Professional Documents
Culture Documents
Scott
2 ADDRESS ADDRESS / PO BOX; APT / SDITE #; CITY; STATE; ZIP CODE
HD/PM
3 AREA CODE PHONE NUMBER; EXTENSION
TELEPHONE
Date Processed
NUMBER
(806 ) 467-2600 Date Imaged
REASON
FOR FILING D CANDIDATE (INDICATE OFFICE)
STATEMENT
D ELECTED OFFICER City Commissioner, Place 1 (INDICATE OFFICE)
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):
DEPENDENT CHILD 1
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 activitv.
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.
INFORMATION RELATES TO
, FILER D SPOUSE D DEPENDENT CHILD
Employee Benefits
INFORMATION RELATES TO
FILER D SPOUSE D DEPENDENT CHILD
INFORMATION RELATES TO
D FII FR n SPOUSE D DFPFNDFNT P.HII n
D EMPLOYED BY ANOTHER
NATURE OF OCCUPATION
D SELF-EMPLOYED
RETAINERS PART 1B
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 ts listed on the Cover Sheet.
NAME AND ADDRESS
FEE RECEIVED FROM
NAME OF BUSINESS
FEE RECEIVED BY
D FILER
OR FILER'S BUSINESS
D SPOUSE
OR SPOUSE'S BUSINESS
D DEPENDENT CHILD
OR CHILD'S BUSINESS
NAME OF BUSINESS
FEE RECEIVED BY
D FILER
OR FILER'S BUSINESS
D SPOUSE
OR SPOUSE'S BUSINESS
D DEPENDENT CHILD
OR CHILD'S BUSINESS
STOCK PART 2
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.
NUMBER OF SHARES D LESS THAN 100 D 100 TO 499 £ 500 TO 999 D 1,000 TO 4,999
D 5,000 TO 9,999 D 10,000 OR MORE
IF SOLD D NET GAIN "O LESS THAN $5,000 D $5,000-$9,999 D $10,000-$24,999 D $25,000-OR MORE
D NET LOSS
NUMBER OF SHARES D LESS THAN 100 M\00 TO 499 D 500 TO 999 Q 1,000 TO 4,999
D 5,000 TO 9,999 D 10,000 OR MORE
IF SOLD D NET GAIN G3 LESS THAN $5,000 D $5,000-$9,999 D $10,000-$24,999 D $25,000~OR MORE
JD NET LOSS
NUMBER OF SHARES D LESS THAN 100 D 100 TO 499 D 500 TO 999 D 1,000 TO 4,999
NUMBER OF SHARES D LESS THAN 100 D 100 TO 499 D 500 TO 999 1,000 TO 4,999
NOT APPLICABLE
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 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.
DESCRIPTION
OF INSTRUMENT
HELD OR ACQUIRED BY
D FILER D SPOUSE D DEPENDENT CHILD
IF SOLD
D LESS THAN $5,000 D $5,000-$9,999 D $10,000-$24,999 D $25,000-OR MORE
D NET GAIN
D NET LOSS
DESCRIPTION
OF INSTRUMENT
HELD OR ACQUIRED BY
D FILER D SPOUSE D DEPENDENT CHILD
IF SOLD
D LESS THAN $5,000 D $5,000-$9,999 D $10,000-524,999 D $25,000-OR MORE
D NET GAIN
D NET LOSS
DESCRIPTION
OF INSTRUMENT
HELD OR ACQUIRED BY
D FILER I SPOUSE D DEPENDENT CHILD
IF SOLD
D LESS THAN $5.000 D $5,000~$9,999 D $10,000-$24,999 D $25,000-OR MORE
D NET GAIN
D NET LOSS
Dauici,,j t-ttenitnn-r
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1 -800-325-8506
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.
