PG SHEET 5 CANDIDATE! C/OH FORM …fortworthtexas.gov/uploadedFiles/City_Secretary/City_Council/...3...

Texas Lth¼cs Commsson PD Box 12070 Aushn Te4 (512) 4632) 463-800 i800-325-8506

CANDIDATE I OFFICEHOLDE/ FORM C/OH

CAMPAIGN FINANCE REPORT CovER SHEET PG 1

I AcçQlJp-* 2 Tha ragesf e

The C/OH Instruchon Gwde explains how to complete this forn C -5¼y

3 C°NDIDATE/ OF9CEUSEONLYOFFICEHOLDERNAME 44 ( - I

4 CANDIDATE! S E Y S— ZOO S

OFFICEHOLDER IL Ibaeof-dcress

5 CANDIDATE!OFFICEHOLDER /

PHONE

_______________________

‘at€- es’e¼

CAMPAIGNTREASURER -

NAME

_____________________

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7 CAMPAIGN - ES C - --< - t?- Z CDD

TREASURERADDRESS¼ ¼- - fl flS)

8 CAMPAIGNI REASURERPHONE -

9 REPORJ TYPEa -y ‘ 55t5 da befo C a So-i Rinoff 150 day etC carn5a g f esue

¼ appo¼ntment caCo 5 0 /

10 PERIODCOVERED

13

Texas Ethos Con miss on RO Box 12070 Austin Texas 78711-2070 t5l2) 463-5800 1-800-325-8506

a -x a rOtce s. cc oEm. o a cocepted p tca expmotr cc made b P0 ta commtteea to apport tOece U dma off ceO d 0 &. xp0rdt ma ceae Deer made t’c tim cartd date a o off ceho ders too edpe or UoOSerr

ardOatee m.d ohm. rodem arc eqm.ed to mport the fformatmr ony tney receae rotce o sod expeodkoes

CONIR)RUHONIOTA) S

TOAc 0O. CAL CONTR BUT ONS O $50 OR LESS O’HER THANPEDGES LOANS OR GJARANTEES OF OANS UNI ESS TEMZED $

2. TOTAL POLfl1CAL CONTRBUTtONSOTHER TrieN G EDGES OONS OR GUARANTEES OF LOANS) $

3 OA POL CAL EXPENOOFURES 0° $50 OR LESS UNLESS TEMTEO

4. TOTAL POUflCAL EXPENDITURES

S N - S tDNr LUNSAAO HAS F-F C- N PER 0

$

$

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CANDIDATE I OFFICEHOLDER REPORT: FORM C/OHSUPPORT & TOTALS CovER SHEET PG 2

15 a NAME 16ACGOA’A# (EthcsComree,nF5ers

17 NO1iEF- ROMPOLOJCALCOMMITTEE(S)

COSIMUTEE TYPE

GENERAL

SPEC1F C

CON ERFBUmFON 5 0A CL Ds C \F 0U;Oss m. 4A NED AS OF sE AS DadBALANCE OF A° F-JRT HO 000 JO

19 A F E A

r RNAEF

MojIl 201 J-c

exas Ethics Commsson RO. Box 12070 Austn Texas 78711-2070 (512) 463-5800 1-800-325-8506

POLITICAL CONTRIBUTIONS SCHEDULE AOTHER THAN PLEDGES OR LOANS

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_________—

- .—-

____

The InstructIon Guide explains how to complete this form 1 :agas ‘-n. nA

2 h ER NAME 3 CCD# ‘s’ s--

__________

4 Ca 5 FH cart-a o cor’tr.Duto’ - -, , 7 Amount o 8 In-knd contr;out’o’tcortr:buton S ctescnpton applcabe,

/ C I c I I ))

3 6 Contnbutcraddres Cty State ZoCode

/ _/ .F/ I

,/1. I f I f- hf travel outside of Texas. complete Schedule T)

9 °-cc a ccc.oaton ,ob the See nstructons 10 EmpIcyor See nstrucflons)

