CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER...

49
49 Mr Gregory Brockhouse Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015 CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 2 3 4 5 6 7 8 9 10 11 12 13 GO TO PAGE 2 Filer ID (Ethics Commission Filers) Total pages filed: OFFICE USE ONLY Date Received Date Hand-delivered or Date Postmarked Receipt # Amount $ Date Processed Date Imaged CANDIDATE / OFFICEHOLDER NAME CANDIDATE / OFFICEHOLDER MAILING ADDRESS Change of Address CANDIDATE / OFFICEHOLDER PHONE CAMPAIGN TREASURER NAME CAMPAIGN TREASURER ADDRESS CAMPAIGN TREASURER PHONE REPORT TYPE PERIOD COVERED ELECTION OFFICE (Residence or Business) MS / MRS / MR FIRST MI NICKNAME LAST SUFFIX . . . . . . . . . . . . . . . . . . . . . . . . . . . MS / MRS / MR FIRST MI NICKNAME LAST SUFFIX . . . . . . . . . . . . . . . . . . . . . . . . . . . ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE AREA CODE PHONE NUMBER EXTENSION ( ) AREA CODE PHONE NUMBER EXTENSION ( ) Month Day Year Month Day Year Month Day Year THROUGH ELECTION DATE ELECTION TYPE OFFICE HELD (if any) OFFICE SOUGHT (if known) PO Box 762346 San Antonio TX 78245 210 706-0671 Mr David Brockhouse 330 Threadneedle San Antonio TX 78227 210 216-1114 Primary General Runoff Special Other Description 30th Day Before General Election 1/1/2019 3/25/2019 5/4/2019 X Council District 6 Mayor

Transcript of CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER...

Page 1: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

49

Mr Gregory

Brockhouse

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

CANDIDATE / OFFICEHOLDER

CAMPAIGN FINANCE REPORTFORM C/OH

COVER SHEET PG 1

The C/OH Instruction Guide explains how to complete this form.

1 2

3

4

5

6

7

8

9

10

11

12 13

GO TO PAGE 2

Filer ID (Ethics Commission Filers) Total pages filed:

OFFICE USE ONLY

Date Received

Date Hand-delivered or Date Postmarked

Receipt # Amount $

Date Processed

Date Imaged

CANDIDATE /

OFFICEHOLDER

NAME

CANDIDATE /

OFFICEHOLDER

MAILING

ADDRESS

Change of Address

CANDIDATE /

OFFICEHOLDER

PHONE

CAMPAIGN

TREASURER

NAME

CAMPAIGN

TREASURER

ADDRESS

CAMPAIGN

TREASURER

PHONE

REPORT TYPE

PERIOD

COVERED

ELECTION

OFFICE

(Residence or Business)

MS / MRS / MR FIRST MI

NICKNAME LAST SUFFIX

. . . . . . . . . . . . . . . . . . . . . . . . . . .

MS / MRS / MR FIRST MI

NICKNAME LAST SUFFIX

. . . . . . . . . . . . . . . . . . . . . . . . . . .

ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE

STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE

AREA CODE PHONE NUMBER EXTENSION

( )

AREA CODE PHONE NUMBER EXTENSION

( )

Month Day Year Month Day Year

Month Day Year

THROUGH

ELECTION DATE ELECTION TYPE

OFFICE HELD (if any) OFFICE SOUGHT (if known)

PO Box 762346

San Antonio TX 78245

210 706-0671

Mr David

Brockhouse

330 Threadneedle

San Antonio TX 78227

210 216-1114

Primary

General

Runoff

Special

Other

Description

30th Day Before General Election

1/1/2019 3/25/2019

5/4/2019

X

Council District 6 Mayor

Page 2: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

CANDIDATE / OFFICEHOLDER

CAMPAIGN FINANCE REPORTFORM C/OH

COVER SHEET PG 2

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

14 15

16

17

18

Filer ID (Ethics Commission Filers)C/OH NAME

NOTICE FROM

POLITICAL

COMMITTEE(S)

Additional Pages

THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL

COMMITTEES TO SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT

THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE

REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.

COMMITTEE TYPE

GENERAL

SPECIFIC

COMMITTEE NAME

COMMITTEE ADDRESS

COMMITTEE CAMPAIGN TREASURER NAME

COMMITTEE CAMPAIGN TREASURER ADDRESS

. . . . . . . . . .

. . . . . . . . . .

. . . . . . . . . .

CONTRIBUTION

TOTALS

AFFIDAVIT

EXPENDITURE

TOTALS

CONTRIBUTION

BALANCE

OUTSTANDING

LOAN TOTALS

$

$

$

$

$

$

1.

2.

3.

4.

5.

6.

TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN

PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED

(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)

TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED

TOTAL POLITICAL EXPENDITURES

TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY

OF REPORTING PERIOD

TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE

LAST DAY OF THE REPORTING PERIOD

TOTAL POLITICAL CONTRIBUTIONS

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.

Signature of Candidate or Officeholder

Sworn to and subscribed before me, by the said _________________________________________________. this the _____________ day

AFFIX NOTARY STAMP / SEAL ABOVE

of ________________, 20 _______, to certify which, witness my hand and seal of office.

Signature of officer administering oath Title of officer administering oathPrinted name of officer administering oath

Mr Gregory Brockhouse

7290.00

51290.00

1704.57

44527.34

14909.77

29010.00

* * * Electronically Certified * * *

Mr Gregory Brockhouse 4th

April 19

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SUBTOTALS - COHFORM C/OH

COVER SHEET PG 3

19 FILER NAME 20 Filer ID (Ethics Commission Filers)

21 SCHEDULE SUBTOTALS

NAME OF SCHEDULE

SUBTOTAL

AMOUNT

$

$

$

$

$

$

$

$

$

$

$11.

10.

9.

1.

2.

3.

4.

5.

6.

7.

8.

SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS

SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS

SCHEDULE B: PLEDGED CONTRIBUTIONS

SCHEDULE E: LOANS

SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS

SCHEDULE F2: UNPAID INCURRED OBLIGATIONS

SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS

SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS

SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH

SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS

SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS

RETURNED TO FILER

Mr Gregory Brockhouse

50540.00

750.00

0

0

39949.64

0

0

0

4577.70

0

0

0

X

X

X

X

X

X

X

X

X

X

12. $

X

X

SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

Page 4: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission

Mr Gregory Brockhouse

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

1 of 19

www.ethics.state.tx.us Revised 09/08/2015

. . . . . . . . . . . . . . . . . . . . . . . . . .

The Instruction Guide explains how to complete this form.1

2 3

4 5

6

7

8 9

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements

Total pages Schedule A1:

FILER NAME Filer ID (Ethics Commission Filers)

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

1/7/2019 Wayne Harwell

8602 Paesanos Pkway

San Antonio, TX 78231

1000.00

Owner Harwell Properties

1/8/2019 Debra Guerrero

3915 Skylark

San Antonio, TX 78210

250.00

Developer NRP Group

1/9/2019 Dan Markson

200 Concord

San Antonio, TX 78216

500.00

SVP NRP Group

1/10/2019 Richard Sheldon

4005 Green Oak Dr

Waco, TX 78710

500.00

Sheldon Real EstateOwner

Page 5: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission

Mr Gregory Brockhouse

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

2 of 19

www.ethics.state.tx.us Revised 09/08/2015

. . . . . . . . . . . . . . . . . . . . . . . . . .

The Instruction Guide explains how to complete this form.1

2 3

4 5

6

7

8 9

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements

Total pages Schedule A1:

FILER NAME Filer ID (Ethics Commission Filers)

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

1/10/2019 Lisa Sheldon

4005 Green Oak Dr

Waco, TX 78710

500.00

N/A N/A

1/11/2019 Michael Westheimer

329 Porter

San Antonio, TX 78210

500.00

Owner Self Employed

1/11/2019 Elaine Wolff

329 Porter

San Antonio, TX 78210

500.00

Owner Self Employed

1/14/2019 Greg Kowalski

PO Box 1391

San Antonio, TX 78256

500.00

RK GroupOwner

Page 6: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission

Mr Gregory Brockhouse

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

3 of 19

www.ethics.state.tx.us Revised 09/08/2015

. . . . . . . . . . . . . . . . . . . . . . . . . .