Wachovia Securities
Hartford Cap Apprec FD C
NUMBER OF SHARES Z) LESS THAN 100 £§ 100 TO 499 D 500 TO 999 fj 1,000 TO 4,999
OF MUTUAL FUND
D 5,000 TO 9,999 D 10,000 OR MORE
IF
II- SOLD
S>ULU D
LJ NET
NET GAIN
GAIN
D
J LESS
LESS THAN
THAN $5,000
$5,000 Q
D $5,000-$9,999
S5,000-$9,999 Q
Q $10,000-524,999
$10,000-524,999 fj
fj S25.000-OR
S25.000-OR MORE
MORE
D NET LOSS
NUMBER OF SHARES D LESS THAN 100 D 1 00 TO 499 D 500 TO 999 Q 1 ,000 TO 4,999
OF MUTUAL FUND
D 5,000 TO 9,999 D 10,000 OR MORE
D NET LOSS
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
3 NUMBER OF SHARES D LESS THAN 100 $ 100 TO 499 D 500 TO 999 Q 1,000 TO 4,999
OF MUTUAL FUND
D 5,000 TO 9,999 D 10,000 OR MORE
NUMBER OF SHARES D LESS THAN 1 00 l^L.1 00 TO 499 D 500 TO 999 fj 1 ,000 TO 4,999
OF MUTUAL FUND
D 5,000 TO 9,999 D 10,000 OR MORE
NUMBER OF SHARES U LESS THAN 100 £30°° TO 499 D 500 TO 999 n 1.000 TO 4,999
OF MUTUAL FUND
H 5,000 TO 9,999 D 10,000 OR MORE
IF SOLD Q-NETGAIN
p, LESS THAN $3,000 Q $5,OOO-$9,999 Q * 1O,OOO-*24,S93 Q $25,OOO-OR MOKb
D NET LOSS
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
3 NUMBER OF SHARES fa LESS THAN 100 Q100TO499 Q 500 TO 999 Q 1,000 TO 4,999
OF MUTUAL FUND
D 5,000 TO 9,999 D 10,000 OR MORE
NUMBER OF SHARES n LESS THAN 100 M 100 TO 499 D 500 TO 999 C1,000 TO 4,999
OF MUTUAL FUND
D 5,000 TO 9,999 D 10,000 OR MORE
D NET LOSS
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 under which the child is listed on the Cover Sheet.
RECEIVED BY
[& FILER SPOUSE D DEPENDENT CHILD
RECEIVED BY
FILER D SPOUSE D DEPENDENT CHILD
RECEIVED BY
FILER D SPOUSE D DEPENDENT CHILD
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 IndyMac Bank
LEASE AGREEMENT
2
LIABILITY OF
^J Fll FR M SPOIIRF fj nFPFNDFNT rH|| n
Jointly held
GUARANTOR
4
AMOUNT D $1,000-$4,999 D $5,000-$9,999 D $10,000-$24,999 |^ $25,000-OR MORE
PERSON OR INSTITUTION
HOLDING NOTE OR
Contrywide Home Loans
LEASE AGREEMENT
LIABILITY OF
» r ~rj
HFIIFR jJ^SPOUSE LJ DEPENDENT CHILD
Jointly held
GUARANTOR .
AMOUNT D $1,000-$4,999 D $5,000-39,999 D $10,000-$24,999 |?1$25,000-OR MORE
PERSON OR INSTITUTION
HOLDING NOTE OR Amarillo National Bank
LEASE AGREEMENT
LIABILITY OF
^Ry^pll FR (~] SPOIJSF PJ DFPFNnFNT f.HII n
GUARANTOR
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 Amarillo National Bank
LEASE AGREEMENT
2
LIABILITY OF
(2l Fit FR d SPOl ISF d DFPFNDFNT OHM D
Jointly held with Mike Beller
GUARANTOR
PERSON OR INSTITUTION
HOLDING NOTE OR
America's Servicing Company
LEASE AGREEMENT
LIABILITY OF
(XI FILER HI SPOUSE [jj DFPFNDFNT CHI1 D
GUARANTOR
PERSON OR INSTITUTION
HOLDING NOTE OR Ocwen
LEASE AGREEMENT
LIABILITY OF
[2 Fll FR FJ SPODSF d] nFPFNDFNT T.HII D
GUARANTOR
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--
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.
NAMES OF PERSONS
RETAINING AN INTEREST
Qfl NOTAPPLICABLE
/\(SEVERED MINERAL INTEREST)
IF SOLD
[3 NET GAIN D LESS THAN $5,000 D S5,000-$9,999 D $10,000-$24,999 U $25,000-OR MORE
D NETLOSS
NAMES OF PERSONS
RETAINING AN INTEREST
NOTAPPLICABLE
(SEVERED MINERAL INTEREST)
IF SOLD
Q NET GAIN D LESS THAN $5,000 D $5,000-$9,999 D $10,000-$24,999 Q! $25,000-OR MORE
n NETLOSS
Revised 11/01/2007
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506
fj 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--
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.
