14
Texas Ethics Commission P.O. Box 12070 At 71fZ070 (512) 463-5800 1-800-325-8506 CORRECTED FINANCIAL STATEMENT AND GOOD-FAITH AF’IIDAVIT Attach Any Part of Your Financial Statement Form Needed to Report and Explain Corrections Filer Name (Fist, Mist) Address )Po. Box or Street Address. Apt or Suited) I OFFICE USE ONLY 8ecet # AmØurit 1-ID 1 PM Date Processed Date Imaged The correction(s) filed with this affidavit apply to my financial statement due in El 2009 El 2008 El 2007 El 2006 [] 2005 El 2004 El Other _______ (Remember The financial statement you file covers the preceding calendar year’s activity. Thus a report due in 1999 covers information for calendar year 1998) Explanation of Correction I . I, -r I swear, or affirm, under penalty of perjury, that this corrected report is true and correct. Check ONLY if applicable: 16* ub. 7’l ,swear, or affirm, that I am filing this corrected report not LJ later than the 14th business day after the date I learned that the report as originally filed is inaccurate or)ncomplete. I swear. orffirrr’ that any error or omission i?fhe.reportas Sworn to and subscribed before me by thts the day of fl CHEER i OLERS HOME ADDRESS) (city State Zp coite) I 4 L 20 to certify which witness my hand and seal of office

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Page 1: PM Address. Apt or 1 1-ID - Fort Worth, Texasfortworthtexas.gov/uploadedFiles/City_Secretary/City_Council/Elections/... · Thus a report due in 1999 covers information for calendar

Texas Ethics Commission P.O. Box 12070 At 71fZ070 (512) 463-5800 1-800-325-8506

CORRECTED FINANCIAL STATEMENTAND

GOOD-FAITH AF’IIDAVITAttach Any Part of Your Financial Statement Form Needed to Report and Explain Corrections

Filer Name (Fist, Mist)

Address )Po. Box or Street Address. Apt or Suited)

I

OFFICE USE ONLY

8ecet # AmØurit

1-ID 1 PM

Date Processed

Date Imaged

The correction(s) filed with this affidavit apply to my financial statement due in

El 2009 El 2008 El 2007 El 2006 [] 2005 El 2004 El Other

_______

(Remember The financial statement you file covers the preceding calendar year’s activity. Thus a report due in 1999 covers information for calendar year 1998)

Explanation of Correction

I .I,

-r

I swear, or affirm, under penalty of perjury, that this correctedreport is true and correct.

Check ONLY if applicable:

16* ub.

7’l ,swear, or affirm, that I am filing this corrected report notLJ later than the 14th business day after the date I learned

that the report as originally filed is inaccurate or)ncomplete.I swear. orffirrr’ that any error or omission i?fhe.reportas

Sworn to and subscribed before me by thts the day of

fl CHEER i OLERS HOME ADDRESS)

(city State Zp coite)

I 4L

20 to certify which witness my hand and seal of office

Page 2: PM Address. Apt or 1 1-ID - Fort Worth, Texasfortworthtexas.gov/uploadedFiles/City_Secretary/City_Council/Elections/... · Thus a report due in 1999 covers information for calendar

Texas Ethics Commission P.O. Box 12070 Austin, Tex Z7.2UO (512) 463-5800 1-800-325-8506

CANDIDATE I OFFICEHOLDEF [ J , FORM C/OH

CAMPAIGN FINANCE REPORT209 CovER SHEET PG 1

T. A QZ.tMf 2 Total pages filedl The CIOH Instruction Guide explains how to complete tilis form. Cbm1i5k1ti 1iIer

3 CANDIDATE I jMS!MRSIMR FIRST

OFFICE USE ONLYOFFICEHOLDER \A/ —CSCate Rved

NICKNAMELAST SUFFIX

4 CANDIDATE I ADORFSEJPOROXAPTISU TE # CITY; STATE XE CODEOFFICEHOLDER —

ADDRESS Date Rard-devered ci Date Postased

[EJ Change of Address (,L/:JC ‘)%:.9 4t5 CANDIDATE’ AREA CODE PHONE NUMBER EXTENSION

