personal financial statement form pfs · 2010. 1. 9. · francisco g. 'ruicir.rnr',ri;...

Texas Ethics Commission P.O. Box 12O7O Austin. fexas 7 87 1 1 -2O7 O (51 2) 463-5800 1-8OG325-85O6

PERSONAL FINANCIAL STATEMENT FORM PFSCOVER SHEET

Filed in accordance with chapter 572 of the Government Code.For fil ings required in 2009, covering calendar year ending December 31 , 2008.

Use FORM PFS--INSTRUCTION GUIDE when completing thisform'

TOTAL NUMBER OF PAGES FILED:

AccouNru 504a4

1 NAME TITLE; FIRST; Ml

Francisco G.'ruicir.rnr',ri;

r-esi; luirx '

Ciganoa, M.D.

OFFIGE USE ONLY ef qOate Recaived

NECEMED

FEB 27 ZOOST'exas Ethics Commissiorr

2 ADDRESS ADORESS / PO BOX: APT ' SUITE f: CITY; STATE: ZIP COOE

The University of Texas Systern Administration601 Colorado Street, OHH 404Austin, Texas 78701

[-l lcxecx tF FrLER's HoME ADDRESs]

Receipt #

HOAeM lAmoun l

)-ar-c)q I3 tetepHorur

NUMBER

AREA COoE PHONE NUMBER: EXTENSION

( srz ) css-qzorfftrffiS$rs FEBzzzooeDalr lmaged

REASONFOR FILINGSTATEMENT

! cnuoronre 0NDTGATE OFFTCE)

0NorcArE oFFrcE)

(tNorcATE AGENCY)

(INDICATE AGEa'ICY)

! elecreo oFFrcER

I npporrureD oFFrcER

El execurtvE HEADThe University of Texas System

! ronuen oR RETTREDJUDGE SITTING BY ASSIGNMENT

f] srnre PARTY cHArR (|NDICATE PARTY)

fl orHen (tND|CATE POSTTION)

(c Family members whose financial activity you are reporting (filer must report information about the financial activity of the filer's spouse or

dependent children if the filer had actual control over that activity):

SPOUSEGraciela Cigarroa (no control over spouse's activities)

DEPENDENTCHILD 1 .

2 .

In Parts 1 through 18, you will disclose your financial activity during the preceding calendar year. ln Parts 1 through 14, you arerequired to disclose not only your own financial activity, but also that of your spouse or a dependent child if you had actual control

over that person's financial activity.

copy AND ATTACH ADDTIONAL PAGES AS NECESSARYR, {orl3aq73

R6vls.d 120112006

t,Texas Ethics Commission P.O. Box 12O7O Austin. Texas 78711-2O7O (512)463-5800 1-800-325-8506

SOURCES OF OCCUPATIONAL INCOME pARr 1A

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\A/hen reporting information about a dependent child's activity, indicate the child about whom you are reporting byproviding the number under which the child is listed on the Cover Sheet.

1INFORMATION RELATES TO

@ rrrcn flseousr ! oeeeruoeruT cHtLD

EMPLOYMENT

[J rueloveo BYANoTHER

I srlr-eueLoYED

*"diar;iT Pi.:t"h::'i fi :::!3* """1--J

The University of Texas Systern601 Colorado Street, QHH 404Austin, Texas 78701

Position held: Chancellor

MTUREOFOCCUPATION

INFORMATION RELATES TOI rnen []seouse I oeeeuoeruT cHtLD

EMPLOYMENT

fleueloveo BY ANoTHER

[] selr-eueloYED

NAME ANOADORESS OF EMPLOYER / POSITION HELD

n(Cnecf lf File/s Home Address)

Graciela Alarcon-Cigarroa, Law Offi cesColonnade I9901 IH 10 West, Suite 800San Antonio, Texas 78230

Attomey at Law

NATURE OF OCCUPATION

INFORMATION RELATES TOI rten ! seouse ! oeeeruoeNr cHtLD

EMPLOYMENT

! erueloveo By ANoTHER

I selr-err,teLoYED

MMEANO ADDRESS OF EMPLOYER ' POSTTION HELD

I l(Ctrecf lf File/s Horne Address)

MTURE OF OCCUPATION

COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY

Revissd'12r01/200E

{ "

Texas Ethics Commission P-O. Box 12070 Austin, Texas 7 87 11 -2O7 O (51 2) 463-58OO 1-800-325,8506

RETAINERS

fl ruotneelnnau

PART 1B

This section concerns fees received as a retainer by you, your spouse, or a dependent child (or by a business in which you,your spouse, or a dependent child have a "substantial inteiest") for a claim on future services in case of need, rather than forservices on a matter specified at the time of contracting for or receiving the fee. Report information here only if the value ofthe work actually performed during the calendar year did not equal or exceed the value of the retainer. For more information.see FORM PFS--INSTRUCTION GUIDE.

\A/hen reporting information about a dependent child's activity, indicate the child about whom you are reporting byproviding the number underwhich the child is listed on the Cover Sheet,

FEE RECEIVED FROMNAME ANO ADORESS

FEE RECEIVED BYNAME OF BUSINESS

n prlEn-

OR FILER'S BUSINESS

n spouse- OR SPOUSE'S BUSINESS

l_l oeper.roeNTcHrLD-- OR CHILD'S BUSINESS

3FEE AMOUNT

[| ,urr rHAN $5,000 Lu,ooo-rn,nnn l-l $10,000-$24,see fl $2s,000-oR M.RE

FEE RECEIVED FROM

FEE RECEIVED BYNAME OF BUSINESS

n rrlen- OR FILER'S BUSINESS

|_l spouse- OR SPOUSE'S BUSTNESS

| | DEPENDENT CHTLD_- OR CHILD'S BUSINESS

FEE AMOUNTfl r-ess rHAN $s,ooo n os,ooo-Es,ggs J-l $10,000-$24,ern f, $2s,000-oR MoRE

COPY AND ATTACH ADDITIONAL PAGES AS NEGESSARY

Revised 12r01/2009

Texas Ethics Commission P.O. Box 12070 Austin. Texas 78711-2070 b3-56[]0 1-800-325-8506

STOCK

f] ruorneeucnele

PART 2

List each business entity in which you, your spouse, or a dependent child held or acquired stock during the calendar yearand indicate the category of the number of shares held or acquired. lf some or all of the stock was sold, also indicate thecategory of the amount of the net gain or loss realized from the sale. For more information, see FORM PFS-INSTRUCTION GUIDE.

\Men reporting information about a dependent child's activity, indicate the child about whom you are reporting byproviding the number underwhich the child is listed on the Cover Sheet.

