CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin...

38
38 Mr Justin Holley 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 15041 San Antonio TX 78212 210 799-5211 Mr Henry Brun PO Box 15041 San Antonio TX 78212 210 799-5211 Primary General Runoff Special Other Description 30th Day Before General Election 1/1/2019 3/25/2019 5/4/2019 X Council District 1

Transcript of CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin...

Page 1: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

38

Mr Justin

Holley

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 15041

San Antonio TX 78212

210 799-5211

Mr Henry

Brun

PO Box 15041

San Antonio TX 78212

210 799-5211

Primary

General

Runoff

Special

Other

Description

30th Day Before General Election

1/1/2019 3/25/2019

5/4/2019 X

Council District 1

Page 2: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 Justin Holley

0

5097.00

0

54940.32

0

47921.97

* * * Electronically Certified * * *

Mr Justin Holley 5th

April 19

Page 3: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 Justin Holley

5097.00

0

0

17921.97

54940.32

0

0

0

0

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 FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

Forms provided by Texas Ethics Commission

Mr Justin Holley

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

1 of 7

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)

1/3/2019 Paul Nix

15503 Dawn Crst

San Antonio, TX 78248

500.00

Event Planner Capers DMC

1/15/2019 Chip Sugg

2301 Broadway

San Antonio , TX 78215

100.00

Attorney Clark Hill Strasburger

1/16/2019 Tamara Benavides

17135 Darlington Run

San Antonio, TX 78247

100.00

Regional Director of Sales Baywood Hotels

1/19/2019 Rob Wicall

130 Algerita Rd

San Antonio, TX 78230

200.00

n/an/a

Page 5: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

Forms provided by Texas Ethics Commission

Mr Justin Holley

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

2 of 7

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)

1/20/2019 Angie Robinson

597 Marshan Ln

Lino Lakes, MN 55014

25.00

Consultant Angie Robinson Consulting

1/21/2019 Oscar Cepeda de la O

2306 Quail Holw

San Antonio, TX 78232

50.00

General Manager Drury Hotel

1/22/2019 Tucker Johnson

153 Lone Star

Boerne, TX 78006

100.00

Faculty UH

1/22/2019 Joanna Weidman

7 Jordans Wood Cir

San Antonio, TX 78248

100.00

NuStarExecutive

Page 6: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

Forms provided by Texas Ethics Commission

Mr Justin Holley

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

3 of 7

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)

1/22/2019 Adrienne Nugent

PO Box 120011

San Antonio, TX 78212

147.00

Real estate Self enployed

1/22/2019 avinash bhakta

3 privada yesa

San Antonio, TX 78257

250.00

hotelier ahh hospitality

1/23/2019 Amanda Garcia

1530 Schley Ave

San Antonio, TX 78210

100.00

Executive Director Texas Restaurnat Association

1/23/2019 Jimmy Toubin

3106 Elm Gate

San Antonio, TX 78230

100.00

Toubin Insurance AgencvyPresident

Page 7: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

Forms provided by Texas Ethics Commission

Mr Justin Holley

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

4 of 7

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)

1/23/2019 Judi Deleon

351 Donaldson Ave

San Antonio, TX 78201

500.00

Entertainment Industry Self Employed

1/23/2019 Jacob Valenzuela

PO Box 12545

San Antonio, TX 78212

500.00

Entertainer Starlite Management and Production

2/5/2019 Al Arreola

8611 Datapoint #33

San Antonio, TX 78229

100.00

CEO South Chamber

2/7/2019 Bob Wills

7550 IH-10 West

San Antonio, TX 78229

150.00

The PM GroupCEO

Page 8: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

Forms provided by Texas Ethics Commission

Mr Justin Holley

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

5 of 7

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)

2/8/2019 Gregory Willie

4110 N Maryland Ave

Showood, WI 53211-2058

500.00

retired retired

2/8/2019 Herriet Helmle

401 Horizon Crst

Boerne, TX 78006

100.00

retired retired

2/14/2019 Dustin Burell

444 E Basse Rd

San Antonio, TX 78209

500.00

GM The Quarry GC

2/23/2019 Joanne Friberg

PO Box 27

Florence, WI 54121

100.00

retiredretired

Page 9: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

Forms provided by Texas Ethics Commission

Mr Justin Holley

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

6 of 7

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)

2/25/2019 glenn stafford

PO Box 12432

san antonio, TX 78212

250.00

Sunshineofsa.com Sunshineofsa.com

3/11/2019 Rebecca Dinnin

3911 Fossil Crk

San Antonio, TX 78261

50.00

Consulting Self Employed

3/12/2019 Torrey Stanley

134 Chichester Pl

San Antonio, TX 78209

100.00

Assoc. Mgt. AIA San Antonio

3/14/2019 Robert Salcido

PO Box 120115

San Antonio, TX 78212

50.00

Equality TexasOrganizer

Page 10: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

Forms provided by Texas Ethics Commission

Mr Justin Holley

MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1

7 of 7

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)

