You are on page 1of 27
Pa 7 fssehiscemnedon _ro.esvare tot toes eave _ginussco _temszsase PERSONAL FINANCIAL STATEMENT Form PFS COVER SHEET Filed in accordance wth chapter 572 af the Government Code, 26 For flings required in 2010, covering calendar year ending December 31,2009. |= Use FORM PFS-INSTRUGTION GUIDE when completing ts form, 0020578 1 NAME TITLE: RST: a OFFICE USE ONLY | Se a P= Recewven Miche JAN 28 2010 FRDDRESS | nares 0 son a a en TE DPCOE Texas Ethics Commissiont MR Sn A gustnc, Texas 75972 on {CHECK IF FER’ HoMe ADDRESS) 3 Tsar TELEPHONE PROCESSED JAN 2 8 2010 (936 ) 275-5414 7 FORTIING | [cenooare Disicuudge 2r2rdJudicel Ditters STATEMENT ise ELECTED OFFICER, Dlarrowren orricer —_— nocareacenon Dexecurive weap rca AHCI Drorner on RETIRED JUOGE SITTING BY ASSIGNMENT Oistare party chai; erica nary Olower — cat pos ION, jeporing (Sler must repert information about the feancial acy of the fers spouse ot thal acy 5 Family members whose financial actly you ar sependertchicren ithe filer had aeival conto seoyse Barbara Mitchell DEPENDENT cho 1, Sa"eh Jone Michell 2 3 In Pars 4 through 18, you will disclose your financial actvty during the preceding calendar year. In Parts 1 through 14, you are required to disclose not only your own financial actviry, but also that of your spouse or a dependent chit if you had actual control ‘over that person's financial actvty COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY. uu ig Laq “Texat Etves Commission P.O. Box 12070 Aust SOURCES OF OCCUPATIONAL INCOME part 1A 1 wor arpucance Texas 76711-2070 (612) 463.5800 _ 1-800-925-8605, 1 ‘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 ‘ INFORMATION RELATES TO FILER spouse [oerennent cHio 2 EMPLOYMENT EMPLOYED BYANOTHER, Cisetr-emeoveo “Pjaateneen State of Texas Comptroller of Public Accusnts, P.O. Box 13528, Austin, Texas 7871 1/ District Judge NATURE CF O7URSTION. INFORMATION RELATES TO rer EMPLOYMENT [ewrtoven ey ANOTHER (Dseur-ewetoveo wee creat en sovancoees) ‘St Mary Land & Exploration Co,, 1776 Lixealn Street, Suite 700, Denver, CO 80203! ‘Abstracter [evevoyen ay anoTHer Ciscreupvoven INFORMATION RELATES TO e Crer Lisrouse JEPENDENT CHILO | EMPLOYMENT ariel | Goodwin-Lasiter Inc, 1609 S. Chestnut, Suits 202, Lufkin, TX 55901 / Architect { COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY ’ “Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 {600-325-8506 RETAINERS NOTAPPLICABLE ‘This section concems fees received as a retainer by you, your spouse, or a dependent child (or by a business in which you, your spouse, ora dependent child have a “substantial interest’ fora 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 ifthe 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~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. Part 1B * FEE RECEIVED FROM 2 FEE RECEIVED BY Fur (Of FILER'S BUSINESS spouse (OR SPOUSE'S BUSINESS DEPENDENT CHILO. ‘OR CHILD'S BUSINESS 3 FEE AMOUNT ess THaw s5.000 [_] ss.000-89.999 [_] s10,000-s24.909 '25,000-OF MORE FEE RECEIVED FROM TAME AnD ADGRESS FEE RECEIVED BY FILER’ ‘OR FILER'S BUSINESS sPous= ‘OR SPOUSE'S BUSINESS DEPENDENT CHILD. (OR CHILDS BUSINESS FEE AMOUNT [tess naan ssan0 [7] s8.00-s2960 [7] sto.00-s24500 '525,000-OR MORE COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY ‘Texas Ethics Commission P.O. Box 12070 ‘Aust, Texas 78717.20/0___(512)463-5800_ 1-800-925-0506, STOCK PART 2 List each business entity inwhich 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. if some or ailof the stock was sold, also indicate the category of the amount of the net gain or loss realized ffom the sale. For more information, see FORM PFS— INSTRUCTION GUIDE. When reporting information about a dependent child's activity, indicate the chi'd about whom you are reporting by providing the number under which the child is listed on the Cover Sheet, T BUSINESS ENTITY me 7 STOCK HELD OR ACQUIRED BY | Fur Disrouse —— [JbePennenr crit [3 NUMBER OF SHARES: Dluess tran i00 CJ sot0a2) C)sootosss LJ t.o0o To «008 Cis00070 9990 LD) rom oR sive «IF SOLD Lsercan | Guess rian ss.co0 [1] $5.000-s0.9%9 C s10.000-sz4.909 [] s25.000-OR MORE Ener voss BUSINESS ENTITY ‘STOCK HELD OR ACQUIRED 6Y | C]Fuer Li seouse (oerendent cro —t} NUMBER OF SHARES Clices tia i00 Dycoro4ss Lisooroess Cy co 10«s09 s00070 9.999 _O) 10.0000R wore 'F SOLD Cinercan | D)cess tian ss.c00 C} s5.000-s0,999 C1) sta.c00-sze.se9 [] $25,000-08 