The Instruction Guide explains how to complete this form.1

2 3

4 5

6

7

8 9

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements

Total pages Schedule A1:

FILER NAME Filer ID (Ethics Commission Filers)

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

1/14/2019 Bekki Kowalski

PO Box 1391

San Antonio, TX 78256

500.00

Owner Rk Group

1/14/2019 Irfan Butt

13119 Neumann

San Antonio, TX 78249

300.00

Owner Self Employed

1/14/2019 Jawed Shaikh

11218 Berkley Sq

San Antonio, TX 78249

200.00

Owner Self Employed

1/14/2019 Kin Hui

7134 Quail Garden

San Antonio, TX 78250

500.00

Self EmployedEngineer

Page 7: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission

Mr Gregory Brockhouse

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

4 of 19

www.ethics.state.tx.us Revised 09/08/2015

. . . . . . . . . . . . . . . . . . . . . . . . . .

The Instruction Guide explains how to complete this form.1

2 3

4 5

6

7

8 9

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements

Total pages Schedule A1:

FILER NAME Filer ID (Ethics Commission Filers)

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

1/14/2019 Anwar Tahir

10623 Cavelier Pt

San Antonio, TX 78254

500.00

Owner Self Employed

1/14/2019 Khalid Bajwa

23811 Spring Scent

San Antonio, TX 78268

200.00

Owner Self Employed

1/14/2019 Wenhao Wu

19202 Kristen Way

San Antonio, TX 78258

500.00

Owner Self Employed

1/14/2019 Mohammed Rana

13426 Baldwin Ridge

San Antonio, TX 78249

200.00

Self EmployedOwner

Page 8: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission

Mr Gregory Brockhouse

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

5 of 19

www.ethics.state.tx.us Revised 09/08/2015

. . . . . . . . . . . . . . . . . . . . . . . . . .

The Instruction Guide explains how to complete this form.1

2 3

4 5

6

7

8 9

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements

Total pages Schedule A1:

FILER NAME Filer ID (Ethics Commission Filers)

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

1/15/2019 SA Apartment Association PAC

7526 Babcock

San Antonio, TX 78248

500.00

PAC PAC

1/15/2019 SSFCU Political Action Committee

16211 La Cantera

San Antonio, TX 78256

500.00

PAC PAC

1/15/2019 Elizabeth Barratachea

431 Woodway Forest

San Antonio, TX 78215

100.00

Director Hotel Lodgin Association

1/15/2019 Brad Carson

128 W Mistletoe

San Antonio, TX 78212

500.00

Self EmployedAttorney

Page 9: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission

Mr Gregory Brockhouse

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

6 of 19

www.ethics.state.tx.us Revised 09/08/2015

. . . . . . . . . . . . . . . . . . . . . . . . . .

The Instruction Guide explains how to complete this form.1

2 3

4 5

6

7

8 9

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements

Total pages Schedule A1:

FILER NAME Filer ID (Ethics Commission Filers)

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

1/15/2019 Inderjit Mehat

11219 Jadestone

San Antonio, TX 78240

200.00

Owner Self Employed

1/15/2019 Ed Cross

2 Laurel Pl

San Antonio, TX 78209

500.00

Owner Self Employed

1/15/2019 Katie Harvey

2 Queens Gate

San Antonio, TX 78218

250.00

Owner KGBTexas

1/18/2019 J David Heller

60 Rydalwood Lane

Moreland Hills, OH 44022

500.00

The NRP GroupPresident/ CEO

Page 10: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission

Mr Gregory Brockhouse

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

7 of 19

www.ethics.state.tx.us Revised 09/08/2015

. . . . . . . . . . . . . . . . . . . . . . . . . .

The Instruction Guide explains how to complete this form.1

2 3

4 5

6

7

8 9

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements

Total pages Schedule A1:

FILER NAME Filer ID (Ethics Commission Filers)

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

1/18/2019 Richard Wells

600 Market

San Antonio, TX 78205

500.00

Self Dailey and Wells

1/18/2019 JoAnne Wells

600 Market

San Antonio, TX 78205

500.00

Self Dailey and Wells

1/22/2019 Marc Rodriguez

1122 Colorado

Austin, TX 78701

500.00

Lobbyist Offices of Marc A. Rodriguez

1/27/2019 Robert Worth

270 Terrell

San Antonio, TX 78209

500.00

Self EmployedOwner

Page 11: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission

Mr Gregory Brockhouse

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

8 of 19

www.ethics.state.tx.us Revised 09/08/2015

. . . . . . . . . . . . . . . . . . . . . . . . . .

The Instruction Guide explains how to complete this form.1

2 3

4 5

6

7

8 9

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements

Total pages Schedule A1:

FILER NAME Filer ID (Ethics Commission Filers)

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

1/28/2019 Hope Andrade

8031 Colonial Woods

Boerne, TX 78015

250.00

Entrepeneur Self Employed

2/2/2019 Louis Garcia

223 Walters

San Antonio, TX 78028

300.00

Owner AAA Garcia

2/5/2019 Guillermo Garcia

25034 Burnt Arrow

San Antonio, TX 78256

500.00

Consultant Falcon Bank

2/5/2019 Hugo Gutierrez

506 Enchanted Way

San Antonio, TX 78260

500.00

Falcon BankDirector

Page 12: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission

Mr Gregory Brockhouse

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

9 of 19

www.ethics.state.tx.us Revised 09/08/2015

. . . . . . . . . . . . . . . . . . . . . . . . . .

The Instruction Guide explains how to complete this form.1

2 3

4 5

6

7

8 9

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements

Total pages Schedule A1:

FILER NAME Filer ID (Ethics Commission Filers)

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

2/5/2019 Marcella Lucario

1410 Heavens Peak

San Antonio, TX 78258

500.00

N/A N/A

2/5/2019 William Hovestadt

1134 Summit Crest

San Antonio, TX 78258

500.00

Owner Self Employed

2/5/2019 Herlinda Aguilar

8727 Fredericksburg

San Antonio, TX 78240

500.00

Retired Retired

2/5/2019 Carlos Mendoza

102 Sand Dollar Ct

Laredo, TX 78041

500.00

Falcon BankVP

Page 13: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission

Mr Gregory Brockhouse

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

10 of 19

www.ethics.state.tx.us Revised 09/08/2015

. . . . . . . . . . . . . . . . . . . . . . . . . .

The Instruction Guide explains how to complete this form.1

2 3

4 5

6

7

8 9

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements

Total pages Schedule A1:

FILER NAME Filer ID (Ethics Commission Filers)

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

2/5/2019 Juan Luis Perez

1412 Wingfoot Loop

Laredo, TX 78045

500.00

VP Falcon Bank

2/6/2019 Maria Lucario

1410 Heavens Peak

San Antonio, TX 78258

500.00

N/A N/A

2/6/2019 Brian Knapp

18326 Emerald Forest

San Antonio, TX 78269

500.00

Civilian US Army

2/6/2019 Virginia Hepburn

354 Vesper

Canyon Lake, TX 78133

500.00

Falcon BankLoan Asst

Page 14: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission

Mr Gregory Brockhouse

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

11 of 19

www.ethics.state.tx.us Revised 09/08/2015

. . . . . . . . . . . . . . . . . . . . . . . . . .