NAMES OF PERSONS
RETAINING AN INTEREST
n NOTAPPLICABLE
(SEVERED MINERAL INTEREST)
IF SOLD
Q NET GAIN LESS THAN $5,000 D S5,000-$9,999 D $10,000-$24,999 D $25,000-OR MORE
D NETLOSS
NAMES OF PERSONS
RETAINING AN INTEREST
n NOTAPPLICABLE
(SEVERED MINERAL INTEREST)
IF SOLD
tl NET GAIN LESS THAN $5,000 D $5,000-$9,999 D $10,000-$24,999 D $25,000-OR MORE
O NET LOSS
Revised 11/01/2007
Texas Ethics Commission P.O. BOX12070 Austin, Texas 78711-2070 (512) 463-5800 1 -800-325-8506
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--
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.
NAMES OF PERSONS
RETAINING AN INTEREST
fj NOTAPPLICABLE
(SEVERED MINERAL INTEREST)
IF SOLD
O NET GAIN D LESS THAN $5,000 D $5,000-$9,999 D $10,000-$24,999 D $25,000-OR MORE
[U NET LOSS
NAMES OF PERSONS
RETAINING AN INTEREST
fj NOTAPPLICABLE
(SEVERED MINERAL INTEREST)
IF SOLD
0 NET GAIN D LESS THAN $5,000 D $5,000-$9,999 D $10,000-$24,999 D $25,000-OR MORE
n NET LOSS
Revised 11/01/2007
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506
fj NOTAPPUCABLE
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
IF SOLD
LESS THAN $5,000 D $5,000-$9,999 D $10,000-$24,999 Q S25.000-OR MORE
NET GAIN
Q NET LOSS
IF SOLD
LESS THAN $5,000 D $5,000-$9,999 D $10.000-$24,999 D $25.000-OR MORE
NET GAIN
D NET LOSS
IF SOLD
D LESS THAN $5,000 D $5,000-$9,999 D $10,000-$24,999 v $25,000-OR MORE
NET GAIN
D NET LOSS
fj NOTAPPLICABLE
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.
IF SOLD
O LESS THAN $5,000 D $5,000-$9,999 D $10,000-$24,999 D $25,000-OR MORE
Q NET GAIN
D NET LOSS
IF SOLD
D LESS THAN $5,000 D $5,000-$9,999 D $10,000-$24,999 $25,000-OR MORE
NET GAIN
D NET LOSS
IF SOLD
D LESS THAN $5,000 D $5,000-$9,999 D $10,000-$24,999 $25,000-OR MORE
NET GAIN
D NET LOSS
Revised 11/01/2007
, Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506
fj NOTAPPUCABLE
Describe all beneficial interests in business entities held or acquired by you, your spouse, or a dependent child during the
calendaryear. 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 ..
:AND ADDRESS
DESCRIPTION ' Piter's Home Address)
Amarillo Incredible Pizza Company, Ltd.
720 S. Tyler, Suite TOO
Amarillo, TX 79101
IF SOLD
D LESS THAN $5,000 D $5,000-$9.999 Q $10,000-$24,999 ,S25,000-OR MORE
NET GAIN
D NET LOSS
IF SOLD
Cf 4-ESS THAN $5,000 D $5,000-$9,999 D $10.000-$24,999 Q $25,000-OR MORE
D NET GAIN
D NET LOSS
IF SOLD
D LESS THAN $5.000 D $5,000-$9,999 D $10,000-$24,999 D $25,OOf>-OR MORE
D NET GAIN
D NET LOSS
Revised 11/01/M(T7
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1 -800-325-8506
NOTAPPLICABLE
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.
