HomeMy WebLinkAboutJames Angelino - PFS - January 2022 ORIGINAL
PERSONAL FINANCIAL STATEMENT FORM PFS - LOCAL
Note:A PFS filed with the Texas Ethics Commission must be filed electronically.The only exception is COVER SHEET
for individuals appointed to office. See the PFS Instruction Guide for more information.
PAGE 1
TOTAL NUMBER OF PAGE IL
Filed in accordance with chapter 572 of the Government Code. 4
For filings required in 2022,covering calendar year ending December 31,2021.
Use FORM PFS--INSTRUCTION GUIDE when completing this form. Filer ID
``ootutllun,,,,
/s * SF/ ',r,S
NAME TITLE,FIRST.MI `rE..s %!,.
Date Re.?
J e sc\c— z ?o
NICKNAME:LAST:SUFFIXf. 5 _+ Z
,
n e\�..+.� `( i O a`
Jo zi.-
2 ADDRESS ADDRESS /P BOX;APT!SUITE#:CITY.STATE,ZIP CODE Q '.
roS Q er X t E6 Hand-deliver ate Postmarked
. Oda
W(Check If Filers Home Address) Receipt# 1 Amount$
3 TELEPHONE AREA CODE PHONE NUMBER.EXTENSION Date Processed
NUMBER /1'\'.1 Ur /� °20).a
O1 4 Date Imaged
4 REASON ` ) 3\O g\
FOR FILING 9 A
STATEMENT 2, CANDIDATE C.o\�•rn C-t t ij C •o •r1. bA �a� S J %e•(INDICATE OFFICE)
ELECTED OFFICER (INDICATE OFFICE)
11 OTHER _ ___ -__. (INDICATE POSITION)
5 Family members whose financial activity you are reporting(see instructions). Pa
rm) cto
w ro
C.—
SPOUSE N R
331.
DEPENDENT CHILD 1. tJ CO
2 3
N
3. W
-J
In Parts 1 through 20, you will disclose your financial activity during the preceding calendar year. In Parts 1 through 14 and 20,
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
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2022
I
PERSONAL FINANCIAL STATEMENT COVER SHEET
PAGE 2
On this page, indicate any Parts of Form PFS that are not applicable to you. If you do not place a check in a box, then
pages for that Part must be included in the report. If you place a check in a box, do NOT include pages for that
Part in the report.
6 PARTS NOT APPLICABLE TO FILER
El N/A Part 1A-Sources of Occupational Income
• N/A Part 1 B -Retainers
g N/A Part 2 - Stock
IN N/A Part 3-Bonds, Notes&Other Commercial Paper
54 N/A Part 4-Mutual Funds
• N/A Part 5-Income from Interest, Dividends, Royalties&Rents
VI N/A Part 6-Personal Notes and Lease Agreements
IX N/A Part 7A-Interests in Real Property
54 N/A Part 7B-Interests in Business Entities
• N/A Part 8-Gifts
® N/A Part 9-Trust Income
IX N/A Part 10A-Blind Trusts
• N/A Part 106-Trustee Statement
71 N/A Part 11A-Ownership of Business Associations
• N/A Part 116-Assets of Business Associations
® N/A Part 11C -Liabilities of Business Associations
N/A Part 12-Boards and Executive Positions
5-4 N/A Part 13-Expenses Accepted Under Honorarium Exception
r.it N/A Part 14-Interest in Business in Common with Lobbyist
(g N/A Part 15-Fees Received for Services Rendered to a Lobbyist or Lobbyist's Employer
IN N/A Part 16-Representation by Legislator Before State Agency
N/A Part 17-Benefits Derived from Functions Honoring Public Servant
X N/A Part 18-Legislative Continuances
jig, N/A Part 19-Contracts with Governmental Entity
® N/A Part 20-Bond Counsel Services Provided by a Legislator
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2022
I
SOURCES OF OCCUPATIONAL INCOME PART I A
If the requested information is not applicable, indicate that on Page 2 of the Cover Sheet, and do NOT include this
page in the report.
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.
INFORMATION RELATES TO
® FILER ❑ SPOUSE ❑ DEPENDENT CHILD
2 NAME AND ADDRESS OF EMPLOYER/POSITION HELD
EMPLOYMENT
❑ EMPLOYED BYANOTHER
SELF-EMPLOYED NATURE OF OCCUPATION
erS e_w5 rcrc.1
INFORMATION RELATES TO
3 FILER ❑ SPOUSE ❑ DEPENDENT CHILD
NAME AND ADDRESS OF EMPLOYER I POSITION HELD
EMPLOYMENT
S EMPLOYED BY ANOTHER Q...r/vrt� C.�.s.t� O.L4t`�<� cs I C.1 S C-SSI"CA
kNc •t\cN r y
x (0 5.ok
❑ SELF-EMPLOYED NATURE OF OCCUPATION
INFORMATION RELATES TO
❑ FILER ❑ SPOUSE ❑ DEPENDENT CHILD
NAME AND ADDRESS OF EMPLOYER/POSITION HELD
EMPLOYMENT
❑ EMPLOYED BY ANOTHER
❑ SELF-EMPLOYED NATURE OF OCCUPATION
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2022
PERSONAL FINANCIAL STATEMENT SIGNATURE PAGE
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; it must be verified by either being signed in front of a notary or
the filer must also fill out the unsworn declaration. 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, 2021, and is
true and correct and includes all information required to be reported
by me under chapter 572 of the Government C e.
Signature o F r
—.An.r
��
:�'�Pleas,� l9MRA option below:
`� += Notary Public
u',� %`I STATE OF TEXAS
, Notary ID*13288000-6
(1)Affidavit My Comm.Exp.January a,2025
NOTARY STAMP/SEAL / ,,,
Sworn to and subscribed before me by es cg • All l no this the / c day of anG(ar ,
: •IFA to certi w h,witness my hand and se I of office.
�l hQ hDfar
._ �� ac�l i.� �
Sign. of officer admini ri oath Printed name of officer administering oath Title of officer administering oath
OR
(2)Unsworn Declaration
My name is . and my date of birth is
My address is
(street) (city) (state) (zip code) (country)
Executed in County,State of ,on the day of ,20
(month) (year)
Signature of Filer(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2022