Texas Ethics Comrnson P0. Box 12070 Austin, 1exa170 2) 4635°0O 1 S002° 5R06
CANDIDATE / OFFICEHOLDER 1/” FORM C/OHCAMPAIGN FINANCE REPORT I ° jOVER SHEET PG 1
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1\çOL3Nrr J/ 2 Tora oag ed
The C/OH Instruction Guide explains how to complete this form.
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4 CANDIDATE! )BOX AP S PS Y
OFFICEHOLDER I IMAILING j
ADDRESS
L5 CANDIDATE! PWrNL S 9 SR
OFFICEHOLDERPHONE
6 CAMPAIGNTREASURERNAME
; CAMPAIGN ADDRFSS NOO SOS PLEASE APS TEA
TREASURER t, ‘c’ADDRESSRerOerce or hiss es
8 CAMPAIGN AREA 0001
TREASURER / Sri sPHONE
9 REPORT TYPEF aruor1 15
L 1 Jo v 15 At v E efo e err t or Ex
10 PERIOD Ea Y
COVERED POROUGH211 ELECTION t — r NtA p -
1
12OFFICE P13
14
3 CANDIDATEOFFICEHOL DERNAME kcC
MS MRS MR
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OFFICE USE ONLY
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LST SSP X
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CPA STAlE
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Texis L thic C-nn ‘‘ n Pc) i3nx 1i)7O ‘\ ,Ln 7 71 ‘‘0
CANDIDATE I OFFICEHOLDER REPORT: FORM CIOHSUPPORT & TOTALS CovER SHEET PG 2
15 C OH NAME 16 A0000N I •‘ F’ri
17 NOT ICE ‘r 0 e t C PlC 00 r .0ed of 0 mOe Ly o ( r Lee oo IL eFROFvI r I d ftC H €1 Her n r! I ir.“ ,‘ e L ft . “I •:r’ p or) Jot’ . 0 ‘I”’
POLITICAL ‘O’OaeeO ,ICerdeo uIr.rI :0 “CCI ‘os “sr”al,rn y I !eo -‘e,e n’: p .‘r.COMM ITTEE(S
I COMMITTEE TYPE
GENERAL
RPECIFIC\ L L c ‘t L(
AuN’5E5sPPFRNAE
.i1FFR.AiP0,S
1 ((J
_______- ____________________
—_______
____
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CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF 550 OR LESS (OTHER THANTOTALS PLEDGES LOANS. OR GUARANTEES OF LOANS) UNLESS ITEMIZED $
2. TOTAL POLITICAL CONTRIBUTIONS(OTHER THAN PLEDGES. LOANS, OR GUARANTEES OF LOANS) $
EXPENDITURE rOFAL POLITICAL EAPENDITIJRES OF 550 OR LESS UNLESS ITFMIZEDTOTALS
$
4. TOTAL POLITICAL EXPENDITURES
$ LH- -----CONTRIBUTION 5. TOTAL POI.ITICAL CON TRIBL(TONS MAINTA NED AS OF THE LAST DAYBALANCE OF REPORTING PERIOD $
OUTSTANDING 6 TO PROC PAL AM JNT OF AL OUTSTANCNG LOANS AS OF THE —-LOAN TOTALS LAST DAY (‘F HE REPORTNO PERIOD $AFFIDAVIT
wer r e’rm o cie .en Ilty f ocr’ ry Te i r ‘o 1 0H ) p , ‘ r%3f
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POLITICAL CONTRIBUTIONS SCHEDULE A
OTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form.1 3 A
2 FIt ER NArj V 3 AC1)iNfr V
\ .Wu tt4 Date 5 k ciii nam cJ r ir butor ., 7 Amount of S in k d tnbtciior
; OnE bi ton .teci un on f if
6 onubutrcr address City Jte Z p Code
(If travel outside of Texas, complete Schedule T)
9 °r ntpaI uuc p tion mb t i.e See instruct on’) 10 Employer iSne Incitrji. iOii3;
Date Fll name of contributor ..i ipA Amount of in-lund conlibiruncontnbut on ;S) descrption f apuiw ,&e,
Contributor address, City: State, Zip Code
(If_travel_outside_of_Texas,_complete_Schedule_T)Principal ni-iDupaton / Job title See Instructions1 Employer (See Instructions I