-AND ADDRESS
DESCRIPTION ' Rtef's Home Address)
BC Pizza LP
720 S. Tyler, Suite TOO
Amarillo, TX 79101
IF SOLD
D LESS THAN $5,000 D S5,000-$9,999 Q $10.000-$24,999 \ S25.000-OR MORE
D NET GAIN
NET LOSS
IF SOLD
D LESS THAN $5,000 D $5.000-$9,999 D $10,000-$24,999 d $25,OOQ-OR MORE
D NET GAIN
D NET LOSS
IF SOLD
D LESS THAN $5,000 D $5,000-$9,999 D $10,000-$24,999 Q $25,OOCHOR MORE
D NET GAIN
D NET LOSS
ttAHJMWT
Texas Ethics Commission P.O. Box12070 Austin, Texas 78711-2070 (512) 463-580O 1 -800-325-8506
NOTAPPUCABLE
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 spedfic 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
"AND ADDRESS
DESCRIPTION ' Filer's Home Address)
IF SOLD
D LESS THAN $5,000 D $5,000-$9.999 El $10.000-$24.999 D 525,000-OR MORE
D NET GAIN
D NET LOSS
IF SOLD
D LESS THAN $5,000 D $5,000-$9,999 D $10,000-$24.999 Q $25,000-OR MORE
D NET GAIN
D NET LOSS
IF SOLD
D LESS THAN $5,000 D $5,000-$9,999 D $10,000-$24,999 D $25,000-OR MORE
D NET GAIN
D NET LOSS
Revised 11/01/2007
Texas Ethics Commission P.O. BOX 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506
GIFTS PARTS
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
include a statement of the value of 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.
NAME AND ADDRESS
DONOR
DESCRIPTION OF GIFT
DESCRIPTION OF GIFT
DESCRIPTION OF GIFT
NOTAPPLICABLE
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.
NAME OF TRUST
SOURCE
D UNKNOWN
NAME OF TRUST
SOURCE
NAME OF TRUST
SOURCE ;
NOTAPPLICABLE
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.
NAME OF TRUST
BENEFICIARY
D FILER D SPOUSE D DEPENDENT CHILD
4
FAIR MARKET VALUE
D LESS THAN $5,000 D $5,000-$9,999 D $10,000-$24,999 D $25,000-OR MORE
DATE CREATED
NAME OF TRUST
BENEFICIARY
D FILER D SPOUSE D DEPENDENT CHILD
DATE CREATED
NAME OF TRUST
BENEFICIARY
D FILER SPOUSE DEPENDENT CHILD
DATE CREATED
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 that relate to blind trusts are listed below.
1 NAME OF TRUST
2 TRUSTEE NAME
NAME
3 FILER ON WHOSE
BEHALF STATEMENT
IS BEING FILED
4
TRUSTEE STATEMENT | affjrm> 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 (bX8) 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
fj 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.
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
BUSINESS (Check If Bier's Home Address)
ASSOCIATION
Amarillo Incredible Pizza Company, Ltd.
720 S. Tyler. Suite 100. AMarillo, TX 79101
BUSINESS TYPE
Limited Partnership
3
HELD, ACQUIRED, FILER D SPOUSE D DEPENDENT CHILD
OR SOLD BY
DESCRIPTION CATEGORY
ASSETS
D LESS THAN $5,000 E] $5,000-$9,999
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.
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
BUSINESS (Check
ASSOCIATION Wired For Fun Ltd "Rter's
720 S. Tyler, Suite 100, Amarillo, TX 79101
[J| 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.
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
BUSINESS fj (Check If Filer's Home Address)
ASSOCIATION
AIP Management, LLC
720 S. Tyler, Suite 100, Amarillo, TX 79101
BUSINESS TYPE Single Member LLC
3
HELD, ACQUIRED, FILER D SPOUSE D DEPENDENT CHILD
OR SOLD BY
DESCRIPTION CATEGORY
ASSETS
09 LESS THAN $5,000 D $5,000-59,999
NOTAPPUCABLE
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.
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.
NAMEAND ADDRESS
I "
'D $10,000-$24,999
D $5,000-$9,999
NOTAPPUCABLE
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.
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
BUSINESS [3 (Check If Filer's Home Address)
ASSOCIATION Amarillo Incredible Pizza Mgmt., LLC
720 S. Tyler, Suite 100, AMarillo, TX 79101
BUSINESS TYPE Single Member LLC
3
HELD, ACQUIRED, , FILER D SPOUSE D DEPENDENT CHILD
OR SOLD BY
DESCRIPTION CATEGORY
ASSETS
jS LESS THAN $5,000 D $5,000-$9,999
NOT APPLICABLE
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.
