2015 pfs christine m. singh.pdf

7/25/2019 2015 PFS Christine M. Singh.pdf

1/6

Texasxag

Ethics

Commission

PERSONAL

P.O.

Box

12070 Austin,Texas 78711-2070

FINANCIAL STATEMENT

(s

(Tpp

1-800-73s-2989)

FORM

PFS

COVER SHEET

Filed in accordance

with chapter

572oIlhe

Government Code.

For filings required in 2015, covering calendar

year

ending December

31

,2014.

Use

FORM PFS--INSTRUCTION GUIDE

when

completing

this form.

TOTAL NUMBER OF PAGES FILED:

e

ACCOUNT

#

t

NRue

NTLE:

FIRSTi MI

(\nrrttrne

rrt

NICKNAMEi LAST; SUFFIX

Si..qh

oFFqE

USE

GIY

a_:

Date

Received

1

2

ADDRESS

ADDRESS

/

Po Box;

APT

/

SUITE

#; clTY; STATET ZIP CoOE

Q

t

S

I

Dor,\

pne^

Driv

e

A..tr,*.,

-TX

'19

t'f

\

J'

M

("r="^

rF

FrLER's

HoME AoDREss)

Receipi #

n

o

HD

/ PM

lAmount

3

teLepHoNr

NUMBER

AREA CODE

PHONE NUMBER: EXTENSION

(9rr

)

t8r,-35tI

Dale

Processed

Date

lmaged

REASON

FOR FILING

STATEMENT

E

cRr.rotoRre

(rNDrcATE

OFFTCE)

0NDTcATE

OFFTCE)

(INDICATE AGENCY)

(rNolcATE

AGENCY)

E

elecreo

oFFrcER

fl

npporrureD

oFFrcER

n

execurvE

HEAD

f}

ronnaen oR RETTRED

JUDGE SITTING

BY ASSIGNMENT

E

srnre

PARTY

cHArR

(INDICATE

PARTY)

M

ornen

(rNDrCATE POSTTTON)

Family members

whose

financial activity

you

are

reporting

(see

instructions).

SPOUSE

DEPENDENT CHILD

1.

2.

3.

ln Parts

'l

through

18,

you

will

disclose

your

financial activity during

the

preceding

calendar

year.

ln Parts

1

through

14,

you

are

required

to

disclose

not only

your

own

financial

activity, but also

that of

your

spouse

or

a

dependent child

(see

instructions).

COPY

AND

ATTACH

ADDITIONAL

PAGES AS

NECESSARY

www.ethics.state.tx.

us

Revised 1013112014


2/6

'

Texas Ethics

Commission

P.O.

Box

12070

Austin,

Texas

7

87

11'207

O

463-5800

PERSONAL

FINANCIAL

STATEM

ENT

On this

page,

indicate any

Parts

of

Form

PFS

that

are

not

applicable

to

you.

lf

you

do

not

place

a check

in a

box,

then

pages

for

that

part

must

be

included

in

the report.

tf

you

place

a

check

in

a

box,

do

NOT

include

pages

for

that

Part

in

the

report.

6

peRts

NoTAPPLIcABLETo

FILER

d rtrln Part

1A

-

Sources

of

Occupational

lncome

M

N/A

Part 18

-

Retainers

n NIR Part 2

-

Stock

U

Utn Part

3

-

Bonds,

Notes

& Other

Commercial

Paper

d

Nn Part4

-

MutualFunds

El run Part

5

- lncome

from lnterest,

Dividends,

Royalties

&

Rents

E HIR

Part 6

-

Personal

Notes

and

Lease

Agreements

tr

Nn

Part

7A

-

lnterests

in Real

Property

d Nn

Part

78

-

lnterests

in

Business

Entities

d uln

Part

I

-

Gifts

d Nn

Part

9

-Trust

lncome

d Nn

Part

10A-

Blind

Trusts

d

Un

Part

10B

-TrusteeStatement

d

Hn

Part

'l

1A

- Assets of

Business

Associations

d nn

Part

11B

-

Liabilities

of

BusinessAssociations

d

f.fn

PartL2-

Boards

and

Executive

Positions

d

un

part

13

_

ExpensesAccepted

under

Honorarium

Exception

J

M

ruln

Part

14

- lnterest

in

Business

in

Common

with

Lobbyist

d f..fn

part

15

- Fees

Received

for Services

Rendered

to

a

Lobbyist

or

Lobbyist's

Employer

d

Nn

Part

16

- Representation

by Legislator

Before

StateAgency

d

Nn

part

17

- Benefits

Derived

from

Functions

Honoring

Public

Servant

d f.fn Part

18

-

Legislative

Continuances

www.ethics.state.tx.us

Revised

1013112014

COVER

SHEET

PAGE

2


3/6

Texas

EthicsCommission

P.O. Box

12070

Austin,Texas

78711-2070

(512)463-5800

(TDD

1-800-

STOCK

lf

the requested

information

page

in

the

report.