MORE Einervoss _ BUSINESS ENTITY se ‘STOCK HELD OR ACQUIRED BY | TJ rier CD srouse (JoePeNDENT CHILD NUMBER OF SHARES Dhussstwvico Clsooro«e Chstotoae LD s,o00 10499 _ TDsoo0 ro 2009 1) aon or wore \F SOLD Lnercan | Cress ran $5,000 C1 5.000-sa.094 [1] s10.000-s24.999 C1] $26.000-0R MORE Diner toss ‘BUSINESS ENTITY = ‘STOCK HELD OR ACQUIRED BY | LJrer Tisrouse L)ocrenoenr onto NUMBER OF SHARES tess tiv ico Cotoor0«9 ~— Clsoorows = C} .000 10.4509 Cise00t0 9999 C) 10.900 0R MORE iF SOLD Toner can] cess maw s5.000 Cs5.000-s9.99 Csia.000-s24999 1] $26.000-0R MORE | (ser toss —_ BUSINESS ENTITY ~ Se STOCK HELD OR ACQUIRED BY | Ciruer Disrous Torenoent onto NUMBER OF SHARES: DiesstHan 100 =F} 09 T0499 ©) sno To 999 D1 1.000 To 4.998 Dison T0998 C1 10000 oR wont IF SOLO Corer can Ditess THaN $5,000 [1 s5.000-s9,98¢ C1] sto,000-824,999 L) $25,000-o8 MORE Diner toss: . _ ‘COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY “Texas Ethics Commission 2.0, Box 12070 Austin, Texas 78711-2070 (612) 463-5200 1-800-325-8500 BONDS, NOTES & OTHER COMMERCIAL PAPER PART 3 List allbonds, notes, and other commercial paper held or acquired by you, your spouse, or a dependent child during the calendar year. If sold, indicate the category of the amount of the net gain ar 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 under which the child is listed on the Cover Sheet 7 DESCRIPTION ‘OF INSTRUMENT ? HELD OR ACQUIRED BY Orwer Cisrouse Docrenoent cio 1 SOLD Oner can Oner toss Dies man s5,000 ss.000-s8.0e8 [1s10,000-s24,009 1) s25.000-on wore DESCRIPTION OF INSTRUMENT HELD OR ACQUIRED BY Orner Csrouse Dloerencenr CHIL t IF SOLD Cretan Chess raw a5000 Clssono-so0% Cohiooco-sa+e50 []s2s.00.08 wore ner Loss DESCRIPTION | OF INSTRUMENT t HELD OR ACQUIRED BY Orter Dsrouse (Cloerenpent cH 1F SOLD Onercan Oner toss COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Cites thaw $5,000 []s5.000-s9.898 [h10,000-s24.989 C1) s25.000-0F wore TersstnicsConnision __P0.80c12070 Asin, exes 76711-2070 __Stase-sten 140005508 | MUTUAL FUNDS part 4 OO norappucasue: List each mutual fund and the number of shares in thal mutual fund that you your spouse, or a dependent child held or acquired during the calendar year and indicate the calegory of the number of shares of mutual funds held of acquired. If some or allof the shares of a mutual fund were sold, also indicate the category of the amount of the net gain or loss realized {rom 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 under which the childs listed on the Cover Sheet. 1) MUTUAL FUND ‘Washington Mutual Investors Fund-A. 2 SHARES OF MUTUAL FUND HELD OR ACQUIRED BY Disrouse — Doerennenr cut 3 NUMBER OF SHARES lies niavico tors Liswiosse (J nowro«seo (OF MUTUALFUND D500 To 9.988 (10.000 or MoE. a Net Gann IFsoLD Oner on Dies thaw s5000 E)sscao-se.ss1 C2) si0.c00-szasee [1] s25000-0R mone Onertoss MUTUALFUND Putnam Capital Manager Variable Annuity SHARES OF MUTUAL FUND SHARES OF MUTUAL EU Ores srouse — Coerennenr como NUMBER OF SHARES Cress tan 100 © EJ woto4s9 © [500 109099 11.000 70 4.908 (OF MUTUAL FUND Ci s.000 ro 9.999 10.000 OR [ORE IF SOLD Carer can | 5 cess rman ss.o00 Li ssico0-s0.989 EC) stoano-sza.see [] $25.000-0n MORE Over toss MUTUAL FUND Hartford Leader Annuity HARES OF MUTUAL FUN Sees Or uIRco oS rice Disrouse Dl beeenpenr cnn NUMBER OF SHARES Cites tHan 100 = 1000493 [1] s00 T0999 11.000 10 4,989 OF MUTUAL FUND D1 s.00 70 9.989 10.0000 HERE IF SOLD NET GAIN a can Kites rian ss.000 2) ss.000-s9.999 Ci stoo00-s24.c09 [LJ $25,000-08 MORE NETLoss ‘COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY MUTUAL FUNDS D0 vorarpucaste .as Ethles Commission P.O. 80x 12070 Austin, Texas 78711-2070 (612) 463-5800 _1-800-325.8505 PART 4 List each mutual fund and the number of shares in that mutual fund that you, your spouse, or a dependent child held or ‘acquired during the calendar year and indicate the category of the number of shares of mutual funds held or acquired. If some orallof the shares of a mutual fund were sci, also indicate the category of the amount of the net gain or loss realized {rom the sale. For more information, see FORM PFS~INSTRUCTION GUIDE, When reporting information about a dependent chilt's activity, indicate the child about whom you are reporting by providing the number under which the child is isted on the Cover Sheet 4) MUTUAL FUND Vanguard Funds (TexaSaver 401(k) Plsn) 2 SHARES OF