2015 PFS Eduardo E. Chavez.pdf

7/25/2019 2015 PFS Eduardo E. Chavez.pdf

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€00-

PERbONAL

FINANCIAL

STATEMENT

FORM PFS

COVER SHEET

PAGE

{

Filed

in

accordance with

chapter

572 of the Government

Code.

For

filings

required

in

201

5,

covering calendar

year

ending

December

3l

,

2014.

Use

FORM

PFS-INSTRUCTION

GUIDE

when

completing

this form.

IOIAL

IJU'JBER OF PAG€S FILEO;

ACCOUNI

t

runME

TIILE: FIRSI:

MI

Chavez, Eduardo

'nrcxxaue,

r.asi;

iuirx

Eddie

OFFICE USE

ONLY

Dille

RcceiYrd

-

iNr

: ,

\--l

'.

tE

..:,

.li

2

ADDRESS

ADORESS ,

PO

BOX;

APT,

SUITE

,:

CIW:

SfATE:

ZIP COOE

309 Houston

St.

Anthony, TX79821

XI

(cnecx

rF FILER's

HoME ADoRess)

,o,""il*l$-

lAnlshr

3

tetepnorue

NUMBER

AREA

COOE

PHONE NUttBEn:

EXIENSION

(

grs

)

qgt-ttsz

DstcPro&c6di - "LJ

- ll' r\

=

ato

lmaood

t\)

REASON

FOR FILING

STATEMENT

E

cnruoroara

Alderman for

The Town

Of

Anthony, TX

0NorcArE

orFtcE)

{rNorc

rt

9fFlcE)

(lNDICAT€

^GENCY}

(rNorcArE

AGENCYI

E

Elncreo oFFtcER

Board of

Trustee for Anthony

ISD

D

nppotrureD

oFFrcER

fJ

ExecurvE HEAD

I

ronuEn

oR

RETTRED

JuDGE srrlNc By AsstcNMENr

I

srare

PARw

cHArR

(INDICAIE

PAATY}

D

otren

(rNorcAlE

POSTItoN)

Family

members whose financialactivily

you

are

reporting (see

instruclions).

spousE

Sylvia Chavez

DEPENDENT

CHILD

1.

2.

3.

ln

Parts 1 through

18,

you

will

disclose

your

financial

activity during

the

preceding

calendar

year.

ln

Parts 1

through

14,

you

are

required

to

disclose not

only

your

own financial

activity,

bul also

thal

of

your

spouse or

a dependent

child

(see

instruclions).

COPY

AND

ATTACH

ADDITIONAL

PAGES

AS

NECESSARY

TexasEthicsCommission

P.O. Box 12070

Austin,Texas

78711-2O7A

(512)4635800

ODD

www.ethics.stale.tx.us

Revised 10R1n01A



TexasEthicsCommission

P.O.Box'12070

Austin,Texas

78711-2070

(512)46$5800

ODDl-80O.

PERSONAL FINANCIAL

STATEMENT

COVER

SHEET

PAGE 2

On lhis

page,

indicate

any

Parts

of

Form PFS that are

not

applicable

to

you.

lf

you

do

not

place

a check

in

a

box, then

pages

for

that

Part must

be

included in

the report.

lf

you

place

a

check

in

a

box,

do

NOT

include

pages

for that

Part in

the

report.

6

paRts

NoTAPPLTcABLETo

FrLER

D

Nle

Part

1A

-

Sources of Occupational

lncome

E Hn

Part 18

-

Relainers

E

run

Part 2

-

Stock

El Nn Part

3

-

Bonds, Notes & Other

Commercial

Paper

E

rutn

Part 4

-

Mutual Funds

E

rulR

Part

5

-

lncome

from

lnterest, Dividends,

Royalties

&

Rents

E rutn Part

6

-

Personal Notes and

Lease

Agreements

EJ

ttlR

Part 7A

-

lnterests

in Real

Property

E

rutn

Part

78

-

lnterests

in Business

Enlities

E

ttlR

Part

8

-

Gifts

R

ruta Part

I

-Trust

lncome

E

run

Part 10A- Blind

Trusts

E

rulR

Part 108

-Truslee

Statement

E

ttlR

Part

11A

-Assets

of

Business

Associations

E

Un

Parl

118 - Liabilities

of

Business

Associations

E Nn Parl

12

-

Boards

and Executive

Positions

E rutn

Part

13

-

Expenses

Accepted

Under

Honorarium

Exception

E rulA Part

14

-

lnterest

in Business

in

Common

with Lobbyist

E rutn Part 15

-

Fees Received

for Services

Rendered

to a Lobbyist

or Lobbyist's

Employer

EI

Nln

Pan

1b -

Representalion by

Legislator Before

State

Agency

8 NtR Parl17

-

Benefits

Derived from

Functions

Honoring

Public Servant

E} Nn

Part

18

-

Legislative Continuances

www.elhics.slate.lx.us

Revised

10B1n014



TexasEfhicsCommission

P.O.Box'12070

Austin,Texas

787'11-2070

(512)463-5800

CIDDI-800-

SOURCES

OF OCCUPATIONAL

INCOME

PART

1A

lf

the

requested

information is

not

applicable,

indicate that

on

Page

2 of

the Cover Sheet, and do

NOT include this

page

in the report.

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

INFORMATION

RELATES TO

E

rruen

E

spouse

D

oepeNoenr

cHILD

EMPLOYMENT

I

enaplovEoBYANorHER

D

selr-EupLoYED

NAMEANOAOORESSOF

EMPLOYER'POSIIIOi,I

HELO

n

(Check

ll

Filer's Homo Addrcss,

Agent

at

Lachica Bail Bonds

409 S.

Kansas

St.

El Paso,

TX

79901

(e15)544-2997

NATURE OF

OCCUPATION

INFORMATION

RELATES

TO

fJnuen

E]

spouse

D

oepEruoeruT

cHrLD

EMPLOYMENT

E

euploveo

BY

ANorH€R

D

selr-euploYEo

NAME ANDAOONESS

OF EMPLOYER

'

POSITION HEI.D

[

{Cnc"f

l, Filcr's

Home nddrcss}

Clerk at

The

Town

of

Anthony,

TX

401

Wildcat

Dr.

