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Home My WebLink AboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-Tammy Nakamura-1/17/2017CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 74 C/OH NAME 15 Filer ID (Ethics Commission Filers) �B NOTICE FROM THIS 90X I FOR NOTICE OF POLITICAL COMHIBUTIONS ACCEPTEU Ofi POLITICAL EXPEN�ITUHES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT HECANOI�ATE/OFFICEHOL�ER. THESEEXPEND?UHESMAYHAVE9EENMAUEN?iHOUTTHECANO/DATE90flOFF/CEHOLOERS COMMITTEE(S) KNOWLEDGE ORCON5ENT. CANUI�ATES AN� OFFICEHOLDEqS AFE FEUUIflED TO PEPOHT THIS INFOFMATION ONLY IF THEY PECENE NOTICE OF SIICH E%PEN�ITUFES. COMMITTEE TYPE COMMITTEE NAME �GENERAL N� COMMITTEE ADDRESS �SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME � Additional Pages COMMITTEE CAMPAIGN TREASURER Ap�RE55 �7 CONTRIBUTION � 7pTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ —' O� 2. TOTAL POLITICAL CONTRIBUTIONS $ (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) �� TOTALS ITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $ UNLESS ITEMIZED � O = 4. TOTALPOLITICALEXPENDITURES $ .,� � " CBONANCE TION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAV � � OF REPORTING PERIOD $ OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE � Q�� ✓ LOAN TOTALS LAST DAV OF THE REPORTING PERIOD $ / / 78 AFFIDAVIT , Iswear,oraffirm,underpenaltyofperjury,ihatiheaccompanyingreportis �y,r,n.,,� true and correct and includes all information required to be reported by me CRYSTALJSiMPSON underTitle�5, IectionCode. My Commission Explres �� 1 June 17, 2019 � °'+�a.�•a �./ Signatur f Candidate or Officeholder AFFIX NOTARV STAMP / SEALABOVE Sworn t and subscribed before me, by the said�m{i7�� /,( � , this the � 1'� 1 ' day o , 20 1 1 , to certify which, witness my hand and seal of office. �T 1 ° I'G Sig re of o cer admi stering oath Printed name of officer administaring oath Title of off er administering oath Forms provitletl byTexas Ethics Commission www.ethfcs.state.ix.us Revised 9/8/2015 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 7 1 File� ID (E�hics Commission Filers) 2 Total pages tiled: The C/OH Instruciion Guide explains how io complete this form. 3 CANDIDATE/ Ms asi R FIFST nni OFFICEHOLDER �� Tmm —i OFFICEUSEONLY NAME � `� �'� Date flBcerve, tl NICKNAME LAST � SUFFIX ' f"`� /l/a�ca�n��r� '; `r:: ��.�I�� . ,. q CANDIDATE / ADDFESS I PO 80X; APT / SUITE #; CITV; STATE; ZIP COOE �� ?.�^. �' q t= f�� `y MAILI NGOLDER �-O' I /7�''lILLS �� 1 !I g` A � ��l�tl �' 7 �,v N'7� ADDRESS � I I �Vl ( �e �� (y OJ'� ° �� e iP�� ' �S ��I,Cr ❑ Change of Address `"`""'0 5 CANDIDATE/ AREA CODE PHONE NUM6EF EXTENSION PHONEHOLDER / �� Da[e Hantl-tleliveretl or Da�e Pos�marked l 6 CAMPAIGN MS / S/ FIRST MI Receip� tt Amaun� $ TREASURER -- NAME � � � ��. . , Date Pmcessetl NICKNAME LAST9 I SUFFIX / `-"`�-1`�CIYiUIrQ.. Date Imagetl 7 CAMPAIGN STREETADDRESS (NO PO 60X PLEASE); APT / SUITE #; CITV; STATE; ZIP CO�E TREASURER �"Q �� ADDRESS J �� (Residence ar Business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION PHO EURER � �1I �y � a� y -544,0 � d � 9 REPORT TYPE January 15 � 30�h day beiore election � Runoff � 15�h day afler campaign lreasurer appainiment (011iceholtler Only) � July 15 � 8(h day beiore election � Exceeded $5001imit � Final Feport (Anach CIOH-FR) 70 PERIOD Moom oay vear Month oay vear COVERED / / THROl1GH / / 11 ELECTION ELECTION DATE ELECTION TVPE Mon[h Day Vear ❑ P�imary � Runoii �Other � �� Descrip�ion /I�/ d1o/� � General ❑ Special �� L' � OC � IIIrD 72 OFFICE OFFICE HEL� (if any) �$ OFFICE SOUGHT (if known) /V � � �� iV� �..� � � ��c c.e .