1 gustxEss ENTITY NAME

TIAA CREF 203(b) Planz stocK HELD oR AceutRED BY E rrlrn I seouse ! oeerruoeruT cHrLD3 ttuueen oF SHARES I less rHAN 100 tr 100 To 4ee ! soo ro sss ! r,ooo ro 4,s99

I s,ooo ro e,gse E ro,ooo oR MoRE4 IF SOLD ] ner entr.t

-l rurr loss

I r-rss rHAN $5,000 D ss,ooo-sg,sss D $ro,ooo-$zq,ssg D szs,ooo--oR MoRE

BUSINESS ENTIry NAME

N/A

STOCK HELD OR ACQUIRED BY flrrr-en I seousr I orrenoenr cHILD

NUMBER OF SHARES ! r-ess rHAN 100 [ roo ro +ss D soo ro eee I r,ooo ro 4,ess

E s,ooo ro e,see E ro,ooo oR MoREIF SOLD ] rurr cnrr.r

fl ruer loss! r-ess rHAN $5,000 ff $s,ooo-$s,gss E $ro,ooo-$za,gsg fl Ezs,ooo-oR MoRE

BUSINESS ENTIry MME

N/A

STOCK HELD OR ACQUIRED BY f lrr lrn fl seouse I oeeeruoenr cHrLD

NUMBER OF SHARES E uss rHAN 100 E roo ro 4se I soo ro sge f] r,ooo ro 4,ses

f] s,ooo ro s,eee D to,ooo oR MoREIF SOLD [ rur-r enrN

[l xrr lossI lrss rHAN $s,000 [ gs,ooo-og,sgs f] gro,ooo-gza,sss D szs,ooo-oR MoRE

BUSINESS ENTIW NAME

N/A

STOCK HELD OR ACQUIRED BY Irrr-rn ! seouse f] oeeeruoerur cHrLD

NUMBER OF SHARES IlessrHAN i00 E tooroasg ! sooro eee f] r,oooro4,ses

I s,ooo ro e,ees E to,ooo oR MoREIF SOLD f r.rrr earr.r

I nrr lossI r-ess rHAN g5,000 f] $s,ooo-sg,sss fl $ro,ooo-$za,ssg f] szs,ooo-oR MoRE

BUSINESS ENTITY MME

N/A

STOCK HELD ORACOUIRED BY f lrten flseouse ! oeneruoeruT cHrLD

NUMBER OF SHARES n ussrHAN 1oo I tooroags f]sooroeee I t,oooro4,e9e

fl s,ooo ro e,s99 [ to,ooo oR MoREIF SOLD flrurrcntr.t

flrurr lossE less rHAN $s,000 D os,ooo-Es,ssg f] $ro,ooo-$z+,ssg fl Ezs,ooo-oR MoRE

COPY AND ATTACH ADDITIONAL PAGES AS NEGESSARY

R6vlscd 12l01/2008

r . l4

Texas Ethics Commission P.O. Box'12O7O Austin, fexas 7871 1 -2O7O (s1 2) 463-58OO 1-800-32S.8506

BONDS, NorES & orHER coMMERctAL pApER pARr 3! NorneeltcABlE

List all bonds, notes, and other commercial paper held or acquired by you, your spouse, or a dependent child during thecalendar year. lf sold, indicate the category of the amount of the net gain or loss realized from the sale. For moreinformation, see FORM PFS--INSTRUCTION GUtDE.

\Men reporting information about a dependent child's activity, indicate the child about whom you are reporting byproviding the number underwhich the child is listed on the Cover Sheet.

1DESCRIPTIONOF INSTRUMENT

TIAA CREF 203(b) Plan

2HELD OR ACQUIRED BY

E nlen nspousE noeperuoerur cHrLD

IF SOLD

E ruer carru

E rum loss

n r-Ess rHAN g5,000 l-lss,ooo-$n,ngn fhro,*o-Ero,ns, flsru,ooo--oR MoRE

DESCRIPTIONOF INSTRUMENT

N/A

HELD OR ACQUIRED BYErrr-en l-lspouse n oeperoeruT cHrLD -

IF SOLD

! ruEr cerN

n ruEr loss

flr-ess rHAN $s,000 nss,ooo-sg,sgg llro,ooo-gzl,sss fl Ezs,ooo--oR MoRE

DESCRIPTIONOF INSTRUMENT

N/A.

HELD OR ACQUIRED BYfl rten Ispousr noepexoeruT cHrLD

IF SOLD

E ** no,t

f]rurr r-oss

EllEssrHAN$s,000 l-l$s,ooo-$s,ggg fhro,ooo-$z+,sss fl$zs,ooo-oRMoRE


ReviBed 12,/01/2008

{

Texas Ethics Commission P.O. Box 12O7O Austin, Texas 787 11 -2O7O (5-r 2) 463-58OO 1-800-32$8506

MUTUAL FUNDS

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PART 4

List each mutual fund and the number of shares in that mutual fund that you, your spouse, or a dependent child held oracquired during the calendar year and indicate the category of the number of shares of mutual funO's fretO or acquired. lfsome or all of the shares of a mutualfund were sold, also indicate the category of the amount of the net gain or lossrealizedfrom 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 byproviding the number underwhich the child is listed on the cover sheet.1 MUTUALFUND NAME

2 snnnes oF MUTUAL FUNDHELD ORACQUIRED BY f l r tpn ! seouse IoeeeruorruT cHtLD

3 NUMBER OF SHARESOF MUTUAL FUND

! uess rHAN 100 [ roo ro +ss E soo ro 999 ! r,ooo ro 4,9ss

D s,ooo ro 9,se9 [ ro,ooo oR MoRE

4 lF SoLD f]Nrr enrr,t

fl"tt toss[_J rcss rHAN $s,000 ! ss,ooo-ss,sss n gto,ooo-Ez+,sss ! szs,ooo-oR MoRE

MUTUAL FUND NAME

SHARES OF MUTUAL FUNDHELD ORACQUIRED BY flt,.E* I stouse fl oeperuoeruT cHrLD

NUMBER OF SHARESOF MUTUAL FUND

[ rcss rHAN 100 f] roo ro 4ee fl soo ro eee I r,ooo ro 4,see

E] s,ooo ro e,ees D ro,ooo oR MoRE

rF soLD [ ruer enru

n *er lossfl mss rHAN $s,000 E $s,ooo-ss,sss flCIro,ooo_$zq,ggg D $2s,ooo__oR MORE

MUTUAL FUND MME

SHARES OF MUTUAT FUNDHELD ORACQUIRED BY fl rtr-en I spouse floeperuoeNr cHrLD

NUMBER OF SHARESOF MUTUAL FUND

f] less rHAN 100 [ roo ro 4ee f] soo ro ese I r,ooo ro 4,ses

n u,ooo ro e,ese E ro,ooo oR MoRE

tF SoLD f] r,rrr enrru

f]nrr r_ossfl uss rHAN gs,00o E $s,ooo-Es,ges E $ro,ooo-gz+,ggs I szs,ooo-oR MoRE

COPY AND ATTACH ADDITIONAL PAGES AS NE;ESS;RY

Revised 12l0t/2008

t

Texas Ethics Commission P.O. Box 1207O Austin, Texas 787 11 -2O7O (51 2) 463-5800 1-800-32S8506

INCOME FROM INTEREST, DIVIDENDS, ROYALTIES & RENTSfJ ruorneeucABLE

PART

List each source of income you, your spouse, or a dependent child received rn excess of $500that was derived frominterest, dividends' tov?lt'!l: and rents during the calend'ar year and indicate the category of the amount of the income. Formore information, see FORM PFS--INSTRUCT|ON GUIDE.