- ------ -- -

Date Put name ot contnbutor .: a c ca - - Amount of In-krnd contnbubon/7 j _—contnbution ($) descnption f appicable

i / / I,/at ‘7 Cortr butor add-ass C ty State Zp Code

‘‘ I - /

SeeIr,struct::s

Date Full came of cont outor ‘--u;--- •- — Amount of lc-knd contrbutoncortrbuton S) descmptor (C applicable)

,t-d •

‘ /l’\ Contributor address Cty /Sfate Zp 6de

UL- ii -

L --- ( F r I (If travel outside of Texas, complete Schedule T)°--oca occunaton ,ob tOte See lnstructor-s Employer See nst-ucnonst

ate Fuil name of contrbuto’ t ‘ Amount of In-k od contnbutc,n

) contnbuton S dac pton (7 appIcable

Ccroutm ass ,Ram:,pce

travetouts de of Texas corn lete Schedule0 b tt a a’ Er -( ,e Or (. t r —

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- f ua, 0. TLSL Drtt.m,07r S;ccdu C

Texas Eth(cs Ccmm(ss(on PC). Box 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506


I To a ttges Dte&e -Th Instrucuort Guide exp(am how to complete thm form,i

2 HIER NRr1F 3 0CCN# Es

(N;( I L )Cl4 Dam 5 Ff name c contrhutc - - 7 Amon: of 8 r-ro conzrioubor

contr but on S descnpncn pptcable

: H. 4’ H6 Contnbumr ac1pcess C , State Zp Cone

/ 11 - /1 A 5 1 (If travel outside of Texas, complete Schedule T(

9 Prcpal occupat on Job tdle (See instrucbors 10 Employer See Instrucuons)

Date Full name of contnbutor E -‘-c a — Amount of n-knd contrbuton• contnbubon (St descnpton (f applicablet

dContnbutor adctmss Cay State Zp Code

/£

ii 1 4 -

(,. ( L j 7’ / L - (lf travel outside of Texas, cpplete Schedule 4Prncpai occupat(on I Job nOe See nstructons) Employer (See nstructons)

Date Full name or cortnbutor J# — Amount of ln-knd con(nhuton- contnbut(on (5) descr phon (f apphcable)

Contnbutor dresF. C ty State Zp Code

‘/ ,L , f•I) r1 ) L

A If I / -— (If travel outside of Texas complete Schedule T)nrncpai Dcc.paton Jon tde tSee nstruc:(o”s( Employer See instruchons

Date Full name of —ontobuto ‘c- - Amount of In-lend conlnbunoncortnbut on $ deserpho’ / F apphcable

(‘oc i>k’ ‘C to as ZpCode

1 * (If travei outs(de of Texas. complete Schedule 4‘a S’a -s’ -i cs. Cnpr ea n’s

umd,fTcxataSrbuaa

Texas Ltbics Commission P0, Box 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506


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- _EZEEE

_____

The instruction Guide explains how to complete this form. 1 33 cages oc-ec- e —

2 EiLER NAb1E 3 AODZJV’k

v- I-, — -5-

4 Date 5 Fuii flame of contfloutcr ::,--c’

_______

7 Amount of 8 r-k-l’o contnbution

) contribubon S descnpbor Ff applcablei

ç

6 Contutorddres ç ty State Zp Code

I IC’

j I LL ( kJ 1’ I X (If travel outside of Texas, complete Schedule T(

9 P ir’cipal occupator Job title tSr_c Instruct urs 10 Employer rSee Instructions)

1Date Full name of contributor a ‘—‘.

