Texas Ethics Commission

PO Box 12070

Austin, Texas 78711-2070

(512)463·5800

1-800-325-8506

PERSONAL FINANCIAL STATEMENT FORM PFS
COVER SHEET
TOTAL NUMBER OF PAGES FILED: 37-
Filed in accordance with chapter 572 of the Government Code,
For filings required in 2010, covering calendar year ending December 31,2009. ACCOUNT ~
Use FORM PFS--INSTRUCTION GUIDE when completing this form.
1 NAME un.s. FIRST; MI OFFICE USE ONLY
A. '4 Date Received
, .\....... . . . . . . . . . . . . . . . . . . . . . . . . . .
NICKNAME: LAST; SUFFIX
Svl(~Vl.l/\ .' : :tl
,\'(~C
2 ADDRESS ADDRESS I PO BOX; APT I SUITE #; CtTY; STATE; ZIP CODE 0t4t ~l1Vz:'D
:1 E, GH!~U)rl ~!,,_> .. :ti..2. ?-5 , CIly :?$ J
, ~r~C~~
\\DV7~ "T):. '1-'-'.: 6 Lf" "
Rec~lpt #. OIl;y !
/ ,
o (CHECK IF FILER'S HOME ADDRESS) HD/PM I~~o"n[ .>
3 TELEPHONE AREA CODE PHONE NUMBER; EXTENS!o,\I Date Processed
NUMBER r::t 1'7) 5 2- b .- 334'1 Data Imaged
4 REASON
FOR FILING o CANDIDATE [INDICATE OffiCE)
STATEMENT tk._.c;~ &:b C~"GJ I 1J\<$irl'~ z..
lfl. ELECTED OFFICER (INDICATE OFF!CE)

o APPOINTED OFFICER (INDICATE AGENCY]
o EXECUTIVE HEAD (INDlCATE AGENCY]

o FORMER OR RETIRED JUDGE SITTING BY ASSIGNMENT
o STATE PARTY CHAIR {IND!CATE PARTYI

o OTHER (INDICATE POS!TION)

5 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 ~t\ ,..--(zJ"t1_ \:: " f.-v S . ...\\~\JAA.
DEPENDENT CHILD 1. P Ci,~ Mev- 5-.-\ \ ~ vt\-'\.

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, but also 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

Austin, Texas 78711-2070

1-800-325-8506

PO Box12070

(512) 463-5800

SOURCES OF OCCUPATIONAL INCOME

PART 1A

o 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.

1

INFORMATION RELATES TO

o SPOUSE

o DEPENDENT CHiLD _

2

EMPLOYMENT

~MPLOYEDBYANOTHER

o SELF-EMPLOYED

NAME: AND ADDR€SS OF EMPlOYERI POSmON HELD o (Check If File(s Home Address)

NATURE OF OCCUPATION

INFORMATION RELATES TO

~POUSE

o DEPENDENT CHilD _

EMPLOYMENT

o EMPLOYED BY ANOTHER

o SELF-EMPLOYED

o FilER

NAM E AND ADDRESS OF EMPLOYER IPOSITION HELD D (Check If Filers Home Address)

\L,y-- S.; \\ ~\lt\A. fQ ~(V)<. ~3~

c.l-d--fV\..e-\ v', ~ \)<. 1"-..J. 5:' 0

NATURE OF OCCUPATION

INFORMATION RELATES TO

o FILER

o SPOUSE

EMPLOYMENT

l.Bi'MPLOYED BY ANOTHER

o SELF-EMPLOYED

NAME AND ADDRESS OF EMPLOY ER I POSITION HELD o (Check If Filer's Home Address)

MAr ... f'AA.'f.- ~~e(1 I~\' \9. t? ~ 'f. ? ,,?t..(

C,tt~,...,...~~<J~~t.{) IX '7--+ 53 0

NATURE OF OCCUPA nON

COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY

Revised 1010[12009

Texas Ethics Commission

PO Box 12070

Austin Texas 78711-2070

(S12) 463-5800

1-800-325-8506

,
RETAINERS PART 18
o NOT APPLICABLE
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") for a 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. Report information here only if the value of
the 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 by
providing the number under which the child is listed on the Cover Sheet.
1 NAME AND ADDRESS
FEE RECEIVED FROM
2 NAME OF BUSINESS
FEE RECEIVED BY
DFILER
OR FILER'S BUSINESS
o SPOUSE
OR SPOUSE'S BUSiNESS
o DEPENDENT CHILD
OR CHILD'S BUSINESS

3
FEE AMOUNT D LESS THAN $5,000 0 $5,000··$9,999 D $10,000--$24,999 D $25,OOO-·OR MORE
NAME AND ADDRESS
FEE RECEIVED FROM
NAME OF BUSINESS
FEE RECEIVED BY
o FILER
OR FILER'S BUSINESS
o SPOUSE
OR SPOUSE'S BUSINESS
o DEPENDENT CHILD

OR CHILD'S BUSINESS
FEE AMOUNT D LESS THAN $5,000 0 $5,000--$9,999 D $10,000--$24,999 0 $25,OOO--OR MORE
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 12101/2008

Texas Ethics Commission

P.O. Box 12070

Austin, Texas 78711-2070

(512) 463-5800

1-800-325-8506

STOCK PART 2
o NOT APPLICABLE
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 of the 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.
1 BUSINESS ENTITY NAME
Exxon Mobil
2 STOCK HELD OR ACQUIRED BY o FILER o SPOUSE o DEPENDENT CHILD
3 NUMBER OF SHARES o LESS THAN 100 0100 TO 499 o 500 TO 999 o 1,000 TO 4,999
o 5,000 TO 9,999 o 10,000 OR MORE
4 IF SOLD DNETGAIN o LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24.999 D $25,000·-OR MORE
DNETLOSS
BUSINESS ENTITY NAME
General Electric
STOCK HELD OR ACQUIRED BY {Z] FILER D SPOUSE o DEPENDENT CHILD
NUMBER OF SHARES o LESS THAN 100 0100 TO 499 o 500 TO 999 o 1,000 TO 4,999
o 5,000 TO 9,999 D 10,000 OR MORE
IF SOLD ONETGAIN o LESS THAN $5,000 o $5,000--$9,999 o $10,000--$24,999 o $25,OOO--OR MORE
nNETLOSS
BUSINESS ENTITY NN~E
Valero
STOCK HELD OR ACQUIRED BY o FILER o SPOUSE o DEPENDENT CHILD
NUMBER OF SHARES o LESS THAN 100 0100 TO 499 o 500 TO 999 01,000 TO 4,999
05,000 TO 9,999 o 10,000 OR MORE
IF SOLD DNETGAIN o LESS THAN $5,000 o $5,000·-$9,999 0$10,000--$24,999 o $25,000--OR MORE
IZl NET LOSS
BUSINESS ENTITY NAME
Dell Computer
STOCK HELD OR ACQUIRED BY 0FILER DSPOUSE o DEPENDENT CHILD
NUMBER OF SHARES o LESS THAN 100 I2J 100 TO 499 o 500 TO 999 o 1,000 TO 4,999
o 5,000 TO 9,999 010,000 OR MORE
IF SOLD o NET GAIN D LESS THAN $5,000 o $5,000·-$9,999 0$10,000--$24,999 D $25,000--OR MORE
nNETLOSS
BUSINESS ENTITY NMlE
British Petroleum
STOCK HELD OR ACQUIRED BY o FILER o SPOUSE o DEPENDENT CHILD
NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 o 500 TO 999 o 1,000 TO 4,999
D 5,000 TO 9,999 010,000 OR MORE
IF SOLD DNETGAIN D LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 o $25,OOQ·-OR MORE
DNETLOSS
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 12101l2DDB

Texas Ethics Commission

P.O Box 12070

Austin, Texas 78711-2070

(512) 463-5800

1-800-325-8506

STOCK PART 2
o NOT APPLICABLE
Ust 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 of the 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.
1 BUSINESS ENTITY NAME
Dell Computer
2 STOCK HELD OR ACQUIRED BY o FILER o SPOUSE [Z] DEPENDENT CHILD 1

3 NUMBER OF SHA~ES IZI LESS THAN 100 o 100 TO 499 o 500 TO 999 01,000 TO 4,999
o 5,000 TO 9,999 010,000 OR MORE
4 IF SOLD DNETGAIN o LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 o 525,OOO--OR MORE
.DNETLOSS
BUSINESS ENTITY NAME
Exxon Monil
STOCK HELD OR ACQUIRED BY o FILER o SPOUSE o DEPENDENT CHILD 1