\Men reporting information about a dependent child's activity, indicate the child about whom you are reporting byproviding the number under which the child is listed on the covei sheet-

SOURCE OF INCOMEMME

Laredo National Bank700 San Bemardo AvenueLaredo, Texas 78042-0059

2RECEIVED BY

lyl rrr-en f! seouse l-l orperuoeNr cHrLD

3AMOUNT

SOURCE OF INCOME MMEANOAOORESS

N/A

fJ rrr-en I snousr I oeneruoeNr cHrLD

f] Esoo-E+,gsg ff ss,ooo-ss,sss f] g10,000-g24,ese D $2s,000__oR M.RE

RECEIVED BY

AMOUNT

SOURCE OF INCOMENAMEANDADDRESS

N/A

fl rten f] seouse I oeeeNorNr cHrLD

D Esoo-s+,sss D ss,ooo-ss,sss I sro,ooo-sz+,gss D szs,ooo-oR M.RE

RECEIVED BY

AMOUNT


Rsvised 12r01,2OOE

Texas Ethics commission p.o. Box 12070 Austin, Texas 7a71i-2o7o

f] ruorneeltcABLE

2) 463-58OO 1-800-32+8506

;*6t

ldent i fy each guarantor of a loan "nO ",a dependent child had a total financial liability of more than $1,000 in the form of a personal note or notes or leaseagreementatanyt imeduringthecalendaryearandindicatethecategoryoftheamountofthel iabi l i ty. Formoreinforma-tion, see FORM PFS-INSTRUCT|ON GUtDE.

when reporting information about a dependent child's activity, indicate theproviding the number under which the child is listed on the cover sheet.

child about whom you are reporting by

1PERSON OR INSTITUTIONHOLDING NOTE ORLEASEAGREEMENT

Lexus Car Lease

2LIABILITY OF

I r ten [] seouse ! oeerruoeruT cHrLD

3GUARANTOR

4AMOUNT fl$r,ooo-E+,ggg Iss,ooo-os,sss f]sro,ooo-sza,sss pszs,ooo-oRMoRE

PERSON OR INSTITUTIONHOLDING NOTE ORLEASEAGREEMENT

St. Joseph's Credit Union

LIABILITY OF

Irrr-en Isnouse ! oeeeruoeruT cHtLD

GUARANTOR

AMOUNT fl$r,ooo-E+,ggg []ss,ooo-ss,ses flsro,ooo-sza,sss flszs,ooo--oRMoRE

PERSON OR INSTITUTIONHOLDING NOTE ORLEASEAGREEMENT

N/A

LIABILITY OF

flrrI.En I seouse floeeeruoeNr cHILD

GUARANTOR

AMOUNT flsr,ooo-o+,sss [os,ooo-ss,sss [$ro,ooo-gza,sss f]szs,ooo-oRMoRE


Rcvtsed 12,101,,2008

Texas Ethics Commission P.O. Box' l2O7O Austin, Iexas 7 87 11 -2O7O (51 2) 463-s8o0 1-800-325-8506

INTERESTS IN REAL PROPERTY

fl nornner-rcnele

r * ? A

Describe all beneficial interests in leal prgpefi held or acquired by you, your spouse, or a dependent child during thecalendar yeiii. lf the interest was solO, atsolnOicate the category of the amount of the net gain or loss realized from the sale.For an explanation of "beneficial interest" and other specific directions for completing this section, see FORM pFS--INSTRUCTION GUIDE.

When reporting information about a dependent child's activity, indicate the child about whom you are reporting byproviding the number underwhich the child is listed on the Cover Sheer.

1HELD OR ACQUIRED BY Zlnr-En Z s"ouse f] oeperuoeNr cHrLD

z StREetnDDRESSI nornvnruau

I cHecx rF FrLER's HoME ADDREss

STREET ADORESS, INCLUDING CITY, COUNTY. ANO STATE

bunty, Texas

3 oescntplott[]rors

flncnrs

NUMBER OF LOTS OR ACRES ANO NAME OF COUNTY WTERE LOCATEO

One lot in Bexar County

a runues oF PERSoNSRETAINING AN INTEREST

l_l NorRppr-rcRele_ (SEVERED MINERAL INTEREST)

Laredo National Bank

t tr soto[rurrcerru

! ruerloss! r-essrHnN$s,ooo Iss,ooo-ss,sss Isro,ooo-sza,sss ! $2s,000-oRMoRE

HELD OR ACQUIRED BY Et,tt* E t"or"= E o=rr*o.Nr cHrLD

STREETADDRESSf] ruorevruuar-e

f ] cnecr tF FILER's HoME ADDREss

STREET ADDRESS, INCLUOING CITY, COUNTY. AND STATE

N/A

DESCRIPTION

Ir-ors

l-l ncnes

NUMBER OF LOTS OR ACRES AND NAME OF COUNTY WiERE LOCATED

NAMES OF PERSONSRETAINING AN INTEREST

l-l NornppLrcneLe- (SEVERED MTNERAL TNTEREST)

IF SOLD

l-lruer cruH

l-JNErLoss

D r-ess rHAN $E,ooo I gu,ooo-Eg,sss nEro,ooo-Ezo,gss n $2s,000--oR MoRE


Revlsed 12rOl1200E

,

Texas Ethics Commission P.O. Box 12O7O Austin, fexas 787 11 -2O7O (51 2) 46s-s8OO 1-800-325-8506

INTERESTS lN BUSINESS ENTITIES pARr 78@ nornReucnale

Describe all beneficial interests in business entities held or acquired by you, your sp€use, or a dependent child Ouringfhecalendaryear. l f theinterestwassold,alsoindicatethecategoryoftheamountofthenetgainorlossreal izedfromthesale.For an explanation of "beneficial interest" and other specific directions for completing this section, see FORM pFS--INSTRUCTIONGUIDE.

When reporting information about a dependent child's activity, indicate the child about wnomproviding the number underwhich the child is listed on the Cover Sheet.

you are reporting by

1HELD OR ACQUIRED BY fl rrren fl seouse fJ oeeeruoerur cHILD

2DESCRIPTION

t rr sotofl rurr entnfl xEr loss

I r-ess rHAN $s,000 [ $s,ooo-$s,ssg [ $ro,ooo--gza,sss fl $zs,ooo-oR MoRE

HELD OR ACQUIRED BY D rtr-En D spouse I oeperuoeNrcHrLD

DESCRIPTIONHrueeruonobness

! {Ctrect< lf File/s Home Address)

IF SOLD

! ner enrn

fl nrr loss

E r-ess rHAN g5,000 E $s,ooo-$g,ssg I sro,ooo-Eza,sss fl szs,ooo-oR MoRE

HELD OR ACQUIRED BY fl ptuen n spouse I oepgruoeNTcHrLD

DESCRIPTIONNAMEANDADDRESS

E (Check lf Filefs Home Address)

IF SOLD

! ruEr enruE rurr loss

D r-EssrHAN $s,000 U $s,ooo-$s,gss [ $ro,ooo-$za,gss f] szs,ooo-oR MoRE

COPY AND ATTACH ADDITTONAL PAGES AS NECESSARY

Revised 12l0, | /2006

ITexas Ethics Commission P.O. Box 12O7O Austin, Texas 7871' l-2070 (51 2) 463-5800 1-800-325-8506

GIFTS

@ ruotReelrcnale

PART 8

ldentify any person or organization that has given a gifi worth more than $250toyou, your spouse; ora dependent child, anddescribe the gift. Do not include: 1) expenditures required to be reported by a person requiied to be registered as a lobbyistunder chapter 305 of the Government Code; 2) political contributions reported as required by law; or 3) gifts given oy aperson related to the recipient within the second degree by consanguinity or affinity. For more information, see fdnU pfS--INSTRUCTION GUIDE.

