“Texas Ethics Commissio P.0.Box 12070 ‘Austin, Texas 78711-2070 (512)463-5800__1-800-325-8508 PERSONAL FINANCIAL STATEMENT Form PFS COVER SHEET ee ad For tings requtedin 040, covering calendar year ending Decembar31, 2008, Lo— Uso FORM PFS-INSTRUCTION GUIDE when complain his arn FAG a OFFICE USE ONLY Ma, Kenya. ast aia! RECEIVED Woodrutt MAY 02 2040 F_ADDRESS | TOR TROTTER GIT NEDSS Texas Ethics Commission 4231 Caleulus Dr. Dallas, Texas 75244 (CHECK IF FILER'S HOME ADDRESS) _—_ TFELERONE | Soe now mmsaroTaNRT ee a 4 REASON FOR FILING | D) canoioate LUNDICATE OFFICE) STATEMENT Llaecten orien _— wocntomen |APPOINTED OFFICER _TeX#s Board of Chiropractic Exar LONDICATE AGENCY) Dlosecumve reno occ | Z1 ForMER OR RETIRED JUDGE SITTING BY ASSIGNMENT caren IU Stare parery Clade eee Commer _ {WocATE POSmION) Famiy members whose fnancal actly you are reporing (or must report information about the fhancial activity ofthe filers spouse of dependent chien i the ler had actual contl over tht sty wi spouse NM ~ NIA DEPENDENT CHILD 1 eee Se a - In Parts 1 through 18, you will disclose your financial activity during the preceding calendar yer. In Parts 1 through 14, you are required to disclose not only your own financial acivty, but also that of your spouse or a dependent child if you had actual control over that person's financial activity. wy COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY R.. Uicoq35‘Texas Ethics Commission P.O. Box 12070 ‘Austin, Texas 78711-2070 (612) 463-5800_1-800-325-8608 SOURCES OF OCCUPATIONAL INCOME DO wor arrucie PART 1A, providing the number under which the child is listed on the Cover Sheet. ‘When reporting information about a dependent child's activity, indicate the child about whom you are reporting by * INFORMATION RELATES TO Orter Dsrouse z EMPLOYMENT Dallas County Hospital District d/b/a Parkland Health & Hospital System 5201 Harry Hines Blvd. Dallas, Texas 75235, EMPLOYED BYANOTHER “ONE chexrtre tome Aas) Cocrenoenr cio Dserrewetoven NATURE OF OCCUPATION INFORMATION RELATES TO Oruer Dsrouse [oerenoenr cuito EMPLOYMENT icmecci ters Home acess) Clewecoven ay aNoTHER Diseurewsoven true oF cocuRArION INFORMATION RELATES TO Orter Dsrouse Dloerenoenr cro i a EMPLOYMENT Llewptoven ey anotier (Dseir-evetoven (check Fes Home Adres) COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY_P.0.B0x 12070 __Austin, Texas 78771-2070 (612) 463-5800__1-800-325-8508 RETAINERS part 1B. NOT APPLICABLE: ‘This section concems fees received as a retainer by you, your spouse, or a dependent child (or by a business in which y‘ your spouse, or a dependent child have a "substantial interest’) for a claim on future services in case of need, rather than Services on a matter specified at the time of contracting for or receiving the feé2eport information here only ifthe valuenf the work actually performed during the calendar year did not equal or exceed the value of the alter, For more information, ‘se 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 Tae DRDO FEE RECEIVED FROM 2 have oF SHES FEE RECEIVED BY FILER ‘or Filers ausiness SPOUSE (OR SPOUSE'S BUSINESS DEPENDENT CHILD. OR CHILD'S BUSINESS __ 3 FEE AMOUNT Less Tuan s5,000 [_] s5,000~s9,90@ [_] s10,000-s24,009 [_] s25,000-o8 more FEE RECEIVED FROM FEE RECEIVED BY FILER ORFILERSeusNess SPOUSE OR SPOUSE'S BUSINESS eee | DEPENDENT CHILD___ ‘OR CHILD'S BUSINESS FEE AMOUNT Less THaw $5,000 [] $5,000-s0.900 [] s10,000-s24,90 [_] $25,000-0R MORE a COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY‘Texas Ethics Commission STOCK 2.0. Box 12070 ‘Austin, Texas 78711-2070 (612) 468-6800 1-800-925-8608 PART 2 List each business entity in which you, your spouse, or a dependent child held or acquired stock during the calendar yes and indicate the category of the number of shares held or acquired.f some or all ofthe stock was sold, also indicate the category of the amount of the net gain or loss realized from the sale. 