Source: https://id.scribd.com/doc/34230730/Arteaga-Antonia-00065022-450258-000-2009
Timestamp: 2019-06-26 02:11:34
Document Index: 347605509

Matched Legal Cases: ['arts 1', 'arts 1', 'ART 4', 'ART 78', 'ART 91', 'ART 10', 'ART 11', 'ART 15', 'ART 161', 'ART 18']

Arteaga_Antonia_00065022_450258_000_2009
simpanSimpan Arteaga_Antonia_00065022_450258_000_2009 Untuk Nanti
﻿exas ICS ommission P.O.
Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
TOTAL NUMBER OF PAGES FILED'
Filed in accordance with chapter 572 ofthe Government Code. .; 25
Fm filings required in 2010, covering calendar year ending December 31 , 2009. ACCOUNT #
Use FORM PFS-INSTRUCTlON GUIDE when completing this form. 00065022
1 NAME TITLE; FIRST; MI 4-~7 ')0
Mrs. Antonia [Date Received
. . . ~ ,. . . ~ ... . - ~ . . . " , ... • • , •• w , .• . , ..
Toni Arteaga RECEiVED
2 ADDRESS j SUITE #; CITY; STATE; ZIP CODE APR 29 zmo
San Antonio, TX 78245-1426 _Texas Ethics Commission.
o {CHECK IF FILER'S HOME ADDRESS}
3 TELEPHONE AREA CODE PHONE NUMBER; EXTENSION PROCESSED APR 30 lOU
NUMBER ( 210 ) 335-2531 Date Imaged
fOR FlUNG o CANDIDATE !)NDlCATE OFFICE).
STATEMENT o ELECTED OFFICER District Judge District 57
o APPOINTED OFFICER . (INDICATE AGENCY)
D STATE PARTY CHAIR (INDICATE PARTY)
o OTHER (INDICATE POSmON)
DEPENDENT CHILD L
In Parts 1 through 18, you will disclose your financial activity during the preceding calendar year. ln Parts 1 through 14, you are
:f~ COpy AND ATTACH ADDlnONAl PAGES AS NECESSARY Texas Ethics Commission
/ SOURCES OF OCCUPATIONAL INCOME
! 0 NOT APPLlCABLE _
[ When reporting information about a dependent child's activity, indicate the child about whom you are reporting by
prO'lnding the number under which the child is listed on the Cover Sheet
11 INFORMATION RELATES TO /. EMPLOYMENT
I 0 EMPlOYEDBYANOTHER
(llFllER
[dSPOUSE
NAME AND ADDRESS OF EMPlOYER i POSlTION HELD o (Check If Filer's Home Address)
Comptroller's Judiciary Section 111 E. 17th St.
Austin, TX. 78774
NATURE OF OCCUFATlON
District Judge 57th District
o EMPLOYED BY ANOTHER 212 Stumberg, Suite 100 San Antonio, TX. 78204
NAI'.!E AND ADDRESS OF EMPLOYER I POSITION HELD o (Check If Filers Home Address )
NAM~ ADDRESS OF EMPLOYER I =osmox HELD U (Check If Filer's Horne Address}
This section concerns fees received as a retainer by you, your spouse, or a dependent child (or by a business in which yo~ your spouse, or a dependent child have a "substantial interest") for a claim on future services in case of need, rather than fp services on a matter specified at the time of contracting for or receiving the feeReport information here only if the valuIDf the work actually performed during the calendar year did not equal or exceed the value of the eimer. For more information, see FORM PFs-lNSTRUCTION GUIDE.
"lfnen 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.