When reporting information about a dependent child's activity, indicate the child about whom you are reporting byproviding the number underwhich the child is listed on the cover sheet.

1DONOR

MME ANO ADORESS

2RECIPIENT flrrlen ! seouse !oreeruoer.rr cHrLD

3DESCRIPTION OF GIFT

DONORMMEANDAOORESS

REClPIENT flrrr-en I seouse Ioeeer,roenr cHrLD

DESCRIPTION OF GIFT

DONORNAMEANDADORESS

RECIPIENT Irrr-en I seouse LI DEPENDENT CHILD

DESCRIPTION OF GIFT


Revlscd 12l0112008

Texas Ethics Commission P.O. Box 12O70 Austin, Texas 787 11 -2O7O (51 2) 463-s80O 1-800-325-8506

TRUST INCOME

@ ruorneelrcnele

PART 9

ldentify each source of income received by you, your spouse, or a dependent child as beneficiary of a trust and indicate thecategory of the amount of income received. Also identify each asset of the trust from which the beneficiary received morethan $500in income, if the identity of the asset is known. For more information, see FORM pFS--INSTRUCION GUIDE.

When repofiing information about a dependent child's activity, indicate the child about whom you are reporting byproviding the number under which the child is listed on the Cover Sheet.

1SOURCE

MME OF TRUS'T

2BENEFICIARY E rrr-En E spouse E orpEruoeruT cHrLD

3INCOME

D ress rHAN gs,0o0 [] ss,ooo-Es,sgg [ $ro,ooo-$za,sgg U szs,ooo-oR MoRE

4ASSETS FROM WHICHOVER $5OO WAS RECEIVED

! uxxNot,nt

SOURCENAME OF TRUST

BENEFICIARY !rrr.rn flspouse I oe eeruoeruT cHtLD

INCOME! r-ess rHAN $s,ooo ! ss,ooo-ss,sss I sro,ooo-sze,sss I szs,ooo--oR MoRE

ASSETS FROM WHICHOVER $5OO WAS RECEIVED

f] ururruomr

SOURCENAME OF TRUS'I

BENEFICIARY E rtlen I spouse ! oepeNoeruT cHtLD

INCOMElr-ess rHAN $5,000 ! ss,ooo-es,sss ! sro,ooo-gza,sss I szs,ooo--oR MoRE

ASSETS FROM WHICHOVER $5OO WAS RECEIVED

flunrruoranv

COPY AND ATTACH ADDTTIONAL PAGES AS NECESSARY

Rsvls6d 12r0112008

Texas Ethics Commission P.O. Box 12O7O Austin, "fexas 7 87 11 -2O7O (51 2) 463-58O0 1-800-325-8506

GIFTS

f7l r{orRppucnelE

PART 8

fdentify any person or organization that has given a gift worth more than $250to you, your spouse, or a dependent child, anddescribe the gift. Do not include: 1) expenditures required to be reporteO by a person requiied to be registered as a lobbyistunder chapter 305 of the Government Code; 2) political contributions reported as required by law; or 3) gifts given by aperson related to the recipient within the second degree by consanguinity or affinity. For more information, see fdnU pfS--INSTRUCTION GUIDE.

when reporting information about a dependent child's activity, indicate theproviding the number under which the child is listed on the cover sheer.

child about whom you are reporting by

1DONOR

NAME ANDAOORESS

2RECIPIENT I rn-en flseouse floreeruoeNr cHrLD

3DESCRIPTION OF GIFT

DONORMMEANDAOORESS

REClPIENT flrrr-en I seouse IoreeruorruT cHrLD

DESCRIPTION OF GIFT

DONORNAMEANDADORESS

RECIPIENT Irrr-sn I seouse floeneruoerur cHrLD

DESCRIPTION OF GIFT


Revlsed 12l0t/2008

tTexas Ethics Commission P.O. Box 1207O Austin, fexas 787 11 -2O7O (51 2) 463-5800 1-80G32$8506

BLIND TRUSTS

@ ruornRelcRele

PART 1OA

ldentify each blind trustthat complies with section 572.A23@) of the Government Code. See FORM PFS--INSTRUCTIONGUIDE.

When reporting information about a dependent child's activity, indicate the child about whom you are reporting byproviding the number underwhich the child is listed on the Cover Sheet.

1 runuEoFTRUsr

2 tnuster NAME AND AOORESS

3 eeNEncARYE t'..* E spouse D oeperuoENr cHrLD

4 FAIR MARKETVALUE!r-ess rHAN $5,000 Gs,ooo-gn,nnn flsro,ooo-sz+,sss ! gzs,ooo--oR MoRE

5DATECREATED

NAME OFTRUST

TRUSTEENAME AND ADORESS

BENEFICIARYf]rrr-en flspouse IoreeruoeNT cHrLD

FAIR MARKETVALUEflr-ess rHAN gs,0o0 fps,ooo-ss,sss !oro,ooo-sza,sss I szs,ooo-oR MoRE

DATECREATED

NAME OFTRUST

TRUSTEE NAME ANO ADDRESS

BENEFICIARYn rruEn flspouse I oeeeNoeNT cHrLD

FAIR MARKETVALUE[r-ess rHAN $5,000 f]s,ooo-ss,sss f]sto,ooo-sza,sss f] szs,ooo-oR MoRE

DATECREATED

COPY AND ATTACH ADDITIONAL PAGES AS NECESSARYRevlsed t2r0t12008

sTexas Ethics Commission P.O. Box 12O7O Austin, Texas 7 87 1'l -2O7 O (512)463-5800 1-8OG32$85O6

TRUSTEE STATEMENT

[J ruorneeucnelr

PART 1OB

An individual who is required to identify a blind trust on Part 10A of the Personal Financial Statement must submit astatement signed by the trustee of each blind trust listed on Part 10A. The portions of section 572.023 of the GovernmentCode that relate to blind trusts are listed below.

1 NAME OF TRUST

2 tRustrE runrur

3 FILER ON WHOSEBEHALF STATEMENTIS BE ING F ILED

NAME

TRUSTEE STATEMENT I affirm, under penalty of perjury, that I have not revealed any information to the beneficiary of thistrust except information that may be disclosed under seclion 572.023 (bXB) of the GovernmentCode and that to the best of my knowledge, the trust complies with section 572.023 of theGovernment Code.

Trustee Signature

S 572.023. Contents of Flnancial Statement in General

(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 trust, otherthan 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 9500;(14) identification of each blind trust that complies with Subsection (c), including:

(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 information that may be disctosedunder Subdivision (8); and(ii) to the best of the trustee's knowledge, the trust complies with this section.

(c) For purposes of Subsections (bX8) 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 bythe individual or by a public officer or public employee the individualsupervises; and

(2) the trustee has complete discretion to manage the trust, including the power to dispose of and acquire trustassets without consulting or notifying the individual.