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
BUSINESS BC PiZZa LP f~l (Check If Filer's Home Address)
ASSOCIATION
720 S. Tyler, Suite 100, AMarillo, TX 79101
2
BUSINESS TYPE Limited Partnership
3
HELD, ACQUIRED,
OR SOLD BY
4 DESCRIPTION CATEGORY
ASSETS
H LESS THAN $5,000 D $5,000--$9,999
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.
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
BUSINESS Q (Check If Piter's Home Address)
ASSOCIATION Renaissance Laser LP
720 S. Tyler, Suite 100, Amarillo, TX 79101
2
BUSINESS TYPE Limited Partnership
3
HELD.ACQUIRED, j^j FILER D SPOUSE D DEPENDENT CHILD
OR SOLD BY
DESCRIPTION CATEGORY
4
ASSETS
D LESS THAN $5,000 D $5,000-$9,999
NOTAPPUCABLE
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.
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
BUSINESS Q (Check If Bier's Home Address)
ASSOCIATION S Fiberglass Ltd.
720 S. Tyler, Suite 100, AMarillo, TX 79101
BUSINESS TYPE Limited Partnership
3
HELD, ACQUIRED, FILER D SPOUSE D DEPENDENT CHILD
OR SOLD BY
DESCRIPTION CATEGORY
ASSETS
D LESS THAN $5,000 D $5,000-59,999
NOTAPPUCABLE
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.
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
BUSINESS (Check If Filer's Home Address)
ASSOCIATION
S Glass LLC
720 S. Tyler, Suite 100, AMarillo, TX 79101
2
BUSINESS TYPE Limited Liability Company
3
HELD, ACQUIRED, D FILER D SPOUSE D DEPENDENT CHILD
OR SOLD BY
DESCRIPTION CATEGORY
ASSETS
D LESS THAN $5,000 ^$5,000-$9,999
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.
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
BUSINESS (Check If Bier's Home Address)
ASSOCIATION Madison Scott Enterprises, LLC
720 5. Tyler, Suite 1 0 0 , Amarillo, TX 79101
2
BUSINESS TYPE
3
HELD, ACQUIRED, FILER D SPOUSE DEPENDENT CHILD
OR SOLD BY
DESCRIPTION CATEGORY
ASSETS
|E] LESS THAN $5,000 D $5,000-$9,999
Cash D S10,000-$24,999 D $25,000-OR MORE
NOTAPPLICABLE
Describe all assets of each corporation, firm, partnership, limited partnership, limited liability partnership, professional
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
1
BUSINESS [] (Check If Filer's Home Address)
ASSOCIATION The Secret Ring, LLC
720 S. Tyler, Suite 100, AMarillo, TX 79101
2
BUSINESS TYPE Limited Liability Company
3
HELD, ACQUIRED,
OR SOLD BY
4 DESCRIPTION CATEGORY
ASSETS
(^ LESS THAN $5,000 D $5,000-$9,999
FT] 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
BUSINESS Q (Check If Filer's Home Address)
ASSOCIATION Amarillo Incredible Pizza Co., Ltd.
720 S. Tyler, Amarillo, TX 79101
2
BUSINESS TYPE Limited Partnership
3
HELD, ACQUIRED, ^ FILER D SPOUSE Q DEPENDENT r*mi n -
OR SOLD BY
DESCRIPTION CATEGORY
* LIABILITIES
D LESS THAN $5,000 D $5,000-$9,999
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.
NAME AND ADDRESS
BUSINESS [] (Check If Filer's Home Address)
ASSOCIATION Wired For Fun, Ltd.
720 S. Tyler, Suite 100, AMarillo, TX 79101
2
BUSINESS TYPE Limited Partnership
3
HELD,ACQUIRED,
FILER D SPOUSE D DEPENDENT CHILD
OR SOLD BY
DESCRIPTION CATEGORY
LIABILITIES
D LESS THAN $5,000 D $5,000-$9,999
Notes Payable 1 yr or more
D $10,000-$24,999 $25,000-OR MORE
fj NOTAPPUCABLE
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.