MUTUAL FUND piiieaemeirtiehy Purr Cisrouse — Doerenoenr cup 3 NUMBER OF SHARES Chess Han 100 10070490 [1.00 70 4.028 OF MUTUAL FUND Chee r0980 Cl] 90200R More 4 soo INET GaN Dire oan 179 ess mianssc00 [ss000-s9.099 Cl sio000-sze.ae0 [] s25000-0n wore Der voss MUTUALFUND ‘SHARES OF MUTUAL FUND HELD OR ACQUIRED BY Druer Ospouse — Dotrenoenr cit NUMBER OF SHARES Dltess tian 100 = Ctoto4ve = Eso T0988 ©) 1.000049, OF MUTUAL FUND 5.000 10 9,999 1 10,000 oR MoRE IF SOLD NET GAIN: q Clues rHaw $5000 [1 s.000-89.998 E]s10.000-824.999 []525.000-08 NORE Oner toss MUTUALFUND va SHARES OF MUTUAL FUND 1 HELD ORACOUIRED BY Orner Liseouse — Coerenoenr enue NUMBER OF SHARES Lhicsstiansco Ctooroave E]sootows E}1200 70400 (OF MUTUAL FUND, C5000 10.9809 10.000 of more: IF SOLD Cher can Dnerioss C)tess THaw 58000 1 s5000-38.999 Csi0.000-se490e [2] s26.000-08 wore ‘COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711 2973 (612) 483-5800 _ 1-800-925-8505, INCOME FROM INTEREST, DIVIDENDS, ROYALTIES & RENTS part 5 ! Cl norappucaste List each source of income you, your spouse, of a dependent child received in excess of $500 that was derived fram interest, dividends, royalties, and rents during the calendar year and indicate the category of the amount of the incomBor more information, see FORM PFS—INSTRUCTION GUIDE, ‘When ‘eporting information about a dependent child's activity , indicate the chid about wham you are reporting by providing the number under which the child is listed on the Cover Sheet ‘SOURCE OF INCOME T eres | Farmers State Bank, P. ©. Box 352, Center, Texas 75935 ? RECEIVED BY Drnee SPOUSE [i oePenoent cH 2 “AMOUNT ss00-s4g0e i} ss020-seuey 1] sroo00-so4an0 [) s25.000-0n MORE SOURCE OF INCOME First Bank & Trust East Texas, P.O. Box 1200, Pineland, TX 75968 RECEIVED BY Fue spouse Coerenoenr eno ‘AMOUNT sso0-s19s0 [1] ss.00-se.on ([] s10.000-824.99 1} $25,000-0R MORE 3 SADDER Sarah Jane Mitchell, 1125 East Austin, Nacogdoches, TX 75965 ‘SOURCE OF INCOME RECEIVED BY rier sPouse (Cloerenoent cto AMOUNT TD s500-s4,999 8.000-s9.08¢ [7] $10,000-s24,999 [) $25,000-OR MORE COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY ‘exas Ethics Commission P.O Box 12070 ‘Austin, Texas 78711-2070 (512) 483.5800 _ 1-800-325-8506 PERSONAL NOTES AND LEASE AGREEMENTS PART 6 O NorarPucAsLe Identify each guarantor of a toan and each person or financial institution to whom you, your spouse, or a dependent child had a total financial liability of more than $1,000 in the form of a personal note or notes or lease agreement at any time during the calendar year and indicate the category of the amount of the liabilitfor more informa- tion, see FORM PFS--INSTRUCTION GUIDE. ‘When reporting information about a dependent child's activity ., indicate the child about whom you are reporting by providing the number under which the child is listed on the Cover Sheet. 7 PERSON OR INSTITUTION sles and Barbora Mi FOLDING Noe On | Charles and Barbora Mitchell | LEASE AGREEMENT 2 LIABILITY OF Corner (Csrouse EPENDENT cHLD —_! 3 GUARANTOR AMOUNT Ds1.000-s4 208 000-3980 C}s.c00-s24.292 (]s2s 000-08 more PERSON OR INSTITUTION 1 East Texas PERSON OR INSTIT First Bank & Trust East T LEASE AGREEMENT LIABILITY OF Coerenoenr crito GUARANTOR ‘AMOUNT Cs1.000-ss.998 2) ss.000-s9.999 [])s10.000-s24.209 PERSON OR INSTITUTION HOLDING NOTE OR, LEASE AGREEMENT LIABILITY OF Cree Csrouse (Dozrenoenr cio GUARANTOR ‘AMOUNT Lsi000-se999 — Epss.o00-s9.099 ]si0.000-s24.909 [[]s25.000-.0R MORE COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY “Texas Etnies Commission POBox 12070 INTERESTS IN REAL PROPERTY part 7A 1D norappucaste Austin, Texas 78711-2070 (512) 463-5800__ 1-800-325-8508, | Describe all beneficial interests in real property held or acquired by you, your spouse, or a dependent child during the calendar year Ifthe interest was sold, also indicate the category of the amount ofthe nel gain orloss 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 by ‘providing the number under which the child is isted on the Cover Sheet. SPOUSE D oer enoenr cru ‘ HELD OR ACQUIRED BY 2 STREETADORESS, {REET OORESE Ne.L 1 COUNT NO TATE Cwioravanasce RE Son. Augustine, TX 75972 (CHECK IF FILER'S HOME ADDRESS 3 DESCRI TOREEROF LETS ONAGRES A >) 377 E* COUNTY WERE LOCATED Two San Augustine Diecres * NAMES OF PERSONS RETAINING AN INTEREST Nov aprucaaLe (SEVERED MINERAL INTEREST) * iF solo ser caus Ci tesstHanss.o00 [1)s5.000-s9,09¢ [[]s10,000--s24,909 [] s25,000-oR WORE Drersoss HELD OR ACQUIRED BY sPouse Cl oerenvenr cto 1125 East Austin, Nacogdoches, TX 75965 ‘STREETADDRESS Clnoravanasce El cxeck if eens Home apoRess TROIEER OF OTE ON AGREE "139. 