(d) lf a blind trust under Subsection (c) is revoked while the individual is subject to this subchapter, the individual must file anamendment to the individual's most recent financial statement, disclosing the date of revocation and the previously unreportedvalue by category of each asset and the income derived from each asset.

Revised 12r0112006

i 'Texas Ethics Commission P.O. Box 12070 Austin, Texas 7 87 1'l -2O7O (51 2) 463-5800 1-800-325-8506

ASSETS OF BUSINESSASSOCIATIONS pARr 11A

fl norneelcABlE

Describe all assets of gqg[ cgJpo!"?tion, firm, partnership, limited partlership, limited liabjlity partnership, professionalcorporation, prrifession-l aisoCiition, 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 amountof the assets. For more information, see FORM PFS--INSTRUCTION GUIDE.

\Men reporting information about a dependent child's activity, indicate the child about whom you are reporting byproviding the number under which the child is listed on the Cover Sheet.

t gustNessASSOCIATION

! (Cnecf lf File/s Home Address)

2 eustxEss rYPE

3 HeLo,nceurRED,OR SOLD BY ! rrr-en I spouse D oEpenoerur cHrLD

n Rssets DESCRIPTION IY

[rcss rHAN $s,ooo I ss,ooo-ss,sso

f]sto,ooo-sz+,sss !szs,oou-oRMoRE

f1r-ess rHAN g5,ooo

D1t.o,oo.o+z+1ss.

lI-ess rHAN $s,ooo

n:':':': rio:nln

[rcss rHAN $s,ooo

!: ': '*: ':o:nln

flless rHAN $s,ooo

E11,oo3.sz+sss.

flr-ess rHAN $s,ooo

tr:':'*:'*:n*

Ir-ess rHAN $s,ooo

tr:':,:*''rn

Ir-ess rHAN $s,ooo

E $t o,ooo-$z+,gss

Iss,ooo-ss,sss

Dsz1,oo1o: yoT'

Iss,ooo-os,sss

Eszl,ooy o: M:RE

f] ss,ooo--ss,sss

Eszl,ooooi y:i.

Egs,ooo-$g,ggg

Doz1,oo1 .oR M:lE

E$s,ooo-gg,gsg

tlsz1,oo3 ol y:i'

[$s,ooo-$s,sgs

trsz1'1o5ol y:i'

Iss,ooo-ss,sss

flszs,ooo-oR MoRE


Revls€d l2l01/2006

Texas Ethics Commission P.O. Box 1207O Austin, Texas 7 87 1 1 -2O7O (51 2) 463-58OO 1-800-325-8506

LIABILITIES oF BUSINESS ASsoclATloNS pARr 118[J ruorReeucRarc

Describe all liabilities of each cgrporation, firm, partnership, limited partnership, limited liability partnership, professionalcorporation, profesiional 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 amountof 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 byproviding the number underwhich the child is listed on the Cover Sheet.

I sus[.,ressASSOCIATION

NAME AND ADORESS

| | (Checl lf File/s Home Address)

2 eustNless rypE

e HeLo,RceutRED,OR SOLD BY I pten n spouse D oeper.roeNT cHrLD

LIABILITIESDESCRIPTION CATEGORY

fl r-ess rHAN $s,000 D Es,ooo-gs,sss

tr 11,y-s*,n:n tr ":,:':-:o: y:1.

fl r-ess rHAN $s,000 f] $s,ooo-$s,sss

E sro,ooo-gz+,sgg f] szs,ooo--oR MoRE

! r-Ess rHAN $s,ooo

tr yro,oo.o+?o:rln

fJ r-Ess rHAN $s,ooo

tr 1,.o,oo.o+10:nln.

E r-Ess rHAN gs,ooo

E 1.'1,*.0+1r:nln.

E rrrs rHAN $5,ooo

E 1t.o'*.0+1':n:r.

E .ess rHAN g5,ooo

tr 1.o,oo.o-s1o:nln.

f] r-ess rHAN $s,ooo

E Ero,ooo-szc,ssg

E $s,ooo-$g,gss

E sr1,*o-ol yoTt

flss,ooo-os,sgs

.flszl,ooo-o: ":T.

E sr,ooo-Er,nsn

E sru,*1 .o: y:Tl

E su,ooo-ss,nnn

? ":'*: o: y:i'

E su,o*-En,nns

E:':,:': ":y:i'

flss,ooo-Es,sss

flszs,ooo-oR MoRE


Reviscd t2l01/2006

t 'Austin, Texas 76711_20Z0 (S12)463.58()0

BOARDSAND

f] Norneer_ceele

EXECUTIVE POSITIONS1-800-32$.8506

;;il

yourspo,Lce,","o"pJ;J'l,'.il;lfi if ::,HL,:,ff ;,.fi'ffI'.l,:Tiff ffi ffi FH:lliJ:ffi:[!ffi ir:ilil,+:lships, professional corporations, professional assoclatlons, joini ventures, other business associations, orproprietorships,stating the name of the organization and the position held. For more inrormation, see FoRM pFs-lNsTRUcTloN GUIDE.when reporling information about a dependent child's activity, indicate the child about whom you are reporting byprovlding the numberunderwhich the chiid is listed on the covei sheet,

ORGANIZATIONGreater San Antonio Chamber of Commerce Board of Directors

POSITION HELD2

Board Member (Chair-Elect)

3POSITION HELD BY

ORGANIZATION Greater San Antonio Chamber of Commerce Executive Committee

Member

[f rn-en I seouse f] oreeruoexr cHrLD

POSITION HELD

POSITION HELD BY

ORGANIZATION H*lth".t. & Bior"i"n." D""rlop."ot co.potitioo E*"*tiu" co.-ittr" (s"r, Antonio)

MemberPOSITION HELD

POSITION HELD BY [] rrlen I seouse floeerruoenr cHtLD

ORGANIZATION Institute of Medicinc of the National Academies (IOM)

Elected Member

fl rtr-rn fl seousr I oenrruoeu cHrLD --

POSITION HELD

POSITION HELD BY

ORGANIZATION Thc Joseph R- Long and reresa Lozano Long Foundation Board ofDirectors (Austin, TX)

POSITION HELD Board Member

fl nr-en f] snouse floeeeruoerur cHrLDPOS]TION HELD BY


R.vlccd 02r25/2oo8

(,

Texas Ethics Commlssion p.O. Box 12O7O Ausiln, Texas 7A711-2OZO

BOARDSAND

fJ ruorReer-neeu

nusun. texas t6t11-ztJ/o (512)4€}SBOO 1_80G.32S8SO6

EXECUTIVE POSITIONS PART 12

vourspouse, o," o"R",liJil#1lt:ii',f::ffi;:;"J;..';il*.1"i:sff1"#HrH:[Lil:ffi",[Ti,ir"';;xffi#ships, professional corporations, professional associations, loiniventureslother uusiness arro"i"iion., or proprietorships,stating the name of lhe organization and the position held. For more info-#ation, see FoRM pFS--lNsrRUcT|ON GUIDE.when reporting information about a dependent child's activity, indicaie the child about whom you are reporting byproviding the number underwhich the chitd is listed on the coveibheet.

