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Financial Disclosure — Ted Cruz, New Employee and Candidate Report (2012)

United States Senate · July 9, 2012

A United States Senate financial disclosure report form for new employees and candidates, detailing reporting requirements for earned income, liabilities, and publicly traded assets under the Ethics in Government Act of 1978.

2011 2012 assets candidate ethics financial-disclosure income senate

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REED AE eeeEEE BOOUPA PLFR UNUUOTL , ERIETSPLS UNITED STATES SENATE FINANCIAL DISCLOSURE REPORT FOR NEW EMPLOYEE AND CANDIDATE REPORTS {_] Amendment | : Last Name First Name and MiddleInitial »New Employee Report JO : Oate of Employment (mmiddéyy): Senate Office / Agency in Which Employed (res z Racner E. Ce) Senate/Candidate Office Address (Number, Street, City, State, and ZIP ) Senate/Candidate Office Telephone No. Candidate Report . oy? : fs H\s A Bea403 \ fm(> S350 Commencementofaely State in which you are a candidate Candidate Reporting Period Avstiy, Tx F<FO! Stl- 637-¢497 tral Texas ZO \\ AFTER READING THE INSTRUCTIONS - ANSWER EACH OF THESE QUESTIONS L ves | No Did you or your spouse have earned income(e.g., salaries or fees) or non- investment income of more than $200 from any reportable sourcein the J reporting period? If Yes, Complete and Attach PARTII. { ves | No Did you hold any reportable positions during the reporting period? Y lf Yes, Complete and Attach PARTVIII. Did you, your spouse, or dependentchild hold any reportable asset worth more than $1,000 at the end of the period or receive unearned Did you have any reportable agreement or arrangement with an outside i i ? or investment income of more than $200in the reporting period? entity on thefiling date? if Yes, Complete and Attach PART IIA and/orIIIB. if Yes, Complete and Attach PART IX. Did you, your spouse, or dependentchild have any reportableliability (more than $10,000) during the reporting period? V \f Yes, Complete and Attach PARTVII. Did you receive compensation of more than $5,000 from a single source in J the two prior years? If Yes, Complete and Attach PART X. Each question must be answered and the appropriate PART attached for each “YES” response. File this report and any amendments with the Secretary of the Senate, Office of Public Records, Room 232, Hart Senate Office Building, U.S. Senate, Washington, DC 20510. $200 Penalty forfiling more than 30 days after due date. This Financial Disclosure Statementis required by the Ethics in Government Act of 1978, as amended. The statement will be okeeeUSEONLY madeavailable by the Office of the Secretary of the Senate to any requesting person upon written application and will be ————— reviewed by the Select Committee on Ethics. Any individual who knowingly andwillfully falsifies, or who knowingly andwillfully fails to file this report may be subject to civil and criminal sanctions. (See 5 U.S.C. app. 4, § 104, and 18 U.S.C. § 1001.) Certification ! CERTIFYthat the statements | have madeon this form andall attached schedulesare true, complete and correctto the best of my knowledge and belief. For Official Use Only - Do Not Write Below This Line ° = It is the Opinion ofthe revi that Signature of Reviewing Official Date (Month, Day, Year) the statements madein this form are in compliance with Title | of the ekd 21 12) HL 36 ABVLIYIIS Nl BAWNSS | Ethics in GovemmentAct. aly a es es
