Professional Documents
Culture Documents
(512) 463-5800
Austin, Texas 78711-2070
r.o. Box 12070
C')mmission
FORM PFS
,{SONAl FINANCIAL STATEMENT COVER SHEET
WHITE
ADDRESS I PO BOX, APT I SUi1E #: CITY, S1A"E, ZIP CODE
2 ADDRESS
901 BAGBY
NUMBER
~--------"""------
Date Imaged
( 713 ) 2472200 .. '
4 REASON
FOR FILING
o CANDIDATE ~~~__~ (INDICATE OFFICE)
STATEMENT
MA YOR ~~~
OF HOUSTON
[2] ELECTED OFFICER _ _ __~ ~~ , _ _ ~__~ ~__ (INDICATE OFFICE)
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):
ANDREA F. V,rHITE
SPOUSE _~ ~ _
STEPHEN \VHITE
2. ~ ~ _
ELENA WHITE
3, ~ ~ _
In Parts 1 through 18, you will disclose your financial activity during the preceding calendar year, In Parts 1 through 14, you are l
required to disclose not only your own financial activity, but also that of your spouse or a dependent child If you had actual control I
over that person's financial activity
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 o SPOUSE o DEPENDENT CHILD - - _
o SELF· EMPLOYED
NATURE OF OCCUPATION
MAYOR
INFORMATION RELATES TO
[2] FILER o SPOUSE o DEPENDENT CHILD - -
o EMPLOYED BY ANOTHER
NATURE OF OCCUPATION
[{] SELF-EMPLOYED
BOARD MEMBER
INFORMATION RELATES TO
o FILER [2] SPOUSE o DEPENDENT CHILD _
o EMPLOYED BY ANOTHER
o SELF-EMPLOYED
NATURE OF OCCUPATION
WRITER
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 INFORMATIOI\I RELATES TO
o FILER o SPOUSE [2] DEPENDENT CHILD 3
_
r-----------------jr-------------------~-------I
I
2 NAME AND ADDRESS OF EMPLOYER I POSITION HELD
EMPLOYMENT
TRUSTEES OF DEERFIELD ACADEMY
P. O. BOX 87
[{] EMPLOYED BY ANOTHER
DEERFIELD, MA 01342
o SELF-EMPLOYED
NATURE OF OCCUPATION
INFORMATION RELATES TO
o FILER o SPOUSE o DEPENDENT CHILD _
EMPLOYMENT
o EMPLOYED BY ANOTHER
o SELF-EMPLOYED
INFORMATION RELATES TO
EMPLOYMENT
D EMPLOYED BY ANOTHER
-
.'
-- -
/
,.~..-"
,_,:" ....r'.
o SELF-EMPLOYED
,.. ~.,_..-..-, .. NATURE OF OCCUPATION
PART 18
I RETAINERS
I o 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.
2 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
3
FEE AMOUNT D LESS THAN $5,000 0 $5,00G--$9,999 D $10,000-$24,999 D $25,000--OR MORE
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
Revised 1.2/02/2005
Texas Ethics Commission P.O Box 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
I STOCK
PART 2
D NOTAPPLICABLE
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 o LESS THAN 100 0100 TO 499 0500 TO 999 o 1,000 TO 4,999
NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 0500 TO 999 o 1,000 TO 4,999
IF SOLD DNETGAIN
o LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 o $25,000--OR MORE
DNET LOSS
NUMBEROF SHARES o LESS THAN 100 o 100 TO 499 0500 TO 999 o 1,000 TO 4,999
IF SOLD DNETGAIN
o LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 o $25,000--OR MORE
DNET LOSS I
STOCK PART 2
I
D NOTAPPLICABLE
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 D 500 TO 999 !ZJ 1,000 TO 4,999
o 5,000 TO 9,999 o 10,000 OR MORE
IF SOLD DNETGAIN o LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 D $25,000--OR MORE
nNETLOSS
I
STOCK PART 2
I
o NOTAPPLICABLE
-----
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 I 0 LESS THAN 100 0100 TO 499 o 500 TO 999 o 1,000 TO 4,999
IF SOLD DNET GAIN o LESS THAN $5,000 o $5,000--$9,999 o $10,000--$24,999 o $25,OOO--OR MORE
n NET LOSS
Revised 12/02/2005
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
STOCK PART 2
o NOTAPPLICABLE
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.
3 NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 0500 TO 999 o 1,000 TO 4,999
I
4 IF SOLD DNET GAIN o LESS THAN $5,000 o $5,000--$9,999 o $10,000--$24,999 o $25,000--OR MORE
DNET LOSS
NUMBER OF SHARES
o LESS THAN 100 0100 TO 499 0500 TO 999 o 1,000 T04,999
NUMBER OF SHARES
[2] LESS THAN 100 o 100 TO 499 0500 TO 999 o 1,000 TO 4,999
NUMBER OF SHARES
o LESS THAN 100 0100 TO 499 0500 TO 999 o 1,000 TO 4,999
NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 0500 TO 999 o 1.000 TO 4,999
IF SOLD [Z]NETGAIN
o LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 o $25,000--OR MORE
DNET LOSS
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
Revised 12/02/2005
Texas Ethics Commission POBox 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
I
STOCK PART 2
D NOTAPPLICABLE
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-
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.
3 NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 0500 TO 999 o 1,000 TO 4,999
NUMBER OF SHARES o LESS THAN 100 0100 TO 499 0500 TO 999 01,000 TO 4,999
IF SOLD [Z] NET GAIN [2] LESS THAN $5,000 o $5,000--$9,999 o $10,000--$24,999 o $25,000--OR MORE
nNET LOSS
NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 0500 TO 999 o 1,000 TO 4,999
NUMBER OF SHARES o LESS THAN 100 0100 TO 499 o 500 TO 999 o 1,000 TO 4,999
OVERSEAS SHIPHOLDINGS
STOCK HELD OR ACQUIRED BY o FILER o SPOUSE o DEPENDENT CHILD
NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 0500 TO 999 o 1,000 TO 4,999
STOCK PART 2
o NOTAPPLICABLE
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.