ORGANIZATIONThe Acadcmy of Mcdicine, Enginecring and science of rexas (TAMEST) Board of Directors

Board Member

[f rtlen flseouse I orRsr.rorHTcHrLD

POSITION HELD2

POSITION HELD BY3

ORGANIZATION Bexar County Mcdical Society Board of Directors

Board Member

[} rrr-en ff seouse ft oeeeuoerur cHrLD

POSITION HELD

POSITION HELD BY

ORGANIZATION Cancer Therapy and Research Center Board ofGovernors

Board Mcmber (Ex-Officio)

E rrlen f] seouse f] orRenoenr cHtLD _-

POSITION HELD

POSITION HELD BY

ORGANIZATION Tho Federasi6n Mexicana de Asociaciones privadas (FEuer) Foundation of El paso%

Advisory Board Member (Honorary)

[ ' l r n

POSITION HELD

POSITION HELD BY

ORGANIZATION Free Trade Alliance of San Antonio Board of Directors

Board Member

[] rrr-en I snouse f]oeeeNoeHTcHtlD

POSITION HELD

POSITION HELD BY


Rrvlt!d 021251200!

T-

Austin, Texas T gZ ll_2O7O

BOARDSNNTO

[ ruorneercnau

I i c l o l l h a a

your spo,,se, o'. " d"p"nlJ,lt1iiil nffi I"T,ffi:',r,T;*T"#;i::JilJi,ffiff[H:Hil!:ffit#ffffii1?,:,#:lships' professional corporations, professional associations, jolni ventures, other business associailonr, or proprietorships,stating the name of the organization and the position held. For more information, see FoRM PFS--|NSTRUCTION GUIDE.when reporting information about a dependent child's aclivity, indicate the child about whom you are reporling byproviding the number underwhrch the chiia is risted on the covei bheet.

ORGANIZATIONsan Antonio Technology Accereratiou Initiarive (SATAI) Board of Directors

Board.Mernber

[] rrlen fl snouse I oreeruoerur cHILD

POSIT]ON HELD2

3POSITION HELD BY

ORGANIZATION southwest Foundation for Biomedicar Research Board of rrustees (san Antonio)

Board Member (Special)

[f rtr-en ! seouse f] oeeenoexr cHrLD- .

POSITION HELD

POSITION HELD BY

ORGANIZATIONSouthwestResearch Institute Board of Trustecs (San Antonio)

Board Member

[] rn-en fl seouse [oeRenoenr cHtLD

POSITION HELD

POSITION HELD BY

ORGANIZATTON

noardMember (elpirz d 5-Z,Oo+)

fl rrr-en n -"-, D"a-""-tat*

St. Mary's Hall Board of Trustecs (San Anfonio)

POSITION HELD

POSITION HELD BY

ORGANIZATION Texas International Education consortium Board of Directors (AustirL T)()

Board Member

[] rtlen ff seouse floeneNoerur cHrLD

POSITION HELD

POSITION HELD BY

_-_GOPY AND AfiACH ADDITIONAL PAGES AS NECESSARY

Reyl.od O2l25t2004

Texas Ethics Commission PO. Box 12070 Austin, fexas Z 87 11-2O7O (51 2) 463-580o 1-800-325-8506

BOARDS AND EXECUTIVE POSITIONS! ruorneelcnau

Lista|lboardsofdirectorsofwhichyoU,yourspouse,oradependent.hi�

H,[:i"il?"iJ,:,ff:::,ilf1"j,*'L1:":",:""::T::3dri=I,r.l$in'. riqtoo o";hilft;,irnired riab'ity parrner-ships' proressional corporations, professional associarions, ioinlveniil', "r#;ffi#"T i"l]ll'li,:il:"r? lff;11t!,3il"T1stating the name of the organization and the position nero. rirr more iniJriiation, see FoRu Frs-irrrsrnuc'oN GUTDE.

ffi,l'ftt]'ffif:lni':ilii.Til:$:ilTfi[.:l1i;:iljykigi1. the chitd about whom ,,ou are reportins by

McNay Art Museum Board of Trustees (San Antonio)

POSITION HELD

POSITION HELD BY

The Prcsident's commifiee on the National Medal of Science (Arrington, vA)

San Antonio Economic Devclopment Foundation Executivc Comrnittee

Member (erpircol l-zx)s)

POSITION HELD BY

san Antonio Hispanic chambcr of commerce Board of Directors

San Antonio Medical Foundation Board of Trustees

POSITION HELD

POSITION HELD BY

GOPY AND ATTACH ADDITIONAL PAGES AS NECESSARY

Reviiod O2l25r2O0O

Texas Ethics Commisslon P.O. Box 12O7O augin, Texas 7 87 1 1 _2O7 e 12) 463-s8oo 1-800-325-8s06BOARDS AND EXECUTIVE POSITIONS

Listal]boardsofdirectorsof3|i:!yqy.yourspoUs€,oradependent"i.iu�

L,H"ll-i':"?:il"X["Jfi:Lfl,1l$j,:'j.,*:,'3."Jillll;*1i:i:::...,."^li1=^rr111"0 '"'ti"i,iip"lri'it"d riabir*y parrner-ships, professionalcorporations, professionatissociatrons,,loinlve;tu,l.,""-,'n'#d.'i[:ffJ::Hi,:il:""1X*#l#rXffij:stating the name of the organization and the position neto. rir more inJo-#"m^, see FoRM pFs-INSTRUCTION GUIDE.\tvhen reportlng information about a dependent child's activity, indicate the child about whonprovidingthenumberunderwhichtnechiidislisledonthecoversheet. s 'rrc {elrrru aooul wnom you are reporting by

Texas Research and rechnorogy Foundation Board ofrrustees (san Antonio)

United Way of San Antonio and Bcxar County Board of Trustees

University Health Systcm Board ofManagers (San Antonio)

POSITION HELD

University Health System Foundation Board of Directors (San Antonio)

Board Member (Ex-Offi cio)

ff oeneruoeruTcHtLD


R.vls.d O?25r2OO!

Texas Elhlcs Commission P.O. Box 12O7O Austin, Texas 78711-2O70 (512) 463-58OO 1-800-32s-0506BOARDSAND

[ ruorneeucnals

EXECUTIVE POSITIONS

Lista||boardsofdirectorsotyy!i9nyo,,you,*p-Use'oradependent"hil�

L'?*liiJrl1lJ.""["ff::"",*""1'j,":,::t"i:"T'*::P:,::Iliri"ll.""ilio:,"'u"o.oarrnerships, rimited riabirity parrner-ships, proressionalcorporations, professionarissociations,;oiniven*;r', Jt#ffi;fffJ::ffi,1il::1|*j|,!,:ilIffiJ,statingthenameoftheorganizationandthepositionheld. rbtro*i*oimation,seeFoRMpFS-|NSTRUCTIONGUtDE.

ffi,ffiT:'lil?'lJfii'Jl"ii.ffi:j':fflfifl":lili,.,i,l1yl?ii;lcate the chird about whom vou are reporring by

Animal Defense League Advisory Board

3POSITION HELD BY

I oreeruoeruT cHtLD

Bexar County Medical Sociefy Alliance

Board Member (UT Health Science Center ar San Antonio Liaison)

Bexar County Women's Bar Association Board of Directors

POSITION HELD BY

Departrnent of state Health services counoir (cubernatorial Appointment)

POSITION HELD BY! oeerruoeruT cHtLD

Family Violence Prcvention Services, Inc.

