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CITY OF DALLAS . ANNUAL GIFT DISCLOSURE REPORT" SECRETARY (To be filed no later than 5:00 p.m. on A\ WS. TEXAS The Dallas City Council has adopted gift policies for City Councilmembers and Board and Commission members. The gift policies require City Councilmembers and Board and Commission Members to file a swom annual gif| disclosure statement with the City Secretary if, during the preceding calendar year, the Councilmember, Board and Commission member, or his or her immediate family’ have received a gift, ticket, meal, travel, lodging, entertainment or honorarium having a value of $50 or more, or an accumulation of gifts, tickets, meals, travel, lodging, entertainment, or honoraria from a single source having an aggregate value of $100 or more from: (1) al person who the councimember or board or commission member knows is interested in, or is likely to becomel interested in, a contract, purchase, payment, claim, zoning matter, or pecuniary transaction with the city thal! involves the exercise of the councilmember’s or Board and Commission Member's discretion; or (2) a registered lobbyist pursuant to Article IIA, Chapter 12A of the Dallas City Code. [City Council Resolution 092636, Exhibits Aand B attached) Date of Report’ 04/30/2018 Type of Report: Annual f Reporting Period: From: 01/01/2017 Through: 12/91/2017 Chock One| Reporting Party Council DistriclBoard Name V Elected Official (City Councilmember) District 3 “Appointed Official (Board or Commission Member) 41. Name of Reporting Party: [Casey Thomas, Tl 2. Please list each gift, ticket, meal, trip, lodging, entertainment and honorarium having a value of $50 or more, received within the reporting period, by you or your immediate family’ from: (1) a person who the councilmember or board or commission member knows is interested, or likely to become interested, in a contract, purchase, payment, claim, zoning matter, or pecuniary transaction with the city that involves the exercise of your discretion, or (2) a registered lobbyist pursuant to Article IA, Chapter 12A of the Dallas City Code. Also, if you or your immediate family’ have received, within the reporting period, an accumulation of gifts, tickets, meals, travel, lodging, entertainment or honoraria having an aggregate value of $100 or more, from: (1) @ person who the councilmember or board or commission member knows is interested in or is likely to become interested in a contract, purchase, payment, ciaim, zoning matter, or pecuniary transaction with the city that involves the exercise of your discretion or (2) a registered lobbyist pursuant to Article Ill-A, Chapter 12A of the Dallas City Code; please list each gift, ticket, meal, travel, lodging, entertainment and honorarium from that single source, OFFICE OF THE CITY SECRETARY DALLAS, TEXAS. common/data/forms/gift disclosure form Revised 121712 ‘Annual Gift Disclosure Statement Page2 of 3 185004 Please print or type all information, Attach additional pages f more space Is needed. Gitwas Given to Estimated (Check one) Dollar | Vale | Counetimember Fanny Donor Item (Of —_| Board/Commission | Member Name Descrigtion Item Member “Immediate family is defined as a spouse, domestic partner, or dependent child Attached are exclusions to the policy guidelines Have any ational or supplemental pages been altached toihis report?” Yes No If additional or supplemental pages have been attached, identify each page with your name/item number to which the information on the supplemental page refers, QATH OR AFFIRMATION This report (including any accompanying supplements), to the correct and complete SWORN to and subscribed before me by casey Thomas, £ on this the 0 _dayof___ Apri) , 20 | to certify which, witness my hand and seal of office. Signature of officer administering oath {ERELLEL DELOHER elle chee nots PuoUC STATE OF TEXAS |) Printed name of officer administering oath ort a eX 2209 haere Countil Secretrou Title of officer administering deth Gift Policy Quarterly Report: Page I of 1 Report Submittal Deadlines Time Frame Report Due Date 12017-1273 1/2017 42302018 No. Item Description Date Received | Source Name Value Disposition Dallas Convention 1 | NCAA basketball and t-shirt sysnoi7 | Dallas Convention $50 CM Kept Bryon Nelson Championship Dallas Sports 2 ticket and parking pass omis207, ‘Commission ea OM Kept 5 Polo Shirt 62/2017 Visit Dallas $85 CM Kept Riverfront Jazz Festival: 6 The Black Academy 4 a sii2017 | The Black $750 CM Kept 5 | Tri-Color Fair Parking Pass 10/5/2017 Linda Smith 1 parking pass $1000, CM Kept “Grambling State v Prairie View: 4 nee 10/7/2017 ALWE $250 CM Kept > | TX-OU Game: 2 Tickets 10112017 | Texas State $270 CM Kept Zaxby's Heart of Dallas Bowl- g | Utah Utes vs. W. Virginia 12122017 ESPN’ $250 CM Kept Meuntaineers: 2 Tickets 9 10 " 2 rooset