PART

2

is not applicable,

indicate

that

on

Page

2 of

the Cover Sheet,

and

do

NOT include

this

List

each

business entity

in which

you,

your

spouse,

or a dependent

child

held

or

acquired stock

during

the calendar

year

and indicate the

category of

the number of shares

held

or

acquired.

lf

some

or all of

the stock

was sold, also

indicate

the

category

of the

amount of

the

net

gain

or loss

realized

from the

sale.

For more

information,

see

FORM

PFS-

INSTRUCTION GUIDE.

When reporting information

about a

dependent

child's activity,

indicate

the

child about

whom

you

are

reporting by

providing

the number under

which

the child is

listed on the Cover

Sheet.

1

austNess

ENTITY

Soottracte

NAME

-.Lrt.

Z

slocx HELD

OR ACQUIRED

BY

drr.

fl

spouse

f]

oepEruoenr

cHtLD

s

NuNIerR oF

SHARES

d

uess

rHAN

1oo

E

too ro

ass

E

soo

ro sss

E

l,ooo ro

4,eee

E

s,ooo

ro e,eeg E

to,ooo

oR

MoRE

4

lF SOLD

fl

ner

enru

fl

NEr

uoss

E

less

rHAN

$s,ooo

E

$s,ooo-$s,gsg

E

$to,ooo-$za'sss

n

$zs'ooo--oR

MoRE

BUSINESS

ENTITY

\De

\ts

forqo

NAME

STOCK

HELD OR ACQUIRED

BY

-

M

nlen

E

spousr

E

oepemoeur

cHtLD

NUMBER

OF SHARES

d.=tt

rHAN 1

oo

E

t oo

ro

+gg

E

soo

ro

gsg

E

t

'ooo

ro

4,9ee

n

s,ooo

ro

e,eee fl

to,ooo

oR

MoRE

lF

SOLD

n

ruer

eerru

fl

ruEr loss

n

less

rHAN

$5'0oo

E

$s'ooo--$s'ssg

E

$to'ooo-$za'ggs f]

$zs'ooo--oR

MoRE

BUSINESS

ENTITY

NAME

STOCK

HELD

OR

ACQUIRED

BY

n

rten

E

spouse

E

oeperuoeruT

cHtLD

NUMBER

OF

SHARES

E

lessrHAN

100

E

tooro+ss

E

sooroggg

fl

r,oooro4.eee

E

s,ooo

ro

s,99e

fl

to,ooo

oR MoRE

lF

SOLD

E

ner

enrru

E

ner loss

D

less

rHAN

$s,ooo

E

$s,ooo--$s,ssg

E

$to'ooo-$za,ssg

$zs,ooo--oR

MoRE

BUSINESS

ENTITY

NAME

STOCK

HELD

OR

ACQUIRED

BY

E

ruen fl

spouse

E

oepenoeruT

cHtLD

NUMBER OF

SHARES D

rcssrHAN

100

E

tooroagg f]sooroggg

f]

t,oooro4'see

n

s,ooo

ro e,see

E

to,ooo

oR

MoRE

lF SOLD

[

ruer erurl

E

Ner uoss

D

r-ess

rHAN

$s,ooo

E

$s,ooo--$s,gss

f]

$to,ooo-$za,sgg E

szs,ooo--oR

MoRE

BUSINESS

ENTITY

NAME

STOCK

HELD OR

ACQUIRED

BY

n

rtEn

n

spouse

fl

oeperuoeruT cHrLD

NUMBER OF SHARES

E

lessrHAN

loo

fl

tooroqgg E

soorosgs

D

t,oooro4,9ss

E

s,ooo

ro

9,999

n

to,ooo

oR

MoRE

IF

SOLD

E

ruEr

onIN

fl

HEr

uoss

f]

less

rHAN

$s,oog

[

$s,ooo-$g,gss

n

sto.ooo-sza'ggs f]

$zs'ooo-oR

M9RE

COPY

AND ATTACH

ADDITIONAL

PAGES

AS

NECESSARY


Revised

1013'112014


4/6

PENSONAL

NoTES

AND

LEASE

AGREEMENTS

lf the

requested

information

is not

applicable,

indicate

that

on

Page 2 of the Cover

Sheet,

page

in

the report.

PART 6

and

do

NOT

include

this

ldentify

each

guarantor

of

a

loan

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

liability. For 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

underwhich

the

child

is

listed

on the

Cover Sheet.