POSITION HELD BY


R.el36d 02rZ5r2OOE

(

Jexas Elhics Commisslon P-O. Box 12O70 Austin, Texas ZBZ11 _ZO7O 12) 463-5800 1-BO0-32$8506BOARDS AND EXECUTIVE POSITIONS

Listallboards of directorsof yfig! r,' your spouse' or a dep-noent chitu i'"il it ;;6rations, tir'., ;"l;;;nips., rimited. partnershrps, rimited riabitity partner_ships' professional corporations, professionatlsso.iations, loini veniures, o0r"r uurin""" "rroiJ,,onr, or proprietorshios.;::::::,::L:_"_"1::rliiin

ano tne po"ition n"rJ rl,i'ilinio",'"tion, se, roirr,rFFs-rrusrnucroN GUDE:, tu | | \vu I tL4Y guruE.when reporting information 9!9ut a dependent chitd.s activity. indicate the chitd about whorrprovldlng the number under which ttre crriro rsiisieo on the cover sheet.

e Ine chtld about whom you are reporting by

Mental Health America of Texas Board ofDirectors

Board Member (Chair)

San Antonio Children,s Museum

POSITION HELD

San Antonio Children,s Shelter Board of Trustees

San Antonio Opcra Board of Directors

POSITION HELD BY

San Aatonio public Library Foundation

^sNE;ffiRoyhart 02125A006

Austln, Texas TAT|I_2O7O (S1

BOARDSAND

! Norneelnnau

\3 'zr 4b3_c6(J(] 1_800-325-9506

EXECUTIVE POSITIONS PART {2

yourspouse, o,"oeouilie"ill#qilril'';::,T"t:i,:,,T;ffi"Jj;1j,".,#ffffiffffi:[ilJ!:ffi:,Tffiffix?:"J::]ships' professional corporatlons, professional associations, joiniventurei, other business associ"iion", or proprietorships,stating the name of the organization and the position held. Ftr more information, see FoRM PFS*INSTRUCTION GUIDE.when reporting informatlon about a dependent child's activity, indicate the child about whom you are repofting byproviding the number under which the chird is risted on the covei bheet.

ORGANIZATIONSan Antonio Zoological Society

Board Member

fl rtr-en p seouse I oeneruoeHT cHrLD

2POSITION HELD

3POSITION HELD BY

ORGANIZATION Southwest Foundation Forum Board of Trustees

Board Member filonorary)

ff rtlen fl seouse I oeeeruoerur cHrLD

POSITION HELD

POSITION HELD BY

ORGANIZATTON St. Mary's Hall Parents'Association Divcrsity Committee

Board Mcmber

fl rn-rn [t seouse floeeeruoerur cHrLD

POSITION HELD

POSITION HELD BY

ORGANIZATION United Way of Bexar county and san Antonio, Executive committee, women,s Leadership Council

Board Member

I rtr-en [l seouse I oeeeruoerur cHtLD

POSITION HELD

POSITION HELD BY

ORGANIZATION uT Health Science Center at san Antonio (LITHSCSA), Council for Excellence in Women,s Health

Board Membcr (Chair)

l_l FTLER [] srousr f]oeerruoerurcHrLD

POSITION HELD

POSITION HELD BY

COPY AND ATTACH AODITIONAL PAGES AS NECESSARY

R.vlr.d 02/2512008

t -Texas Flhics Commission p.O. Box 12O7O 1_2O7o (5

BOARDSNruO

I nnrnRer_rcaale

Iyourspouse, o,," o.p"niJnt'ii',.6i:ii.T:,"01',]i,:'#;,';ir#fill'gff',",f,1ff[:fi:[1fliffi.*:Ti,ir",,?]lx[ffi,;ships' professional corporations, professional associalions, joini ventuies, orner lusiness associ"itonr, or proprietorships,staung the name of the organizatlon and the position held. Fbr more information, see FoRM prs-irusrnuc'oN GUtDE.when reporting information about a dependent child's activity, indicate the chilct about whom you are reporting byproviding the number under which the chrid is risted on the covei bneet.

IORGANIZATION

urHScsA, Dept of Pediatrics, premature Infant Devetopment program (pREMIEre program)

2POSITION HELD Board Mcmber (President)

flrrrcn fl seouse floeeeruoenrcHrlD

3POSITION HELD BY

ORGANIZATION UTHSCSA, Nursir:g School Advisory Council

Member

I rrlrn [f seouse I oeeeNoerw cHrLD --

POSITION HELD

POSITION HELD BY

ORGANIZATION UTHSCSA, Dept. of OB/GyN, Sex Education program

Board Member (Advisory)

fl nlen [] seouse f] oeeeruorrur cHrLD

POSITION HELD

POSITION HELD BY

ORGANIZATION N/A

! rten ! seouse [orneruoerurcHtlD

POSITION HELD

POSITION HELD BY

ORGANIZATION N/A

f] rtr-en fl seouse I oeeeNoerur cHrLD_ :

POSITION HELD

POS]TION HELD BY


R.vls!d 02125riOOa

f] NornppLrcnelE

ldentify any person *n"of the Penal cooe, in conneC[ion wiin a conference or similar event in which you rJnd-ered'services, such as addressing anaudience or participating in a seminar, that were more than perfunctory. Alio provide lhe amount of the expenditures ontransportation, meals, or lodging. You are not required to include items vou have already reporred as polltical contributionson a campaign finance reporl, or expenditures

ryg:l1*9.r.e1orted by a tobbyist under the tobby taw (chapler 305 of theGovernment code). For more information, see FoRM pFs_NdTRucrioru cutDE.

PROVIDER NATIEANOADDRESS

American Pediatric Surgical AssociationI I I Deer Lake Rd, Suite 100Deerfield,IL 60015(847) 480-9s76

2AMOUNT

$746.87 (au, pkg, meaUDr. Ciganoa)+g880 (regish., recept-/banquct_Dr/Mrs . Ciganoa)

PROVIDER NAMEANDAOORESS

N/A

AMOUNT

PROVIDER MUEANDAoDRESs .-..---

N/A

AMOUNT

PROVIDER NAMEANDAODRESS

N/A

AMOUNT

COPY AND ATTACH ADDTTIONAL PAGES AS NECESSARY

R!vtscd 0?12512001

Texa s Ethics Comrnlssion P.O. Box 12O7o Austin, Texas 7 87 1 1 -ZO7 O -800-325-8506

Texas Ethics Commission P.O. Box 12O7O Austin, Texas 78711-2O7O (51 2) 463-5800 1-BOG325-8506

INTEREST lN BUSINESS lN coMMON WITH LOBBYIST pARr 14

@ norReeucRale

ldentify each corporation, firm, partnership, limited partnership, limited [ab-ility partnership, professional corporation, profes-sional association, joint venture, or other business association, otneitnan a publicly-held corporation, in which you, yourspouse, or a dependent child, and a person registered as a lobbyist under chapter 305 of the Government Code that both havean interest. For more information, see FORM PFS--INSTRUCTION GUIDE.' ausrrrEss ENTrry MME ANO ADORESS