~-----------------------+-----------------------------------.------------------------
OR FILER'S BUSINESS ' _
D DEPENDENT CHllD _
OR CHILD'S BUSINESS _
~-----------------~----------------------------------------.----.------
o LESS THAN 55,000 D 55,000-$9,999 D $10,000-$24,999 D $25.000-0R MORE
I wu~~
, 0 ~~~ER'S BUSINESS _
o DEPENDENT CHllD _
OR CHILD'S BUSINESS ~ , __ , _
o LESS THAN $5,000 D $5,000--$9,999 D $10,000-$24,999 D $25,OOo--OR MORE
o NOT APPUCABlE
list each business entity in which you, your spouse, or a dependent child held or acquired stock during the calendar yes r
and indicate the category of the number of shares held or acquired.lf some or aU of the stock was sold, also indicate the
2 STOCK HELD OR ACQUlREO BY o FILER o SPOUSE o DE.PENDENT CHILD -
I 0 5,000 TO 9,999 010,000 OR MORE
4 n= SOLD [ZINETGAIN I o LESS THAN $5,000 o 55,000-$9,999 o 510,000-$24,999 o S25,000-OR MORE
STOCK HELD OR ACQUIRED BY o FILER o SPOUSE o DEPENDENT CHILO - ___
, ILl LESS THAN 100 0100T0499 o 500 TO 999 o 1,000 TO 4,999
IF SOLD [ZJ NET GA!N [2] LESS THAN $5,000 0$5,000-$9,999 0510,000-$24,999 o $2S,OOO-OR MORE
BUSINESS ENTITY NAM:::
STOCK HELD OR ACQUIRED BY ILl FILER o SPOUSE o DEPENDENT CHILO
IF SOLD o NET GAIN 121 LESS THAN $5,000 0$5,000-$9,999 0510,000-$24,999 o S25,000-OR MORE
[Z] NET LOSS
STOCK HELD OR ACQUiRED BY OHLER o SPOUSE o DEPENDENT CHILD
IF SOLD DNETGAlN o LESS THAN $5,000 o $5,000-$9,999 0$10,000-524,999 o 52S,OOO-OR MORE
STOCK HELD OR ACQUIRED BY o FILER o SPOUSE o DEPENDENT CHILO
NUMBER OF SHARES o LESS THAN 100 o 100T0499 o 500 TO 999 o 1 ,000 TO 4,999
IF SOLD o NET GAIN o LESS THAN 55,000 o $5,000-$9,999 o $10,000-$24,999 o $25,ODO-OR MORE
o NET LOSS Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070
ISONDS. NOTES & OTHER COMMERCIAL PAPER
calendar 'lear. tf sold, indicate the category of the amount of the net gain or loss realized from the sale. For more
information, see FORM PF5-fNSTRUCTION GUIDE.
~----------------------~-------------------------------------------------.----~
3 IF SOLO
o NET GAiN
DDEPENDENT CHILD _
D LESS THAN $5,000 OS5,O()0-$9,999 Dl0,OOO-$24,999 D $25,Ooo-OR MORE
~--------------------~--------------------------------------------.---
D DEPENDENT CHILD _. __ .
DESCRlPTtON OF INSTRUMENT
~---------------~------_----------_---_----------_------------
IF SOLD DNETGAIN DNETLOSS
D LESS THAN $5,000 0$5,000-$9,999 [}1O,000-$24,999 D $25,OOO-OR MORE
o NET GAIN DNETlOSS
o LESS THAN $5,000 0$5,000-$9,999 D10,OOO-$24,999 D $25,OOO-OR MORE
I· MUTUAL FUNDS PART 4
f 0 NOT APPLICABLE
acquired during the calendar year and indicate the category of the number of shares of mutual funds held or acquiredt
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 realiz!:!
When reporting information about a dependent child's activity r indicate the child about whom you are reporting by
providing the number under which the child is listed on the Cover Sheet
2 SHARES OF MUTUAL FUND o FILER o SPOUSE DOEPENOENT CHILD
3 NUMBER OF SHARES o LESS THAN 100 o 100 TO 499 o 500 TO 999 D 1,000 TO 4,999
4 IF SOLO o NET GAIN o LESS THAN $5,000 0$5,000-$9,999 0$10,000-524,999 o $25,ODO-OR MORE
NUMBER OF SHARES _l; lESS THAN 100 o 100 TO 499 o 500 TO 999 o 1,000 TO 4,999
5,000 TO 9,999 o 10,000 OR MORE
IF SOLD D NET GAIN I
, 0$10,000-$24,999 o $25,OOO-OR MORE
o LESS THAN $5,000 o 55,000-$9,999
SHARES OF MUTUAL FUND II:i:I FILER DSPOUSE o DEPENDENT CHILD
NUMBER OF SHARES o LESS THAN 100 IZJ 100 TO 499 o 500 TO 999 o 1,000 TO 4,999
U= SOLD ONETGA1N o LESS THAN S5,000 0$5,000-$9,999 0$10,000-$24,999 o S25,OOO-OR MORE
List each mutua! 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 acquiredf
from the sale. For more information,see FORM PFS-INSTRUCTION GUIDE.