NUMBER OF SHARES o LESS THAN 100 0100 TO 499 IZI 500 TO 999 o 1,000 TO 4,999
o 5,000 TO 9,999 Cd 10,000 OR MORE
IF SOLD DNETGAIN o LESS THAN $5,000 o $5,000--$9,999 0510,000--$24,999 o $25,000--OR MORE
DNETLOSS
BUSINESS ENTITY NAME
Fannie Mae
STOCK HELD OR ACQUIRED BY o FILER o SPOUSE IZI DEPENDENT CHILD J

NUMBER OF SHARES o LESS THAN 100 [Z] 100 TO 499 0500 TO 999 o 1,000 TO 4,999
05,000 TO 9,999 010,000 OR MORE
IF SOLD DNETGAIN o LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 o $25,000--OR MORE
0NET LOSS
BUSINESS ENTITY NAME
STOCK HELD OR ACQUIRED BY OFfLER o SPOUSE o DEPENDENT CHILD
NUMBER OF SHARES OLESS THAN 100 o 100 TO 499 0500 TO 999 o 1,000 TO 4,999
o 5,000 TO 9,999 010,000 OR MORE
IF SOLD o NET GAIN o LESS THAN $5,000 0$5,000--$9,999 D $1 0,000--$24,999 o $25,OOO--OR MORE
DNETLOSS
BUSINESS ENTITY NAME
STOCK HELD OR ACQUIRED BY o FILER o SPOUSE o DEPENDENT CHILD

NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 o 500 TO 999 o 1,000 TO 4,999
o 5,000 TO 9,999 010,000 OR MORE
IF SOLD DNETGAIN o LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 o $25,000--OR MORE
DNETLOSS
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised r 2/0112008

Texas Ethics Commission

PO 80x 12070

Austin Texas 78711-2070

(512) 463-5800

1-800-325-8506

,
BONDS, NOTES & OTHER COMMERCIAL PAPER PART 3
o NOT APPLICABLE
Ust all bonds, notes, and other commercial paper held or acquired by you, your spouse, or a dependent child during the
calendar year. If sold, indicate the category of the amount of the net gain or loss realized from the sale. For more
informatfon, 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.
1
DESCRIPTION Lower Colorado River Authority Bonds
OF INSTRUMENT
2
HELD OR ACQUIRED BY 1
OFILER OSPOUSE !Z]DEPENDENT CHILD

3
IF SOLD
o NET GAIN o LESS THAN $5,000 0$5,000--$9,999 [110,000--$24,999 o $25,000--OR MORE
ONETLOSS
DESCRIPTION US Savings Bonds, Series E
OF INSTRUMENT
HELD OR ACQUIRED BY 1
OFILER DSPOUSE [2] DEPENDENT CHILD

IF SOLD
DNETGAIN o LESS THAN $5,000 D $5,000--$9,999 D 10,000--$24,999 o $25,OQO--OR MORE
DNETLOSS
DESCRIPTION
OF INSTRUMENT
HELD OR ACQUIRED BY
OF1LER DSPOUSE DDEPENDENT CHILD

IF SOLD
ONETGAIN o LESS THAN $5,000 0$5,000--$9,999 0.10,000--$24,999 o $25,OOO--OR MORE
DNETLOSS ,
COpy AND ATTACH ADDITIONAL PAGES AS NECESSARY Rovl •• d 1210112008

Texas Ethics Commission

P.O. Box 12070

Austin, Texas 78711-2070

(512) 463-5800

1-800-325-8506

MUTUAL FUNDS PART 4
o NOT APPLICABLE
list each mutual fund and the number of shares in that mutual fund that you, your spouse, or a dependent child held or
acquired during the calendar year and indicate the category of the number of shares of mutual funds held or acquired. If
some or all of the shares of a mutual fund were 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.
1 MUTUAL FUND NAME
Edward Jones Money Market
2 SHARES OF MUTUAL FUND o FILER o SPOUSE o DEPENDENT CHILD
HELD ORACQUIRED BY
3 NUMBER OF SHARES o LESS THAN 100 0100 TO 499 0500 TO 999 01,000 TO 4,999
OF MUTUAL FUND
o 5,000 TO 9,999 010,000 OR MORE
4 IF SOLD DNETGAIN D LESS THAN $5,000 D $5,000--$9,999 0$10,000--$24,999 o $25,OOO--OR MORE
ONET LOSS
MUTUAL FUND NAME
Capital World Growth & Income
SHARES OF MUTUAL FUND [{] FILER o SPOUSE o DEPENDENT CHILD
HELD ORACQUfRED BY
NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 0500 TO 999 o 1,000 TO 4,999
OF MUTUAL FUND
o 5,000 TO 9,999 o 10,000 OR MORE
IFSOLD o NET GAIN
o LESS THAN $5,000 0$5,000--$9,999 0$10,000--$24,999 o $25,OOO--OR MORE
ONETlOSS
MUTUAL FUND NAI..1E
Capital Income Builder
SHARES OF MUTUAL FUND DFILER DSPOUSE [{] DEPENDENT CHILD 1
HELD OR ACQUIRED BY
NUMBER OF SHARES D LESS THAN 100 0100T0499 0500 TO 999 01,000 TO 4,999
OF MUTUAL FUND
D 5,000 TO 9,999 010,000 OR MORE
IF SOLD o NET GAIN o $5,000--$9,999
o LESS THAN $5,000 0$10,000--$24,999 o $25,000--OR MORE
ONETLOSS
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revlsed 1210 \l2M8

Texas Ethics Commission

P.O. Box 12070

Austin, Texas 78711-2070

(512) 463-5800

1-800-325-8506

MUTUAL FUNDS PART 4
o NOT APPLICABLE
list each mutual fund and the number of shares in that mutual fund that you, your spouse, or a dependent child held or
acquired during the calendar year and indicate the category of the number of shares of mutual funds held or acquired. If
some or all of the shares of a mutual fund were 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.
1 MUTUAL FUND NA.ME
Capital World Growth & Income Fund
2 SHARES OF MUTUAL FUND o FILER [Z] SPOUSE DDEPENDENT CHILD
HELD OR ACQUIRED BY
3 NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 o 500 TO 999 01,000 TO 4,999
OF MUTUAL FUND
o 5,000 TO 9,999 010,000 OR MORE
4 IF SOLD DNETGAIN o LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 o $25,000--OR MORE
DNETLOSS
MUTUAL FUND NAME
Capital Income Builder
SHARES OF MUTUAL FUND o FILER IZl SPOUSE o DEPENDENT CHILD
HELD OR ACQUIRED BY
NUMBER OF SHARES D LESS THAN 100 [Z]100T0499 o 500 TO 999 D 1,000 TO 4,999
OF MUTUAL FUND
o 5,000 TO 9,999 010,000 OR MORE
IFSQLD o NET GAIN
o LESS THAN $5,000 o $5,000--$9,999 D $10,000--$24,999 o $25,000--OR MORE
DNETLOSS
MUTUAL FUND NAME
Washington Mutual Investors Fund
SHARES OF MUTUAL FUND DFILER [Z]SPOUSE o DEPENDENT CHILD
HELD ORACQUIRED BY
NUMBER OF SHARES D LESS THAN 100 0100 TO 499 D 500 TO 999 o 1,000 TO 4.999
OF MUTUAL FUND
o 5,000 TO 9,999 .010,000 OR MORE
IF SOLD o NET GAIN o $5,000--$9,999 0$10,000--$24,999
o LESS THAN $5,000 o $25,000--OR MORE
DNETLOSS
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 1210112008