Date Full name of cOntributor o’of O1e PAd i I Amof In kind corrtnbritoncontribution ($) descr ption (if lpolicaDie)
Conlrbutor address; City: State: Zip Code
(If travel outside of Texas. complete Schedule T)Principal nccupauon iob title See lnstructons) Employer (See lnstruc’ions)
-
Date Full name of contributor fl t i no-OAf I a Amount of In-kind contribut oncontribution (5) description (if applic- bie)
V Contributor .acdress. City. State. Z.p Code
V V (If travel outside of Texas complete Schedule T)Pun” pat cc ‘upat c n Job t tie See In tr ct ons) F rr plnyer ¶3cc instrocdion)
0” i’ ,
(f travel outside f Tnx complete Schedule ‘I’),,,,-,,‘,. ‘.—‘-r’ ‘
ArIA HADD I NAL F ES F H(S F RMAS NEEDEDf b to t of tata PAC p cisc cc stru t n guide rid it cal r”pJrttr g r u r corts
Tn in tL’. ‘;,. p ii 1 i)7’
PLEDGED CONTRIBUTIONS SCHEDULE B
I t t rir t-’ n’iThe Instruction Guide explains how to complete this form.
2 FILER NAME 3 \XuNT ‘
- I4 TOTAL OF UNITEMIZED PLEDGES; S5 Date 6 oil n soc ot piedgor o w 8 Amount of 9 n kni ecripton
ledqe 1$) if apphcablel
7 Piedgor address, C ty. State. / p Code
(If travel outside of Texas. complete Schedule T)10 Pun. pal occupation .‘ Job ttie See Instructional 11 Employer iSee Instructions)
Date Full name of pledgor o- p# Amount of lnO<ind dencnptionpledge ‘St of apalicable)
l’ec(or address, City: State: Z.p Code
j (If travel outside of Texas, complete Schedule T)Principal occupation Job tIle (See lnstruc Employer ‘See Instructions)tions)
Dater Full name of p dgor [Joonovpsciu Amount of 1ka1ddescnprionoledge i$) (if applicable)
Pledgor address, City, State, Lp Code
(If travel outside of Texas, complete Schedule T)Principal occupation Job title iSee Instructionsi Employer (See Instructions)
Date Fill name of p(edqor o’o, Amount of to kind Descr’ptioopledge 5) pf applicable)
Pled,,or id iress City State Zp Code
(If travel ut5 de of Texas mo etc Schedo e T Jit-
F —te‘
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t’’sn ‘i’e Zo Jo
• I d (Tx.i
ATTACH ADDllONAL COPIES (M’ THIS FORM AS NEEDEDf cnntr butor s out f state PAC pleace iCC instruct in qu do for addih nal report nq eq’iiirertt3
Tex as Ethios Comrrtt ton PC Box 1 1)70 A n x is 1711 70 G1 2 .2 1)0
LOANS SCHEDULE E
1 1 0 .5O. 5 ‘1’ e LThe Instruction Guide explains how to complete this form
2 flLFR NAME 3 ACCOI NT 4
ALLTOTAL OF UNITEMIZED LOANS:
- S
5 rte!n 7 N,oeender 9 anAmototS;
—--- 4 .
6 5 der a 8 1cr der address 2ty: °ta:e I pG de 10 lstere0 atencrat S I tOt Qfl?
Y N 1jMatrat1ate
12 Fnncipa occuOJtion Job ritte Soe Instructions) 13 ErnpIuyar See Inotructior.s)
14 Descrpttcr of 2c lateral
LJ 50515
15 GUARANTOR 16 Nameofguaranter 18 ArvountGi,aranreedr$rINFORMATION
17 Guarantor address C ty State, Zo CodeL_] ° a Ir, 105
19 p.-.-.p’ Qcoston 20 Eo-ploaer
Cite of!narr Nrne o coder .,‘-‘-O.t,PA(’ Da Loan Arno ,nt’St
V:.. V. V
P tflder a Let deraddress, Cly State ZpCode Irterest roteIt rane at noacton?
Y N
Pon al ooc.patoo .tob toe See lrsIr:,rii005t Empioer See lnstructonst
-5 APANT R a
NC jRMAT C NV
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ATTACH ADDU1ONAL COPIES OF THIS FORM AS NEEDEDIf lender s it of state PAC p ease ec nstru hon juide for additional report rag requ rsrents
ra, Cr10, ., ,. ir)-, ti Pr) fis I /0
POLITICAL EXPENDITURES SCHEDULE F
The Instruction Guide explains how to complete this form.1 r
32Fft ER NAME 3 uCOUN I
\£ \ 1ir
4 U te 5 P i,ne in’e 7 Amount
t e(11 1 f(( L.
k... U I 6 Pyee dress, Pity, State. Zip Code
3 Purpooe of payment See atructons reqardnq type f nforation 9 t ai t epeno two t rend! C OH
rquired ) i ante Oh cUr’ ro ;“
,-
(If travel outside of Texas, complete Schedule TI
Date Payeename —Amount
( .i k/I Payee addre/s Crty; State Zip Code
P rose of payment See instructions regarding type of nformation Cnr’ete f rect epnd two U reet C OHrequired.) ‘,ngij,lte OeoOer ii rne am
( (a
(If travel outside of Texas, complete Schedule T)
De Payeename Amount
L aer2 Zip Code . 3 \ L
Purpose of payment (See in trwJ ore regard mg ‘yoe of information C mpte f o’t eture ‘o beret t C )H
required ) I Onto Ittir ‘U ter
LLUUf travel outside at Texas -omplete Schedule T)
1— r’’
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--* -1
ATTACH AODIT’ONAL COPES OF THIS FORM AS NEEDED I
Litu iii-,i’n PD. 3o 1.:i7fl I tin. T< is 1 U,’I) i ¶ •i) flA
POLITICAL EXPENDITURES SCHEDULE F
1 ticsesS hirjrCF
The Instruction Guide explains how to complete this form.
2 FUER NAME 3 •CCOFNra
4 Cite 5 Poeenaine 7 Amount
k t6 PayeeJddress: Cty: Slate 7pCcde
8 Purpose of payment See instructions regarding type of nformation 9 Compete if 111551 expendituie to cenefit C OHequired ) 5n’1id tie t)tiichn der tire
‘ i II j
(If travel outside of Texas, comlete Schedule T)
Oate 1 Payee name Amount(5)
Payee address City: State: Zip Code
Purpose of payment (See instructions regarding type of information f direct ependture tO SerIf I C OHequired ) 10115 jtficthoider sims ri
(If travel outside of rexas, complete Schedule T)
Date Payee name Amountt Sf
Payee address: City state, Z p Code
Purpose of nayment I See instructions regarding type of information i dict expend tore 0 ceneft C OHrequired ) r1j date )Crehojer tire I ‘ e lOt C
If travel outside of issas complete Schedule T)
1 -
—
)5e tjee tr o AdiOrli
0
: e
F rts e f e r i--I I n’ s C “ rr 1t r •- I-I
ftre lOde f ars Tpete hed e I—
ATTACH AODITtONAL COPIES OF THIS FORM AS NEEDED
tex , F thcs C; nrr n CO 3ox fl 7(3 \u tin 1 )S 73711 O 71)
POLITICAL EXPENDITURES SCHEDULE GMADE FROM PERSONAL FUNDS
The Instruction Guide explams how to complete this form 1 T t ra;e r( J 5
2 FILER N 1 3 rCr (AJN1 t
LLLtLL4 5 Payee name 8 Amount
I SI
6 P ye address C ty State: I p Code
7 Purpose of expenditure (See n”tr i Son regarding type of nforrr tion requ red ) Pri t r r’mr
(If travel outside of Texas, complete Schedule 1’) t”ti 10(1
Date Payee name Amount(5)
Payee address C ty, State li Code I
P irpose of expenditure (See instructions regardir g type of information required) Re mt ii a martr in 5otit ccan P hut on’,
(If travel outside of Texas, complete Schedule T)
Dte]Payeename unT —
(5)
Payee address C ty State; lip Code
