HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-Carol Wollin -4/7/2016 (4)CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 7
1 File� ID (E�hics Commission Filers) 2 To�al pages filed:
The C/OH Instruction Guide explains how to complete ihis form. /
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3 CANDIDATE/ MS/MRS/MR FIRST Mi pFFICEUSEONLY
OFFICEHOLDER %� �, /�]
NAME (iC� Y�� ' ` qI�`�,p
NICKNAME LAST SUFFIX I I I�� ����
LL � �
C.���-VO/ �Ja��%w ^np
q CANDIDATE / A��PE55 / PO BOX; APT I SUITE N; CITY; STATE; ZIP CODE �r'� �(� "�' �" �'
OFFICEHOLDER � �
nnawrvG <lG�oa L�Gir��c�re1-/������e-�� �% I Iz % I� � CI7Y SFCIi�TAAY'5 OFFIC[
ADDRESS
r%�JC7_3L _. "._...._.- �q
� Change of Address �/ �� �% � �/ :
, , y.,
5 CANDIDATE/ AREA CODE PHONE NUMBER E%TENSION
OFFICEHOLDER / �� �' � (� �! � ✓� �� �- c� oa�e Hantl�tlelivaretl or Da�e Pos�marketl
PHONE \ / �J ��
6 CAMPAIGN MS / MRS I MR FIRST MI Receipl # Amoun� $
TREASURER � ��(� V(y� � ' oale Pwcessetl
NAME...................................
NICKNAME LAST SUFFlX
� � �� / )� ��� � � Dale Imagatl
lN�
7 CAMPAIGN STPEETADDRE55 (NO PO BOX PLEASE); APT/ SUITE p; CITY; STPTE; ZIPCODE
TREASURER �ry J �
ADDRESS � � � � �� [ X / �� �� `-� �
� (oof) ��O-ri-�aUY� h1 C�/I�,�-/ U�
(Residence or Business) / � J
8 CAMPAIGN AFEF CO�E PHONE NUMBER EXTENSION
TREASURER � �� r7 � �c�� — �j U�j �
PHONE �
9 REPORT TYPE
� January 15 � 301h day before election � flunoH � 15ih day after campaiqn
ireasurer appoin�men�
(olficehoitler Only)
� July 15 � Blh day before eleclion � Exceeded$SOOlimit � Final flepoh (Htlach CIOH -FR)
10 PERIOD Monih Day Year M�o/nth pay Year
COVERED 3 /�9 /��v/� THROUGH / /�/ /��J/�
�� ELECTION ELECTION DATE ELECTION TVPE
Mon�h Day Vear ❑ Primary ❑ Runoll ❑ O�her
Descriplion
`.r/ 7 // /. �General � Special
�F�
12 OFFICE OFFICE HELD (if any) �$ OFFICE SOUGHT (ii known) . � "/
��l�y�-`'�l�- ��f:�c'��2���`l ���l��y����� c_���� co�,.�c,,
�la.�, �. 1 �� �4 �_� 1 �
GO TO PAGE 2
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CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME /)� rU/ �� //� fL� 15 Fiier ID (E�hics Commission Filers)
�
�B NOTICE FROM Try15 80X IS FOH NOTICE OF POLRICAL CONTHIBUTIONS ACCEPTED Ofl POLITICAL E%PEN�ITUNES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPOHTTHECANDIDATEIOFiICEHOLDEli. TNESEEXPENOITURESMAVHAVEBEENMAOEWIiNOUTTHECANOIDATESOROFFICEHOGOEfl�S
COMMITTEE�S� KNOWL£OGEORCONSENT. CAN�IDATES/+NOOFFICEHOLDEHSAFlEREOUIFEDTOPEPOflTTMISINFOHMATIONONLVIFTHEYHECEIVENOTICE
OF SUCH E%PENUITUflES.
