4 COMMITTEE
ADDRESS
Change of Address
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
Date Received
Date Hand-delivered or Date Postmarked
Receipt # Amount Date Processed Date Imaged 5 CAMPAIGN TREASURER NAME MS / MRS / MR FIRST MI
NICKNAME LAST SUFFIX
. . . .
6 CAMPAIGN
TREASURER'S STREET ADDRESS (Residence or business)
STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE #; CITY; STATE; ZIP CODE
7 CAMPAIGN
TREASURER'S MAILING ADDRESS
Change of Address
STREET OR PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
8 CAMPAIGN
TREASURER PHONE
AREA CODE PHONE NUMBER EXTENSION
9 PERIOD COVERED Month Day Year Month Day Year
THROUGH 807 Brazos Suite 400 Austin TX 78701 Dr. Richard Box 807 Brazos Suite 400 Austin TX 78701 711 West 38th Street Austin TX 78705
( 512 ) 459-7689
06/23/2003
07/28/2003
(Attach lists on plain paper to complete this report if necessary.) SUPPORT (Candidate or Measure) OPPOSE (Candidate or Measure) ASSIST (Officeholder only) OFFICEHOLDER MEASURE
OFFICE SOUGHT (candidate) / OFFICE HELD (officeholder)
BALLOT IDENTIFICATION / # ELECTION DATE
Month Day Year
DESCRIPTION
12 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report is true and correct and includes all information required to be reported by me under Title 15, Election Code.
Signature of campaign treasurer
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said , this the day
4 Date
Date
Date
Date
Date
5 Full name of contributor
Full name of contributor
Full name of contributor
Full name of contributor
Full name of contributor
out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) . . . . . . . . . . . . . . . . . . . . 6 Contributor address; Contributor address; Contributor address; Contributor address; Contributor address; City; City; City; City; City; State; State; State; State; State; Zip Code Zip Code Zip Code Zip Code Zip Code 7 Amount of Amount of Amount of Amount of Amount of contribution ($) contribution ($) contribution ($) contribution ($) contribution ($) 8 In-kind contribution In-kind contribution In-kind contribution In-kind contribution In-kind contribution description (if applicable)
description (if applicable)
description (if applicable)
description (if applicable)
description (if applicable)
9 Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
10Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
06/23/2003
06/30/2003
07/16/2003
06/23/2003
06/25/2003
Mr. Phil Adams Mr. Ulric AnsteadDr. and Mrs. Khawaja Anwar MD
Mr. and Mrs. R. Arnold
Mr. and Mrs. Moshe Azoulay Bryan TX 77802-3000 Abilene TX 79601-4561 Gainesville TX 76240 San Antonio TX 78209-6436 Dallas TX 75252
25000.00
15.00
25.00
25.00
25000.00
Owner PhysicianPhil Adams Co.
4 Date
Date
Date
Date
Date
5 Full name of contributor
Full name of contributor
Full name of contributor
Full name of contributor
Full name of contributor
out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) . . . . . . . . . . . . . . . . . . . . 6 Contributor address; Contributor address; Contributor address; Contributor address; Contributor address; City; City; City; City; City; State; State; State; State; State; Zip Code Zip Code Zip Code Zip Code Zip Code 7 Amount of Amount of Amount of Amount of Amount of contribution ($) contribution ($) contribution ($) contribution ($) contribution ($) 8 In-kind contribution In-kind contribution In-kind contribution In-kind contribution In-kind contribution description (if applicable)
description (if applicable)
description (if applicable)
description (if applicable)
description (if applicable)
9 Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
10Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
06/26/2003
07/21/2003
06/25/2003
07/21/2003
06/30/2003
Mr. and Mrs. J. Brown Ms. Bette-Jo Buhler Ms. Bertha BurksMr. and Mrs. Donald Carter
Dr. Fred Castrow Austin TX 78724 Victoria TX 77904 Buna TX 77612 Addison TX 75001 Houston TX 77079-3403
25000.00
25.00
25.00
25000.00
300.00
CEO Owner retired dermatologist Brown Distributing4 Date
Date
Date
Date
Date
5 Full name of contributor
Full name of contributor
Full name of contributor
Full name of contributor
Full name of contributor
out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) . . . . . . . . . . . . . . . . . . . . 6 Contributor address; Contributor address; Contributor address; Contributor address; Contributor address; City; City; City; City; City; State; State; State; State; State; Zip Code Zip Code Zip Code Zip Code Zip Code 7 Amount of Amount of Amount of Amount of Amount of contribution ($) contribution ($) contribution ($) contribution ($) contribution ($) 8 In-kind contribution In-kind contribution In-kind contribution In-kind contribution In-kind contribution description (if applicable)
description (if applicable)
description (if applicable)
description (if applicable)
description (if applicable)
9 Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
10Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
06/26/2003
06/30/2003
07/11/2003
06/26/2003
07/16/2003
Mr. Paul Cormier Mr. Paul Cormier Mr. James Craft Mr. Nate CrainMr. and Mrs. James Dannenbaum Orangefield TX 77639 Orangefield TX 77639 Bay City TX 77414 Dallas TX 75206 Houston TX 77098
100.00
100.00
100.00
12500.00
25000.00
Accountant Executive PresidentJames D. Craft Inc.
