HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-Chris Putnam -1/26/2015 Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT# 2 Total pages filed:
The C/OH Instruction Guide explains�� how to complete this form. (EuucsCommission Filers) I+3 CANDIDATE / MS/MRSpnn),[/ FIRST MI OFFICE USE ONLY
OFFICEHOLDER S ter.. 1
NAME 0.1/1/r r 1 Date ..i. —.- / —
NICKNAME LAST SUFFIX Y
r c.�,�-I R6U1 / , 1 JAN 2 6 2015
4 CANDIDATE / ADDRESS/PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE dolfs
OFFICEHOLDER
MAILING 1�O4 i\/A V 1 BA d1 i4l)cj—e-) CITY SECRETARY'S OFF CE
ADDRESS Date nddeliveredorPostmarked
Elchangeof address 1 1�! I', 'J�( -"O 3 4
IIJJ r Receipt#= Amount
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER f�) Li,2: ! Z� Date Processed �� /
PHONE Tri
7 1 { IIS
6 CAMPAIGN MS/MRS/MR FIRST ' MI Date Imaged
TREASURER /1 ]Y1,/�,`S O +N
NAME �
NICKNAMEIAST SUFFIX
`
7 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
ADDRESS 2b 4 v�l
n ))c—
(residence or business)
A( -714,D 34
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER Q.i1 ) 2� `i 2y
PHONE /\Q i
tid
9 REPORT TYPEri January 15 ❑ 30th day before election ❑ Runoff ❑ 15th day after campaign
I I treasurer appointment
(officeholderonly)
n July 15 ❑ 8th day before election n Exceeded$500 n Final report(Attach C/OH-FR)
limit
10 PERIOD Month Day Year Month Day Year
COVERED /�� /j THROUGH i 2 /2) I/I
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary I I Runoff ❑ General , n S°al
/ /
12 OFFICE OFFICE HELD(if any) 13 OFFICE SOUGHT (d known)
c +
Ci C me ; t -
• GO TOPAGE2
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER REPORT: FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
14 C/OH NAME15 ACCOUNT# (Ethics Commission Filers)
C4,r s ) ?L
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
POLITICAL CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFRCEHOLDERS KNOWLEDGE OR
COMMITTEE(S) CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE NAME
COMMITTEE TYPE
O GENERAL
COMMITTEE ADDRESS
O SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
0 additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS(OTHER THAN
TOTALS PLEDGES,LOANS,OR GUARANTEES OF LOANS),UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES,LOANS,OR GUARANTEES OF LOANS) 0
EXPENDITURE @
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS,UNLESS ITEMIZED $
4. TOTAL POLITICAL EXPENDITURES $ #400. OD
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY @
BALANCE OF REPORTING PERIOD 'P
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
$
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD 0
18 AFFIDAVIT
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
r me under Title 1 ,Election Code. ;
T.4 )�f MY MIAMYSS ION EXXP SHELLER S ��lA
''� ,. i —
?; 0 December { `�� �
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/SEAL ABOVE nIf , �(,��l
Sworn '' ..
to and subscribed before me, by the said t21 1' !' t aW hN , this the
241' __ day ofJOLI tA4f , 20 15 , to certify which, witness my hand and seal of office.
iII (
k % II . J atil P
ri name of offs er dministerin oath Titladministerin oath
Sig -' ' of officer ad � Bring oath P to � g Cacti
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)4635800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS SCHEDULE A
The Instruction Guide explains how to complete this form.
y Total pages Schedule A:
2 FILER NAME i — 3 ACCOUNT# (Ethics Commission Filers)
�t�` (S r Lich(VvvlA----
4 Date 5 Full name of contributor 0 out-of-state PAC(ID#: , 7 Amount of 18 In-kind contribution
, contribution ($) description (if applicable)
6 Contributor address; City; State; Zip Code
(If travel outside of Texas,complete Schedule T)
9 Principal occupation/Job title(See Instructions) 10 Employer(See Instructions)
Date Full name of contributor 0 out-of-state PAC(ID#: ) Amount of In-kind contribution
contribution ($) description (if applicable)
Contributor address; City; State; Zip Code I
(If travel outside of Texas,complete Schedule T)
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor 0 out-of-state PAC(IDtt: ) Amount of I In-kind contribution
contribution ($) description (if applicable)
Contributor address; City; State; Zip Code
(If travel outside of Texas,complete Schedule T)
Principal occupation I Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑out-of-state PACQD#: ) Amount of I In-kind contribution
contribution ($) description (if applicable)
Contributor address; City; State; Zip Code I
(If travel outside of Texas,complete Schedule T)
Principal occupation I Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor 0 out-of-state PAC(ID#: ) Amount of I In-kind contribution
contribution ($) description (if applicable)
Contributor address; City; State; Zip Code
(If travel outside of Texas,complete Schedule T)
Principal occupation/Job title(See Instructions) Employer(See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide foradditional reporting requirements.
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
PLEDGED CONTRIBUTIONS SCHEDULE B
1 Total pages Schedule B:
The Instruction Guide explains how to complete this form.
2 FILER NAME t. 3 ACCOUNT# (Ethics Commission Filers)
C vui-yvA4A—d
in
4 TOTAL OF UN ITEMIZED PLEDGES: a a a a a $
5 Date 6 Full name of pledgor ❑out-of-state PAC(IDtf: ) 8 Amount of 19 In-kind description
pledge ($) I (if applicable)
7 Pledgor address; City; State; Zip Code
(If travel outside of Texas,complete Schedule T)
10 Principal occupation/Job title(See Instructions) 11 Employer(See Instructions)
Date Full name of pledgor ❑out-of-state PAC(ID#: ) Amount of I In-kind description
pledge ($) (if applicable)
Pledgor address; City; State; Zip Code I
(If travel outside of Texas,complete Schedule T)
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of pledgor ❑out-of-state PAC QOM _ ) Amount of I In-kind description
pledge ($) (if applicable)
Pledgor address; City; State; Zip Code I
(If travel outside of Texas,complete Schedule T)
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of pledgor ❑out-of-statePAC(ID#: ) Amount of I In-kind description
pledge ($) I (if applicable)
Pledgor address; City; State; Zip Code
(If travel outside of Texas,complete Schedule T)
Principal occupation/Job title(See Instructions) Employer (See Instructions)
Date Full name of pledgor ❑out-of-statePAC(ID#: ) Amount of I In-kind description
pledge ($) (if applicable)
Pledgor address; City; State; Zip Code I
(If travel outside of Texas,complete Schedule T)
Principal occupation/Job title(See Instructions) Employer(See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
LOANS SCHEDULE E
1 Total pages Schedule E:
The Instruction Guide explains how to complete this form.
2 FILER NAME/-�V V 1 1� 1 3 ACCOUNT# (Ethics Commission Filers)
-kkalin
4
TOTAL OF UNITEMIZED LOANS: b b bg=> a $
5 Date of loan 7 Name of lender ❑out-of-state PAC(ID#: ) 9 Loan Amount($)
6 Is lender 8 Lender address; City; State; Zip Code 10 Interest rate
a financial
Institution? .7 °1-1.- V b c N.
63 11 Maturity date
Y e Ili- 17\i '749°34-
12
Principal occupation/Job title (See I ctions) 13 Employer(See Instructions)
14 Description of Collateral 15 Check if personal funds were deposited into political account
0 none
16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed($)
INFORMATION
18 Guarantor address; City; State; Zip Code
0 not applicable
I ,
20 Principal Occupation (See Instructions) 21 Employer (See Instructions)
Date of loan Name of lender ❑out-of-state PAC(ID#: Loan Amount($)
r7 00
Is lender Lender address; City; State; Zip Code Interest rate
fitio 4 , l be
Institution? /�!W(��� \V,�n,
��,`I-€ Maturity date
Principal occupation/Job title (See Ins ructions) ( (� Employer ee Instructions)
Description of Collateral Check if personal funds were deposited into political account
Ei none ❑
GUARANTOR Name of guarantor Amount Guaranteed($)
INFORMATION
Guarantor address; City; State; Zip Code
0 not applicable
Principal Occupation (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender is out-of-state PAC, please see instruction guide for additional reporting requirements.