_______

Amount of n-kind conttibution

-contrhuton (8) description 4d applicable,

rnConirbator address C$y State - Zp Code

- tS —

“4-1 k L,5j1 ;& t- ‘

1 (If travel outside of Texas. complete Schedule T)Pr;rccai cccapai on Job iOIe See instruct;or5s Employer rSee Instructions,

Dote Fuf name of corbutOr - - Amount of r-k nd contribut oncontributon S) descnpton if applicable’

I Contrbr_to addrs. CD State Z CodeI / - (—-I t’ L -r _! —

i.S

X r If I i (If travel outside of Texas, complete Schedule T)

°rrncpai occupat or Job i-tie ,See Instructions) En ployer (See Instructions)

Date Full name of rontnbutor r on- Amount of In-kind contrbutioncortrbution (St descrption app cable,

Cont butor address C ty Statp ZiI Code

/

____________

N I ( -[/‘ 4? (y(If travel outside of Texas, complete Schedule TI

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Texas Ethics Commission PC. Box 12070 Austin Texas 78711-2070 1512) 463-5800 1-800-325-8506


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The instruction Guide explains how to complete this form. 1 _a.

I

7Afooo

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oontrhuton (S aescrptior of apple-ble

- j6 Cor’tnbutor addres7 C ty State Zp Code

V I >\ t1 I (If travel ouide of Texas. complete Schedule T)

9 or opal occupat on Job tale iSee lost uct 005 10 Employer See Instructions)

Date Full name of contr butor ‘-‘ ‘ - Amount 0v In-kind contributioncontrhuton $( description (if applicahle

Ic 1

I Contubutor addrs Cy State Zp Code (

I j_- L t C’ ( I (If travel outside of Texas. complete Schedule T)

‘n’D cal occupat’or I Job one See irstrctos Employer See Instructions)

Date Put name of contrbutc- - .3,- -

_______________

Amount of ln-knd contrihut on- N 1’ corOrbution S descrption ci’ apolcable)

t ) I 0

Contributor address Ot. State Zip Code

)j I/c i

L -‘ E I / (If travel outside of Texas, complete Schedule T(

Principal occupat on Job Otis (See lnstructions Employer (See lnstructions

Dab Full name of coot butor ic - Amount of In-< nd contributoncoetribution (5 descrpt or applicaole1

Eontr butor ado ess C by State Z p Code

-

lit travel outside of Texas, complete Schedule TI

S : oars oc -0 ,p’b, Sc’sdus

Texas EthICS Commission PC Box 12070 Austin Texas 78711-2070 (512) 43-5800 1-800-325-8506

POLFflCAL CONTR!BUTIONS SCHEDULE AOTHER THAN PLEDGES OR LOANS

The Instruction Guide explains how to complete this form,1 CC a C -

-

2 FILEr L\ME 3 AC1DUVr#

I € I 4- k4 Date 5 Full nave of contributor 7 Amount of 8 In-kind contribution

contnbut on 5) oescnption f applicable, \i1 1C

I J 6 Contributor adess 1 City State 1Zya Code

1!

1’ y (If travel outside of Texas, complete Schedule T)

9 Pricoat occucat or Jon title See Instructors 10 Enoloyar See InatCictiona)

Date Full name of cono nutor

_________

Amount of )n-knd contnbutioncontribution 5 description if appt cable

‘4 tContnbrtor address State Zip Code

I / / (If travel outside of Texas. complete SchedulePrincipal occupation I Job ttle (See Instructioni Employer rSee Instructions)

Date Full name of contnbutor - - — Amount of In-kind contributionI contribution i5 descriton (if applcable)

ft 4 - —4- I-t -(- LrI I-\[,

I I Contrbitor address Ott” State Zp Code

( L-1 H -

/ - (If travel outside of Texas. complete Schedule T)Ilrcpai ccc. pa:cn Job title See Vstrctions Employer See lnstuctonst

Date Full name ot contiibuto a — — Amount of In-kind contributioncontribution 1S description (if applcable

£ kContributor address City State Z p Code

V i+-

1- , 5 / / (lf travel outside of Texas, complete Schedule T(it. ,r j’J ‘:i ‘O,. ‘s F•ri,,r See I.st 0 uris.

