil disclose your financial sctivity 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 @ dependent child you had actual contol ‘over that person’ financial activity | COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY p 4S30% 34 ‘Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (612) 463-5800 _ 1-800-325-8506 SOURCES OF OCCUPATIONAL INCOME Phorm ‘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. PART 1A, "INFORMATION RELATES TO | (4 FLER spouse Di bepenvenr crn EMPLOYMENT od: dasy Fo, (Nursing Hone ) (Bimoveoovwonen Osareurioreo ; fe ace CodiFied Nurevo id Oe Orwer Oispouse (0 DEPENDENT CHILD EMPLOYMENT L (check w Fiters Home Address) : Cl eweLoyeo By ANOTHER Osarewiove fasute oF occurarn INFORMATION RELATES TO ‘ORMA Corner Di srouse Ci bePenoent cio ! EMPLOYMENT Li Geheck it Fler's Home Adress) Cl enptoven sy ANOTHER CDsarcurcoven fare oF occuration COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY ‘Texas Ethios Commission 0. Box 12070 ‘Austin, Texas 78711-2070 (612)463-5800 1-800-325-8506 RETAINERS paRT 1B sefonenscse ‘This section concems fees received as a retainer by you, your spouse, or a dependent child (or by a businessin which you, your spouse, ora dependent child have a "substantial interest”) fora 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. Reportinformation here only ifthe value of the work actually performed during the calendar year did not equal or exceed the value ofthe 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 childs listed on the Cover Sheet. 7 Hie ARES FEE RECEIVED FROM 2 nae oF suns FEE RECEIVED BY Oruer OR FILER'S BUSINESS i spouse OR SPOUSES BUENESS Dl erenpent cH OR CHILD'S BUSINESS 3 ae Ci ess THaw $5,000 1) $6,000-$9,999 C1 s10.000-s24.909 [1] s25,000-0R MORE FEE RECEIVED FROM FEE RECEIVED BY | Ore OR FILERS BUSINESS Ci spouse OR SPOUSE'S BUSINESS Cl oe peNDent cru OR CHILDS BUSINESS Fo mouN Citess ran $5,000 C1) $5,000-$9.999 (1) $10,000.824,999 |] s25,000-0n MORE COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY ‘Texas Ethics Commission P.O. Box 12070 ‘Austin, Texas 78711-2070 (612) 463-5800 _ 1-800-925-8508 STOCK PART 2 peCormesne 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 ofthe 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 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. T BUSINESS ENTITY won 2 STOCK HELD OR ACQUIRED BY | LI Fier Cisrouse C1] DePENDENT CHILD Z| 3 NUMBER OF SHARES Titess than to CJ 100T0«99 — Cisootowe 1 1.000704.900 CDsoc0T0 9999 10.000 oR MORE eee Cinercan | Cj tess tHaw 5,000 [1 $5,000-s9.980 1 s10.000-824.908 [7] $25,000-OR MORE Cinertoss BUSINESS ENTITY wae STOCK HELD OR ACQUIRED BY | Ci Fier Gisrouse CO DEPENDENT CHILD = NUMBER OF SHARES TitesstHan 100 Ch 100T0 499 CisaoTo we 1) 1.00070 4.908) Cso00709999 C1 19000 0R MORE - IF SOLD Cinercan | C) cess tHanss.oo (1) s6.000-s0.909 [) $10.000-$24.99@ [7] s26,000-OR MORE. Cner Loss BUSINESS ENTITY ve STOCKHELD ORACQUIREDBY |Ciruer
  • You might also like