Texas Elhms cummsim PO. Eo>eE B. mam>>: Emu LERCONE .2 ADDRESS Annfiias suvs zwcuoi Lkuuxm Q, mm muscx VF wires mm: muss; 3 TELEPHONE ms. was mm unmask mm mm as REASON FOR HUNG . STATEMENT (71 agcrao OFFICER Jusrxce or 0; Far 3- 7 uNumAreomcz; APPOTNTED orncaw T, ACEKCW EXECU1 we HEAD uwcAr5AL,Fn:v; Tl FORMER OR RETIRED JUDGE av ASSIGNMENT wry mm (.2, am I omen 5 Fa Iy memhevs wmse aqmxy ynu ave mpomng (mar must vegan mommanan ahaul me fimmx nf the Wars spans: 01 dependent crulaven the me! had wnlrul aver mm mm) MUSE 2 vn Fans 1 through we' you sdose yuur manual acllvuy uumg lhe prenedmg caxemsar year In Pans 1 Vvvough 14, you are reqmred meme not orfly your own Manna! hm alsa mat of your spuuse or a depemiem cm yuu had ac1ua\comw\ over Lhal pevsun 5 lmam:xa\ COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY emlcs us Ramses Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) NOTAPPLICABLE SOURCES OF OCCUPATIONAL INCOME PART 1A When reporting information about providing the number under which the child is listed on the Cover Sheet. a dependent chiId's activity, indicate the child about whom you are reporting by 1 INFORMATION RELATES TO IZFILER DEPENDENT CHILD 2 NAME AND ADDRESS OF HELD EMPLOYMENT (Check if FiIer's Home Address) DA 1,1,/ks flouwry SPOUSE 3443 Sr, /L/ii' 'I>AcuAs, 71 752.285 NATURE OF OCCUPATION was l>I Er 3 INFORMATION RELATES TO -2 T- EMPLOYED BY ANOTHER SELF-EMPLOYED FILER El SPOUSE CI DEPENDENT CHILD NAME AND ADDRESS OF EMPLOYER I POSITION HELD EMPLOYMENT (Check If FiIer's Home Address) EMPLOYED BY ANOTHER . . . . 1' 1 INFORMATION RELATES TO . I FILER CI SPOUSE El DEPENDENT CHILD NAME AND ADDRESS OF EMPLOYER I POSITION HELD EMPLOYMENT (Check If FiIer's Home Address) NATURE OF OCCUPATION COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 11/17/2010 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711 -2070 (512) 463-5800 (TDD 1-800-735-2989) RETAINERS PART 1B 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") 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 onlyif 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. NAME AND ADDRESS 1 FEE RECEIVED FROM 2 NAME OF BUSINESS FEE RECEIVED BY El FILER OR BUSINESS SPOUSE OR BUSINESS CI DEPENDENT CHILD OR BUSINESS 3 - FEE AMOUNT LESS THAN $5.000 MORE NAME AND ADDRESS FEE RECEIVED FROM NAME OF BUSINESS FEE RECEIVED BY El FILER OR BUSINESS spouse OR BUSINESS I3 DEPENDENT CHILD 0R BUSINESS FEE AMOUNT LEss THAN $5,000 CI CI MORE COPY AND ATTACH ADDITIONAL PAGES NECESSARY Revised 11/17/2010 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) STOCK NOTAPPLICABLE PART 2 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 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 52% 2 STOCK HELD OR ACQUIRED BY 3 NUMBER OF SHARES EYFILER THAN 100 CI 5,000 TO 9,999 El SPOUSE El 100 TO 499 10,000 OR MORE DEPENDENT CHILD CI 500 TO 999 CI 1,000 TO 4,999 El NET GAIN 4 IF El LESS THAN $5,000 CI CI El MORE [1 NET LOSS BUSINESS ENTITY NAME STOCK HELD OR ACQUIRED BY FILER El SPOUSE DEPENDENT CHILD NUMBER OF SHARES CI LESS THAN 100 100 TO 499 CI 500 TO 999 1,000 TO 4,999 . CI 5,000 TO 9,999 [3 10,000 OR MORE IF I3 NET GAW Ci LESS THAN $5,000 CI CI MORE NET LOSS BUSINESS ENTITY NAME STOCK HELD OR ACQUIRED BY lj FILER CI SPOUSE DEPENDENT CHILD NUMBER oi: SHARES Less THAN 100 [999 1,000 TO 4.999 9,999 CI 10.000 OR MORE IF SOLD CI NET GAIN CI LESS THAN $5,000 El MORE El NET LOSS I BUSINESS ENTITY NAME STOCK HELD OR ACQUIRED BY NUMBER OF SHARES El FILER LESS THAN 100 CI 5,000 TO 9,999 El SPOUSE 100 TO 499 El 10,000 OR MORE DEPENDENT CHILD El 500 TO 999 CI 1,000 TO 4,999 lF SOLD NET GAIN I LESS THAN $5,000 CI El MORE NET LOSS BUSINESS ENTITY NAME STOCK HELD OR ACQUIRED BY El FILER SPOUSE DEPENDENT CHILD NUMBER OF SHARES I [1 LESS THAN 100 1000 To 4.999 CI 5,000 TO 9,999 10,000 OR MORE IF SOLD El NET GAIN Cl NET LOSS LESS THAN $5,000 CI CI CI MORE COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 11/17/2010 Texas Ethics Commission PO. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989) BONDS, NOTES OTHER COMMERCIAL PAPER PART 3 List 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 information, see FORM GUIDE. I 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. DESCRIPTION OF INSTRUMENT HELD OR ACQUIRED BY FILER SPOUSE El DEPENDENT CHILD IF SOLD NET GAIN LESS THAN $5,000 CI MORE El NET LOSS DESCRIPTION OFINSTRUMENT HELD OR ACQUIRED BY El FILER El SPOUSE . El DEPENDENT CHILD IF SOLD NET GAIN A El LESS THAN $5.000 El El MORE [3 NET LOSS DESCRIPTION OF INSTRUMENT HELD OR ACQUIRED BY CI SPOUSE El DEPENDENT CHILD IF SOLD NET GNN LESS THAN $5,000 El El MORE El NET LOSS COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 11/17/2010 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989) MUTUAL FUNDS lj NOTAPPLICABLE PART 4 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 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 A /ll IVL 2 HARE MUTUAL ND :3 FILER Cl spouse El DEPENDENT CHILD 3 NUMBER OF SHARES QT LESS THAN 100 [1 100 TO 499 500 TO 999 1000 To 4,999 OF MUTUAL FUND [3 5,000 TO 9,999 El 10,000 OR MoRe 4 IF SOLD NET Am LESS THAN 95,000 El lj MORE NET LOSS MUTUAL FUND NAME 5 AR A ND EELD El spouse DEPENDENT CHILD NUMBER OF SHARES El' Less THAN 100 100 TO 499 El 500 TO 999 1,000 To 4,999 OF MUTUAL FUND A 5.000 TO 9999 El OR MoRe lF SOLD (3 El NET Am Less THAN $5,000 Cl [j MORE El NET LOSS MUTUAL FUND NAME rzb/U H2/zzsr?ski FWU 53 SHARES OF MUTUAL FUND HELD OR ACQUIRED BY SPOUSE DEPENDENT CHILD NUMBER OF SHARES [3/Less THAN 100 100 TO 499 500 TO 999_ 1,000 TO 4,999 OF MUTUAL FUND El 5,000 TO 9,999 10000 OR MORE IF SOLD C, NET GNN LESS THAN 55,000 El MORE El NET LOSS COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 11/17/2010 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989) INCOME FROM INTEREST, DIVIDENDS, ROYALTIES RENTS PART 5 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 the number underwhich the Child is listed on the Cover Sheet. NAME AND ADDRESS Woo N. Ab, 1 SOURCE OF INCOME 2 RECEIVED BY SPOUSE CI DEPENDENT CHILD 3 . AMOUNT CI MORE NAME AND ADDRESS Z932, Leas '77< SOURCE OF INCOME RECEIVED BY . FILER SPOUSE DEPENDENT CHILD AMOUNT 1 CI El MORE I NAME AND ADDRESS SOURCE OF INCOME 7531 57'" RECEIVED BY IZIFILER SPOUSE DEPENDENT CHILD AMOUNT CI MORE COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 11/17/2010 I i 41 -- 3 '?"exas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070- - -(512) 463-5800 1-aoo--'325-3506 NOTAPPLICABLE -INCOME FROM INTEREST, DIVIDENDS, ROYALTIES RENTS pm 5 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 more information, see FORM GUIDE. When reporting information about a dependent child's activity, indicate the child providing the number under which the child is listed on the Cover Sheet. the category of the amount ofthe income. For about whom you are reporting by I NAME AND ADDRESS 1 SOURCEOF INCOME 1/tot DR, PLANO - . 2 BY I be El spouse [1 DEPEHNDENT CHILD SOURCE or INCOME Ci NAME AND ADDRESS . AMOUNT . MORE I . . - NAMEANDADDRESS SOURCE OF INCOME RECEIVEDIBY I SPOUSE Ci DEPENDENT CHILD . AMOUNT El MORE RECEIVED BY FILER Cl SPOUSE El DEPENDENT CHILD AMOUNT MORE COPYJAND KTTACH ADDITIONAL FAG-ES AS NECEESARY Ravlsad 02I25I2UOB Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) PERSONAL NOTES AND LEASE AGREEMENTS PART 6 NOTAPPLICABLE 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 HOLDING NOTE OR LEASE AGREEMENT 2 LIABILITY OF -- FILER SPOUSE DEPENDENT CHILD 3 GUARANTOR 