3 NUMBER OF SHARES o LESS THAN 100 D 100 TO 499 D 500 T0999 [{] 1,000 TO 4,999
NUMBER OF SHARES D LESS THAN 100 D 100 TO 499 D 500 TO 999 o 1,000 TO 4,999
STOCK PART 2
o NOTAPPLICABLE
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-
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.
3 NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 0500 TO 999 o 1,000 TO 4,999
4 IF SOLD [Z]NET GAIN o LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 o $25,00D--OR MORE
ONET LOSS
NUMBER OF SHARES o LESS THAN 100 0100 TO 499 0500 TO 999 o 1,000 TO 4,999
NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 0500 TO 999 [J 1,000 TO 4,999
G3 5,000 TO 9,999 [2] 10,000 OR MORE
IF SOLD [Z] NET GAIN [2] LESS THAN $5,000 o $5,000--$9,999 o $10,000--$24,999 o $25,00D--OR MORE
DNET LOSS
NUMBER OF SHARES o LESS THAN 100 0100 TO 499 0500 TO 999 [2]1,000 TO 4,999
IF SOLD DNET GAIN o LESS THAN $5,000 0$5,000--$9,999 0$10,000--$24,999 o $25,000--OR MORE
f7l NET LOSS
BUSINESS ENTITY NAME
AMGEN INC.
STOCK HELD OR ACQUIRED BY o FILER o SPOUSE o DEPENDENT CHILD
NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 0500 TO 999 o 1,000 TO 4,999
o 5,000 TO 9,999 o 10,000 OR MORE
DNET LOSS I
STOCK PART 2
o NOTAPPLICABLE
List each business entity in which you, your spouse, or a dependent child held or acquired stock during the calendar year
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
TYCO INTERNATIONAL
2 STOCK HELD OR ACQUIRED BY o FILER [2] SPOUSE o DEPENDENT CHILD
3 NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 0500 TO 999 D 1,000 TO 4,999
o 5,000 TO 9,999 [2] 10,000 OR MORE
4 IF SOLD o NET GAIN o LESS THAN $5,000 o $5,000--$9,999 [2] $10,000--$24,999 D $25,000--OR MORE
f7l NET LOSS
BUSINESS ENTITY NAME
mop CORPORATION
NUMBER OF SHARES
1 0 LESS THAN 100 0100 TO 499 0500 TO 999 o 1,000 TO 4,999
o 5,000 TO 9,999 D 10,000 OR MORE
IF SOLD [{]NETGAIN
o LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 o $25,OOO--OR MORE
nNET LOSS
_ _ _ _~ ._----oC"-'=O<_CP__'_Y__'A""N"_'D"__"'AT.'_!'_'=A'_"'C"_'H_"A""D'_"D'_'_'IT'_"='ION=A~L~PA-'CG=E=S,--A,-,S=---N=E=C_E
... S=S=A-,,-R,,-,Y -----.J
Revised 12/02/2005
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
I
STOCK PART 2
D NOTAPPLICABLE
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-
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.
3 NUMBER OF SHARES o LESS THAN 100 D 100 TO 499 D 500 TO 999 o 1,000 TO 4,999
NUMBER OF SHARES D LESS THAN 100 D 100 TO 499 D 500 TO 999 o 1,000 TO 4,999
IF SOLD DNET GAIN o LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 D $25,000-OR MORE
I
DNET LOSS
NUMBER OF SHARES o LESS THAN 100 0100 TO 499 D 500 TO 999 D 1,000 TO 4,999
o 5,000 TO 9.999 [{] 10,000 OR MORE
IF SOLD DNET GAIN D LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 D $25,000--OR MORE
o NET LOSS
STOCK PART 2
D NOTAPPLICABLE
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-
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.
3 NUMBER OF SHARES o LESS THAN 100 D 100 TO 499 D 500 TO 999 I2J 1,000 TO 4,999
NUMBER OF SHARES D LESS THAN 100 D 100 TO 499 D 500 TO 999 [2] 1,000 TO 4,999
D 5,000 TO 9,999 o 10,000 OR MORE
IF SOLD DNET GAIN o LESS THAN $5,000 D $5,000--$9,999 [2] $10,000-$24,999 D $25,000--OR MORE
0NET LOSS
STOCK PART 2
-~ -
o NOTAPPLICABLE
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.
3 NUMBER OF SHARES o LESS THAN 100 D 100 TO 499 D 500 TO 999 I:a 1,000 TO 4,999
D 5,000 TO 9,999 D 10,000 OR MORE
4 IF SOLD [Z] NET GAIN o LESS THAN $5,000 o $5,000--$9,999 D $10,000--$24,999 IZI $25,000--OR MORE
nNET LOSS
NUMBER OF SHARES D LESS THAN 100 D 100 TO 499 D 500 TO 999 [2] 1,000 TO 4,999
o 5,000 TO 9,999 o 10,000 OR MORE
IF SOLD DNET GAIN o LESS THAN $5,000 D $5,000--$9,999 o $10,000--$24,999 D $25,000--OR MORE
DNET LOSS
NUMBER OF SHARES o LESS THAN 100 !B-1 00 TO 499 0500 TO 999 o 1,000 TO 4,999
IF SOLD [2] NET GAIN [2] LESS THAN $5,000 o $5,000--$9,999 o $10,000--$24,999 o $25,000--OR MORE
DNETLOSS
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
Revised 12/02/2005
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
STOCK PART 2 I
D NOTAPPLICABLE
-
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-
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.
3 NUMBER OF SHARES o LESS THAN 100 D 100 TO 499 0500 TO 999 01,000 TO 4,999
NUMBER OF SHARES o LESS THAN 100 0100 TO 499 0500 TO 999 o 1,000 TO 4,999
NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 0500 TO 999 o 1,000 TO 4,999
05,000 TO 9,999 010,000 OR MORE
NUMBER OF SHARES o LESS THAN 100 [2] 100 TO 499 0500 TO 999 01,000 TO 4,999
NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 0500 TO 999 o 1,000 TO 4,999 I
STOCK PART 2
D NOTAPPLICABLE
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.
3 NUMBER OF SHARES
o LESS THAN 100 o 100 TO 499 0500 TO 999 o 1,000 TO 4,999
4 IF SOLD [Z]NETGAIN
o LESS THAN $5,000 D $5,000--$9,999 0$10,000--$24,999 o $25,000--OR MORE
I
nNET LOSS
NUMBER OF SHARES
o LESS THAN 100 D 100 TO 499 0500 TO 999 o 1,000 TO 4,999
1.
NUMBER OF SHARES
D LESS THAN 100 [2] 100 TO 499 0500 TO 999 o 1,000 TO 4,999
NUMBER OF SHARES
D LESS THAN 100 [2] 100 TO 499 0500 TO 999 o 1,000 TO 4,999
INTEL CORP.
NUMBER OF SHARES
o LESS THAN 100 D 100 TO 499 0500 TO 999 o 1,000 TO 4,999
IF SOLD DNETGAIN
o LESS THAN $5,000 D $5,000--$9,999 o $10,000--$24,999 o $25,000--OR MORE
DNET LOSS
COpy AND ATTACH ADDITIONAL PAGES AS NECESSARY I
Revised 12/02/2005
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
STOCK PART 2
D NOTAPPLICABLE
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.
3 NUMBER OF SHARES o LESS THAN 100 D 100 TO 499 D 500 TO 999 [{] 1,000 TO 4,999
NUMBER OF SHARES D LESS THAN 100 0100 TO 499 D 500 TO 999 D 1,000 TO 4,999
o 5,000 TO 9,999 o 10,000 OR MORE
IF SOLD DNETGAIN o LESS THAN $5,000 o $5,000--$9,999 o $10,000--$24,999 D $25,000--OR MORE
nNET LOSS
NUMBER OF SHARES o LESS THAN 100 [2] 100 TO 499 D 500 TO 999 D 1,000 TO 4,999
05,000 TO 9,999 D 10,000 OR MORE
IF SOLD [Z]NETGAIN [2] LESS THAN $5,000 D $5,000--$9,999 D $10,000--$24,999 D $25,00D--OR MORE
DNET LOSS
NUMBER OF SHARES D LESS THAN 100 o 100 TO 499 D 500 TO 999 D 1,000 TO 4,999
D 5,000 TO 9,999 D 10,000 OR MORE
IF SOLD [Z]NETGAIN o LESS THAN $5,000 D $5,000--$9,999 D $10,000.. $24,999 D $25,000--OR MORE
DNET LOSS
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
Revised 12/02/2005
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
STOCK PART 2
D NOTAPPLICABLE
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.
3 NUMBER OF SHARES [{] LESS THAN 100 D 100 TO 499 D 500 TO 999 o 1,000 TO 4,999
o 5,000 TO 9,999 D 10,000 OR MORE
4 IF SOLD DNETGAIN o LESS THAN $5,000 o $5,000--$9,999 D $10,000--$24,999 o $25,000--OR MORE
nNETLOSS
NUMBER OF SHARES D LESS THAN 100 [2] 100 TO 499 D 500 TO 999 D 1,000 TO 4,999
o 5,000 TO 9,999 o 10,000 OR MORE
IF SOLD DNETGAIN o LESS THAN $5,000 o $5,000-$9,999 0$10,000--$24,999 o $25,000--OR MORE
nNET LOSS
NUMBER OF SHARES D LESS THAN 100 0100 TO 499 [2] 500 TO 999 o 1,000 TO 4,999
NUMBER OF SHARES o LESS THAN 100 D 100 TO 499 D 500 TO 999 [2] 1,000 TO 4,999
D 5,000 TO 9,999 D 10,000 OR MORE
IF SOLD DNETGAIN D LESS THAN $5,000 D $5,000--$9,999 0$10,000--$24,999 o $25,000--OR MORE
DNET LOSS I
COpy AND ATTACH ADDITIONAL PAGES AS NECESSARY I
Revised 12/0212005
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
STOCK PART 2
D NOTAPPLICABLE
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.
PFIZER, INC.
3 NUMBER OF SHARES o LESS THAN 100 [B-1 00 TO 499 D 500 TO 999 o 1,000 TO 4,999
o 5,000 TO 9,999 010,000 OR MORE
NUMBER OF SHARES o LESS THAN 100 0100 TO 499 D 500 TO 999 o 1,000 TO 4,999
IF SOLD [Z]NET GAIN o LESS THAN $5,000 D $5,000--$9,999 0$10,000--$24,999 o $25,00Q--OR MORE
nNET LOSS
j
STOCK HELD OR ACQUIRED BY o FILER o SPOUSE o DEPENDENT CHILD
NUMBER OF SHARES o LESS THAN 100 [2] 100 TO 499 0500 TO 999 o 1,000 TO 4,999
NUMBER OF SHARES o LESS THAN 100 [2] 100 TO 499 D 500 TO 999 o 1,000 TO 4,999
AMGENINC,
NUMBER OF SHARES o LESS THAN 100 [{] 100 TO 499 0500 TO 999 o 1.000 TO 4,999
STOCK PART 2
o NOTAPPLICABLE
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-
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.
3 NUMBER OF SHARES o LESS THAN 1DO [2] 100 TO 499 D SOD TO 999 o 1,000 TO 4,999 I
NUMBER OF SHARES
D LESS THAN 1DO [2] 100 TO 499 D SOD TO 999 D 1,000 TO 4,999
D S,OOO TO 9,999 o 10,000 OR MORE
IF SOLD DNETGAIN o LESS THAN $S,OOO o $S,000--$9,999 o $10,000--$24,999 D $2S,000--OR MORE
nNET LOSS
BUSINESS ENTITY
NAME
-~~--~-_._._----
-----
I
kl FILER
- ~~~j~USE o
DEPE~tJ:r-cATCD
-....
05,000 TO 9,999 QmoaOOR MORE
/ - ---..
------_....
IF SOLD DNETGAIN
DNET LOSS
~N~ o $S,000--$9,999 D $10,000--$24,999 o-$25;OO~
NUMBER OF SHARES D LESS THAN 1DO 0100 TO 499 D SOO TO 999 D 1,000 TO 4,999
o 5.000 TO 9,999 o 10,000 OR MORE
IF SOLD DNET GAIN o LESS THAN $5,000 o $S,OOO--$9,999 0$10,000--$24,999 D $25,000--OR MORE
nNET LOSS
NUMBER OF SHARES D LESS THAN 1DO o 100 TO 499 D SOD TO 999 D 1,000 TO 4,999
D S,OOO TO 9,999 o 10,000 OR MORE
IF SOLD DNET GAIN D LESS THAN $S,OOO o $S,OOO--$9,999 D $10,000--$24,999 D $25,000--OR MORE
o NET LOSS
STOCK PART 2
o NOTAPPLICABLE
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.
3 NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 0500 TO 999 o 1,000 TO 4,999
4 IF SOLD DNET GAIN o LESS THAN $5,000 o $5,000--$9,999 0$10,000-,$24.999 o $25,000--OR MORE
nNET LOSS
NUMBER OF SHARES [{] LESS THAN 100 0100 TO 499 0500 TO 999 o 1,000 TO 4,999
NUMBER OF SHARES o LESS THAN 100 0100 TO 499 0500 TO 999 o 1,000 TO 4,999
NUMBER OF SHARES I0 LESS THAN 100 0100 TO 499 0500 TO 999 o 1.000 TO 4,999
Revised 12/02/2005
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711·2070 (512) 463-5800 1-800-325-8506
STOCK PART 21
D NOTAPPLICABLE
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-
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.
NUMBER OF SHARES o LESS THAN 100 0100 TO 499 0500 TO 999 D 1,000 TO 4,999
o 5,000 TO 9,999 o 10,000 OR MORE
1
IF SOLD [{] NET GAIN o LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 o $25,OOO-OR MORE
DNET LOSS
NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 0500 TO 999 D 1,000 TO 4,999
05,000 TO 9,999 o 10,000 OR MORE
I
CALL COP
STOCK HELD OR ACQUIRED BY 12] FILER 12] SPOUSE o DEPENDENT CHILD
NUMBER OF SHARES 12] LESS THAN 100 0100 TO 499 0500 TO 999 o 1,000 TO 4,999
NUMBER OF SHARES [2] LESS THAN 100 o 100 TO 499 0500 TO 999 D 1,000 TO 4,999
D 5,000 TO 9,999 o 10,000 OR MORE
IF SOLD IZ] NET GAIN o LESS THAN $5,000 o $5,000--$9,999 o $10,000--$24,999 D $25,000--OR MORE
DNET LOSS
- - -- - ----
STOCK PART 2
D NOTAPPLICABLE
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
o LESS THAN 100 D 100 TO 499 D 500 TO 999 D 1,000 TO 4,999
o 5,000 TO 9,999 o 10,000 OR MORE
NUMBER OF SHARES
o LESS THAN 100 o 100 TO 499 D 500 TO 999 D 1,000 TO 4,999
05,000 TO 9,999 D 10,000 OR MORE
NUIVIBER OF SHARES
o LESS THAN 100 0100 TO 499 D 500 TO 999 D 1,000 TO 4,999
o 5,000 TO 9,999 D 10,000 OR MORE
NUMBER OF SHARES
[2] LESS THAN 100 D 100 TO 499 D 500 TO 999 D 1,000 TO 4,999
D 5,000 TO 9,999 D 10,000 OR MORE
IF SOLD D $5,000--$9,999 D $10,000--$24,999 D $25,OOO--OR MORE
[{JNET GAIN 1 0 LESS THAN $5,000
DNET LOSS
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY I
Revised 12/02/2005
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
I STOCK PART 2
o NOTAPPLICABLE
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.
I
3 NUMBER OF SHARES (ZJ LESS THAN 100 o 100 TO 499 D 500 TO 999 o 1,000 TO 4,999
NUMBER OF SHARES o LESS THAN 100 0100 TO 499 D 500 TO 999 o 1,000 TO 4,999
IF SOLD DNETGAIN [Z] LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 D $25,OOO--OR MORE
r7l NET LOSS
BUSINESS ENTITY NAME
CALLAMGN
STOCK HELD OR ACQUIRED BY o FILER [{] SPOUSE D DEPENDENT CHILD
NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 D 500 TO 999 D 1,000 TO 4,999
05,000 TO 9,999 o 10,000 OR MORE
IF SOLD [ZJ NET GAIN [{] LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 D $25,000--OR MORE
nNETLOSS
IF SOLD [Z] NET GAIN o LESS THAN $5,000 o $5,000--$9,999 o $10,000--$24,999 D $25,OOO--OR MORE
DNET LOSS I ---
STOCK PART 2
D NOTAPPLICABLE
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 underwhich the child is listed on the Cover Sheet.
NUMBER OF SHARES o LESS THAN 100 0100 TO 499 0500 TO 999 o 1,000 TO 4,999
NUMBER OF SHARES [2] LESS THAN 100 o 100 TO 499 0500 TO 999 o 1,000 TO 4,999
NUMBER OF SHARES o LESS THAN 100 0100 TO 499 0500 TO 999 o 1,000 TO 4,999
NUMBER OF SHARES [{] LESS THAN 100 0100 TO 499 0500 TO 999 o 1,000 TO 4,999
1_ STOCK PART 21
D NOTAPPLICABLE
I
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.