The Instruction Guide explains how to complete this form.1

2 3

4 5

6

7

8 9

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements

Total pages Schedule A1:

FILER NAME Filer ID (Ethics Commission Filers)

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

2/9/2019 Ken Pruitt

5413 N New Braunfels

San Antonio, TX 78209

1000.00

Owner Self Employed

2/10/2019 Mark Granados

112 Warbler Way

San Antonio, TX 78213

1000.00

Owner Self Employed

2/10/2019 Cynthia Granados

112 Warbler Way

San Antonio, TX 78213

1000.00

Owner Self Employed

2/12/2019 Sandra Stevens

9455 E Lakefront

Wichita , KS 67206

1000.00

N/AN/A

Page 15: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission

Mr Gregory Brockhouse

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

12 of 19

www.ethics.state.tx.us Revised 09/08/2015

. . . . . . . . . . . . . . . . . . . . . . . . . .

The Instruction Guide explains how to complete this form.1

2 3

4 5

6

7

8 9

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements

Total pages Schedule A1:

FILER NAME Filer ID (Ethics Commission Filers)

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

2/12/2019 Tommy Tilma

5 N Aspen

Wichita , KS 67206

1000.00

Developer March

2/12/2019 Cathy Tilma

5 N Aspen

Wichita , KS 67206

1000.00

N/A N/A

2/12/2019 Johnny Stevens

9120 Kilarney Ct

Wichita , KS 67206

1000.00

Owner March

2/12/2019 Marjorie Stevens

9120 Kilarney Ct

Wichita , KS 67206

1000.00

N/AN/A

Page 16: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission

Mr Gregory Brockhouse

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

13 of 19

www.ethics.state.tx.us Revised 09/08/2015

. . . . . . . . . . . . . . . . . . . . . . . . . .

The Instruction Guide explains how to complete this form.1

2 3

4 5

6

7

8 9

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements

Total pages Schedule A1:

FILER NAME Filer ID (Ethics Commission Filers)

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

2/12/2019 Charles Stevens

6 N Linden

Wichita , KS 67206

1000.00

Developer March

2/12/2019 Pamela Stevens

6 N Linden

Wichita , KS 67206

1000.00

N/A N/A

2/15/2019 Adam Schiller

2410 Wild Turkey

San Antonio, TX 78232

1000.00

Director GFR

2/15/2019 Jessica Schiller

2410 Wild Turkey

San Antonio, TX 78232

1000.00

N/AN/A

Page 17: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission

Mr Gregory Brockhouse

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

14 of 19

www.ethics.state.tx.us Revised 09/08/2015

. . . . . . . . . . . . . . . . . . . . . . . . . .

The Instruction Guide explains how to complete this form.1

2 3

4 5

6

7

8 9

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements

Total pages Schedule A1:

FILER NAME Filer ID (Ethics Commission Filers)

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

2/16/2019 Michael Jacobson

223 Eugene Sasser

San Antonio, TX 78250

1000.00

VP GFR

2/16/2019 Tanna Jacobson

223 Eugene Sasser

San Antonio, TX 78250

1000.00

N/A N/A

2/16/2019 Catherine Granados

112 Warbler Way

San Antonio, TX 78213

1000.00

Owner Self Employed

2/16/2019 Caroline Granados

112 Warbler Way

San Antonio, TX 78213

1000.00

N/AN/A

Page 18: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission

Mr Gregory Brockhouse

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

15 of 19

www.ethics.state.tx.us Revised 09/08/2015

. . . . . . . . . . . . . . . . . . . . . . . . . .

The Instruction Guide explains how to complete this form.1

2 3

4 5

6

7

8 9

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements

Total pages Schedule A1:

FILER NAME Filer ID (Ethics Commission Filers)

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

2/19/2019 Jerry Bledsoe

1919 McCcauley

San Antonio, TX 78224

200.00

Retired Retired

2/19/2019 James Fleming

9006 Timber Fork

San Antono, TX 78250

750.00

Human Resource Systems Manager US AIr Force

2/22/2019 Patrick Crane

3251 Mid Hollow

San Antonio, TX 78230

1000.00

Owner Self Employed

2/22/2019 Debra Crane

3251 Mid Hollow

San Antonio, TX 78230

1000.00

N/AN/A

Page 19: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission

Mr Gregory Brockhouse

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

16 of 19

www.ethics.state.tx.us Revised 09/08/2015

. . . . . . . . . . . . . . . . . . . . . . . . . .

The Instruction Guide explains how to complete this form.1

2 3

4 5

6

7

8 9

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements

Total pages Schedule A1:

FILER NAME Filer ID (Ethics Commission Filers)

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

2/27/2019 Betty Eckhert

233 Wildwood

San Antonio, TX 78212

100.00

Retired Retired

2/28/2019 Gilda Garza

7722 Braun Way

San Antonio , TX 78250

500.00

Widow SAPD

3/2/2019 Greg Thurmon

500 E Main

Kilgore, TX 75662

500.00

CEO Nardis

3/4/2019 Jack Thurmon

500 East Main

Kilgore, TX 75662

500.00

NardisPresident

Page 20: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission

Mr Gregory Brockhouse

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

17 of 19

www.ethics.state.tx.us Revised 09/08/2015

. . . . . . . . . . . . . . . . . . . . . . . . . .

The Instruction Guide explains how to complete this form.1

2 3

4 5

6

7

8 9

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements

Total pages Schedule A1:

FILER NAME Filer ID (Ethics Commission Filers)

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

3/4/2019 Louis Barrios

1102 Morgans Peak

San Antonio, TX 78258

1000.00

Owner Los Barrios

3/15/2019 Michael Lambur

2819 Low Oak

San Antonio, TX 78232

500.00

Retired Retired

3/15/2019 Carroll Lambur

2819 Low Oak

San Antonio, TX 78232

500.00

Retired Retired

3/18/2019 Richard Aleman

717 W Ashby

San Antonio, TX 78212

500.00

SelricoDirector

Page 21: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission

Mr Gregory Brockhouse

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

18 of 19

www.ethics.state.tx.us Revised 09/08/2015

. . . . . . . . . . . . . . . . . . . . . . . . . .

The Instruction Guide explains how to complete this form.1

2 3

4 5

6

7

8 9

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements

Total pages Schedule A1:

FILER NAME Filer ID (Ethics Commission Filers)

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

3/18/2019 Enrique Davila

215 N Center St

San Antonio, TX 78202

1000.00

Owner Self Employed

3/20/2019 Eddie Bravenec

406 S Presa

San Antonio, TX 78205

500.00

Owner Self Employed

3/21/2019 Joseph DelVecchio

1019 Canadian Goose

San Antonio, TX 78245

250.00

Mainframe Technical Support Technician Retired

3/25/2019 Ed Tanner

7531 Pipers Creek St

San Antonio, TX 78251

200.00

RetiredRetired

Page 22: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission

Mr Gregory Brockhouse

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

19 of 19

www.ethics.state.tx.us Revised 09/08/2015

. . . . . . . . . . . . . . . . . . . . . . . . . .

The Instruction Guide explains how to complete this form.1

2 3

4 5

6

7

8 9

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements

Total pages Schedule A1:

FILER NAME Filer ID (Ethics Commission Filers)

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . . . . . . . . . . .

Date Full name of contributor Amount of contribution ($)

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)

Principal occupation / Job title (See instructions) Employer (See instructions)

3/25/2019 Adam Hetrick

515 Prinz Dr

San Antonio, TX 78213

500.00

CEO Hetrick, Skidmore & Associates

Page 23: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

NON-MONETARY (IN-KIND) POLITICAL

CONTRIBUTIONSSCHEDULE A2

The Instruction Guide explains how to complete this form.

FILER NAME Filer ID (Ethics Commission Filers)

Total pages Schedule A2:

TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $

. . . . . . . . . . . . . . . . . . . . . . . . .