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ARGAAHSIOLRES Reporting Individual’s Name ee ee ee 1 Amendment PARTIl. EARNED AND NON-INVESTMENT INCOME Page Number 2 Report the source (name and address), type, and amount of earned incometo you from any source aggregating $200 or more during the reporting period. For your spouse, report the source (name and address) and type of earned income which aggregate $1,000 or more during the reporting period. No amountneedsto be specified for your spouse. (See p.3, CONTENTS OF REPORTSPart ofinstructions.) Do not report income from employment by the U.S. Governmentfor you or your spouse. Individuals not covered by the Honoraria Ban: For you and /or your spouse, report honoraria income received which aggregates $200 or more by exact amount, give the date of, and describe the activity (speech, appearanceorarticle) generating such honoraria payment. Do not include paymentsin lieu of honoraria reported on Part I. Nameof Income Source Address(City, State) Type of Income Amount Example: JP Computers Wash., DC EXAMPLE Salary $15,000 MC! (Spouse) Arlington, VA EXAMPLE Salary Over $1,000 1] Morar Lewis 2 Bocevs LU? Heustow , TX Sncret Qurs Qyvs [$1,893,543 2) Gorman Sacets # C0. (<gouse) WousmRY TK SALant Ouvgsoo 3] Fensenerst Societ 7 WasaiweTe , OX Howaz.a@ium dloa2e 4) Faw WSST ACAPEMT KATY, TX HomaAhiv seo 5 6 7 8 9 10 "1 12 RSE me es kes OL
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GREEREyFs Reporting Individua!'s Name ’ Tero (@pe { (Amendment PARTIIIA. PUBLICLY TRADED ASSETS AND UNEARNED INCOME SOURCES Page Number BLOCK A Identity of Publicly Traded Assets And Unearned Income Sources Report the complete name of each publicly traded asset held by you, your spouse, or your dependentchild, (See p.3, CONTENTS OF REPORTSPart B of instructions) for production of income or investment which: (1) had a value exceeding $1,000 at the close of the reporting period; and/or (2) generated over $200in “unearned” income during the reporting period. Include on this PARTIIIA a complete identification of each public bond, mutual fund, publicly traded partnershipinterest, excepted investment funds, bank accounts, excepted and qualified blind trusts, and publicly traded assets of a retirementplan. BLOCK B Valuation of Assets At the close of reporting period. If None, or less than $1,001, Checkthefirst column. BLOCK C Type and Amountof Income Type of Income Amount of Income None(orless than $1,001) $1,001 - $15,000 $15,001 - $50,000 $100,001 - $250,000 $250,001 - $500,000 $500,001 ~ $1,000,000 Over $1,000,000*** $1,000,001 - $5,000,000 $5,000,001 - $25,000,000 $25,000,001 - $50,000,000 Over $50,000,000 None Rent Interest Capital Gains Excepted Investment Fund Excepted Trust Other (Specify Type) Qualified Blind Trust None(or less than $201) $1,001 - $2,500 $15,001 - $50,000 $50,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000*** $1,000,001 - $5,000,000 Over $5,000,000 $2,501 - $5,000 $5,001 - $15,000 Actua! Amount Required if “Other” Specified IBM Copp.(stock) >] $50,001 - $100,000 >» Dividends >» $201 - $1,000 Example Example Ss, Example: DC, orJ (S) Keystone Fund * Example X Example 1 BEK 2] GSMTX ow | GuvEX £ |__| GIMDY 5 GS Hi¢ 6 Kom 7 Ont ALK ~ 8 ETD 9 Gs ¥ sf| OD x ALK PR LAH LS PK [YS [SK LK x EXEMPTIONTEST(seeinstructions before marking box}: If you omitted any asset because it meets the three-part test for exemption describedin the instructions, please check boxto the right. *** This category applies only if the asset is/was held independently by the spouse or dependentchild. If the asset isAvaseither held bythefiler or jointly held, use the other categoriesof value, as appropriate. LI Vivi mwuaw bUewe LAV
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Reporting a a2 : ae [LrAinediment Teo (aor PART IIIA. PUBLICLY TRADED ASSETS AND UNEARNED INCOME SOURCES Page Number 4 BLOCKA Identity of Publicly Traded Assets And Unearned Income Sources Report the complete nameof each publicly traded asset held by you, your spouse, or your dependentchild, (See p.3, CONTENTS OF REPORTSPart B of Instructions) for production of income or investment which: (1) had a value exceeding $1,000 at the close of the reporting period; and/or (2) generated over $200in “unearned” income during the reporting period. Include on this PARTIIIA a complete identification