Purpose of expenditure (See instructions regarding type of information required > EZI Pair’ humsner II from nl tealI ii P r it
(If travel outside of Texas, complete Schedule T) ‘(a lea—,— —— ——— —
Date Payee name Amount(5)
Payee address, City. State Zp Code
Pomoo”e of xpenoiture See instruct ns req rdir’q typo St ‘form at or reqotred) 1 0 ‘05
tr’ I 0
If travel tsid I Texas corr p ate Schedule 1’)
ATTAGH ADDITIONAL OPlES OF THIS FORM AS NEEDED
Texts Eh 3 C - ii PC 3x ltd/fl -\irtitt i IS 7h1O7fi I bC -
PAYMENT FROM POLITICAL CONTRIBUTIONS SCHEDULE HTOA BUSINESS OF C/OH
F1 ge S ‘sd enThe Instruction Guide explains how to complete this form.
2 FIt ERNA 3 ACCO NT a
1tuLC4 5 Buoiinessnme 7 Arnont
6 Bosinso address. City State: Zip Code
B Pripose of payment See instructions regarding type of nformution 9 if dvect epen1 sre no hsnen C OrrqUired ) c nj date Qtccboiorr 5t
(If travel outside of Texas complete Schedule T)
Date Business name Amount(5)
Rusness address: City, State: Zip Code
P rpose ot payment I See nstnjctions regarding type of .rformation Complete f d rest e%pendtre to be’&t C OHnquired ) Cn,iate Qtfnrt 31cr .oe -
(If travel outside of Texas. complete ScheduleT)_
Date Business rame Amountç$)
Business address: City: State Zip Code
Pnrpose of payment See notructions reaardin type of normaton OH-enured 1 - ..•.
Hf travel outside of Thas. compBte Schedule T)
r
? v p1
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Payee address; Cty, State, /ip Code
Amountt$)
Purpose of expenditure See nstructions egarding type of nfcrmaton required
Cdy, State, Zip Code
Purpose cf ependture (See instruct,ons I egardteg type f nformation requred
Amount($)
Payee ‘ame 4mount(5,
Payee addrocs. Cly. State Zp Ccde
P mc so c’ e ‘rcnOtt re Se n’.truct cr u-qurd 05 type .f rtft ((0 tOP roq.rC I
‘ p e - ,‘ d re r tr -e t t,ç. f fr rrr at , red
Tex- IZ!h ‘ tt cC) Pt< t,’’7F) .‘o,-.’ii. Tt .((7C
NON-POLITICAL EXPENDITURES SCHEDULE IMADE FROM POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form. 1 T I c 3Cedtu (
2 FilER,JAyj.E 3 ACCfl(N
‘L
4 F) tie 5 Payee name 8 ,tourrt
6 Pjeeaddrms Oty State. ZtpC de
7 Purpoce of e.pend tOre Soc nstruct or regarding ‘ype f nfonr atun reqred
—
Date Payee name
Date Payee name
Payee address:
F) 3tEt
ATTACH ADDITIONAL COPiES OF THIS FORM AS NEEDED
Tex s C tti C mci cii p j Box 1 ) 70 ‘i ct n F < 111 5° 70 51 t3.3 1)0 1 50555
CREDITS (optional) SCHEDULE K
The Instruction Guide explains how to complete this form,1 it. ,sScK
2 FILER NAAE 3 ,C5IJN
I
4 Date 5 1’ iyor name 8 Amo jnt
Payoraddress, Thy State, ZipCade
7 Reason for edt
Darname Amou
ts)
Payoraddress, City. State. ZipCode
Reason for credit
Date Payor name Amount(5)
Psyor address. City. State, Zip Code
Reason for credit
Date Pname — -Amount
(51
Payc address. City. State. Z:p C Se
n f’’ .jcdif
r
ATTACH ADDITTONAL COPIES OF THIS FORM AS NEEDED
To s LIl r C icr” iri F I) 13ox I 1)70 \ cit xj, 9711 7971) 9121 ) ;)( (
IN-KIND CONTRIBUTION OR POLITICAL EXPENDITURE SCHEDULE TFOR TRAVEL OUTSIDE OF TEXAS
The Instruction Guide explains how to complete this form, 1 1 HC aide I
-— -
‘--‘__
2 F) ER NAME, ,3 ACCCUN rs
/ ‘4 N ime of Contributor Corporm on or L ibor ()rganiz tion Pledgor P l’ee