Full name of contributor

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)Date

Check if travel outside of Texas, complete Schedule T

Amount of Contribution $

Principal occupation / Job title (FOR NON-JUDICIAL) (See instructions) Employer (FOR NON-JUDICIAL) (See instructions)

Contributor's principal occupation (FOR JUDICIAL)

Contributor's employer/law firm (FOR JUDICIAL)

Contributor's job title (FOR JUDICIAL) (See instructions)

Law firm of contributor's spouse (if any) (FOR JUDICIAL)

If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)

. . . . . . . . . . . . . . . . .In-kind contribution description

. . . . . . . . . . . . . . . . . . . . . . . . .

Full name of contributor

Contributor address; City; State; Zip Code

out-of-state PAC (ID#_______________)Date

Check if travel outside of Texas, complete Schedule T

Amount of Contribution $

Principal occupation / Job title (FOR NON-JUDICIAL) (See instructions) Employer (FOR NON-JUDICIAL) (See instructions)

Contributor's principal occupation (FOR JUDICIAL)

Contributor's employer/law firm (FOR JUDICIAL)

Contributor's job title (FOR JUDICIAL) (See instructions)

Law firm of contributor's spouse (if any) (FOR JUDICIAL)

If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)

. . . . . . . . . . . . . . . . .In-kind contribution description

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

1

2 3

4

5 6

7

8

9

10 11

12 13

14 15

16

1 of 1

Mr Gregory Brockhouse

0

2/10/2019 Harold Orozco

8015 2nd St

Somerset, TX 78069

3/15/2019 Harold Orozco

8015 2nd St

Somerset, TX 78069

250.00

Signage

Owner 3D Printing

500.00

Signage

Owner 3D Printing

Page 24: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements

PLEDGED CONTRIBUTIONS SCHEDULE B

The Instruction Guide explains how to complete this form.Total pages Schedule B:1

FILER NAME Filer ID (Ethics Commission Filers)

TOTAL OF UNITEMIZED PLEDGES $

2 3

4

. . . . . . . . . . . . . . . . . . . . . . . . .

Full name of pledgor

Pledgor address; City; State; Zip Code

out-of-state PAC (ID#_______________)Date

Check if travel outside of Texas, complete Schedule T

Amount of Pledge $

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . .In-kind contribution description

6

7

8

9

10 11

5

1 of 1

. . . . . . . . . . . . . . . . . . . . . . . . .

Full name of pledgor

Pledgor address; City; State; Zip Code

out-of-state PAC (ID#_______________)Date

Check if travel outside of Texas, complete Schedule T

Amount of Pledge $

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . .In-kind contribution description

. . . . . . . . . . . . . . . . . . . . . . . . .

Full name of pledgor

Pledgor address; City; State; Zip Code

out-of-state PAC (ID#_______________)Date

Check if travel outside of Texas, complete Schedule T

Amount of Pledge $

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . .In-kind contribution description

. . . . . . . . . . . . . . . . . . . . . . . . .

Full name of pledgor

Pledgor address; City; State; Zip Code

out-of-state PAC (ID#_______________)Date

Check if travel outside of Texas, complete Schedule T

Amount of Pledge $

Principal occupation / Job title (See instructions) Employer (See instructions)

. . . . . . . . . . . . . . . . .In-kind contribution description

Mr Gregory Brockhouse

0

Page 25: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

LOANS SCHEDULE E

The Instruction Guide explains how to complete this form.

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

If lender is out-of-state PAC, please see instruction guide for additional reporting requirements

. . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . .

$

Total pages Schedule E:

FILER NAME Filer ID (Ethics Commission Filers)

TOTAL OF UNITEMIZED LOANS

Date of loan Name of lender out-of-state PAC (ID#_______________) Loan Amount ($)

Is lender a

financial

institution?

Lender address; City; State; Zip Code Interest rate

Maturity date

Employer (See instructions)Principal occupation / Job title (See instructions)

Description of Collateral

none

Check if personal funds were deposited into political

account (See instructions)

GUARANTOR

INFORMATION

not applicable

Guarantor address; City; State; Zip Code

Name of guarantor Amount Guaranteed ($)

Principal occupation (See instructions) Employer (See instructions)

Date of loan Name of lender out-of-state PAC (ID#_______________) Loan Amount ($)

Is lender a

financial

institution?

Lender address; City; State; Zip Code Interest rate

Maturity date

Employer (See instructions)Principal occupation / Job title (See instructions)

Description of Collateral

none

Check if personal funds were deposited into political

account (See Instructions)

GUARANTOR

INFORMATION

not applicable

Guarantor address; City; State; Zip Code

Name of guarantor Amount Guaranteed ($)

Principal occupation (See instructions) Employer (See instructions)

1

2 3

4

5

6

7

8

9

10

11

12 13

14 15

16 17

18

19

20 21

1 of 1

Mr Gregory Brockhouse

0

Page 26: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

POLITICAL EXPENDITURES MADESCHEDULE F1FROM POLITICAL CONTRIBUTIONS

EXPENDITURE CATEGORIES FOR BOX 8(a)

The Instruction Guide explains how to complete this form

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

Total pages Schedule F1: FILER NAME Filer ID (Ethics Commission Filers)1 2 3

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

4 5

6 7

8

9

1 of 15 Mr Gregory Brockhouse

1/3/2019 Storage Mart

149.96 9580 Potranco

San Antonio, TX 78251

Office Overhead/Rental Expense Campaign Storage

1/4/2019 Fiesta Bakery

302.95 8035 Culebra

San Antonio, TX 78251

Food/Beverage Expense Food and Beverage Meeting

1/15/2019 Adapted Research

1000.00 301 N Ave F

Elgin , TX 78621

Consulting Expense Research

(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense

Contributions/Donations Made By

Candidate/Officeholder/Political Committee

Credit Card Payment

Event Expense

Fees

Food/Beverage Expense

Gifts/Awards/Memorials Expense

Legal Services

Loan Repayment/Reimbursement

Office Overhead/Rental Expense

Polling Expense

Printing Expense

Salaries/Wages/Contract Labor

Solicitation/Fundraising Expense

Transportation Equipment & Related Expense

Travel in District

Travel Out Of District

Other (enter a category not listed above)

Page 27: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

POLITICAL EXPENDITURES MADESCHEDULE F1FROM POLITICAL CONTRIBUTIONS

EXPENDITURE CATEGORIES FOR BOX 8(a)

The Instruction Guide explains how to complete this form

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

Total pages Schedule F1: FILER NAME Filer ID (Ethics Commission Filers)1 2 3

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

4 5

6 7

8

9

2 of 15 Mr Gregory Brockhouse

1/15/2019 Central Market

158.26 4821 Broadway

San Antonio, TX 78209

Food/Beverage Expense Food and Beverage Meeting

1/16/2019 Central Market

200.15 4821 Broadway

San Antonio, TX 78209

Event Expense Food and Beverage Meeting

1/23/2019 Kevin Lopez

1000.00 835 W Woodlawn

San Antonio, TX 78212

Consulting Expense Consulting/Mail Support/Data

(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense

Contributions/Donations Made By

Candidate/Officeholder/Political Committee

Credit Card Payment

Event Expense

Fees

Food/Beverage Expense

Gifts/Awards/Memorials Expense

Legal Services

Loan Repayment/Reimbursement

Office Overhead/Rental Expense

Polling Expense

Printing Expense

Salaries/Wages/Contract Labor

Solicitation/Fundraising Expense

Transportation Equipment & Related Expense

Travel in District

Travel Out Of District

Other (enter a category not listed above)

Page 28: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

POLITICAL EXPENDITURES MADESCHEDULE F1FROM POLITICAL CONTRIBUTIONS

EXPENDITURE CATEGORIES FOR BOX 8(a)