�-- GO TO PAGE 2 FormsorovidedbvTexasEthicsCommission www.ethics.state.tx.us Reviced9/8/2�1Ci SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID (Ethics Commission Filers) 21 SCHEDU�ESUBTOTALS SUBTOTAL NAMEOFSCHEDULE AMOUNT �� SCHEDULEA7: MONETARYPOLITICALCONTRIBUTIONS $— � -- Z� ,� /SCHEDULEA2: NON-MONETARV QN-KIND) POLITICALCONTFIIBUTIONS $�' � � 3� � SCHEDULEB: PLEDGEDCONTRIBUTIONS $.� O � 4. � SCHEDULE E: LOANS . . $ � /`� � C./ 5� � SCHEDLILE F7: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $—� � 6� � SCHEDULEF2: UNPAIDINCURREDOBLIGATIONS $ � � �� SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ � v � 8� `�' SCHEDULE F4: EXPENDITURES MADE BV CREDIT CARD $� �'' 9� � SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $� �� 0� �'� SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ �� »� 'y�� SCHEDULEI: NON-POLITICALEXPENDITURESMADEFROMPOLITICALCONTRIBUTIONS $ –� � / �. �p, �SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS �� RETURNEDTOFILER Forms provitletl byTexas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1 The Instruciion Guide explains how to complete this form. 1 Total pages Schedule A7: � 2 FILER NAME 3 Filer ID (Ethics Commission Filers) �lmm� �k�-rnv��4 4 Date 5 Full name of contributor ❑ out-ot-state aAC (iott: i 7 Amount of contribution ($) 6 Contributor address; City; State: Zip Cotle $ Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor ❑ out-obstate PAC (ID#: 1 Amount of contribution ($) Contributor address: City; State; Zip Code Principal occupation / Jo6 title (See Instructions) Employet (Sea Instructions) Date Full name of contributor ❑ out-of-stare PAC (ID#: 1 Amount of contribution ($) Con[ributor address: City; State: ZiP Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor � out-obstate PAC (iop: 1 Amount of contrihution ($) Contributor addrass; City: State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF TH IS SCHEDULE AS NEEDED li contributor is out-of•staie PAC, please see instruction guide tor additional reporting requirements. rorms providea by iexas ttnics t;ommission www.etnics.state.tx.us Hevlsetl y/k1/'201b NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS SCHEDULE A2 The Instruction Guide explains how to camplete this form. � Total pages Schedule A2: z FILER NA�MF-.�' n � 3 Filer ID (Ethics Commission Filers) l�L_- U 4 TOTAL OF UNITEM ED IN-KIND POLITICAL CONTRIBUTIONS $� /`� � l_/ 5 Date 6 Full name of contributor ❑ out-af-sta�e PAC (ID#: � 8 Amount of . g In-kind contribution Contribution $ , description 7 Contributor address; Ciry; State; Zip Code � ❑ Check if travel outside ot Texas. Complete Schedule T. 70 Principal occupation / Job titie (FOR NON-JUDICIAL) (See Instructions) 'll Employer (FOR NON-JUDICIAL)(See Instructions) 12 Contributor's principal occupation (FOR JUDICIAL) y3 Contributors job tiile (FOR JUDICIAL) (See Instmctions) 1 14 Contributor's employer/law firm (FOFt JUDICIAL) 75 L-aw firm of contributor's spouse (if any) (FOR JUDICIAL) �6 If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL) Date Full name of contribu[or ❑ oubof-state PAC (IDu: ) P.mount of Irnkind contribution Contribution $ , description Contributor atldress; City: Siate; Zip Code � � Check it travel outside oi Texas. Complete Schedule T. Principal occupation / Job title (FOR NON-JUDICIAL) (See Instmctions) Employer (FOR NON-JUDICIAL)(See Instmctions) Contributor's principal occupation (FOR JUDICIAL) Coniributor's job title (FOR JUDICIAL) (See Instructions) Contributor's employer/law firm (FOR JUDICIAL) Law firm of contributor's spouse (if any) (FOR JUDICIAL) If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL) ATTACH ADDITIONAL COPIES OF THIS SCH EDULE AS NEEDED If contributor is aut-of-state PAC, please see instruction guide for additional reporting requirements. hofmSproVltletlbyleXaStthlCSCommission www.etniCs.sta[e.iX.Us HeVlsetl9/8/2015 PLEDGED CONTRIBUTIONS SCHEDULE B � Total pages Schedule B: The Instruction Guide explains how to complete this form. q �f—' 2 FILEF NAME , ? 