COMMITTEE TVPE COMMITTEE NAME
�GENERAL / ✓ f I�
COMMITTEE ADDRESS
❑ SPEqFlC
COMMITTEE CAMPAIGN TflEASUFER NAME
� Additional Pages
COMMITTEE CAMPAIGN TREASUflER ADDRE55
17 CONTRIBUTION 7. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN I Y�
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ I j� c/' ��,
2. TOTALPOLITICALCONTRIBUTIONS $ �y/ .���
(OTHER THAN PLEDGES, LOANS, OR GUARAMEES OF LOANS) �� �
EXPENDITURE 3. TO7AL POLITICAI EXPENDITURES OP $100 OF LESS, �j
TOTALS UNLESSITEMIZED $ � `` ��
4. TOTAL POLITICAL EXPENDITURES $�J � y�3 � y_,3
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE $ � �3 � � �
OF REPORTING PERIOD �� �p(iy�
OUTSTANDING 6. TOTAL PRINCIPALAMOUNT OF ALL OUTSTANDING LOANSAS OF THE Q
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD �..J� U U� ���,
18 AFFIDAVIT
I swear, or affirm, under penaliy of perjury, that ihe accompanying report is
hue and correcl and includes all infoimation required to be reported by me
underTitle 15, Election Code.
� C
�i�� �� (��-�..,�
� Signa[ure of Candidate or Officeholder
AFFIX NOTAFV STAMP/SEALABOVE
Q I/ � ,lr v
Sworn to nd �su�b�scribed before me, by the said �/ ���d / ��/�/� , this ihe �
day of _�_..��, 20 , to certify which, witness my hand and seal of office.
� 7���-� � L�^-- C��l,�i���,;u� . - ,(�o� �
Signature of ofiicer administering oath Printed name of ofticer adminisiering oath Title oF oRicer administering oath
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SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19 FILEFi NAME 20 Filer ID (Ethics Commission Filers)
�jC,�rU� �c� ��l Yv
21 SCHEDULESUBTOTALS SUBTOTAL
NAMEOFSCHEDULE AMOUNT
�� �SCHEDULEA7: MONETAFV POLITICALCONTRIBUTIONS $�l S i(fU
,���
Z� � SCHEDULEA2: NON-MONETARV QN-KIND) POLITICALCONTRIBUTIONS $ Ll
3� � SCHEDULEB:PLEDGEDCONTFIBUTIONS $(�
4. � SCHEDULE E: LOANS $ �
5� � SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $`3 �� �. 'y
6� � SCHEDULEF2: UNPAIDINCUFREDOBLIGATIONS $�
�� � SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ L�
8� � SCHEDULE F4: EXPENDITLIRES MADE 6Y CREDIT CARD $�J
i
9� � SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
��� � SCHE�ULE H: PAYMENT MADE FFOM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $�
��� � SCHEDULEI:NON-POLITICALEXPENDITURESMADEFROMPOLITICALCONTRIBUTIONS $O
�Z ❑SCHEDULE K: INTEREST, CREDITS, GAINS, FiEFUNDS, AND CONTRIBUTIONS $ D
RETURNED TO FILER
roiiuspioviueuuy �enasCunW W�n�n�55ron www.euimss�ale.ta.us nevlseo y/tl/ZU15
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
The Instruction Guide explains how to complete this form. 1 7otal pages Schedule A1:
2 FILER NAME ) 3 Filer ID (Ethics Commission Filers)
� l� }�c>� �� /�ir�
4 Date 5 Full name of comributor ❑ om-o�-stato PAC QDp� ) 7 Amount of conhibution ($)
t Cl�rl ����%v f S�
���/�`,/��j 6 Contributoraddress; City; State; ZipCode ���T��00
(
�3���c� �7a�..�`so., �.�,� Cvl/e�� v; ll�. ix" 7/ t�3
8 Principal occupation / Job title (See Instructions) g Employe� (See Instruciions)
Date Fuli name of contributor ❑ ow-oi-s�a�e rnc (mtt: � qmount oi contribution ($) �
i�J�/i�ss� ��'lc Cohn�l/
/ ��O D � 07�
�/� ���47 Contributor address; City; S7ate; Zip Code
/'7/7 �v���(�-/Q_��r�Co/%vr�!la—,7X 16�3f
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ❑ ou4obstale PAc poa: __. � Amount oi contribution ($)
r %� �
��p � ��i��'IlG"� Li(/h ��/(/L.�� ��'111��/
�/���j Contributor address; Cify; State: ZipCode ./y -�� (� U. C)�t�
��o �X'riv�.�Y�� C�//e� v,�/l/ �ii 7�0 � y �
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of coniributor � ourobs�a�e rAc poa: ) Amount of contribution ($)
Conhibutor address; Ciry; State; Zip Code
Principal occupation / Job title (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCH EDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide tor addifional reporting requirements.
