FORM G-37. Name of Regulated Entity: Government Capital Securities Corporation. Report Period: Third Quarter of 2016
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1 Name of Regulated Entity: Government Capital Securities Corporation Report Period: Third Quarter of 2016 I. CONTRIBUTIONS made to officials of a municipal entity (listed by state) Complete name, title (including any city/county/state or other political subdivision) of municipal entity official Contributions by each contributor category (i.e., for purposes of this form, dealer, dealer controlled PAC, municipal finance professional, municipal finance professional controlled PAC, non-mfp executive officers, municipal advisor, municipal advisor controlled PAC, municipal advisor professional, municipal advisor professional controlled PAC, and non-map executive officer). For each contribution, list contribution amount and contributor category (disclose all applicable categories for each contributor). (For example, $500 contribution by non-mfp executive officer) If any contribution is the subject of an automatic exemption pursuant to Rule G-37(j), list amount of contribution and date of such automatic exemption. II. PAYMENTS made to political parties of states or political subdivisions (listed by state) Complete name (including any city/county/state or other political subdivision) of political party Payments by each contributor category
2 III. CONTRIBUTIONS made to bond ballot campaigns (listed by state) A. Contribution Official name of bond ballot campaign and jurisdiction (including city/county/state or other political subdivision) for which municipal securities would be issued and the name of the entity issuing the municipal securities Contributions, including the specific date the contributions were made, by each contributor category B. Reimbursement for Contributions List below any payments or reimbursements, related to any disclosed bond ballot contribution, received by each dealer, municipal finance professional, non-mfp executive officer, municipal advisor, municipal advisor professional, or non-map executive officer from any third party, including the amount paid and the name of the third party making such payments or reimbursements.
3 IV. MUNICIPAL ENTITIES with which the regulated entity has engaged in municipal securities business or municipal advisory business (listed by state) A. Municipal Securities Business and/or Municipal Advisory Business Municipal Securities Business Complete name of issuer and city/county Type of municipal securities business (negotiated underwriting, financial advisor, or remarketing agent) Municipal Advisory Business See Attachment Complete name of municipal entity and city/county Type of municipal advisory business (advice or solicitation) (and in the case of municipal advisory business engaged in by a municipal advisor third-party solicitor, the name of the third party on behalf of which business was solicited and the nature of the business solicited (municipal securities business, municipal advisory business or investment advisory services)) B. Ballot-Approved Offerings Full name of the municipal entity and full issue description of any primary offering resulting from the bond ballot campaign to which each contributor category has made a contribution and the reportable date of selection on which the regulated entity was selected to engage in the municipal securities business or municipal advisory business. Full Name of Municipal Entity Full Issue Description Reportable Date of Selection
4 Signature: electronic Date: Oct 13, 2016 Name: D'ANNE CARSON Address: 559 Silicon Dr, Southlake, TX Phone: Submit to the Municipal Securities Rulemaking Board completed forms quarterly by due date (specified by the MSRB)
5 EMMA Dataport - G-37 Submission Page 1 of 2 I EMMft: Electronic Municipal Maf a;.et Acces -\.,. ryt{ cl I,. ).tsrb EMMA Dataport - G-37 Submission EMMA Oataport I MSRB Gateway I Contact I Logout for assistance call MSRB C.\'I!,\\'AY Subm1ss1on Slatus Not Pubhshed REPORT PERIOD- THIRD QUARTER, 2016 For a complete G-37 submission, all four sections are required Refer to MSRB Rule G-37 for required information. m 111 You are currently acting on behalf of. Government Capital Secunties Corporation CONTRIBUTIONS MADE TO OFFICIALS OF A MUNICIPAL ENTITY 0 Ched< here 1f none (+l Contnbuhon Information I Atlach Contribution Information PAYMENTS MADE TO POLITICAL PARTIES OF STATES OR POLITICAL SUBDIVISIONS 0 Check here 1f none (+) Payment Information Attach Payment Information CONTRIBUTIONS MADE TO BOND BALLOT CAMPAIGNS 0 Ched< here if none. (+} Bond Ballot Contnbullon Information Attach Bond Ballot Contribuhon Information MUNICIPAL ENTITIES WITH WHICH THE REGULATED ENTITY HAS ENGAGED IN MUNICIPAL SECURITIES BUSINESS OR MUNICIPAL ADVISORY BUSINESS A Municipal Secunhes or Municipal Adv,sory Business Municipal Entity Name Municipal Entity Municipal Securities Municipal Advisory Solicited Business Solicited Third City/County Business Type Business Type Type Party TX Chisum ISD Chisum Advice Edit Delete TX City of Kemp Kemp Advice Edit Delete TX City of Roman Forest Roman Forest Advice Edit Delete TX City of Corrigan Corrigan Advice Edit Delete TX City of Whitney Whitney Advice Edit Delete TX Waller County Hempstead Advice Edit Delete TX Petersburg ISD Petersburg Advice Edit Delete TX Jayton ISD Jayton Advice Edil Delete TX Hereford ISD Hereford Advice Edit Delete TX Stratford ISD Stratford Advice Edit Delete TX Dubhn ISD Dublin Advice Edit Delete TX Linden-Koldare ISD linden Advice Edit Delete TX Trent ISO Trent Advice Edit Delete TX City of Sweeny Sweeny Advice Eli!! Delete TX City of Farwell Farwell Advice Edit Delete TX Iraan-Sheffield ISD Iraan Advice Eli!! Delete TX City of Ranger Ranger Advice Edit Delete TX Mullin ISD Mullin Advice Edit TX Jourdanton ISD Jourdanton Advice Edit Delete TX City of Hid<ory Creek H1d<ory Creek Advice Ed1l Delete TX Galveston County Galveston Advice Edit Delete TX City of Stafford Stafford Adv,ce &!.!.! Delete TX Ranger College Ranger Advice Edit Delete TX Shiner lsd Shiner Advice Edit Delete 7 /G3 7Submission.aspx 10/13/2016
6 EMMA Dataport - G-37 Submission Page 2 of 2 TX Comanche County Commanche Advice Hospital District TX Scurry County Hospital Snyder Dist Advice TX City of Hamilton Hamilton Advice ( + \ Muniapal Securities or Municipal Advisory Business lnfonmallon Attach Municipal Securities or Municipal Advisory Business lnfonmation B. Ballot-Approved Offerings D Check here if none C+) Ballot-Approved Offering lnfonmat1on I Attach Ballot-Approved Offering Information S1tcmap Privacy Policy Terms of Use MSRB.org MSRB Systems Status "}016 Ml,Oll.,ipa! Se>Cl.a:. s R,.Jt<,ng s\ 311:1 MSR1 ) l:.m i':, a se-rv1ce of the Mun1opa1 Secur;t,es R1..1e,rak1rig 8oarc w1,1c1 prote ts mves1ors state an<l 1oca1 go;,:emments and the public 1ntarest Pc.r11ons of EMM '\ oatij provided by Standard, Poor s Sewnt:c-s Eva!uJho1,s nc;., CUSIP SerV1c& Bure u & Amencan Bank1:trs Asscc,at1ofl OOOOOH592i 1X G,o.J.,(_ j:: P A)v, - i!)/oom, S 4dv1t'...v. /dataport.emma.msrb.org/submission/03 7 /G 3 7Submission.aspx 10/13/2016
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