8 F COUNTY WHERE LOEATEO DESCRIPTION ors One Nacogdoches Doscees NAMES OF PERSONS RETAINING AN INTEREST NOT APPUCKELE SEVERED WNERALINTEREST) iF SoLD Livercan Ceces meen ssc00 Cssono-sose2 Csaonteasee C1 saoos-on wore Coverioss, COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Texas Ethics Commission __ 0.89% 12070. Texas 7871-2070 __(512)463:5800_ 1-800-526-8506 INTERESTS IN BUSINESS ENTITIES ParT 7B. TD notarpucante Describe all beneficial interests in business entities held or acquired by you, your spouse, or@ dependent chi during the calendar year. Ifthe interest was sold, also indicate the category of the amount of the net gain or loss realized from the sale. For an explanation of "beneficial interest" and ther spectic directions for completing this section, see FORM PFS INSTRUCTION GUIDE. When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which the child is isd on the Cover Sheet * HELD OR ACQUIRED BY ‘SPOUSE bePenpenT cHitp —_! z atmos DESCRIPTION (Check i Fars Home Address) R. Mitchell Family Limited Partnership, 310 B. Main, San Augustine, TX 78972 3 iF soLD Dneroan Hess ian 55.000 1) s5.000-s998 C si0.000-s26999 C] s25000-0F woRE ner toss HELD OR ACQUIRED BY Orner Osrouse Cl berenoenr chito DESCRIPTION ome Fie ne assem IF SOLD CO ner can Dees rsanss.000 [2 ss000-85559 1) s10.000.824.999 C1 $25,000-08 MORE Cnervoss HELD OR ACQUIRED BY Oruse OD seouse Cloerenoenr orto DESCRIPTION Cictectn Pere tome ares) IF SOLD ner can Cites ria 5.000 Ci ssor0-sa.9se CJ s1e.c00-s26e08 [1 s25.000-0R WORE Onertoss COPY AND ATTAGH ADDITIONAL PAGES AS NECESSARY “Texas Ethics Commission P.O..Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 GIFTS PART 8 Identify any person or organization that has given a git worth more than $250 o you, your spouse, or adependent child, and describe the gift. Do not include: 1) expenditures required to be reported by a person required to be registered as a lobbyist under chapter 305 of the Government Code: 2) political contributions reported as required by law, or 3) gifts given by a person related to the recipient within the second degree by consanguinity or affinty. For more information, see FORM PFS- INSTRUCTION GUIDE. When reporting information about a dependent child's aciviy, indicate the child about whom you are reporting by providing the number under which the child is listed on the Cover Sheet. 7 DONOR 2 RECIPIENT Crner Osrouse Closrenoenr chive 7 DESCRIPTION OF GIFT DONOR RECIPIENT Orner Oseouse Loerenoanr cro DESCRIPTION OF GIFT DONOR RECIPIENT Oruer Dsrouse Dloerenvenr co DESCRIPTION OF GIFT COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY ‘Texas Ethics Commission P.O, Box 12070 Aust Texas 78711-2070 (512)463-5800__ 1-800-325-6506 TRUST INCOME NOTAPPLICABLE PART 9 Identify each source of income received by you, your spouse, or a dependent child as beneficiary ofa trust and indicate the ‘category of the amount of income received. Also identity each asset ofthe trust from which the beneficiary received more than $500 in income, ifthe identity ofthe asset is known. For more information, see FORM PFS~INSTRUCTION GUIDE. ‘When feporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which the chid is istad on the Cover Sheet + SOURCE 2 BENEFICIARY Orner Osrouse Cloerenoenr chito 3 INCOME, Ditess than s5,000 (]ss.000-s9.298 [] s10,000-$24,088 | ([]s25,000-0R MORE * ASSETS FROM WHICH OVER $500 WAS RECEIVED { Dhuweown Ta OFT SOURCE BENEFICIARY Orner Osrouse (DEPENDENT crHiLo INCOME tess raw ss.000 [] s5.000-s9.999 []s10.000-s24,999 [[]s25.000-0R MORE ASSETS FROM WHICH OVER $500 WAS RECEIVED Dovnnony SOURCE BENEFICIARY Orner Osrouse Dloerenoenr crn INCOME Bless risan sscco [1] ss.000-secce []sto000-s24.909 []s25000-on HORE ASSETS FROM WHICH OVER $500 WAS RECEIVED Qunanown t COPY ‘AND ATTACH ADDITIONAL PAGES AS NECESSARY “Texas Ethics Commission P.O. 80x 12070 Austin, Texas 78711-7370 (612) 483-5800 _ 1-800-328-8508 BLIND TRUSTS PART 10A, NOTAPPUCABLE Identity each blind trust that complies with section $72,023(c) of he Government Code. See FORM PFS-INSTRUGTION GUIDE ‘When reporting information about a dependent chile's activity, indicate the child about whom you are reporting by providing the number under which the childs listed on the Cover Sheet. 