3 NUMBER OF SHARES
[2] LESS THAN 100 D 100 T0499 D 500 TO 999 o 1,000 TO 4,999
4 IF SOLD DNETGAIN
o LESS THAN $5,000 o $5,000--$9,999 D $10,000--$24,999 o $25,000--OR MORE
nNETLOSS
NUMBER OF SHARES o LESS THAN 100 D 100 TO 499 D 500 TO 999 D 1,000 TO 4,999
o 5,000 TO 9,999 [J 10,000 OR MORE
IF SOLD DNETGAIN
o LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 D $25,000--OR MORE
nNET LOSS
NUMBER OF SHARES [2] LESS THAN 100 o 100 TO 499 D 500 TO 999 D 1,000 TO 4,999
o 5,000 TO 9,999 D 10,000 OR MORE
IF SOLD DNETGAIN
o LESS THAN $5,000 D $5,000--$9,999 D $10,000--$24,999 o $25,000--OR MORE
DNET LOSS
NUMBER OF SHARES
[{] LESS THAN 100 0100 TO 499 D 500 TO 999 D 1,000 TO 4,999
D 5,000 TO 9,999 D 10,000 OR MORE
IF SOLD DNETGAIN D LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 D $25,OOO--OR MORE
[l NET LOSS
BUSINESS ENTITY NAME
, , CALLXOM
I
I STOCK HELD OR ACQUIRED BY !i 0.; FILER .; SPOUSE D DEPENDENT CHILD
NUMBER OF SHARES o LESS THAN 100 D 100 T0499 D 500 TO 999 o 1,000 TO 4,999
D 5,000 TO 9,999 D 10,000 OR MORE
-----
STOCK PART 2
D NOTAPPLICABLE
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
o LESS THAN 100 0100 TO 499 0500 TO 999 o 1,000 TO 4,999
NUMBER OF SHARES
o LESS THAN 100 o 100 TO 499 0500 TO 999 o 1,000 TO 4,999
IF SOLD [Z]NETGAIN
o LESS THAN $5,000 o $5,000--$9,999 D $10,000--$24,999 o $25,000·-OR MORE
DNET LOSS
NUMBER OF SHARES
[2] LESS THAN 100 0100 TO 499 0500 TO 999 01,000 TO 4,999
IF SOLD DNETGAIN
o LESS THAN $5,000 []] $5,000--$9,999 0$10,000--$24,999 D $25,000--OR MORE
[7l NET LOSS
NUMBER OF SHARES
o LESS THAN 100 D 100 TO 499 D 500 TO 999 01,000 TO 4,999
IF SOLD [Z]NETGAIN
o LESS THAN $5.000 D $5,000--$9,999 D $10,000--$24,999 D $25,000--OR MORE
DNETLOSS
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
Revised 12/02/2005
I
Texas Ethics Commission POBox 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
o NOTAPPLICABLE
I
I
List all bonds, notes, and other commercial paper held or acquired by you, your spouse, or a dependent child during the
I 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.
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 !
DESCRIPTION
I FRONTERA RESOURCES CORPORATION NOTE
OF INSTRUMENT
2
HELD OR ACQUIRED BY
o FILER [{]SPOUSE o DEPENDENT CHILD
3
IF SOLD
WET GAIN
~ESS THAN $5,000 0$5,000--$9,999 UlO,000--$24,999 o $25,000--OR MORE
I
o NET LOSS
./,.e~/""
DESCRIPTION
OF INSTRUMENT
~
",."
HELD OR ACQUIRED BY
o FILER ~g)lE"EN;~~;::'LD
/- "-.
./"
..............
/~
DlO'O~
IF SOLD
........-;::
o $25,000--OR MORE
<.
o NET LOSS
DESCRIPTION
~~-..,"" ,.//
OF INSTRUMENT
..............
,
~-
J"'/
-........ »'
-~~ ,//"./
-<;
,
. '-~
IF SOLD
..
o NET GAIN
_.,"
",
--. ....."
'- .. .
-,
Revis e d 1.2/02/2005
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
D NOTAPPLICABLE
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
OF MUTUAL FUND
o LESS THAN 100 o 100 TO 499 0500 TO 999 o 1,000 TO 4,999
NUMBER OF SHARES o LESS THAN 100 0100 TO 499 0500 TO 999 D 1,000 TO 4,999
OF MUTUAL FUND
[2] 5,000 TO 9,999 o 10,000 OR MORE
NUMBER OF SHARES
OF MUTUAL FUND
o LESS THAN 100 0100 TO 499 0500 TO 999 [2] 1,000 TO 4,999
Revised 12/02/2005
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
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 MUTUAL FUND NAME
3 NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 0500 TO 999 o 1,000 TO 4,999
OF MUTUAL FUND
o 5,000 TO 9,999 o 10,000 OR MORE
4 IF SOLD DNETGAIN
[2] LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 o $25,000--OR MORE
[{]NET LOSS
NUMBER OF SHARES o LESS THAN 100 0100 TO 499 ' 0500 TO 999 o 1,000 TO 4,999
OF MUTUAL FUND
o 5,000 TO 9,999 o 10,000 OR MORE
NUMBER OF SHARES D LESS THAN 100 [{] 100 TO 499 0500 TO 999 o 1,000 TO 4,999
OF MUTUAL FUND
o 5,000 TO 9,999 o 10,000 OR MORE
IF SOLD DNETGAIN
o LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 o $25,000--OR MORE
[{] NET LOSS
Revrseo 12/02(2005
Texas Ethics Commission PO 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 ali 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
OF MUTUAL FUND
o LESS THAN 100 D 100 TO 499 0500 TO 999 [{] 1,000 TO 4,999
~
MUTUAL FUND NAME
~,
///
SHARES OF MUTUAL FUND
HELD ORACQUIRED BY
D FILER ~, D~LD
NUMBER OF SHARES
OF MUTUAL FUND
o LESS THAN 100
o 5,000 TO 9,999
0Z
_______Q ' 0,000 OR MORE
<,
»<
O'5~
~~
o 1,000 TO 4,999
~oo O~"~
IF SOLD DNET GAIN
o $5,000--$9,999 0$10,000--$24,999
DNET LOSS
MUTUAL FUND
<.~~"-. NAME
,/~, ...
///
-...,~
~,
~~~/-
'~
~"
SHARES OF MUTUAL FUND
HELD ORACQUIRED BY o FILER DSPOUSE <,
~
,
D DEPENDEN;~HILD
<,
. "
o o
~
NUMBER OF SHARES LESS THAN 100 0100 TO 4~9/'/[J5QO TO 999 1,000 TO 4,999
OF MUTUAL FUND /'../--- --,
'" -..;,
D 5.000 TO 9.999 0""'0,000 OR MORE
..?