Texas Ethics Commission

P.O. Box 12070

Austin, Texas 78711-2070

(512) 463-5800

1-800-325-8506

MUTUAL FUNDS PART 4
o NOT APPLICABLE
List each mutual fund and the number of shares in that mutual fund that you, your spouse, or a dependent child held or
acquired during the calendar year and indicate the category of the number of shares of mutual funds held or acquired, If
some or all of the shares of a mutual fund were 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.
1 MUTUAL FUND NAME
Capital Income Builder
2 SHARES OF MUTUAL FUND o FILER o SPOUSE DDEPENDENT CHILD
HELD OR ACQUIRED BY
3 NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 [{] 500 TO 999 o 1,000 TO 4,999
OF MUTUAL FUND
o 5,000 TO 9,999 o 10,000 OR MORE
4 IF SOLD DNETGAIN o LESS THAN $5,000 0$5,000--$9,999 0$10,000--$24,999 o $25,000--OR MORE
DNET LOSS
MUTUAL FUND NAME
Homestead International Value Fund
SHARES OF MUTUAL FUND o FILER o SPOUSE IZI DEPENDENT CHILD I
HELD OR ACQUIRED BY
NUMBER OF SHARES [{] LESS THAN 100 o 100 TO 499 o 500 TO 999 o 1,000 TO 4.999
OF MUTUAL FUND
o 5,000 TO 9,999 o 10,000 OR MORE
IF SOLD DNETGAIN
o LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 o $25,000--OR MORE
DNET LOSS
MUTUAL FUND NAME
Washington Mutual Investors Fund
SHARES OF MUTUAL FUND OFILER o SPOUSE [2] DEPENDENT CHILD I
HELD OR ACQUIRED BY
NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 D 500 TO 999 o 1,000 TO 4,999
OF MUTUAL FUND
o 5,000 TO 9,999 010,000 OR MORE
IF SOLD DNETGAIN o $5.000--$9,999 0$10,000--$24,999 D $25,OOO--OR MORE
D LESS THAN $5,000
DNETLOSS
COPY AND ATfACH ADDITIONAL PAGES AS NECESSARY Revlse d 1210112008

Texas Ethics Commission

PO Box 12070

Austin Texas 78711-2070

(512) 463-5800

1-800-325-8506

MUTUAL FUNDS PART 4
o NOT APPLICABLE
List each mutual fund and the number of shares in that mutual fund that you, your spouse, or a dependent child held or
acquired during the calendar year and indicate the category of the number of shares of mutual funds held or acquired. If
some or all of the shares of a mutual fund were 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.
1 MUTUAL FUND NAME
Capital World Growth & Income
2 SHARES OF MUTUAL FUND IZJ FILER o SPOUSE DDEPENDENT CHILD
HELD OR ACQUIRED BY
3 NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 [{] 500 TO 999 o 1,000 TO 4,999
OF MUTUAL FUND
o 5,000 TO 9,999 o 10,000 OR MORE
4 IF SOLD DNETGAIN o LESS THAN $5,000 o $5,000--$9,999 o $10,000--$24,999 o $25,000--OR MORE
DNETLOSS
MUTUAL FUND NAME
Capital World Growth & Income - 529C
SHARES OF MUTUAL FUND o FILER o SPOUSE o DEPENDENT CHILD I
HELD ORACQUIRED BY
NUMBER OF SHARES [{] LESS THAN 100 0100 TO 499 o 500 TO 999 o 1,000 TO 4,999
OF MUTUAL FUND
05,000 TO 9,999 o 10,000 OR MORE
IF SOLD DNETGAIN o $25,000--OR MORE
o LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999
DNETLOSS
MUTUAL FUND NAME
The Investment Company of America - 529C .
SHARES OF MUTUAL FUND o FILER DSPOUSE o DEPENDENT CHILD 1
HELD ORACQUIRED BY
NUMBER OF SHARES o LESS THAN 100 I2J 100 TO 499 o 500 TO 999 o 1,000 TO 4,999
OF MUTUAL FUND
D 5,000 TO 9,999 010,000 OR MORE
IF SOLD ONETGAIN o $5,000--$9,999 0$10,000--$24,999 o $25,000--OR MORE
o LESS THAN $5,000
DNETLOSS
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 12J01l2008

Texas Ethics Commission

PO Box 12070

Austin Texas 78711·2070

(512) 463-5800

1-800-325-8506

INCOME FROM INTEREST, DIVIDENDS, ROYALTIES & RENTS PART 5
o NOTAPPLICABLE
List each source of income you, your spouse, or a dependent child received in excess of $500 that was derived from
interest, dividends, royalties, and rents during the calendar year and indicate the category of the amount of the income. 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 Ihe number under which Ihe child is listed on the Cover Sheet.
1 NAME AND ADDRESS
SOURCE OF INCOME
2
RECEIVED BY
o FILER o SPOUSE OJ DEPENDENT CHILD

3
AMOUNT o $500--$4,999 o $5,000--$9,999 0$10,000--$24,999 o $25,OOO--OR MORE
NAM E AND ADDRESS
SOURCE OF INCOME
RECEIVED BY
o FILER o SPOUSE o DEPENDENT CHILD

AMOUNT o $500--$4,999 o $5,000·-$9,999 o $10,000--$24,999 o $25,OOO--OR MORE
NAME AND ADDRESS
SOURCE OF INCOME
RECEIVED BY
o FILER o SPOUSE o DEPENDENT CHILD

AMOUNT o $500--$4,999 o $5,000--$9,999 o $10,000-·$24,999 o S25,OOO--OR MORE
COpy AND ATTACH ADDITIONAL PAGES AS NECESSARY RevIsed 1210112U08

Texas Ethics Commission

P.O. Box 12070

Austin, Texas 78711·2070

(512) 463-5800

1-800-325-8506

PERSONAL NOTES AND LEASE AGREEMENTS PART 6
o NOT APPLICABLE
Identify each guarantor of a loan and each person or financial institution to whom you, your spouse, or
a dependent child had a total financial liability of more than $1,000 in the form of a personal note or notes or lease
agreement at any time during the calendar year and indicate the category of the amount of the liability. For more informa-
tion, 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.
1
PERSON OR INSTITUTION ~CNv'~ sJ- I<L~;~
HOLDING NOTE OR
LEASE AGREEMENT
2
LIABILITY OF [(J.-~
o SPOUSE o DEPENDENT CHILD

3
GUARANTOR
4 ~"$4,999
AMOUNT o $5,000,,$9,999 0$10,000--$24,999 o $25,OOO--OR MORE
PERSON OR INSTITUTION
HOLDING NOTE OR {7~vL ~ t~jCA<--'
LEASE AGREEMENT
LIABILITY OF
~LER o SPOUSE o DEPENDENT CHILD

GUARANTOR
AMOUNT 0$1,000--$4,999 ~,000-.s9,999 o $10,000--$24,999 o $25,000--OR MORE
PERSON OR INSTITUTION
HOLDING NOTE OR
LEASE AGREEMENT
LlABIUTYOF
o FILER o SPOUSE o DEPENDENT CHILD

GUARANTOR
AMOUNT 0$1,000--$4,999 o $5,000--$9,999 o $10,000--$24,999 o $25,OOO .. OR MORE
COpy AND ATTACH ADDITIONAL PAGES AS NECESSARY Revis. d 1010112009

Texas Ethics Commission

P.O. Box 12070

Austin Texas 78711 ·2070

(512) 463·5800 1·800·325-8506

PERSONAL NOTESAND LEASE AGREEMENTS PART 6
o NOT APPLICABLE
Identify each guarantor of a loan and each person or financial institution to whom you, your spouse, or
a dependent child had a total flnancialliabillty of more than $1,000 In the form of a personal note or notes or lease
agreement at any time during the calendar year and indicate the category of the amount of the liablfit!1or more informa-
tion, see FORM PFS-·INSTRUCTtON GUIDE.
When reporting Information about a dependent child's actrvity , Indicate the child about whom you are reporting by
providing the number under which the child is listed on the Cover Sheet.
1
PERSON OR INSTITUTION Pm~_s &w,.L ~-t ~rQct¥! 5w(.~ ~{/vVJ_
HOLDING NOTE OR
LEASE AGREEMENT
2
LIABILITY OF
[1JFrLER DSPOUSE DOEPENOENT CHILD

3
GUARANTOR
4 u::J~OO--$4,999
AMOUNT 0$5,000--$9,999 0$10,000--$24,999 D$25,oOO-.OR MORE
PERSON OR INSTITUTION
HOLDING NOTE OR C~ frte.J'+~}~e:.-
LEASE AGREEMENT
LlABIUTYOF
GF1LER OSPOUSE o DEPENDENT CHILD

GUARANTOR
AMOUNT 0$1,000--54,999 0$5,000-.$9,999 0$10,000--$24,999 ~~O--OR MORE
PERSON OR INSTITUTION I~~,- 1~1tVv f;~L- ~&.
HOLDING NOTE OR
LEASE AGREEMENT
LIABILITY OF
(gmER o SPOUSE DDEPENDENT CHILD

GUARANTOR
AMOUNT o $1,000--$4,999 0$5,000--$9,999 I!a $1 0,000--$24,999 o $25.000--0R MORE
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised WI01l2009

