Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) PERSONAL FINANCIAL STATEMENT FORM PFS COVER SHEET TOTAL NUMBER OF PAGES FILED: Filed in accordance with chapter 572 of the Government Code. For filings required in 2012, covering calendar year ending December 31, 2011. ACCOUNT Use FORM PFS--INSTRUCTION GUIDE when completing this form. 4% 1 NAME . I USE 1 E2, Date Receivedrg . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 ADDRESS ADDRESS ZIP CODE SE i I "2 Receipt (CHECK IF HOME ADDRESS) 3 TELEPHONE AREA CODE PHONE EXTENSION Date Processed Date imaged 4 REASON -- 1 FOR FILING EICANDIDATE (INDICATE OFFICE) STATEMENT ELECTEDOFFICER CI APPOINTED OFFICER (INDICATE OFFICE) (INDICATE AGENCY) EXECUTIVE HEAD (INDICATE AGENCY) FORMER OR RETIRED JUDGE SITTING BY ASSIGNMENT CI STATE PARTY CHAIR (INDICATE PARTY) OTHER (INDICATE POSITION) 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 DEPENDENT CHILD 1. 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 Revised 10/27/2011 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 a dependent child's activity, indicate the providing the number under which the child is listed on the Cover Sheet. child about whom you are reporting by 1 INFORMATION RELATES TO 2 EMPLOYMENT BYANOTHER SELF--EMPLOYED fl_ER SPOUSE DEPENDENT CHILD NAME AND ADDRESS OF EMPLOYER POSITION HELD (Check If Filer's Home Address) Vega /950. 5 NATURE OF OCCUPATION INFORMATION RELATES TO FILER El SPOUSE DEPENDENT CHILD NAME AND ADDRESS OF EMPLOYER POSITION HELD EMPLOYMENT (Check If Fi|er's Home Address) EMPLOYED BY ANOTHER . . . . INFORMATION RELATES TO Ci FILER CI SPOUSE CI DEPENDENT CHILD EMPLOYMENT EMPLOYED BY ANOTHER SELF-EMPLOYED NAME AND ADDRESS OF EMPLOYER POSITION HELD (Check If Fi|er's Home Address) NATURE OF OCCUPATION COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 10/27/2011 Texas Ethics Commission PO. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) RETAIN RS 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 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. NAME AND ADDRESS 1 FEE RECEIVED FROM 2 FEE RECEIVED BY NAME OF BUSINESS CI FILER op BUSINESS Cl spouse op spouses BUSINESS DEPENDENT CHILD op BUSINESS 3 FEE AMOUNT Less THAN $5.000 El El $25,000--op MORE NAME AND ADDRESS FEE RECEIVED FROM NAME OF BUSINESS FEE RECEIVED BY Cl FILER OR BUSINESS El spouse op spouses BUSINESS CI DEPENDENT CHILD op BUSINESS FEE AMOUNT LESS THAN $5,000 [3 El MORE COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 10/27/2011 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) STOCK [j NOTAPPLICABLE PART 2 fa,/14 c'r"I'I'c4 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 2 STOCK HELD OR ACQUIRED BY 3 NUMBER OF SHARES FILER SPOUSE CI DEPENDENT CHILD 100 TO 499 500 TO 999 1,000 TO 4,999 10,000 OR LESS THAN 100 CI 5,000 TO 9,999 4 IF SOLD NET GAIN LESS THAN $5,000 El $25,000--oR MORE El NET LOSS BUSINESS ENTITY NAME STOCK HELD OR ACQUIRED BY [1 FILER SPOUSE El DEPENDENT CHILD NUMBER OF SHARES LESS THAN 100 1000 TO 4,999 [1 5,000 TO 9,999 [1 10000 OR MORE IF SOLD NET GAIN LESS THAN $5,000 El MORE NET LOSS BUSINESS ENTITY NAME STOCK HELD OR ACQUIRED BY lj FILER SPOUSE DEPENDENT CHILD NUMBER oi: SHARES [1 Less THAN 100 100 TO 499 CI 500 TO 999 1,000 TO 4,999 CI 5,000 TO 9,999 10,000 OR MORE IF SOLD CI NET GAIN LESS THAN $5,000 CI MORE El NET LOSS BUSINESS ENTITY NAME STOCK HELD OR ACQUIRED BY FILER SPOUSE El DEPENDENT CHILD NUMBER OF SHARES LESS THAN 100 [1 100 TO 499 500 To 999 1000 To 4,999 CI 5,000 TO 9999 10,000 OR MORE IF SOLD El NET GAIN LESS THAN $5,000 El El CI MORE NET LOSS BUSINESS ENTITY NAME STOCK HELD OR ACQUIRED BY FILER SPOUSE El DEPENDENT CHILD NUMBER oi: LESS THAN 100 100 1,000 To 4,999 CI 5,000 TO 9,999 10,000 OR IF SOLD I3 NET GAIN LESS THAN $5,000 El NET LOSS COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Revised 10/27/2011 3 QOSJFOA 470'" Care mo?/K Gm 101513gas (21 Pawn Va E1935 P'rrv5 UT3 5" QM 072- Prwi En. 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