The Instruction Guide explains how to complete this form

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

Total pages Schedule F1: FILER NAME Filer ID (Ethics Commission Filers)1 2 3

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

4 5

6 7

8

9

3 of 15 Mr Gregory Brockhouse

1/28/2019 HEB

225.87 10660 Culebra

San Antonio, TX 78251

Event Expense Food and Beverage Meeting

1/30/2019 TINK A TAKO

108.23 7507 Potranco

San Antonio, TX 78251

Food/Beverage Expense Food and Beverage Meeting

2/4/2019 Papa Johns

303.00 9230 Potranco

San Antonio, TX 78251

Event Expense Food and Beverage Meeting

(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense

Contributions/Donations Made By

Candidate/Officeholder/Political Committee

Credit Card Payment

Event Expense

Fees

Food/Beverage Expense

Gifts/Awards/Memorials Expense

Legal Services

Loan Repayment/Reimbursement

Office Overhead/Rental Expense

Polling Expense

Printing Expense

Salaries/Wages/Contract Labor

Solicitation/Fundraising Expense

Transportation Equipment & Related Expense

Travel in District

Travel Out Of District

Other (enter a category not listed above)

Page 29: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

POLITICAL EXPENDITURES MADESCHEDULE F1FROM POLITICAL CONTRIBUTIONS

EXPENDITURE CATEGORIES FOR BOX 8(a)

The Instruction Guide explains how to complete this form

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

Total pages Schedule F1: FILER NAME Filer ID (Ethics Commission Filers)1 2 3

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

4 5

6 7

8

9

4 of 15 Mr Gregory Brockhouse

2/4/2019 Casa Blanca

244.65 11210 Alamo Ranch

San Antonio, TX 78253

Event Expense Event Expense

2/8/2019 Bulk Email Checker

149.95 5000 Stonewood

Wexford , PA 15090

Consulting Expense Data Expense

2/11/2019 Timothy Brandon

160.00 PO Box 781364

San Antonio, TX 78251

Event Expense Campaign Storage

(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense

Contributions/Donations Made By

Candidate/Officeholder/Political Committee

Credit Card Payment

Event Expense

Fees

Food/Beverage Expense

Gifts/Awards/Memorials Expense

Legal Services

Loan Repayment/Reimbursement

Office Overhead/Rental Expense

Polling Expense

Printing Expense

Salaries/Wages/Contract Labor

Solicitation/Fundraising Expense

Transportation Equipment & Related Expense

Travel in District

Travel Out Of District

Other (enter a category not listed above)

Page 30: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

POLITICAL EXPENDITURES MADESCHEDULE F1FROM POLITICAL CONTRIBUTIONS

EXPENDITURE CATEGORIES FOR BOX 8(a)

The Instruction Guide explains how to complete this form

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

Total pages Schedule F1: FILER NAME Filer ID (Ethics Commission Filers)1 2 3

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

4 5

6 7

8

9

5 of 15 Mr Gregory Brockhouse

2/11/2019 Cortez Liquid Waste

238.15 19540 Hwy 281

San Antonio, TX 78249

Event Expense Event Expense

2/11/2019 210 Pizza

206.10 7627 Culebra

San Antonio, TX 78251

Event Expense Food and Beverage Event

2/11/2019 Marvin Jimenez

200.00 1333 Buena Vista

San Antonio, TX 78207

Advertising Expense Advertising

(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense

Contributions/Donations Made By

Candidate/Officeholder/Political Committee

Credit Card Payment

Event Expense

Fees

Food/Beverage Expense

Gifts/Awards/Memorials Expense

Legal Services

Loan Repayment/Reimbursement

Office Overhead/Rental Expense

Polling Expense

Printing Expense

Salaries/Wages/Contract Labor

Solicitation/Fundraising Expense

Transportation Equipment & Related Expense

Travel in District

Travel Out Of District

Other (enter a category not listed above)

Page 31: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

POLITICAL EXPENDITURES MADESCHEDULE F1FROM POLITICAL CONTRIBUTIONS

EXPENDITURE CATEGORIES FOR BOX 8(a)

The Instruction Guide explains how to complete this form

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

Total pages Schedule F1: FILER NAME Filer ID (Ethics Commission Filers)1 2 3

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

4 5

6 7

8

9

6 of 15 Mr Gregory Brockhouse

2/12/2019 Lee Lopez

160.00 PO Box 781364

San Antonio, TX 78205

Event Expense Event Expense

2/12/2019 Bill Miller

142.95 10626 Westover Hills

San Antonio, TX 78251

Food/Beverage Expense Food and Beverage Meeting

2/19/2019 Fiesta Bakery

103.00 8035 Culebra

San Antonio, TX 78251

Food/Beverage Expense Food and Beverage Meeting

(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense

Contributions/Donations Made By

Candidate/Officeholder/Political Committee

Credit Card Payment

Event Expense

Fees

Food/Beverage Expense

Gifts/Awards/Memorials Expense

Legal Services

Loan Repayment/Reimbursement

Office Overhead/Rental Expense

Polling Expense

Printing Expense

Salaries/Wages/Contract Labor

Solicitation/Fundraising Expense

Transportation Equipment & Related Expense

Travel in District

Travel Out Of District

Other (enter a category not listed above)

Page 32: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

POLITICAL EXPENDITURES MADESCHEDULE F1FROM POLITICAL CONTRIBUTIONS

EXPENDITURE CATEGORIES FOR BOX 8(a)

The Instruction Guide explains how to complete this form

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

Total pages Schedule F1: FILER NAME Filer ID (Ethics Commission Filers)1 2 3

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

4 5

6 7

8

9

7 of 15 Mr Gregory Brockhouse

2/19/2019 Chris Mireles

2500.00 909 NE Loop 410

San Antonio, TX 78217

Advertising Expense Advertising

2/20/2019 Kathleen Carter

250.00 227 S Acme

San Antonio, TX 78253

Contributions/Donations Made By

Candidate/Officeholder/Political

Committee

Donation Event

2/20/2019 Norma Denham Associates

1000.00 118 Broadway

San Antonio, TX 78205

Solicitation/Fundraising Expense Fundraising Expense

(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense

Contributions/Donations Made By

Candidate/Officeholder/Political Committee

Credit Card Payment

Event Expense

Fees

Food/Beverage Expense

Gifts/Awards/Memorials Expense

Legal Services

Loan Repayment/Reimbursement

Office Overhead/Rental Expense

Polling Expense

Printing Expense

Salaries/Wages/Contract Labor

Solicitation/Fundraising Expense

Transportation Equipment & Related Expense

Travel in District

Travel Out Of District

Other (enter a category not listed above)

Page 33: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

POLITICAL EXPENDITURES MADESCHEDULE F1FROM POLITICAL CONTRIBUTIONS

EXPENDITURE CATEGORIES FOR BOX 8(a)

The Instruction Guide explains how to complete this form

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

Total pages Schedule F1: FILER NAME Filer ID (Ethics Commission Filers)1 2 3

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

4 5

6 7

8

9

8 of 15 Mr Gregory Brockhouse

2/20/2019 Olive Garden

440.43 5439 W Loop 1604

San Antonio, TX 78253

Event Expense Food and Beverage Meeting

2/20/2019 Vista Print

125.87 275 Wyman

Waltham, MA 02451

Printing Expense Printing Expense

2/22/2019 Politico LLC

3500.00 835 W Woodlawn

San Antonio, TX 78212

Consulting Expense Consulting/Mail Support/Data

(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense

Contributions/Donations Made By

Candidate/Officeholder/Political Committee

Credit Card Payment

Event Expense

Fees

Food/Beverage Expense

Gifts/Awards/Memorials Expense

Legal Services

Loan Repayment/Reimbursement

Office Overhead/Rental Expense

Polling Expense

Printing Expense

Salaries/Wages/Contract Labor

Solicitation/Fundraising Expense

Transportation Equipment & Related Expense

Travel in District

Travel Out Of District

Other (enter a category not listed above)

Page 34: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

POLITICAL EXPENDITURES MADESCHEDULE F1FROM POLITICAL CONTRIBUTIONS

EXPENDITURE CATEGORIES FOR BOX 8(a)