Texas Ethics Commission

P.O. Box 12070

Austin, Texas 78711-2070

(512) 463-5800

1-800-325-8506

INTERESTS IN REAL PROPERTY PART 7A
o NOT APPLICABLE
Describe all beneficial interests in real property held or acquired by you, your spouse, or a dependent child during the
calendar year. If the interest was sold, also indicate the category of the amount of the net gain or loss realized from the sale.
For an explanation of "beneficial interest" and other specific directions for completing this section, 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.
1 0F1LER [Z]SPOUSE D DEPENDENT CHilD
HELD OR ACQUIRED BY
2 STREET ADDRESS STREET ADDRESS, INCLUDING CITY, COUNTY, AND STATE
D NOT AVAILABLE 48111 Shore Hills Drive Kingwood Texas 77345
[Z] CHECK IF FILER'S HOME ADDRESS
3 DESCRIPTION NUMBER OF LOTS OR ACRES AND NAME OF COUNTY WHERE LOCATED
o LOTS
o ACRES
4 NAMES OF PERSONS GMAC Mortgage
RETAINING AN INTEREST
D NOT APPLICABLE
(SEVERED MINERAL INTEREST)
5 IF SOLD
DNETGAIN D lESSTHAN$5,OOO D $5,000·-$9,999 D $10,000··$24,999 D $25,000··OR MORE
DNETLOSS
HELD OR ACQUIRED BY o FILER o SPOUSE o DEPENDENT CHilD

STREETADDRESS STREET ADDRESS, INCLUDING CITY, COUNTY, AND STATE
o NOT AVAILABLE
D CHECK IF FILER'S HOME ADDRESS
NUMBER OF LOTS OR ACRES AND NAME OF COUNTY WHE:RE LOCATED
DESCRIPTION
o LOTS
o ACRES
NAMES OF PERSONS
RETAINING AN INTEREST
D NOT APPLICABLE
(SEVERED MINERAL INTEREST)
IF SOLO
ONETGAIN o LESS THAN $5,000 0 $5,000··$9,999 D $10,000--$24,999 D $25,OOO·-OR MORE
ONETLOSS
COpy AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 12101/2008

Texas Elhlcs Commission

P.O. Box 12070

Austin, Texas 78711-2070

(512) 463-5800

1-800-325-8506

INTERESTS IN BUSINESS ENTITIES PART 78
o NOT APPLICABLE
Describe all beneficial interests In business entitfes held or acquired by you, your spouse, or a dependent child during the
calendar year. If the interest was sold, also indicate the category of the amount of the net gain or loss realized from theesa
For an explanation of "beneflciallnterest" and other specific directions for completing this section, 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.
1 HELD OR ACQUIRED BY 0,FrlER o SPOUSE o DEPENDENT CHILD
2 NAME AND ADDRESS
DESCRIPTION o (Check If Flier's Home Address)
f\Al'r~/'1\1A .. Y. S v ~P~ .. ~~
~ .9 l? 'i)'r" ? '1:.> 4
(_~AAK.lo(~~ ~ +--:}5~O
3 IF SOLD
o NET GAIN o LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 o $25,OOO··OR MORE
o NET LOSS
HELD OR ACQUIRED BY [g1ILER o SPOUSE o DEPENDENT CHILD
NAM E ANO ADDRESS
DESCRIPTION 5 U'v e. ,~~h~~sHomIlAddfeSS) N ~
.... \ eN-... /vV_ . .I'(.,\ :.n..r Lv:WU1A-S' t:Y'
(.+..e b'- 5 \JJ ~k \-l.-.., 'f--. fk-~
H,.v~\e- T)<: t '.}-3Lt(..
IF SOLD
o NET GAIN o LESS THAN $5,000 o $5,000·-$9,999 0$10,000--$24,999 o $25,000-OR MORE
o NET LOSS
HELD OR ACQUIRED BY g-FlLER o SPOUSE o DEPENDENT CHILD
NAME AND AODRESS
DESCRIPTION o (Check If Filer's Home Address)
~*?> .... ~~-\S
~o fbo~ 33<1
c.~A-\,.J.vi \U.oJ ~r)<. 1'7- 5 ~ 0
IF SOLD
o NET GAIN o LESS THAN $5,000 o $5,000--$9,999 O· $10,000·-$24,999 o $25,OOO-·OR MORE
o NET LOSS
COpy AND ATTACH ADDITIONAL PAGES AS NECESSARY Revl •• d 1Q/0 112009

Texas Ethics Commission

P.O. Box 12070

Austin, Texas 78711-2070

(512) 463-5800

1-800-325-8506

INTERESTS IN BUSINESS ENTITIES PART 78
o NOT APPLICABLE
Describe all beneficial interests in business entities held or acquired by you, your spouse, or a dependent child during the
calendar year. If the interest was sold, also indicate the category of the amount of the net gain or loss realized from the sale.
For an explanation of "beneficial interest" and other specific directions for completing this section, 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.
1 ~ER
HELD OR ACQUIRED BY o SPOUSE o DEPENDENT CHILD
2 NAME AND ADDRESS
DESCRIPTION o (Check If Filer's Home Address)
M\\02 :'> Ul.L\vJ\.N .W TP.f.?-a-,rs I L...,-,C-
fo e~'f. '?3'\
G~""A-C!,.\\J"'tM -r)<,. 1-?-53 0
3 IF SOLD
o NET GAIN o LESS THAN $5,000 o $5,000--$9,999 o $10,000--$24,999 o $25,000--OR MORE
o NET LOSS
HELD OR ACQUIRED BY o FILER o SPOUSE o DEPENDENT CHILD

NAMEAND ADDRESS
DESCRIPTION o (Check If Filer'S Home Address)
IF SOLD
o NET GAIN o LESS THAN $5,000 o $5,000--$9,999 o $10,000--$24,999 o $25,OOO--OR MORE
o NET LOSS
HELD OR ACQUIRED BY o FILER o SPOUSE o DEPENDENT CHILD

NAM E AND ADDRESS
DESCRIPTION o (Check If Filers Home Address)
IF SOLD
o NET GAIN o LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 o $25,OOO--OR MORE
o NET LOSS
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 1010112009

Texas Ethics Commission

P.O. Box 12070

Austin, Texas 78711-2070

(512) 463-5800

1-800-325-8506

GIFTS PART 8
o NOT APPLICABLE
Identify any person or organization that has given a gift worlh more than $250 to you, your spouse, or a dependent child, and
describe the gift. Do not include: 1) expenditures required to be reported by a person required to be registered as a lobbyist
under chapter 305 of the Government Code; 2) political contributions reported as required by law; or 3) gifts given by a
person related to the recipient within the second degree by consanguinity or affinity. 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.
1 NAME AND ADDRESS
DONOR
2 DFILER DSPOUSE D DEPENDENT CHILO
RECIPIENT
3
DESCRIPTION OF GIFT
NAME AN 0 ADDRESS
DONOR
RECIPIENT D FILER DSPOUSE D DEPENDENT CHILD

DESCRIPTION OF GIFT
NAME AND ADDRESS
DONOR
RECIPIENT DFILER DSPOUSE D DEPENDENT CHILD

DESCRIPTION OF GIFT
COpy AND ATTACH ADDITIONAL PAGES AS NECESSARY Revjsed 12fOl12uoa

Texas Ethics Commission

P.O. Box 12070

Austin, Texas 78711-2070

(512) 463-5800

1 ~800-325-850 6

TRUST INCOME PART 9
[Z] NOT APPLICABLE
Identify each source of income received by you, your spouse, or a dependent child as beneficiary of a trust and indicate the
category of the amount of income received. Also identify each asset of the trust from which the beneficiary received more
than $500 in income, if the identity of the asset is known. 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.
1 NAME OF TRUST
SOURCE
2 o FILER o SPOUSE o DEPENDENT CHILD
BENEFICIARY
3
INCOME D LESS THAN $5,000 0$5,000--$9,999 D $10,000--$24,999 D $25,000--OR MORE
4 ASSETS FROM WHICH
OVER $500 WAS RECEIVED
o UNKNOWN
NAME OF TRUST
SOURCE
BENEFICIARY DFILER DSPOUSE o DEPENDENT CHILD

INCOME o LESS THAN $5,000 D $5,000--$9,999 0$10,000--$24,999 o $25,000--OR MORE
ASSETS FROM WHICH
OVER $500 WAS RECEIVED
D UNKNOWN
NAME OF TRUST
SOURCE
BENEFICIARY D FILER o SPOUSE D DEPENDENT CHILD