Anthony,

TX79821

(915)886-3944

TIATURE OF OCCUPATION

INFORMATION

RELATES

TO

rteR

f]

spousE

D

oeperuoexr

cHtLD

EMPLOYMENT

E

eupuoYso

BY

ANoTHER

D

selp-eupLoYED

NAM€

ANO

AOORESS

OF

E)'TPLOYER

'

POSITIOII

}IELO

[

{ctrocr

f

Filcr's

Homo

Addross)

COPY

AND

ATTACH

ADDITIONAL

PAGES

AS

NECESSARY

www.cthics.state.tx.us

Revised

1Ot31120'14



.RETAINERS

lf

the requested

information

is

not

applicable,

page

in the

report.

PART 1B

indicate that on Page

2

of the Cover Sheet,

and

do NOT

include

this

This

section concerns

fees received

as a

retainer

by

you,

youispouse,

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-TNSTRUCTION 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.

FEE RECEIVED

FROM

NAITIE

A''ID

AODIiESS

FEE

RECEIVED

BY

NAI,IE

OF

BUSINE$$

n

rteR

OR

FILER'S BUSINESS

fl

spouse

OR

SPOUSE'S BUSINESS

D

DEPENOENT

CHILD-

OR CHILD'S

BUSINESS

3

FEE

AMOUNT

fl

less

rHAN

ss.ooo

E

ss,ooo-gg,gss

n

sto,ooo--sza'gss

fJ

szs'ooo-oR

MoRE

FEE RECEIVED

FROM

NAIIE

ruTO

ADDRESS

FEE

RECEIVED

BY

N^I.iE

OF

SUSINESS

I

ruen

OR

FILER'S

BUSINESS

D

spouse

OR SPOUSE'S

EUSINESS

fl

oEpeNoeNTcHrLD-

OR

CHILD'S BUSINESS

FEE

AMOUNT

E

r-Ess

rHAN

s5,000

D

ss,ooo-ss,gss

D

sto,ooo-sza,gsg

I

szs,ooo'-oR

MoRE

COPY

AND

ATTACH

ADDITIONAL

PAGES

AS NECESSARY

Texas

Elhics

Commission P.O. Box

12070

Auslin, Texas

7

87

1

1

-207

O

(s12)

463-5800

(TDD

1€00-73s-2989)

www.ethics.slate.lx.us

Revised 1013112014



TexasfthicsCommission

P.O.Box12070 Austin,Texas 78711-2070

(512)463-5800 (rDD1-800-735€989)

,STOCK

lf

the requested information is not applicable.

indicate that on

Page

2

of

the Cover

page

in the report.

PART 2

Sheel,

and

do

NOT include

this

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.

lf

some

or

all of the stock

was

sold, also

indicate

lhe

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

aclivity,

indicate

the child

about

whom

you

are

reporting

by

providing

the number underwhich

the

child

is listed

on

the

Cover Sheet.

1

gustruess

ENTTTY

NAl"l6

z

stocx

HELD

oR

ACQUIRED BY

D

ruen

D

spousE

D

oepEruoeruT

cHrLo

:

ruuugER

oF

SHARES

n

r-ess

rHAN

ro0

[

too

ro

asg

D

soo

ro sss

fl

r,ooo

ro

4'eee

n

s.ooo

To e.9e9

[

to.ooo oR

MoRE

4

lF

SOLD

fJ

HEr

salr'r

D

ruEr

loss

fl

lgss

rHAN

s5,000

D

ss.ooo-sg,gse

fl

sto.ooo-sza.gss

D

szs,ooo-'oR

MoRE

BUSINESS ENTITY

NAI,iE

STOCK

HELD OR ACQUIRED

BY

il

rrlrn

fJ

spouse

E

oEperuorruT

cHlLo

NUMBER OF SHARES I

r-essrHAN

100

n

tooroass

I

soorogss

D

r,oooro4,9e9

E

s.ooo ro 9,s99

n

to,ooo oR

MoRE

lF

SOLD

I

rurr

cerr'r

fl

Her

loss

fJ

ress

rHAN

ss,ooo

fJ

ss,ooo--ss,gss

fl

sto.ooo-sza.ssg

fl

szs.ooo"oR

MoRE

BUSINESS ENTITY

NAlJE

STOCK HELD OR

ACQUIRED

BY

nlen

D

spouse

D

oEpeNoeNT

cHILD

NUMBER OF SHARES

D

r-EssrHAN

100

D

toorolsg

n

soorossg I

r,oooro4,999

I

s,ooo ro

9,se9

[

to,ooo

oR

MoRE

tF

SOLD

n

HEr

carru

D

Hrr

toss

f]

t-EssrHAu

ss,o00

[

ss,ooo--$s,sse

f]

slo'ooo-sza.sgs

n

szs,ooo-'oR

MoRE

BUSINESS

ENTITY

NAl,tE

STOCK HELD OR

ACQUIRED

BY

E

ruen

I

spouse

I

oEpeNoeNT

cHlLo

NUMBER OF SHARES

flressrHaN

roo

n

tooro*gs

D

sooroeeg

I

t,oooro4'999

fl

s.ooo

ro

s,e99

D

to,ooo oR

MoRE

lF

SOLD

D

NEr

GAIN

fJ

ruer

loss

fJ

r-ess

rHAN

s5,o0o I

ss,ooo-+g,ssg I

sto,ooo-$zl,ssg

n

szs,ooo-'oR

MoRE

BUSINESS ENTITY

N

IIE

STOCK HELD OR ACQUIRED

BY

il

rtlen

E

spouse

f]

oeperuoerur

cHrLD

NUMBER OF SHARES

E

r-essrHAN

100

E

tooroqgs

I

sooroggs

I

r.oooro4.s99

D

s.ooo

ro

e.eee

fl

ro.ooo

oR MoRE

lF

SOLD

E

r{Er

oar}r

E

Her loss

D

t-Ess

rHAN

ss,0o0 D

ss.ooo-ss.sgs

I

slo.ooo-sze.ggg

szs.ooo-oR

MoRE

COPY

AND ATTACH ADDITIONAL

PAGES

AS NECESSARY

lvlw.e

thics. slale.tx. us

Revised

1013112014



Texas

ElhicsCommission

P.O. Box'12070 Austin,Texas

78711-207A

(512)463-5800

(TDD

1-80G.

.BOND$,

NOTES & OTHER COMMERCIAL

PAPER

PART

3

lf

lhe

requested

information is not

applicable,

indicate that

on

Page 2

of

the

Cover Sheet,

and

do

NOT include fhrs

page

in the report.

List all bonds, notes, and

other

commercial

paper

held or acquired

by

you, your

spouse, or a

dependent

child during the

calendar

year.

lf sold,

indicate

the

category of the amount of lhe

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

Gover

Sheet.