3 Filer ID (Ethics Cammission Filers) � � Vvl m � Kf�rn c� ✓��} —D ' 4 TOTALOF UNITEMIZED PLEDGES $ 5 Date 6 Full name of pledgor ❑ ouo-af-state PAC (IDn: 1 g Amount . 9 In-kind contribution of Pledge $ . description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Pledgor address; City; State; Zip Code . ❑ Check if travel ou�side o� Taxas. Comple�e Schedule T. 10 Principal occupation / Job title (See Instructions) �7 Employer (See Instructions) Date Full name of led or Amount � In-kind contribution p g ❑ out-ol-state PAC (IDp: � of Pledge $ � description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Piedgor address; City; State; Zip Code � ❑ Check if travel outside oi Texas. Complete Schedule T. Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Fuil name of pledgor ❑ (ion: � Amount of , �n-kind contribution ou4of-state PAC Pledge $ . descrip[ion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' Pletlgor address; City; State; Zip Code � ❑Check if travel outside of Texas. Complete Schedule T. Principal occupation / Job title (Sea Instructions) Employer (See Instructions) Date Full name of pledgor � auo-of-sta�e PAC pD#: � Flmount of , In-kind contribution Pledge $ description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � Pledgor address; City; State; Zip Code � ❑Check if �ravel outside o� Texas. Complete Schedule T. Principal occupation / Job title (See Instruc[ions) Employer (Sea Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS N EEDED If contributor is out•af-state PAC, please see Instruction guide for addiiional reporting requirements. rorms proviaea oy iexas tmics commission www.emics.scace.uc.us newsea aiarzu�n LOANS SCHEDULE E The Instruction Guide explains how to complete ihis form. � Total pages Schedule E: � 2 FILER NAM�� 3 Filer ID (Ethics Commission Filersj 1 �-m � /� �c � rn U ✓'r� 4 TOTAL OF UNITEMIZED LOANS .. fi`� / $ � �� 5 Dateofloan 7 Nameoflender ❑ou[-of-sta[ePAC(ID#: ) 9 LoanAmount($) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Is lender 8 Lender address; City; S[ate; Zip Code �0 Interest rate a financial Institution? �1 Maturitydate Y N �2 Principal occupation / Job title (See Instructions) 73 Employer (See Instmctions) 14 Description of Collateral 15 Check if personal funds were tleposited into political account (See Instructions) ❑ none ❑ �6 GUARANTOR 17 Nameofguarantor 19 AmountGuaranteed($) INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Guarantor address; City; State; Zip Code ❑ not applicable 20 Principal Occupation (See Insiructions) 21 Employer (See Ins�ructions) Date of loan Name of lender ❑ ouPot-state PAC (IDn: � Loan Amount ($) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is lender Lender address; City; State; Zip Code Intarestrate a financial Institution? � Maturity date Y N Principal occupation / Job title (See Instmctions) Employer (See Instmctions) Description of Collateral Check if parsonal funds were deposited into political account (See Instruc�ions) ❑ nane ❑ GUARANTOR Nameofguarantor AmountGuaranteed($) INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Guarantor atldress; Ciry; State; Zip Cotle � not applicable Principal� Occupation (See Instructions) Employer (See Instmctions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If lender is out-of-state PAC, please see instruction guide tor additional reporting requirements. rormspromaeooyiexasttmcst;ommission www.emics.siace.cx.us newseaaisizuio POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense EventEupanse LoanRepaymaMffieimbursement SolicitatioNFuntlreisingExpense Accountlng/Bankng Fe2s OHiceOverhead/flen�alEspense TrensportaGonEquipment&RelatedExpense ConsultingEupense FooNBeverageF�pense P011ingExpense Trevelln�isMcl ConMbutions/DonaGonsMadeBy GifVAwartls/MertwrialSEtpense PrintlngFxpense TravelOutO(DisVict Cantlitlaie/OfficeholtledPaliticalCommittee LegalServi�s SalanesNJages/ConVac[Labor Otlier(enteraca[egorynollistetlabove) CretlitCartlPaymen[ The Instruction Guide explains how to complete this form. 7 Total pages Schedule F7: 2 FILER NAME � 3 Filer ID (E�hics Commission Filers) !'