INCOME DLESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 o $25,000--OR MORE
ASSETS FROM WHICH
OVER $500 WAS RECEIVED
D UNKNOWN
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revls ed 1 ~I01/20DB

Texas Elhics Commission

P.O. Box 12070

Austin, Texas 78711~2070

(512) 463-5800

1-800-325-8506

BLIND TRUSTS PART 10A
!2J NOT APPLICABLE
Identify each blind trust that complies with section 572.023(c) of the Government Code. 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.
1 NAME OF TRUST
2 NAMEANDADDRESS
TRUSTEE
3 BENEFICIARY
o FILER o SPOUSE o DEPENDENT CHILD

4 FAIR MARKET VALUE
o LESS THAN $5,000 DS,000.-$9,999 0$10,000-.$24,999 o $25,000--OR MORE
5
DATE CREATED
NAME OF TRUST
NAME AND ADDRESS
TRUSTEE
BENEFICIARY o FILER o SPOUSE o DEPENDENT CHILD

FAIR MARKET VALUE o LESS THAN $5,000 05,000.-$9,999 0$10,000--$24,999 o $25,OOO-·OR MORE
DATE CREATED
NAME OF TRUST
NAME AND ADDRESS
TRUSTEE
BENEFICIARY o FILER o SPOUSE o DEPENDENT CHILD

FAIR MARKET VALUE o LESS THAN $5,000 05,000--$9,999 0$10,000--$24.999 o $25,000--OR MORE
DATE CREATED
COpy AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 1210112008

Texas Ethics Commission

Austin, Texas 78711-2070

(512) 463-5800

1-800-325-8506

P.O. Box 12070

TRUSTEE STATEMENT

PART 108

[2] NOT APPLICABLE

An individual who is required to identify a blind trust on Part 10A of the Personal Financial Statement must submit a statement signed by the trustee of each blind trust listed on Part 10A. The portions of section 572.023 of the Government Code thai relale to blind trusts are listed below.

1 NAME OF TRUST

NA'.lE

2 TRUSTEE NAME

3 FILER ON WHOSE BEHALF STATEMENT IS BEING FILED

4 TRUSTEE STATEMENT

I affirm, under penalty of perjury, that I have not revealed any information to the beneficiary of this trust except information that may be disclosed under section 572.023 (b)(8) of the Government Code and that to the best of my knowledge, the trust complies with section 572.023 of the Government Code.

Trustee Signature

§ 572.023. Contents of Financial Statement In General (b) The account of financial activity consists of:

(8) identification of the source and the category of the amount of all income received as beneficiary of a trust, other than a blind trust that complies with Subsection (c), and identification of each trust asset, ifknown to the beneficiary, from which income was received by the beneficiary in excess of $500;

(14) Identification of each blind trust that complies with Subseclion (c), including: (A) the category of the fair market value of the trust;

(8) the date the trust was created;

(C) the name and address of the trustee; and

(0) a statement signed by the trustee, under penalty of perjury, stating that:

(i) the trustee has not revealed any information to the individual, except information that may be disclosed under Subdivision (8); and

(Ii) to the best of the trustee's knowledge, the trust complies with this section. (c) For purposes of Subsections (b)(8) and (14), a blind trust is a trust as to which:

(1) the trustee:

(A) Is a disinterested party; (8) is not the individual;

(C) is not required to register as a lobbyist under Chapter 305; (D) is not a public officer or public employee; and

(E) was not appointed to public office by the individual or by a public officer or public employee the Individual supervises; and

(2) the trustee has complete discretion to manage the trust, including the power to dispose of and acquire trust assets without consulting or notifying the individual.

(d) If a blind trust under Subsection (c) is revoked while the individual is subject to this subchapter, the Individual must file an amendment to the Individual's most recent financial statement, disclosing the date of revocation and the previously unreported value by category of each asset and the income derived from each asset.

Revised 12101/2006

"Texas Ethics Commission

P.O. Box 12070

Austin, Texas 78711-2070

(512) 463-5800

1-800-325-8506

ASSETS OF BUSINESS ASSOCIATIONS

o NOT APPLICABLE

PART 11A

Describe all assets of each corporation, firm, partnership, limited partnership, limited liability partnership, professional corporation, professional association, joint venture, or other business association in which YOLl, your spouse, or a dependent child held, acquired, or sold 50 percent or more of the outstanding 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 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 BUSINESS NAME AND ADDRESS

o (Check If Filer's Home Address)

ASSOCIATION

Mar-Max Supply Inc PO Box 339 Channelview TX 77530

2 BUSINESS TYPE

Sales & Distribution

3 HELD, ACQUIRED, OR SOLD BY

o FILER

o SPOUSE

DOEPENDENT CHILD --_

4 ASSETS

Common Stock

I I I I

. . . . . .. . .. '1'

I I I

"I· I I

I

·1· I I I

.I. ,

I

I I

T I I I

.,.

I I I

·1· I I

I

I

CATEGORY

OLESS THAN $5,000 0 $5,000·.$9,999 0$10,000.-$24,999 0 $25,OOO .. OR MORE

o LESS THAN $5,000 0$5,000--$9,999

0$10,000--$24,999 0$25,000 .. OR MORE

o LESS THAN $5,000 0$5,000--$9,999

0$10,000--$24,999

1ZI$25,OOO--OR MORE

DESCRIPTION

Certificates of Deposit

Inventory

Accounts Recicvable

FF&E

Intellectual Property

Formulas, Customer Lists, etc.

OLESS THAN $5,000 0$5,000--$9,999

0$10,000--$24,999 [{]525,OOO--OR MORE

OLESS THAN $5,000 0$5,000 .. $9,999

0$10,000--$24,999 (ZJ525,000 .. OR MORE

OLESS THAN $5,000 0$5,000--59,999

0$10,000--524,999

(ZJ$25,000--OR MORE

o LESS THAN $5,000 0$5,000 .. $9,999

0$10,000··524,999 [{]525,QOO .. OR MORE

o LESS THAN $5,000 0$5,000 •• $9,999

0$10,000 .. $24,999

0$25,000 .. OR 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

ASSETS OF BUSINESSASSOCIATIONS

o NOT APPLICABLE

PART 11A

Describe aU assets of each corporation, firm, partnership, limited partnership, limited liability partnership, professional corporation, professional association, joint venture, or other business association in which you, your spouse, or a dependent child held, acquired, or sold 50 percent or more of the outstanding 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 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.

NAME AND ADDRESS

o (Check If Filer's Home Address)

Sullivan Commercial at Keller Williams Realty 20665 \V Lake HOl1StOll Pwy Humble TX 77346

1 BUSINESS ASSOCIATION

2 BUSINESS TYPE

Real Estate Broker

3 HELD, ACQUIRED, OR SOLD BY

!ZI FilER

DSPOUSE

ODEPENDENT CHILD ---

FF&E

I I I I

. . . . . . . .. . .. '1'

I I I

·1· I I

I

.j.

I I I I

'I'

I I I

T I I

I

'1' I I I

·1· I I I

I

CATEGORY

o LESS THAN $5,000 0 $5,000--$9,999

0$10,000--$24,999 O$25,000--OR MORE

o LESS THAN $5,000 0$5,000--$9,999

0$10 ,000--S24, 999

DS25,000--OR MORE

4 ASSETS

DESCRIPTION

o lESS THAN $5,000 0$5,000--$9,999

0$10,000--$24,999 [Z]$25,000--OR MORE

OlESS THAN $5,000 0$5,000--$9,999

0$10,000--$24,999 0$25,000--OR MORE

OlESS THAN $5,000 0$5,000--$9,999

0$10,000--$24,999 0$25,000.-OR MORE

o lESS THAN $5,000 0$5,000--$9,999

0$10,000--$24,999 0$25,000--OR MORE

OlESS THAN $5,000 0$5,000--$9,999

0$10,000--$24,999

0$25,000--OR MORE

Accounts Recievable

Goodwill

o lESS THAN $5,000 0$5,000--$9,999

0$10,000--$24,999

O$25,000 .. OR 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

ASSETS OF BUSINESS ASSOCIATIONS

o NOT APPLICABLE

PART 11A

Describe all assets of each corporation, firm, partnership, limited partnership, limited liability 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 of the outstanding ownership and indicate the category of the amou ~ of the 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.