I

DESCRIPTION

OF INSTRUMENT

2

HELD

OR

ACQUIRED

BY

n

rtLen

I

spouse

I

oeperuoerur

cHrLD

IF

SOLD

n

uer

oetH

f]

uer

loss

I

less

rHAN

ss,000

f]

ss,ooo-$s,sgs

fl

sto,ooo--$za,ssg

il

szs,ooo-oR

MoRE

DESCRIPTION

OF

INSTRUMENT

HELD

ORACQUIRED

BY

flrtrn

spousr

f]

oeperuoeruT

cHrLD

IF SOLD

f]

ruer

crun

I

Nerloss

fJ

less

rHAN

ss,000

E

ss,ooo-$s,gsg

fJ

sto,ooo-sza,gss

D

szs,ooo-oR

MoRE

DESCRIPT}ON

OF

INSTRUMENT

HELD OR ACQUIRED BY

U

rten

I

spouse

D

oeperuoeur

cHILD

IF

SOLD

fl

Her cntru

D

ruer loss

I

r-ess

rHAN

$s.ooo

I

ss.ooo-9s.sgs

D

gto,ooo-gza,sss

E

szs.ooo*oR

MoRE

COPY AND ATTACH ADDITIONAL

PAGES

AS

NECESSARY

www. elhics,slate.tx.us

Revised

1013112014



,MUTUAL

FUNDS

PART

4

ff

the

requested

information is

not

applicable,

indicale

that on Page 2 of the Cover Sheet, and

do

NOT

include

this

page

in

the

report.

List

each mutual fund and the

number of

shares

in

th-at

mutual fund that

you,

your

spouse,

or a dependent child

held

or

acquired

during lhe calendar

year

and

indicate

the calegory

of

the

number

of

shares

of mutual funds held or

acquired.

lf

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

lhe

child

about

whom

you

are

reporting

by

providing

the number

underwhich

the

child

is

listed

on

the

Cover Sheet.

r

MUTUALFUND

NA ,IC

2

SHRRTSoFMUTUALFUND

HELD

ORACQUIRED

BY

D

rtlnn

n

spouse

f]

oepEruoerqr cHrLD

3

NUMBEROFSHARES

OF

MUTUAL

FUND

n

r-ess rHAN

100

D

too

ro

asg

D

soo

ro

999

[

I,ooo ro 4.99e

I

s.ooo

ro

g,ees

D

to,ooo

oR

MoRE

4

tF

SOLD

f]

ruer

eRrru

n

uer

loss

I

less

I-|AN

s5,000

fJ

ss,ooo--gg,sss

I

Sto,ooo-sz+.sss

n

$25.000--oR

MoRE

MUTUAL FUND

ITAIJE

SHARES

OF MUTUAL

FUND

I-IELD

ORACOUIRED BY

fl

rten

n

spouse

f

oeeeruoerur

cHrLD

NUMBER

OF

SHARES

OF MUTUAL FUND

less

THAN

lo0 [

too

ro

ase I

soo

ro

99e n

1.000

ro 4.999

n

s,ooo

ro

s,99e fl

to.ooo oR

MoRE

rFsoLD

fl

NEr

GAN

I

Ner

loss

fl

uess

rHAN

s5,000

[

ss,ooo-sg.sss

I

sto.ooo--sza,sss

n

s25'000-oR

MoRE

MUTUAL

FUND

T'AME

SHARES

OF MUTUAL FUND

HELD

ORACQUIRED

BY

n

rten

D

spouse

E

oepeNoEttr

cHrLD

NUMBER

OF SHARES

OF

MUTUAL

FUNO

I

uess

THAN

100

[

too

ro aos

I

soo

ro

s99

n

1,000 To

4,999

I

s,ooo

ro

9,se9 [

to.ooo oR

MoRE

lr SOLD

D

ruer

cElN

I

ner

loss

I

less

rHAN

ss,ooo

D

ss.ooo..ss,sss

f]

sto,ooo-sza,sss

E

s2s.00s-oR

MoRE

COPY AND ATTACH

ADDMONAL

PAGES AS NECESSARY

Texas

{lhics

Commisslon P.O"

Box

12070

Auslin,

Texas 7

87

11

-ZA7

O

(512)463-5800

(TDD

1-800-735-2989)

wtilw.elhi

cs. state.tx. us

Revised

1013112014



463-5800

(TDD

1-800-

'INCOME

FROM

INTEREST,

DIVIDENDS,

ROYALTTES

& RENTS

panr

5

lf

the requested

information

is

not

applicable, indicate

that

on

Page

2

of

the

Cover Sheet, and do NOT

include this

page

in

the

report.

List

each

source of income

you,

your

spouse,

or a dependent

child

received

rn

excess of

$500

lhat

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


about

a dependent

child's

activity, indicate the

child

aboul

whom

you

are

reporting

by

providing

the

number

under which

the

child

is

listed

on

the

Cover

Sheet.

SOURCE

OF INCOME

NAttrE ,,{r.t0

Ao0REss

2

RECEIVED

BY

il

rrt-en

E

spouse

I

oepEruoeruT

cHrlo

J

AMOUNT

I

ssoo-s,r,gsg

[

$s,000*$e,sse

D

$ro,ooo-szq,sss

D

szs,ooo-oR

MoRE

SOURCE

OF INCOME

NAT.IE

AI'IO

ADDNESS

RECEIVED

BY

D

rtr-en

D

spouse

ff

ogpenoexr

cHtLo

AMOUNT

I

ssoo-sq.ggs E

s5,000-se.eee

n

sto,ooo-sza.gsg

f,

szs,ooo*oR

MoRE

SOURCE OF INCOME

NAfiE A,IO

AODR€SS

RECEIVED

BY

fJ

rrlrn

I

spousE

fl

oepEruoeruT

cHtLD

AMOUNT

ssoo-sa,sss

E

ss.o0o-$9,9es

I

sro.ooo-sza.sgg

D

szs,ooo-oR

MoRE

COPY

AND AfiACH

ADDITIONAL

PAGES

AS NECESSARY

Texas€thics

Commission

P.O.

Box

12070

Austin, Texas 787

11-2079

(512)

463-5800

ww\r{.ethics.slate.lx.us

Revised

14fi1n414



rexas,Ethlcs

commission

P.o. Box

12070

Austin.Texas

797'11-2070

(512)463-5800

(TnD

1-80n-735-2qRa\

.