5 Contrihuton Expenditure c’ported “n
fl S’imou)e A LI Schedule 5ch.eduie C Scneduie D Scnedul F cned,le C
Si’hed,ie H S:nedu)e N LI COH-UC COH F LI PAC c PAC-F
6 Dates of uavel 7 Name of person(s) traveling
8 Dapartue ityor ‘arne oldepancre ocation
9 Destination city or name nI destnation location
10 Means of transportation 11 Purpose of travel (including lame uf conference, seminar, or other event)
Name of Contributor Corporation or Labor Organization P)edgor Payee
Contribution Expenditure reported on’
LI Schedule A Schedule B Schedule C Schedule D Schedule F fl Schedule G
LI Schedule H Schedule N COH DC COH T LI PACC PAC-E
Dates of ra’iet Name of person(s) traveling
L-_— ——__
Departure city or name of departure location
Destination ty or name of destination ocatlon
4
Means ot transportation ‘seoftveI(irluding name of conference, seminlr, or other event)
Name ,t Contributor Coipor.alicn or L,rbor Orqanzaton Pledgor Payee
1” r trihrct cc Ilpenditure fled on
Jst’e ‘A LI F€,deB role [‘p] 1’rlr) roeL fl ‘1”
r , ,,, — r, ,
-,, ,.‘,“, I,_,
,. ri’t e r a” p rt r 0
r c— ‘n,’ r’, — i’’n f i- t —,t “
— —
ATTACH ADDFT1ONAL COPIES OF THIS FORM AS NEEDED
L C P0. B x I ) 70 sui s 7 711 )) 71) .fl I iI0 3”
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”
C/OH NAME 2 ACCOUNT
3 SIGNATURE
do not expect any further political contnbutions or political expendftures in conne9kw my candidacy. understandthat designating a report as a final report terminates my campaign treasurer appointment. I also understapd that I maynot accept any campaign contributions or make any campaign expenditures without’ caiipaign treasjire e’on tile.
Si(e of CandTate / Officeholder
4 FILER WHO IS NOT AN OFFICEHOLDERComplete A & B below only if you are not an officeholder,
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, Iunderstand that I may not convert unexpended political contrbutions or unexpended interest or income earnedon political contributions to personal use. I also understand that I must file an annual report of unexpendedcontributions and that I may not retain unexpended contributions or unexpended interest or income earned onpolitical contributions longer than six years after filing this final report. Further. I understand that I must disposeof unexpended political contributions and unexpended interest or income earned on political contnbutions inaccordance with the requirements of Election Code, § 254 204.
8. ASSETS
Check Only one:
El I do not retain assets purchased with political contributions or interest or other income from politicalcontributions.
zz I do retain assets purchased with polItical contributions ‘r interest or other income from political contributions.I understand that i may not convert assets purchased ith political contributions or interest or other ncomefrom political contributions to personal uSe. I also understand that I must dispose of assets pcrchased AIthjciitical “ontrhutions n .yTordaflre ii’ he equrements jf Election Code. § 24 204
5 OFFICEHOLDERComplete this seition only if you are an offo.ehoider
I irn Iro Ihjt emr cc r t t c equircllc.nts I: ,ahIe P n ‘r I or Nho c hIm rn pi o
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