NAME AND ADDRESS
1
BUSINESS fj (Check If Filer's Home Address)
ASSOCIATION Renaissance Laser, LP
720 S. Tyler, Suite T O O , Amarillo, TX 79101
2
BUSINESS TYPE Limited Partnership
3
HELD, ACQUIRED, S3
y^t FILER D SPOUSE D DEPENDENT
OR SOLD BY
DESCRIPTION CATEGORY
* LIABILITIES
D LESS THAN $5,000 D $5.000-$9,999
Notes payable 1 yr or
more D $10,000-$24,999 £3 $25,000-OR MORE
fj NOTAPPUCABLE
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
BUSINESS (Check If Filer's Home Address)
ASSOCIATION BC Pizza, LP
720 S. Tyler, Amarillo, TX 79101
2
BUSINESS TYPE Limited Partnership
3
HELD, ACQUIRED, FILER D SPOUSE D DEPENDENT CHILD
OR SOLD BY
DESCRIPTION CATEGORY
LIABILITIES
D LESS THAN $5,000 D $5,000-$9.999
NOTAPPLICABLE
USSUnOc ail liauillUSS Ul cawi uurjJUiauun, mill, pen iiiei&mp, iimiicu (jcuuioifiiiip, IIIIRUTU nauniiy pai u 10 CH up, piwioooimicii
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
BUSINESS „ ., , . , ~I (Check If Filer's Home Address)
LJ
ASSOCIATION S Fiberglass Ltd
720 S.... Tyler, Suite. 100, AMarillo, TX 79101
2
BUSINESS TYPE Limited Partnership
3
HELD, ACQUIRED,
OR SOLD BY
D CII I=D I I *5POl I^F I I npppwnpwr r*mr n
DESCRIPTION CATEGORY
* LIABILITIES
D LESS THAN $5,000 D $5,000-$9,999
Notes payable 1 year ,-, .—.
or more D $io,ooo-$24,999 0 $2s,ooo-OR MORE
NOT APPLICABLE
List all boards of directors of which you, your spouse, or a dependent child are a member and all executive positions you,
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 Amarillo Chamber of Commerce
2
POSITION HELD
Executive Committee Board Member
3
POSITION HELD BY £3 Fl! EP QSPOUSF D DEPENDENT CHILD
ORGANIZATION
POSITION HELD
ORGANIZATION
POSITION HELD
ORGANIZATION
POSITION HELD
ORGANIZATION
POSITION HELD
POSITION HELD BY l~~| Fll FR (~~| SPOI IRF |~~l nFPFWnFWT CHILD
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.
2
AMOUNT
AMOUNT
AMOUNT
AMOUNT
Revised 11/01/2007
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506
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.
NAME AND ADDRESS
1
BUSINESS ENTITY
2
INTEREST HELD BY n FILER D SPOUSE D DEPENDENT CHILD
- •"" - •"""
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--
INSTRUCTION GUIDE.
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
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
Note: Beginning September 1 , 2003, legistatorsr 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 D LESS THAN $5,000 D $5,000-$9,999 D $10,000-$24,999 D $25,000-OR MORE
STATE AGENCY
PERSON REPRESENTED
STATE AGENCY
PERSON REPRESENTED
STATE AGENCY
PERSON REPRESENTED
Revised 11/01/2007
Texas Ethics Commission P.O. Box12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506
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 or appreciation of a public servant required to file a statement under chapter 572
of the Government Code or title 1 5 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 title 1 5 of the Election Code, the benefit is reportable here. For more
information, seeFORMP-FS-JNSTRUCTJON GUIDE.
NAME AND ADDRESS
1
SOURCE OF BENEFIT
BENEFIT
BENEFIT
BENEFIT
BENEFIT
NOTAPPLICABLE
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.
NAME OF PARTY
REPRESENTED
DATE RETAINED
DATE OF CONTINUANCE
APPLICATION
WAS CONTINUANCE
GRANTED? YES DNO
NAME OF PARTY
REPRESENTED
DATE RETAINED
DATE OF CONTINUANCE
APPLICATION
WAS CONTINUANCE
GRANTED? DYES DNO
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.
Signature of Filer
„ LJNDANOSCHESE
%\ MY COMMISSION EXPIRES
September 3,2010
Sworn to and subscribed before me, by the said ^> @~ 6TT" this the day of
, 20 & o , to certify which, witness my hand and seal of office.
h
inature of officer administering oath Print name of officer administering oath Title of officer administering oath
Revised 11/01/20O7