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, For more information, see FORM PFS T BUSINESS ENTITY Tae ? STOCK HELD OR ACQUIRED BY | CIFLER Disrouse Diverenvenr crit 3 NUMBER OF SHARES: Chess tian 100 Cltotos — C]scotoess = []1.000 70.4000 15.000 10,009 10.000 0R more “IF SOLD Lrercam | Cusss riawss.000 [1] s5.000-88.999 Clst0.00-s24.009 C]s25.000-or more | Fnerioss | BUSINESS ENTITY Nate | ‘STOCK HELD OR AGQUIRED BY | Crue Liseouse _CJoerenoenr cru NUMBER OF SHARES: DtesstHan 100 LJt00T04s0 L] s00 Tose i t.000 70 4,988 5,000 To 9,999 10,000 oR MORE IF SOLD [nercan | Cress tHans5.000 1 s6,000-s9.999 C1 s10.000-824,089 1] $25,000-08 MORE [servos BUSINESS ENTITY a | STOCK HELD OR ACQUIRED BY | [] FILER CO srouse DEPENDENT CHILD NUMBER OF SHARES Thies twa ico Chicoroase LIsootooee Lls.o00 To 4000 Cs000 109999 10.000 0R MoRE | IF SOLD IF SOLD Linercam | Suess riawss.000 C1 s5.000-$2.999 Cl) si0000-s2s.000 1 s25.000-on mone Cine toss BUSINESS ENTITY we STOCKHELDORACQUIREDBY |Clrusr LI srouse Dloerenoenr cio NUMBER OF SHARES [icssTuan1co Ciiooto«so C]sooToee (1,000 T0490 Lisoo0 09900 Cl o0000R more IF SOLD Cvercan / Des rian 5.000 Clss000-so.900 Cistoc00-sz4.000 [1] s25,000-0n MORE Enertoss BUSINESS ENTITY wa STOCK HELD OR ACQUIRED BY | [] Fier Osrouse (DEPENDENT CHILD NUMBER OF SHARES Lites tan 100 Ci ooro49 — Cisootosss CE], 000 0.4000 15.000 70 9.990 tess tHan 35.000 (1 $5,000-s9,989 C1 s10,000-24,988 1] s25,000-0n MORE C1 10,000 oR Mone ‘COPY AND ATTAGH ADDITIONAL PAGES AS NECESSARY‘Texas Ethics Commission BONDS, NOTES & OTHER COMMERCIAL PAPER PART 3 | NOT APPLICABLE. P.O. Box 12070 Austin, Texas 78711-2070 (612) 453-5800_ 1-800-925-8606 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, se 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 isted on the Cover Sheet. 7 DESCRIPTION OF INSTRUMENT ? WELD OR ACQUIRED BY Orner Csrouse loerenoent cio 3 IF SOLD Oner caw Oner toss Chess tia $5.00 [ss.000-s9,008 [1h10,000-824,980 [1s25,000-08 More DESCRIPTION OF INSTRUMENT HELD OR ACQUIRED BY Oruer Csrouse CQloepenvent cHito ___ IF SOLD Oner can Der toss Chess tiaw $5,000 C)ss.000-s0,002 [s10,000-s2¢.900 []}s25,000-0n wore: DESCRIPTION OF INSTRUMENT HELD OR ACQUIRED BY Oren Csrouse Cloerenpent cHiD iF soto Oner caw Dner toss (Cites tHan's,000 []ss.000-s9,902 [1s10,000-s24,009 [1 25,000-on MORE COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY18 Ethics Commission MUTUAL FUNDS 0 norappucante Box 12070 ‘Austin, Texas_ 78711-2070 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 some or all ofthe 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, soe 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 2 SHARES OF MUTUAL FUND various mutual funds held by Northwstem Mutual HEL OR AGCHNRED Et Cisouse —Joerenvenr cut 3 NUMBER OF SHARES Ctesstuavi00 1 iootowse Doo T0080 11000 T0 4888 (OF MUTUAL FUND | Disco 10990 Cl] ro0000R wore t —| [a |* soto Divercam | Tress mawss.coo [1] 5000-so0e Csinece-s2e0e [1] s2son0-oR MORE Oner toss MUTUAL FUND ane ‘SHARES OF MUTUAL FUND Sakae Oe MUTA EY Lrter Lseouse — lerenoenr cut | NUMBER OF SHARES DtesstHan 100 © CJ 100 T0499 ©] s00 T0999 (1.000 To 4,909 | OF MUTUAL FUND | 15,0007 9909 1 10,000 0R MoRE IF SOLD CNET GAN | Less THaN's5.000 [2] $5.000-s9.909 C]st0.000-s24,999 [[]$25,000-on MORE Oner toss MUTUAL FUND we SHARES OF MUTUAL FUND Fein ORAE URED EN, Oren Lseouse — Cherenoenr cro NUMBER OF SHARES Lies man too Clworo4se storm ©) ,o00 104000 OF MUTUAL FUND | D1s000109.92 = F)10.0000R More IF SOLD rer oan | Fess mawsscoo Ci ss000-seeo Csi0c00-s24000 [] $25000-0r More Oneross ‘COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY‘Texas Ethics Commission P.0.Box 12070 ‘Austin, Texas 78711-2070 (612) 463-5800 __ 1-800-325-8506 INCOME FROM INTEREST, DIVIDENDS, ROYALTIES &RENTS part 5 | List each source of income you, your spouse, or a dependent child received in excess of $500 that was derived from | interest, dividends, royalties, and rents during the calendar year and indicate the category of the amount of the incomBor ‘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. 7 Ta SORES ‘SOURCE OF INCOME Gone 22701 Burwood Ct Plano, Texas 75074 ; =| RECEIVED BY D crouse (i verennent ceo | 3 Ceca DD st00-s4.000 5,000-$5,099 [7] s10,000-$24.000 [7] $26,000-oR MORE | | SOURCE OF INCOME ‘Rhonda Houston 2701 Burlwood Ct Plano, Texas 75074 RECEIVED BY FRLER D srouse oer enoenr cro ae Ci ss00-s4,999 $6,000-$9,999 [[] $10,000-s2¢.999 [] s25,000-0F MORE ___ | ‘SOURCE OF INCOME, RECEIVED BY Orter Di srouse [i erenoent cH. | AMOUNT Lissoo-sesce Li ssoo-se 60 C1 sto00-s24s00. 1 ses00-o8 wore COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY‘Texas Ethics Commission P.0.Box 12070 ‘Austin, Texas 78711-2070 (612) 463-5800 _ 1-800-325-8508 | PERSONAL NOTES AND LEASE AGREEMENTS PART 6 0 norappucaste Identify each guarantor of a loan and each person or financial institution to whom you, your spouse, or a dependent child had a total nancial ability of more than $1,000 inthe form of a personel note or notes or lease agreement at any time during the calendar year and indicate the category of the amount of the kabilifor more informa- tion, see FORM PFS-INSTRUCTION GUIDE. ‘When reporting information about a dependent child's activity , indicate the providing the number under which the child is listed on the Cover Sheet. ‘about whom you are reporting by 7 PERSON ORINSTITUTION — | ank of America HOLDING NOTE OR LEASE AGREEMENT * LABILITY OF Dsrouse [berenoenr coo > — - GUARANTOR ‘ ‘AMOUNT [st.000-sece0 ]ss.000-se900 []s10,000-824 909 PERSON ORINSTITUTION | chase Bank HOLDING NOTE OR LEASE AGREEMENT LIABILITY OF Lisrouse THocrenoenr cro GUARANTOR AMOUNT D)s1,000-s4,289 (ss.000-s9,089 [[]s10,000-$24,909 | PERSON OR INSTITUTION | | HOLDING NOTE OR LEASE AGREEMENT LIABILITY OF | | Corner Csrouse Doerenoenr cro | —s = GUARANTOR AMOUNT [s1.000-s4.900 E]Jssi00-se.882 ]st0.000-s24.20[[]$26,000-0R MORE COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY‘Texas Ethics Commission P.0.Box 12070 ‘Austin, Texas 78711-2070 (612) 463-5800 _ 1-800-525-8608 | INTERESTS IN REAL PROPERTY PART 7A i nor appucasie Describe all beneficial interests in real property held or acquired by you, your spouse, or a dependent child during the calendar year. Ifthe interest was sold, also indicate the category of the amount ofthe net gain or loss realized from thdesa. For an explanation of "beneficial interest" and other specific directions for completing this section, soo 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. LER Osrouse Oper envent cio —__ STREET