2. SHARES OF MUTUAl FUND ILl FILER o SPOUSE DDEPENDENT CHILD
3 NUMBER OF SHARES o LESS THAN 100 0100T0499 o 500 TO 999 o 1,000 TO 4,999
4 IF SOLD D NET GAIN o LESS THAN $5,000 o $5,000-$9,999 o $1(),OOO-S24,999 o $25,OOQ.-OR MORE
MUTUAL FUND \ Fidelity Emerging Markets NAME
SHARES OF MUTUAL FUND \ I{] fiLER o SPOUSE o DEPENDENT CHILD
NUMBER OF SHARES I 0 LESS THAN 100 [£]100T0499 o 500 TO 999 o 1,000 TO 4,999
IF SOLD DNETGAIN o LESS THAN $5,000 0$5,000-$9,999 0$10,000-$24,999 o $25,OOO-OR MORE
MUTUAL FUND NAl'oIE
lFSOLD DNETGAIN o $5,000-$9.999 0$10,000-$24,999 o $25,OOO-OR MORE
COPY AND ATIACH ADDITIONAl PAGES AS NECESSARY d
interest, dividends, royalties, and rents during the calendar year and indicate the category of the amount of the incom€or
\'lIJhen reporting information about a dependent child's activity , indicate the child about whom you are reporting by
'2. RECEIVED BY
D FILER o SPOUSE OJ DEPENDENT CHILD ____
AMOUNT 0$500-$4,999 055,000-$9,999 0$10,000--$24,999 o $25,OOG--OR MORE
RECEtVED BY
AMOUNT ! o $500-$4,999 0$5,000--$9,999 0$10,000--$24,999 o S25,OOO-OR MORE
o FILER o SPOUSE D DEPENDENT CHILD
AMOUNT o $500-$4,999 0$5,000-$9,999 o $10,000-$24,999 o S25,OOO-OR MORE
p. 0 Box 12070
! agreement at any time during the calendar year and indicate the category of the amount of the liabilitljor more informa-
PERSON OR INSTITUTION Security Service Federal Credit Union
LEASE AGREEMENT I
2 UABIU1YOF
[Z]F!lER o SPOUSE o DEPENDENT CHILD
13 GUARANTOR Arteaga, Antonia
AMOUNT 0$1,000-$4,999 0$5,000-$9,999 IZI $10,000-$24,999 D$25,oOO-OR MORE
PERSON OR INSTITUTION I
I LEASE AGREEMENT
UABIUTYOF
OFILER o SPOUSE o DEPENDENT CHILD
AMOUNT 0$1,000-$4,999 0$5,000-$9,999 0$10,000--$24,999 0$25,OOO-OR MORE PERSON OR INSTITUTION
UABIU1YOF
o FILER DSPOUSE o DEPENDENT CHILD
AMOUNT o $1,000-$4,999 0$5,000-$9,999 0$10,000-$24,999 o $25,000--OR MORE
COPY AND ATTACH ADOmONAL PAGES AS NECESSARY Texas Ethics Commission
bJ NOT APPLICABLE
p'fovidmg the number under which the child is listed on the Cover Sheet. I
'1 I11FILER DSPOUSE D DEPENDENT CHILD
2: STREET ADDRESS STREET ADORESS, INCUJ1}IKG CITY, COUNTY,;>.NO STAlE
o NOT AWlJLABlE Antoio, Bexar, TX. 78245-1426,
3 DESCRIPTION NUMBER Q-" lOIS OR ACRES At,\) NAME Of COUNTY \MiERE lOCAl"'!}
o lOTS Other
o MOT APPLICABLE
DNETGAlN o LESS THAN 55,000 0$5,000-$9,999 0$10,000-524,999 0 $25,OOO-ORMORE
DNET!.OSS
HELD OR ACQUIRED BY OFILER o SPOUSE o DEPENDENT CHILD ___
STREET ADDRESS STREET ADDRESS, INCLUDING CITY, COUNTY, AND STAlE
o ~IOT PlJ/l,llABlE
o CHECK IF FILER'S HOME ADDRESS --
o NET GAIN o LESS THAN $5,000 o $5,000-$9,999 0$10,000-$24,999 D $25,OOO-OR MORE
I INTERESTS IN BUSINESS ENTITIES PART 78
ILl NOT APPLICABLE
Describe all beneficial interests in business entities held or acquired by you, your spouse, or a dependent child during th~
calendar year. If the interest was sold, also indicate the category of the amount of the net gain or loss realized from thEi€s8
proViding the number under which the chUd is listed on the Cover Sheet.