of each public bond, mutual! fund, publicly traded partnership interest, excepted investment funds, bank accounts, excepted and qualified blind trusts, and publicly traded assets of a retirement plan. BLOCK B Valuation of Assets At the close of reporting period. {f None, or less than $1,001, Checkthefirst column. BLOCK C Type and Amountof Income Type of Income Amountof Income None(or less than $1,001) $1,001 - $15,000 $15,001 - $50,000 $100,001 - $250,000 $250,001 - $500,000 $500,001 - $1,000,000 Over $1,000,000*** $1,000,001 - $5,000,000 $5,000,001 - $25,000,000 $25,000,001 - $50,000,000 Over $50,000,000 None Rent Interest Capital Gains Excepted Investment Fund Excepted Trust Qualified Blind Trust Other (Specify| Type} None(orless than $201) $201 - $1,000 $1,001 - $2,500 $2,501 - $5,000 $5,001 - $15,000 $15,001 - $50,000 $50,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000*** $1,000,001 - $5,000,000 Over $5,000,000 Actual Amount Required if “Other” Specified S, IBM Corp. (stock) Example: DC, as d ><] $50,001 - $100,000 | Dividends * Example Example or J (S) Keystone Fund ~ Example Example 1 CVX x« A 2 -T w || ostT% 4 _| GSIUX a | McD 6 G G cS 7 kD ALK) K fe 1K K w* é Pre ms Q Mset x w 10 | vz % KK PK [LR LRP K LK KL PK EXEMPTION TEST(seeinstructions before marking box) If you omitted any asset becauseit meets the three-part test for exemption describedin the instructions, please check box to the right. “** This category applies onlyif the assetis/was held independently by the spouse or dependentchild. If the asset isAwaseither held by thefiler or jointly hetd, use the other categories of value, as appropriate LI
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ant . Reporting individual'sName “ [7] Amendment TED CQUR PARTII1A. PUBLICLY TRADED ASSETS AND UNEARNED INCOME SOURCES Page Number Ss BLOCK A BLOCK B BLOCK C Identity of Publicly Traded Assets Valuation of Assets Type and Amountof Income And Unearned Income Sources At the closeof reporting period. If None, or less than $1,001, Report the complete nameof each publicly Checkthe first column traded assetheld by you, your spouse,or Type of Income Amountof Income your dependent child, (See p.3, CONTENTS OF REPORTSPart B of Instructions) for production of income or investment which: (1) had a vatue exceeding $1,000 at the closeof the reporting period; and/or (2} generated over $200in “unearned” income during the reporting period. Include on this PART IIIA a complete identification of each public bond, mutual fund, publicly traded partnership interest, excepted investment funds, bank accounts, excepted and qualified blind trusts, and publicly traded assets of a retirement plan. Other {Specify| Type) None(or less than $1,001) $1,001 - $15,000 $15,001 - $50,000 $5,000,001 - $25,000,000 $500,001 - $1,000,000 $25,000,001 - $50,000,000 Over $50,000,000 Excepted Investment Fund None(or less than $201) Over $1,000,000*** $1,000,001 - $5,000,000 $100,001 - $1,000,000 Over $1,000,000*** $50,001 - $100,000 $1 $100,001 - $250,000 $250,001 - $500,000 None Dividends Rent Interest Capital Gains Excepted Trust Qualified Blind Trust $1,001 - $2,500 $2,501 - $5,000 $5,001 - $15,000 $15,001 - $50,000 $50,001 - $100,000 000,001 - $5,000,000 Actual Amount Required if “Other” Specified Over $5,000,000 J $201 - $1,000 * * Ss, {BM Corp. (stock, Example Example: OC, sa ) Example x or J (S} Keystone Fund Example X Example K TReM = SAX CSCO Bac | | [XK CSA KIK[ATRIK KIK [XK [KK XK DKT MOL Rot TRA CGpeowe)Gingx x x “Ix 8 Snwie of Anse Sos x % Xx 9 AMBLICAY Exetees Suns] 1X x x 10 L LMC Diet Sauwes Xx X x EXEMPTIONTEST(seeinstructions before marking box): If you omitted any asset becauseit meets the three-part test for exemption described in the instructions, please check boxto theright. *** This category applies onlyif the asset is/was held independently by the spouse or dependentchild. If the assetis/waseither held bythefiler orjointly held, use the other categories of value, as appropriate. LI
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Ft Ss ii Feeporting Individual’sName ani Amendment Page Number ead Cove PART IIIA. PUBLICLY TRADED ASSETS AND UNEARNED INCOME SOURCES G BLOCK A BLOCK B BLOCK C Identity of Publicly Traded Assets And Unearned Income Sources Report the complete nameof each publicly traded asset held by you, your spouse,or your dependentchild, (See p.3, CONTENTS OF REPORTSPart B of Instructions) for production of income or investment which: (1) had a value exceeding $1,000 at the close of the reporting period; and/or (2) generated over $200in “unearned” incomeduring the reporting period. Include on this PART IIIA a complete identification of each public bond, mutual fund, publicly traded partnershipinterest, excepted investment funds, bank accounts, excepted and qualified blind trusts, and publicly traded assets of a retirement plan. Valuation of Assets At the close of reporting period. If None, orless than $1,001, Check thefirst column. Type and Amountof Income Type of Income Amountof Income None(or less than $1,001) $1,001 - $15,000 $15,001 - $50,000 $50,001 - $100,000 $100,001 - $250,000 $250,001 - $500,000 $500,001 ~ $1,000,000 Over $1,000,000*** $1,000,001 - $5,000,000 $5,000,001 - $25,000,000 $25,000,001 - $50,000,000 Over $50,000,000 None Rent Interest Capital Gains Excepted Investment Fund Excepted Trust Other (Specify Type) None(orless than $201) $201 - $1,000 $100,001 - $1,000,000 Qualified Blind Trust $1,001 - $2,500 $2,501 - $5,000 $5,001 - $15,000 $15,001 - $50,000 $50,001 - $100,000 Over $1,000,000*** Actual Amount Required if “Other” Specified $1,000,001 - $5,000,000 Over $5,000,000 5, IBM Corp. (stock) Example: DC, pt ) bad >] Dividends bad Example Example orJ (S) Keystone Fund x Example Example 1 VP Mocaun Swrngs 2 Cin bank Savrags Morgan lens 3 \VITHy (rn Cte) 4 G6or% (Yorke) 5 He Aix C4ork) 6 VGSix (4otk) ~ VEORK Cay ke) o Borx Care) KKK TK xR TK [x [x 8 Baveoee Bann HSA A” Xx KIkIx IK TARTS TM x 1& Dx Se Buncehota 6 FePaTd Sfousé 10 fetforw TARGET OAT 2oxsHOW % Xx x EXEMPTION TEST(see instructions before marking box): \f you omitted any asset becauseit meets the three-part test for exemption describedin the instructions, please check boxto the right. *** This category applies only if the asset is/was held independently by the spouse or dependent chitd. If the asset isAwaseither held by thefiler or jointly held, use the other categories of value, as appropriate. LI Wrmeas Us EY
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Reporting indwduat’s Wartie ry ‘Améndment Ve Cave PARTIIIA. PUBLICLY TRADED ASSETS AND UNEARNED INCOME SOURCES Page Number BLOCK A Identity of Publicly Traded Assets And Unearned Income Sources Report the complete nameof each publicly traded asset held by you, your spouse, or BLOCK B Valuation of Assets At the close of reporting period. If None, or less than $1,001, Check the first column. BLOCK C Type and Amountof Income Type of Income Amountof Income your dependentchild, (See p.3, CONTENTS OF REPORTSPart B of Instructions) for production of income or investment which: (1) had a value exceeding $1,000 at the close of the reporting period; and/or (2) generated over $200 in “unearned” incomeduring the reporting period. Include on this PARTIIIA a complete identification of each public bond, mutual fund, publicly traded partnershipinterest, excepted investment funds, bank accounts, excepted and qualified blind trusts, and publicly traded assets of a retirement plan. None(orless than $1,001) $1,001 - $15,000 $15,001 - $50,000 $100,001 - $250,000 $250,001 - $500,000 $500,001 — $1,000,000 Over $1,000,000°** $1,000,001 - $5,000,000 $5,000,001 - $25,000,000 $25,000,001 - $50,000,000 Over $50,000,000 None Dividends Rent Interest Capital Gains Excepted Investment Fund Excepted Trust Other {Specify