The Instruction Guide explains how to complete this form

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

Total pages Schedule F1: FILER NAME Filer ID (Ethics Commission Filers)1 2 3

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

4 5

6 7

8

9

9 of 15 Mr Gregory Brockhouse

2/25/2019 Big Frog

435.17 11637 Bandera

San Antonio, TX 78250

Advertising Expense Advertising

2/26/2019 3D Screen Printing

1813.19 8015 W 2nd Street

Somerset, TX 78069

Advertising Expense Signage

2/27/2019 Metro PCS

265.40 5851 NW Loop 410

San Antonio, TX 78238

Office Overhead/Rental Expense Phones

(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense

Contributions/Donations Made By

Candidate/Officeholder/Political Committee

Credit Card Payment

Event Expense

Fees

Food/Beverage Expense

Gifts/Awards/Memorials Expense

Legal Services

Loan Repayment/Reimbursement

Office Overhead/Rental Expense

Polling Expense

Printing Expense

Salaries/Wages/Contract Labor

Solicitation/Fundraising Expense

Transportation Equipment & Related Expense

Travel in District

Travel Out Of District

Other (enter a category not listed above)

Page 35: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

POLITICAL EXPENDITURES MADESCHEDULE F1FROM POLITICAL CONTRIBUTIONS

EXPENDITURE CATEGORIES FOR BOX 8(a)

The Instruction Guide explains how to complete this form

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

Total pages Schedule F1: FILER NAME Filer ID (Ethics Commission Filers)1 2 3

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

4 5

6 7

8

9

10 of 15 Mr Gregory Brockhouse

2/27/2019 Metro PCS

343.68 5851 NW Loop 410

San Antonio, TX 78238

Office Overhead/Rental Expense Phones

2/27/2019 Lone Star Media

200.00 1011 N Frio

San Antonio, TX 78207

Advertising Expense Advertising

2/28/2019 BJs Restaurant

243.40 5447 W Loop 1604

San Antonio, TX 78253

Event Expense Food and Beverage Event

(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense

Contributions/Donations Made By

Candidate/Officeholder/Political Committee

Credit Card Payment

Event Expense

Fees

Food/Beverage Expense

Gifts/Awards/Memorials Expense

Legal Services

Loan Repayment/Reimbursement

Office Overhead/Rental Expense

Polling Expense

Printing Expense

Salaries/Wages/Contract Labor

Solicitation/Fundraising Expense

Transportation Equipment & Related Expense

Travel in District

Travel Out Of District

Other (enter a category not listed above)

Page 36: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

POLITICAL EXPENDITURES MADESCHEDULE F1FROM POLITICAL CONTRIBUTIONS

EXPENDITURE CATEGORIES FOR BOX 8(a)

The Instruction Guide explains how to complete this form

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

Total pages Schedule F1: FILER NAME Filer ID (Ethics Commission Filers)1 2 3

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

4 5

6 7

8

9

11 of 15 Mr Gregory Brockhouse

3/4/2019 Office Depot

127.30 119 SW Loop 410

San Antonio, TX 78251

Printing Expense Printing Expense

3/4/2019 Lone Star Media

222.18 1011 N Frio

San Antonio, TX 78207

Accounting/Banking Shirts

3/4/2019 Tribunus Group

1700.00 6030 Springtime

San Antonio, TX 78249

Salaries/Wages/Contract Labor Canvassing/Phones/Consulting

(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense

Contributions/Donations Made By

Candidate/Officeholder/Political Committee

Credit Card Payment

Event Expense

Fees

Food/Beverage Expense

Gifts/Awards/Memorials Expense

Legal Services

Loan Repayment/Reimbursement

Office Overhead/Rental Expense

Polling Expense

Printing Expense

Salaries/Wages/Contract Labor

Solicitation/Fundraising Expense

Transportation Equipment & Related Expense

Travel in District

Travel Out Of District

Other (enter a category not listed above)

Page 37: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

POLITICAL EXPENDITURES MADESCHEDULE F1FROM POLITICAL CONTRIBUTIONS

EXPENDITURE CATEGORIES FOR BOX 8(a)

The Instruction Guide explains how to complete this form

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

Total pages Schedule F1: FILER NAME Filer ID (Ethics Commission Filers)1 2 3

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

4 5

6 7

8

9

12 of 15 Mr Gregory Brockhouse

3/4/2019 Storage Mart

349.92 9580 Potranco

San Antonio, TX 78251

Office Overhead/Rental Expense Campaign Storage

3/4/2019 Bill Miller

104.96 10626 Westover Hills

San Antonio, TX 78251

Food/Beverage Expense Food and Beverage Meeting

3/6/2019 Politico LLC

704.26 835 W Woodlawn

San Antonio, TX 78212

Consulting Expense Consulting/Mail Support/Data

(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense

Contributions/Donations Made By

Candidate/Officeholder/Political Committee

Credit Card Payment

Event Expense

Fees

Food/Beverage Expense

Gifts/Awards/Memorials Expense

Legal Services

Loan Repayment/Reimbursement

Office Overhead/Rental Expense

Polling Expense

Printing Expense

Salaries/Wages/Contract Labor

Solicitation/Fundraising Expense

Transportation Equipment & Related Expense

Travel in District

Travel Out Of District

Other (enter a category not listed above)

Page 38: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

POLITICAL EXPENDITURES MADESCHEDULE F1FROM POLITICAL CONTRIBUTIONS

EXPENDITURE CATEGORIES FOR BOX 8(a)

The Instruction Guide explains how to complete this form

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

Total pages Schedule F1: FILER NAME Filer ID (Ethics Commission Filers)1 2 3

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

4 5

6 7

8

9

13 of 15 Mr Gregory Brockhouse

3/7/2019 Tribunus Group

2700.00 6030 Springtime

San Antonio, TX 78249

Salaries/Wages/Contract Labor Canvassing/Phones/Consulting

3/7/2019 Time Warner Cable

468.70 640 SW Military

San Antonio, TX 78221

Office Overhead/Rental Expense Technology Services

3/8/2019 ATT

268.23 5338 Tezel

San Antonio, TX 78251

Office Overhead/Rental Expense Technology Services

(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense

Contributions/Donations Made By

Candidate/Officeholder/Political Committee

Credit Card Payment

Event Expense

Fees

Food/Beverage Expense

Gifts/Awards/Memorials Expense

Legal Services

Loan Repayment/Reimbursement

Office Overhead/Rental Expense

Polling Expense

Printing Expense

Salaries/Wages/Contract Labor

Solicitation/Fundraising Expense

Transportation Equipment & Related Expense

Travel in District

Travel Out Of District

Other (enter a category not listed above)

Page 39: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

POLITICAL EXPENDITURES MADESCHEDULE F1FROM POLITICAL CONTRIBUTIONS

EXPENDITURE CATEGORIES FOR BOX 8(a)

The Instruction Guide explains how to complete this form

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

Total pages Schedule F1: FILER NAME Filer ID (Ethics Commission Filers)1 2 3

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

4 5

6 7

8

9

14 of 15 Mr Gregory Brockhouse

3/11/2019 Bill Miller

203.00 10626 Westover Hills

San Antonio, TX 78251

Event Expense Food and Beverage Expense

3/13/2019 BEST BUY

165.36 5419 W Loop 1604

San Antonio, TX 78253

Office Overhead/Rental Expense Technology Services

3/14/2019 Tribunus Group

3300.00 6030 Springtime

San Antonio, TX 78249

Salaries/Wages/Contract Labor Canvassing/Phones/Consulting

(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense

Contributions/Donations Made By

Candidate/Officeholder/Political Committee

Credit Card Payment

Event Expense

Fees

Food/Beverage Expense

Gifts/Awards/Memorials Expense

Legal Services

Loan Repayment/Reimbursement

Office Overhead/Rental Expense

Polling Expense

Printing Expense

Salaries/Wages/Contract Labor

Solicitation/Fundraising Expense

Transportation Equipment & Related Expense

Travel in District

Travel Out Of District

Other (enter a category not listed above)