1 NAME ANO ADDRESS

BUSINESS 0 (Check If Filar's Home Address)

ASSOCIATION

2 BUSINESS TYPE

3 HELD, ACQUIRED, OR SOLD BY

o SPOUSE

DOEPENDENT CHILD ---

4 ASSETS

DESCRIPTION

~o~w,'l(

• ~ • • .. • • • I • • • • • • • • • • • • • ~ • L

" OLESS THAN $5,000 0$5,000.-$9,999

,

I

'I' I I ,

."

I ,

I

·1.

I I I

.I.

I ,

I I

T I I I

'1' ,

I I

.,.

I I I

I

CATEGORY

0$10,000--$24,999

Q}$&'OOO-.OR MORE

o LESS THAN $5,000 0 $5,000·-$9,999

0$10,000--$24,999 1iJ$2&,OOO.-OR MORE

DLESS THAN $5,000 0$5,000--$9,999

0$10,000.-$24,999

0$25,OOO .. OR MORE

DLESS THAN $5,000 0$5,000--$9,999

0$10,000--$24,999 O$25,OOO--OR MORE

o LESS THAN $5,000 0 $5,000--$9,999

0$10,000,,$24,999 0$25,OOO--OR MORE

OLESS THAN $5,000 0$5,000.-$9,999

0$10,000--$24,999

0$25,000 .. OR MORE

OLESS THAN $5,000 0$5,000--$9,999

0$10,000--$24,999

0$25,OOO .. OR MORE

o LESS THAN $5,000 0$5,000--$9,999

0$10,000 .. $24,999

O$25,OOO--OR MORE

COpy AND ATTACH ADDITIONAL PAGES AS NECESSARY

Revls.d 1010 1I2009

Texas Ethics Commission

P.O. Box 12070

Austin, Texas 78711-2070

(512) 463-5800

1-800-325-8506

ASSETS OF BUSINESS ASSOCIATIONS

o NOT APPLICABLE

PART 11A

Describe all assets of each corporation, firm, partnership, limited partnership, limited liability partnership, professional corporation, professional association, joint venture, or other business association in which you, your spouse, or a dependent child held, acquired, or sold 50 percent or more of the outstanding 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 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.

2 BUSINESS TYPE

o SPOUSE

1 NAME AND ADDRESS

BUSINESS ., 0 (Check If Filer's Home Address)

ASSOCIATION f\\ ... Ce: Sv\\~V~ .L-\<-\'~~ts/ L.L..C-

~\V 6!;)~ ?~q C~,,~Q.O -rX

3 HELD, ACQUIRED, OR SOLD BY

o DEPENDENT CHILO --_

DESCRIPTION I

I I

c:.6? 6)J t.u \ U I

. . . . . . . .. . '1'

I I

· .. !t(.Yf?l?~~ l~~~~{~ ..... 1· I I I

· , , ·1·

I I I

. . . . . . . . . . . . . . . . . . . . . , . . .1.

I I I I

· . . . . . . . . . . . . . . . . . . . . . . . . . j'

I I I

· '1'

I I I

· ·1·

I I I I

CATEGORY

o LESS THAN $5,000 0 $5,000--$9.999

0$10,000--$24,999 [l}$'25,OOO--OR MORE

o LESS THAN $5,000 0 $5,000--$9,999

o $10,000--$24.999 [!;}~OOO-OR MORE

o LESS THAN $5,000 0 $5,000--$9,999

0$10,000--$24,999 0 $25,OOO-OR MORE

o LESS THAN $5,000 0 $5,000--$9,999

o $10,000--$24,999 0 $25,000--OR MORE

o LESS THAN $5,000 0 $5,000--$9,999

0$10,000--$24,999 0 $25,OOO·-OR MORE

'0 LESS THAN $5,000 0 $5,000--$9,999 0$10,000--$24,999 0 $25,000--OR MORE

o LESS THAN $5,000 0 $5,000--$9,999

0$10,000--$24,999 0 $25,OOO--OR MORE

o LESS THAN $5,000 0 $5,000--$9,999

0$10,000--$24,999 0 $25,000--OR MORE

4 ASSETS

COpy AND ATTACH ADDITIONAL PAGES AS NECESSARY

Revis.d 10101/2009

Texas Ethics CommissIon

PO Box 12070

Austin, Texas 78711-2070

(512) 463-5800

1-800-325-8506

LIABILITIES OF BUSINESS ASSOCIATIONS

o NOT APPLICABLE

PART 118

Describe all liabilities of each corporation, firm, partnership, limited partnership, limited liability partnership, professloral corporation, professional association, joint venture, or other business association In which you, your spouse, or a depen dent chitd held, acquired, or sold 50 percent or more of the outstanding ownership and Indicate the category of the amount of the assets, For more informatfon,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.

1 BUSINESS ASSOCIATION

NAM E AND ADDRESS

o (Check II Flier's Home Address)

{tv '7-{..~0 ~f ·ro-5~~ 7',4

2 BUSINESS TYPE

3 HELD, ACQUIRED, OR SOLD BY

GJFilER

o SPOUSE

o DEPENDENT CHILD ---

4 LIABILITIES

DESCRIPTION

I I ,

I

... " I I I

·1· I I I

·1· I I I

.I.

I I I I

T ,

I

,

'I' ,

I ,

·1, I I I

I

CATEGORY

o lESS THAN $5,000 ~00.-$9,999

0$10,000.-$24,999 0 $25,OOO·-OR MORE

o lESS THAN $5,000 0 $5,000--$9,999 0$10,000--$24,999 0 $25,OOO .. OR MORE

o lESS THAN $5,000 0 $5,000--$9,999 0$10,000-$24,999 0 $25,OOO--OR MORE

o LESS THAN $5,000 0 $5,000--$9,999

o $10,000·-$24,999 0 $25,000--OR MORE

o lESS THAN $5,000 0 $5,000-·$9,999 0$10,000--$24,999 0 $25,000--OR MORE

o lESS THAN $5,000 0 $5,000--$9,999

o $10,000--$24,999 0 $25,OOO·-OR MORE

o lESS THAN $5,000 0 $5,000·-$9,999

o $10,000--$24,999 0 $25,OOO-·OR MORE

o lESS THAN $5,000 0 $5,000--$9,999 0$10,000--$24,999 0 $25,OOO--OR MORE

COpy AND ATTACH ADDITIONAL PAGES AS NECESSARY

Revised 1010112009

Texas Ethics Commission

1 ~800-325-8506

Austin, Texas 78711~2070

(512) 463-5800

P.O. Box 12070

LIABILITIES OF BUSINESS ASSOCIATIONS

PART 11 B

D NOT APPLICABLE

Describe aliliabililies of each corporation, firm, partnership, limited partnership, limited liability partnership, professional corporation, professional association, joint venture, or other business association in which you, your spouse, or a dependent child held, acquired, or sold 50 percent or more of the outstanding ownership and indicate the category of the amount of the assets. For more information, see FORM PFS--[NSTRUCTION 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.

2 BUSINESS TYPE

D $25,000--OR MORE

1 BUSINESS ASSOCIATION

NAM E AND ADDRESS

D (Check If Filer's Home Address)

,'AfIt ~ (v\A.'f' <;; ~re ~ I -:~ . _ /

Po tP-fO\G '~'1... 'q J C-~!\ ~.., ~ Ii< f 15.3-0

3 HELD, ACQUIRED, OR SOLD BY

Q11LER

D SPOUSE

D DEPENDENT CHILD --_

~ D LESS THAN $5,;;:EG02; $5,000--$9,999

I

I D $10,000--$24,999 D $25,000-OR MORE

- - - - - - - - , - - 'j' .. , .. - . . . .. . .

: D LESS THAN $5,000 D $5,000--$9,999

Acy+.~ .~_~ .f.-~~. 0~~ .C? ~10,~0.0-~$~4:9~9 ... ~~~O~--.O~ ~~~E.

I

I 0 LESS THAN $5,000 D $5,000--$9,999

1 D $10,000--$24,999 D $25,000~OR MORE

............ - ·1· . . . . . . . . . .. . .

I

I 0 LESS THAN $5,000 0 $5,000--$9,999

. . . . . . . . . . . . . . . . . : .. ~ ~1.0,~0.0-~$~4:9~9. .~ ~2~.~0~~O~ ~?~E.

I

I 0 LESS THAN $5,000 D $5,000--$9,999

I

I 0 $10,000--$24,999

....................... '1' .