4 AMOUNT CI I3 MORE . PERSON OR INSTITUTION HOLDING NOTE OR LEASE AGREEMENT LIABILITY OF FILER SPOUSE DEPENDENT CHILD GUARANTOR AMOUNT CI MORE PERSON OR INSTITUTION HOLDING NOTE OR LEASE AGREEMENT LIABILITY OF El FILER El SPOUSE El DEPENDENT CHILD GUARANTOR AMOUNT CI CI MORE COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 11/17/2010 INTERESTS IN REAL PROPERTY NOTAPPLICABLE PART 7A GUIDE. When reporting information about . providing the number under which the child is listed on the Cover Sheet. A Describe all beneficial interests in real property held or acquired by you, your spouse, or a dependent child during the calenda year. if the interest was sold, also indicate the category of the amount ofthe 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-- a dependent child's activity, indicate the child about whom you are reporting by 1 HELD OR ACQUIRED BY 2 STREETADDRESS - NOTAVAILABLE CHECK HOME ADDRESS El sPousE El DEPENDENT CHILD 3 DESCRIPTION LOTS [3 ACRES NUMBER OF LOTSOR ACRES AND NAME OF COUNTY WHERE LOCATED 4 NAMES OF PERSONS RETAINING AN INTEREST NOTAPPLICABLE MINERAL INTEREST) A 5 CEACQNE 5 - NET Loss HELD OR ACQUIRED BY FILER El sPousE DEPENDENT CHILD . STREET ADDRESS. INC DING COUNTY. AND STATE 75 3 I LQAMOVK, - El NGTAVAILASLE - . [j lF HOME 5156944'? 7'2 5:4 5 $5,000 El Cl El El LOTS [j ACRES NUMBER OF LOTS OR ACRES AND NAME OF COUNTY WHERE LOCATED oI= PERSONS- AN INTEREST A NOT APPLICABLE (SEVERED MINERAL A. MAE IF SOLD lj NET GAIN NET LOSS LESS THAN $5.000. El MORE COPY ATTACH ADDITIONAL PAGES AS NECESSARY I Revised 02/25/2003 o.-I 2' INTERESTS IN REAL PROPERTY [j NOTAPPLICABLE PART 7A . INSTRUCTIONGUIDE. Describe all beneficial interests in real property held or acquired by you, your spouse, or a dependent child during the calendar year. lfthe 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-- 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. A I I HELD ORACQUIRED av 2 STREETADDRESS NQTAVAILABLE CHECK IF HOME ADDRESS CI SPOUSE Cl DEPENDENT CHILD -- I STREET ADDRESS. INCLUDING CITY. COUNTY. AND STATE 2932.>> Los /I-arcs A . 7-x caamy 3 DESCRIPTION I.oTs NUMBER OF LOTSIOR ACRES AND NAME OF COUNTY WHERE LOCATED 4 NAMES OE PERSONS NET LOSS HELD OR ACQUIRED BY A I . CHECK IF HOME ADDRESS RETAINING SOLD . - NET GAIN El LESS THAN $5.000 I Dkwegs DEPENDENT CHILD El 'sPousE STREET ADDRESS. INCLUDING CITY. COUNTY. AND STATE . DESCRIPTION LOTS ACRES NUMBER OF LOTS OR ACRES AND NAME OF COUNTY WHERE LOCATED NAMES OF PERSONS I RETAINING. AN INTEREST NOT APPLICABLE (SEVERED MINERAL INTEREST) Ausewk El. cancer"/E IF SOLD NET GAIN NET LOSS .COPY AND ADDITIONAL PAGES As NECESSARY El LESS THAN $5.000. El El MORE Revised 02/25/2069 INTERESTS IN REAL PROPERTY pm 7AI NOTAPPLICABLE Describe all beneficial interests in real property held or acquired by you, your spouse, or a dependent child during the For an explanation of "beneficiaI 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 - - I HELD ORACQUIRED BY SPOUSE El DEPENDENT CHILD 2 STREET ADDRESS. INCLUDING CITY. COUNTY, AND STATE l40( A (DE. Dlow . CHECK IF ADDRESS PFANO (_9u__lM Cad" T. 7/ NUMBER OF LOTS-OR ACRES AND NAME OF COUNTY WHERE LOCATED 3 DESCRIPTION LOTS ACRES 4 NAMES OF PERSONS - RETAINING AN INTEREST - A - 5 5iESoLo, - [3 NET GAIN . .- El LESS THAN $5.000 Cl CI NET Loss HELD OR ACQUIRED BY . CI SPOUSE I A El DEPENDENT CHILD I I . STREET ADDRESS. INCLUDING CITY. COUNTY. AND STATE - I900 N- . . fe2uNr'/. NUMBER OF LOTS OR ACRES AND NAME OF COUNTY WHERE LOCATED STREETADDRESS Ij CHECK 1r= HOME ADDRESS DESCRIPTION . ACRES NAMES OF PERSONS RETAINING AN INTEREST - - . . . NOTAPPLICABLE . 493 5117' 3 - ?fik ca NE (SEVERED MINERAL INTEREST) IF soLo A A I NET GAIN LESS THAN $5,000. El MORE I NET LOSS COPY AND ADDITIONAL PAGES AS NECESSARY Revised 02/25/2005 caiendaryear. If the interest was sold, also indicate the category of the amount of the net gain or loss realized fromthe sale. INTERESTS IN REAL PROPERTY pm 7A NOTAPPLICABLE 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-- 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 . A STPOUSE lj DEPENDENT CHILD STREET ADDRESS. INCLUDING CITY. COUNTY. AND STATE 2 STREETADDRESS NOTAVAILABLE CHECK HOME A NUMBER or LoTs'oR ACRES AND NAME OF COUNTY WHERE LOCATED .3 DESCRIPTION l2fLoTs NAMES oI= PERSONS RETAINING AN INTEREST . NOTAPPLICABLE . . B. (SEVERED MINERAL INTEREST) 5 . . IFSOLD . . . . NET GAIN - . El Less THAN $5,000 El El NET Loss HELD OR ACQUIRED BY I spouse Cl-llLD STREET ADDRESS. INCLUDING CITY. COUNTY. AND STATE STREETADDRESS CHECK lF HOME NUMBER OF LOTS OR ACRES AND NAME OF COUNTY WHERE LOCATED LOTS ATNAMES or: A AN INTEREST I-Auuelc E. El NOTAPPLICABLE. Sropfl?k MA H,Fa'u_ 2/ (SEVERED MINERAL lF soLD I I NET GAIN LESS THAN 55,000.' El El MORE NET LOSS COPY AND ADDITIONAL PAGES As Revised 02/25/2005 Tqxas Ethic 5 Commission PO. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506 NOTAPPLICABLE INTERESTS IN REAL PROPERTY PART 7A INSTRUCTION Describe all beneficial interests in real property held or acquired by you, your spouse, or a dependentchild during the calendar year. if the interest was sold, also indicate the category of the amount of the net gain or loss realized from the sale. For an explanation of "beneficial interest" and other specific directions for completing this section, see FORM PFS-- When reporting information about a dependent child's activity, indicate the child about .whom you are reporting by - providing the number under which the child is listed on the Cover Sheet. A 1 HELD OR ACQUIRED BY 2 STREETADDRESS NOTAVAILABLE CHECK IF HOME ADDRESS El SPOUSE CI DEPENDENT CHILD FILER STREET ADDRESS. INCLUDING CITY. COUNTY. AND STATE 462$ y-4628 eneaumus AVE 3 DESCRIPTION LOTS NUMBER OF LOTSIOR ACRES AND NAME OF COUNTY WHERE LOCATED I NAMES or-' PERSONS . Anesm' CEQCOVE RETAINING AN INTEREST El NOT APPLICABLE DAV I 3 (SEVEREDMINERALINTERESTNETAGAIN - CI LESS THAN $5,000 El El NET LOSS RETAINING AN INTEREST NOTAPPLICABLE (SEVERED MINERAL INTEREST) HELD OR. ACQUIRED BY - El SPOUSE DEPENDENT CHILD I STREET ADDRESS. INCLUDING CITY. COUNT Y. AND STATE NOTAVAILABLE CHECK HOME . - . I I NUMBER OF LOTS OR ACRES AND NAME OF COUNTY WHERE LOCATED DESCRIPTION LOTS . ACRES I VWLEHQIA I NAMES oI= PERSONS I I I Assam? is . a?AcaNz; IF SOLD NET GAIN 1] NET LOSS [1 LESS THAN $5.000. lj El MORE -COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 02/25/2008 Ethics Commission P.O. Box 12070 Austin. Texas 78711-2070 (512) 463-5800 1-800-325-3506 INTERESTS IN BUSINESS ENTITIES pm 73 Describe all beneficial interests in business entities held or acquired by you, your spouse, or a dependent child during the calendar year. lfthe 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 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 .1 HELD OR ACQUIRED BY FILER SPOUSE El DEPENDENT CHILD 2 . NAME AND ADDRESS - DESCRIPTION (Check If Fller's Home Address) 3 IF SOLD NET GAIN LESS THAN $5,000 [Ii MORE -HELD OR ACQUIRED BY - 7 El FILER A sI=>ousE I DEPENDENT CHILD - - 7 A . DESCRIPTION (Check if Filer's_ Home Address) lF SOLD NET GAIN LESS THAN $5,000 El El [3 MORE NET Loss. 1 1 I . I HELD OR ACQUIRED BY Ij FILER. SPOUSE DEPENDENT . - . A NAME AND ADDRESS DESCRIPTION . . (Check Ir Filer's Home Address) IF SOLD 1 NET GAIN LESS THAN $5.000 El El El MORE NET LOSS COPY AND-ATTACH ADDITIONAL PAGES ;As Revised D2l25l2008 I providing the number under which the child is listed on the Cover Sheet. T?ngas Ethics Commission P.O. Box 12070 A Austin, Texas 78711-2070 I GIFTS A PART 8 ENOTAPPLICABLE identify any person or organization that has given a gift worth more than $250 to you. your spouse, or a dependent child, and describe the gift. The description of a gift of cash or a cash equivalent, such as a negotiable instrument or gift certificate, must includea statement of the value of the gift. Do not include: 1)expenditures required to be reported by a person required to be 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. A - - 'When' reporting information about a dependent child's activity, indicate the child about whom you are reporting by NAME AND ADDRESS 1 DONOR 2 . Clspouse Al] DEPENDENTCHILD 3 I DESCRIPTION OF GIFT NAME AND ADDRESS DONOR RECIPIENT El seouse - I DEPENDENT CHILD OF CVSIFVT . NAME AND ADDRESS DONO RECIPIENT . FILER El spouse E) DEPENDENT CHILD DESCRIPTION OF GIFT COPY AND ADDITIONAL PAGES NECESSARY Revised 02/25/2008 registered as a lobbyist under chapter 305 of the Government political contributions reported as required bylaw; or A 1 - NAME OF TRUST SOURCE 2 BENEFICIARY A CI spou-SE DVEPENDEINT CHILD I [3 LESS THAN $35,000 Ci Mom; 7 4 ASSETS FROM WHICH OVER $500 WAS RECEIVED I UNKNOINN . NAME or TRUST SOURCE BENEFICIARY I FILER - spouse CI DEPENDENT CHILD. 0. INCOME I CI LESS THAN $5.000 MORE ASSETS FROM WHICH . - OVER $500 WAS RECEIVED - - CI UNKNOWN - NAME OF TRUST I . . BENEFICIARY man [1 sPoUsE DEPENDENT CHILD . - [1 Less THAN $5,000 CI Mons A ASSETS FROMWHICH OVER $500 WAS RECEIVED [1 UNKNOWN A Texas Ethics Commission P.O. Box 12070 Austin. Texas 78711-2070 (512)463-5800 1-800-3258506 TRUST INCOME PART 9 Identify each source of income received by yoLI, 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 i :1 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 chiid about whom vou are reporting by providing the number underwhich the child is listed on the Coversheet. . - . . COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 02I25I20OB 'Texas Ethics Commission P.O. Box 1 2070 Austin. Tex-as 78711 -2070 (512) 463-5800 1-800-325-8506 TRUSTS 1 Identify each blind trust that complies with section 572.023(c) of the Government Code. See FORM PFS--INSTRUCTI ON 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 OF TRUST 2 NAME AND ADDRESS 3 BENEFICIARY - I FILER SPOUSE Ci DEPENDENT CHILD 4 FAIR MARKETVAL I I A A A I .UE LESS THAN $5,000 El [Ii MORE 5 DATE QREATED NAME TRUST TRUSTEE NAME AND ADDRESS BENEFICIARY - . El SPOUSE El DEPENDENT CHILD FA MARKET VA I A . LU: LESS THAN $5,000 Ci MORE DATE CREATED NAME oI= TRUST I NAMEANDADDRESS - BENEFICIARY A A 4 . spouse DEPENDENT CHILD FAIR MARKET VALUE LESS THAN $5.000 El El $25,000--on MORE DATE CREATED A A . 3 AND ATTACH ADDITIONAL PAGES AS.NECESSARY Revised 02/25/2008 Texas Ethics Commission P.O. Box 12070 Austin, (512) 453-5300 1-800-325-8506 TRUSTEE STATEMENT NOTAAPPUCABLE I A An individual who is required to identify a blind trust on Part 10A of the Personal Financial Statement must submita statement signed by the trustee of each blind trust listed on Part 10A. The portions of section 572.023 of the Govemment Code that relate to blind trusts are listed below. 1 NAME OTFTRUST 2) TRUSTEENAME 3 ON WHOSE BEHALF STATEMENT IS BEING FILED 4 TRUSTEE STATEMENT I affirm, under penalty of perjury, that have not revealed any information to the beneficiary. of this 'trust except information that may be disclosed under section 572.023 of the Government Code andthat to the best of my knowledge, the trust complies withsection 572,023" of the Government Code. . Trustee Signature 572.023. Contents of Financial Statement in General The account of financial activity consists of: A (8) identification of the source and the category than a blind trust that complies with Subsection and identification of each trust asset, if known to the from which income was received by the beneficiary in excess of $500; (14) identification of each blind trust that complies with Subsection inclu_ding: (A) the category of the fair market value of the trust; (B) theidate the trust was created; (C) the name and address of the trustee; and . (D) a statement signed by the" trustee, under penalty of perjury, stating that: the trustee has not revealed any information to the individual, except information that may be disclosed under Subdivision and - (ii) to the best of the trustee's-knowledge, the trust complies with this section. For purposes of Subsections and (14), a blind trust is a trust as to which: . the trustee: . - (A) is a_ disinterested party; (B) isnot 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 appointedto 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, assets without consulting or notifying the individual. 4 I If a blind trust under Subsection is revoked while the individual is subject to this subchapter, the individual must file an amendment to the indivi_dual's most recentfinancial statement, disclosing the date of revocation and the previously unreported value by category of each asset and the income derived from each asset. of the amountof all income received as beneficiary of a trust, other eneficiary, including the power to dispose of and acquire trust . Revised 02/25/2005 *1 Teams Ethics Commission Describe all assets of each corporation, firm, partnership, limited partnership, limited liability partnership, professional 2 TYPE 3 4 AsseTs PO. Box .. ASSETS OF BUSINESS AssoclATloNs 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 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 (Check if Filer's Home Address) Au?nuc? :J73m-r 462a>> 752% . opiate A . spouse A DEPENDENT BUSINESS AssoclAnoN' IZ FILER OR SOLD BY 'cATesoR_v El LESS THAN $5.000 MORE . - . . - . . - MORE - . . . - - . . - - . - - . . . . . . . . . - . LESS THAN $5.000 . . - - . . . . . . . . - . - . . . . - . . . - El MORE - - . . . - . . . . . . . . LESS THAN $5.000 . . . - . . . . . . . . . - . . - - . - - - - - . . - . . . . . . - - - - - . . . . . El Less THAN $5.000 . - . . . . . . . . . . . . . - . - - - - - . . - . - . . . . . . . . . . . . . . - - - - - . . . . El LESS THAN $5.000 [Ii $25,000--on MORE . . . . . 1 [3 Less THAN $5.000 El MORE COPY AND ATTACH ADDITIONAL AS Revised 02/25l2_D08 Texas Ethics Commission Po. Box 12070 Austin. Texas 78711-2070 (512)463-5800 1-800-325-3505 I ASSETS OF BUSINESS ASSOCIATIONS A PART 11A NOTAPPLICABLE 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, 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. providing the number under which the child is listed on the Cover Sheet. NAME AND ADDRESS 1 BUSINESS A |Zr(Check If Filer's Home Address) ASSOCIATION . . 2 . comsubfl (r /Em" PMEN7, DESS-OLD BY . - SPOUSE I DEPENDENT . - 4 ASSETS . DESCRIPTION CATEGORY CI LESS $5.000 MORE - . . . . . . . . . . . . . . - . . . - . - . . . . . . . . - - . . . . . . . . . - - . - - . . . . . El LESS THAN $5.000 Cl $25,000--on MORE - . . . . . . - . . . . . . . - . . . . - . a -i -.-- - . . . EcQui(?nlEvKli" A I A El LESS THAN $5,000 [3 $25,000-on MORE - - . - . . . . . . . - . . . LESS THAN $5,000 $25,000--on MORE - . . . . - . . . - - . - - . - LESS THAN $5.000 CI El El MORE - - . . . . . . - . . . . . . . . . . . . . . - - . . . . . - . - . . . . . . - . . . . . . . - El LESS THAN $5.000 El MORE - . . lj] LESS THAN $5.000 Cl . El El $25,000--on MORE . . - - . - - . . . . - - . - . . . . . . . . - . . . . . . . - . . . . . . . . . . . El LESS THAN $5,oo'oH Cl When reporting information about a dependent child's 'activity, indicate the child about whom you are reporting 'by El $25,000--on MORE COPY AND PASES AS NECESSARY Revised 02/252008 3' -Teias Ethic Sl0n Po. Box 12070 - OF BUSINESWSASSOCIATIONS pm 11 NOTAPPLICABLE . 