Type) $1,000,001 - $5,000,000 None(orless than $201) Over $5,000,000 $201 - $1,000 $100,001 - $1,000,000 Qualified Blind Trust $1,001 - $2,500 $2,501 - $5,000 $5,001 - $15,000 $15,001 - $50,000 $50,001 - $100,000 Over $1,000,000*** Actual Amount Required if “Other” Specified 1BM Corp. (stock) >] $50,001 - $100,000 Fad * Exampie Example Ss, Example: DC, orJ (S) Keystone Fund Pad Example Example = Mk Fortolko UF FipatrTr S242 % I Ny - CASED USAA $24 - Aeesut Clash ACOLESVE USAA STA - Chow™ aS USAA SCI- mop Stave aARR USAA SU1- BacancéD x «ix [* KIK 1K [K [K px KIX | ow ix yx ao o 10 || EXEMPTIONTEST(seeinstructions before marking box): \f you omitted any asset becauseit meets the three-part test for exemption describedin the instructions, please check box to the right. *** This category applies only if the asset isAvas held independently by the spouse or dependentchild. If the asset is/waseither heldby thefiler orjointly held, use the other categories of value, as appropriate. L
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SIE ii of Reporting individual's Name ‘Amendment Tem Cave PARTINB. NON-PUBLICLY TRADED ASSETS AND UNEARNED INCOME SOURCES Page Number & BLOCKA Identity of Non-Publicly Traded Assets and Unearned Income Sources Report the name, address(city, state and description) of eachinterest held by you, your spouse, or your dependentchild (See p.3, CONTENTS OF REPORTSPart B of Instructions) for the production of income or investmentin a non-public trade or business which: (1) had a value exceeding $1,000 at the close of the reporting period; and/or (2) generated over $200 in “unearned” income during the reporting period. Include the above report for each underlying asset, which is not incidental to the trade or business. Publicly traded assets held by non-public entity may be listed on Part IIIA. BLOCK B Valuation of Assets At the close of reporting period. if None,orless than $1,001, Check the first column, BLOCK C Type and Amountof Income Typeof Income Amountof Income None(orless than $1,001) $1,001 - $15,000 $15,001 - $50,000 $50,001 - $100,000 $100,001 - $250,000 $250,001 - $500,000 $500,001 ~ $1,000,000 Over $1,000,000*** $1,000,001 - $5,000,000 $5,000,001 - $25,000,000 $25,000,001 - $50,000,000 Over $50,000,000 None Dividends Rent Excepted investment Fund Interest Capital Gains Excepted Trust Qualified Blind Trust Other (Specify Type) 000,001 - $5,000,000 None(orless than $201) $201 - $1,000 $100,001 - $1,000,000 $1,001 - $2,500 $2,501 - $5,000 $5,001 - $15,000 $15,001 - $50,000 $50,001 - $100,000 Over $1,000,000*** $1 Actual Amount Required if “Other” Specified Over $5,000,000 JP Computer, Software Design, s, Example: DC, Wash DC bd - bd Example Example or J Undeveloped land, Dubuque, lowa “ Example X Example = Rental condo » HeustonTK x 2 Rental house, Aastrtx MokGaw CEWIS - Caset Bacau QentenerT Prar MoRLAm CEWIS- FIRM CAPITA ACCOUNT TExas GES C8NENenwT KCC OUN TT n LOnw WD Ted Choe Fo SENATE on oO of| =XEMPTION TEST(see instructions before marking box). If you omitted any asset because it meets the three-part test for exemption descnbedin the instructions, please check box to the right. ** This category applies only if the asset isAwas held independently by the spouse or dependentchild. If the asset isAvas either held by the filer or jointly held, use the other categories of value, as appropriate. L