rormsproviaeooyiexast[mcscommission www.eimcss[a[e.�x.us rseviseaaiuizui5
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F7
EXPENDITURE CATEGORIES FOR BOX 8(a)
Ativertising Enpense EventExpense LoanRepaymenUPeimbursernen� Solici�a�ioNWntlraisingExpense
Accounling/Bankirg Fees OHicepeerheatl/flentalExpense Transpotla�ionEquipment&RelatedFxponse
GonsultlrgExpense Food/8averageExpense Po11IngExpense Travelln�isVic[
Conlributions/Dona�ionsMatleBy GifVAwartls/MemorialsExpense Prin�ingExpense TrevelOu[O�OisVic[
Canditla[e/Of(iceholtler/Poli�icalCommitlee LegalServices SalanesM1Nages/ContrectLabor ONer(enterecategorynotlistetlabove)
GretlilCartlPayment
The Instructlon Gulde explains how to complete ihis form.
1 Total pages Schedule F1: 2 FILER NAME � � 3 Filer ID (Ethics Commission Filers)
� C.�,_r�l GJ�/��,ti- __
4 Date 5 Payee name •
�I�UII� �` ��l �
6 Amount ($) 7 Payee address; City; State; Zip Colde %
/ �" �G,.L�/J-s!', .l�l"' ����i7 VI��e L X 7�^t�,_l�
/�a.�.��..'� � .���_� � �l � �7 �
$ (d) C21EgOry (SeeCalegorieslis�etlal�M1elopo�lhisschetlule) (b) D¢SClip�i0�
PURPOSE ❑ Cneckilbave�oulsitlao�iexas.Comple�eScheduleT.
OF �� � }I � y q
l Y �^ I � tt� �� l` i" �'n -S �� - Check il Auslin, T%, oilicaholtler living expense
EXPENDITURE .
�_, � S�t�� S
�J
9 Complete ONLY if direct Candidate / Officeholder name Office sougM Office held
expenditure io benefit C/OH
Date Payee name ,
�1 �lr� -�=��n�� i��s , < � �- �� �1,�ti , �s
��
Amount ($) Payee address; City; State; Zip Code
T� �3'1 � l 9 �'� �`l I._T�c(us iv� "�' l 1�1vc1.� G Ya fD�v, � � 7X ?G�os /
C2I¢gO�y (SeeCa�egorieslisletla�Ihetopoilhisschetlule) DBSCliPtiOn
PURPOSE ❑ CheckillravolouisitleoiTexas.CompleleSchetluleT
OF ���I'„�/+� r'_ v�`y n 5 � ❑ Check il Auslin, TX, ollicaholtler living expense
EXPENDITURE L i�
!�`c�/ 5
Complete ONLV it direct Candidate / Officeholder name ORice sought Office held
expendiWre to benefit C/OH
Date Payee name
��1��/�a `� l 17� s ����
Amount ($) Payee address; City; Slate; Zip Code
yis�. 9� vii�s- s�e��P ��,�s �- 7�;-� Ca�����,'�l� TX 7�0_3�/
C01B90fy (SeeCa�egorieslistetla�lhelopollhisschedula) D¢SClIPtiOn
PURPOSE ❑ Check il lmvel ou�side ol Texas. Complete Schetlule T.
OF � ` �
�� Y � � X� L�s L" ❑ Choak I� Auslin, TX, olliceholtler living erpense
EXPENDITURE � i`� / � �� h�
�� �T .`>�IY 1=S
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure ro benatit C/OH
ATI'ACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
rornispwvioeaoyiexast[n�cs�,ommission www.einics.sieie.ix.us newseaaiar[U�b
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Ativer�ising Expense Even[Expense LoanRepaymenVRoimbursernon[ SolicitatioNFuntlraisingExpense
AccounfinyBankirg Fees pHiceOvorhpad/Ren[alExpense Trenspo�ationEquipment&RelatetlEvpense
ConsultirgExppnse Food/BavaraqeExpense P011ingExpense TravellnDis�ric�
Con[ribu�ions�DonafionsMadeBy GitVAwardsTAemonalsExpense PriMinqExpense TravelOutO�DisUict
Candida�e/OHicoholder/Poli�icalComminee LeqalServiws SalanesM/ages�ConVac�Labor Other(enterecategorywtlistetlabova)
CreditCard Paymani
The Instructlon Gulde explains how to complete ihis form.
1 Total pagJe'�s Schedule F1: 2 FILE/F� NA�M�E � 3 Filer ID (Ethics Commission Filers)
cf l/r.�YO� ��'��� %'L.� '
4 Date 5 Payee name r �
�f1 � 9�/G �rn c��f 7�5 �� ��- G� r«�l, ,�_.,
6 Amount ($) 7 Payee address; Ciry; State; Zip Code
� �� _ �
� `�,3,5". / � �5'yl .:t�(us �'� a� 131��� G r���=�� � �i � IG� S
$ (2) C2[EgOry (SeeCalegorieslistetlallhelopo(�hisschetlule) (b) D@SCflPtiO�
PURPOSE ❑ CM1eckllVaveloulsiaeolTexas.CompleleScheduleT.
OF �� �� f-x��'�/1$ '� ❑ Check il Austin, TX, o0iceholtler living expense
EXPENDITURE � Y'I V1 f �
� ��/ ��V_�
9 Complete ONLY if direct Candidate / Officeholder name Office sought Otfice held
expenditure to benefit C/OH
Date Payee name / /
�il i��//�� .�m�/.�c'-/ ./�c�_`5`�in ..�-- (�vq�r6i i c-s
J
Amount ($) Payea address; City; State; Zip Code
�/�z�c�, 73 �� �� �. _� X l��o��)
'`�// ..Tl�oius t-V i<v� l.�! v�.. a r r�fo �zi,��,� j
Category (SaeCategorieslisledaUheloponhisschetlufe) DBSc�iptiOn
PURPOSE ❑ CheGcittravoloWsideolTexas.Comple�eSchetlulei.
OF /\ i � ❑ Chack il Auslin, TX, oXicaholder livinq erpense
EXPENDITURE � � r.. � +� �{ �-X� �'-h.> �'= ,� I� `� �,v_:.�
�,J JJOoY Y\ h .
�. �
Complete ONLV if direct Candidate / Otficeholder name OHice sought OHice held
expenditure to benefi5 GOH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
C2tEJOfy �SeeCa�egorieslistedallhelopollhisschetlNe� Description
PURPOSE ❑ CheGcillraveloulsideolTexas.CompleleSchetluleT.
�F ❑ Check il Ausiin, TX, oliiceholtler living evpense
EXPENDITURE
Comple�e ONLY if direct Candidate / Officeholder name Office sought Of�ice held
expendiWre m benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
FormsprovidedbyTexasHhicsCommission www.emics.state.tx.us Hewsetl 9/e/'Lot5
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. (Ethics Commission Filers)
' �
3 CANDIDATE / MS/MRS/MR FIRST MI 9 '
OFFICEHOLDER 6A�OL M OFFICE GS `/L1
NAME Y at: eived
NICKNAME LAST SUFFIX APR 07 2016
LCITY SECRETARY'S OFFICE1
4 CANDIDATE / ADDRESS/PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE
OFFICEHOLDER (��
MAILING 419o DAAN('D(2E Lw . CLLEyvijE TY 71-o? `1.