ShopOnLine
4 Date
Date
Date
Date
Date
5 Full name of contributor
Full name of contributor
Full name of contributor
Full name of contributor
Full name of contributor
out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) . . . . . . . . . . . . . . . . . . . . 6 Contributor address; Contributor address; Contributor address; Contributor address; Contributor address; City; City; City; City; City; State; State; State; State; State; Zip Code Zip Code Zip Code Zip Code Zip Code 7 Amount of Amount of Amount of Amount of Amount of contribution ($) contribution ($) contribution ($) contribution ($) contribution ($) 8 In-kind contribution In-kind contribution In-kind contribution In-kind contribution In-kind contribution description (if applicable)
description (if applicable)
description (if applicable)
description (if applicable)
description (if applicable)
9 Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
10Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
06/24/2003
07/16/2003
06/25/2003
07/11/2003
06/30/2003
Mr. and Mrs. Jeremy Davis
Mr. E. Dunsworth Mr. J. Ellis Jr. Mr. John Fainter Jr. Mr. Marvin Gerke Houston TX 77025-2267 Rockport TX 78381-0927 Irving TX 75062 Austin TX 78701-2415 Rosenberg TX 77471
50.00
25.00
25000.00
1000.00
25.00
Retired investments President/CEO self4 Date
Date
Date
Date
Date
5 Full name of contributor
Full name of contributor
Full name of contributor
Full name of contributor
Full name of contributor
out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) . . . . . . . . . . . . . . . . . . . . 6 Contributor address; Contributor address; Contributor address; Contributor address; Contributor address; City; City; City; City; City; State; State; State; State; State; Zip Code Zip Code Zip Code Zip Code Zip Code 7 Amount of Amount of Amount of Amount of Amount of contribution ($) contribution ($) contribution ($) contribution ($) contribution ($) 8 In-kind contribution In-kind contribution In-kind contribution In-kind contribution In-kind contribution description (if applicable)
description (if applicable)
description (if applicable)
description (if applicable)
description (if applicable)
9 Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
10Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
07/07/2003
06/30/2003
06/25/2003
06/30/2003
06/23/2003
Mr. Robert Gould Mrs. Nancy Graham Mr. Paul HampelMr. and Mrs. Curtis Hatch
Mr. and Mrs. Lawrence Heitman Athens TX 75751 Elgin TX 78621-2521 San Antonio TX 78216-6058 Kerrville TX 78028-4308 Houston TX 77079
250.00
10.00
2006.06
25.00
10.00
4 Date
Date
Date
Date
Date
5 Full name of contributor
Full name of contributor
Full name of contributor
Full name of contributor
Full name of contributor
out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) . . . . . . . . . . . . . . . . . . . . 6 Contributor address; Contributor address; Contributor address; Contributor address; Contributor address; City; City; City; City; City; State; State; State; State; State; Zip Code Zip Code Zip Code Zip Code Zip Code 7 Amount of Amount of Amount of Amount of Amount of contribution ($) contribution ($) contribution ($) contribution ($) contribution ($) 8 In-kind contribution In-kind contribution In-kind contribution In-kind contribution In-kind contribution description (if applicable)
description (if applicable)
description (if applicable)
description (if applicable)
description (if applicable)
9 Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
10Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
06/28/2003
06/27/2003
07/08/2003
06/24/2003
07/08/2003
Mr. and Mrs. Steve Hicks
Mr. Robert Hill
Mr. and Mrs. Forrest Hoglund
Mr. Ned Holmes Mr. Billy Lowry Austin TX 78701-3234 Wallis TX 77485 Houston TX 77002 Houston TX 77019 Houston TX 77022
25000.00
0.01
25000.00
25000.00
30.00
Chairman Investor Real Estate Capstar Partners LLC self Parkway Investments4 Date
Date
Date
Date
Date
5 Full name of contributor
Full name of contributor
Full name of contributor
Full name of contributor
Full name of contributor
out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) . . . . . . . . . . . . . . . . . . . . 6 Contributor address; Contributor address; Contributor address; Contributor address; Contributor address; City; City; City; City; City; State; State; State; State; State; Zip Code Zip Code Zip Code Zip Code Zip Code 7 Amount of Amount of Amount of Amount of Amount of contribution ($) contribution ($) contribution ($) contribution ($) contribution ($) 8 In-kind contribution In-kind contribution In-kind contribution In-kind contribution In-kind contribution description (if applicable)
description (if applicable)
description (if applicable)
description (if applicable)
description (if applicable)
9 Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
10Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
07/17/2003
06/30/2003
07/14/2003
06/30/2003
07/15/2003
Ms. Madeline McClureMr. and Mrs. Drayton McLane Jr.