~,.~:::.:._--
.....::,-~ .... ,
. . .<
/ "~
-, -
IF SOLD o NET GAIN
,///
o $25,OOO"~O~
"
MORE
DNET LOSS V../ -'~
Revised 12/02/2005
Texas Ethics Commission PO Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
o 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 under which the child is listed on the Cover Sheet.
2
RECEIVED BY
IZI FILER [{) SPOUSE o DEPENDENT CHILD
3
AMOUNT 01 $500--$4,999 o $5,000--$9,999 o $10,000-$24,999 D $25,OOO--OR MORE
RECEIVED BY
0] FILER o SPOUSE D DEPENDENT CHILD
AMOUNT
o $500--$4,999 o $5,000--$9,999 o $10,000--$24,999 o $25,OOO--OR MORE
RECEIVED BY
[{] FILER o SPOUSE o DEPENDENT CHILD
Re vrs e o 12/02/2005
Texas Ethics Commission P.O. Box 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
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.
2 RECEIVED BY
[{] FILER o SPOUSE o DEPENDENT CHILD
3
AMOUNT 01 $500--$4,999 o $5,000--$9,999 0$10,000-$24,999 D $25,000--OR MORE
RECEIVED BY
01 FILER [() SPOUSE D DEPENDENT CHILD
AMOUNT
o $500--$4,999 o $5,000--$9,999 0$10,000--$24,999 o $25,000--OR MORE
85 BROAD STREET
RECEIVED BY
01 FILER o SPOUSE o DEPENDENT CHILD
Re'i'ed 12/02/2005
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
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.
I' RECEIVED BY
[{] FILER [{) SPOUSE OJ DEPENDENT CHILD
3
AMOUNT [2] $500--$4,999 o $5,000--$9,999 o $10,000-$24,999 0 $25,000--OR MORE
RECEIVED BY
I [{] FILER [() SPOUSE o DEPENDENT CHILD
I
I
AMOUNT [Z] $500--$4,999 o $5,000--$9,999 0 $10,000-$24.999 0 $25,000--OR MORE
85 BROAD STREET
RECEIVED BY
01 FILER o SPOUSE o DEPENDENT CHILD - -
AMOUNT
Revts ed 12/02/2005
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
o 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 under which the child is listed on the Cover Sheet.
2
RECEIVED BY
o FILER [() SPOUSE OJ DEPENDENT CHILD
3
AMOUNT o $500--$4,999 o $5,000--$9,999 D $10,000-$24,999 o $25,000--OR MORE
RECEIVED BY
o FILER o SPOUSE o DEPENDENT CHILD
AMOUNT
D $500--$4,999 o $5,000--$9,999 [{] $10,000--$24,999 0 $25,000--OR MORE
RECEIVED BY
[{] FILER o SPOUSE o DEPENDENT CHILD
Revised 1210212005
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
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.
2
RECEIVED BY
[{] FILER III SPOUSE o DEPENDENT CHILD
3
AMOUNT [{] $500--$4,999 D $5,000--$9,999 D $10,000--$24,999 D $25,000--OR MORE
RECEIVED BY
[{] FILER [{} SPOUSE D DEPENDENT CHILD
AMOUNT
o $500--$4,999 o $5,000--$9,999 D $10,000--$24,999 o $25,000--OR MORE
RECEIVED BY
[{]I FILER o SPOUSE o DEPENDENT CHILD
Revised 12/02/2005
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
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.
2
RECEIVED BY
[{] FILER [() SPOUSE OJ DEPENDENT CHILD
3
AMOUNT 12]] $500--$4,999 D $5,000--$9,999 D $10,000-$24,999 o $25,00Q--OR MORE
RECEIVED BY
01 FILER o SPOUSE o DEPENDENT CHILD
AMOUNT
[Z] $500--$4,999 o $5,000--$9,999 D $10,000--$24,999 o $25,000--OR MORE
85 BROAD STREET
RECEIVED BY
01 FILER o SPOUSE o DEPENDENT CHILD
Revised 12f02/2005
Texas Ethics Commission PO Box 12070 Austin , Texas 78711-2070 (512) 463-5800 1-800-325-8506
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
I 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.
2
RECEIVED BY
1
[{] FILER [() SPOUSE o DEPENDENT CHILD
3
AMOUNT [2] $500-$4,999 D $5,000--$9,999 D $10,000-$24,999 o $25,000--OR MORE
RECEIVED BY
01 FILER o SPOUSE o DEPENDENT CHILD
RECEIVED BY
o FILER o SPOUSE o DEPENDENT CHILD
Revised 12/02f2005
Texas Ethics Commission . . Box 12070
PO Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
I
INCOME FROM INTEREST, DIVIDENDS, ROYALTIES & RENTS PART 5
o NOTAPPLICABLE
I
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 ofthe income. For
more information, see FORM PFS-INSTRUCTIOI'J 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.
85 BROAD STREET
2 RECEIVED BY
[{] FILER [() SPOUSE o DEPENDENT CHILD
3
AMOUNT 01 $500--$4,999 o $5,000--$9,999 o $10,000-$24,999 D $25,OOO--OR MORE
RECEIVED BY
o FILER [{] SPOUSE D DEPENDENT CHILD - -
RECEIVED BY
[{]] FILER o SPOUSE D DEPENDENT CHILD
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.
2 RECEIVED BY
[Z] FILER [{) SPOUSE OJ DEPENDENT CHILD
3
AMOUNT 01 $500--$4,999 D $5,000--$9,999 o $10,000-$24,999 D $25,00D--OR MORE
RECEIVED BY
[{] FILER [2] SPOUSE D DEPENDENT CHILD
AMOUNT
o $500--$4.999 o $5,000--$9,999 o $10,000--$24,999 [2] $25,000--OR MORE
RECEIVED BY
01 FILER [2] SPOUSE D DEPENDENT CHILD
Revis e c 12/02l2005
Texas Ethics Commission . . Box 12070
PO Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
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.