1 NAME OF TRUST 2 TRUSTEE we “se )> Benericary Cruse ee “ FAIRMARKET VALUE Thess mianssono [Eks000-sue50 (]sioano-so¢so0 sos n0-on wore 5 ‘DATECREATED | NAME OF TRUST | ‘TRUSTEE a FAIR MARKET VALUE [hess rie ss.c00 [ips.0c0-sa.eee [l]st0.000-824,058 1] $25.000-0n MORE DATE CREATED —_ - NAME OF TRUST ‘TRUSTEE - FAIR MARKET VALUE [tess ian 5.000 [ps 000-s9.009 Lisete sun Cssino-ce none | DATE CREATED COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY ‘Texas Ethics Commission P.O. Box 12070, Austin, Texas 78711-2070 (612)463-5800__ 1-800-325-8608, TRUSTEE STATEMENT Part 10B NOTAPPUCABLE An individual who is required to identity a blind trust on Part 10A of the Personal Financial Statement must submit a statement signed by the trustee of each blind trust listed on Part 10A, The portions of section 572,023 of the Government Code that relate to blind trusts are listed below, 4 NAME OF TRUST 2 TRUSTEE NAME 3 FILER ONWHOSE “ae BEHALE STATEMENT ISBEING FILED | 4 TRUSTEE STATEMENT | affirm, under penelty of perjury, that Ihave not revealed any information to the beneficiary ofthis trust except information that may be disclosed under eaction 872.023 (b\(8) of the Government Code and that to she best of my knowledge, the trust complies with section 572.023 of the Government Code. Trustee Signature '§ 572.023. Contents of Financial Statement in General (b) The account of financial activity consists of (6) identification ofthe source and the category ofthe 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, i known tothe beneficiary, from which income was received by the beneficiary in excess of $500; (14) identification of each blind trust that complies with Subsection (c), including {A) the category ofthe fair market value of the trust () the date the trust was created: (C)the name and address ofthe trustee; and (0)2 statement signed by the trustee, under penalty of perury, stating that: (the trustee has not revealed any information othe individual, except information that may be disclosed under Subdivision (8); and (ito the best of the trustee's knowiedge, the trust complies with this section. (c) For purposes of Subsections (b)(8) and (14), a blind trusts a trust as to which (a) the trustee (A)is a disinterested party (8) is not the individual: (C)is not required to register as a lobbyist under Chapter 305; (0)is not a public officer or public employee; and (E) was not appointed to public ofice by the individual or by a public officer or public employee the individual supervises; and (2) the trustee has complete discretion to manage the trust, including the power to dispose of and acquire trust assets without consulting or notifying the individual (4) Ia blind trust under Subsection (c) is revoked while the individual is subject to this subchapter, the individual must file an ‘amendment the individual's most recent financial statement, 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 Li Norarpucaste P.0. Box 12070 Austin, Texas 78711-2070. ASSETS OF BUSINESS ASSOCIATIONS (612) 463-5800 __ 1-800-325-8606 part 11A ‘When reporting information about a dependent child's activity providing the number under which the child is sted on the Cover Sheet Describe all assets of each corporation, firm, partnership, limited partnership, limited liabilly partnership, professional | corporation, professional association, joint venture, or other business association in which you, your spouse, or a depen| ent child held, acquired, or sold 50 percent or more of the outstanding ownership and indicate the category of the amou| ofthe assets. For more informationsee FORM PFS-INSTRUCTION GUIDE, indicate the child about whom you are reporting by * Business ‘ASSOCIATION (chace 1 Fes Free Aces) €.R Michell Family Limited Partoership I Sen Augustine, Texas 75972 2 BUSINESS TYPE Limited Partnership 3 HELD, ACQUIRED, OR SOLD BY FILER * ASSETS 232.2 acres W. N, Lowery & M. A. Polk Surveys, San Augustine Co, and James Lewis Survey, Newton Co, Undivided 1/2 interest in approximately 400 acres San Augustine County Undivided 172 interest in 348.55 mineral acres San Augustine County Undivided 1/2 interest in house/lot and commercial buildings/ot, San Augustine, TX Lots 23 & 24, Block 4 and part imerest in 21 ots, Jackson Hill Subdivision, San Augustine County Cenificate of Deposit at Shelby Savings Bank Cenificate of Deposit at BBVA Compass Bank 2006 Ford F150 Pickup 1 DEPENDENT CHILO | [Tuess TaN $5,000 [sx0.000-524 998 Chiess tan 35.000 [ss0.000-24.999 [tess tan $5,000 (3s10,000-s24.999 Cltess Tuan $5000 Tss0.00-s28 99 Chess tHaw $5,000 Ds10.000-528.998 Tess rian 35.000 s10.000-so4.e08 Cluess than $5,000 Hst0.000-s24,099 Chess tian $5,000 Os10.000.