Mr. & Mrs. John McStay
Mr. Osmundo Nunez
Mr. and Mrs. Randy Parikh Dallas TX 75209 Temple TX 76503-0549 Dallas TX 75225 El Paso TX 79924-6226 Richmond TX 77469
1000.00
25000.00
25000.00
30.00
500.00
Chairman CEO McLane Group4 Date
Date
Date
Date
Date
5 Full name of contributor
Full name of contributor
Full name of contributor
Full name of contributor
Full name of contributor
out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) . . . . . . . . . . . . . . . . . . . . 6 Contributor address; Contributor address; Contributor address; Contributor address; Contributor address; City; City; City; City; City; State; State; State; State; State; Zip Code Zip Code Zip Code Zip Code Zip Code 7 Amount of Amount of Amount of Amount of Amount of contribution ($) contribution ($) contribution ($) contribution ($) contribution ($) 8 In-kind contribution In-kind contribution In-kind contribution In-kind contribution In-kind contribution description (if applicable)
description (if applicable)
description (if applicable)
description (if applicable)
description (if applicable)
9 Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
10Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
07/16/2003
06/26/2003
06/23/2003
07/16/2003
06/30/2003
Ms. Barbara PinskerMr. and Mrs. Gordon Richardson
Mr. R. Rodgers
Mr. and Mrs. Richard Salwen
Mr. and Mrs. L. Simmons Dallas TX 75218-2222 Caldwell TX 77836-0667 Coleman TX 76834-9217 Austin TX 78746 Houston TX 77002
100.00
2500.00
25.00
25000.00
25000.00
Bridal Consultant Attorney President Neiman Marcus Gouldbusk self SCF Partners4 Date
Date
Date
Date
Date
5 Full name of contributor
Full name of contributor
Full name of contributor
Full name of contributor
Full name of contributor
out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) . . . . . . . . . . . . . . . . . . . . 6 Contributor address; Contributor address; Contributor address; Contributor address; Contributor address; City; City; City; City; City; State; State; State; State; State; Zip Code Zip Code Zip Code Zip Code Zip Code 7 Amount of Amount of Amount of Amount of Amount of contribution ($) contribution ($) contribution ($) contribution ($) contribution ($) 8 In-kind contribution In-kind contribution In-kind contribution In-kind contribution In-kind contribution description (if applicable)
description (if applicable)
description (if applicable)
description (if applicable)
description (if applicable)
9 Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
10Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
06/25/2003
06/23/2003
07/11/2003
06/30/2003
07/15/2003
Mrs. Dian StaiDr. and Mrs. Karl Swann
Mr. and Mrs. Arnold Taylor
Mr. and Mrs. Tom Templeman
Mr. Mort Topfer Abilene TX 79601 San Antonio TX 78232-3701 Texarkana TX 75505-7778 Princeton TX 75407 Austin TX 78703
25000.00
5000.00
20.00
25.00
25000.00
retired neurosurgeon Board Member retiredNeurosurgical Associates of San Antonio
4 Date
Date
Date
5 Full name of contributor
Full name of contributor
Full name of contributor
out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) out-of-state PAC(ID#_____________________) . . . . . . . . . . . . 6 Contributor address; Contributor address; Contributor address; City; City; City; State; State; State; Zip Code Zip Code Zip Code 7 Amount of Amount of Amount of contribution ($) contribution ($) contribution ($) 8 In-kind contribution In-kind contribution In-kind contribution description (if applicable)
description (if applicable)
description (if applicable)
9 Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
Principal occupation / Job title (See Instructions)
10Employer (See Instructions)
Employer (See Instructions)
Employer (See Instructions)
07/02/2003
06/26/2003
07/21/2003
Mr. John Travis
Mr. and Mrs. Richard Wallrath
Mr. H. Wright Canton Tx 75103-2103 Centerville TX 75833 Tyler TX 75701-6926
25.00
25000.00
100.00
rancher self