-

Texas Etnics Commission PC. Box 12070 Austin Texas 78711-2070 (512) 463-5800 1-800-325-8506

POLITICAL CONTRBUflONS SCHEDULE AOTHER THAN PLEDGES OR LOANS

The Instruction Guide explains how to complete this form. I Tot aes Scred. e

2 °1LR N’tME 3 a

1’4 r’ 5 Felt r ame of “ontr hu’o, . - 7 Amount of 8 tn-kind cortnbution

-

contnbution (SI descption f applicable

ey6 Conbutor agdress 0ty Ste Zip Coqe

“ 1’ t-b- o’ (If travel outside of Texas, complete Schedule T)

9 P’i.cpat occupation Jon ttle ‘See lnstuct’ens 10 Employer See tnstruct,onst

Date Full name of contnbuto ‘‘

- ‘,‘,,‘ ‘- Ds Amount of ln-kna contnbutioncontributon (S) description (if anplicahle)

Cortr,butor address Oty State Zp Code

I , .kt I I (If travel outside of Texas. complete Schedule TI

Penopat cccuoaton Job t,tle See tnstruct,ons, Employer See instrucoons’

Date Full nams of contrbutor ‘‘ ‘-t. — Amount of In-tend contrbutioncontnbut on (S) descntion nf applicable)

L,

f Contnbutor address City Zip Code

(If travel outside of Texas. complete Schedule T)Pne,cai occ,panon Job tale See tnstruct,onsf Empioser ,See tnstruct.cns,

Date Put, name of centributor‘ t - Amount of n-kind contributon

/ cortribut,or $, description ‘if applicable,_ )J ))Contributo’ address Coy State Zp Cod

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0 1 ,, If ravel ous de ci Texas comp etc Schedule Ti

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exas EtEcs Commisson P.O. Box 2O7Q AusSr. Texas 78711-2070 (512) 463-5800 1-800-325-8506

POUTCAL CONTRIBUTEONS SCHEDULE AOTHER THAN PLEDGES OR LOANS

-

I aThe lnstruction Guide explains how to complete this form.

-

2 ER reME 3 JC5 - -

j,: :4 .aTe 5 Full mne ontr 01.4cr 7 Amount of 8 ln-knd COntnoution

contrbut on (S descnpton ( if appIcahle

I6 Contnbulor address CS Sta’e Zp Cooe

1 / / /

- .-r-

- (If travel outside of Texas. complete Schedule T}

9 Cnopa 000uoat,o” ob tie See l-strctions 10 Empioye See Instructions

Date Full name of cortr buto-—

Amount of In-kind contr butioncortrbution (5) description (if applicable

I r nJ Cortnbutol address Coy Ellate Zp Code

j f (j I1 L-_- C- I 1 1 1 (If travel outside of Texas. complete Schedule T)

Finn pal nccupat1o’ Job tale See Instructions Employer (See instructons

Daie Full name of contnout r 1a- # Amount of ln-ind contnbutioncontnbution (5) descnption (if applicable)

I Wic.

C:ntnbutor ddrs dy. State Zipudooe

I -_.

---- (If travel outside of Texas. complete Schedule T(Piincpal occpation Job title iSee Instuctins Employer See instruotonsi

Cafe Full name of contrioutor -- Amount of In-kind contributioncotr buton (5) desc-iption r eppl cableT

Contrb tor address City State Z:p Co

I_ )) / /

fr- - ; / -V I —

. 1 (If travel outside of Texas. compiete Schedule Tci uc:un s E0L See!s’-ron

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& of 7eras oypietdSuifemuuT

Texas Ethics Commission PC. Box 12070 Austtn fexas 78711-2070 (512) 463-5800 1-800-325-8506

POLITICAL CONTRBUTONS SCHEDULE AOTHER THAN PLEDGES OR LOANS

Thc ‘nstruction Guide explains how to complete this form 1 s Oag.s

2 ILER NAME 3 f’ .b

‘

tS.

4 Dote 5 F.il r-sre of cc Dbuto - -- - -- 7 Amourtof 8 in-kno contnoution- ccntrbutoo ,S deecripton f appicanle

-

‘ I - S

6 Cont-iutor address Coy State Zip Code ‘ (1 - I -

S

-S-

. L (If travel outside of Texas. complete Schedule T(

9 ° r coat Occrpatcn ccc ltD See IrsV5ctrors 10 Employer See lnstructior’st

Dam FJI name of 000tnoutor -- ‘--a °- Amount o In-krnd contr bution

-

contnbution iS) descripton nf applicablei

v

- I Coot ibuto address COy State Zip Codef I / —c--—

.

I i I (If travel outside of Texas. complete Schedule T)P nopat ocOa::on job title See Instruct cii’s Employer See Instructions)

Date Pull name of ccntbutor •----D Amount of n-kind contribution- contrbution (Sf description >if applicable>

L1 tlLIci I t jI

Contributor address City State. Zip Code( 1

-f I . Tk (If travel outside of Texas. complete Schedule T(Principal 000upat on J00 title (See iotuctior4s, Employer (See Instruct ons>

Date Full name of contributor- ..r - Amount of n-knd contribution

) cortribition $f description 1f applicable>

: u £1Cortcb toraodrss Cty State ZipCcde

/1

complete S!Iea_S c o I ‘ tI See strof- -. P9- p vu C€ 0 t t one

rxas Ethics Commission PC. Bo 12070 Austin Texes 78711-2070 512) 463-5800 1-800-325-8506

POLfl1CAL CONTRIBUTIONS SCHEDULE AOTHER THAN PLEDGES OR LOANS

1 Cita cps hail ehe Instruction Guide explains how to complete mis form

2 FIcER NM4E 3 FCCCIShT# o

I L4 Date 5 Ft ye if ‘outc -- -

-- 7 Amclrt o 8 n-k no Dontnbuton

- cont-bt on S descrption applicable

/ 6 Contibrior address C ti State Zp Code

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9 P tcipal occudtior job tOe See ostruct dna 10 Empioyer See nstrucbons)

Date Full name of contnhutor Amount of — n-kind contributioncontnbcton Si descrptonnf applicable,

af -

Contnbutor address C ty State 2ip Code

:1 iIrI 1- r, I

L-. /c’ 4 I (if travel ouide of Texas, complete Schedule T)Pincipal occupation J Job title See Instrucbons)) Employer 1See Instructions)

Date Full name of contributor— Amount of In-kind contnhution

- corOr bubon (8) descr pEon (if applicable)

)Contihuti address C ty. State Zp Code

- (If travel outside of Texas. complete Schedule T(PncOaI uccupatio Job Etc Se !rtructo”s Employer See Irstructicis

Date Full rarre of -ontrbutor ‘“ a Arrountof n-end contrbution- coitrbut.o S descrption f app cable1

/ / Con noutcradctress C’y State Zp Loor

) 1-

-1;v i-i-— C — hf travel outside of Texas. complete Schedule H

S’e ‘‘s

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Texas Ethics Cornmtsston P.O. Box 12070 Ausun Texas 787112070 (512) 4635800

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I 600-325-8506

POLfl1CAL CONTRIBUTIONS SCHEDULE AI OTHER THAN PLEDGES OR LOANS

The lnstructton Gutde explants how to complete thts form, I na )JPS rei.eA

2 FLEP NAFIE 3 CDC.a -

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4 ate 5 Fit rarne ofcoirtrhutor . — 7 Amount of 8 InAind contnbuttoncontr but on S descript or if appi cable

F I

—- ( 6 Co-’tnbutor aacreAs C :y Sat Z p Coae. L 9 -j

L (If travel ouide of Texas, complete Schedule T(9 n cipal occupatton Jb title See lrstructions, 10 Employer See Instructions)

Da:e Lii. name of contncutor Amount of ln-knd contr.butoncontnbution S descnption Id apphcahle)

) ( Cortnbutoi address Cty State CodeI

-?rt

--, lf travet ouide of Texas. complete Schedule

Principal occupalion I JoO title See lrstructions Employer (See Instructions)

Date F.ll name of contributo -. ---‘ — Amount of Inktnd contrihutton---‘- contnbution S) descopt on td appicable,

-f 4.f t_.-.f

1 3/ 9 Cortrbutor address Cty State Zip Code Iri

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‘

I / (lf travel outside of Texas. complete Schedule T)b,rc pal occupato Job tItle See lnstrOctio”s Emplcjer See Vstructiors

- *-- .—— —----- -

Date Full name cf contributor ‘ Amount of ln< nd contnbutionj . contouton ç$ deacript on (if appleablet

: Cort’butor aaoess Ca, State Co Coae

If travel outside of Texas, com lete Schedule,

•.. 0- ct t )‘ cr r-’ r- tsf’ c C.,r5

Texas Ethos Commission P.O. Box 12070 Austin Texas 78711-2970 5l2> 463-5800 1-800-325-8506

POLfl1CAL CONTRIBUTONS SCHEDULE AOTHER THAN PLEDGES OR LOANS

The Instruction Guide explains how to complete this form 1 :a cages e -

2 F-I F-P NAMJc 3

4 Data 5 Fall narr a at cant huto .. .. 7 Amount of 8 lnk ad contrib.disncontr F-utica Si description a apploable

v ii

; 6 Contnbtor address. Oty Sate Zp Code

- ) f (If travel outside of Texas, complete Schedule T)

9 P rcipal occ.upaton Job title See Instructions 10 EmpIoy (See Instruct ons

Date Fall rame of conrctor .- .- Ariount f In-end contributioncontr.bt on iS descnpF-on a! acoIcable

;-.r /

Cortnbator address Cay State Zip Code-1 ) , /I 1 1 1 (If travel outside of Texas, complete Schedule

rDpai occupation J00 title See Instruct;ons Employe See lnstructons(

Date Full name of contrbutor - Amount of In-kind contribution/ contribution (5) description (if aoplicable)

J ilContributor adoess City State Z Code

/i ‘t

F F I I , TI; I (If travel outside of Texas, complete Schedule T(Prampal occupatcn Joc the See Vstrtctons’I Employer See Instructonsi

Date Full name of contr but r yr a Amount of In-kind contributioncontrbt on S decor Pt O f appIcable

Oontno.ac; address Ct Oae Z Code

______

C lf travel outside of Texas. complete Schedule T)go J t t tie Sr I t o r g a1t. S-e on

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lexas Ethics Commismon P.O Box 12070 Ausun Texas 78711207O (512) 46358OO 180O32585O6

POLITICAL EXPENDITURES SCHEDULE F

I .. cesSonLeFThe Instruction Guide explains how to complete this form.

2 HtER NAME 3 ACC0U# ic

144 Date 5 Payee name 7 Amount

i +1 Al

S Payeeaddresst Cay State ZpCode

8 f mpose of payment See nst’uct ons regard rg onforma5on 9 Comp etc f d ‘ect expeldb/e to bene C OHeqwred ) Ca d nate DC ce Ibm rame ce jh’ Cce d

(If traveluide of Texas, complete Senedule T)

Date Payee name Amount

. P. 4. .

p tS)

Payee address Cay State Z p Code /F IF / /t1/

/, / L//Purpose of payment (See nstrucbons regardng tyoe of aiformation Coop ee dcccl exoerditu e to be”efd C/OHrequ red ) Derd daft 00 ubotder usme Offe s grt 05cr rr

/(H travel outside of Texas. complete Schedule T)

Date Payee name AmountI çS)

I ,.lI. // . .. .

.. I) / C Payeeaddrcss Cty State Zpode //

It

Cu,p s ofoayc opt Sep. nstrJ’t ona reaarJmg type of nonat or Coop ate d a ‘exp. t.. e to beret’ C OPOd

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ft avel outsde of Texas comp etc Schedule T)

Texas Ethics Cornmisson P.O Box 12070 Austn Texas 78711 2070 (512) 463-5800 1-800-325-8506

POLJTICAL EXPENDITURES SCHEDULE F

-

___ ___ ___ ____

The Instruction Guide explains how to complete this form.