OFFICEHOLDER g \Recept l

-_—

—-_ Date Process

6 CAMPAIGN MS!MRSIMR FIRST ,Ml

TREASURER • ( (2(( Date Imaged

NICKNAME LAS SUFHX

kL17 CAMPAIGN STREETADORESS PC BOX PLEASE) APT? SUITE ; CITY STATE; ZIP CODE

TREASURER

LkoO v4ct,,v O kJ- N(Residerte or business)

8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION

TREASURERPHONE ( r) C’

9 REPORTTYPEJwiuary 15 El 30th day D’efore election fl RUff 5th day aflermpaign treasurer

appoletmeot Icfticol-ctder orgy)

Juy 15 L”t day before etecflon E.aceeded $500 Ii-rSt [] Final report CAttao C1OH - FR)

10 PERIOD Marth Day Year MonIi Day Year

COVERED yiJ /cft / o THROUGH

o& c /911 ELECTION ELECTION OJE ElECTION TYPE

M.vd Day Yea

C)ç‘Cm/’ (y2- [El Prsary R.notf [] Dwiera []

12 OFFICE OFEDEHELD (1 ally) 13 OFFICESOUGI-if fkrIoml

—--—-

14 NOTIF JDRFCT a’rca ptUt lr r’U 1eUCdIt e- roja tj ts err- .t te a -J,cic. r ‘r csert C

CA4PAGN-‘c sale wx equ en to tsle trt rfaPdtno UI s f the eeve llU câ il UF the C icc’ Ca rpoq xpndture

EXPFNDIThRE—

BY0rHERINDIVIDUALS

inessI PD Roa ?..uI I Clv S1ai Xp Cede

an ,I as

GO TO PAGE 2

RmdO- 272OUS

go9LO9qIL9 in’m dc’+-i-,n Ifl IC RIAI

Page 3: PM Address. Apt or 1 1-ID - Fort Worth, Texasfortworthtexas.gov/uploadedFiles/City_Secretary/City_Council/Elections/... · Thus a report due in 1999 covers information for calendar

May 01 09 04:42p COLE 8175601606 p.1

Texas Ethics Commission RO. Box 12070 Austin, Texas 787112O7O (512) 463-5800 1-800-325-8506

CANDIDATE I OFFICEHOLDER REPORT: FORM CIOHSUPPORT & TOTALS CovER SHEET PG 2

15 C/OH NAME 16 ACCOUNT # (EthIcsCcmmsIonFikis)

17 NOTICE — This bor is for notice of political contributions accepted or political expenditures made by political committees to support theFROM candidate I ofEceholder. These expendituies may have been made without the candidate is or officeholders knowledge or co,senf.POLITICAL Candidates and officeholders are recoired Ia report this information only ii they recewe notice di such expenditures.COMMITTEE(S)

COMMITTEE NAMECOMMITTEE TYPE

t jkitS Vt&t&iXE] GENERAL

COMMITTEE ADDSESS

C] sscinc o + LO 1

I COMMITTEE CAMPAIGN TREAS1JER NAME] edditonal pages

Lkv-1v Uev LCOMMITTEE CAMPAIGN TREASURER ATJORESS

CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTONS OF $50 OR LESS (OTHER THANTOTALS PLEDGES. LOANS, OR GUARANTEES OF LOANS>, UNLESS ITEMIZED $

2. TOTAL POLITiCAL CONTRIBUTIONS(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS> $

EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF 5O OR LESS. UNLESS ITEMIZEDTOTALS $