ADORESS, NCLLONG CTY, COUNTY, AND STATE * HELD OR ACQUIRED BY 2 STREET ADDRESS nor amenace 2701 Burlwood Ct Dlorsorrusrsiioussconess | Plano, Texas 75074 |? DESCRIPTION | Dos Crcres + NAMES OF PERSONS RETAINING AN INTEREST Nor APPLICABLE (SEVERED MINERAL BTTEREST) 5 IF soLD Cher can Citess tan ss000 []s51000-s0.980 []s10,000-s24,000 []s25,000-0F Hone. Chertoss WER O srouse O oerenoent cut HELD OR ACQUIRED BY STREET ADDRESS [ror anasce Lilcreck rues Hone aooess 4231 Caleulus De. Dallas, Texas 75244 | DESCRIPTION | Chior | Dares NAMES OF PERSONS RETAINING AN INTEREST Nor APPLICABLE (SEVERED MINERAL PVTEREST) IF SOLD heron Ctessrrawsso0o Clsscoosee0e Clsiao00-se4sse [1 s25000-on wore Dhrervoss: COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY‘Texas Ethics Commission P.0.80x12070__Austin, Texas 78711-2070 (612) 462-5800 _ 1-800-225-8506 INTERESTS IN BUSINESS ENTITIES Part 7B NOT APPLICABLE Describe all beneficial interests in business entities held or acquired by you, your spouse, or a dependent child during th ‘calendar yeat. If the interest was sold, also indicate the category of the amount of the net gain or oss realized from thdesa. 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 isted on the Cover Sheet. * HELD OR ACQUIRED BY Oruer CO seouse Di oerenoenr cH. 2 ‘NAME AND ADDRESS —— DESCRIPTION Ci coocet ars ame tae) 3 iF SOLD Cnercan Ctess man ss000 1) s5.000-s9.909 1] stac00-s24.950 1] 25, 000-0n woRE Onervoss HELD OR ACQUIRED BY Crner Dsrouse 1 bePeNvenr cx DESCRIPTION Detect ers ome ators) IF sot Dncroan Ctess tran $5,000 C1] ss.000-se.e89 2) s10.000-sz4000 [1] s2s.000-on MORE Diner oss — HELD OR ACQUIRED BY Ciruer Ci srouse Coerenoent cH | DESCRIPTION Ci coestt ers ome haces) | | IF SOLD LDnerean Tues rian 5.000 1 $5000-86580 ] s10.000-824.999 1) s25,000-0n MoE Dnertoss COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY |“Texas Ethies Commission P.0.80%12070___ Austin, Texas 78711-2070 ___(612) 463-5800 _ 1-800-325-8606 GIFTS PaRT 8 NOT APPLICABLE. Identify any person or organization that has given a gitworth 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 lobbyi under chapter 305 of the Government Code; 2) political contributions reported as required by law; or 3) gifts given by a pperson related to the recipient within the second degree by consanguinity or ity. For more information, ee FORM PFS~ “INSTRUCTION GUIDE. When reporting information about a dependent chile's activity . indicate the child about whom you are reporting by providing the number under which the child is listed on the Cover Sheet. 7 TRE RS NERS DONOR [? recipent Diseouse Dloerenoent cri 3 DESCRIPTION OF GIFT DONOR RECIPIENT Crner Lisrouse Coerenoenr cr DESCRIPTION OF GIFT DONOR RECIPIENT Orner Dsrouse (CQloerenpent cutto —__ DESCRIPTION OF GIFT COPY AND ATTACH ADDITIONAL PAGES AS NECESSARYTexas Ethics Commission P.O.Box 12070 __Austin, Texas 78711-2070 (612) 463-5800 _ 1-800-525-8508 TRUST INCOME PART 9 Identity each source of income received by you, your spouse, or a dependent child as beneficiary of a trust and indicate tle category of the amount of income received Also identify each asset of the trust rom which the beneficiary receivedhore than $500 in income, ifthe identity ofthe asset is knownFor 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, 7 roe SOURCE * BENEFICIARY Oruer Dsrouse Doerenoenr cit . _ INCOME Tess ransso00 Css000-s0999 Cl) sio000-s24900 Cs2s.000-or woRE * ASSETS FROM WHICH COVER $500 WAS RECEIVED D1 unevown SOURCE BENEFICIARY