1

PERSON

OR INSTITUTION

HOLDING

NOTE

OR

LEASEAGREEMENT

Fc.r".r

Credit

"+

lseur

trley

ieo

2

LIABILITY

OF

Cr,.=*

M

spouse

E

orperuoeruT

cHILD

3

GUARANTOR

4

AMOUNT

n

$r,ooo-$a,ggs D

$s,ooo-$g,sss

fl

$to,ooo-$z+,sgg

/rru,ooo-oR

MoRE

PERSON

OR

INSTITUTION

HOLDING

NOTE

OR

LEASEAGREEMENT

GgCLt

(Gou..ncv-e,-,'^.1

Ec^po1ee

s

Credit

\fni"'')

LIABILITY

OF

t,,,,*

E

spouse

UI

oepexoepT

cHtLD

ff\e*q0.fr

S'tS

GUARANTOR

AMOUNT

I

$r,ooo-$a,gss

E

$s,ooo-$g,ggg

#rro,ooo-rrr,nrn

E

$zs,ooo-oR

MoRE

PERSON

OR INSTITUTION

HOLDING

NOTE

OR

LEASEAGREEMENT

LIABILITY

OF

E

rrEn

I

spouse

E

oEprruoEruT

cHtLD

GUARANTOR

AMOUNT

E

$r,ooo-$q,ssg

E

$s,ooo-$s,ggg

n

sro,ooo-$z+,sgg

E

$zs,ooo-oR

MoRE

COPY

AND

ATTAGH ADDITIONAL

PAGES

AS NEGESSARY

Texas'Ethias

Commission

P.O. Box

12070

Austin,

Texas

Zgl11-2070

(5


us Revised 1013112014


5/6

r

INTERESTS

IN

REAL PROPERTY

PART 7A

lf

the requested

information

is not

applicable, indicate that on Page 2 of the

Cover Sheet, and

do

NOT

include

this

page

in

the

report.

Describe

all beneficial interests

in real

prope(y

held

or acquired by

you, your

spouse, or

a dependent child during th6

calendaryear.

lftheinterestwassold,alsoindicatethecategoryoftheamountofthenetgainorlossrealizedfromthesale.

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 listed

on

the

Cover Sheet.

I

HELD

OR ACQUIRED

BY

M

rtlen

[d

spouse

E

oeperuoeNTCHtLD

z

StReetRDDRESS

ff

*orouo,*rr.

f]

cHecx

tF FILER's HoME

ADDRESS

STREET ADDRESS,

INCLUOING CITY, COUNTY, AND STATE

3

oescntpttolt

I

lors

do"*..

NUMBER OF

LOTS

OR ACRES AND NAME OF

COUNW

WHERE

LOCATED

G.l.zt"

oores

Dcr.la

,*nc.

Cou.r,\a

I

\$euu

ocex

i

cs

a

NAlr,tES

oF

PERSoNS

RETAINING

AN

INTEREST

ruorncelrcesle

(SEVERED

MTNERAL TNTEREST)

u

tr

soto

Hrronn

uerloss

E

lessrxnru$s,ooo

[

$s,ooo-$s,gss

f]

$to,ooo--$z+,ssg

E

$zs,ooo-oRMoRE

HELD

ORACQUIRED BY

E

ruEn

E

spousg

n

oeperuoeruT

cHtLD

STREETADDRESS

I

Nornvruueele

fl

cnrcx

rF

FrLER's

HoME ADDRESS

STREET ADORESS,

INCLUDING

CIry,

COUNTY, AND STATE

DESCRIPTION

r-ors

I

ncnes

NUMBER OF LOTS

OR ACRES AND

NAME OF COUNTY WHERE LOCATED

NAMES

OF

PERSONS

RETAINING

AN INTEREST

I

noraeelrcRau

(SEVERED

MINERAL

INTEREST)

IF

SOLD

I

rer

oerru

I

Herloss

E

r-ess rHAN

$5,ooo

ss,ooo-ss,sss

fl

$ro,ooo-$z+,sss

fl

$zs,ooo-oR

MoRE

COPY

AND

ATTACH ADDITIONAL PAGES

AS NECESSARY

Texad

Ethics Commission

P.O.

Box 12070

Austin, Texas 7

87

1'l -2O7

0

(512)463-s800

crDD

1-800-735-2989)


Revised

'10131120'14


6/6

Texas Etf,rics Commission

PERSONAL

FI

NANCIAL

STATEM

ENT AF

FI DAVIT

The law

requires

the

personal

financial

statement

to

be

verified.

The

verification

page

must

have

the

signature

of the

individual

required

to

file

the

personal

financial statement,

as

well as the signature and

stamp or seal

of

office

of a

notary

public

or other

person

authorized by

law

to administer

oaths

and

affirmations.

Without

proper

verification,

the statement

is not

considered filed.

I swear,

or affirm,

under

penalty

of

perjury,

that this financial

statement

covers calendar year ending

December 31,2014,

and

is

true

and

correct

and includes

all information

required

to be

reported by

me

under

chapter

572of

lhe Government

Code.

AFFIX NOTARY

STAMP

/

SEALABOVE

Sworn to

and subscribed

before me, by the

said

Clristine

Singh

this

the

23rd,

day

of

April

,20

15

,to

certify

which,

witness my

hand and seal of office.

Arnidal

,Martnez

Notary

Public

Signature

of otflcer

Title of otflcer

administerinq

oath

ARMIDA

MARTINEZ

Notoly

Public,

Slote

of

lexos

My Commisslon

Expires

Augusl

28,

2016

Printed

name of officer administering

oath

P.O. Box 12070

Austin, Texas

7 87 11

-2Q7

0

(51

2)

463-5800

(TDD

1-800-735-2989)


us

Revised 1013112014

2015 pfs christine m. singh.pdf

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