Page 40: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

POLITICAL EXPENDITURES MADESCHEDULE F1FROM POLITICAL CONTRIBUTIONS

EXPENDITURE CATEGORIES FOR BOX 8(a)

The Instruction Guide explains how to complete this form

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

Total pages Schedule F1: FILER NAME Filer ID (Ethics Commission Filers)1 2 3

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

PURPOSE

OF

EXPENDITURE

Complete ONLY if directexpenditure to benefit C/OH

Payee name

Payee address; City; State; Zip Code

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Candidate / Officeholder name Office sought Office held

4 5

6 7

8

9

15 of 15 Mr Gregory Brockhouse

3/14/2019 Politico LLC

4240.00 835 W Woodlawn

San Antonio, TX 78212

Consulting Expense Consulting/Mail Support/Data

3/20/2019 Potomac Strategy

2125.00 807 Brazos

Austin, TX 78701

Consulting Expense Consulting/Media

3/25/2019 Politico LLC

5395.80 835 W Woodlawn

San Antonio, TX 78212

Consulting Expense Consulting/Mail Support/Data

(a) (b)

Accounting/Banking

Advertising Expense

Consulting Expense

Contributions/Donations Made By

Candidate/Officeholder/Political Committee

Credit Card Payment

Event Expense

Fees

Food/Beverage Expense

Gifts/Awards/Memorials Expense

Legal Services

Loan Repayment/Reimbursement

Office Overhead/Rental Expense

Polling Expense

Printing Expense

Salaries/Wages/Contract Labor

Solicitation/Fundraising Expense

Transportation Equipment & Related Expense

Travel in District

Travel Out Of District

Other (enter a category not listed above)

Page 41: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

SCHEDULE F2UNPAID INCURRED OBLIGATIONS

EXPENDITURE CATEGORIES FOR BOX 10(a)

The Instruction Guide explains how to complete this form

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

1 Total pages Schedule F2: 2 FILER NAME Filer ID (Ethics Commission Filers)3

$TOTAL OF UNITEMIZED UNPAID INCURRED OBLIGATIONS4

5 Date Payee name

7 Amount ($) Payee address; City; State; Zip Code

9

PURPOSE

OF

EXPENDITURE

TYPE OF

EXPENDITUREPolitical Non-Political

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

10

11expenditure to benefit C/OHComplete ONLY if direct Candidate / Officeholder name Office sought Office held

Date Payee name

Amount ($) Payee address; City; State; Zip Code

PURPOSE

OF

EXPENDITURE

TYPE OF

EXPENDITUREPolitical Non-Political

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

expenditure to benefit C/OHComplete ONLY if direct Candidate / Officeholder name Office sought Office held

(a) (b)

6

8

1 of 1 Mr Gregory Brockhouse

0

Accounting/Banking

Advertising Expense

Consulting Expense

Contributions/Donations Made By

Candidate/Officeholder/Political Committee

Event Expense

Fees

Food/Beverage Expense

Gifts/Awards/Memorials Expense

Legal Services

Loan Repayment/Reimbursement

Office Overhead/Rental Expense

Polling Expense

Printing Expense

Salaries/Wages/Contract Labor

Solicitation/Fundraising Expense

Transportation Equipment & Related Expense

Travel in District

Travel Out Of District

Other (enter a category not listed above)

Page 42: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

PURCHASE OF INVESTMENTS MADESCHEDULE F3FROM POLITICAL CONTRIBUTIONS

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

The Instruction Guide explains how to complete this form.Total pages Schedule F3:

FILER NAME Filer ID (Ethics Commission Filers)

Date Name of person from whom investment is purchased

Address of person from whom investment is purchased; City; State; Zip Code

Description of investment

Amount of investment ($)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Date Name of person from whom investment is purchased

Address of person from whom investment is purchased; City; State; Zip Code

Description of investment

Amount of investment ($)

1

2 3

4 5

6

7

8

1 of 1

Mr Gregory Brockhouse

Page 43: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

SCHEDULE F4EXPENDITURES MADE BY CREDIT CARD

EXPENDITURE CATEGORIES FOR BOX 10(a)

The Instruction Guide explains how to complete this form

1 Total pages Schedule F4: 2 FILER NAME Filer ID (Ethics Commission Filers)3

$TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD4

Accounting/Banking

Advertising Expense

Consulting Expense

Contributions/Donations Made By

Candidate/Officeholder/Political Committee

Event Expense

Fees

Food/Beverage Expense

Gifts/Awards/Memorials Expense

Legal Services

Loan Repayment/Reimbursement

Office Overhead/Rental Expense

Polling Expense

Printing Expense

Salaries/Wages/Contract Labor

Solicitation/Fundraising Expense

Transportation Equipment & Related Expense

Travel in District

Travel Out Of District

Other (enter a category not listed above)

5 Date Payee name

7 Amount ($) Payee address; City; State; Zip Code

9

PURPOSE

OF

EXPENDITURE

TYPE OF

EXPENDITUREPolitical Non-Political

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

10

11expenditure to benefit C/OHComplete ONLY if direct Candidate / Officeholder name Office sought Office held

(a) (b)

6

8

Date Payee name

Amount ($) Payee address; City; State; Zip Code

PURPOSE

OF

EXPENDITURE

TYPE OF

EXPENDITUREPolitical Non-Political

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

expenditure to benefit C/OHComplete ONLY if direct Candidate / Officeholder name Office sought Office held

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

1 of 1 Mr Gregory Brockhouse

0

Page 44: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

POLITICAL EXPENDITURESSCHEDULE GMADE FROM PERSONAL FUNDS

EXPENDITURE CATEGORIES FOR BOX 8(a)

The Instruction Guide explains how to complete this form

Total pages Schedule G: FILER NAME Filer ID (Ethics Commission Filers)1 2 3

Date

Amount ($)

Payee Name

Payee address; City; State; Zip Code

4 5

6 7

PURPOSE

OF

EXPENDITURE

Category (See categories listed at the top of this schedule) Description8 (a) (b)

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Reimbursement from

political contributions

intended

Complete ONLY if directexpenditure to benefit C/OH

Candidate / Officeholder name Office sought Office held9

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

Date

Amount ($)

Payee name

Payee address; City; State; Zip Code

PURPOSE

OF

EXPENDITURE

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Reimbursement from

political contributions

intended

Complete ONLY if directexpenditure to benefit C/OH

Candidate / Officeholder name Office sought Office held

Date

Amount ($)

Payee name

Payee address; City; State; Zip Code

PURPOSE

OF

EXPENDITURE

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Reimbursement from

political contributions

intended

Complete ONLY if directexpenditure to benefit C/OH

Candidate / Officeholder name Office sought Office held

1 of 1 Mr Gregory Brockhouse

3/1/2019 3D Sign Printing

927.70

X

8015 2nd Street

Somerset, TX 78069

Advertising Expense

Signage

Greg Brockhouse Mayor Council District 6

3/14/2019 Tribunus Group

3650.00

X

6030 Springtime

San Antonio, TX 78249

Consulting Expense

Canvassing/Phones/Consulting

Greg Brockhouse Mayor Council District 6

Accounting/Banking

Advertising Expense

Consulting Expense

Contributions/Donations Made By

Candidate/Officeholder/Political Committee

Credit Card Payment

Event Expense

Fees

Food/Beverage Expense

Gifts/Awards/Memorials Expense

Legal Services

Loan Repayment/Reimbursement

Office Overhead/Rental Expense

Polling Expense

Printing Expense

Salaries/Wages/Contract Labor

Solicitation/Fundraising Expense

Transportation Equipment & Related Expense

Travel in District

Travel Out Of District

Other (enter a category not listed above)

Page 45: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

PAYMENT MADE FROM POLITICALSCHEDULE HCONTRIBUTIONS TO A BUSINESS OF C/OH

Mr Gregory Brockhouse

EXPENDITURE CATEGORIES FOR BOX 8(a)