4. TOTAL POLITICAL EXPENDITURES

$

. CONTRIBUTION 5. TOTAL POLITICAL CONTRIRUTIONS MAINTAINED AS OF THE LAST DAYBALANCE OF REPORTING PERIOD $ LcLc. ‘iO

OUTSTANDING 5 TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS CF ThELOAN TOTALS LAST DAY OF THE REPORTING PERIOD $

19 AFFIDAVIT

, I swear or affi, under pena of perju, tpat the accompanying report“ JBF L CHASE I is true and corretjnd includes all nforat(dn requ o be reported by

I i77 etar Dub me unertIit41ectic’ Code (Ai i. m i.EXA, / -/i .1 YL..i—bI’

/Du2009•,,rt,:,zrflt,w*sr

‘-“ ..“

( .. Sig.neture of Candidate or Officeholder

AFFIX NOTARY STAMP SEAL ABOVE

Swort)to and subscnoed before roe by thesaId_.__/./.__ thIs te day,.,4:o4__, toc’’rtfyu n oH tp.es mjhand arid oee of-iffrce

J I...•‘ ..

Signature of ocer adminisienng Printed name of otti:oer administering oath Title &offlcer administering oath

Pvid Si.27!200C

Page 4: PM Address. Apt or 1 1-ID - Fort Worth, Texasfortworthtexas.gov/uploadedFiles/City_Secretary/City_Council/Elections/... · Thus a report due in 1999 covers information for calendar

s E6cs ) 2ox A st 8 IT’ ‘3%8 18303 306

POLJTICAL CONTRBUTIONS SCHEDULE AOTHER THAN PLEDGES OR LOANS

e1’sw Cwdeexp owtoc thisfo I

2 3

4 Flvt 5 1 70 1 5 -

5 ‘‘“ ,t—t’ 7 j

er1e,tr ‘plate 5th

9

atc-- Ft rtb

-ott u” 1ap €

Jr r1r ‘;r’tc

-flravemsaeo’Thxas leteScheaTt

H en o jnt vtrt-* ‘s r etl s’

r 5 t(F

‘ •ota cc’ I —v

travel oatstde c TCAC complre 5heaiuc C,rH’ S er’. yr-t 0” ,re’- 5

1

‘1. F f- \

Page 5: PM Address. Apt or 1 1-ID - Fort Worth, Texasfortworthtexas.gov/uploadedFiles/City_Secretary/City_Council/Elections/... · Thus a report due in 1999 covers information for calendar

Texas Ethics Commission P0 Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506

PLEDGED CONTRIBUTIONS SCHEDULE B

, I Total pages Schedule B:The Instruction Guide explains how to complete this form.

2 FILER NAME - 13 ACCOUNT#thsCornrnssonfesi

5w UAtt,UTOTAL OF UNITEMIZED PLEDGES: r

$

5 Date 6 Full name of pledgor Eou-of-satePACID#:________ g Amountof 9 In-kinddescriptionpledge ($) (if applicable)CL-

(— uR7 Pledgor address City State Zip Code

—. ç c C

Qc c flR ALL-ii

jJ (if travel outside of Texas, complete Schedule T)10 Principal occupation / Job title (See Instructions) 11 Employer (See Instructions)

Date Fulln of pledgor o-of-state PAC lD# of In-kind description

L-. 1 Lpledge ($) (if applicable)

‘t -C !,. ledgoradâless: City, State: Zip Code ,, . C IlL*.

t H i çTi Ii—-’ C(J t (If travel outside of Texas, complete Schedule T)

Principal occupation I Job title (See Instructions) Employer (See Instructions)

Date .-uIl name of ledgor [] qut-ot-state PAC io# Amount of In-kind description

f C N (vkc pledge ($) (if applicable)

Pledgor address: City; State; Zip Code IOR O. 3: C• c)L Li C (If veI outside of Texas complete Schedule T)

Principal occupation I Job title (See Instructions) Employer (See Instructions)