J D LESS THAN $5,000 D $5.000--$9,999

I

I 0 $10.000--$24,999 0 $25,000--OR MORE

..................... - '1' . . . . . . . . . .. . .

t 0 LESS THAN $5,000 D $5.000--$9,999 I 0 $10,000--$24,999

.......... - , .

,

I 0 LESS THAN $5,000 D $5,000--$9,999

i 0 $10,000--$24,999

4

LIABiliTIES

DESCRIPTION

D $25,OOO--OR MORE

o $25,000--OR MORE

COpy AND ATTACH ADDITIONAL PAGES AS NECESSARY

Revised 10IG1I2009

Texas Ethics Commission

LIABILITIES OF BUSINESS ASSOCIATIONS

P.O. Box 12070

Austin, Texas 78711-2070

(512) 463-5800

1-800-325-8506

o NOT APPLICABLE

PART 11 B

Describe all liabilities of each corporation, firm, partnership, limited partnership, limited liability partnership, professional corporation, professional association, joint venture, or other business association in which you, your spouse, or a dependent child held, acquired, or sold 50 percent or more of the outstanding 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 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 BUSINESS ASSOCIATION

tlAM E AND ADDRESS

o (Check If Filers Home Address)

5v\\\Vt1y... C"'M~~~ ~ ~ WllL\~~ ~tW'~T-

~ 6b0S" \j1 Lt-~e.. ~~+--- P~WtM1 Kv~ T)< 1-::;;tft.

2 BUSINESS TYPE

3 HELD, ACQUIRED, OR SOLD BY

o FILER

o SPOUSE

o DEPENDENT CHILD --~

4

LIABILITIES

DESCRIPTION

T ftHJ2e o..vl.-O v. AJh.

....... , .... ~. ·:.-7.

II CATEGORY

ICJ-t~AN $5,000 0 $5,000--$9,999

I

I

'1' I

I I

.,.

I I I

·1· I I I

.I.

I I I I

T

I I I

'1' I

I I

·1· I I I

I

0$10,000--$24,999

o $25,000-OR MORE

o LESS THAN $5,000 0 $5,000--$9,999

o $10,000,-$24,999

o $25,OOO-OR MORE

o LESS THAN 55,000 0 $5,000--$9.999

o $10,000--$24,999

o $25,000-OR MORE

o LESS THAN $5,000 0 $5,000--$9,999

o 510,000--$24,999

o $25,000--OR MORE

o LESS THAN 55,000 0 $5.000--59,999

o $10,000--$24,999

o $25,000··OR MORE

o LESS THAN $5,000 0 $5,000--59.999

o $10,000--$24,999

o $25,000 .. OR MORE

o LESS THAN $5,000 0 $5.000--$9.999

o $10,000--$24,999

o $25,000--OR MORE

o LESS THAN $5,000 0 $5,000--$9,999

o $10,000--$24,999

o $25,000~OR MORE

COpy AND ATTACH ADDITIONAL PAGES AS NECESSARY

Revi5.d 10101/2009

Texas Ethics Commission

1-800-325-8506

Austin, Texas 78711-2070

(512) 463-5800

PO. Box 12070

LIABILITIES OF BUSINESS ASSOCIATIONS

PART 11 B

o NOT APPLICABLE

Describe all liabilities of each corporation, firm, partnership, limited partnership, limited liability partnership, professional corporation, professional association, joint venture, or other business association in which you, your spouse, or a dependent child held, acquired, or sold 50 percent or more of the outstanding 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 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.

2 BUSINESS TYPE

DESCRIPTION

1 BUSINESS ASSOCIATION

3 HELD, ACQUIRED, OR SOLD BY

o SPOUSE

o DEPENDENT CHILD
I CATEGORY
I ~ THAN $5,000 o $5,000·-$9,999
I
I 0$10,000 .. $24,999 o $25,000--OR MORE
'I'
I o LESS THAN $5,000 o $5,000 .. $9,999
I
I 0$10,000--$24,999 o S25,000 .. OR MORE
·1·
I o LESS THAN $5,000 o $5,000 .. $9.999
I
I o $10.000 .. $24,999 o $25,000 .. OR MORE
,I· , .
I
1 o LESS THAN $5,000 o $5,000 .. $9,999
I o $10,000--$24,999 o $25,000--OR MORE
I
I
1 o LESS THAN $5,000 o $5,000--$9.999
I
I o $10,000--$24,999 o $25,000·-OR MORE
T ..
I o LESS THAN $5,000 o $5.000 .. $9,999
I
1 0$10.000 .. $24,999 o $25,000--OR MORE
'I'
I o LESS THAN $5,000 o $5,000--$9,999
I
I o $10,000·-$24,999 o $25,DOO--OR MORE
·1· ..
I
I o LESS THAN $5,000 o $5,000--$9.999
I o $10,000--$24,999 o $25,OOO--OR MORE
I 4

LIABILITIES

COpy AND ATTACH ADDITIONAL PAGES AS NECESSARY

Revised 1010112009

Texas Ethics Commission

PO Box 12070

Austin. Texas 78711-2070

(512) 463-5800

1-800-325-8506

BOARDSAND EXECUTIVE POSITIONS PART 12
o NOT APPLICABLE
List all boards of directors of which you, your spouse, or a dependent child are a member and all executive positions you,
your spouse, or a dependent child hold in corporations, firms, partnerships, limited partnerships, limited liability partner-
ships, professional corporations, professional associations, joint ventures, other business associations, or proprietorships,
stating the name of the organization and the position held. 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.
1
ORGANIZATION Mar-Max Supply Inc
2
POSITION HELD Vice President
3 POSITION HELD BY o FILER o SPOUSE o DEPENDENT CHILD
ORGANIZATION Sullivan Commercial at Keller Williams Realty Northeast
POSITION HELD Owner
POSITION HELD BY o FILER o SPOUSE o DEPENDENT CHILD

ORGANIZATION Kingwood Medical Center
POSITION HELD Director
POSITION HELD BY o FILER o SPOUSE o DEPENDENT CHILD

ORGANIZA TION HCA Affliated Hospitals Gulf Coast Division
POSITION HELD Advisory Director
POSITION HELD BY o FILER o SPOUSE o DEPENDENT CHILD

ORGANIZATION Bay Area Houston Economic Partnership
POSITION HELD Board of Directors, Ex-Officio Member
POSITION HELD BY o FILER o SPOUSE o DEPENDENT CHILD

COpy AND ATTACH ADDITIONAL PAGES AS NECESSARY Revlaed 1210112008

Texas Ethics Commission

P.O. Box 12070

Austin, Texas 78711-2070

(512) 463-5800

1-800-325-8506

BOARDSAND EXECUTIVE POSITIONS PART 12
o NOT APPLICABLE
List all boards of directors of which you, your spouse, or a dependent chifd are a member and all executive positions you,
your spouse, or a dependent child hold in corporations, firms, partnerships, limited partnerships, limited liability partner-
ships, professional corporations, professional associations, joint ventures, other business associations, or proprietorships,
stating the name of the organization and the position held. 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.
1
ORGANIZATION Mike Sullivan Interests LLC
2
POSITION HELD President
3 POSITION HELD BY o FILER D SPOUSE D DEPENDENT CHILO
ORGANIZATION RuslBusters
POSITION HELD President
POSITION HELD BY o FILER o SPOUSE D DEPENDENT CHILD

ORGANIZA TION ~M_P_ M~
~
POSITION HELD ~~
POSITION HELD BY ~ER o SPOUSE D DEPENDENT CHILD

ORGANIZATION
POSITION HELD
POSITION HELD BY o FILER o SPOUSE o DEPENDENT CHILO

ORGANIZATION
POSITION HELD
POSITION HELD BY o FILER o SPOUSE o DEPENDENT CHILD

COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revlsetl 121011200B

Texas Ethics Commission

PO Box 12070

Austin Texas 78711-2070

(512) 463-5800

1-800-325-8506

,
EXPENSES ACCEPTED UNDER HONORARIUM EXCEPTION PART 13
[2] NOT APPLICABLE
Identify any person who provided you with necessary transportation, meals, or lodging, as permitted under section 36.07(b)
of the Penal Code, in connection with a conference or similar event in which you rendered services, such as addressing an
audience or participating in a seminar, that were more than perfunctory. Also provide the amount of the expenditures on
transportation, meals, or lodging. You are not required to Include items you have already reported as political contributions
on a campaign finance report, or expenditures required to be reported by a lobbyist under the lobby law (chapter 305 of the
Government Code). For more information, see FORM PFS--INSTRUCTION GUIDE.
1 NAMEANDADDRESS
PROVIDER
2
AMOUNT
NAME AND ADDRESS
PROVIDER
AMOUNT
NAM E AND ADDRESS
PROVIDER
AMOUNT
NAME AND ADDRESS
PROVIDER
AMOUNT
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 1210112008