The Instruction Guide explains how to complete this form

2 FILER NAME1 3

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

4 5

6 7

8 (a) (b)

9

Total pages Schedule H:

Business address; City; State; Zip CodeAmount ($)

Business nameDate

Filer ID (Ethics Commission Filers)

PURPOSE

OF

EXPENDITURE

expenditure to benefit C/OHif directONLYComplete Candidate / Officeholder name Office sought Office held

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Business address; City; State; Zip CodeAmount ($)

Business nameDate

PURPOSE

OF

EXPENDITURE

expenditure to benefit C/OHif directONLYComplete Candidate / Officeholder name Office sought Office held

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

Business address; City; State; Zip CodeAmount ($)

Business nameDate

PURPOSE

OF

EXPENDITURE

expenditure to benefit C/OHif directONLYComplete Candidate / Officeholder name Office sought Office held

Category (See categories listed at the top of this schedule) Description

Check if travel outside of Texas, complete schedule T

Check if Austin, TX, officeholder living expense

1 of 1

Accounting/Banking

Advertising Expense

Consulting Expense

Contributions/Donations Made By

Candidate/Officeholder/Political Committee

Credit Card Payment

Event Expense

Fees

Food/Beverage Expense

Gifts/Awards/Memorials Expense

Legal Services

Loan Repayment/Reimbursement

Office Overhead/Rental Expense

Polling Expense

Printing Expense

Salaries/Wages/Contract Labor

Solicitation/Fundraising Expense

Transportation Equipment & Related Expense

Travel in District

Travel Out Of District

Other (enter a category not listed above)

Page 46: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

NON-POLITICAL EXPENDITURESSCHEDULE IMADE FROM POLITICAL CONTRIBUTIONS

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

The Instruction Guide explains how to complete this form.

Total pages Schedule I: FILER NAME Filer ID (Ethics Commission Filers)1 2 3

Date Payee name

Amount ($) Payee address; City; State; Zip Code

PURPOSE

OF

EXPENDITURE

Category (See instructions for examples of acceptable Description(a) (b)categories.)

(See instructions regarding type of information required.)

Date Payee name

Amount ($) Payee address; City; State; Zip Code

PURPOSE

OF

EXPENDITURE

Category (See instructions for examples of acceptable Descriptioncategories.)

(See instructions regarding type of information required.)

Date Payee name

Amount ($) Payee address; City; State; Zip Code

PURPOSE

OF

EXPENDITURE

Category (See instructions for examples of acceptable Descriptioncategories.)

(See instructions regarding type of information required.)

Date Payee name

Amount ($) Payee address; City; State; Zip Code

PURPOSE

OF

EXPENDITURE

Category (See instructions for examples of acceptable Descriptioncategories.)

(See instructions regarding type of information required.)

1 of 1 Mr Gregory Brockhouse

4 5

6 7

8

Page 47: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

INTEREST, CREDITS, GAINS, REFUNDS, ANDSCHEDULE KCONTRIBUTIONS RETURNED TO FILER

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

The Instruction Guide explains how to complete this form.

Date

FILER NAME Filer ID (Ethics Commission Filers)

Total pages Schedule K:

Name of person from whom amount is received

Address of person from whom amount is received; City; State; Zip Code

Amount ($)

Purpose for which amount is receivedCheck if political contribution returned to filer

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Date Name of person from whom amount is received

Address of person from whom amount is received; City; State; Zip Code

Amount ($)

Purpose for which amount is receivedCheck if political contribution returned to filer

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Date Name of person from whom amount is received

Address of person from whom amount is received; City; State; Zip Code

Amount ($)

Purpose for which amount is receivedCheck if political contribution returned to filer

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Date Name of person from whom amount is received

Address of person from whom amount is received; City; State; Zip Code

Amount ($)

Purpose for which amount is receivedCheck if political contribution returned to filer

1 of 1

1

2 3

4 5

6

7

8

Mr Gregory Brockhouse

Page 48: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

IN-KIND CONTRIBUTIONS OR POLITICAL EXPENDITURES

SCHEDULE TFOR TRAVEL OUTSIDE OF TEXAS

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

The Instruction Guide explains how to complete this form.

2

1

3 Filer ID (Ethics Commission Filers)FILER NAME

Total pages Schedule T:

Name of Contributor / Corporation or Labor Organization / Pledgor / Payee

Contribution / Expenditure reported on:

Dates of travel Name of person(s) traveling

Departure city or name of departure location

Destination city or name of destination location

Means of transportation Purpose of travel (including name of conference, seminar, or other event)

Schedule A2

Schedule F2

Schedule B

Schedule F4

Schedule B(J)

Schedule G

Schedule C2

Schedule H

Schedule D

Schedule COH-UC

Schedule F1

Schedule B-SS

Name of Contributor / Corporation or Labor Organization / Pledgor / Payee

Contribution / Expenditure reported on:

Dates of travel Name of person(s) traveling

Departure city or name of departure location

Destination city or name of destination location

Means of transportation Purpose of travel (including name of conference, seminar, or other event)

Schedule A2

Schedule F2

Schedule B

Schedule F4

Schedule B(J)

Schedule G

Schedule C2

Schedule H

Schedule D

Schedule COH-UC

Schedule F1

Schedule B-SS

Name of Contributor / Corporation or Labor Organization / Pledgor / Payee

Contribution / Expenditure reported on:

Dates of travel Name of person(s) traveling

Departure city or name of departure location

Destination city or name of destination location

Means of transportation Purpose of travel (including name of conference, seminar, or other event)

Schedule A2

Schedule F2

Schedule B

Schedule F4

Schedule B(J)

Schedule G

Schedule C2

Schedule H

Schedule D

Schedule COH-UC

Schedule F1

Schedule B-SS

4

5

6 7

8

9

10 11

1 of 1

Mr Gregory Brockhouse

Page 49: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN …...Apr 04, 2019  · CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 Forms provided by Texas Ethics Commission

Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 09/08/2015

CANDIDATE / OFFICEHOLDER REPORT:FORM C/OH - FRDESIGNATION OF FINAL REPORT

The Instruction Guide explains how to complete this form.

•• Complete only if "Report Type" on page 1 is marked "Final Report" ••

Filer ID (Ethics Commission Filers)C/OH NAME

SIGNATURE

Signature of Candidate / Officeholder

I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designating

a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign

contributions or make any campaign expenditures without a campaign treasurer appointment on file.

FILER WHO IS NOT AN OFFICEHOLDER•• Complete A & B below if you are not an officeholder. ••only

A. CAMPAIGN FUNDS

Check only one:

I do not have unexpended contributions or unexpended interest or income earned from political contributions.

I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I may not

convert unexpended political contributions or unexpended interest or income earned on political contributions to personal use. I

also understand that I must file an annual report of unexpended contributions and that I may not retain unexpended contributions

or unexpended interest or income earned on political contributions longer than six years after filing this final report. Further, I

understand that I must dispose of unexpended political contributions and unexpended interest or income earned on political

contributions in accordance with the requirements of Election Code, § 254.204.

B. ASSETS

Signature of Candidate

Check only one:

I do not retain assets purchased with political contributions or interest or other income from political contributions.

I do retain assets purchased with political contributions or interest or other income from political contributions. I understand that I

may not convert assets purchased with political contributions or interest or other income from political contributions to personal

use. I also understand that I must dispose of assets purchased with political contributions in accordance with the requirements of

Election Code, § 254.204.

OFFICEHOLDER

Signature of Officeholder

if you are an officeholder. ••only•• Complete this section

I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on file. I

am also aware that I will be required to file reports of unexpended contributions if, after filing the last required report as an officeholder,

I retain political contributions, interest of other income from political contributions, or assets purchased with political contributions or

interest or other income from political contributions.

Mr Gregory Brockhouse