“Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (612)463-5800__ 1-800-325-8506
PERSONAL FINANCIAL STATEMENT FoRM PFS
COVER SHEET
Filed in accordance with chapter 572 of the Government Code. Latin aati
For flings required in 2010, covering calendar year ending December 31,2008 ===
Use FORM PFS--INSTRUCTION GUIDE when completing this form. 5a q oO
T NAME THTLE: RST: OFFICE USE ONLY) 3p]
President and Vice Chancellor For Health Affairs; Nancy W. [Date Recaived
‘wickNADMe: LAST: SUFFIX : a RECEIVED
Dickey, MD
* APR 21 2010
ZT ADDRESS | momass reo oot aT eute a NRE DP DE
301 Tarrow, 7th Floor
College Station, TX 77840-7896
Texas| Ethics Commission ¢
(7 cover ir xers Howe anoressy
|
NUMBER [C979 ) 58-7000
4 REASON
FORFILING | C] canoipare nica oF ce
STATEMENT
Qletecten orricek — nica Frc
Wavronen orricen THe Texas AM University Sytem Heath Science Cent gerrreraien
D execurive weap ncaa
C1 FORMER OR RETIRED JUDGE SITTING BY ASSIGNMENT
COistare parry cai care mary
Qlorder voice posION
5 Family members whose financial activity you are reporting (fler must report information about the financial activiy of the file's spouse or
dependent children ithe flr had actual control over that activiy):
seouse Franklin Wells Dickey
DEPENDENT CHILD 1
2
5
{In Parts 1 through 18, you will disclose your financial activity during the preceding calendar year. In Parts 1 through 14, you are
required to disclose not only your own financial activity, but also thal of your spouse or a dependent child if you had actual control
‘over that person's financial activity.
\W COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY. Waysy“Texas Ethios Commission
P.O. Box 12070
‘Austin, Texas 78711-2070 (512) 463-5800 _ 1-800-325-8606
(sor arpucasie
SOURCES OF OCCUPATIONAL INCOME
ParT 1A.
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
Dsrouse Cloerenoent cu
FILER
2
EMPLOYMENT
President, Texas A&M Health Science Center
Vice Chancellor for Health Affiars, Texas A&M System
301 Tarrow, 7th Floor
College Station, TX 77840-7896
NATURE OF OCCUFKTION
Ciserr-empcoveo
INFORMATION RELATES TO
FILER Lsrouse [loerenoent cx
EMPLOYMENT Lroneekit irs Home adsress)
Journal of Patient Safety ( Wolters Kluwer Health)
[Zlewpcoven sy ANOTHER | Two Commerce Square
2001 Market St.
Philadelphia, PA 19103
(Disetr-emproveo SaTURE oF o2cuPATiON
INFORMATION RELATES TO.
Orusr Dsrouse Dloerenoent con
EMPLOYMENT | (Check IF Fier's Home Addrass)
Llewptoven ey ANOTHER
Cseurewetoveo ‘atu oF ceca
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY‘Texas Ethics Commission
P.O. Box 12070 ‘Austin, Texas 78711-2070 (812) 463-5800
1-800-925-8506
RETAINERS
[1 worarpucasue
ParT 1B
This section concems fees received as a retainer by you, your spouse, or a dependent child (or by a business in which
your spouse, or a dependent child have a “substantial interest") for a claim on future services in case of need, rather than
services on a matter specified at the time of contracting for or receiving the feéeport information here only ifthe valuest
the work actually performed during the calendar year did not equal or exceed the value of the aister. For more information,
see FORM PFS—-INSTRUCTION GUIDE.
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.
1
FEE RECEIVED FROM
2
FEE RECEIVED BY
FILER
OR FILER'S BUSINESS
‘SPOUSE
(OR SPOUSE'S BUSINESS
DEPENDENT CHILD.
(OR CHILD'S BUSINESS
3
FEE AMOUNT
Less THan $5,000 [_] ss,000-s9.202 [_] s10,000-824,900
'$25,000-OR MORE
FEE RECEIVED FROM
FEE RECEIVED BY
NAME OF BUSINESS
FILER
OR FILER'S BUSINESS
SPOUSE
OR SPOUSE'S BUSINESS
DEPENDENT CHILD
‘OR CHILD'S BUSINESS:
FEE AMOUNT
Less THAN $5,000 [__] $6,000-s9,9e0 [“] $10,000-s24,909
'$25,000-OR MORE
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY