Texas Elms: so Bux1207D Auslm, Texas 75711-zmo (s12)4sa--5auo (TDD 1-sou-7352959) 1 PERSONAL FINANCIAL STATEMENT FORM PFS COVER SHEET PAGE 1 Purses run Fued In accordance wan chapter 572 ol the Government Code Forfinngs naqurred In 2013. cwenng December 31, 2012 Use FORM NSTRUCTION GUIDE when comweling (ms form 1 NAME rm: ram Mr Eenso 2 ADDRESS .5-new: Accowv . OFF USE ONLY was zrvcote Cl (ween Ir mews -ELEPHONE Mons NUMBER REASON FOR FILVNG El CANDIDATE STATEMENT \Jup(% Ballg 3 4 Q. L133 (bu via} [aw Cl Avvuwren Cl ExEcurrv? HEAD FORMER OR Rankin JUDGE SWTING EV ASSIGNMENT Cl cum uNnrcArEPA=rvr Cl omen W, 1wL>roxIz aosw 3m 5 Family members whose fin.unr.ra\ ac-my you are vepmmg (see swuss usvznusnr mum 1 2 3 Fans 1 lhmugh 13' you your financial actwuy aunng me calendar year In Pins 1 M. you are required not only yourawn hu1a\sa(hamlyour5pousae era depsndentmild COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY 4, almcs Ix us oma/2m: Texas Ethics Commission P. O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) PERSONAL FINANCIAL STATEMENT COVER SHEET PAGE 2 On this page, indicate any Parts of Form PFS that are not applicable to you. If you do not place a check in a box, then pages for that Part must be included in the report. If you place a check in a box, do NOTincIude pages for that Part in the report. 6 PARTS NOT APPLICABLE TO FILER Cl 5.2' l:l lit' EZL 1: Cl Part 1A - Sources of Occupational income Part 1B -- Retainers Part 2 - Stock Part 3 - Bonds, Notes Other Commercial Paper Part 4 -- Mutual Funds Part 5 - income from Interest, Dividends, Royalties Rents Part 6 - Personal Notes and Lease Agreements Part 7A - interests in Real Property Part 7B -- interests in Business Entities Part 8 -- Gifts Part 9 - Trust Income Part 10A - Blind Trusts Part 10B - Trustee Statement Part 11A - Assets of Business Associations Part 11B - Liabilities of Business Associations Part 12 -- Boards and Executive Positions Part 13 - Expenses Accepted Under Honorarlum Exception Part 14 - Interest in Business in Common with Lobbyist Part 15 - Fees Received for Services Rendered to a Lobbyist or Lobbyist's Employer Part 16 -- Representation by Legislator Before State Agency Part 17 -- Benefits Derived from Functions Honoring Public Servant Part 18 -- Legislative Continuances Revised 04/19/2013 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) page in the report. SOURCES OF OCCUPATIONAL INCOME If the requested information is not applicable, indicate that on Page 2 of the Cover Sheet, and do NOT include this PART 1A When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which the child is listed on the Cover Sheet. 1 INFORMATION RELATES TO 2 EMPLOYMENT SELF-EMPLOYED EMPLOYED BYANOTHER Ii PKICMC MCI I. 230 'it, so . . . I SPOUSE DEPENDENT CHILD NAME AND ADDRESS OF EMPLOYERIPOSITION HELD (Check If Fi|er's Home Address) 35209>> NATURE OF OCCUPATION INFORMATION RELATES TO FILER SPOUSE DEPENDENT CHILD NAME AND ADDRESS OF EMPLOYER POSITION HELD EMPLOYMENT [3 (Check If Filers Home Address) [3 EMPLOYED BY ANOTHER . . . . INFORMATION RELATES TO FILER CI SPOUSE EMPLOYMENT EMPLOYED BY ANOTHER SELF-EMPLOYED CI DEPENDENT CHILD NAME AND ADDRESS OF EMPLOYER I POSITION HELD (Check if Fiiers Home Address) NATURE OF OCCUPATION COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 04/19/2013 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) STOCK PART 2 If the requested information is not applicable, indicate that On Page 2 Of the Cover Sheet, and do NOTincIude this page in the report. 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 /I/Ietlitc. NAME 2 STOCK HELD OR ACQUIRED BY 3 NUMBER OF SHARES THAN 100 CI 5,000 TO 9,999 SPOUSE DEPENDENT CHILD 999 1,000 TO 4,999 10000 OR MORE 5.000 TO 9,999 4 IF SOLD NET GAIN [fl LESS THAN $5,000 El l:l MORE NET LOSS BUSINESS ENTITY NAME STOCK HELD OR ACQUIRED BY FILER SPOUSE DEPENDENT CHILD NUMBER OF SHARES [3 LESS THAN 100 1,000 TO 4,999 10000 OR MORE IF SOLD NET GAIN CI LESS THAN $5,000 CI El El MORE NET LOSS BUSINESS ENTITY NAME STOCK HELD OR ACQUIRED BY El FILER SPOUSE CI DEPENDENT CHILD NUMBER OF SHARES l:l LESS THAN 100 El 100 TO 499 500 TO 999 1,000 TO 4999 [3 5,000 TO 9,999 El 10,000 OR MORE IF NET GAIN El LESS THAN $5,000 [3 CI El MORE NET LOSS BUSINESS ENTITY NAME STOCK HELD OR ACQUIRED BY FILER SPOUSE DEPENDENT CHILD NUMBER OF SHARES LESS THAN 100 100 TO 499 500 TO 999 1,000 TO 4,999 CI 5,000 TO 9,999 El 10.000 OR MORE IF SOLD I3 NET GAIN LESS THAN $5,000 El MORE NET LOSS BUSINESS ENTITY NAME - -- STOCK HELD OR ACQUIRED BY l:I FILER Cl SPOUSE El DEPENDENT CHILD NUMBER OF SHARES El LESS THAN 100 100 TO 499 El 500 TO 999 1,000 TO 4,999 5,000 TO 9,999 10,000 OR MORE IF SOLD NET GAIN El NET LOSS LESS THAN $5,000 MORE COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 04/19/2013 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 If the requested information is not applicable, indicate that on Page 2 of the Cover Sheet, and do NOT include this page in the report. 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 ofthe liability. For more informa- tion, see FORM PFS--INSTRUCTION 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. 1 PERSON OR INSTITUTION HOLDING NOTE OR LEASE AGREEMENT "gaN,\r\3 Lievlwsovx 2 LIABILITY OF I:l spouse DEPENDENT CHILD 3 GUARANTOR 4 AMOUNT CI CI MORE 1 - PERSON OR INSTITUTION HOLDING NOTE OR LEASE AGREEMENT lmaivx Hr I i5. 56m LIABILITY OF CI SPOUSE DEPENDENT CHILD GUARANTOR AMOUNT CI MORE PERSON OR INSTITUTION HOLDING NOTE OR LEASE AGREEMENT LIABILITY OF FILER CI SPOUSE DEPENDENT CHILD GUARANTOR AMOUNT El MORE 1 COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 04/19/2013 Texas Ethics Commission PO. Box 12070 Austin. Texas 73711-2070 (512) 463-5800 INTERESTS IN REAL PROPERT 1-800-325-8506 PART TA El 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 INSTRUCTION GUIDE. - - When reporting information about a dependent child's activity, indic providing the number under which the child is listed on the Cover Sheet. MELD OR ACQUIRED BY .2 STREETADDRESS CI NOTAVAILABLE ate the child about whom you are reporting by . SPOUSE DEPENDENT CHILD CHECK IF HOME ADDRESS 3 [3 LOTS ACRES NUMBER OF LOTS OR ACRES AND NAME OF COUNTY WHERE LOCATED 4 . NAMES OF PERSONS [-15 RETAINING AN INTEREST . .7 E) NOTIAPPLICABLE . (SEVERED MINERAL INTEREST) 5 IF SOLD I . [1 GAIN LESS THAN $5,000 CI CI MORE lj NET LOSS I . I I HELD OR ACQ UIREDIBY CI spouse CHILD I . - - A smear ADDRESS. INCLUDING crrv. couiv-rv mo STATE - STREET ADDRESS . . . - l'flfioTAvAILAeL_E I I NUMBER OF LOTS OR ACRES mo NAME OF couwrv vvi-isms LOCATED orssc IPTION I I LOTS - Three lots Grayson Cotmty, Texas I ('Subject to probate proceedings) NAMES OF PERSONS . Estate of Betty Benson, Estate of Harold E5. Benson, Benson, deceased, H. Benson, .0. I .- I . isEvER_Ep IFSOLO Diver GAIN I IJNET Loss L553 THAN $5,aoo io.aoo<<.s24.9es MORE COPY AND ATTAOH ADDITIONAL PAGES AS NECESSARY Revised 12/01./2008 Texas Ethics Commission P.O. Box 12070 . Austin, Texas 78711-2070 (512) 463-5800 1--8o0-325-a505 IN REAL PROPERTY A 7A [3 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 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 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 Eifieet. 1 ore av SPOUSE - Cl DEPENDENT CHM) smear ADDRESS. cm, counna Ann STATE 2 STREET ADDRESS at CJNOTAVAJLABLE . I . A 6 9 NUMBER or LOTS onncnes mo or couwrv vi/mam: LOCATED 3 l:]LoTs 1 NAMES OF PERSONS . Estate of Betty Benson, Est?ite oft-Iamlcl Benson, EST . - Harold A. Benson, deceased, I-I. -Michielle Benson DNOT APPUCABLE - Rayrnond Benson, Dons Benson iseveneo MWERAL INTERESTSOLD. . DNET SAW THAN $55,000 [j MORE 1 - (just Loss HELD OR av, Eflfiten El spousal a Cl DEPENDENT CHILD- . ASTREET STREET ADDRESS A - -- Nuinaen onora on ACRES . . Clots 40 'Acre in Yavapai County, Arizona ACRES (Subject to probate Esteim of f3etfY 3311503., Hifi1'?lM- 56115011>> rssveneo R-Wm?1ld 351150111 i5 i .. I i 'i [liver $5.000 MORE Clwer LOSS copy, PAGES AS NECESSARY Revised 1210112006 I I Texas Ethics Commission PO. Box 12070 (512) 463-5800 Austin, Texas 78711-2070 PART 7A INTERESTS IN REAL PROPERTY El 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 com INSTRUCTION GUIDE. When reporting information about a dependent child's activity, indicate the child about whom Drovig theynurnoer under which the child is the Cover Sheet. pleting this section, see FORM you are reporting by CI DEPENDENT HELD on ACQUIRED av FILER CI SPOUSE STREET ADDRESS INCLUDING _oIrv, COUNTY AND STATE I STR EET ADDRESS OT AVAILABLE NUMBER or LOTS on ACRES AND NAME or county WHERE LOCATED DESCRIPTION -_oT5 46.7 acres, in I-Iendorson County, Texas (SzIbjoc_t to probate proceedI'ngs) NAMES OF PERSONS TAINING AN INTEREST NOT APPLICABLE (SEVER ED MINERAL INTEREST) . IF SOLD GAIN CINET Loss HELD OR ACQUIRED. ev STREET ADDRESS I I Estate of Henry Connor, Est BLESS . ate of Betty Benson, I Estate of Harold E. Benson, I-iaroid A. Benson, deceased, I-I. Mioh1"eiI.c Benson, Raymond Benson, Doris Benson Ij spoLJ5E DEPENDENT ISTREET ADDRESS. cnv. STATE DESCRIPTION LOTS NAMES or A . .. [3 NOT APRLICAIBLE A (SEVERED MINERAL INTEREST) IF SOLD CJNET GAIN. . . NET LOSS NAME or couurv Am. one (1) lot in Pueblo County, Colorado (Subject to probate proceedings) Estate of Betty. _of_Ha_1jQ_id E. Benson, I-iaroici A. Benson, Raymond BonsoI'1,'D'o'rI's .. . MORE copy AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 12/01/2008 I I 1-800-325-5505 1 Austin. Texas 78711-2070 (512)453-5g00 Texas Ethics Commission - PO. Box 12070 INTERESTS IN REAL PROPERTY [3 PART 7A 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 INSTRUCTIONGUIDE. 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. I SPOUBE STREET ADDRESS. INCLUDING CITY. COUNTY, AND HELD OR DEPENDE-NT CHILD I STREET ADDRESS NUMBER OF LOTS OR ACRES AND NAME OF COUNTY WHERE LOCATED Nine (9),lots in I~iendci-Son County, Texas (Subject to probate proceedings) I 3 DESCRIPTION I 90.75 l:)AcREs . Estate ot-'Betty'Bcnson, Estate of Iilaroid Benson, RETAINING AN INTEREST . I Harold A. Benson, deceased, H. Michieilc Benson, - Doris Bfinson . rsisvenso MINERAL INTEREST) Raymond Be 4 OF PERSONS 5 - IF Soto. . 4 Dust GAIN Less THAN $5,000 [j MORE - DNET LOSS DEPENDENT spouse. STREET ADDRESS. INCLUDING cnv. coumv, AND sure I i-lEi.D on ACQUIRED 2 STREET ADDRESS MNOTAVAILABLE NUMBER OF LOTS on ACRES AND NAME OF ccaumv WHERE LOCATED 3 .--.. . - I TION -- Two (2) lots in Hood County, Texas . (Subject to probate proceedings) - . EJAGRES NAMES OF PERSONS 'Estate ot'Betty Benson, Estate of Harold E. Benson, RETAINING AN imaeesr NOT APPLICABLE I-Iaroi-d'A. Benson, deceased, H. Benson, _Ra.ymond Benson, Doris Bcnson_._, ,4 5 I lF SOLD NET GM LESS THAN $5900 $25,000--on MORE [jwsr LOSS I I COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 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, 2012, and is true and correct and includes all information required to be reported by me under chapter 572 of the Government Code. . . A Signature of Filer VERONICA HOOD Notary Public sure or 'rExAs My Comm. Exp. Fob. 15. 2010 AFFIX NOTARY STAMP I SEAL ABOVE . cribed before bythe saidb this the day of Sworn TW subf I 20 to certify which, witness my hand and seal of office. HOLD 1 Signature of officer administering oath Print name of officer administering oath Title of officer administering oath .tx.us . Revised 04/19/2013