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER(enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F: 2 FILE N ME3 ACCOUNT#(Ethics Commission Filers)
4 Date 5 Payee name
6 Amount ($) 7 Payee address; City; State; p Code
/ U)'rItr4-('\ 1 mC -7(a!0
$ PURPOSE (a) Category(See categories listed at the top of this schedule) (b) Description (If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE '`vV1 1, 1.Vi\,� ;�I
nI� 0 Check ifAustin,TX,officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
1 x12114 G v CapriI ► Ca�rwpaArc
Amount ($) Payee address; City; State; ip Code
01)
70-0
PURPOSE Category(See categories listed
at the top of �(
thisschedule) Description(If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE +vv tea, r lin1
Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held s
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category(See categories listed at the top of this schedule) Description(If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE [] Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category(See categories listed at the top of this schedule) Description(If travel outside of Texas,complete Schedule T)
PURPOSE
OF
EXPENDITURE 0 Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE G
MADE FROM PERSONAL FUNDS
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER(enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
4 Date 5 Payee name
6 Amount ($) 7 Payee address; City; State; Zip Code
LjReimbursement from
political contributions
intended
8 PURPOSE (a)Category (See categories listed at the top of this schedule) (b) Description (If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE
❑ Check if Austin,TX,officeholder living expense
Date Payee name
Amount ($) Payee address; City; State; Zip Code
❑
Reimbursement from
political contributions
intended
PURPOSE Category(See categories listed at the top of this schedule) Description(If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE
❑ Check if Austin,TX,officeholder living expense
Date Payee name
Amount ($) Payee address; City; State; Zip Code
❑ Reimbursement from
political contributions •
Intended
PURPOSE Category(See categories listed at the top of this schedule) Description (If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE
❑ Check if Austin,TX,officeholder living expense
Date Payee name
Amount ($) Payee address; City; State; Zip Code
❑ mfrom
poliReiticalbursement contributions
intended
PURPOSE Category(See categories listed at the top of this schedule) Description (If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE
Check if Austin,TX,officeholder living expense
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
PAYMENT FROM POLITICAL CONTRIBUTIONS SCHEDULE H
TO A BUSINESS OF C/OH
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
- Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER(enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule H: 2 FILER NAME 3 ACCOUNT#(Ethics Commission Filers)
4 Date 5 Business name
6 Amount ($) 7 Business address; City; State; Zip Code
8 PURPOSE (a) Category(See categories listed at the top of this schedule) Q) Description(If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE
Check if Austin,TX,officeholder living expense
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Business name
Amount ($) Business address; City; State; Zip Code
PURPOSE Category(See categories listed at the top of this schedule) Description (If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE
❑ Check ifAustin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Business name
Amount ($) Business address; City; State; Zip Code
PURPOSE Category(See categories listed at the top of this schedule) Description (If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE
0 Check ifAustin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Business name
Amount ($) Business address; City; State; Zip Code
PURPOSE Category(See categories listed at the top of this schedule) Description (If travel outside of Texas,complete Schedule 1)
OF
EXPENDITURE
0 Check ifAustin,TX.officeholder living expense
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
NON-POLITICAL EXPENDITURES SCHEDULE
MADE FROM POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form.
1 Total pages Schedule I: 2 FILER NAME 3 ACCOUNT#(Ethics Commission Filers)
4 Date 5 Payee name
6 Amount ($) 7 Payee address; City; State; Zip Code
8 PURPOSE (a)Category(See instructions for examples of acceptable (b)Description (See instructions regarding type of information
OF categories) required.)
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE (a)Category(See Instructions for examples of acceptable (b)Description (See instructions regarding type of information
OF categories) required.)
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE (a)Category(See instructions for examples of acceptable (b)Description (See instructions regarding type of information
OF categories) required.)
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE (a)Category(See instructions for examples of acceptable (b)Description (See Instructions regarding type of information
OF categories) required.)
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
INTEREST EARNED, OTHER CREDITS/GAINS/
REFUNDS, AND PURCHASE OF INVESTMENTS SCHEDULE K
The Instruction Guide explains how to complete this form. 7 Total pages Schedule K:
2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
4 Date 5 Name of person from whom amount is received 8 Amount
($)
6 Address of person from whom amount is received;City;State;Zip Code
7 Purpose for which amount is received
Date Name of person from whom amount is received Amount
($)
Address of person from whom amount is received;City;State;Zip Code
Purpose for which amount is received
Date Name of person from whom amount is received Amount
($)
Address of person from whom amount is received;City;State;Zip Code
Purpose for which amount is received
Date Name of person from whom amount is received Amount
($)
Address of person from whom amount is received;City;State;Zip Code
Purpose for which amount is received
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
IN-KIND CONTRIBUTION OR POLITICAL EXPENDITURE SCHEDULE T
FOR TRAVEL OUTSIDE OF TEXAS
The Instruction Guide explains how to complete this form. 1 Total pages Schedule T:
2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
4 Name of Contributor/Corporation or Labor Organization/Pledgor/Payee
5 Contribution/Expenditure reported on:
n Schedule A ❑ Schedule B n Schedule C ❑ Schedule D ❑ Schedule F ❑ Schedule G
❑ Schedule H n Schedule N n COH-UC ❑ COH-T TI PAC-C ❑ PAC-E
6 Dates of travel 7 Name of person(s)traveling
8 Departure city or name of departure location
9 Destination city or name of destination location
10 Means of transportation 11 Purpose of travel(including name of conference,seminar,or other event)
Name of Contributor/Corporation or Labor Organization/Pledgor/Payee
Contribution/Expenditure reported on:
❑ Schedule A ❑ Schedule B n Schedule C n Schedule D n Schedule F n Schedule G
❑ Schedule H ❑ Schedule N n COH-UC ❑ COH-T ❑ PAC-C ❑ PAC-E
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)
Name of Contributor/Corporation or Labor Organization/Pledgor/Payee
Contribution/Expenditure reported on:
❑ Schedule A ri Schedule B ❑ Schedule C n Schedule D n Schedule F ❑ Schedule G
❑ Schedule H n Schedule N n COH-UC ❑ COH-T n PAC-C n PAC-E
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)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER REPORT:
FORM C/OH - FR
DESIGNATION OF FINAL REPORT
The Instruction Guide explains how to complete this form.
•• Complete only if "Report Type" on page 1 is marked "Final Report" •-
1 C/OH NAME 2 ACCOUNT II (Ethics Commission Filers)
3 SIGNATURE
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.
Signature of Candidate/Officeholder
4 FILER WHO IS NOT AN OFFICEHOLDER
Complete A&B below only if you are not an officeholder. ••
A. CAMPAIGN FUNDS
Check only one:
n 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
Check only one:
0 I do not retain assets purchased with political contributions or interest or other income from political contributions.
0 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.
Signature of Candidate
5 OFFICEHOLDER
•• Complete this section only if you are an officeholder ••
El 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 or other income from political contributions,or assets purchased with political
contributions or interest or other income from political contributions.
Signature of Officeholder
www.ethics.state.tx.us Revised 07/28/2014
.exas Ethics Commission P.O . Box 12070 Austin , Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE I OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT# 2 Total pages rn9
Th e C/OH Instruction Guide explains how to c omplete this form. (Et/'ics ColTVllission Filers)
3 CANDIDATE I MS/MRS /MR FIRST Ml . u
OFFICEHOLDER -lr11 -11 11\\fln-""'~
NAME C ,t,,.1-..s te bddi vecl h-LL LJ 'i!J L[. . . . . . . . . . . . . . . . . . . . . . . ....... . . . . . .. ··~ NICKNAME LAST SUFFIX
~ I/} a --r"\ [.;~( 0 2 2014
• ••
4 CANDIDATE I ADDRE SS /PO BOX; APT I SUITE#; CllY; STATE; ZIP CODE CITY SECRETARY'S OFFICE OFFICEHOLDER ;}// t/ tvllc ;J/,.ve MAILING Date Hand .<felivered or Postmarked
ADDRESS Ct ll.c<j/,i~ I TY 7~C 3 lj ct·.~ ~ 0 chan ge of a ddress Receipt# 1 ~1
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFI CEHOLDER Date Processed ~ PHONE C?J7) t/v27-/7 -z.;;-
6 CA MPAIGN MS/MRS /MR FIRST Ml Date Imaged
TREASURER .ef~<~ .... NAME . . . . . . . . . ........ . . . . . . .
NICKNAME LAST SUFFIX
~vi. In e-_...
7 CAMPA IGN STR EET ADDRESS (NO PO BOX PLEASE); APT/ SUITE#; CllY; STATE ; ZIPCOOE
TRE ASURER
ADDRESS .;Ju c; 1,,vj,. t o,,....,~
(residence o r business)
Cclky" ,·j~ I ·r'I 7~(, 3 y
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION -TREASURER < oJ7) Y-27 -/12 "':> PHONE
9 REPORT T Y PE D January 1 5 0 30th day b efore e lectlon D Runoff D 15th day alter campaign
t reasurer app oint ment
~Y before election
(officeholder Oliy)
D July 15 D Exceeded $500 D Fin al report (Attach C/OH -FR)
l imit
10 PERIOD Monlh Dert Year Monlh Dert Year
COVERED t:.; / I /!<; THRO UGH s-'(a;:/: I. r ~· ' .. : .. • ; ~ . ·,
' . '• ..
11 ELE C TION EL ECTION DATE ELECTION TYPE ~ W.onlh Dert Yew D Primaiy D Ruroff D Special
s-//o / !Cf
12 OFFICE OFFICE HELD (~any ) 13 OFFICE SOUGHT (~known)
Cu,,,.:.. I ' ~ 14v~' 11< c-~+y
Pk ce ·~
GOTOPAGE2
www.e thics.state.tx.us Revi sed 04/19/2013
Texas Ethics Commission P.O . Box 12070 Austin , Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE I OFFICEHOLDER REPORT: FORM C/OH
COVER SHEET PG 2 SUPPORT & TOTALS
14 C/OH NAME
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
D additional pages
17 CONTRIBUTION
TOTALS
........
EXPENDITURE
TOTALS
. . . . . . . . .
CONTRIBUTION
BALANCE
. . . . . .
OUTSTANDING
LOAN TOTALS
18 AFFIDAVIT
15 ACCOUNT # (Ethics Commission Filers)
THIS BOX JS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POU11CAL EXPENDIT\JRES MADE BY POLl11CAL COMMITTEES TO SUPPORT lME
CANDIDATE/ OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
CONSENT. CANDIDATES AMJ OFFICEHOLDERS ARE REQUIRED TO REPORT lHIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDIT\JRES.
COMMITTEE NAME
COMMITTEE TYPE
D GENERAL
COMMITTEE ADDRESS
D SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER T HAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLES S ITEM IZED $
2. TOTAL POLITICAL CONTRIBUTIONS $ 0 (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
3 . TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED $
4 . TOTAL POLITICAL EXPENDITURES $',?~If. 7'?
5 . TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD $ 0
6 . TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF TH E $ 99?J.&_~ LAS T DAY OF THE REPORTING PERIOD
I swear, or affirm, under penalty of perjury, that the accompanying report
Mlf BETH SHEUEY
MY COMMISSION EXPIRES
DecerOOer 2, 2015
is true and correct and includes
me unde itle 15, Election C
1/ ;
nformation required to be reported by
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP f SEAL ABOVE
Sworn to and subscribed before me, by the said ___ c_~~~O.___.">-'s~ ..... (ktn,__~~~ll4...~~-----' this the ma41 . 20 it.I to certify which , witness my hand and seal of o ffice .
www.ethics .state .tx .us Revised 04/19/2013
..
Texas Ethics Commis si o n P.O . Box 12 070 Austin , Texas 78711 -2070 (512) 4 63-5800 (TDD 1-800-7 3 5-29 89)
POLITICAL CONTRIBUTIONS
SCHEDULE A OTHER THAN PLEDGES OR LOANS
The Instruction Gulde explains how to complete th i s form. 1 Total pages Sched ule A:
2 FILER NAME 3 ACCOUNT # (Ethics Commi ssion Filers)
4 D a te 5 Full n ame o f contributo r 0 ou t.of.state PAC(ID#: \ 7 Amo unt of Is In-kind contributio n
contrib utio n ($) I d escription (if applicable)
6 Contributo r a ddress; City; Sta te; Z ip Code I
I
I
(If travel o utsid e of Texas, complete Sched ule T)
9 Pri n ci p a l occup ation I Job t itle (See Instructi ons) 110 E mployer (See Instruc tion s)
D a te Full n a m e o f con tr ibuto r 0 OUt·Of·stale PAC(ID#: \ Amount o f I In -kind contribution
contributio n ($) I d escription (if applicable)
Con tr ibutor address; City ; State; Z ip Cod e I
I
I
(If trave l outside of Texa s, comp lete Sched ule n
P ri n cip a l o ccupa ti o n I Job titl e (Se e Ins truc tio ns ) I E mplo y e r (Se e Instruc tio n s)
Da te F ull name of contributo r 0 OUl·Of·Sl ate PAC (ID#: l Amo unt o f I In-k ind contributio n
contributio n ($) I d escriptio n (If a pplicable )
Contributo r a ddress; C ity; Sta te; Z ip Code I
I
I
(If travel outside of Texas, comple te Schedule T)
P rinc ipal occupation I Job title (See Ins truction s) I Employer (See Instructi o n s)
Date F u ll n a m e o f c ontributo r 0 out.of.slalePAC(ID#: \ Amo unt o f I In-kind c ontribution
contr ib ution ($) I descript ion (if app licable )
Contributo r a d d ress ; C i ty; Sta te; Zip Code I
I
I
(If tra ve l outside or Texas comp lete Schedule Tl
P rin cipa l occupatio n I J o b title (See Instruct ion s) I E mployer (See Instruc ti o n s)
Date Full n ame o f contrib u to r 0 ou l ·Of·S late PAC (ID#: \ A mou nt of I In-kin d contrib u tion
contribution ($) I description (if a pplicable)
Contributo r address; City; Sta te; Z ip Code I
I
I
l lf travel outsid e of Texas , compl ete Schedule Tl
Prin c ipal occupatio n I J ob title (See Instruc ti o n s) I Employer (See Ins t r u ctio n s)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor Is out-of-state PAC, please see Instruction guide foraddltlonal reporting requirements.
www.e thi cs .s ta te .t x .u s Rev ise d 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
PLEDGED CONTRIBUTIONS SCHEDULE 8
The Instruction Gulde explains how to complete this form. 1 Total pages Schedule B:
2 FILER NAME 3 ACCOUNT # (Ethics Commiss ion Filers)
4 TOTAL OF UNITEMIZED PLEDGES : ¢ ¢ ¢ ¢ ¢ ¢ 1$
5 Date 6 Full name of pledgor D out-of-stale PAC (ID#: \ 8 Amount of 19 In-kind description
pledge ($)
I (if applicable)
7 Pledgor a ddress; City; State; Zip Code I
I
I
(Ir trave l outside or Texas, complete Schedule T)
10 Principal occupation I Job title (See Instructions) 111 Employer (See Instructions)
Date Full name of pledger D out-of-state 1¥.C(ID#: \ Amount of I In-kind description
pledge ($) I (if applicable)
Pledger address; City; State; Zip Code I
I
I
(If travel outside or Texas, complete Schedule T)
Principal occupation I Job title (See Instructions) I Employer (See Instructions)
Date Full name of pledgor D out-of-state PAC (ID#: l Amount of I In-kind description
pledge ($) I (if applicable)
Pledgor address; City; State; Zip Code I
I
I
(Ir travel outside or Texas, complete Schedule T)
Principal occupation I Job title (See Instructions) I Employer (See Instructions)
Date Full name of pledger D out-of-stale PAC(ID#: \ Amount of I In-kind description
pledge ($) I (if applicable)
Pledgor address; City; State; Zip Code I
I
I
(Ir travel outside or Texas, comp lete Schedule T)
Principal occupation I Job title (See Instructions) I Employer (See Instructions)
Date Full name of pledger D out-of-stale PAC(ID#: l Amount of I In-kind description
pledge ($) I (if applicable)
Pledgor address; City; State; Zip Code I
I
I
(Ir travel outs ide or Texas, complete Schedule T)
Principal occupation I Job title (See Instructions) I Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor Is out-of-state PAC, please see Instruction guide for additional reporting requirements.
www .ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O . Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (f DD 1-800-735-2989)
LOANS SCHEDULE E
1 Tot al pages Schedul e E:
The Instruction Guide explains how to complete this form. I
2 F ILER NAME 3 ACCOUNT# (Ethics Commission Filers) c ,4,.,/.r, ~-Inc~
4 _s.-3 7-<f, '12.
TOTAL OF UNITEMIZED LOANS: c:> c:> c:> <=:> <=:> <=:> $ .-q:.tt;:. 9-• l-£.
5 Date of loan 7 N ame of lender D out-of-state PAC (ID#: ) 9 Loan Amount($)
l/-1c>-J1 {! /v/.s ~·/nr, ----~~l I ~ -=::t.f'l 'I.
6 ls lender 8 Lender address; City; State; Zip Code 10 Interest rate
a financial o.'?v L/ w J,,-.k D/1'v..e .--
Institution?
C0Jky11 1'Ji-c I
--74?u~y 11 Matu~
y & / 'X.
12 Principal occupation I Job title (See Instructions) 13 Employer (See Instructions)
2 · x -c...:...... ,1, ~ -<.. SvnC. h/'c '1 "-'°'!'o. -:z;J,.,._._ i/"I~ I -/-'r> C •
14 Description of Collate ral 15 Chick if personal funds were deposited Into political account
0 none ~
16 GUARANTOR 17 Name of guaranto r 19 Amount G uaranteed($)
IN FORMATION
18 Guarantor address; City; State; Zip Code
D not applicable
20 Principal Occupation (See Instructions) 21 Employer (See Instructions)
Date of l oan Name of lender D out-of-state PAC (ID#: I Loan Amount($)
t;-/&-/ '1 (!A/'/> /2_./nc_.. 13 S-6 ,cc:>
ls lender Lender address; City; State; Zip Code Interest rate
a financial
a)?' l/ l(,)/,:k Vr-r 'v--e. ~ Institution?
y 6) d, /1-c,'1 v I // -e TY. 7~6 ~ 21 Matur~te
(
Principal occupation I Job title (See Instru ctio ns) Employer (See Instructions)
c!'x. -e_.c;.,.,. //--c.... ..5ynCA/.9ne ~J 7e..J.~, tl,-~ ~ .-/-r? c_ .
Description of Coll ateral C h eck if personal funds w ere deposited into political account
D none ~
GUARANTOR N a m e of guarantor Amount Guaranteed ($)
INFORMATIO N
Guarantor address; C ity; Sta te ; Zip Code
D not applicable
Principal Occupation (See Instructions) Employer (See Ins tructions)
A TIA CH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lende r is out-of-state PAC, please s ee instruction guide for additional reporting re quirements.
www.ethics .state .tx.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX B(a)
Advertising Expense GilVAwards/Memorials Expense Salaries/Wages/Contra ct Labor Loan RepaymenVReimbursement
Accounting/Banking Legal Services Solicltation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District CandidatefOlficeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above}
The Instruction Gulde explains how to compl ete this form.
1 Total pages Schedule F: 2 FILER NAME IE!n o~ 13 ACCOUNT #(Ethics Commission Filers) e J/,.S
4 Date 5 Payee name
s--=-;;; -I lj JT D S-!rc.-1-e~; ~ .> J.-.c .
6 Amount($} 7 Payee address; City; S tate; Zip Code
L/ 8/J <-f , 7? ~?/ mv,/, ..Sf/e-e I -;:;,~ wp/.)j, I --f-LJlct S 76/~ ~
8 PURPOSE (a) Category (See categorie s listed at th e top of th is schedule) (b} Description (If trave l outside ofTexas, complete Schedule T)
OF a ti t)-',--..,4~,':J EXPENDITURE
9 Complete Qtil.X ii direct Candidate I Offlteholder name Office sought Office held
expenditure to benefit CfOH
Date Payee name !21-n '-~ ~-2-1 ~ C/vt's
Amount($} Payee address; City; State; Zip Code
/oc-o . U) ::T7 J::J .s 'h-~ ./-<!..-J /of" s,, ;:z;, c .
c::.> c J /?? t < I /'I s f ,/~ -/., fo,,..)Ww!~ 71 7~/67;2
I
PURPOSE Category (See categori es listed al the lop of this schedule) Description (If travel outside ofTexas, complele Schedul e T)
OF
c:!t-"15'< 1-h~ \ EXPENDITURE -.12-)l. {'_,(_ ,., <:;. c.
Compl ete QNl.Y if direct Candidate I Offic6i'lolder name Office sought Office h eld
expenditure to benefit C/OH
Date Payee name
Amount($} Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top or this schedule) Description (If travel outside ofTexes, complete Schedule T)
OF
EXPENDITURE
Complete Qtil.X if direct Candidate f Officeholder name Office sought Office held
expenditure to benefit CfOH
Date Payee name
Amount($} Payee address; City; State; Zip Code
PURPOSE Category (See categ ories listed at the top of this sch edule) Description (If travel out side of Texas. compl ete Schedule T)
OF
EXPENDITURE
Complete Qtil.X if direct Candidate I Officeholder n ame Office sought Office held
expenditure to benefit C/OH
A TT A CH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state .tx.us Revised 04/19/2013
Texas Ethics Commission P.O . Box 12070 Austin , Texas 7871 1-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE G MADE FROM PERSONAL FUNDS
EXPENDITURE CATEGORIES F OR BOX 8(a)
Advertising Expense GifVAwards/Memorials Expense Salaries/Wages/Contract Labor Loan RepaymenVReimburse ment
Accounting/Banking Legal Services Solicitation/Fu ndraising Expense Transportation Equipment & Related Expense
Cons ulting Ex pense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Orricehold er/Politica l Committee
Fees Printing Expense Orfice Overhead/Rental Expense OTHER (enter a categ ory not listed above)
The Instru ction G ulde explain s how to com plete this form.
1 Total pages Sc hed ul e G: 2 F I LER NAME 13 A CCOUNT # (Ethics Commission File rs)
4 Date 5 Payeename
6 Amount ($) 7 Payee address; City; S ta te; Zip Code
D Reimbursement from
political conlributions
intended
8 PURPOSE (a) Category (See categories listed at the top or thi s schedule) (b) Description (II trave l outside or Texas, complete Schedule T)
O F
EXP E NDITURE
Date Payee name
Amount($) Payee a ddress; City; S tate; Zip Code
D Reimbursement from
political conlrib ulions
Intended
PUR POSE C ategory (See categories listed at the top or th is sched ule) Desc ription (II travel out side or Texas , co mplete Schedule T)
O F
EXPENDITURE
D ate P ayee name
Amount ($) P ayee address; City; State; Zip Code
D Reimb ursement from
politica l contributions
in tended
PURPOSE Category {See categories listed at the top or this schedule) Description (If travel ou tside or Texas, complete Schedule T)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee a ddress; City; State; Zip Code
D Reimbursemen t from
political co nlributlons
intended
PURPOSE Category (See ca tegories li sted at the top of this sched ul e) Description (If travel outside ofTexas, complete Sche dule T)
O F
E X PENDITURE
ATTACH ADD ITIONA L C OPIES OF THIS SCHEDULE AS NEEDED
www.ethics.sl a te .t x.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 A u sti n , Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
PAYMENT FROM POLITICAL CONTR I B UTIONS SCHEDULE H T O A BUSIN E SS OF C/OH
EXPENDITURE CATEGORIES FOR BOX S(a)
Advertisi ng Expense GifUAwards/Memor ia ls Expense Sa laries/Wages/Contract Labor Loan RepaymenUReimburseme nt
Accou nting/Ban king Lega l Services So licitation/Fundraising Expense Transportation Equipment & Related Expense
Consu l ting Expense Food/Beverage Expense Trave l In District Con trib ut ions/Donations Made By
Event Expense Pollin g Expense Trave l O ut Of District Candidate/Officeho lder/Politica l Committee
Fees Printing Expense Office Over head/Renta l Expen se OTHER (enter a ca tegory not listed above)
T he Instruc tio n G u ide explain s h o w to c om p lete this f o rm.
1 Tota l pages Schedule H: 2 F ILER NAME 13 ACCOUN T # (E thics Commission Filers)
4 Date 5 Business name
6 Amount ($) 7 Busi ness address; City; State; Z ip Code
8 PURPOS E (a) Category (See categories listed at the top of this schedule) (b) Description (If travel outside of Tex as , complete Schedule T)
OF
EX PENDITURE
9 Complete Qlil.Y if direct Cand idate I Officeholder n ame Office sought Office h e l d
expe nd iture to benefit C/OH
D ate Business n a m e
Amount($) Business address; City; S tate; Zip Code
P URPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas, complete Schedule T)
OF
EXPE NDITURE
Complete ONLY if direct Candidate I O fficeh older name Office sou ght Office held
expenditure to benefit C/OH
Date Business name
Amount($) Busi ness address; City; State; Zip Code
PURPOSE Category (See categ ories listed at the top of this schedu le) Description (If travel outside of Texas, complete Schedule T)
OF
EXPEN DITURE
Complete ONLY if di rect Candidate I Officeh o lder name Office sought Office held
expenditure to benefit C/O H
Date Business name
Amount($) Business address; City; State; Zip Code
PURPOS E Category (See categories listed at the top or this schedule) Description (If trave l outside of Texas. complete Schedule T)
OF
EX PENDITUR E
Com plete ONLY if di rect Cand idate I Officeholder name O ffice sought Office held
expenditure to benef it C/OH
ATTAC H A DDITIONAL COPIES OF THIS SCHEDULE AS NEE DED
www.eth i cs.state .tx .us Revised 0411912013
Texas E thics Commissio n P.O . Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
NON-POLITICAL EXPENDITURES SCHEDULE I
MADE FROM POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form .
1 Total pages Schedu le I: 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)
4 Date 5 Payee n ame
6 Amount ($) 7 Payee add ress; City; State; Zip Code
8 PURPOSE (a) Category (See instructions for examples of acceptable (b) Description (See instructions regarding typ e of information
OF categories) required.)
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE (a) Category (See instruclions for ex amples of acceptabl e (b) Description (See instructions regarding type of information
OF categories) required.)
EXPENDITURE
Date Payee name
Amount ($) Payee addr ess; City; State; Zip Code
PURPOSE (a) Category (See instruclions for examples of acceptable (b) Description (See instruclions regarding type of information
OF categories) required.)
EXPENDITURE
Date Payee n ame
Amount ($) P ayee a ddress; City; State; Zip Code
PURPOSE (a) Category (See instructions for exa mples of acce ptabte ( b) Description (See instru clions regarding type of info rmation
OF categories) required.)
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics .state .tx .us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
INTEREST EARNED, OTHER CREDITS/GAINS/
SCHEDULE K REFUNDS, AND PURCHASE OF INVESTMENTS
The Instruction Gulde explains how to complete this form . 1 Total pages Sch edu le K:
2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
4 Date 5 Name of person from whom amount is received 8 Amount
($)
6 Address of person from whom amount is received; City; State; Zip Code
7 Purpose for which amount is received
D a te Name of p e rson f rom whom amount is received Amount
($)
Address o f person from whom amount is received ; City; State; Zip Code
Purpose for which amount is received
Date Name of person from whom amount is received Amount
($)
Address of person from whom amount i s received ; City; State; Zip Code
Purpose for which amount is received
Date Name of person from whom amount is received Amount
($)
Address of person from whom amount is received; City; State; Z ip Code
Purpose for which amount is received
ATIACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www .ethics .state .tx .us Revised 04/19/2013
Texa s Ethics Commission P.O . Box 12070 Austin , Texas 78 711 -2070 (512 ) 463-5800 (TD D 1-800-73 5-2989)
IN-KIND CONTRIBUTION OR POLITICAL EXPENDITURE SCHEDULE T
FOR TRAVEL OUTSIDE OF TEXAS
The Inst ructio n Gu lde ex plains how to co mpl ete th is fo rm. 1 Tota l pages Schedule T:
2 F I LER N AME 3 ACCO UN T# (Ethics Commission Filers )
4 N ame o f Con tributor I Corpora tion o r Labor O rganiz a tion I P ledgor I Payee
5 Contributio n I Expenditu re reporte d o n :
D Sch edu le A D Schedule B D Sch edule C D Sch edule D D Schedule F D Schedule G
D Schedu le H D Sch edule N D COH -U C D COH -T D PAC-C D PAC-E
6 Dates of travel 7 N ame o f p e rson(s) t raveling
8 Departure city o r n a m e of d e p a rture l ocatio n
9 Destina tion city o r n ame of destinati o n l ocatio n
1 0 M ean s o f t ra n sportatio n 11 P u r pose o f t ravel (i n cluding name o f conference, seminar, o r o ther event)
N a m e of Contributor I Corporation o r L abor O rganization I Pledgor I P ayee
Contrib u tion I E x p e n d itu r e reported o n :
D Sch edule A D Sch edule B D Schedul e C D Sch edule D D Schedule F D Sch e dule G
D Sch edule H D Sch edule N D COH -U C D COH-T D PAC-C D PAC-E
D ates o f travel Name of person(s) t raveling
Departure city o r n a m e o f departure location
Destina ti o n city o r n ame of d esti nation locatio n
M ean s of transportation Purpose o f trav e l (includ ing name o f conf erence, sem inar, or oth e r event)
Na m e of Cont ri b uto r I Corporation or L abor Organ ization I P ledgor I Payee
Contributi o n I Expe nditure reported o n :
D Sch edule A D Sch edu le B D Schedule C D Sch ed ul e D D S chedu le F D Sche dul e G
D Sch edu le H D S chedule N D COH -U C D COH-T D PAC-C D PAC-E
Dates of travel N a m e o f person (s) traveling
Departure c ity o r n a m e o f departure location
Destinatio n city o r n a m e o f destin a ti on l ocation
M ean s of t ransporta tion P urpose o f travel (in c luding name o f confe rence, semi nar, o r o ther event)
ATTACH ADDITIONAL COPIES OF THIS SC HEDULE AS NEEDED
www.et hics .s ta te .t x.us Revised 04/19/20 13
Texas Ethics Commission P.O. Box 12070 Austin , Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE I OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT FORM C/OH -FR
The Instruction Guide explains how to complete this form.
•• Complete only if "Report Type" on page 1 is marked "Final Report" ••
1 C/OH NAME 2 ACCOUNT# (Ethics Commission Filers)
3 SIGNATURE
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.
Signature of Candidate I Officeholder
4 FILER WHO IS NOT AN OFFICEHOLDER
'•
•• Complete A & B below only if you are not an officeholder. ••
A. CAMPAIGN FUNDS
Check only one:
D I do not have unexpended contributions o\ unexpended interest or income earned from political contributions .
D 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 une xpended 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
Check only one:
D I do not retain assets purchased with political contributions or interest or other income from political contributions .
D 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.
Signature of Candidate
5 OFFICEHOLDER
•• Complete this section only if you are an offlceholder ••
D I am aware that I rema in subject to filing requirements appl icable to an officeholder who does not have a campa ign treasurer on file .
I am also aware that I will be required to file rep orts of unexpended contributions if, after filing the last required report as an
officeholder, I retain political contributions, interest or other in come from political contributions, or assets purchased with political
contributions or interest or other income from political contributions.
Signature of Officeholder
www .ethi cs .s tate .t x.us Revised 04/19/2013
I
, Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE I OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT# 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form. (Ethics Commission Filers) -T
3 CANDIDATE I MS/MRS/~ FIRST Ml ~~~II OFFICEHOLDER ~\S1'Jp~ cS. " 11 \I II 11
NAME ~ '""°' ll..D LL... LI v LL
NICKNAME LAST SUFFIX
l> l,,LtV'\a..Atv\ APR 09 2014 •
4 CANDIDATE I ADDRESS I PO BOX; APT /SUITE#; CITY; STATE; ZIP CODE CITY SECRETARY'S OFFICE OFFICEHOLDER
MAILING 204' Wkt+e.. <lx 1 Co I ~vi1tt 1Y Date Hand-delivered or Postmarked
ADDRESS
D change of address 7 lt>b:&i/ Receipt# I Amooot :.1 ; l{ 't J 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
,y\µ•
OFFICEHOLDER (q72) i oCJ-2-~ 4~ Dale Processed
10I1L{ 19 PHONE 4
6 CAMPAIGN MS/MRS/ev ~ FIRST Ml Date Imaged '
TREASURER S . NAME . . . . . . . . . rl.Sf'Clf~.
NICKNAME LAST SUFFIX
fc,c~
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
ADDRESS 2-oLj, w~~ {:K-. I~\ %vil~ I TK 1(eoo4 (residence or business) -
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER (~JJJ g' 'Q°I -z:?>q,~ PHONE
9 REPORT TYPE D January 15 ~ 3oth day before election D Runoff D 15th day after campaign
treasurer appointment
(of!iceholdaronly)
D July 15 0 8th day before election D Exceeded $500 D Final report (Attach C/OH -FR)
limit
10 PERIOD Mmth Dey Year Month Dey y,,,
COVERED .;J/,;J3/ JL/ THROUGH c ·~· ·\,;~~ ..... f ;· ;; ·· l.: 1r· ..
\' . . ' · ..
11 ELECTION ELECTION DATE ELECTION TYPE .. '
Month Dey "''" D Primary D Roruoff -~I D Special
s-/ /() // l(
12 OFFICE OFFICE HELD (ff any) 13 OFFIChOUGHT (ifknown)
{?, '!..e7v;l/-R C:,J'/ c,, .... M .. 1
/}/;..c..~ 3
' ·.
GOTOPAGE2
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE I OFFICEHOLDER REPORT:
SUPPORT & TOTALS
FORM C/OH
COVER SHEET PG 2
14 C/OH NAME ' I
/?/IS/_.
15 ACCOUNT# (Ethics Commission Filers)
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
D additional pages
17 CONTRIBUTION
TOTALS
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN TOTALS
18 AFFIDAVIT
THIS BOX IS FOR NOTICE OF POLITICAL CONlRIBUTIONSACCEPlEO OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
CANDIDATE f 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 NAME
COMMITTEE TYPE
D GENERAL
COMMITTEE ADDRESS
D SPECIFIC
1.
2.
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED $
4.
5.
6.
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
$ /~ S-O .oO
$()
I swear, or affirm, under penalty of perjury, that the accompanying report
~&Elli SHELLEY
MY COMMISSION EXPIRES
December 2, 2015
AFFIX NOTARY STAMP I SEAL ABOVE
subscribed before me,
day of P\D\
istering oath
www.ethics.state.tx.us
Signature of Candidate or Officeholder
by the said __ Qb""-''--"o'-·..,:'.J,_,_--'-{l--'---JM-'-=-'-(M..,-=------·· this the
, 20 ~I l.\.~--, to certify which, witness my hand and seal of office.
Tit of officer administe "ng oath
Revised 04/19/2013
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS
SCHEDULE A OTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form. 1 Total pages Schedule~
2 FILER NAME
(I ;f/i :;.-1,12).,,/ d.Jno,...-,
3 ACCOUNT# (Ethics Commission Filers)
4 Date 5 Full name of contributor D out-of-state PAC (ID#: ' 7 Amount of la Jn-kind contribution
6 -{~;~~;:;::d::.,.) z~ j:, t': :al. a':''
contribution ($) I description (if applicable)
'1-/-15/ ,;; 00 .aol
(.,, 7 (.. <; :s!. ,n10 ,,., /3 r wf..., c; I
C7c/le.'1~11!e., Tl/. 7uc""Y1 I
(If travel outside of Texas, complete Schedule T)
9 Principal occupation I Job title (See Instructions) 110 Employer (See Instructions)
£1e c~,/(, .e
Date Full name of contributor D out-of-statePACOD#'. ' Amount of I In-kind contribution
~;,~:~:,a~:~ . ~:,-: i~e; ~';;i~ contribution ($) I description (if applicable)
f-/-/l./ dGG·GO I
(., 7 0 '1 sJ' t'l7orr-IJ ~,,i:~c'/ I
Cc l!e.yvf !le 1 IX 71..e 6 "'> 'f I
flf travel outside of Texas, comn!ete Schedule T'
Principal occupation I Job title (See Instructions) I
Employer (See Instructions)
Date Full name of contributor D out-of-state PAC (ID#: ' Amount of I In-kind contribution
/)a~: d rt<.~ cl/,.,,, contribution ($) I description (if applicable)
.... I
L 1' Contributor address; City; State; Zip Code
1 c:;6 .co 7-/-/ L/ Le c '3 <!,,,I!"' "'f ,,,. Ile p, Iv ~J. I
{' c //'f.yvi //e_ , 7 >( 7~c3 y I
(If travel outside of Texas, complete Schedule T)
Principal occupation I Job title (See Instructions) I Employer (See Instructions)
Date Full name of contributor D out-of-state PAC(ID#· ' Amount of I In-kind contribution
;:JtA,,,,_j a.~ ,J C~~.Ja.,e_ :s-4 V "-I/ contribution ($) I description (if applicable)
L/-1-IL/ ' ' I Contributor address; City; State; Zip Code
O)C>O, cLJ
C.e '!i'C>C> //.edo .e,-...) I
c.. I ~IA'//(..., ti 7l4CJ'3'1 I
tlf travel outskle of Texas, comnlete Schedule T\
Principal occupation I Job title (See Instructions) I Employer (See Instructions)
Date Full name of contributor D out-of-state PAC (ID#: ' Amount of I In-kind contribution
;;; ,J cl e. HI ,Mi J. ~ //.{_ fl,· -/.kr 6 er .5 ,,,_J, contribution ($) I description (if applicable)
!J/ 1,.,10 Contributor address; City; State; Zip Code ;;lex>· . " I
67:::1 I 4 / ,f'I" L '-.an<!... I
C',. /!<-; •. II(
/ 7V 70&5'1 I
flf travel outside of Texas, comnlete Schedule Tl
Principal occupation I Job titre (See Instructions) I Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please sea Instruction guide foradditional reporting requirements.
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
PLEDGED CONTRIBUTIONS SCHEDULE 8
The Instruction Gulde explains how to complete this form .
1 Total pages Schedule B:
.
2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED PLEDGES: ¢ ¢ ¢ ¢ ¢ ¢ 1$
5 Pate 6 Full name of pledger D out-of-state PAC (ID#: 8 Amount of fg In-kind description
pledge ($)
I (if applicable)
7 Pledger address; City; State; Zip Code I
I
I
(lf travel outside of Texas, complete Schedule T)
10 Principal occupation I Job title (See Instructions) 111 Employer (See Instructions)
Date Full name of pledger D out-of-state PAC (ID#: ' Amount of I In-kind description
pledge ($) I (if applicable)
Pledger address; City; State; Zip Code I
I
I
{If travel outside of Texas, complete Schedule T)
Principal occupation I Job title (See Instructions)
I
Employer (See Instructions)
Date Full name of pledger D out-of-statePAC(ID#: ' Amount of I Jn-kind description
pledge ($) I {if applicable)
Pledger address; City; State; Zip Code I
I
I
(If travel outside of Texas, complete Schedule T)
Principal occupation I Job title (See Instructions)
I
Employer (See Instructions)
Date Full name of pledger D out-of-statePAC(ID#· ' Amount of I In-kind description
pledge {$) I (if applicable)
Pledger address; City; State; Zip Code I
I
I
{If travel outside of Texas, complete Schedule T)
Principal occupation I Job title (See Instructions)
I
Employer (See Instructions)
Date Full name of pledger D out-of-state PAC (ID#: ' Amount of I In-kind description
pledge ($) I (if applicable)
Pledger address; City; State·, Zip Code I
I
I
(lf travel outside of Texas, complete Schedule T)
Principal occupation I Job title (See Instructions)
I
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission PO Box12070 Austin Texas 78711-2070 (512)463-5800 (TOD 1-800-735-2989)
POLITICAL CONTRIBUTIONS
SCHEDULE A OTHER THAN PLEDGES OR LOANS
The Instruction Gulde explains how to complete this form. 1 Total pages Schedule A: ;;._
2 FILER NAME c£/,4p~,,, K-to~ 3 ACCOUNT# (Ethics Commission Filers)
4 Date 5 Full name of contributor D out-of-state PAC(ID#: I 7 Amount of la In-kind contribution
.F..~~l-k-.
contribution ($) I description (if applicable)
"/--/-/"-/ . .5e-.,_, /.J-. a~ ,J. & "" £0. ,,.,,.. I 6 Contributor address; City; State; Zip Code 0/00·""
{p 7 'I'? S-1. fi1u~1/-) f?,./'l~1 I
I 7C..Os'1 (If travel outside of Texas, complete Schedule T)
9 Principal occupation I Job titre (See Instructions) 110 Employer (See Instructions)
·-Date Full name of contributor 0 out-of-state PAC(IO#: I Amount of I In-kind contribution
?-,/;,..'?" cJ.~ .1. C~. µ,,-:4~ s
contribution ($) I description (if applicable)
f-/·11 Contributor address; Ci , State; Zip Code c)(OO .o.) I
(po l/ .;;.J,e ./ /"'" ./ /)/Iii--<. I
(., JJ,v,,.;//e, rl/. 7leG'>'j I
llf travel outside of Texas, comolete Schedule n
Principal occupation I Job title (See Instructions) I Employer (See Instructions)
Date Full name of contributor 0 out-of-statePAC(!D#: I Amount of I In-kind contribution
contribution ($) I description (if applicable)
Contributor address; City; state; Zip Code I
I
I
(If travel outside of Texas, complete Schedule T)
Principal occupation I Job title (See Instructions) I Employer (See Instructions)
Date Full name of contributor D out-of-state PAC(!D#: I Amount of I In-kind contribution
contribution ($) I description (If applicable)
Contributor address; City; state; Zip Code I
I
I
(If travel outside of Texas comolete Schedule n
Principal occupation I Job title (See Instructions) I Employer (See Instructions)
Date Full name of contributor 0 out-of-slate PAC (ID#: I Amount of I In-kind contribution
contribution ($) J description (if applicable)
Contributor address; City; state; Zip Code I
I
I
/ {If travel outside of Texas comnlete Schedule T)
Principal occupation I Job title (See Instructions) I Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor Is out-of-state PAC, please see instruction guide foradditional reporting requirements.
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (fDD 1-800-735-2989)
LOANS SCHEDULE E
1 Total pages Schedule E:
The Instruction Guide explains how to complete this form. I
2 FILER NAME 3 ACCOUNT# {Ethics Commission Fifers)
(! .4,; s .-4, r"~-e, rf!,_.,111 "-~
4
TOTAL OF UNITEMIZED LOANS: c:> c:> c:> c:> c:> c:> $ '3 'i lt1-. 7 '7
5 Date of loan 7 Name of lender D out-of-state PAC (ID#: I 9 Loan Amount{$)
~-LL-I LI . Ciid{;. ~jY!Ci ,,.._, 3'-1~7. 71 . . . . . . . .
6 ls fender 8 Lender address; City; State; Zip Code 10 lnter~/e
a financial r9 Ci 'f wh."k Zf-iv £ Institution?
/0 <7 o //-e-'-f vi I/(._ I Ti 7W3'-f 11 Maturity date
y /
12 Principal occupation I Job title (See Instructions) 13 Employer (See Instructions)
2ivf', .5 .,./.,"" 3 z'-t"':Yhe ~~ £),, ./.. .) !S,,_,,.,Chl'c:'i OOj.S /~,,, los/-<! s. T"n C.
14 Description of Collateral . 15 Check if p~rsonar funds were deposited Into politiGal account
ffn~ne [?"'
16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed($)
INFORMATION
18 Guarantor address;
[J/~ot applicable
City; State; Zip Code
20 Principal Occupation (See Instructions) 21 Employer (See Instructions)
Date of loan Name of lender D out-of-state PAC (ID#: ' Loan Amount($)
ls lender Lender address; City; State; Zip Code Interest rate
a financial
Institution?
Maturity date
y N
PrincJpal occupation I Job title (See Instructions) Employer (See Instructions)
Description of Collateral Check if personal funds were deposited Into political account
D none D
GUARANTOR Name of guarantor Amount Guaranteed($)
INFORMATION
Guarantor address; City; State; Zip Code
0 not applicable
Principal Occupation (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender Is out-of-state PAC, please see instruction guide for additional reporting requirements.
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX B(a)
Advertising Expense GifUAwards/Memorials Expense Salaries/Wages/Contract Labor Loan RepaymenUReimbursement
Accounting/Banking Legal Services So!icitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental ExPense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages. Schedule F: 2 FILER NAME e. ./-1'1 "~ 13 ACCOUNT# (Ethics Commission Filers)
I ('',{,.; .5 . .;, /")"" /
4 Date 5 Payee name
'7-1-1/' :::r7;) S frc. ./-_,, c,," ... s, __£,-, c_ .
6 Amount ($) 7 Payee address; City;' State; Zip Code
/ OJ t?s. ;;. c, OJul j??a,";> ,Sfr-_,_,,__-I
ro,f "Vv,.-!h, ('/.. 7u/ 02
8 PURPOSE (a) Category (See categories listed at the top ofthis schedule) (b) Description (If travel outside of Texas, complete ScheduleT)
OF ' /, ;:,,-,,.,!,;., l ;:){_,_, J, c <-,.-cl s / du.1,,-/,,,,., J-<r-5 EXPENDITURE a-.. , .. ~,,., I
9 Complete ONLY if direct Candidate I Officeh~er name ~ Office sought Office held
expenditure to benefit C/OH
Date
Cj-J-ll/
Payee name
TT{) s+,,,. t~q ,._s. -;:j:,., C.,
Amount ($) Payee address; City;1 State; Zip Code
,PC) r1. 0...1/1 51/-«--I-7--::,--:,,73 ,c;,,;.. w,,.,.. /.I, T( 7l<fO-;).
I
PURPOSE Category (See categories listed al the top of this schedule) Description (If travel outside of Texas, complete Schedule T)
OF o-IJi,,.-<Jr-CtSS'r'oo/ 5 :50/'--lwo/e EXPENDITURE
Complete Q.W if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
3-;o-l'f :5-/o,,-T ~ ;_,_ c:;,,....'"' ,...,r-,
Amount ($) Payee address; City; State; Zip Code
/5 ;JJj'. 1'0
2"' 7 7J,,,-0 ~f;-,,.,c~,...,
F-1 J,y' .. /lh' 7~ I Le I (! .;)
PURPOSE Category (See categories listed at the top of this schedule) Description (lftc"''' °"''"' ofTox". oompl;('""" T)
OF
Q dil-"/·l; s.,;_., I EXPENDITURE /?e ""~ /"' < (""""",.... "'-
Complete Qtl1Y if direct Candidate I Offlcehdld§r name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (Sae categories listed al the top of this schedule) Description (If travel outside of Texas, completeScheduleT)
OF
EXPENDITURE
Complete ONLY if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission PO Box12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE G MADE FROM PERSONAL FUNDS
.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense GifUAwards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
ConsUlting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
. Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 FILER NAME
if},),,, "' _..,._,_
3 ACCOUNT # (Ethics Commission Filers)
I C h,r/s.J,,f-',/_, ,r
4 Date 5 Payee name
"3-:3-J lj hwe. i, " 0 !::..
6 Amount ($) 7 Payee address; City; State; Zip Code
-4':J...S. 'f ~ ,De ,04-)~~ ,/ L// c;-?'u3o'X, / ooo<;
~bursement from . ?a /c, a/-4 C-,4 cal contributions C/ Y36 3 Intended ) .
8 PURPOSE (a) Category (See categories listed at the top of this schedule) (b) Description (If travel outside of Texas, comp!eta Schedule T)
OF
a ,J 1/-f/_/; .s,:~ J on c.; a I m..e r/· C\ EXPENDITURE
Date Payee name
</-I-/ t; r QC-<_ {, C-o {:-
.•
Amount ($) Payee address; City; State; Zip Code
,3 0 I( d ::J;;u.J. lP I 12<,, ~ J.,,,..~..; "-//~ t?o /0() ~
G{:mbursement from ;J /, q//.c, ell/-'JL/303 p ltical contributions I "' "' intended I
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas. complete Schedule T}
OF
G\ dv,,..//.s/r -1 I rn.e_ af,' ~ EXPENDITURE Soc.t«
Date Payee name 3~/f-/l( o//·c.~ .fJ<;=ol
Amount ($)#7'S. ~ Payee address; City; State; Zip Code
~l!:omoot rrom 91'3/ 1:?:ilv cl ;J&
olltica! contributions /I/ !2. !I, !-->( 76/F' 0
Intended
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas, complete Schedule T)
OF /~,..,.;,..., £:/... .6 ~ S.J/f.R 5 s C-Or d S:, EXPENDITURE
Date Payee name
~-'f-Jlj /:J;,) C/1.e... "f-' '5i7ri 5
Amount ($) Payee address: City; State; Zip Code
7!f3.o I 730 I 13cv' K i' 4~ e-1-i i!d
~rsemsnt from La.'/c; v, .. ~ Ii I 60'(<:;; contributions I
intended
PURPOSE Category (See categories listed at the top of this sched(lle) Description (If travel outside of Texas, complete Schedule T}
OF /.,,..,;,, /,~ yo,-d .':. ,-7 ..... ';, EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
'
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
NON-POLITICAL EXPENDITURES SCHEDULE I
MADE FROM POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form.
1 Total pages Schedule I: 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)
4 Date 5 Payee name
6 Amount ($) 7 Payee address; City; State; Zip Code
8 PURPOSE (a) Category (See instructions for examples of acceptable (b) Description (See instructions regarding type of lnfonnation
OF categories) required.)
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE (a) Category (Sae instructions for examples of acceptable (b) Description (See instructions regarding type of information
OF categories) required.)
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE (a) Category (See instructions for examples of acceptable (b) Description (See instructions regarding type of information
OF categories) required.)
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE (a) Category (See Instructions for examples of acceptable (b) Description (Sea instructions regarding type of information
OF categories) required.)
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
INTEREST EARNED, OTHER CREDITS/GAINS/
SCHEDULE K REFUNDS, AND PURCHASE OF INVESTMENTS
The Instruction Gulde explains how to complete this form. 1 Total pages Schedule K:
2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
4 Date 5 Name of person from whom amount is received 8 Amount
($)
6 Address of person from whom amount is received; City; State; Zip Code
7 Purpose for which amount is received
Date Name of person from whom amount is received Amount
($)
Address of person from whom amount is received; City; State; Zip Code
Purpose for which amount Is received
Date Name of person from whom amount is received Amount
($)
Address of person from whom amount is received; City; State; Zip Code
Purpose for which amount is received
Date Name of person from whom amount is received Amount
($)
Address of person from whom amount is received; City; State; Zip Code
Purpose for which amount is received
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
IN-KIND CONTRIBUTION OR POLITICAL EXPENDITURE SCHEDULE T
FOR TRAVEL OUTSIDE OF TEXAS
The Instruction Guide explalns how to complete this form. 1 Total pages Schedule T:
2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
4 Name of Contributor I Corporation or Labor Organization I Pledger I Payee
5 Contribution I Expenditure reported on:
D Schedule A D Schedule B D Schedule C D Schedule D D Schedule F D Schedule G
D Schedule H D Schedule N D COH-UC D COH-T D PAC-C D PAC-E
6 Dates of travel 7 Name of person(s) traveling
8 Departure city or name of departure location
9 Destination city or name of destination location
10 Means of transportation 11 Purpose of travel (including name of conference, seminar, or other event)
Name of Contributor I Corporation or Labor Organization I Pledger I Payee
Contribution I Expenditure reported on:
D Schedule A D Schedule B D Schedule C D Schedule D D Schedule F D Schedule G
D Schedule H D Schedule N D COH-UC D COH-T D PAC-C D PAC-E
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)
Name of Contributor I Corporation or Labor Organization I Pledger I Payee
Contribution I Expenditure reported on:
D Schedule A D Schedule B D Schedule C D Schedule D D Schedule F D Schedule G
D Schedule H D Schedule N D COH-UC D COH-T D PAC-C D PAC-E
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)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE I OFFICEHOLDER REPORT:
FORM C/OH -FR DESIGNATION OF FINAL REPORT
The Instruction Guide explains how to complete this form.
•• Complete only if "Report Type" on page 1 is marked "Final Report" ••
1 C/OHNAME 2 ACCOUNT# (Ethics Commission Filers)
3 SIGNATURE
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.
Signature of Candidate I Officeholder
..
4 FILER WHO IS NOT AN OFFICEHOLDER
•• Complete A & B below only if you are not an officeholder .....
A. CAMPAIGN FUNDS
Check only one:
D I do not have unexpended contributions or unexpended interest or income earned from political contributions.
D l 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
Check only one:
D I do not retain assets purchased with political contributions or interest or other income from political contributions.
D 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.
Signature of Candidate
5 OFFICEHOLDER
•• Complete this section only if you are an officeholder ••
D I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on file.
l 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 or other income from political contributions, or assets purchased with political
contributions or interest or other income from political contributions.
Signature of Officeholder
www.ethics.state.tx.us Revised 04/19/2013