-s2¢, 998 Css000-s8 999 $25.000-08 MORE [ss.000-89 999 $25,000-0R MORE Diss c00. $9 90 $25,000-0R MORE Css.000-so.00 s25,000-08 MORE ss.000.s9,999 s25,000-08 MORE Os5,000-s9.298 $25,000-0R MORE (ss.000-89.999 1s25,000-0F MORE $5,000-89.989 s25,000.08 mone: ‘COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY “Texas Ethics Commission P.O.B0x 12070 __Austin, Texas 78711-2070 (512) 499-6000_ 1-800-326-8506 ASSETS OF BUSINESS ASSOCIATIONS PART 11A Dl norareucanie Describe all assets of each corporation, fim, partnership, limited partnership, limited liabilty partnership, professional corporation, professional association, joint venture, or other business association in which you, your spouse, or @ depen dent child held, acquired, or sold 50 percent or more of the outstanding ownership and indicate the category of the amou of the assets, For more informationsee FORM PFS-INSTRUCTION GUIDE ‘When reporting information about a dependent child's activity indicate the child about whom you are reporting by providing the number under which the child is listed on the Cover Sheet. * BUSINESS (onc Fle Hore Aes) ASSOCIATION C.R, Mitchell Family Limited Partnership, KEI San Augustine, TX 75972 ? BUSINESS TYPE Limited Partnership 3 HELD, ACQUIRED, “ ev eto Fur [SPOUSE JOEPENDENT CHILD + Asses ceseRenON ereconw 2009 Jeep (Chess maw ss.co0 [}ss.000-s5.998 Cs25.000-08 Mone (tess rian ss.000 [1Js5.000-ss.000 Cstooo0-seace ]szs.000-08 more tess rian $5,000 [}ss.000-ss.988 Disi0000-s2«.009 [1]s25.000.0R MORE Cites than $5,000 []s5,000.-s9.999 Lsi0000-s24960 C)sz25.000-on wore Ditess ian ss.oco C)ss.000-s9.999 Dsie;o00-s2ao09 [}s2s,000-0n mone Ditess tian s5,000 C])s5.000-52,999 Lisie;o00-s248e2 © C)s25.000-08 MORE Lites Han ss,000 © [[)s5.000--89,999 [sx0.000-824,089 []}s2s.c00-on Mone ess rian ss.0c0 [ss.000-so.090 (Cs10,000-s24.060 ([}s25.000-0n woRE ‘COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY ‘Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 493-5000 _+800.525-8605 LIABILITIES OF BUSINESS ASSOCIATIONS PART 11B notappuicanie Describe al labilies of each corporation fim, parnership,Imied partnership. lnted fabilty partnership, profession | corporation, professional association, jin venture, or other business association in which you, your spouse, or a dope | dent child held, acquired, or sold 50 percent or more ofthe outstanding ownership and indicate the category of the amou ofthe assets. For more informationsoe FORM PFS-INSTRUCTION GUIDE. ‘When reporting information about a dependent child's activity _, indicate the child about whom you are reporting by | providing the number under which the child's listed on the Cover Sheet 7 BUSINESS (one Fare more hdres} ASSOCIATION C.R Mitchell Family Limited Parnehip, IMIMMIMMSen Augustine TX 75972 2 BUSINESS TYPE Limited Partnership 3 HELD, ACQUIRED, ” ! HeLo.acau Fuge SPOUSE DEPENDENT CHD * apiTEs cy careconr ‘Note payable to BBVA Compass Bank Thess rian ss.000 Ci ss000-s0 090 Cs10.000.-s24.988 | $25,000-0R MORE Nowe pyabiee Shey Savings Bank Ciess min ss200 LC) ssoo-sn0i0 Ois10,000-s24,992 [2] s25.000-0n More Dleess man 55.000 O)s5,000-s9 898 Osi.000-s24,908 O)s25.000-0n more Dees maw ss.000 D)s5,000-s5 09 Ti s:0.000-s24,902 C)sosoa0-on Mone | Guess man 35.000 C)ss.000-s9:909 sro se4se0 Osesoxo-on one: | Dies man 55.000 O)ss.000-s2.992 OD stoo00-s24.000 C)s2s.000-0R moRE hess tian s5.000 C)ss.000-89.986 Disio.000-s26.98 O)s2s.000-0n more Ditess ran $5,000 [7] $5,000--s3.999 Dst0,000-824.999 [1] s28,000.0R MORE ‘COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY “Texas Ethics Commission P.O, Box 12070 Austin, Texas 76711-2070 (512)493-5800 __ 1-800-525-8500 BOARDS AND EXECUTIVE POSITIONS PART 12 Dl notappucante List allboards of directors of which you, your spouse, or a dependent child are a member and all executive postions you, your spouse, or a dependent child holdin corporations, firms, partnerships, limited partnerships, limited iabilty partner- ships, professional corporations, professional associations, joint ventures, other business