3/20/2019 Brian Merry

910 W Rosewood Ave

San Antonio , TX 78201

100.00

Senior Religious Education Program Director Department of the Air Force

3/22/2019 Anne Englert

PO Box 120151

San Antonio, TX 78212

25.00

Virtual & Personal Assistant Hello Anne Co

3/22/2019 Jay Johnson

641 Boulder Dr

Southlake, TX 76092

100.00

Sales management Republic National Distributing Company

3/24/2019 Louis Barrios

1102 Morgan’s Peak

San Antonio , TX 78258

200.00

Los Barrios Enterprises LLCPresident/CEO

Page 11: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 Justin Holley

0

Page 12: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 Justin Holley

0

Page 13: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 Justin Holley

0

3/6/2019 Mr Justin Holley

PO Box 15041

San Antonio TX 78212

N

3443.97

0.000000

Owner self

X

X

X

0.00

3/15/2019 Mr Justin Holley

PO Box 15041

San Antonio TX 78212

N

14478.00

0.000000

Owner self

X

X

0.00

Page 14: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 16 Mr Justin Holley

1/3/2019 L2 Political

441.30 18912 North Creek Parkway #201

Bothell, WA 98011

Polling Expense purchase of phone list for frequent voters

1/4/2019 Vue Point

5000.00 3463 Magic Drive #229

San Antonio, TX 78229

Advertising Expense Build Web Site

1/7/2019 NATIONBUILDER

29.00 520 S Grand Ave 2nd Floor

Los Angeles, CA 90071

Solicitation/Fundraising Expense system to collect fundraising

(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 15: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 16 Mr Justin Holley

1/7/2019 Constant Contact

101.27 1601 Trapelo Rd

Waltham, MA 02451

Advertising Expense email listing database

1/8/2019 Cathey Meyer

2500.00 230 Dwyer #802

San Antonio, TX 78204

Salaries/Wages/Contract Labor campaign manager

1/8/2019 Karla Vasquez

1846.15 326 Roseborough

San Antonio, TX 78210

Salaries/Wages/Contract Labor campaign staff

(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 16: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 16 Mr Justin Holley

1/8/2019 Megan Smith

3476.25 110 E Houston St

San Antonio, TX 78205

Salaries/Wages/Contract Labor finance director

1/9/2019 Cathey Meyer

338.00 230 Dwyer #802

San Antonio, TX 78204

Salaries/Wages/Contract Labor campaign manager

1/9/2019 Cathey Meyer

338.00 230 Dwyer #802

San Antonio, TX 78204

Salaries/Wages/Contract Labor campaign manager

(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 17: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 16 Mr Justin Holley

1/9/2019 Cathey Meyer

1287.35 230 Dwyer #802

San Antonio, TX 78204

Salaries/Wages/Contract Labor campaign staff

1/10/2019 Smith Print

5936.29 333 Burnet

San Antonio, TX 78202

Advertising Expense printing and advertising

1/10/2019 Dominic Carrasco

1245.00 1700 Jackson Keller #4011

San Antonio, TX 78213

Salaries/Wages/Contract Labor field director

(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 18: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 16 Mr Justin Holley

1/11/2019 Smith Print

3773.60 333 Burnet

San Antonio, TX 78202

Advertising Expense advertising

1/11/2019 OFFICE DEPOT #2805

46.55 150 N Crossroads Blvd

San Antonio, TX 78201

Office Overhead/Rental Expense office supplies

1/14/2019 OFFICE DEPOT

19.46 150 N Crossroads Blvd

San Antonio, TX 78201

Office Overhead/Rental Expense office supplies

(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 19: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 16 Mr Justin Holley

1/16/2019 OFFICE DEPOT

93.10 150 N Crossroads Blvd

San Antonio, TX 78201

Office Overhead/Rental Expense office supplies

1/22/2019 OFFICE DEPOT

71.43 150 N Crossroads Blvd

San Antonio, TX 78201

Office Overhead/Rental Expense office supplies

1/22/2019 Wal-Mart

111.40 5025 NW Loop 410

San Antonio, TX 78229

Office Overhead/Rental Expense copy paper and toner

(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 20: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 16 Mr Justin Holley

1/24/2019 Harland Clarke

40.00 15955 La Cantera Parkway

San Antonio, TX 78256

Office Overhead/Rental Expense check printing

1/25/2019 Karla Vasquez

1846.18 326 Roseborough

San Antonio, TX 78210

Salaries/Wages/Contract Labor campaign staff

1/29/2019 Ken Ashe

2500.00 105 105 Dogwood Lane

San Antonio, TX 78213

Consulting Expense videographer

(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 21: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 16 Mr Justin Holley