PERSONAL

NOTES

AND

LEASE

AGREEMENTS

PART

6

lf

the

requested

informalion

is

nol

applicable,

indicate

that

on Page

2

of the

Cover

Sheet,

and

do

NOT

inctude

ftrrs

page

in

the report.

ldentify

each

guarantor

of a loan

and

eaih

person

or

financial

institulion

to whom

you, your

spouse,

or

a dependent

child

had

a totalfinancial

liability

of

more than

$1,000

in

the form

of

a

personal

nole

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

GUtDE.

When

reporting

informalion

about

a dependent

child's activity,

indicate

the

child

aboul whom

you

are

reporting

by

providing

the

number

underwhich

the

chitd

is

listed

on

the

cover

sheet.

t

PERSON

OR INSTITUTION

HOLDING

NOTE

OR

LEASE

AGREEMENT

2

LIABILITY

OF

I

nleR

n

spouse

I

oepsNoENT

cHtLD

3

GUARANTOR

AMOUNT

D

sr,ooo-$l,css

ss,ooo-gs,sgs

f]

sro.ooo-sza.sss

I

szs.ooo-oR MoRE

PERSON

OR

INSTITUTION

HOLDING

NOTE

OR

LEASE

AGREEMENT

LIABILIry

OF

E

rten

I

spouse

E

oEpeNoeNTcHtLo

GUARANTOR

AMOUNT

D

st,ooo-sa,gsg

I

ss.ooo-sg,sss

I

sro,ooo--sza,sss

D

szs,ooo-oR MoRE

PERSON

OR

INSTITUTION

HOLDING

NOTE

OR

LEASE

AGREEMENT

LIAB.ILITY

OF

D

rren

E

spouse

fl

oeperuoenr

cHtLD

GUARANTOR

AMOUNT

D

st,ooo-sa.ssg

n

ss,ooo-sg,ssg

I

sro.ooo-sza.cgs

f]

szs.ooo-oR MoRE

AS

OPY AND

ATTAGH

ADDITIONAL

PAGES

NECESS.ARY

www,

e

thics,state.

tx.

u

s

Revised

10/31/2014



.INTERESTS

IN

REAL PROPERTY

PART 7A

lf

the requested

infonnation

is nol

applicable, indicate

that on

Page

2 of the

Cover

Sheet, and

do NOT inctude

this

page

in

the

report.

Describe

all beneficial

interests

in real

propeity

held

or acquired

by

you, your

spouse,

or a dependent

child

during the

calendar

year.

ll

the

interest was

sold,

also indicate

the category

of

the

amount

of the net

gain

or

toss

realized

from the

sale.

For

an

explanation

of

"beneficial

interest"

and other

specilic 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

f)

rtuEn

I

spousr

n

oEperuoenT

cHrLo

z

stRrrlaDDRESS

[

ruorevruueu

fl

cne

cx

tF FTLER's

HoME

ADDRESs

STREGT

AODRESS,

IITCLUOING

CITY. COUI 'TY, ANO

SIATE

3

orscRtpttotrt

I

lors

I

ncnes

tIUI,IBER

OF TOTS OR

ACfIES

ANO NAME

OF COUNTY WHERE

LOC

TED

a

tlRlr,tEs

oF

PERSoNS

RETAINING

AN

INTEREST

I

NoreReucaole

(SEVEREO

MTNERAL'NTEREST)

u

tr

soLo

I

Neroar't

I

Herloss

lessrnnmss,ooo

n

$s.ooo-ss,ggg

D

sro,ooo-.szo,sgs

fJ

szs,ooo*oRMoRE

HELD

OR

ACQUIRED

BY

E

rten

fl

spouse

I

oeperuoenr

cHtLD

STREETADDRESS

I

Noravruuarr

I

cnecx rF

FILER'S

HoME

ADDRESS

SIREET

AOONESS. INCLUOING

CITY.

COUNTY, ANO

STATE

DESCRIPTION

r-ors

I

acnes

NUMBER

OF LOTS OR ACR€S AHO

TIAME

OF

COUNTY \'T}IEAE

LOCATEO

NAMES

OF

PERSONS

RETAINING

AN

INTEREST

I

Hornreucaete

(SEVERED

I{INErrAL

INTEREST}

IF

SOLD

I

nrrcnN

I

Herloss

D

t-Ess rHAN

ss,o00

n

ss.ooo-sg,sss

fl

sro,ooo-sza.gss

fl

szs.ooo-oR MoRE

COPY

AND

ATTACH

ADDITIONAL

PAGES

AS

NECESSARY

Texas,Elhics

Commission

P.O. Box

12070

Austin, Texas

7

87

11

-207

0

(512)

463-s800 (TDO

1-800-735-2989)

wwvr.elhics.

slate.tx.

us

Revised

1013112014



INTERESTS

IN

BUSINESS

ENTITIES

lf the

requested

information

is not

applicable,

indicate

that

on

Page

2of the

Cover

Sheet,

page

in the

report.

,*,

?B

and do

NO.T

include

this

Describe

all beneficial

interests

in

business

entities

held

or

acquired

by

you,

your

spouse,

or

a

dependent

child

during

the

calendaryear.

lftheinterestwassold,alsoindicatethecategoryoftheamountofthenetgainorlossrealizedfromthesale.

For

an

explanation

of

"beneficial

interest"

and other

specific

directions

for

completing

this section,

see

FORM

pFS--

INSTRUCTION

GUIDE.

When reporling

information

about

a

dependent

child's

activily, indicate

the

child

about

whorn

you

are

reporting

by

providing

lhe

number

under which

the chitd is

listed

on

the

Cover Sheet.

1

HELD

OR

ACQUIRED

BY

I

rruen

n

spouse

n

oeperuoeNr

cHILD

2

DESCRIPTION

I.IA'iIE

ANDAOONESS

I

lCnecf

ll

Fiter's

Home

Address)

'

tr

sotn

n

ner

cnrt't

f]

ner

ross

fl

r-ess

IHAN

$s,000

E

gs,ooo--ss,gss

E

sro,ooo*sza,ssg

fJ

szs.ooo-oR

MoRE

HELD

OR

ACQUIRED

BY

I

ruen

n

spousg

fl

oepgruoeur

cHtLD

DESCRIPTION

NAME

A}IDAOORESS

[

{Cf,cctt

ll

File/s Home

Address)

IF SOLD

n

rurr

oerru

D

Ner

Loss

I

less

rHAN

ss,ooo

ss,ooo*se.sss

D

sro,ooo-sza,ggs

n $zs,ooo-oR

MoRE

HELD

OR

ACOUIRED

BY

I

rten

E

spousE

D

oepenoerur

cHtLo

DESCRIPTION

MrtlE

AHO

AOORESS

[

{Ctrcc*

lt

Filer's

llomc

Addrcss)

IF

SOLD

fl

Ner

carn

D

NEr

loss

f3

uess THAN

g5,0oo

n

Ss,ooo-Ss,sss

n

Sto.ooo*Sza.ggs

D

Ses,ooo*oR M'RE

ATTACH

ADDITIONAL

PAGES

AS NECESSARY

OPY

AND

Texas.Ethics

Commission

P.O.