'1 o FILER o SPOUSE o DEPENDENT CHILD
DESCRIPTION o (Check It Filers Home Address)
o NET GAIN o LESS THAN $5,000 o $5,OOQ-$9,999 o $10,000-$24,999 o S25,OOO-OR MORE
HELD OR ACQUIRED BY o FILER o SPOUSE o DEPENDENT CHILD ___
NAME JI..ND ADDRESS
DESCR\PTiON o (Check If Fifers Home Adrlress)
IF SOLD o LESS THAN $5,000 o $5,000-$9,999 o $10,000-$24,999 o $25,OOO-OR MORE
HELO OR ACQUiRED BY o FILER o SPOUSE o DEPENDENT CHlLD ___
DESCRIPTION o {Check If Rler's Horne Address}
IF SOLD o LESS THAN $5,000 o $5,000-$9,999 o 510,000-$24,999 o $25,000-OR MORE
ONEILOSS
I GIFTS PARTS
Identify any person or organization that has given a gilvorth more than $250 to you, your spouse, or a dependent child, and
describe the gift. 00 not include: 1} expenditures required to be reported by a person required to be registered as a tobbyi
person related to the recipient within the second degree by consanguinity ormiity. For more information,see FORM PFS-
1 NAl'1IE AND ADDRESS
NM1E AND ADDRESS
RECIPIENT o FILER o SPOUSE o DEPENDENT CHILD ___
N_AME AND ADDRESS
RECIPIENT DFilER o SPOUSE o DEPENDENT CHILD
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY t
IZ1 NOT APPLICABLE
categOf\j of the amount of income received Also identify each asset of the trust from which the benenciat'Y receivemore
tren $500 in income, if the identity of the asset is knownFor more information, see FORM PFS-INSTRUCTION GUIDE
When reporting information about a dependent child's activity e indicate the child about whom you are reporting by
1 I NAME OF TRUST
INCOME o LESS THAN 55,000 0$5,000-$9,999 0$10,000-$24,999 o $25,OOO-OR MORE
ASSETS FROM VllHICH
BENEFICIARY OFllER o SPOUSE o DEPENDENT CHILD ---
INCOME D LESS THAN $5,000 D $5,000-$9,999 D $10,000--$24,999 D S25,OOO-OR MORE
OVER $500 WAS RECE!VED
BENEFICIARY o FILER o SPOUSE o DEPENDENT CHILD ____
INCOME DLESS THAN $5,000 D $5,000-$9,999 D $10,000-$24,999 o S25,OOO--OR MORE
II I ATTA TI I I A __ r I v Texas Ethics Commission P.O. Box 12070
/. TRUST INCOME
1-800-325-8506 PART 91
BLIND TRUSTS PART 10A I
Identify each blind trust that complies with section 572.023(c) of the Government Cod£See FORM PFS-INSTRUCTION
'\ NAME OF TRUST
4 FAIR MARKETVAlUE
o LESS THAN $5,000 D5,000-$9,999 0510,000-$24,999 D S25,OOO-OR MORE
BENEFICIARY o FILER o SPOUSE D DEPENDENT CHILD
FAIR MARKETVALUE o LESS THAN 55,000 05,000-$9,999 0$10,000-$24,999 o S25,OOO-OR MORE
NAME OF TRUST I
BENEFICIARY o FILER DSPOUSE o DEPENDENT CHILD t
FAIR MARKETVALUE o LESS THAN $5,000 05,000--$9,999 0$10,000-$24,999 o $25,OOO-OR MORE
I "" • .. ,.. .... • <'! Texas Ethics Commission P.O. Box 12070
I TRUSTEE STATEMENT
! 0 NOT APPllCABlE
r--------------------------------------------------------------------------------------~
1 NAME OF TRUST I
I: TRUSTEE NAME
, BEHALF STATEMENT I
14 TRUSTEE STATEMENT
I t--------------------+---------------------------------------------------------·--------~
I affirm, under penalty of perjul)( 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.