2 HLER NAME . 3 AC3’,ei

., —

4 Da’ 5 Payee name 7 Amount

- -. . ‘i.. . /

.

/ Payee addres Cty State Zp Code

t IL

7//k8 urccse of paymert (See nstruc5or s regard ngttype oDnforma5on 9 Comp,ete f d rent expend t. etc bene C OH

rsqu red I / ff .ehooer name C so_ic

-

(If travel outde of Texas. corn plethd0l fj

Date Payee 1aoie Amount

U. S

Payee address 00 State Zip Code -

:4i

P.-pcse cpament See instructions regard-np type o0rHormaton o-ae f 0-rect exnerrdn..re m Deref t C Onrequred} .ar’Ddate ffcePoidepame Ya..o-- Ceren

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(If travel ouide of Texas. complete Schedule T)


Payeeaddress Oty State( ZipCode) I-LI - +

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I1 ‘/P. . o of oyrnc. it eu ‘istrji-t 0 is rega dig ypr. of ito r iatv n Co p te e t £nann to e to 04.0Sf t H

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lf tra I uts e of Texas complete Schedule T)

Texas Ethms Cornmtsson PC Box 12070 Austtn Texas 78711-2070 (512> 463-5800 1-800-325-8506

POUTICAL EXPENDTURES SCHEDULE F

j Tht pages S edePThe nstructon Gwde explarns how to comp’ete this form,

2 FILER NAtM-E 3 COFFS f:

1

4 Dae S Payee name 7 Amount

6 Payee address C State Zpcode

/

8 Purpose of pay er t (See nstrucdons regard ng ty4c nformaPon 9 Compete f d met expend tare to penef t C OHrequced cam date Off.cepoder name Oe so gm D e r

I(If travel outsde o Texas, dmplete SchedideT)


I I (St

ptPayee address. Cfty State Zp Cooe

C

Puroose of payrt- ent (See nstrjcHons regardng type of nformaPon Complete f direct epermture to beef t C OHrequ ed ) and daft Off ceolder name ft e ouct Off.ce 5en

(If travel ouide of Texas, complete Schedule T) --


t’YPayee address Cey Smte Zp Code ) I’

a one ‘f pay a f a SO “ na agard ‘g ype f fjrrr,at on C ‘e m c reO xpe e to bareD C “°tel C J sm-c

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(f trav€l outs de of Texas comp etc S Sedule T

Tex3s Lth Cs Comrntsson P0 Box 12070 Auslin Texas 78711-2070 (512) 463-5800 1-800-325-8506

POLCAL EXPENDITURES SCHEDULE F

I pesSceoe°The Instruction Gutde explatns how to complete ths form. I

i —

2 I ERNAME 3 AOCQJN P n’ s

4 DsP. 5 Payee name 7 Amount(5)

/ 6 Payee address Cty State ZpCode

8 Purpose of paynent (See rstru000ns rea H ng type of nformat on 9 Corno etc ft cot expend tore to bene C OHrequ red ( OffebaPer name Qff€ s rd

L r ±(If trave4 outsde M’Texas, complete Schedule T)


±Payee address Cty State Zp Code

Purpose of payment çSee natrucdons regard ng type of nformaHon Comp ete deect expenddure to bene t C OHrequvedi snd Sat Off cenolde name Dffce - Once N5

ti(If travel outside of Texas, complete Schedule T(

Date Payee name — — Amount(s

Payeeaddresa Cty State ZipCooe

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Texas Ethics Commission P.O Box 12070 Austin. Texas 78711-2070 5l2T 463-5800 1-800-325-8506

POLCAL EXPENDiTURES SCHEDULE F

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4 Date 5 Payee name 7 Amount(ST

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Texas Ethcs Commission PC. Box 12070 Ajsun Texas 78711-2070 (512) 463-5800 1-800-325-8506


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