Box 12870

Auslin.

Texas

787

11-207Q

(51

2)

463-5800

(TDD

1-800-735-2989)

www.elhics.slate.ix-us

Revised

1O,31aO14



TexasllhicsCommission

P.O. Box 12O7O

Austan,Texas 78711-2070

(512)463-5800

(TDD

1€00-

GIFTS

PART

8

lf

the requested

information

is not applicable, indicate that

on

Page

2

of

the

Cover Sheet, and

do

NOT

include

ffris

page

in the

report.

ldentify

any

person

or

organization that

has

given

a

giflworth

more lhan

$250

to

you, your

spouse, or a

dependent child, and

describe

the

gift.

The

description

of

a

gift

of

cash or

a

cash

equivalent, such

as a

negotiable

instrument

or

gift

certificale, must

include

a

statement

of the

value

of

the

gift.

Do

not

include:

1)

expenditures

required

to be

reported

by

a

person

required lo

be

registered

as a

lobbyist

under

chapter

305 of the

Government

Code;

2)

politicalcontributions

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

underwhich

the

child

is listed

on

the Cover

Sheet.

1

DONOR

NAi,,IE

AIID

AOONESS

2

RECIPIENT

I

rruen

E

spouse

E

oeperuoerur

cHrLD

3

DESCRIPTION

OF GIFT

DONOR

IIAVE

A}ID

ADDRESS

RECIPIENT

E

ruen

I

spouse

D

oepeHoeur

cHILD

DESCRIPTION

OF GIFT

DONOR

N'\ilE ANO

AOORESS

RECIPIENT

D

rruen

I

spousE

n

oeperuoeruTcHrLD

DESCRIPTION

OF

GIFT

COPY

AND

ATTACH ADDITIONAL PAGES

AS NECESSARY

www.

e

thics.sta

te. tx. u s Revised 1OR1|2O14



TRUST

INCOME

PART

9

lf

the

requested

information

is not

applicable,

indicate

that on

Page

2

of the

Cover

Sheet,

and

do

NOT

inctude

this

page

in

the report.

ldentify

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

rnore

than

$500in

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

underwhich

the

child

is

listed

on

the Cover Sheet.

I

SOURCE

NAME

OF

TRUSI

2

BENEFICIARY

E

rten

fl

spouse

E

oeperuoeruT

cHrLD

3

INCOME

n

less

rHAN

ss.o00

D

ss.ooo--ss.gss

D

sro,ooo-sz+,sgs

n

szs,ooo-oR MoRE

ASSETS

FROM

WHICH

OVER

$5OO

WAS RECEIVED

f]ut'txllowtt

SOURCE

NAME

OF

TRUST

BENEFICIARY

f,

rten

I

spouse

D

oepeNoEtrrcHtLD

INCOME

E

r-Ess IHAN

ss.ooo

f]

ss,ooo-ss,ssg

D

sro,ooo-sza,sgs

D

szs,ooo--oR

MoRE

ASSETS

FROM WHICH

OVER

$5OO

WAS

RECEIVED

fl

unxxowrl

SOURCE

NAI,IE OF TRUST

BENEFICIARY

E

ruen

I

spouse

D

oEperuoerurcHtLD

INCOME

D

t-Ess rnnN

ss,ooo

D

$s,ooo-ss,sss

D

$ro,ooo-Ezq.ssg

D

szs,ooo-oR

MoRE

ASSETS

FROM

WHICH

OVER

$SOOWAS

RECEIVED

D

uxxlrowx

COPY AND

AfiACH

ADDITIONAL

PAGES

AS

NECESSARY

TexasEthicscommission

P.o.Box1zo7o

Austin,Texas

zgl11-zolo

www.elhics.slale.tx.us

Revised 10R1/2014



BLIND TRUSTS

lf

lhe

requested

information

is

not

applicable,

indicate

that on

Page 2 of the

Cover

Sheet,

page

in the report.

PART

1OA

and

do

NOT

include thls

ldentify

each blind

trust that

compliei

with

seclion 572.0231c)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

lhe

number

under

which

the

child is

listed

on

the Cover Sheet.

t

ITIRI.,IE

OF

TRUST

2

rRustee

iIAI.IE AI{D

ADORESS

3

egNrptctRnY

D

ruen

I

spouse

fl

oeper.roeNT cHrLo

4

TnTRMARKETVALUE

D

less

rHAN

ss.00o

f]

ss,ooo*ss,sss

n

$to,ooo-sza.sgg

I

gzs.ooo-oR

MoRE

5

DATECREATED

NAME

OF

TRUST

TRUSTEE

NAI,IE AND ADORESS

BENEFICIARY

D

rteR

fJ

spouse

E

oepehrorNT

cHrLD

FAIR

MARKETVALUE

n

r-ess rHAN

ss.00o

I

ss,ooo-ss,sss

D

sro.ooo--sea,ssg

D

szs,ooo-oR

MoRE

DATECREATED

NAME

OF TRUST

TRUSTEE

NAr, E ru.tO J\DDtTESS

BENEFICIARY

fJ

spousE

rrlrR

D

oeperuoeruT

cHrLD

FAIR

MARKETVALUE

I

r-ess rHAN

ss,000

ss,ooo--ss,sso

[

$ro,ooo--$zq,ssg

n

szs.ooo-oR

MoRE

DATECREATED

COPY AND

ATTACH

ADDITIONAL PAGES

AS NECESSARY

Texas

Ethlcs

Commission

P.O. Box 12070

Austin,

Texas 7

87

11

-ZAl

O

(s12)

463-s800

(TDD

1-800-73s-298s)

www.elhics,state.tx.u

s

Revised

1013112014



TRUSTEE

STATEMENT

lf the

requested

information

is

not

applicable,

page

in

the report.

PART

1OB

indicate that

on

Page 2 of the Cover

Sheet,

and

do

NOT

include

this

An

individualwho

is required

to

identify

a blind

trust

on

Part

10Aof

the Personal

Financial

Statementmust

submit

a

statement

signed

by

the

trustes

of each

blind trust

listed

on

Part

10A.