2 trutgnrsr HELD BY flrren tr SPOUSE ! oeeenoeruT cHrLD

BUSINESS ENTITYMME AND ADDRESS

INTERESTHELD BY I ruEn fl seousr I oeeenoenr cHtLD

BUSINESS ENTITY

INTEREST HELD BY D rtr-en E spouse D oeperuoeNTcHrLD

BUSINESS ENTITYNAME ANO AOORESS

INTEREST HELD BY E rtEn fl spouse E oeperuoeruT cHtLD

BUSINESS ENTIryNAMEANOADDRESS

INTEREST HELD BY fl rren flspouse I orperuoENT cHrLD


Revi5ed 12r0t12008

Texas Ethics Commission P.O. Box 12O7O Texas 78711-2O7O (51 2) 463-58O0 1-800-325-8506

FEES RECEIVED FOR SERVICES RENDEREDTO A LOBBYIST OR LOBBYIST'S EMPLOYER

[] ruorneeucnam

PART 15

Report any fee you received for providing services to or on behalf of a person required to be registered es a lobbyist underchapter 305 of the Govemment Code, or for providing services to or on behalf of a person you actually know direcly compen-sates or reimburses a person required to be registered as a lobbyist. Report the name of each person or entity for which theservices were provided, and indicate the category of the amount of each fee. For more information, see FORM pFS--INSTRUCTION GUIDE.

PERSON OR ENTITYFOR WHOM SERVICESWERE PROVIDED

2FEE CATEGORY

! r-ess rHAN $s,000 ! ss,ooo--ss,sss n gro,ooo--sza,egs trszs.ooo-_oR MoRE

PERSON OR ENTIryFOR WHOM SERVICESWERE PROVIDED

FEE CATEGORYflr-ess rHAN gs,000 [ Es,ooo-sg,sgs I sro,ooo-sza,sss f]szs,ooo_oR M.RE


flr-ess'HAN g5,oo0 flss,ooo-ss,sss flsro,ooo-sz+,sss f]szs,ooo-_oR MoREFEE CATEGORY


I r-rss rHAN gs,ooo fl ss,ooo-ss,sss [ $ro,ooo-$ze,sss ! szs,ooo-_oR MoREFEE CATEGORY

PERSON OR ENTITYFOR WHOM SERVICESWERE PROVIDED

Ll less rHAN g5,o0o flss,ooo-gs,sss D $ro,ooo-sz+,gsg I ozs,ooo--oR MoREFEE CATEGORY


FEE CATEGORYI r-rss rHAN $s,'oo I ss,ooo-Es,sss I sro,ooo-sz+,sss f]szs,ooo_oR MoRE

COPY AND AfiACH ADDITIONAL PAGES AS NECESSARY

R.vis.d t2l01/2OOE

REPRESENTATIONSTATEAGENCY

fl ruorneeucnale

BY LEGISLATOR BEFORE PART 16

This section applies onlyto members of the Texas Legislature. A member of theTexas Legislaturewho represents a personfor compensat ion before a state agency in the execut ive branch must provide the name of the agency, thename of the person represented, and the category of the amount of the fee received for the representation. For moreinformation. see FORM PFS--INSTRUCTION G UIDE.

Note: Beginning September 1, 2003, legislators may not, for compensation, represent another person before a stateagency in the executive branch. The prohibition does not apply if: (1) the representation is pursuant to an attorney/clientrelationship in a criminal law matter; (2) the representation involves the filing of documents that involve only rninisterial actson the part of the agency; or (3) the representation is in regard to a matter for which the legislator was hired beforeSeptember 1, 2003.

1STATE AGENCY

2PERSON REPRESENTED

3FEE CATEGORY fl r-ess rHAN $s,000 fl ss,ooo-ss,sss flsto,ooo-sza,sss I szs,ooo--oR MoRE

STATE AGENCY

PERSON REPRESENTED

FEE CATEGORYI r-ess rHAN $s,000 f] ss,ooo-ss,sss fl sto,ooo-sza,sss f] $25,00s-oR MoRE

STATEAGENCY

PERSON REPRESENTED

FEE CATEGORYfl r-ess rHAN $s,ooo I ss,ooo-ss,sss f]sto,ooo-sza,sss flszs,ooo-oR MoRE

STATE AGENCY

PERSON REPRESENTED

FEE CATEGORY I r-ess rHAN $5,000 flEu,ooo-Eg,gss n Eto,ooo-szo,sss I czs,ooo-oR MoRE

COPY AND AfiACH ADDITIONAL PAGES AS NECESSARY

Texas Ethics Commission P.O. Box ' l2O7O Austin. Texas 78711-2O7O (512)463-5800 1-80O-325-8s06

Revised 1210112008

tTexas Ethics commission P.o. Box 12o7o Austin, Texas 28711-2o7o (5

BENEFITS DERIVED FROM FUNCTIONS HONORINGPUBLIC SERVANT

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PART 17

Sect ion36.10ofthePenalCodeprovidesthatthegif tprohibi t ionssetout insect ion,u.n,o,. f f ito a benefit derived from a function in honor or appreciation of a public servant required to file a statement under chapter 572of the Government Code or title 1 5 of the Election Code if the benefit and the source of any benefit over g50 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 oractivities in connection with the office which are nonreimbursable by the state or a political subdivision. lf such a benefit isreceived and is not reported by the public servant under title 1 5 of the Election Code, the benefit is reportable here. For moreinformation, see FORM PFS--tNSTRUCTtON GUtDE.

SOURCE OF BENEFITNAME ANDADDRESS

2BENEFIT

SOURCE OF BENEFITNAME ANO ADDRESS

BENEFIT

SOURCE OF BENEFITNAME ANO AODRESS

BENEFIT

SOURCE OF BENEFITNAME AND ADDRESS

BENEFIT


Rsvlsad 12r0112006

Texas Ethics Commission P.O. Box 12O70 Austin, Texas 78711-2O7O (512)463-5800 1-8OG325-85O6

LEGISLATIVE CONTI N UANCES

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PART 18

ldentify any legislative continuance that you have applied for or obtained under section 30.003 of the Civil Practiceand Remedies Code, or under another law or rule that requires or permits a court to grant continuances on thegrounds that an attorney for a party is a member or member-elect of the legislature.

t IIAME oF PARTYREPRESENTED

2DATE RFTAINED

3STYLE, CAUSE NUMBER,COURT & JURISDICTION

4DATE OF CONTINUANCEAPPLICATION

5WAS CONTINUANCEGRANTED? I ves ! x o

NAME OF PARTYREPRESENTED

DATERETAINED

SryLE, CAUSE NUMBER,COURT. & JURISDICTION

DATEOF CONTINUANCEAPPLICATION

WASCONTINUANCEGRANTED? E ves flrqc


R€visod 12r0112008

Texas Ethics Commission P.O. Box 12O7O Austin, Texas 787 11 -2O7O (s1 2) 463-5800 1-800-325-8506

PERSONAL FINANCIAL STATEMENT AFFIDAVIT

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{T.s.S.n |ILIVEMBER 04, 2009

AFFIX NOTARY STAMP / SEALABOVE

sworn to and subscribed before me, by the said Ffn*C$W G. U?h0,//{lh, this the J.h+W day of

hand and seal of office.

Title of oflicer administering oath

R.visod t2lO112008

personal financial statement form pfs · 2010. 1. 9. · francisco g. 'ruicir.rnr',ri;...

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