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 depen- dent 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 NAME AND ADDRESS . BUSWE 55 [j (Check if Fliers Home Adure\s7. ?m?ecxiv Lu/ta Auem 4 - . 4e2c. ease 426 520 NULL. . DA- LVIKS. :2 :2 2 oi=Ftc,? _Bouut:uu4, OR SOLD BY El spouse El CHILD 4 oescaii=TioN i CATEGORY - 4 i' LESS THAN $5,000 El . . I F3. il LESS THAN El Cl MORE - . . . . . . . . . . . . . . . . . - . - . . - . . . . . . . . . . . . . . - - - - a . . . . MORE I El LESS THAN $5.000 LESS THAN $5.000 Cl El El MORE . - - . . . . . . . . . . - - . . . . . . . . . . . . . - - - - - - . . .. El LESS THAN $5,000 El $5.Ooo--s9.999 $25,000--on MORE - . . - . . [1 LESS THAN $5.000 El 'El $25,000--on MORE . . - . . . - - - - - . . . . LESS THAN $5.000 El Cl $25,000--on Mons [1 LESS THAN $5,000 A El I El MORE ACH ADDITIONAL PAGES AS NECESSARY copv AND ATT A Revised 02I25I200B 'i'EURxas Ethics Commission Box 12070 Austin. Texas 78711 -2070 (512) 46345800 1-800-325-8506 i LIABILITIES OF BUSINESS ASSOCIATIONS [j MOTAPPLICABLE Describe all liabilities of each corporation. firm, partnership, limited partnership, limited liability partnership. professional corporati on. 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 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. BUSINESS ceecous INCL. ASSOCIATION 2 -COMSLLOTINC-.-- El DEPENDENT CHILD 3 HELD, ACQUIRED, OR SOLD BY Er FILER SPOUSE 4 DESCRIPTION CATEGORY THAN $5.000 El MORETAKES LESS THAN $5.000 El -H MORE . . . . - . . . . . . . . . . . . . . . . . . . . . . - . . - . . . . - - . . . . . . . - . - . . . . . . . - . . - LESS THAN $5.000 [1 LESS El LESS THAN $5.000 El Ei LESS THAN $5,000 El Cl LESS THAN $5,000 El COPYAND ATTACH ADDITIONAL PAGES AS NECESSARY . MORE . . - . . . . . . - - - - . . . . . . . - a . . . El MORE . . - . - . . - . - - . . . - - MORE . - - . . . . . . - . - . . - - - - . . . El MORE . . - - . . . - . . MORE Revised 02/25/2008 I Teiias Ethics Commission BOARDS AND EXECUTIVE POSITIONS your spouse . or stating the name When reporting 1 ORGANIZATION 2 POSITIONIHELD . "3 -POSITION HELD BY ORGANIZATION . ORGANIZATION POSITION List allboards of directors of which you. your sp a dependent child hold in corpor ships. professional corporations. professional associations. joint ventures, of the organization and the position held. For more information, see FORM PFS--INSTRUCTION GUIDE. information about a -providing the number under POSITION HELD . POSITION HELD BY I RU. box PART 12 use, or a dependent child are a member and all executive positions you, ations. firms, partnerships. limited partnerships. limited liability partner- other business associations, or proprietorships, dependent child's activity, indicate the child about whom you are reporting by hich the child is listed on the Cover Sheet. I DEPENDENT CHILD FILER El SPOUSE CI DEPENDENT CHILD FILER SPOUSE POSITION HELD BY CI FILER SPOUSE El DEPENDENT CHILD ORGANIZATION A I I POSITION HELD I I I A - POSITION HELD BY FILER - DEPENDENT CHILD I A ORGANIZATION A I I POSITION HELD I A I A POSITION HELD BY FILER SPOUSE El DEPENDENT COPY ATTACH ADDITIONAL PAGES AS NECESSARY Revised Tiiqas Ethics Commission - P.O. Box 12070 Austin. Texas 78711-20 EXPENSES ACCEPTED UNDER HONORARIUM EXCEPTION pm 1 3 NOTAPPLICABLE Identify any person who provided you with necessary transportation, meals, or lodging, as permitted under section 36.07 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 . NAME AND ADDRESS 1 PROVID 2 AMOUNT NAME AND ADDRESS PROVIDER AMOUNT A NAME AND ADDRESS PROVIDER . AMOUNT - NAME AND ADDRESS . PROVIDER AMOUNT copy AND ADDITIONAL AS NECESSARY Revised 02/25/2008 X1 Texas Ethics commission P.O. Box 12070 . Austin. Texas 78711-2070 (512)463-5800 - INTEREST IN BUSINESS IN COMMON WITH LOBBYIST PART 1 4 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 Govemment Code that both have an interest. For more information, see FORM PFS--INSTRUCTION GUIDE. . 