2
RECEIVED BY
[(] FILER [{) SPOUSE OJ DEPENDENT CHILD
3
AMOUNT I
01 $500-$4,999 D $5,000--$9,999 D $10,000-$24,999 o $25,OOO--OR MORE
RECEIVED BY
01 FILER o SPOUSE o DEPENDENT CHILD
RECEIVED BY
o FILER o SPOUSE o DEPENDENT CHILD
I
I
I
I
COpy AND ATTACH ADDITIONAL PAGES AS NECESSARY
Revised 12/02/2005
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
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 II
3
GUARANTOR
l I N/A
4
AMOUNT 0$1,000--$4,999 0$5,000--$9,999 0$10,000--$24,999 [2]$25,000--OR MORE
I
PERSON OR INSTITUTION
HOLDING NOTE OR GOLDMAN SACHS
LEAS E AGREEMENT
I
LIABILITY OF
[Z]FlLER [ZjSPOUSE o DEPENDENT CHILD
I
GUARANTOR
I I
PERSON OR INSTITUTION
HOLDING NOTE OR I CITIGROUP SMITH BARNEY
LEASE AGREEMENT
LIABILITY OF
I
[Z]FILER [2] SPOUSE o DEPENDENT CHILD
GUARANTOR
I
I
l
I
AMOUNT
I
D $1,000--$4,999 0$5,000--$9,999 [{] $10,000--$24,999 o $25,000--OR MORE
I
I
~
COpy AND ATTACH ADDITIONAL PAGES AS NECESSARY
Revised 12102/2005
Texas Ethics Commission POBox 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
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 FORI\II 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
HELD OR ACQUIRED BY [Z]FILER [Z] SPOUSE D DEPENDENT CHILD
2 STREET ADDRESS, INCLUDING CITY, COUNTY, AND STATE
STREET ADDRESS
o NOTAVAILABLE 101 STABLEWOOD COURT, HOUSTON, TEXAS
4
NAMES OF PERSONS
RETAINING AN INTEREST NORTHERN TRUST
D NOT APPLICABLE
(SEVERED MINERAL INTEREST)
5 I
IF SOLD
DNETGAIN o LESS THAN 55,000 o $5,000--$9,999 0$10,000--$24,999 o $25,000--OR MORE
DNET LOSS
NAMES OF PERSONS
RETAINING AN INTEREST
o NOT APPLICABLE
(SEVERED MINERAL INTEREST)
IF SOLD I
DNETGAIN o LESS THAN $5,000 0$5,000--$9,999 0$10,000--$24.999 o $25,000--OR MORE
DNET LOSS
I
Revised 12/02/2005
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
I
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-
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.
1
HELD OR ACQUIRED BY [{]FILER [{] SPOUSE D DEPENDENT CHILD
2 STREET ADDRESS. INCLUDING CITY. COUNTY, AND STATE
STREET ADDRESS I
o NOTAVAILABLE 134N. 100 WEST, MOAB, UTAH
4
NAMES OF PERSONS
RETAINING AN INTEREST
D NOT APPLICABLE
(SEVERED MINERAL INTEREST)
5
IF SOLD
DNET GAIN D LESS THAN $5,000 D $5,000--$9.999 D $10,000--$24,999 o $25.000--0R MORE
DNET LOSS ,
NAMES OF PERSONS
RETAINING AN INTEREST
o NOT APPLICABLE
(SEVERED MINERAL INTEREST)
IF SOLD
DNETGAIN D LESS THAN $5,000 o $5,000--$9,999 CJ $10,000--$24,999 D $25,000--OR MORE
DNET LOSS
Revts ed 12/02/2005
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
[2] 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-
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.
1
HELD OR ACQUIRED BY o FILER o SPOUSE o DEPENDENT CHILD
3
IF SOLD
o NET GAIN
o LESS THAN $5,000 o $5,000--$9,999 o $10,000--$24,999 o $25,000--OR MORE
o NET LOSS
IF SOLD
o NET GAIN
o LESS THAN $5,000 o $5,000--$9,999 o $10,000--$24,999 o $25,000--OR MORE
o NET LOSS
IF SOLD
o NET GAIN
o LESS THAN $5,000 o $5,000--$9,999 0$10,000--$24,999 OJ $25,000--OR MORE
o NET LOSS
Revised 12/02/2005
Texas Ethics Commission PO Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
I GIFTS
o NOTAPPLICABLE
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. 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.
2
RECIPIENT [Z] FILER [Z] SPOUSE o DEPENDENT CHILD
3
DESCRIPTION OF GIFT
FRAMED PHOTOGRAPH OF MAYOR AND WIFE
DESCRIPTION OF GIFT
2 TEXAN GAME TICKETS
I
I I
I--
DESCRIPTION OF GIFT
1 ROCKETS GAME TICKET
Revis e c 12/02/2005
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
GIFTS PART 8
--
o NOTAPPLICABLE
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. 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.
1 NAMEAND ADDRESS
DONOR HASTY AND SIS JOHNSON
2
RECIPIENT [Z] FILER [Z] SPOUSE D DEPENDENT CHILD
3
DESCRIPTION OF GIFT
STAY IN COLORADO HOME FOR SKI TRIP
DESCRIPTION OF GIFT
I
//
./'/
/e/-
/
. /
I
.
o
"
.'
.'
-/
\
/
.
DESCRIPTION OF GIFT
I
/-.-'/ ".'
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.
1 NAME OF TRUST
SOURCE
2
BENEFICIARY o FILER o SPOUSE o DEPENDENT CHILD
3
INCOME o LESS THAN $5,000 0$5,000--$9,999 0$10,000--$24,999 o $25,000--OR MORE
4 ASSETS FROM WHICH
I o UNKNOWN
NAME OF TRUST
SOURCE
I I
BENEFICIARY DFILER o SPOUSE o DEPENDENT CHILD
I l
INCOME
I o LESS THAN $5,000 o $5,000--$9,999 o $10,000--$24,999 o $25,000--OR MORE
o UNKNOWN
NAME OF TRUST
SOURCE
o UNKNOWN
[2] 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.