1/30/2019 JoNeen Serna

550.00 11226 Rose Canyon

Helotes, TX 78023

Salaries/Wages/Contract Labor accounting

2/4/2019 METERS

15.00 100 Military Plaza

San Antonio, TX 78205

Travel In District Parking

2/5/2019 Donna Horner

550.00 229 RidgeRock Dr

Canyon Lake, TX 78133

Consulting Expense hair and make up

(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 22: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 16 Mr Justin Holley

2/7/2019 NATIONBUILDER

29.00 520 S Grand Ave 2nd Floor

Los Angeles, CA 90071

Solicitation/Fundraising Expense website for collections of donations

2/7/2019 Constant Contact

101.27 1601 Trapelo Rd

Waltham, MA 02451

Solicitation/Fundraising Expense email distribution

2/14/2019 Norma Denham and Associates

2500.00 15706 Knoll Cliff

San Antonio, TX 78247

Consulting Expense fundraising

(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 23: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 16 Mr Justin Holley

2/15/2019 OFFICE DEPOT

25.96 150 N Crossroads Blvd

San Antonio, TX 78201

Office Overhead/Rental Expense office supplies

2/15/2019 METERS

15.00 100 Military Plaza

San Antonio, TX 78205

Travel In District parking

2/19/2019 METERS

10.00 100 Military Plaza

San Antonio, TX 78205

Travel In District parking

(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 24: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 16 Mr Justin Holley

2/19/2019 Karla Vasquez

1846.00 326 Roseborough

San Antonio, TX 78210

Salaries/Wages/Contract Labor campaign team

2/20/2019 Halcyon

11.74 1414 S Alamo St

San Antonio, TX 78210

Food/Beverage Expense Molly Cox Coffee

2/20/2019 Megan Smith

2000.00 110 E Houston St

San Antonio, TX 78205

Consulting Expense fee for fundraising

(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 25: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 16 Mr Justin Holley

2/20/2019 Frost Bank

34.00 PO Box 1600

San Antonio, TX 78296

Accounting/Banking overdraft fee

2/22/2019 San Antonio Hotel and Lodging Association

120.00 119 Heiman St #300

San Antonio, TX 78205

Food/Beverage Expense lunches

2/26/2019 HEB

35.78 516 S Flores

San Antonio, TX 78201

Food/Beverage Expense food items for offices

(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 26: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 16 Mr Justin Holley

2/28/2019 Frost Bank

4.00 PO Box 1600

San Antonio, TX 78296

Accounting/Banking return item charge

3/2/2019 Ken Ashe

700.00 105 105 Dogwood Lane

San Antonio, TX 78213

Consulting Expense video production

3/6/2019 Dominic Carrasco

1575.00 1700 Jackson Keller #4011

San Antonio, TX 78213

Salaries/Wages/Contract Labor campaign team

(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 FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 16 Mr Justin Holley

3/6/2019 Karla Vasquez

1846.00 326 Roseborough

San Antonio, TX 78210

Salaries/Wages/Contract Labor campaign team

3/6/2019 Sign Busters

2307.50 PO Box 214018

San Antonio, TX 78224

Advertising Expense sign installation

3/6/2019 Lone Star Media

3443.97 1011 N Frio St

San Antonio, TX 78207

Printing Expense printing of t shirts and signs

(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 FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 16 Mr Justin Holley

3/7/2019 Constant Contact

101.27 1601 Trapelo Rd

Waltham, MA 02451

Advertising Expense newsletter

3/7/2019 NATIONBUILDER

29.00 520 S Grand Ave 2nd Floor

Los Angeles, CA 90071

Solicitation/Fundraising Expense web site to collect money

3/15/2019 Norma Denham and Associates

2000.00 15706 Knoll Cliff

San Antonio, TX 78247

Consulting Expense finance consultant

(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 FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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

16 of 16 Mr Justin Holley

3/21/2019 Sign Busters

4049.50 PO Box 214018

San Antonio, TX 78224

Advertising Expense sign installation(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 FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 Justin Holley

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 31: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 Justin Holley

Page 32: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 Justin Holley

0

Page 33: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 Justin Holley

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 FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 Justin Holley

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 35: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 Justin Holley

4 5

6 7

8

Page 36: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 Justin Holley

Page 37: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 Justin Holley

Page 38: CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT … · 2019. 4. 5. · 38 Mr Justin Holley Forms provided by Texas Ethics Commission Revised 09/08/2015 CANDIDATE / OFFICEHOLDER

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 Justin Holley