associations, or proprietorships stating the name ofthe 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, + ORGANIZATION C.R. Mitchell Family Limited Partnership 2 POSITION HELD General Partner * POSITION HELD BY ORGANIZATION Burke Center POSITION HELD SPOUSE (Coerenvenr cro FILER Trustee POSITION HELD BY Fer Disrouse Coeeenoenr cro ORGANIZATION POSITION HELD POSITION HELD BY Oruer Dsrouse Dhoerenoenr oxi L — = ORGANIZATION POSITION HELD POSITION HELD BY Crier Disrouse Clocrenoewt erno ORGANIZATION | POSITION HELD —_ POSITION HELD BY Orter Dseouse Cloeeenvenr chino COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY ‘Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (612) 483-800 _ 1-800-325-8508 EXPENSES ACCEPTED UNDER HONORARIUM EXCEPTION ParT 13 Identiy any person who provided you with necessary transportation, meals, orlodging, as permitted under section 36 07(b) ofthe Penal Code, in connection wth a conference or similar evertin which you rendered services, such as addressing an audience or participating in a seminar, that were more than perfunctory. Also provide the amount ofthe expenditures on transportation, meals, orlodging, You are not required to include items you have already reported as politica contributions ona campaign finance repo, or expenditures required to be reported by a lobbyist under the lobby law (chapter 305 ofthe Government Code). For more information, see FORM PFS~INSTRUCTION GUIDE 7 Tei ONSEN PROVIDER 2 ~ |? AMouNT PROVIDER uve ano sOORESS AMOUNT PROVIDER t | AmounT PROVIDER ° | AMOUNT COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY ‘Texas Ethics Commission _ NOTAPPLICABLE P.O. B0x 12070 ‘Austin, Texas 78711-2070 (512) 463-5600 INTEREST IN BUSINESS IN COMMON WITH LOBBYIST 4-800-325-8508 parT 14 Identify each corporation, firm, partnership, imited partnership, Imited lability partnership, professional corporation, protes- sional association, joint venture, or other business association, other than a publicly-held corporation, in which you, your spouse, ora dependent child, and a person registered as a lobbyist under chapter 305 of the Government Code that both have aninterest, For more information, see FORM PFS~INSTRUCTION GUIDE * BUSINESS ENTITY megs 2 INTERESTHELD BY Crner DO srouse Cloerenoent chin —__ BUSINESS ENTITY renee INTEREST HELD BY Orter Cisrouse — Cloerenoent cup —__ | BUSINESS ENTITY mM mo INTEREST HELD BY Oruer CO seouse CD oerenvent cio —__ BUSINESS ENTITY sausncaconess INTEREST HELD BY Cruse Dseouse — Chosrenoenr cro __ BUSINESS ENTITY fewemprconsss INTEREST HELD BY Omer Cisrouse, — Dl osrenoenr cnt COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY ‘Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (612) 463-5800_1-800.325-8508, FEES RECEIVED FOR SERVICES RENDERED part 15 TO ALOBBYIST OR LOBBYIST'S EMPLOYER NOTAPPUCABLE, 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 behaff ofa person you actually know directly compen sates or reimburses a person required to be registeredas a lobbyist. Report the name of each person or entity for which the services were provided, and indicate the category of the amount of each fee For more information, see FORM PFS~ INSTRUCTIONGUIDE, * PERSON OR ENTITY FOR WHOM SERVICES, WERE PROVIDED. | FEE CATEGORY Likes ninwssc00 C)ssoon-ssane Cseom-sa.ser Csoan-on wore PERSON OR ENTITY FOR WHOM SERVICES. WERE PROVIDED FEE CATEGORY Ctess tian s3.000 C1 ss000-s9609 Csi0.900-s24.990 C]s25 000-08 mone T PERSON OR ENTITY | FOR WHOM SERVICES WERE PROVIDED FEE GATEGORY Clues rian s.cc0 []ss.o00-se.200 []s10.000-824.900 [25 000-08 Mone PERSON OR ENTITY FOR WHOM SERVICES, WERE PROVIDED FEE CATEGORY [tess riaw ss.000 [1] sso0-so.2e0 []st0.on0-824.999 [$25 000-08 MoRE PERSON OR ENTITY FOR WHOM SERVICES. WERE PROVIDED FEE CATEGORY Diese man sso Cisso0o-sse00 []steaco.s24050 [sas an0-or wore PERSON OR ENTITY FOR WHOM SERVICES WERE PROVIDED FEE CATEGORY Css niaw ss.000 Ci) s5.000-s9:900 C]s10.000-824.099 [1] s26.000-oR wore COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY TerasEmesCommission __P0.Box 12070 __Austn Texas 767-2070 ___1)460-5800__1-000:26.8608 REPRESENTATION BY LEGISLATOR BEFORE part 16 STATE AGENCY This section applies only to members of the Texas Legislature. Amember ofthe 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 for compensation, represent another person before a state | agency inne executive branch’ The prohibition