Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 SPEAKER’S REUNION DAY REPORT 1-800-325-8506 FORM SPK-RD COVER SHEET OFFICE USE ONLY See the back of this Cover Sheet for information about the law regarding the Speaker’s Reunion Day Report. Account # 1 Date Received TOTAL PAGES OF SCHEDULE A FILED: TOTAL PAGES OF SCHEDULE B FILED: 2 CHAIRMAN’S NAME TITLE FIRST Receipt # MI HD / PM ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ LAST ○ ○ ○ ○ ○ NICKNAME Amount SUFFIX Date Processed Date Imaged 3 CHAIRMAN’S MAILING ADDRESS STREET OR PO BOX; 4 CHAIRMAN’S TELEPHONE NUMBER AREA CODE 5 ( APT / SUITE #; CITY; TELEPHONE NUMBER STATE; ZIP CODE EXTENSION ) REPORT TYPE FINAL REPORT SUPPLEMENTAL REPORT IF THIS IS A FINAL REPORT, IS THERE AN OUTSTANDING DEBT ON THE DATE OF THIS REPORT? YEAR A. TOTAL CONTRIBUTIONS FROM SCHEDULE A $ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ $ $ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ $ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ C. TOTAL OF ALL EXPENDITURES (ADD LINES 8A & 8B) ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ B. TOTAL EXPENDITURES OF $50 OR LESS ○ ○ A. TOTAL EXPENDITURES FROM SCHEDULE F EXPENDITURE TOTALS ○ $ C. TOTAL OF ALL CONTRIBUTIONS (ADD LINES 7A & 7B) ○ ○ ○ ○ 8 ○ B. TOTAL CONTRIBUTIONS OF $50 OR LESS ○ CONTRIBUTION TOTALS DAY ○ 7 MONTH ○ DATE OF CEREMONY ○ 6 NO ○ YES $ Signature of chairman Revised 06/25/2009 American LegalNet, Inc. www.FormsWorkFlow.com Texas Ethics Commission P.O. Box 12070 SPEAKER’S REUNION DAY REPORT Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506 FORM SPK-RD SPEAKER’S REUNION DAY CEREMONY. Government Code chapter 303 regulates contributions and expenditures for a Speaker’s Reunion Day ceremony. DESIGNATION OF CHAIRMAN. Before any contributions are accepted or any expenditures are made for a Speaker’s Reunion Day ceremony, the speaker shall designate a chairman to be responsible for conducting the ceremony. The chairman is responsible for keeping the records and filing the reports required by Government Code chapter 303. CONTRIBUTION LIMIT. Contributions from a contributor to the Speaker’s Reunion Day ceremony may not exceed an aggregate of $500 cash or an aggregate value of more than $500. REQUIRED REPORTS. Final Report: Not later than the 60th day after the date of the Speaker’s Reunion Day ceremony, the chairman shall file with the Texas Ethics Commission a final report of contributions and expenditures. Supplemental Report: If there is an outstanding debt when the final report is filed, the chairman shall file a supplemental report of contributions and expenditures not later than the 30th day after the date on which the debt is retired. REPORTING CONTRIBUTIONS. Complete Schedule A for each individual or entity that contributed more than $50. Enter the aggregate total of contributions reported on Schedule A on Line 7A of the Cover Sheet. Enter the aggregate total of contributions from individuals or entities that contributed $50 or less on Line 7B of the Cover Sheet. Add Lines 7A and 7B to calculate total contributions and enter that amount on Line 7C of the Cover Sheet. REPORTING EXPENDITURES. Complete Schedule F for each expenditure of more than $50. Enter the aggregate total of expenditures reported on Schedule F on Line 8A of the Cover Sheet. Enter the aggregate total of expenditures of $50 or less on Line 8B of the Cover Sheet. Add Lines 8A and 8B to calculate total expenditures and enter that amount on Line 8C of the Cover Sheet. SURPLUS FUNDS. If there is a surplus of funds at the end of the 60-day period, the chairman shall distribute the balance to one or more charities designated by the Speaker. Revised 06/25/2009 American LegalNet, Inc. www.FormsWorkFlow.com Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 CONTRIBUTIONS 1-800-325-8506 SCHEDULE A (SPK) (Complete Schedule A for any individual or entity whose total contributions exceed $50.) 1 Total pages this Schedule A (SPK): OFFICE USE ONLY 2 Chairman’s name 3 Date Full name of contributor 4 6 Amount of 7 Type of contribution contribution ($) ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ State; ○ ○ ○ ○ ○ City; ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ Contributor address; ○ 5 cash contribution Zip Code in-kind contribution Date Full name of contributor ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ State; ○ ○ ○ ○ ○ City; Type of contribution ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ Contributor address; Amount of contribution ($) cash contribution Zip Code in-kind contribution Date Full name of contributor ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ State; ○ ○ ○ ○ ○ City; Type of contribution ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ Contributor address; Amount of contribution ($) cash contribution Zip Code in-kind contribution Date Full name of contributor ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ State; ○ ○ ○ ○ ○ ○ City; Type of contribution ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ Contributor address; Amount of contribution ($) cash contribution Zip Code in-kind contribution Date Full name of contributor ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ State; ○ ○ ○ ○ ○ ○ City; Type of contribution ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ Contributor address; Amount of contribution ($) cash contribution Zip Code in-kind contribution Date Full name of contributor ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ State; ○ ○ ○ ○ ○ ○ City; Type of contribution ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ Contributor address; Amount of contribution ($) cash contribution Zip Code in-kind contribution Date Full name of contributor ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ State; ○ ○ ○ ○ ○ City; Type of contribution ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ Contributor address; Amount of contribution ($) Zip Code cash contribution in-kind contribution ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED Revised 06/25/2009 American LegalNet, Inc. www.FormsWorkFlow.com ○ ○ Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 EXPENDITURES SCHEDULE 1-800-325-8506 F (SPK) (Complete Schedule F for expenditures of more than $50.) 1 Total pages this Schedule F (SPK): 2 Chairman’s name 3 Date OFFICE USE ONLY 4 Payee name 6 ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ State; ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ Zip Code Purpose of expenditure Payee name Amount ($) ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ State; ○ ○ ○ ○ ○ ○ ○ City; ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ Payee address; ○ Date ○ Zip Code Purpose of expenditure Date Amount ($) Payee name ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ State; ○ ○ ○ ○ ○ ○ ○ City; ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ Payee address; ○ Zip Code Purpose of expenditure Date Amount ($) Payee name ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ State; ○ ○ ○ ○ City; ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ Payee address; ○ 7 City; ○ 5 Payee address; Amount ($) Zip Code Purpose of expenditure ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED Revised 06/25/2009 American LegalNet, Inc. www.FormsWorkFlow.com