1 I NAME AND ADDRESS BUSINESS ENTITY 2 INTEREST HELD BY El FILER El spouse El DEPENDENT CHILD NAME AND ADDRESS BUSINESS ENTITY . INTEREST HELD BY I A 'El spouse DEPENDENT CHILD NAME AND ADDRESS BUSINESS ENTITY INTEREST HELD BY . . spouse DEPIENDENT CHILD NAME AND ADDRESS BUSINESS ENTITY INTEREST HELD BY I FILER I I spouse [3 DEPENDENT CHILD NAME AND ADDRESS BUSINESS ENTITY INTEREST HELD BY A FILER . spouse [1 DEPENDENT CHILD COPY AND ATTACH ADDITIONAL PAGES As NECESSARY Revised 02125/zoos (512)463-5800 1-800-325E85O6 Ethics Commission P.O. Box 12070 Austin. Texas FEES RECEIVED FOR SERVICES RENDERED A PAW 15 TO A LOBBYIST OR EMPLOYER A . A A . 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 compen- 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-- INSTRUCTIONGUIDE. 1 OR ENTITY FOR WHOM sERvIcEs WERE PROVIDED 2 - FEE CATEGORY El LESS THAN $5.000 Cl MORE PERSON OR ENTITY A A I FOR WHOM SERVICES WERE PROVIDED FEE CATEGORY LESS THAN 55,000 El El MORE PERSON OR ENTITY FOR WHOM SERVICES WERE PROVIDED A . FEE CATECCRY MORE El LESS THAN $5.000 PERSON OR ENTITY WHOM sERvIcEs PROVIDED FEE CATEGORY El A MORE A LESS THAN $5.000 PERSON OR ENTITY A FOR WHOM SERVICES WERE PROVIDED FEE CATECCRY El El MORE El LESS THAN $5,000 . PERSON OR ENTITY FOR WHOM sERvIcEs WERE PROVIDED FEE CATEGORY El Less THAN '$5,090' El El MORE COPY AND PAGES AS NECESSARY Revised 02/25/2008 3 Texas Ethics Commission P.O. Box 1 2070 I Austin, Texas - 78711-2070 (51 2) 463-5800 1-800-325-8506 REPRESENTATION BY LEGISLATOR BEFORE PART 15 STATE AGENCY 0 A MNOTAPPLIOABLE 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--INSTRUCTIONV GUIDE. - - Note: Be ginning 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 02 -PERSONREPRESENTED A FEE CATEGORY 'El LESS THAN $5,000 El El MORE STATE AGEANCAY PERSONREPRESENTED FEE El MORE El LESS THAN $5,000 Cl STATE AGENCY PERSON . FEE CATEGORY MORE El LESS THAN $5,000 El STATE AGENCY PERSON REPRESENTED FEE CATEGORY [3 Less THAN El MORE COPY AND PAGES NECESSARY Revised 02l25I2008 1 "re: Texas Ethics Commission P.O. Box 12070 Austin. Texas 73711-2070 (512)463-5800 1-300-325-3505 A LEGISLATIVE CONTINUANCES A A PART NQTAPPLICABLE Identify any legislative continuance that you have applied for or obtained under section 30.003 ofthe 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 OFPARTY A A REPRESENTED DATE RETAINED DATE OF CONTINUANCE STYLE, CAUSE NUMBER, COURT JURISDICTION DATE 0F CONTINUANCE APPLICATION 5 WAS CONTINUANCE - . was No 7 NAME OF PARTY A REPRESENTED DATE RETAINED CAUSE NUIVIBER, A couRT, JURISDICTION APPLICATION WAS CONTINUANCE - YES No A COPY AND ATTACH ADDITIDNAL PAGESA As Revised 02/25/2008 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989) 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 2011, and is true and correct and includes all information required to be reported by me under chapter 572 of the Government Code. Signature of Filer ZOE A. HARLAN Notaiy Public STATE OF TEXAS My Comm. Exp. Mar. 08. 2015 AFFIX NOTARY STAMP I SEAL ABOVE Sworn to and subscribed before me, by the said C'ercona_. this the 30'" day of I 20 to certify which, witness my hand and seal of office. Zoe' AH N0 741% . Print nTne of officer administering oath Title of officer agnisterlng oath R9VlSed 10/27/2011