does not apply i (1) the representation is pursuant to an attorney/client relationship ina criminal aw matter, (2) the representation involves te fing of documents that vovve only ministerial acts on the par of the agency; of (3) the representation is in regard to a matter for which the legislator was hired before September 1, 2003, STATE AGENCY 2 PERSON REPRESENTED z FEE CATEGORY Cheese rin sso0 (C)ss000-s9ae9 C]sioo0o-szeoe0 [325 000-07 wore STATE AGENCY PERSON REPRESENTED FEE CATEGORY [ihtess rian 36.000 [] s5.000-s0.909 [7] s10.000.s26.99 [1] s26,000-0n MORE. STATE AGENCY PERSON REPRESENTED FEE CATEGORY [tess raw $5000 [1] s5.000-89.099 []sto000-s24.s09 [[]s26.000~0R wore STATE AGENCY PERSON REPRESENTED FEE CATEGORY Ditess tan s5.000 C1)s5,000-s0,se2 [1] s10.000-s2«,o09 [1] s25.000-0n Mone COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY ‘Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800__ 1-800-325-8506 BENEFITS DERIVED FROM FUNCTIONS HONORING PART 17 PUBLIC SERVANT NOTAPPUCABLE ‘Section 36.10 of the Pena! Code provides that the gift prohibitions set out in section 36.08 of the Penal Code do not apply toa benefit derived from a function in honor or appreciation of a public servant required to flea statement under chapter 572 ofthe Government Code or tlle 15 of the Election Code ithe benef and the source of any benefit over $50 in vaiue are: 1) reported in the statement and 2) the benef is used solely to defray expenses thal accrue in the performance of duties or activities in connection withthe office which are nonreimbursable by the stale or a political subdivision. If such abenefitis received and isnot reported by the public servant under tile 15 of the Election Code, the benefitis reportable here. For more information, see FORM PFS-INSTRUCTION GUIDE, * SOURCE OF BENEFIT 2 BENEFIT Wie BOWERS SOURCE OF BENEFIT BENEFIT SOURCE OF BENEFIT BENEFIT SOURCE OF BENEFIT BENEFIT COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY ‘Texas Ethics Commission P.O. Box 12070 _ Austin, Texas 78711-2070 (512) 463.6800 1.800:325.8606 LEGISLATIVE CONTINUANCES PART 18 Identity any legisttive continuance that you have applied for or obtained under section 30.003 ofthe Civil Practice and Remedies Code, of 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 memnter or member-elect ofthe legislature. * NAME OF PARTY REPRESENTED 2 DATE RETAINED * STYLE, CAUSE NUMBER, COURT 8 JURISDICTION DATE OF CONTINUANCE APPLICATION 5 WAS CONTINUANCE GRANTED? Oves NAME OF PARTY REPRESENTED DATE RETAINED STYLE, CAUSE NUMBER, COURT, & JURISDICTION DATE OF CONTINUANCE APPLICATION WAS CONTINUANCE. GRANTED? Oves Ono COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY Texas Ethics Commission P.O. Box 12070 Austin, Texas 78791-2070 4812)483-5800 __ 1-600-925-8506 PERSONAL FINANCIAL STATEMENT AFFIDAVIT ‘The law requires the personal financial statement to be verified. The verification page must have the signature of the individual required to file the personal inancial statement, as well as the signature and stamp or seat of office of a notary public or other person authorized by law to administer oaths and affirmations. Without proper verification, the statement isnot considered filed. \ swear, or affirm, under penalty of perjury, that this financial statement | ‘covers calendar year ending December 31, 2009, and is true and correct and includes al information required to be reported by me under chapter ‘Signature of Filer AEFUC NOTARY STAMP / SEAL ABOVE « sone ara vtacona vtre on oy ne sna Clerlr RL IM. 5 00 2EE ooo adenkar 2062 .. to certify which, witness my hand and seal of office. gu tno e potary Sang he ences insane ote en Ter efete steamy CHARLES R. MITCHELL SABINE ‘STRICT JUDGE 202 COURTHOUSE ‘SAN AUGUSTINE 273RD JUDICIAL DISTRICT SAN AUGUSTINE, TEXAS 75972 wo > (936) 275-9634 sHELEY Senuay, 25, 2010 counties RECEIVED JAN 2 8 2010 Texas Ethics Commission Texas Ethics Commisston P, 0. Box 12070 Rustin, TX 78711-2070 CERTIFIED MAIL RRR#_7097 3220 000| 3486 2583 Re: Personal Financial Statement Dear Sir or Madam: Enclosed Please find an original and a copy of my Personal Financial Statement for the calendar year ending December 31, 20__. Please file the original, file stamp the copy and return the file stamped copy to me in the envelope provided. Thank you very much for your assistance. Yours very truly, LL MLA, cRM:erm Enclosure

You might also like