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PS Pea Reporting Individuai's Name Te (ave | C1 Amendment PARTVil. LIABILITIES Page Number 1 Category of Amountof Value (x) Report liabilities over $10,000 owed by you, your spouse, or dependentchild (See p.3 o CONTENTS OF REPORTSPart of Instructions), to any one creditor at any time ® o!/sls during the reporting period. Check the highest amount owed during the reporting 3 2 8 8 sisls period. Exclude: (1) Mortgages on your personal residences unless rented;(2) loans 5 © S lololg 8 3 Slt s;s|/e secured by automobiles, household furniture or appliances; and (3)liabilities owed to 2 B g¢ Sislelsiesls 8 > Ss 3 3 certain relativeslisted in Instructions. See Instructions for reporting revolving charge oO 5 = |s/3s 8 s 3 eleleleials accounts. © = E fe/selaiT 1717 |Ssi-/-/s]/8 a = a ’ ' ‘lefele/elelelSsloao eC tsisislelsietelelSie|s g/sisieleigle;sis|s|? N f Credi Add + € Liabitt os|s/s}18/8/8}s/e]o}s6] s ame of Creditor ress ype of Liability SIS/(BIsiSXiBlélalsialeé S, First District Bank Wash., DC Mortgage on undeveloped land 1992 13% 25yrs x EI ;X;/AIM/|PILIE Example: DC, ae ors (J) John Jones Wash., DC Promissory Note 2000 10% on, X/E;X/AI[M/PTLIE 1 | Wes Frrso Mowwres| Pmcas TX Mheeanc& on Centar Metals 72063 [5.05[IS yes. x 2 | US Seva FCO Wasting Tw, DC Moet sed on Rawr flasiy Zosf btal. {S46 xX 3 | Bavic ot AMEMCA Sin Vaces7, CA [Matto nce on Fane Plotary] Zou G[. Boyes. x eRe FM CATLTL AClorwT ‘ | Cnenwe Mew Toa VY Lean Loos ae leurs x E 5 [| CwmBan Mew fodNY livd of Cleo Zot |Fimiry — x GROMawn SACHS Bu. - 6 MNRGIA CoA New JotNI Anehiv Conn 2911 |Purhay A ‘L_] of 9 10| "1 2 EXEMPTION TEST(seeinstructions before marking box): If you omitted any asset becauseit meets the three-part test for exemption described in the instructions, please check boxto the right *** This category applies only if the assetis/was held independently by the spouse or dependentchild. If the asset isAwas either held bythe filer orjointly held, use the other categories of value, as appropnate. [|
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Reporting individual's Name (Amendment Teo Ceve PART Vill. POSITIONS HELD OUTSIDE U.S. GOVERNMENT Page Number 1o held. Exclude: Positions with federal government, religious, social, fraternal, or political entities, and those solely of an honorary nature. Report any positions held by you during the applicable reporting period whether compensatedor not. Positions include, but are not limited to those of an Officer, director, trustee, genera! partner, proprietor, representative, employee, or consultant of any corporation, firm, partnership, or other business enterprise or any non-profit organization or educationalinstitution. Both the year and month must be reported for the period of time that the position was Nameof Organization Address(City, State) Type of Organization Position Held (nor) (more Example: National Assn. of Rock Collectors NY,NY EXAMPLE Non-profit education President 6/91 Present Jones & Smith Hometown, USA EXAMPLE Law Firm Partner 7/96 11 /1X 1] Megan, Lewis *Recaus LLP] tousew, TX Law FEM Gaes ~ ER Slot Fese-a 2 3 4 5 6 7 8 9 10 "1 12 13 Compensation in excess of $200 from any position must be reported in Part Il. LU UL Lit
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Reporting Individual's Name An | C1 Amendment 12D Caet PART X. COMPENSATIONIN EXCESS OF $5,000 PAID BY ONE SOURCE Page Number L( FIRST TIME FILERS ONLY:(Except Candidate Reports - All Candidate Reports Must Include Part X If Applicable) Report sources of compensation received by you or your businessaffiliation for services provided directly by you during the reporting period. This includes the namesofclients and customersof any corporation,firm, partnership, or other business enterprise, or any non-profit organization when youdirectly provided the servicesto the clients and/or customersof the firm that generated a fee or payment of more than $5,000. You need notreport the U.S. Government as a source. Nameof Source Address of Source Brief Description of Duties Example: Jones & Smith Hometown, TX Legal Services EXAMPLE Metro University (chent of Jones & Smith Moneytown, USA Legal Services in connection with university construction EXAMPLE 1] ACE Casu 6xthSs Levine, TX Leta Séeeucés 2) Astea Paneer WHIM IEFo, DE CEB RU FMUCES 3| B. Benn Mapicac Ive, Benrener, fA CSStL SFLU ED 41 Bese eee d/bla Just Bemeae DACONS , Te Lean SER ceS 5| CUA Cocistics Kove w , TX LECAG SEtUCcES 8) Dexe Ire. Covsd Roce, Tx Lea SERVicss | DewsA7 Tremeadevat ort. PA LEGAL SERULCED 8] Dascoce CHicrheews Heaspml Caeus Caasil , TX CEEACL SERULCES EAST Wrraur€ Tour dD ATlow Loktys CHeSil, Tx CESAL SELULCES EMD SéRoro, We, Rocecn wD, MA LEGAL Sauces Feveewer of Stare Mewine fords EveesSS | TK Ls6An. Sequuces FEerS% Ground Vteeaes SPSTEN 1 Mow Tour Sai, PA Lé6n_ SecAuceS ECS Hannes Ine. Cindds en PA Leer SERVUCCES Govc.é Inc. Meovitae View Ca LEeGrc Serviced Ctsovt& SEB BLvec7 CEVEX, FApice LéGac Seas ices