Texas Ethics Commission

P.O. Box 12070

Austin, Texas 78711-2070

(512) 463-5800

INTEREST IN BUSINESS IN COMMON WITH LOBBYIST PART 14
o NOT APPliCABLE
Identify each corporation, firm, partnership, limited partnership, limited liability partnership, professional corporation, profes-
sional association, joint venture, or other business association, other than a publicly-held corporation, in which you, your
spouse, or a dependent child, and a person registered as a lobbyist under chapter 305 of the Government Code that both have
an interest. For more information, see FORM PFS--INSTRUCTION GUIDE.
1 NAME AND ADDRESS
BUSINESS ENTITY
2 INTEREST HELD BY DFILER o SPOUSE o DEPENDENT CHILD

NAMEANDADDRESS
BUSINESS ENTITY
INTEREST HELD BY o FILER D SPOUSE D DEPENDENT CHILD

NAME AND AD DRESS
BUSINESS ENTITY
INTEREST HELD BY o FILER o SPOUSE o DEPENDENT CHILD

NAME AND ADDRESS
BUSINESS ENTITY
INTEREST HELD BY DFILER o SPOUSE o DEPENDENT CHILD

NAM E AND ADDRESS
BUSINESS ENTITY
INTEREST HELD BY o FILER o SPOUSE o DEPENDENT CHILD

COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY R.vlsod 1210112008

Texas Elhlcs Commission

P.O. Box 12070

Austin, Texas 78711-2070

(512) 463-5800

1-800-325-8506

FEES RECEIVED FOR SERVICES RENDERED PART 15
TO A LOBBYIST OR LOBBYIST'S EMPLOYER
o NOT APPliCABLE
Report any fee you received for providing services to or on behalf of a person required to be registered as a lobbyist under
chapter 305 of the Government Code, or for providing services to or on behalf of a person you actually know directly cornpen-
sates or reimburses a person required to be registered as a lobbyist. Report the name of each person or entity for which the
services were provided, and-indicate the category of the amount of each fee. For more information, see FORM PFS--
INSTRUCTION GUIDE.
1 PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
2
FEE CATEGORY o LESS THAN $5.000 o $5,000--$9,999 0$10,000--$24.999 O$25,OOO.-OR MORE
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
FEE CATEGORY o LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 o $25,000--OR MORE
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
FEE CATEGORY o LESS THAN $5,000 0$5,000--$9,999 0$10,000--$24,999 o $25,OOO--OR MORE
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
FEE CATEGORY o LESS THAN $5,000 D $5.000--$9,999 0$10,000--$24,999 D $25,OOO--OR MORE
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
FEE CATEGORY o LESS THAN $5,000 D $5,000--$9,999 0$10,000--$24,999 D $25,000--OR MORE
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
FEE CATEGORY o LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 D $25,000--OR MORE
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 1210112008

Texas Ethics Commission

P.O Box 12070

Austin, Texas 78711-2070

(512) 463-5800

1-800-325-8506

REPRESENTATION BY LEGISLATOR BEFORE PART 16
STATE AGENCY
[2] NOTAPPliCABLE
This section applies only to members of the Texas Legislature. A member of the Texas Legislature who represents a person
for compensation before a state agency in the executive branch must provide the name of the agency, the
name of the person represented, and the category of the amount of the fee received for the representation. For more
information,see FORM PFS--INSTRUCTION GUIDE.
Note: Beginning September 1, 2003, legislators may not, for compensation, represent another person before a state
agency in the executive branch. The prohibition does not apply if: (1) the representation is pursuant to an attorney/client
relationship in a criminal law matter; (2) the representation involves the filing of documents that involve only ministerial acts
on the part of the agency; or (3) the representation is in regard to a matter for which the legislator was hired before
September 1, 2003.
1
STATE AGENCY
2
PERSON REPRESENTED
3
FEE CATEGORY o LESS THAN $5,000 0$5,000 .• $9,999 0$10,000,,$24,999 o $25,000·-OR MORE
STATE AGENCY
PERSON REPRESENTED
FEE CATEGORY o LESS THAN $5,000 o $5,000·-$9,999 0$10,000--$24,999 0 $25,OOO .. OR MORE
STATE AGENCY
PERSON REPRESENTED
FEE CATEGORY o LESS THAN $5,000 o $5,000 .. $9,999 0$10,000--$24,999 o $25,000··OR MORE
STATE AGENCY
PERSON REPRESENTED
FEE CATEGORY o LESS THAN $5,000 0$5,000--$9,999 0$10,000,,$24,999 o $25,OOO .. OR MORE
COpy AND ATTACH ADDITIONAL PAGES AS NECESSARY RevIsed 12/0112008

Texas Ethics Commission

P.O. Box 12070

Austin, Texas 78711-2070

(512) 463-5800

1-800-325-8506

BENEFITS DERIVED FROM FUNCTIONS HONORING PART 17
PUBLIC SERVANT
o NOT APPLICABLE
Section 36.10 of the Penal Code provides that the gift prohibitions set out in section 36.08 of the Penal Code do not apply
to a benefit derived from a function in honor of appreciation of a public servant required to file a statement under chapter 572
of the Government Code or title 15 of the Election Code if the benefit and the source of any benefit over $50 in value are: 1)
reported in the statement and 2) the benefit is used solely to defray expenses that accrue in the performance of duties or
activities in connection with the office which are nonreimbursable by the state or a political subdivision. If such a benefit is
received and is not reported by the public servant under tille 15 of the Election Code, the benefit is reportable here. For more
information, see FORM PFS--INSTRUCTION GUIDE.
1 NAM E AND ADDRESS
SOURCE OF BENEFIT
2
BENEFIT
NAM E AND ADDRESS
SOURCE OF BENEFIT
BENEFIT
NAME AND ADDRESS
SOURCE OF BENEFIT
BENEFIT
NAME: AND ADDRESS
SOURCE OF BENEFIT
BENEFIT
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Ravls ed 1210112008

Texas Ethics Commission

P.O. Box 12070

Austin, Texas 78711-2070

(512) 463-5800

1-800-325-8506

LEGISLATIVE CONTINUANCES PART 18
[2] NOT APPLICABLE
Identify any legislative continuance that you have applied for or obtained under section 30.003 of the Civil Practice
and Remedies Code, or under another law or rule that requires or permits a court to grant continuances on the
grounds that an attorney for a party is a member or member-elect of the legislature.
1
NAME OF PARTY
REPRESENTED
2
DATE RETAINED
3
STYLE, CAUSE NUMBER,
COURT & JURISDICTION
4
DATE OF CONTINUANCE
APPLICATION
5
WAS CONTINUANCE
GRANTED? DYES ONO
NAME OF PARTY
REPRESENTED
DATE RETAINED
STYLE, CAUSE NUMBER,
COURT, & JURISDICTION
DATE OF CONTINUANCE
APPLICATION
WAS CONTINUANCE
GRANTED? DYES DNO
COpy AND ATTACH ADDITIONAL PAGES AS NECESSARY RevlS.d 1210112008

Texas Ethics Commission

Austin, Texas 78711-2070

(512) 463-5800

1-800-325-8506

P.o. Box 12070

PERSONAL FINANCIAL STATEMENT AFFIDAVIT

The law requires the personal financial statement to be verified. The verification page must have the signature of the individual required to file the personal financial statement, as well as the signature and stamp or seal of office of a notary public or other person authorized by law to administer oaths and affirmations. Without proper verification, the statement is not considered filed.

I swear, or affirm, under penalty of perjury, that this financial statement covers calendar year ending December 31,2009, and Is true and correct and Inclu es alllnf rnatlon required to be reported by me under chapter

572 of th Gov rn nt C e.

AFFIX NOTARY STAMP I SEAL ABove

Sworn 10 and subscribed before me, by the said /!I : tt= S q./t·.; t}d, this the A qd day of 94~ ,20 l" , to certify Which, wit ness my hand and seal of office.

ANNA RUSSELL Nolaly PubliC, Sta!8 01 1exas

~ COInmiM!on ~~r" 071OOt2013

Signature of officer administering oath

Revised 10/0112D09