Date Hand delivered or Postmarked
ADDRESS
I change of address Receipt# Amount
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER l 305 7 Date Processed
PHONE C o � 21 )-
6 CAMPAIGN MS/MRS/MR FIRST MI Date Imaged
TREASURER g\ C I-A r P_P Pc-
NAME
NICKNAME LAST SUFFIX
CRACK L,-DOLL) ili
7 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER /
ADDRESS e DO 1pA MO/P•C LN . • eM LeVVILL€ )-I)( 11 03`c
r
(residence or business) �
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER ZOI _' ID %
PHONE
1
9 REPORT TYPE f January 15 I 30th day before election Runoff 15th day after campaign
I I treasurer appointment
(officeholder only)
July 15 I I 8th day before election I I Exceeded$500 n Final report(Attach CIOH-FR)
limit
10 PERIOD Month Day Year Month Day Year
COVERED0` / 0 i / I THROUGH 03
/n
/ IL
11 ELECTION ELECTION DATE ELECTION TYPE I
Month Day Year
I Primary
Runoff FP/General pi Special
0S-/b"7/ 1t
12 OFFICE OFFICE HELD(if any) 13 OFFICE SOUGHT (if known)
ALL, -/veLLE GI Ty Cootie (` Si-Me
GO TOPAGE2
www.ethics.state.tx.us Revised 07/28/2014
i 4
• CANDIDATE/OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME15 Filer ID (Ethics Commission Filers)
Cool-/Z0 L (t )0ZL
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE/OFFICEHO'.DER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S
COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE COMMITTEE NAME
111 GENERAL Al
• COMMITTEE ADDRESS
❑SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
n Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
•
•
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF$50 OR LESS (OTHER THAN j`
TOTALS PLEDGES, LOANS,OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ JO .00
2. TOTAL POLITICAL CONTRIBUTIONS ✓7 e®�
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) /
TOTANS ITURE 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS, 03 , 90
./ 3 i 90
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES $ Z 3 3 , L3
BALANCE CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $3 /6 e g 7
OF REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 3 , OO a
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 me
�. under Title 15,Election Code.
mo ; CHRISTINE LOVEN
•;*= My Nptary y 202887
19aL�+ir•o a+• May 2,'• Expires 2,2018 �,1/141,\ �A J
Si ure of Candidate or Officeholder
AFFIX NOTARY STAMP/SEALABOVE / , ) _/"I
/
Sworn to and subscribed before me,by the said (1,14.2.0 L WO//MI
,this the /T rl�
da of IV CA ,20 . o ,to certify which,witness my hand and seal of office.
IV
/ o
fa A LJ
vtid
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
• Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
•
•
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAME �. ) 20 Filer ID(Ethics Commission Filers)
Gft- o y 4)0 LL TA)
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1- ES SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS $ 7��00
2. SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $
3. Ei{-, SCHEDULE B: PLEDGED CONTRIBUTIONS $
4. SCHEDULE E: LOANS $ a,0
0
0 00
5. x"` SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 433,!2)
6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $Q
8. n SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $O
9. n SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $0
10. n SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $�
11. n SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
12. nSCHEDULE K: INTEREST,CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS $Q
RETURNED TO FILER
Forms provided by Texas Ethics Commission •www.ethics.state.tx.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al:
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
/1-FoL idQL2wry
4 Date 5 Full name of contributor 0 out-of-state PAC(ID#: ) 7 Amount of contribution ($)
31a4/1/0 6 Contributor address; City; State; Zip Code 500.00
J60! div phfrcz, v`/.,�� TX 7603i
• 8 Principal occupation/Job title(See Instructions) g Employer(See Instructions)
Date Full name of contributor ❑'out-of-state PAC(ID#: 1 Amount of contribution ($)
fo2 i'/1 Contributor address; City; State; Zip Code A pCO o.00
/0/ B4 f&TRi9P1 Li✓l C®1 LF yV.ZL,IEI D(2b0-S7
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: l Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor 0 out-of-state PAC(ID#: ) ' Amount of contribution ($)
Contributor address; City; State; Zip Code
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.