�l C1'� /%�� (� %f 4 Date 5 Payee name 6 Amount ($) 7 Payee address; City; S[ate; Zip Code g (a) Category (SeeCategorieslistedatihetopofihisschetlule) (b) Description PURPOSE ❑ Checkii Vavel ouLsitle of Texas. Complete SchetlulaT. OF ❑ Check i( Austin, TX, o(�icehalder living expense EXPENDITURE 9 Complete ONLV if direct Candidate / Officeholtler name Office sought OHice held expenditure to benefit C/OH Date Payee name Amount ($) Payee atldress; City; S[ate; Zip Code Category (SeeCategorieslistedatihetopoF[hisschedWe) Description PURPOSE ❑ CheckiflravelaWsitleoiTexas.ComdeteSchetluleT. OF ❑ Check ii Austin, TX, oificeholder living expense EXPENDITURE Complete ONLY if direct Candidate / Officeholder name Office sought OHice held expendiWre ro benefit C/OH Date Payee name Amount ($) Payee address; City; SYate; Zip Code C2tE90fy (SeeCa[egorieslis[etlat[hetopoi�hisschetlWe) D¢SCfi(JtlOfl PURPOSE . ❑CheckifVaveloulsitleofTexas.Complete5chetluleT. OF ❑ Check if Austin, TX, officeholtler Iiving expense EXPENDITURE Complete ONLV if direct Candidate / Officeholder nama Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCH EDULE AS NEEDED Forms provided byTexas Ethics Commission www.ethlcs.state.ix.us Revisetl 9/8/2015 UNPAID INCURRED OBLIGATIONS SCHEDULE F2 EXPENDITURE CATEGORIES FOR BOX 10(a) AMartisingFxpense Even[Fxpense LoanFepaymentlReimbursement Soticita[ioNFundraisingFxpense Accoun�ing/Banking Fees pificeOverhaatl/Ren�alF�pense TransportaOonEquipmen[&RelatetlExpense ConsultingExpensa Food/BeverageExpense P011ingExpense TravellnDislrict ConMbutions/DonationsMadeBy Gi7VAwartls�MemonalsExpense PrintingEepense havelOutOfDistrict Cantlitlate/ORiceholtler/Poli�icalCommittee LegalServices SalariesNJages/ConVac[Labor O�he�(eMeracategorynotlis[etlabove) 7he Instruction Guide explains how to complete this torm. 7 Total pages Schedule F2: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) ` T�rnt ,� �� r 4 TOTAL OF UNITEMIZED UNPAID INCURRED OBLIGATIONS $� � 5 Date 6 Payee name 7 Amount ($) 8 Payee address; City; State; Zip Code 9 TYPE OF EXPENDITURE � Political � Non-Political 7� (a) C3tBgOry (SeeCalegorieslistedat�hetopoi�hisschetlule) (b) DESCfi(1ti0❑ PU R POS E ❑ Check i( Vaval outsitle o(Texas. CompleteSchetluleT. OF EXPENDITURE ❑Check if Austin, TX, al�iceholtler living expense �� Comple[e ONLV if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) payee address; City; State; Zip Code TYPE OF EXPENDITURE � POfltiCdl � Non-PolitiCal C2tBgOry (SeeCategorieslis[etla��hetopo��hisschetlule) DESCYiption P U R POS E ❑ Check i� travel outsitle of Texas. Complete SchetluleT. �F ❑Check ii Auslin, T%, oificeholtler living expense EXPENDITURE Complete ONLV if direct Candidate / Officeholdar nama Office sought ORice hald axpendiWre ta bene�it C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms orovided 6vTexas Ethics Commission www.ethicss�ate.�x.Us Revised 9/8/2015 PURCHASE OFINVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F3 'I Total pages Schedule F� The Instruction Guide explains how to complete fhis farm. 2 FILERNAME _ 3 Filer ID (E�hics Commission Filers) -'T�-��` /<�-� 4 Date g Name of person from whom investment is purchased / v � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Address of person from whom investment is purchased; City; State; Zip Code 7 Description of investment 8 Amount of invesimeni ($) Date Name of person from whom investmeni is purchased .......................................................... Addrass