(b) The account of financial activity consists of
(8) identification of the source and the category of the amount of all income received as beneficiary of a trusther than a blind trust that complies with Subsection (G)and identification of each trust asset, if known to the beneficiary from which income was received by the beneficiary in excess of $500;
(e) the name and address of the trustee; and
(0) a statement Signed by the trustee, under penalty of perjurystating that:
(i) the trustee has not revealed any information to the individual, except information that may be discloser under Subdivision (8); and
(C) is not required to register as a lobbyist undeChapter 305;
(0) is not a public officer or public employee; and f (E) was not appointed to public office by the individual or by a public officer or public employee the lndlvidut supervises; and
(d) If a blind trust under Subsection (c) is revoked while the individual is subject to this subchaptd!tle individual must fie an amendment to the individual's most recent financial statement, disclosing the date of revocation and the previously unreporter value by category of each asset and the income derived from each asset !
PART 11Al
r------------------------------------------------------------------------------------
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 amou ~t of the 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 provming the number under which the child is listed on the Cover Sheet.
BUSINESS 0 {Check If Filer's Home Address)
~-----------------+------------------------------------------------------------------
3. HELD, ACQUiRED, OR SOLD BY
I OlESS THAN $5,000 0$5,000-$9,999
I 0$10,000-$24,999 D S25,OOO--OR MORE
I o LESS THAN 55,000 0$5,000--$9,999
I 0$10,000-$24,999 O$25,OOO-OR MORE
I D LESS THAN $5,000 0$5,000-$9,999
I 0$10,000-$24,999 D$25,oOO--OR MORE
I DLESS THAN $5,000 0$5,000--$9,999
I D $1 0,000-524,999 D$25,oOO-OR MORE
I o LESS THAN $5,000 0$5,000-$9,999
i 0$10,000-$24,999 OS25,OO\}-()R MORE
I D $10,000-$24,999 O$25,OOO--OR MORE
I D LESS THAN $5,000 0$5,000-59,999
I D $10,000-524,999 o $25,OOD-OR MORE
I o lESS THAN $5,(1)0 0$5,000-$9,999
I 0$10,000-$24,999 DS25,oOO--OR MORE
I 4 ASSETS
COPY AND A TIACH ADDITION.4l PAGES AS NECESSARY
rTe_x_a_s_E~th_ics_c_o_m_m __ is_Si_o_n P_.O_._B_o_X_1_2_07_O A_u_s_ti_n:_1i __ e __ x __ a_s_7_8_7_11_-2::.:..0 __ 7 __ 0 (~5 __ 12::;:}_4....:.6 __ 3-....:.5 __ 8 __ 00 __ . __ 1_-8 . .:....:.00-325-8506
12l NOT APPLICABLE
Describe aU liabilities of each corporation, firm, partnership, limited partnership, limited liability partnership, professioral corporation, professional association, joint venture, or other business association in which you, your spouse, or a de pen dent child held. acquired, or sold 50 percent or more of the outstanding ownership and indicate the category of the amou ht of the assets. For more informationsee FORM PFS-INSTRUCTlON GUIDE
When reporting information about a dependent child's activity .Indicate the child about whom you are reporting by prO'ittding the number under which the child is listed on the Cover Sheet.
2 BUSINESS TYPE r HELD, ACQU{RED, i OR SOLD BY
COPY AND ATTACH ADmTION..A.l PAGES AS NECESSARY
List all boards of directors of which you, your spouse, or a dependent child are a member and all executive positions ym ,
f ships, professional corporations, professional associations, joint ventures, other business associations, or proprietorships,
stating the name of the organization and the position heldFor more information.see FORM PFS-lNSTRUCTION GUIDE.
3 o FilER DSPOUSE D DEPENDENT CHILD
POSIT!ON HELD
POSITION HELD BY o FILER DSPOUSE D DEPENDENT CHILD -----
Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
r----'-------------------'----------_;___:.---------.--.-
Identify any person who provided you with necessary transportation, meals, or lodging, as permitted under section 36.07(t of the Penal Code, tn connection with a conference or similar event in which you rendered services, such as addreSsing l: n 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 tt e Government Code). For more information, see FORM PFS-!NSTRUCTION GUIDE
r-------------+--------------------------------------
~-----------------+--------------------------------------------_-
COPY AND ATTACH ADOITIONAL PAGES AS NECESSARY
IZI NOT APPLICABLE
Identify each corporation, firm, partnership, limited partnership. limited liability partnership, professional corporation, ptes-
spouse, or a dependent child, and a person registered as a lobbyist under chapter 305 of the Government Code that both havl
an interest For more information,see FORM PFS-INSTRUCTION GUIDE.