rer Osrouse (Cloerenpenr cH. —__ | INCOME (H1tess THan $5,000 [7] s5,000-82,999 [[]$10,000-s24,909 ([]25,000-oR MORE [ASSETS FROM WHICH OVER $500 WAS RECEIVED Cl unknown SOURCE BENEFICIARY Orner Csrouse Coerenvenr oxo INCOME [hess rinnss.o00 []ss000-ssee0 []siacc0-szese0 (]s26,000-on More ASSETS FROM WHICH OVER $500 WAS RECEIVED Qlunknown COPY AND ATTACH ADDITIONAL PAGES AS NECESSARYTexas Ethics Commission P.O. Box 12070 ‘Austin, Texas 78711-2070 (612) 463-5800 _ 1-800-325-8506 BLIND TRUSTS PART 10A NOT APPLICABLE Identify each bind trust that complies with section 572.023(c) of the Government Codgiee FORM PFS~INSTRUCTION. GUIDE. When reporting information about a dependent chile'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 | 2 TRUSTEE ace 1 ; | ee BENEFICIARY se Gruse Dsrouse Cloerenoenr cin 7 eee | Chess nanss.oco [isoco-sovee Cstoo00-szesee Cszs00-onwone | 7 DATE CREATED: [NAME OF TRUST a an BENEFICIARY Crner Dsrouse Coerenoenr cHno Fi ee Lites an'ssio00 [2 ps.o00-se.sco [}s10.000-824,009 [1] s25,000-0F MORE DATE CREATED NAME OF TRUST TSE none BENEFICIARY a Cree Lisrouse Lloerenpent ono ne [tess tan 35.000 [75s.000-80.099 []s10.000-$24.999 1] s25,000-oF MORE DATE CREATED COPY AND ATTAGH ADDITIONAL PAGES AS NECESSARY‘Texas Ethics Commission P.0.80x12070__Austin, Texas 78711-2070 (612) 463-5800 1-800-325-8508 TRUSTEE STATEMENT part 10B NOTAPPLICABLE ‘An individual who is required to identify a bind trust on Part 10A of the Personal Financial Statement must submit a statement signed by the trustee of each blind trust listed on Part 10AThe portions of section 572.023 of the Government Code that relate to blind trusts are listed below 1. NAME OF TRUST 2 TRUSTEE NAME 3 FILER ON WHOSE ce BEHALF STATEMENT IS BEING FILED 4 TRUSTEE STATEMENT | 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 tothe best of my knowledge, the trust complies with section 572.023 of the Government Code, Trustee Signature | § 872.025. Contents of Financial Statement in General | () The account of financial activity consists of: (8) identification of the source and the category of the amount of allncome received as beneficiary of a trusther than a blind trust that complies with Subsection (c)and identification of each trust asset, if nown to the beneficiary from which income was received by the beneficiary in excess of $500; (14) identification of each blind trust that complies with Subsection (c), including: (A) the category of the fair market value of the trust; (@) the date the trust was created; (C) the name and address of the trustee; and (D)a statement signed by the trustee, under penalty of perjury tating that: (0 the trustee has not revealed any information to the individual, except information that may be disclosed, ‘under Subdivision (8); and (i) to the best ofthe trustee's knowledge, the trust complies with this section. (c) For purposes of Subsections (b)(8) and (14), a blind trust is a trust as to which: (1) the trustee: | (A) is a disinterested party; | (8) is not the individual, (©) is not required to register as a lobbyist undeChapter 308; (0) is not a public officer or pubic employee; and {© was not appointed to public office by the individual or by a public officer or public employee the individual supervises; and (2) the trustee has complete discretion to manage the trust, including the power to dispose of and acquire trust assets without consulting or noting the individual. (@) Ifa blind trst under Subsection (c) is revoked while the individual s subject o this subchaptéhe individual must fle an | amendment othe individual's most recent financial statement, disclosing the date of revocation andthe previously unreported | value by category of each asset and the income derived from each asset |‘Texas Ethics Commission 0. Box 12070 Austin, Texas 78711-2070 (612) 469-6800 1-900-325-8508, NOT APPLICABLE ASSETS OF BUSINESS ASSOCIATIONS. part 11A Describe all assets of each corporation, firm, partnership, limited partnership, limited labilty 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 ofthe assets. For more informationsee FORM PFS-INSTRUCTION GUIDE ‘When reporting information about a dependent child's activity , indicate the child about whom you are reporting by providing the number under which the child is listed on the Cover Sheet. * BUSINESS ASSOCIATION tcreoct ars toms rasa) 2 BUSINESS TYPE 3 HELD, ACQUIRED, OR SOLD BY Osrouse (Cloerenvenr cxo —— * ASSETS Citss ri 55,000 Cs10.000-s24.550 Chess Trawss,000 Cs10,000-24,909 Chess THaN $5,000 (Ost0,000-s24,900 Cites THaN $5,000 Ls10.000~s24.000 Chess THaw 8.000, Cisto.000-s24.000 Chess man 55.000 Cs10,000-s24,909 Chess man 85.000 Cs10.000-s24.550 Cites tHan $5,000 T | | \ \ \ | \ \ \ | | \ ' | | | | | | | | | 1 | | | | | | | | | Clsrocan-so4se0 Lss.000-s8. 980 (Zs25 000-08 wore Css.000-s9.959 (s25.000-on More, (Cs5,000-s9,000 (Cs2s,000-of more Cssoc0-se.00 (Cszs000-or more | Oss.000-s0.980 (s25,000-08 wore Oss.000-s0.000 (Cs28,000-0n more: Css,000-s9,290 (Cs28,000-0n more (Cs5,000-$9,999 (Os25,000-0f MORE ‘COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY‘Texas Ethics Commission LIABILITIES OF BUSINESS ASSOCIATIONS 0.80% 12070 __Austin, Texas 78711-2070 (612) 463-5800 _ 1-800-525-8506 part 11B Describe all abies of each corporation, fm, partnership, limited partnership, limited fabilty partnership, professioml corporation, professional association, joint venture, or other business association in which you, your spouse, or a depert dent child held, acquired, or sold 50 percent or more ofthe outstanding ownership and indicate the category of the amou ofthe assets. For more informationsoe FORM PFS~INSTRUCTION GUIDE. When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which the child is listed on the Cover Sheet. * BUSINESS: ‘ASSOCIATION Tosti ret haoen |2 BUSINESS TYPE 3 HELD, ACQUIRED, HELD, ACQUI Cree Ci seouse Cloerenoenr cto 7 esc enone MABLITIES Tess nawssc00 Cs. 000-s0.900 Lsio000-s24902 C25 000-0 wore C1tess THan $5,000 Ds10,000-s24,000 D1tess tHan $5,000 Os10.000-s24,000 Des tHan $5,000 Os10,000~s24,900 Dtess tHan 6,000 Ds10,000-s24,959 Dees tHan $5,000 Os10,000-s24,909 Otess tHan $5,000 Os10,000-s24,908 Dees Tuan $5,000 s10,000-$24,s08 s5.000-s9,989 1s25,000-on MORE Os5,000-se,098 s28,000-on mone Os5,000-ss,000 Os25,000-0n more: O3ss.000-s9,988 O)s25,000-0n more Oss,00-so.000 O)s25,000-0n wore Diss.c00-so00 Os25,000-08 wore Os5,000-$9,098 (s25,000-08 wore COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY‘Texas Ethics Commission P.0.Box 12070 ‘Austin, Texas 78711-2070 (612) 499.5000 _ 1-900-925-8506 BOARDS AND EXECUTIVE POSITIONS PART 12. NOT APPLICABLE 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 proprietorship stating the name of the organization and the position heldFor 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. * ORGANIZATION ? POSITION HELD > BOSITION HELD BY Corner Csrouse Cloerencenr chin ORGANIZATION POSITION HELD POSITION HELD BY Orner Ci srouse Hoerennenr cro ORGANIZATION