of person from whom inves[ment is purchased; City; 5[ate; Zip Coda Descrip[ion of investment Amount of investment ($) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED rormsprowaeanyiexastinicscommission www.emics.stare.tx.us r+ewseayiaizuio EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4 EXPENDITURE CATEGORIES FOR BOX � 0(a) AtiveNsingF�pense EventEtpense LoanRepaymenVReimbursemen[ $plici�atioNFundraisingFxpense Accuunting/Banking Fees OfficeOverhead/RentalExpense Transporta[ionEquipment&RelatedEtpense Consul[ingF�cPeree Footl/Beve�ageExpense P011ingExpense TmvellnDis[rict Coninbutians/DonationsMatleBy Gift/Awards/MemorialsFxpense PnntingEepense TravelOutOfDistrict Cantlidate/OHiceholdeqPoliticalCommittee LsgalServices SalaneslWages/ContractLabor p(her(enteracatagorynotlis[etlabove) The Instruction Guide explalns how to complete this form. 1 Total pages Schedule F4: 2 FILER NAME /,1 /�� 3 Filer ID (Ethics Commission Filers) � �Yl (Yl` d vr 4 TOTALOFUNITEMIZEDEXPENDITURESCHARGEDTOACREDITCARD $ ��7 L/ 5 Date 6 Payee name 7 Amoun[ ($) 8 Payee address; Ciry; S[ate; Zip Code g TVPE OF EXPENDITURE � Political � Non-Political y0 (a) Category (SeeCa�egorieslis�eda��hetopoflhisschedule) (b) Description P U R POS E � Chedc if travel ou6ide of Texas. Complele SchetluleT. OF EXPENDITURE ❑Check itAus�in, TX, oificeholder living expense �� Complete ONLV if direct Candidate / Officeholder name Offica sought Office hald expentliture ro benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code TYPE OF EXPENDITURE � Poli�lCal � Non-PolltiCal Category (SeeCatagorieslis[edatthetapofthisschetlule) Description PU R P OS E ❑ Check if Vavel outritle ofTexas. Complete ScheduleT. OF �Check if Austin, TX, o�ficeholder living expense EXPENDITURE Complete ONLY ii direct Candidate / Officaholder name Office sought Office held expenditure ta benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED rorms provitled by-iexas ethics Gommission www.ethicss�ate.tx.us Revisetl 9/8/2015 POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS SCHEDULE G EXPENDITURE CATEGORIES FOR BOX 8(a) AtivetlisingF�pense EventFxpensa LoanRepaymentlHeimbursemen[ SolicitatloNFuntlraising�pense Accounting/Bankrg Fees OHiceOve�head/Ren�alExpense hansportationEquipment&RelatedExpense ConsultingFxpense FpoNBeverageE<pense P011ingExpense TravellnDistrict Contributiong/�ona4onsMadeBy GifVAwaetls/MemorialsFxpense Prin6ngEvpense TravelOuiOtDisVict Candidate/Ofliceholder/PoliticalCommittee LegalServices Salanes/Wages/COMractLabor O�her(enteraca�egorynotlistetlabove) QedlCardPaymen� The Instruction Guide explains how to complete this form. 7 Total pages Schedule G 2 FILER NA . 3 Filer ID (Ethics Commission Filers) -� m l4(�r+�v �� 4 Date 5 Payee namqe I � � 6 Amount ($) 7 Payee address; City; S[ate; Zip Code ❑Reimbursemen[From palitical coniributions iMeritletl 8 (a)Category(SeeCalegorieslistedatlhetopoithisschetlule) :b) Description PURPOSE OF ❑ Check ifVavel ouBitla oiTesas. Complele Schedule T. EXPENDITURE ❑ Check if Austin, TX, ofticeholtlerliving expense y Complete ONLV if direct Candidate / Officeholder name Office sought Office held expendiWre to bene�i[ C/OH Date Payee name Amount ($) Payee atldrass; City; State; Zip Code ❑ReimbursemenVrom political contribu[ians in[ended Category (SeeCa�egorieslisteda[�he�opo��hisschetlule) (b) D25CfiPti00 PURPOSE QF ❑ Check itVavel oukide oiTexas. Complete Schedule T. EXPENDITURE - ❑ Check if Austin, TX, aflicehaltler living expense Comple[e ONLV if direct Candidate / Officeholder name OHice sought Office hald expenditure ro benetit C/OH Date Payee name Amount ($) Payee atldrass; City; S[ate; Zip Code ❑Reimbureementfrom poli[ical canhibu[ians in[ended Category (SeeCalegorieslis[etla�NetopoiNisschetlule) (b) DBSCYiption