The

po(ions

of section

572.023

of

the

Government

Code

that relate

to

blind

trusts are listed

below.

1

NAMEOFTRUST

2

rRusteEruRur

3

FILER

ON WHOSE

BEHALF

STATEMENT

IS

BEING FILED

N^ME

TRUSTEE

STATEMENT

I

affirm,

under

penalty

of

perjury,

that

I

trave not revealed

any informalion

to the beneficiary

of this

lrust except

informalion

lhat

may

be

disclosed

under section 572,023

(b)(8)

of lhe

Government

Code and

that

to

the best

of

my knowledge, the

trust complies

with section 572.023

of

the

Government

Code.

Trustee Signature

S

572.023. Contents

of

Financial

Statement

in

General

(b)

The

account

of

financial

activity

consists of:

(B)

identification

of the source

and

the

category

of the amount of

all

income

received as

beneficiary

of a trust, other

than

a

blind

trust that

complies

with

Subsection

(c),

and

identification

of

each trust asset,

if

known

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),

includlng:

(A)

the category

of the

fair

market value of the trust;

(B)

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

stating

that:

(i)

the trustee has

not revealed any information to the individual, except

lnformation

that may

be

disclosed

under Subdivision

(8);

and

(ii)

to

the

best

of

the

trustee's

knowledge,

the trust complies with

this section.

(c)

For

purposes

of

Subsections

(bXB)

and

(14),

a blind

trust

is

a trust as to which:

(1)

the

trustee:

(A)

is

a

disinterested

party;

(B)

is

not the individual;

(C)

is

not required

to register as

a

lobbyist

under

Chapter

305:

(D)

is not

a

public

officer

or

public

employee; and

(E)was

not appointed

to

public

office

by

the

individual

or

by a

public

otficer

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

notifying

the

individuat.

(d)

lf a blind

trust

under

Subsection

(c)

is

revoked

while

the

individual

is sub.iect to

this subchapter,

the individual must file an

amendment

to

the individual's

most recentfinancialstatement,

disclosing

the date

of

revocation

and

the

previously

unreported

value

by category

of

each asset and the income

derived from

each asset.

Texas

Ethics

Commission

P.O. Box

12070 Austin,

Texas 7

87 1

1

-207

O

(51

2)

463-5800

(TDD

1-800-735-2e89)

www.ethics.state.lx.us

Revised

1O13112014



ASSETS

OF BUSINESS

ASSOGIATIONS

lf

the

requested

information

is not

applicable,

indicate

that

on

Page 2 of

the

Cover

Sheet,

page

in

the repoft.

PART 11A

and

do NOT include this

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


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.

'

eusturss

ASSOCIATION

tlAlrlE ANo /\00nfsS

f

lCtect

lf

Frler's l'lome Address)

2

Bustruess

wPE

3

HEto,nceutRED,

OR

SOLD

BY

I

rruEn

il

spouse

I

oeperuoeNT

cHrLD

a

RSSets

oESCnTPI rOr,l

CATEGORY

n

r-ess

rHAN

ss.ooo

E

$s,ooo-ss,sgg

r

'lo:o:o:-:'1'"1

?

t1u':*-o:':1u

[]

uEss rqAN

ss,o00 I

ss,ooo--ss,gss

n'ro:o:o:-:'in:1

trt1u':*':o:."::'

n

usss

rHAN

ss,ooo il

ss,ooo*sg,sss

I

sro,ooo--sza.ssg

n

ses,ooo--oR

MoRE

[-]

uess

rHAN

ss,ooo I

ss,ooo-gg,sss

rtro:o*:-:'i''::

r'1u'*o::.':T'

[]

less

rHAN

ss,000

f]

ss.ooo-.sg,ggg

?

'lo:o:o

':i'::

.

n

tlu

*'o:':T'

I

less rHAN

ss,ooo

fl

ss,ooo--se,gss

It]o:o:o-:ri.r::

trs1s.ooo.o1ruo1e

I

less IHAN

ss,ooo

[.t]o:o*:-:'i'::

.

il

lEss

rHAN

ss.ooo

fJ

sro,ooo"-sza.sgg

n

u

n

tr

ss,000-s9,999

s15,:0:.:oR

M::E

s5,000-s9,999

s2s,000-oR

MoRE

COPY

AND

ATTACH ADDITIONAL

PAGES

AS NECESSARY

Texas

Ethics

Commission

P.O.

Box

12070 Austin,

Texas 7

87 11

-207

O

(51

2)

463-s800

(TDD

1-800-735-2989)

wr.rr.r,

eth

rcs.

s tate.

tx. u s

Revised

1Ol31nU4

I

I

I

I

I

I

I

I

I



EtlricsCommission P.O. Box 12070

Austin,Texas 78711-2A70

(512)463-5800

(TDD

1-800-

LIABILITIES

OF

BUSINESS

ASSOCIATIONS

PART 118

lf

the

requested information

is

not

applicable,

indicate that

on

Page 2 of the Cover Sheet,

and

da NOT

inctude this

page

in the report.

Describe

all liabilities

of

each corporation,

firm,

partnership,

limited

partnership,

limited liability

partnership,

professional

corporation,

professional

association,

.ioint

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 Gover

Sheet.

1

gustxEss

ASSOCIATION

NAME AND AOORESS

fl

tcnecx

lf

file/s Home

Address)

2

gustNEss

wPE

s

Heto.RceuIRED,

OR SOLD

BY

D

rtlEn

fJ

spousE

n

oeperuoerur cHrLD

LIABILITIES

OESCRIPTION

CAIEGORY

I

uess rHAN

ss,ooo

n

9s,ooo-ss,sgs

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'ro:o:o:"1'1''::

. ?

t:t*:':1*

*:T'

fl

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rtleN

s5.000

[

ss.ooo--sg,ssg

n'ro:o*:':'i'":

rtlu':o*:o:.":*'

D

uess

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ss,ooo-sg,sss

tr'ro:o*

:'1''::

.

?:i'':'::o:":T'

n

n

LESS

THAN

S5.OOO

tlo:olo-1'1'nll

n

u

s5,000--ss,999

'lu':1"o:

":i'

fl

less

rHAN

$s,ooo

n.t]'ro*:':'i'n::

.