Date (\ Full name of pledgor ota-f-siate PAC liDS - Amount of I In-kind description

I pledge ($) (if applicable)

Pledgoraddress; City; State; Zip Code(iO‘

‘ 4-#-(: ) fLtJ-k- LLi I -

j( (If travel outside of Texas complete Schedule T)Principal occupation / Job title (See Instructions) Employer (See lnstructions)

Date Full name Qf-pieagor fl -;-su- P00 - — .. Amount of in-kind description0 - 0

- pledge $) (if applicable

. Pledgoraddress: City: State: ZipCode— L))(-IL-

(If travel outside of Texas complete Schedule T)

ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDEDIf contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.

Rased ijll Ol2O

Page 6: PM Address. Apt or 1 1-ID - Fort Worth, Texasfortworthtexas.gov/uploadedFiles/City_Secretary/City_Council/Elections/... · Thus a report due in 1999 covers information for calendar

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506

PLEDGED CONTRIBUTIONS SCHEDULE B

The Instruction Guide explains how to complete this form. 1 Total pages Schedule B.

2 Fl LER NAME 3 ACCOUNT # (Ethcs Comrn,ssen Necs

WWTOTAL OF UNITEMIZED PLEDGES:

$

5 Date 6 Fullnameofpledgor []out-oFstaiePAC(iDe 8 Amountof 9 ln-kinddescription

— ... • -,

. pledge (5) (if applicable)

, 7 Pledgoraddress; City: State; ZipCode-. IO tiV

1,44Lcç I tY jJL (If travel outside of Texas, complete Schedule T)10 Principal occupation I Job title (See Instructions) 11 Employer (See Instructions)

Date Full name of pledgor jout-of-sieie PAC (105 Arnountof In-kind description

CY-tv c(c pledge (5) (if applicable)

Fi i Pledgor address; City; State; Zip CodeLi çVL

I \ ( 4 t L (If travel os,de of Texas complete Schedule T)Principal occupation / Job title (See Instructions) Employer (See Instructions)

Date Full name of pledgor oot-eeo PAC (lo#-______________________ Amount of In-kind descriptionpledge ($) (if applicable)

Pledgor address; City; State: Zip Code

(If travel outside of Texas,_complete Schedule T)Principal occupation I Job title (See Instructions) Employer (See Instructions)

Date Full name of pledgor El out-of-stale PAC -_____________________

Amount of In-kind descriptionpledge (5) (if applicable>

Pledgor address; City. State; Zip Code

(If travel outside of Texas, complete Schedule T)Prn.a( c-c.cupaton Job tIte (See Instructions) Emoer /5 lnstructions)

EZZZEEZJZEZZEZThee F ndrn 0 Deogur ,, - Ar’ounT Of ir rind Oescr ptior

pledgo (5) (if applicable)

Piedgor address; City; State; Zip Code

(if travel outs’de of Texas. complete Schedule T)

-

Pr(ncpcc.oup.sDn/Jobrbc-See..t)c; o.mp;.0yer(SeeinstRJf(0fl5(

..

..

ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDEDIf contributor is out-ofstate PAC, please see instruction guide for additional reporting requirements.

Page 7: PM Address. Apt or 1 1-ID - Fort Worth, Texasfortworthtexas.gov/uploadedFiles/City_Secretary/City_Council/Elections/... · Thus a report due in 1999 covers information for calendar

as c. r- -s’- - P’ 3o’

LOANS

1]. 46 -) C’ 32-F5OS

‘HE[ ULE E

T e nstructon ue s phns how t c.omp e ths torn

R 1E

4 -

__

0 01 Nfl dI ZE )ANc $

5 ---‘ - 7-- - -- 9

11

12 F ir’- (0

14 ‘-

15 sRANI )P 1f3

F.

c,n tnc-t

D

13 - * is r

8 - j

- (5

Page 8: PM Address. Apt or 1 1-ID - Fort Worth, Texasfortworthtexas.gov/uploadedFiles/City_Secretary/City_Council/Elections/... · Thus a report due in 1999 covers information for calendar