1
NAME OF TRUST
I, BENEFICIARY
o FILER o SPOUSE o DEPENDENT CHILD
5
DATE CREATED
NAME OF TRUST
BENEFICIARY
o FILER DSPOUSE D DEPENDENT CHILD
DATE CREATED
NAME OF TRUST
BENEFICIARY
o FILER DSPOUSE D DEPENDENT CHILD
I
FAIR MARKET VALUE
o LESS THAN $5,000 0 5,000--$9,999 0$10,000--$24,999 D $25,000--OR MORE
DATE CREATED
I
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 1GA. The portions of section 572.023 of the Government
Code that relate to blind trusts are listed below.
1 NAME OF TRUST
I:--1--------1
TRUSTEE NAME
BEHALF STATEMENT
IS BEING FILED
4 TRUSTEESTATEMENT I affirm, 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 (b)(8) 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
(d) If a blind trust under Subsection (c) is revoked while the individual is subject to this subchapter, the individual must file an
amendment to the individual's most recent financial statement, disclosing the date of revocation and the previously unreported
value by category of each asset and the income derived from each asset
Revis e d 12/02/2005
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
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 BUSINESS
ASSOCIATION
2 BUSINESS TYPE
3 HELD,ACQUIRED,
OR SOLD BY
o FILER
DESCRIPTION
4 ASSETS
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
ASSOCIATION
2 BUSINESS TYPE
3 HELD, ACQUIRED,
OR SOLD BY
o FILER o SPOUSE o DEPENDENT CHILD
4 DESCRIPTION I CATEGORY
LIABILITIES
I
I
o LESS THAN $5,000 0$5,000--$9,999
I
I
0$10,000--$24,999 o $25,000--OR MORE
I
I o LESS THAN $5,000 0$5,000--$9,999
I
I 0$10,000--$24,999 o $25,000--OR MORE
T
I
I
o LESS THAN $5,000 0$5,000--$9,999
I
i
0$10,000--$24,999 o $25,000--OR MORE
I
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
Revised 12/02/2005
Texas Ethics Commission PO Box12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
List all boards of directors of which you, your spouse, or a dependent child are a member and all executive positions you,
your spouse, or a dependent child hold in corporations, firms, partnerships, limited partnerships, limited liability partner
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
BJ SERVICES
I
2
POSITION HELD BOARD MEMBER
3
POSITION HELD BY [2] FILER o SPOUSE o DEPENDENT CHILD
List all boards of directors of which you, your spouse, or a dependent child are a member and all executive positions you,
your spouse, or a dependent child hold in corporations, firms, partnerships, limited partnerships, limited liability partner
ships, professional corporations, professional associations, joint ventures, other business associations, or proprietorships,
stating the name ofthe 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
HOUSTON A PLUS
2
POSITION HELD BOARD MEMBER
ORGANIZA TION
POSITION HELD
ORGANIZATION
POSITION HELD
ORGANIZA TION
POSITION HELD
Revi ae d 12/02/2005
Texas Ethics Commission POBox 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506
[2]
~
NOTAPPLICABLE
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 12/02/2005
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
[Z] NOTAPPLICABLE
Identify each corporation, firm, partnership, limited partnership, limited liabilitypartnership, professionalcorporation, 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 lobbyistunderchapter305 ofthe Government Code that bothhave
an interest. For moreinformation, see FORM PFS--INSTRUCTION GUIDE.
1 NAMEAND ADDRESS
BUSINESS ENTITY
2
INTEREST HELD BY DFILER o SPOUSE D DEPENDENT CHILD
NAMEAND ADDRESS
BUSINESS ENTITY
NAMEAND ADDRESS
BUSINESS ENTITY
NAMEANDADDRESS
BUSINESS ENTITY
NAME ANDADDRESS
BUSINESS ENTITY
Revts e d 12/02/2005
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
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
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
2
FEE CATEGORY
D LESS THAN $5,000 D $5,000--$9,999 0$10,000--$24,999 o $25,000--OR MORE
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
FEE CATEGORY
D LESS THAN $5,000 D $5,000--$9,999 D $10,000--$24,999 D $25,000--OR MORE
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
FEE CATEGORY
D LESS THAN $5,000 D $5,000--$9,999 D $10,000-$24,999 D $25,000--OR MORE
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
FEE CATEGORY
D LESS THAN $5,000 D $5,000--$9,999 D $10,000--$24,999 D $25,000--OR MORE
PERSON OR ENTITY
FOR WHOM SERVICES
WERE PROVIDED
FEE CATEGORY
D LESS THAN $5,000 D $5,000--$9,999
D $10,000--$24,999 D $25,000--OR MORE
This sectionappliesonly 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--INSTRUCTION GUIDE.
Note: Beginning 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
I September 1, 2003.
1
STATE AGENCY
2
PERSON REPRESENTED
I
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
I PERSON REPRESENTED
FEE CATEGORY
o LESS THAN $5,000 D $5,000--$9,999 D $10,000--$24,999 D $25,000--OR MORE
STATE AGENCY
I
PERSON REPRESENTED I
I
FEE CATEGORY D LESS THAN $5,000 D $5,000--$9,999 D $10,000--$24,999 D $25,000--OR MORE
I
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 15 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 15 of the Election Code. the benefit is reportable here. For more
information, see FORM PFS--INSTRUCTION GUIDE.
1
NAME AND ADDRESS
SOURCE OF BENEFIT
BENEFIT
BENEFIT
I
NAME AND ADDRESS
SOURCE OF BENEFIT
BENEFIT
I
BEt\IEFIT
I
Identifyany legislativecontinuance 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,
1
NAME OF PARTY
REPRESENTED
2
DATE RETAINED
3
STYLE, CAUSE NUMBER,
COURT & JURISDICTION
4
DATE OF CONTINUANCE
APPLICATION
5
WAS CONTINUANCE
GRANTED? DYES DNa
NAME OF PARTY
REPRESENTED
DATE RETAINED
DATE OF CONTINUANCE
APPLICATION
WAS CONTINUANCE
GRANTED? DYES DNa
Revrs eu 12/02/2005
..
Texas Ethics Commission P.O Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
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.
e • •
Kathy l. Kirruch
Notory Public
State of Texas
ExpireI 7·19-2008
Signature of Filer
Re vrseo 12/02/2005