X

r-ess rHAN

$E.ooo

n'lo:o:o:-l'i'n::

I

r-ess

rHAN

ss.ooo

D

tlo:o:o:':'i'nn:

I

lessrHAN

ss,ooo

D

sto,ooo-sza,gsg

I

ss.ooo--ss,ggs

il

'i'':':::.:i'

I ss.ooo-$s.ssg

n'1u':*

o:":T'

fl

ss,ooo--sg,gsg

tr

r1u':**:

":1'

D

ss.ooo*ss.sss

n

szs,ooo-oR

MoRE

COPY

AND

ATTACH ADDITIONAL

PAGES

AS

NECESSARY

35-2989)

rvww.ethics.state.tx.

us

Revised

10t3112014

I

I

I

I

I

I

I

I

I

I

I

I

I

I

I

I

I

I



BOARDS

AND

EXECUTIVE

POSITIONS

pnnr

12

lf

the

requested

information is

not applicable, indicate that on Page 2 of

the

Cover

Sheet,

and

do

NOT

include this

page

in

the report.

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,

parlnerships,

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

2

POSITION HELD

'

postrtoru

HELD BY

I

nlen

n

spouse

X

oepexoENTcHrLD

ORGANIZATION

POSITION HELD

POSITION HELD BY

I

ruen

[]

spouse

D

oeperuoeNT cHrLD

ORGANIZATION

POSITION HELD

POSITION

HELD

BY

n

ruen

il

spousE

D

oeperuoeNT cHrLo

ORGANTZATIOI

POSITION HELD

POSITION

HELD

BY

D

rruen

f

spouse

X

oepEruoeNT cHrLo

ORGANIZATION

POSITION HELD

POSITION HELD BY

I

rruen

{]

spouse

f]

oEpEuoeNr

cHrLD

COPY AND ATTACH

ADDITIONAL

PAGES

AS NECESSARY

Ethics

Commission

P.O.

Box 12070 Austin, Texas

7

87

11 -207

O

(512)

463-5800

(TDD

1-800-735-2989)

rvww.

eth

ics.

sta

te.tx.

u

s

Revised

$t31n014



Texas

Ethics

Commission

P.O. Box

2O7O Austan,Texas 78711-2070

(512)463-5800 (TDD

1-600-735-2989)

EXPENSES

ACCEPTED

UNDER HONORARIUM EXCEPTION

pARr

13

lf

the

requested

information

is

not

applicable,

indicate

that

on

Page

2

of the Cover

Sheet,

and

do NOT

include

this

page

in

the repori.

ldentify

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

tobbyist

underthe lobby

law

{chapter

305

of the

Government

Code). For

more

information, see

FORM

PFS--INSTRUCTION

GUIDE.

PROVIDER

IIAME AI,IO

AOORESS

t

nr,*ount

PROVIDER

IIAI,'E

ANO AOORESS

AMOUNT

PROVIDER

tlrrhlE

AND ADORESS

AMOUNT

PROVIDER

NAIJII

ANO

AOORESS

AMOUNT

COPY

AND

ATTACH

ADDITIONAL PAGES AS

NECESSARY

rvww.

elh

i

cs.

state.

tx.

u

s

Revised

10131t2014



IhITEREST

IN

BUSINESS

IN

COMMON WITH

LOBBYIST

PART

14

lf

the requested

information

is

not applicable,

indicate that on

Page 2

of

the Cover

Sheet,

and

do

NOT

include this

page

in

the report.

ldentis

each

corporation, firm,

partnership,

limited

partnership,

limited

liability

partnership,

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

lobbyist

underchapter

305

of the

Government

Code that

both have

an

interest.

Formore information, see

FORM PFS-INSTRUCTION

GUIDE.

'

gusrNESS

ENTTTY

NAI,IE ANO AODRESS

,

INTERESTHELD BY

f,

rtlen I

spouse

U

oEperuoeNT cHtLD

BUSINESS

ENTIry

NA"IE

AND ADDRESS

INTERESTHELD

BY

I

rtlen

I

spouse

n

oeperuoeNT

cHtLD

BUSINESS

ENTITY

NArrtE

AN0 AD0RESS

INTERESTHELD BY

fl

rten

fl

spousE

f,

orpeNoENT

cHtLD

BUSINESS

ENTITY

Nr'{I{E ANO

AODIIESg

TNTEREST

HELD BY

I

rrr-en

[*]

spousE

il

oepeNoeNTcHtLD

BUSINESS

ENTITY

rJA-}itT

AND AOORESS

INTSREST HELD BY

E

ruen

n

spousE

I

oepeHoENTcHrLD

COPY AND ATTACH

ADDITIONAL

PAGES

AS

NECESSARY

Ethics

Commission P.O. Box 12070 Austin, Texas

7

87

11

-2070

(512)

463-5800

(TDD

1-800-735-2989)

wvr$/. etlr

ics.

state.tx.

u

s

Revised 10/31/2014



Elhics Commissionhics Commission

P.O. Bol

2O7O

Austin,Texas 78711-2070

(512)463-5800

CrDD

1-800-735-

FEES

RECEIVED

FOR

SERVICES

RENDERED

TO

A LOBBYIST

OR LOBBYIST'S EMPLOYER

PART 15

lf the

requested information is not applicable, indicate that

on

Page 2

of the Cover

Sheet,

and

do

NOT

include

this

page

in

the repoft.

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. Repo(

the name of each

person

orentity

forwhich

the

services were provided,

and indicate the

category of the

amount of each

fee.

For.more

information,

see

FORM

PFS--

INSTRUCTION

GUIDE.

1

PERSON

OR ENTITY

FOR

WHOM

SERVICES

WERE

PROVIDED

2

FEE

CATEGORY

I

r-ess

IHAN

ss,00o I

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sto,ooo--sza,gss

I

szs,ooo-oR

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PERSON

OR ENTIW

FOR

WHOM

SERVICES

WERE

PROVIDED

FEE

CATEGORY

f,

r-ess

rHAN

s5,000

I

ss,ooo--sg,ssg

f]

sto.ooo--sza,ggs

D

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MSRE

PERSON

OR

ENTITY

FOR

WHOM

SERVICES

WERE

PROVIDED

FEE

CATEGORY

ll

less

rHAN

55,000

fl

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fl

sto,ooo-$za,sgs f]

szs.ooo-oR

MoRE

PERSON

OR ENTITY

FOR

WHOM

SERVICES

WERE

PROVIDED

FEE

CATEGORY

I

uEsS

THAN

Ss.O00 il

Ss,oOO--Sg.ggS

f

StO,ooO-Sza,sss fl

Szs.ooo--OR

M6RE

PERSON

OR

ENTIfi

FOR

WHOM

SERVICES

WERE

PROVIDED

FEE

CATEGORY

D

ress

rHAN

ss.ooo

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PERSON

OR

ENTITY

FOR

WHOM

SERVICES

WERE

PROVIDED

FEE

CATEGORY

E

r-ess

IHAN

Es,o00

il

ss,ooo-ss,gsg

fJ

$to,ooo-Ez'+,sss

E

szs,ooo-oR

MoRE

COPY AND ATTACH

ADDITIONAL

PAGES AS NECESSARY

www.ethics.state.tx.us

Revised

10/31/2014



REPRESENTATTON

BY LEGISLATOR BEFORE

STATEAGENCY

lf

the requested

information is

not applicable,

indicate

that

on

Page

2

of

the Cover Sheet,

and

do

PART

16

NOT include this

Ihis

secfion applies only

to

members

of

lhe

lexas 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,

forcompensation, representanotherperson

beforea

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

niatter;