POSITION HELD POSITION HELD BY Oruer Cisrouse Cocrenoenr cru ORGANIZATION POSITION HELD | POSITION HELD BY Cree Csrouse Dioerenpenr cunto ORGANIZATION | POSITION HELD POSITION HELD BY Orrucr Disrouse [Doerenoenr cuto —__ COPY AND ATTACH ADDITIONAL PAGES AS NECESSARYBox 12070 Austin, Texas 78711-2070 (612) 469-5800 EXPENSES ACCEPTED UNDER HONORARIUM EXCEPTION 1-800-228-8606 ParT 13 Identity any person who provided you with necessary transportation, meals, or lodging, as permitted under section 36.07(t) 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 contribution ‘on a campaign finance report, or expenditures required to be reported by a lobbyist under the lobby law (chapter 305 of Government Code). For more information, see FORM PFS-INSTRUCTION GUIDE 7 PROVIDER PROVIDER ‘AMOUNT PROVIDER AMOUNT PROVIDER AMOUNT COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY‘Texas Ethics Commission P.O.Box 12070 __Austin, Texas 78711-2070 (612) 469-5800 _ 1-800-325-8508 INTEREST IN BUSINESS IN COMMON WITH LOBBYIST PART 14 NOT APPLICABLE Identify each corporation, fm, partnership, imited partnership, limited lability partnership, professional corporation, pfes- sional association, joint venture, or other business association, other than a publil-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, oo FORM PFS-INSTRUCTION GUIDE. * BUSINESS ENTITY Ta a aes ? INTEREST HELD BY Orter Di srouse (Doerenpenr cHito BUSINESS ENTITY an ad | INTEREST HELD BY Crue Lsrouse §— Coerenoenr crn BUSINESS ENTITY eee INTEREST HELD BY Oru DOsrouse — Coepenoenr cro BUSINESS ENTITY eae | INTEREST HELD By Crner Ciseouse — Dheenoenr cnn BUSINESS ENTITY INTEREST HELD BY Orner Cisrouse 1) vePenvent co COPY AND ATTACH ADDITIONAL PAGES AS NECESSARYTexas his Commission 0.801 12070 __ Auth, Texas 76711-2070 612) 469-8800 _1-s0.025 8600 FEES RECEIVED FOR SERVICES RENDERED _ TO ALOBBYIST OR LOBBYIST'S EMPLOYER [Z1 nor appucaaie | Report any fee you received for providing services to or on behalf of a person required to be registered as a lobbyist und ‘chapter 305 ofthe Goverment Code, or for providing services to or on behalf ofa person you actually know directly compen- sates or reimburses a person required to be registered as a lobbyisfReport 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. i PERSON OR ENTITY FOR WHOM SERVICES WERE PROVIDED FEE CATEGORY Ltessrvssc00 [ss.000-sase0 Csioo00-s24000 szs.000-07 wore PERSON OR ENTITY FOR WHOM SERVICES WERE PROVIDED FEE CATEGORY | Ctess tian ss.000 [[] $6,000-s0,009 [[]s10,000-s24,009 [7] s25,000-0R MORE, PERSON OR ENTITY FOR WHOM SERVICES WERE PROVIDED FEE CATEGORY [tess riawss.o00 [}ss.000-s0.999 []st0.000-sa4o00 [] ss,000-or woRE PERSON OR ENTITY FOR WHOM SERVICES, WERE PROVIDED FEE CATEGORY Chess tua ssc00 [1] $8.000-80.009 []st0.000-824,999 []s25,000-08 woRE PERSON OR ENTITY FOR WHOM SERVICES WERE PROVIDED FEE CATEGORY Thess rianss.coo C]ss000-s0900 C1s10.000-s24900 [}s26.000-on woRE PERSON OR ENTITY FOR WHOM SERVICES WERE PROVIDED FEE CATEGORY Lessin ss.coo Clss000-so.%9 C]sia000-s24.060 []s2s.000-0n wore COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY‘Texas Ethics Commission P.0.Box 12070 Austin, Texas 78711-2070 (612) 469-5800 _ 1-800-925-8508 REPRESENTATION BY LEGISLATOR BEFORE part 16 STATE AGENCY This section applies only to members ofthe Texas Legislature. A member of theTexas Legislature who represents a person for compensation before a st ate 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 attomey/client relationship in a criminal law matter; (2) the representation involves the filing of documents that involve only ministeraltac con the part of the agency; or (3) the representation isin regard to a matter for which the legislator was hired before ‘September 1, 2003. 