Texas f t ) Texes 314 3O6

PAYMENT FROM POLITICAL CONTRIBUTIONS SCHEDULE HTO A BUSINESS OF C!OH

Tho nsrructv’ Gu!de oxp%ans how f rmpIfe th:s form1

________

2 FLF Nsii

hu s Ost6 2 In

Pu t-cftLtP 1\1

\4

1 tr: a S de S- r eii

c ¶

o:cfa Se’- r tv-, ;jrj.j p ,t:fl#uf a

treeet mjtsvm af Texas, cOmpete Scheo&e ii

Q5L I

c’ 4 1

se ‘xe’ etScn’

‘‘vijVI

jThrj ,iZT ONAL HIE 7r A: Nfrtj:

j

Page 9: PM Address. Apt or 1 1-ID - Fort Worth, Texasfortworthtexas.gov/uploadedFiles/City_Secretary/City_Council/Elections/... · Thus a report due in 1999 covers information for calendar

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506

Date Business name

\j)/

‘‘ FBusi ess address; City; State; Zip Code

vvi4 ttWlQ L4/ Ic1) if:-t. ‘tV }1;

Amount($)

O\

Purpose of payment (See instructions regarding type of informationComplete it direct expenditure to benefit C/OH

required.)Candidate / Officeholder name Office sought Office held

ck)69.O 1(E.(If travel outside of Texas, complete Schedule T)

Date Business name

—rV1 w

Business address; City: State; Zip Code

P 1)C’ ( 3i ç:: tA V f1 k

PAYMENT FROM POLITICAL CONTRIBUTIONS SCHEDULE HTO A BUSINESS OF CIOH

. . I Total pages Schedule HThe Instruction Guide explains how to complete this form.

2 FIL NAME 3 ACCOUNT# fEthicsCommissionfllers

)OWLs u-1A4 Date 5 Business name 7 Amount

[ ($)

U’i.)-)‘1 6 Businessaddress; City: State; ZipCode

8 Purpose of payment (See instructions regarding type of information 9 Complete if direct expenditure to benefIt C/OHrequired.)Candidate / Officeholder name Office sought Office h&d

(If travel outside of Texas,_complete_Schedule_T)

Date Busness name Amount

kC

( t Business aress Cdy State ZIp Code C’

Purpose of payment (See instructions regarding type of nformation IComplete it direct expenditure to benefit C1OHrequtred.) I Cd/dam / Officeholder name Off/ce scujont Off/c. held

I.)r/c

ii;ftrei outside of Texas. complete Schedute T)

ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED

cW5t) O’i:

Purpose of payment (See instructions regarding type of informationComplete if direct expenditure to benefit C/OHrequired.)

Candidate / Officeholder name Office sought Office held

((\ S•iO: 1r ( .)Ljt

(If travel outside of Texas, complete Schedule T)

Amount($)

,.ü

Page 10: PM Address. Apt or 1 1-ID - Fort Worth, Texasfortworthtexas.gov/uploadedFiles/City_Secretary/City_Council/Elections/... · Thus a report due in 1999 covers information for calendar

Texas Ethics Commission PC. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506

Date

xY1

Business name

ULLBusiness address; City; State; Zip Code

Amount($)

&

Purpose of payment <See instructions regarding type of information Complete if direct expenditure to benefit C/OHrequired.)

Candidate I Officeholder name Office sought Office held

•O V. c&Ss(If travel outsidE of Texas, complete Schedule T)

Amount<$)

PAYMENT FROM POLITICAL CONTRIBUTIONS SCHEDULE HTO A BUSINESS OF CIOH

. I Total pages Schedule HThe Instruction Guide explains how to complete this form.