I BUSINESS ENTITY
NAME AND AImRESS
INTEREST HELD BY o FILER o SPOUSE D DEPENDENT CHILD
!NTEREST HELD BY o FILER o SPOUSE o DEPENDENT CHILD
. FEES RECEIVED FOR SERVICES RENDERED PART 15
! 121 NOT APPliCABlE
Report any fee you received for providing services to or on behalf of a person required to be registered as a lobbyist unde
chapter 305 of the Government Code, or for providing services to or on behalf of a person 'Iou actually know directly eompen-
sates or reimburses a person required to be registered as a 10bbyisIReport the name of each person or entity for which the
1 PERSON OR ENTITY I
FOR VVHOM SERVICES
FEE CATEGORY D LESS THAN $5,000 o $5.000-$9,999 0$10,000--$24,999 o S25,DOO-OR MORE
PERSON OR ENTITY I
FOR WHOM SERVICES I
FEE CATEGORY D LESS THAN $5,000 0$5,000-$9,999 0$10,000-$24,999 o $25,OOO-OR MORE
FOR WHOM SER\/ICES
FEE CATEGORY o LESS THAN $5,000 0$5,000·.$9,999 0$10,000-.$24,999 o S25,OOO-OR MORE
FEE CATEGORY o lESS THAN $5,000 o $5,000-$9,999 0$10,000--$24,999 o S25,OOO-OR MORE
FEE CATEGORY I o LESS THAN S5,000 0$5,000-$9,999 0$10,000-$24,999 o $25,OOO-OR MORE
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
~RESENTAT'ON BY lEGISLATOR BEFORE PART 161
I ., '~TEAGENCY
~ ~ __ N_O_T_~ .~ E -i
This sedlon applies onJyto members of the Texas Legislature. A member of thelexss Legislature who represent> a person
Note: Beginning September 1, 2003, legislators may not for compensation, represent another person before a state
FEE CATEGORY D LESS 1'HAN $5,000 D $5,000-$9,999 D $10,000-$24,999 o S25,QOO-OR MORE
FEE CATEGORY D LESS THAN $5,000 D $5,000-$9,999 0$10,000--$24,999 o S25,OOO-OR MORE
FEE CATEGORY o LESS THAN 55,000 o 55,000-$9,999 0$10,000-$24,999 o S25,OOO-OR MORE
FEE CATEGORY D LESS THAN $5,000 D $5,000-$9,999 D $10,000--$24,999 D S25,OOO-OR MORE
I Texas Ethics Commission
~------------------------------------------------------------------.--------.------
Section 36.10 of the Penal Code provides that the gift prohibitions set out in section 36.08 of the Penal Code do not app y to a benefit derived from a function in honor or appreciation of a public servant required to file a statement under chapter25
of the Government Code or title 15 of the Election Code if the benefit and the source of any benefit over $SO 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 c activities in connection with the office which are nonreimbursable by the state or a political subdivisioM such a benefitis received and is not reported by the public servant under title 15 of the Election Code, the benefit is reportable helfOOr more information, see FORM PFS-iNSTRUCTlON GUIDE.
SOURCE OF BENEF!T
NAME AND iIDDRESS
I LEGISLATIVE CONTINUANCES PART 18
COURT s JURISDICTION
I GRANTED? DYES ONO
GRANTED? DYES DNa
COpy AND ATTACH ADOITIONAl PAGES AS NECESSARY Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070
! PERSONAL FINANCIAL STATEMENT AFFIDAVIT
~-------------------------------------------------------------------------------------
I swear, or affirm, under penalty of perjury, that this financial statement covers calendar year ending December 31 , 2009, and is true and correct and includes all information required to be reported by me under chapter 572 ofthe Government Code.
Signature of Filer ----
AFFIX NOTARY STAMP f SEAL ABOVE
~:i;·~14 STEVEN J_. CARP. ENTER II~ NOTARY PUBLIC
. ~ \! . *} STATE OF TEXAS.
...... ••••• My CoIRm. Exp. 11'()2·2.011
"~-;;'~""""!""":I""7_"I:"I""l'~""""-~
s, om to a~ subscribed before me, by the said ~k A ~fY"hiS the ~ ~ day of -+--::.,r:.___._._-----,. 20 t D . to certify "vnich, witness my hand and seal of office.
Tnle of officer administering oath