1 STATE AGENCY 2 PERSON REPRESENTED 3 FEE CATEGORY tess mianss.o00 F]ss000-sase CJsto000-s24380 []s25,000-on More ‘STATE AGENCY PERSON REPRESENTED FEE CATEGORY [tess rian ss.000 [J s5.000-89.990 [[]s10.000-s24.900 [] $25,000-08 MORE ‘STATE AGENCY | PERSON REPRESENTED FEE CATEGORY [tsss man ss.o00 []ss000-80.99 []st0,000-824,009 [[]s25,000-0F MORE i | STATE AGENCY } | PERSON REPRESENTED | FEEcATEGORY Css ran sso Clsseo-sosce C]ssncoo-sousoo Cs2sono-on one | COPY AND ATTACH ADDITIONAL PAGES AS NECESSARYTexas Ethics Commission P.O.Box 12070 __Austin, Texas 78711-2070 (612) 463-5800 _ 1-800-325-8508 BENEFITS DERIVED FROM FUNCTIONS HONORING PaRT 17 | PUBLIC SERVANT NOT APPLICABLE Section 36.10 of the Penal Code provides that the gift prohibitions set out in section 36.08 of the Penal Code do not apy to a benefit derived from a function in honor or appreciation of a public servant required to file a statement under chapteo5; ‘of the Government Code or tile 15 of the Election Code ifthe benefit and the source of any benefit over $60 in value are: reported in the statement and 2) the benefit is used solely to defray expenses that accrue in the performance of duties activities in connection with the office which are nonreimbursable by the state or a political subdivisiof such a benefits received and is not reported by the public servant under ttle 16 of the Election Code, the benefit is reportable hefBor more information, see FORM PFS—INSTRUCTION GUIDE. 7 Taam SOURCE OF BENEFIT : __ BENEFIT SOURCE OF BENEFIT | ———} — | BENEFIT ‘SOURCE OF BENEFIT BENEFIT SOURCE OF BENEFIT BENEFIT COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY‘Texas Ethics Commission P.0..Box 12070 ‘Austin, Texas 78711-2070 (612) 463-5800 _ 1-800-825-8508 LEGISLATIVE CONTINUANCES ParT 18 Identity any legistaive 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 ofthe legislature. NAME OF PARTY REPRESENTED DATE RETAINED STYLE, CAUSE NUMBER, COURT & JURISDICTION DATE OF CONTINUANCE APPLICATION WAS CONTINUANCE GRANTED? Oves Dr NAME OF PARTY REPRESENTED DATE RETAINED ‘STYLE, CAUSE NUMBER, ‘COURT, & JURISDICTION DATE OF CONTINUANCE APPLICATION ‘WAS CONTINUANCE GRANTED? Oves On COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY‘Texas Ethice Commission P.O. Box 12070 Austin, Texas 78711-2070 (612) 463-5800 _ 1-800-525-8508, PERSONAL FINANCIAL STATEMENT AFFIDAVIT | The law requires the personal financial statement to be verified. The verification page must have the signature of the individual required to file the personal financial statement, as well as the signature and stamp or seal of office of a notary public or other person authorized by law to administer oaths and affirmations. Without proper verification, the statement Is not considered fled. | swear, or affirm, under penalty of perjury, that this financial statement covers calendar year ending December 31, 2009, andis true and.correct | and includes all information required to be reported by me under chapter | 572 of the Government Code. |AFFIX NOTARY STAMP SEAL ASOVE bron ws eters bae ne bye soe Kriya Cel, ow vo Cin a0 10 coc vides nha! ante Cn dp lyse — Lise. flyers PoraligeS_ sg mateo fod oan Print name of officer administering oath “Te of officer adminstring oath