(2)

the

representation

involves

the filing

of

documents that

involve

only

ministerial acts

on

the

part

of

the agency;

or

(3)

the

representation

is in regard

to

a

matter

for

which

the

legislator

was

hired

before

September

1,

2003.

STATE AGENCY

PERSON REPRESENTED

D

uess

rHAN

ss,00o

D

ss,ooo--ss.sgg

I

slo,ooo-szq.ggs

I

szs,ooo"oR

MoRE

EE

CATEGORY

STATE AGENCY

PERSON REPRESENTED

fl

r-eSs

THAN

Ss.00o

fl

ss.ooo-sg,sgs

fl

sto,ooo-Sza,gss

n

Szs,ooo--OR

MoRE

EE

CATEGORY

STATE AGENCY

PERSON REPRESENTED

D

less

n-rAN

$5.000

[

ss,ooo-'ss,sgs

il

sto,ooo"sal,sss

f]

szs,ooo-oR

MoRE

EE

CATEGORY

STATE

AGENCY

f

uess r-rAN

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PERSON REPRESENTED

FEE

CATEGORY

COPY AND AfiACH

ADDITIONAL

PAGES

AS

NECESSARY

Texas

Elhics

Commission P.O. Box

12070

Austin, Texas 7

87

11

-207

0

(512)

463-5800

(TDD

1-800-73s-2989)

www.

ethics.slate.tx.

us

Revised

laBln0.1.4

1

2



,BENEFITS

DERIVED FROM

PUBLIC

SERVANT

lf

the requested

information is

not

applicable,

paqe

in the reooft.

FUNCTIONS HONORING

pARr

17

indicate that

on

Page 2

of

the Cover

Sheet,

and

do NOT

include this

Section

36.10

of

the

Penal

Code

provides

that the

gift

prohibitions

set

out

in

section

36.08

of

the

Penal

Code do

not

apply

to a

benefit

derived

from

a

function

in

honor or appreciation of a

public

servant required to file a statement

under chapter 572

of the

Government

Code

or

title

1

5

of the

Election Code

if

the benefit and the source of

any benefit

over $50

in

value

are:

1)

reported

in

the statement

and 2) the

benefit

is

used

sotety to

defray expenses

that

accruF

in

lhe

performance

of

duties or

activities

in

connection

with

the office

which

are

nonreimbursable

by the state or a

political

subdivision. lf

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--I NSTRUCTION

GUI DE.

SOURCE

OF BENEFIT

IIA'"IE AND AOORESS

?

BENEFIT

SOURCE OF

BENEFIT

llAtr'l8 l1f.lO ADDfiESS

BENEFIT

SOURCE

OF

BENEFIT

TIAIIE

ANO

AODRESS

BENEFIT

SOURCE OF

BENEFIT

NAr.rt ANO A00Re

SS

BENEFIT

COPY

ANO

ATTACH ADDITIONAL PAGES AS

NECESSARY

Ethics

Commission P.O.

Box

12070

Austin, Texas

7871

1

-2070

(s12)

463-5800

(TDD

1-800-735-2989)

v,/ur'w.

eth ics.

sta

te.lx. us

Revised 10i312014



LEGISLATIVE

CO

NTIN

UANC ES

lf

the requested

information

is not applicable,

indicate that on

Page

2 of the Cover Sheet,

page

in the report.

PART 18

and

do

NQT

include

this

ldentify

any

legislative

continuance that

you

have

applied

for

or

obtained under section 30.003

of

the

Civil

Practice

and Remedies

Code,

or

under another

law

or rule that

requires

or

permits

a court to

grant

continuances

on

the

grounds

that an

attorney

for

a

party

is

a member or member-elect of

the

legislature.

1

NAME OF PARTY

REPRESENTED

2

DATE

RETAINED

3

STYLE, CAUSE NUMBER,

COURT&

JURISDICTION

DATE OF

CONTINUANCE

APPLICATION

5

WASCONTINUANCE

GRANTED?

ves

Xxo

NAME OF

PARTY

REPRESENTED

DATE RETAINED

SryLE.

CAUSE NUMBER.

COURT, &JURISDICTION

DATE OF

CONTINUANCE

APPLICATION

WASCONTINUANCE

GRANTED?

fl

ves

Druo

COPY

ANO ATTACH ADDITIONAL

PAGES

AS

NECESSARY

Texas

Ethics Commission

P.O.

Box 12070 Austin,

fexas

7

87

11 -207

O

(51

2)

463-5800

oDD

1-800-735-2989)

www.eth

ics.state.tx.us

Revised 10/31/2014



PERSONAL

FINANCIAL

STATEM

ENT

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.

\Mthout

proper

verification, the statement

is

not

considered

filed.

AFFIX

NOTARY

STAMP

/

SEALABOVE

Sworn to

and subscribed before

nre, by

lhe said

Eduardo

Chavez

18th

day

of

April

,

20

15

,

lo certify

which, witness

my

hand and seal of office.

duw:fi:bdu",

Arnida

UarEinz

Notary

Public

Signature

ot otfrcer

Tille

of orricer administering

oath

rrnted

name

ot of{icer administeflng oath

I

swear,

or affirm,

under

penalty

of

perjury,

that this financial

statement

covers calendar

year

ending December

31,2014,

and

is

true

and

correct

and

includes all

information required

to

be

reported

by me under chapter

572 of the

Goverrlment

Code.

AQ,[,ltD,l

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r

0

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2015 PFS Eduardo E. Chavez.pdf

Documents

Transcript of 2015 PFS Eduardo E. Chavez.pdf