2 FIL NAME 3 ACCOUNT# ithlcsCiynmissanfliers)

wcs Vudt4 Date 5 Business name 7 Amount

,et ( .. ($)

- \ ii -€‘JL1L 6 Business address; C; State; Zip Code

8 Purpose of payment (See instructions regarding type of information 9 •• Complete if direct expenditure to benefit C/OHrequired) Candidate f Officeholder name Office sought Office held

c::u . sv”(If travel outside of Texas, complete Schedule T)

Date Business name Amount.(.5

Butitness address; City; State; Zip Code

Purpose of payment (See instructions regarding type of information Complete if direct emend/tore to benefit C/OHrep uirect) Candidate / Officeholder name Office 100051 (ffi

lit traei o__ideofTexomiete Schedu U.

ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED

Date

OtA,O’i .

0%

,,Business name -

i\ih\ WA:c\-)vBusiness addresh; City; State; Zip Code

Purpose of payment (See instructions regarding type of information Complete if direct expenditure to benefit C/OHrequired.) Candidate I Officeholder name Office sought Office held

Cu l/\J etc.,

(If travel outside of Texas. complete Schedule T)

Page 11: PM Address. Apt or 1 1-ID - Fort Worth, Texasfortworthtexas.gov/uploadedFiles/City_Secretary/City_Council/Elections/... · Thus a report due in 1999 covers information for calendar

Teaao Eth, Ct,mrs or PC Brx CC Aust foxes c0 S fIS tt5J Dij2( 8QS32 S’Q5-

NONPOLITICAL EXPENDITURES SGFEDU E IMADE FROM POLITICAL CONTRIBUTIONS

Tfrm nstruct;on Guide expmns how to complete this form

2 - ME

6 faa C Cit ox

O

at aye r

F jo o 5 ru 1

F ye ii ass t Slit

P0c ax aasIarx —oxrd pxra f•’ at oio ‘‘

0 x ur

0

[a xx Qi ON C

L

Page 12: PM Address. Apt or 1 1-ID - Fort Worth, Texasfortworthtexas.gov/uploadedFiles/City_Secretary/City_Council/Elections/... · Thus a report due in 1999 covers information for calendar

Teass Ct&, c. C ...n.”.n.on Pt• Bv 12Pu 4.j$j. reaaa S37i’ t - U ‘ it 46--’4C0 1 err3z5Thc6

POLITICAL CONTRIBUTIONS RETURNED SCHEDULE JTO OMMITTEE

The Ip’rjcton Gu’de no’mns how to comp.e?s tWa formI -

t2 FUEq9AME — 3 ...-

JJj1rtt44ttuitLn - — - — —_

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iape wtr’ss Cs S%b Zp C—le

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lateR ‘alga ‘oy• ) nR.t SI

-. V eeaas. ‘a* £cC.’e

)aR 4 rg ag, rave $ •op $

‘—d—n’Jn-t Lv k’ 2”

a r .

A’ AC 4M’DITI lACC r.zc. 5FQ VStt ‘ti,

Page 13: PM Address. Apt or 1 1-ID - Fort Worth, Texasfortworthtexas.gov/uploadedFiles/City_Secretary/City_Council/Elections/... · Thus a report due in 1999 covers information for calendar

Texac FEth Cosszi 6c i2D Aucn Texas TO 5i) W35&C 8flu-325 ¶3506

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IT e

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A1T.L AnD F S c %Or ED

Page 14: PM Address. Apt or 1 1-ID - Fort Worth, Texasfortworthtexas.gov/uploadedFiles/City_Secretary/City_Council/Elections/... · Thus a report due in 1999 covers information for calendar

INKIND CONTRIBUTION OR POLITICAL EXPENDITURE SCHEDULETFOR TRAVEL OUTSIDE OF TEXAS

The rs n Gud x a is how to rpete this ri 1 j2 3

ia_ — — —

k a mc L r e - so

5 C: C. mc - cr

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‘a POE STE