Forms provided by Texas Ethics Commission • www.ethics.state.tx.us Revised 9/8/2015
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 3 ACCOUNT# (Ethics Commission Filers)
cPD L W 0 (—( (t-)
4
TOTAL OF UNITEMIZED LOANS: b b b b b b $
5 Date of loan 7 Name of lender 9 out-of-state PAC(ID#: ) 9 Loan Amount($)
2 )►6 1-31a 1 c k\Ago W 0 LL,l,J 3 Doi°
6 Is lender 8 Lender address; City; State; Zip Code 10 Interest rate
a financial 4°16
0')I6
Institution?
LI o0O '(iv,-00 E L� Cu_g7v
)
Y �bC� 3� 11 Maturity dat
(2r31 IL
12 Principal occupation / Job title (See Instructions) 13 Employer (See Instructions)
gci) l�
14 Description of Collateral 15 Check if personal funds were deposited into political account
none
16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed($)
INFORMATION
18 Guarantor address; City; State; Zip Code
not applicable
20 Principal Occupation (See Instructions) 21 Employer (See Instructions)
hPr J 4
Date of loan Name of lender ❑out-of-state PAC(ID#: Loan Amount($)
Is lender Lender address; City; State; Zip Code Interest rate
a financial
Institution?
Maturity date
Y N
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Description of Collateral Check if personal funds were deposited into political account
❑ none
GUARANTOR Name of guarantor Amount Guaranteed($)
INFORMATION
Guarantor address; City; State; Zip Code
DI 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
POLITICAL EXPENDITURES MADE •
FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl
• EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement SolicitatiorVFund2ising6cpense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Fxpersse
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Fl: 2 FILER NAME - ' - 1 3 Filer ID (Ethics Commission Filers)
f
A01-- WoLL-i✓
4 Date 5 Payee name• 1
a//6// , WO►2T//--/?/G 7o/II AM-Ti O f7 *L B/1-4//<
6 Amount ($) 7 Payee address; City; State; Zip Code
�9.t60 �X 7603/
8. (a) Category(See Categories listed at the top of this schedule) (b) Descriptionl •
PURPOSE
1-1 Check if travel outside of Texas.Complete Schedule T.
OF ❑Check if Austin,TX,officeholder living expense
EXPENDITUREct/Vr..zw6/84-Aik.T f6
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
c3a //b p,47- ESZCM/ G/QM-P/f--=e---5
Amount ($) Payee address; City; State; Zip Code
t qo o r s S 541/ TATA-1_. 14/1-P5 .SIVE 7j( 7e0 5)
Category (See Categories listed at the top of this schedule) IDee lscription
PURPOSE I 1 Check if travel outside of Texas.Complete Schedule T.
OFr ❑Check if Austin,TX,officeholder living expense
P, iwr,2{t/(.j C
EXPENDITURE X PE/11-
Doo R /T/Y'NrOG''RS
•
Complete ONLY if direct . Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
31x- 110 PA-y
Amount ($) Payee address; City; State; Zip Code
/6 J A_y Com
Category(See Categories listed at the top of this schedule) Description
PURPOSE IT Check if travel outside of Texas.Complete Schedule T.
OF ❑Check if Austin,TX,officeholder living expense
EXPENDITURE F 4-5
o
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
•
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission • www.ethics.state.tx.us Revised 9/8/2015