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 78701 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 78701 7 CAMPAIGN TREASURER'S MAILING ADDRESS Change of Address STREET OR PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE 711 West 38th Street Austin TX 78705 8 CAMPAIGN TREASURER PHONE AREA CODE PHONE NUMBER EXTENSION ( 512 ) 45-768 PERIOD COVERED Month Day Year Month Day Year THROUGH 06/23/2003 07/28/2003 GO TO PAGE 2
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 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
2/12 4 06/23/2003 5 Mr. Phil Adams 6 7 8 Bryan TX 77802-3000 Owner 10 Phil Adams Co. Mr. Ulric Anstead 15.00 Abilene TX 7601-4561 Dr. and Mrs. Khawaja Anwar MD 07/16/2003 Gainesville TX 76240 Physician Mr. and Mrs. R. Arnold 06/23/2003 San Antonio TX 7820-6436 Mr. and Mrs. Moshe Azoulay 06/25/2003 Dallas TX 75252 self employed
3/12 4 06/26/2003 5 Mr. and Mrs. J. Brown 6 7 8 Austin TX 78724 CEO 10 Brown Distributing Ms. Bette-Jo Buhler 07/21/2003 Victoria TX 7704 Ms. Bertha Burks 06/25/2003 Buna TX 77612 Mr. and Mrs. Donald Carter 07/21/2003 Addison TX 75001 Owner Personal Way Transportation Dr. Fred Castrow 300.00 Houston TX 7707-3403 retired dermatologist
4/12 4 06/26/2003 5 Mr. Paul Cormier 6 7 8 100.00 Orangefield TX 7763 10 Mr. Paul Cormier 100.00 Orangefield TX 7763 Mr. James Craft 07/11/2003 100.00 Bay City TX 77414 Accountant James D. Craft Inc. Mr. Nate Crain 06/26/2003 12500.00 Dallas TX 75206 Executive ShopOnLine Mr. and Mrs. James Dannenbaum 07/16/2003 Houston TX 7708 President Dannenbaum Engineering Corp
5/12 4 06/24/2003 5 Mr. and Mrs. Jeremy Davis 6 7 8 50.00 Houston TX 77025-2267 10 Mr. E. Dunsworth 07/16/2003 Rockport TX 78381-027 Retired Mr. J. Ellis Jr. 06/25/2003 Irving TX 75062 investments self Mr. John Fainter Jr. 07/11/2003 1000.00 Austin TX 78701-2415 President/CEO Association of Electric Companies of Texas Mr. Marvin Gerke Rosenberg TX 77471
6/12 4 07/07/2003 5 Mr. Robert Gould 6 7 8 250.00 Athens TX 75751 President/CEO 10 Gould Insurance Agency Mrs. Nancy Graham 10.00 Elgin TX 78621-2521 Mr. Paul Hampel 06/25/2003 2006.06 San Antonio TX 78216-6058 Mr. and Mrs. Curtis Hatch Kerrville TX 78028-4308 Mr. and Mrs. Lawrence Heitman 06/23/2003 10.00 Houston TX 7707
7/12 4 06/28/2003 5 Mr. and Mrs. Steve Hicks 6 7 8 Austin TX 78701-3234 Chairman 10 Capstar Partners LLC Mr. Robert Hill 06/27/2003 0.01 Wallis TX 77485 Mr. and Mrs. Forrest Hoglund 07/08/2003 Houston TX 77002 Investor self Mr. Ned Holmes 06/24/2003 Houston TX 7701 Real Estate Parkway Investments Mr. Billy Lowry 07/08/2003 30.00 Houston TX 77022
8/12 4 07/17/2003 5 Ms. Madeline McClure 6 7 8 1000.00 Dallas TX 7520 10 Mr. and Mrs. Drayton McLane Jr. Temple TX 76503-054 Chairman McLane Group Mr. & Mrs. John McStay 07/14/2003 Dallas TX 75225 CEO McStay Investment Council Mr. Osmundo Nunez 30.00 El Paso TX 724-6226 Mr. and Mrs. Randy Parikh 07/15/2003 500.00 Richmond TX 7746
/12 4 07/16/2003 5 Ms. Barbara Pinsker 6 7 8 100.00 Dallas TX 75218-2222 Bridal Consultant 10 Neiman Marcus Mr. and Mrs. Gordon Richardson 06/26/2003 2500.00 Caldwell TX 77836-0667 Mr. R. Rodgers 06/23/2003 Coleman TX 76834-217 Gouldbusk Mr. and Mrs. Richard Salwen 07/16/2003 Austin TX 78746 Attorney self Mr. and Mrs. L. Simmons Houston TX 77002 President SCF Partners
10/12 4 06/25/2003 5 Mrs. Dian Stai 6 7 8 Abilene TX 7601 retired 10 retired Dr. and Mrs. Karl Swann 06/23/2003 5000.00 San Antonio TX 78232-3701 neurosurgeon Neurosurgical Associates of San Antonio Mr. and Mrs. Arnold Taylor 07/11/2003 20.00 Texarkana TX 75505-7778 Mr. and Mrs. Tom Templeman Princeton TX 75407 Mr. Mort Topfer 07/15/2003 Austin TX 78703 Board Member Dell Computer Corp.
11/12 4 07/02/2003 5 Mr. John Travis 6 7 8 Canton Tx 75103-2103 10 Mr. and Mrs. Richard Wallrath 06/26/2003 Centerville TX 75833 rancher self Mr. H. Wright 07/21/2003 100.00 Tyler TX 75701-626
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.