SPECIFIC-PURPOSE COMMITTEE SPECIAL SESSION REPORT
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1 SPECIFIC-PURPOSE COMMITTEE SPECIAL SESSION REPORT F ORM SPAC-SS C OVER SHEET PG 1 1 ACCOUNT # (Ethics Commission filers) 2 PAGE # 1/12 3 COMMITTEE NAME Texans for Rick Perry Received OFFICE USE ONLY 4 COMMITTEE ADDRESS Change of Address ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE 807 Brazos Suite 400 Austin TX Hand-delivered or Postmarked 5 CAMPAIGN TREASURER NAME MS / MRS / MR FIRST MI Dr. Richard NICKNAME LAST SUFFIX Box Receipt # Processed Imaged Amount 6 CAMPAIGN TREASURER'S STREET ADDRESS (Residence or business) STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE #; CITY; STATE; ZIP CODE 807 Brazos Suite 400 Austin TX CAMPAIGN TREASURER'S MAILING ADDRESS Change of Address STREET OR PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE 711 West 38th Street Austin TX CAMPAIGN TREASURER PHONE AREA CODE PHONE NUMBER EXTENSION ( 512 ) PERIOD COVERED Month Day Year Month Day Year THROUGH 06/23/ /28/2003 GO TO PAGE 2
2 Texas Ethics Commission P.O. Box Austin, Texas (512) SPECIFIC-PURPOSE COMMITTEE SPECIAL SESSION REPORT: SPAC-SS FORM COVER SHEET PG 2 10 COMMITTEE NAME Texans for Rick Perry ACCOUNT # (Ethics Commission filers) 11 COMMITTEE PURPOSE (Attach lists on plain paper to complete this report if necessary.) CANDIDATE OFFICEHOLDER CANDIDATE / OFFICEHOLDER NAME OFFICE SOUGHT (candidate) / OFFICE HELD (officeholder) SUPPORT (Candidate or Measure) BALLOT IDENTIFICATION / # ELECTION DATE Month Day Year OPPOSE (Candidate or Measure) ASSIST (Officeholder only) MEASURE 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. Richard Box Signature of campaign treasurer AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said, this the day of, 20, to certify which, witness my hand and seal of office. Signature of officer administering oath Print name of officer administering oath Title of officer administering oath
3 2/ /23/ Mr. Phil Adams Bryan TX Owner 10 Phil Adams Co. Mr. Ulric Anstead Abilene TX Dr. and Mrs. Khawaja Anwar MD 07/16/2003 Gainesville TX Physician Mr. and Mrs. R. Arnold 06/23/2003 San Antonio TX Mr. and Mrs. Moshe Azoulay 06/25/2003 Dallas TX self employed
4 3/ /26/ Mr. and Mrs. J. Brown Austin TX CEO 10 Brown Distributing Ms. Bette-Jo Buhler 07/21/2003 Victoria TX 7704 Ms. Bertha Burks 06/25/2003 Buna TX Mr. and Mrs. Donald Carter 07/21/2003 Addison TX Owner Personal Way Transportation Dr. Fred Castrow Houston TX retired dermatologist
5 4/ /26/ Mr. Paul Cormier Orangefield TX Mr. Paul Cormier Orangefield TX 7763 Mr. James Craft 07/11/ Bay City TX Accountant James D. Craft Inc. Mr. Nate Crain 06/26/ Dallas TX Executive ShopOnLine Mr. and Mrs. James Dannenbaum 07/16/2003 Houston TX 7708 President Dannenbaum Engineering Corp
6 5/ /24/ Mr. and Mrs. Jeremy Davis Houston TX Mr. E. Dunsworth 07/16/2003 Rockport TX Retired Mr. J. Ellis Jr. 06/25/2003 Irving TX investments self Mr. John Fainter Jr. 07/11/ Austin TX President/CEO Association of Electric Companies of Texas Mr. Marvin Gerke Rosenberg TX 77471
7 6/ /07/ Mr. Robert Gould Athens TX President/CEO 10 Gould Insurance Agency Mrs. Nancy Graham Elgin TX Mr. Paul Hampel 06/25/ San Antonio TX Mr. and Mrs. Curtis Hatch Kerrville TX Mr. and Mrs. Lawrence Heitman 06/23/ Houston TX 7707
8 7/ /28/ Mr. and Mrs. Steve Hicks Austin TX Chairman 10 Capstar Partners LLC Mr. Robert Hill 06/27/ Wallis TX Mr. and Mrs. Forrest Hoglund 07/08/2003 Houston TX Investor self Mr. Ned Holmes 06/24/2003 Houston TX 7701 Real Estate Parkway Investments Mr. Billy Lowry 07/08/ Houston TX 77022
9 8/ /17/ Ms. Madeline McClure Dallas TX Mr. and Mrs. Drayton McLane Jr. Temple TX Chairman McLane Group Mr. & Mrs. John McStay 07/14/2003 Dallas TX CEO McStay Investment Council Mr. Osmundo Nunez El Paso TX Mr. and Mrs. Randy Parikh 07/15/ Richmond TX 7746
10 / /16/ Ms. Barbara Pinsker Dallas TX Bridal Consultant 10 Neiman Marcus Mr. and Mrs. Gordon Richardson 06/26/ Caldwell TX Mr. R. Rodgers 06/23/2003 Coleman TX Gouldbusk Mr. and Mrs. Richard Salwen 07/16/2003 Austin TX Attorney self Mr. and Mrs. L. Simmons Houston TX President SCF Partners
11 10/ /25/ Mrs. Dian Stai Abilene TX 7601 retired 10 retired Dr. and Mrs. Karl Swann 06/23/ San Antonio TX neurosurgeon Neurosurgical Associates of San Antonio Mr. and Mrs. Arnold Taylor 07/11/ Texarkana TX Mr. and Mrs. Tom Templeman Princeton TX Mr. Mort Topfer 07/15/2003 Austin TX Board Member Dell Computer Corp.
12 11/ /02/ Mr. John Travis Canton Tx Mr. and Mrs. Richard Wallrath 06/26/2003 Centerville TX rancher self Mr. H. Wright 07/21/ Tyler TX
13 TEXT ANNOTATION Texans for Rick Perry 12/12 ACCOUNT # Information entered by filer as a memo Schedule SPAC-SS Texans for Rick Perry supports the office holder Governor Rick Perry for his reelection for the office of Governor of Texas.
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