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1 a a = — ReportingI = ‘Aniefidment Tao Chez Page Number PART X. COMPENSATION IN EXCESS OF $5,000 PAID BY ONE SOURCE rae Governmentas a source. FIRST TIME FILERS ONLY:(Except Candidate Reports - All Candidate Reports Must Include Part X If Applicable) Report sources of compensation received by you or your businessaffiliation for services provided directly by you during the reporting period. This includes the namesof clients and customers of any corporation, firm, partnership, or other business enterprise, or .any non-profit organization when youdirectly provided the servicesto the clients and/or customersof the firm that generated a fee or payment of more than $5,000. You need not report the U.S. Nameof Source Addressof Source Brief Description of Duties e \ Jones & Smith Hometown, TX Legal Services EXAMPLE xample: —_——_— - Metro University (client of Jones & Smith Moneytown, USA Legal Services in connection with university construction EXAMPLE 1 HCA Neots , TN LES rc SeULicéS 2] Ac Beet Her, TR, Darers TX Leen Sewuces 3] ewrecnatiansc Falar Co Merlhs TH LEG Sexucés 4) Dur Mweeacs Bgavreer, SC LESACL SALUCES 51 AQ Aetenn CHASE CHicAGo, iu LEEaL Seay ic& S| Cots. wevTH ALB QUMRQAUE, UM CECA SBLVICES 7] EQKeT Fou0s (WT. NeGKE2D | IL CBAC SERUCES 8 Rogpert MNeacre WAnre 63 - Bae@e, FA CEB re. SERVES LITIG ATi 9 NationAu CHAM Care. WASH METIW » DC CRACK Seaices 0) Permern (WC \tasche, FO CLEEne SatuecedssS " Reurnncé KanO ned Pacaoerenia, 7A Léter SeCutces Pr$30c.aTo 12 RGA - Retebucay Cat WaAsniretay , DC LECAL Se@yiceS 13) Seu cu 6EaGER TEL 0-067 Svensk Card, Tx (46 40 Se2uUucesS 4) Sew &m& Flew hrs Ass'n Du FEALO , MT LSE ee SERUCES 18) Sun DONG LN Gone Rigger. G, Brmorvar Cor, ivr CECAL SECMCES be we at
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nine L Teo (tux PART X. COMPENSATIONIN EXCESSOF $5,000 PAID BY ONE SOURCE 1% FIRST TIME FILERS ONLY:(Except Candidate Reports - All Candidate Reports Must include Part X If Applicable) Report sources of compensation received by you or yourbusinessaffiliation for services provided directly by you during the reporting period. This includes the namesof clients and customers of any corporation, firm, partnership, or other business enterprise, or .any non-profit organization when youdirectly provided the servicesto the clients and/or customers of the firm that generated a fee or payment of more than $5,000. You need notreport the U.S. Governmentas a source. Nameof Source Addressof Source Brief Description of Duties Example: Jones & Smith Hometown, TX Legal Services EXAMPLE Metro University (client of Jones & Smith Moneytown, USA Legal Services in connection with university construction EXAMPLE 1) Toveta Meee SueéS TORRAMCE, CA Lecte SetviceS 21 WUAL- Mati Sraees Bentawnee, ASK Lee au Setrves 3 4 5 6 7 8 9 10 1 12 13 14 15 bows. att
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sessosioaze J |r oe Tart wep cedex carbon-neutral envelope shipping mate | A «104 ws 97.10 Express Fz U.S. SENATE: ii SELECT COMMITTEE ON ETHICS HART SENATE BLDG ROOM 220 WASHINGTONDC 20510 {29} 0000000 wt ernenen arrme URESaSaaLOU Hd nin Ao 1 Ewa ' ‘ Afi nea ft HH St Ais becey PinFF Bhs TUE - 10 JUL A2 8005 6346 6049 STANDARD OVERNIGHT) a XC YKNA nourBEA | COU Align bottom of pee!andstick airbill here. __)