PURPOSE OF ❑ Check if Vavel oulsitle of Texas. Complele Schetlule T. EXPENDITURE ❑ Check il Austin, TX, officeholtlerliving expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held axpendiWre ta benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED rorms proviaed oy iexas ttnics c:ommission www.etnics.state.v�.us rcevisea aitsieuto PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH SCHEDULE H EXPENDITURE CATEGORIES FOR BOX 8(a) AtivetlisingEupense EventExpense LoanRepaymenVReirr`vursemen[ Solici�atioNFuntlraisingExpense AcmunGng/Banking Fees OffceOverhead/FemalExpense T2nsportationEquipment&Relaled�panse Consulting6cpanse Food/Beve�ageEzpense P011ingExpense TravellnDisiric[ Con[nbu[ions/DonationsMatleBy GifF/Awards/MemonalsExpanse Prin6ngExpense TravelOutOfDis[ric[ Cantlitlate/ORiceholtle4PoliticalCommitlee LegalServices Salanes/Wages�Conirec[Labor OMer(enteracategorynotlistetlabove) CretlilCartl Paymen[ The Instruction Guide explains how to complete this form. 1 Total pages Schedula H: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Y� /-� K �n2 J (�p- 4 Date 5 Business name 6 Amount ($) 7 8usiness atldress; City; S[ate; Zip Code 8 (a) C2t290fy (SeeCalegorieslis�etlat�hetopofthisschetlule) (b) DESCfi(JtiOh PURPOSE ❑ Check i� iravel omsitle o�Texas. Comple�e ScheduleT. OF EXPENDITURE ❑ Check ii Aus[in, TX, officeholtler living axpense 9 Complete ONLY ii direct Candidate / Officeholder name Office sought � OHice held expenditure to benefit C/OH Date Business name Amount ($) Business atldress; City; State; Zip Code C2tBQOfy (SeeCa�ego�ieslis�etlat�heropof[hisschetlule) Desc�iption PURPOSE ❑ Check if Vavel outside oiTexas. Comple�e ScheduleT. OF EXPENDITURE Check if Aus�in, TX, aliiceholtler living expense Complete ONLY if direct Candidate / Officeholder name Offica sought ORice held expendiNre to benefit C/OH Data Business name Amount ($) Business address; City; 5[ate; Zip Code C2tB901y (SeeCa[egorieslisletlatlhetopof�hisschetlule) D¢SC�iPtiOfl PURPOSE ❑ CheckilVavelouLsitleaiTexas.Comple[eSchetluleT. OF ❑ Check if Austin, TX, afficeholder living expense EXPENDITURE Complete ONLV i� direc� Candidate / Officeholder name Office sought Office hald expendi[ure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED rorms provided by iexas ethics Gommission www.etnicsstate.ix.us tievised aiaizu�b NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE I The Instruction Gulde explains how to complete ihis form. 1 Total pages Schedule I: 2 FILERNAME 3 Filer ID (E�hics Commission Filers) �- �Y�� /-� �<�fm � 4�-R 4 Date 5 Payea name 6 qmount ($) 7 Payee adtlress; City; State; Zip Cotle $ (a)Category (See inshuc�ians for examples of acceptable (b)Descrip[ion (See ins�mctions regartling rype oi infarmation PURPOSE categories.) requiretl.) OF EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Code PURPOSE Category (See ins�mc�ions !or examples oi accep�able DesCription (See inslmctions regarding �ype ol iniorma�ion ca�egories.) requiretl.) OF EXPENDITURE Date Payee name Amount ($) Payee address; City; 5[ate; Zip Code PURPOSE Category (See ins�mctions for examplas oi accep�able DesCriptiOn (See instruc�ions regarding type o� infarmation OF categories.) required.) EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Cotle PURPOSE Category (See inslmc�ions for examples al acceplable D¢SCfI(JtiOfl (See ins[mc�ions regartling rype oi iniorma�ion ca�egories.) requiretl.) OF EXPENDITURE ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED rorms prowded oy iexas ttnics commission www.etmcsstate.tx.us tsevised siai2ot5 INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER SCHEDULE K The Instruciion Guide explains how to complete this form. 7 Total pages Schadule K: 2 FILER NAME . 3 Filer ID (E[hics Commission Filers) -�rn� �-� �U 4 Date 5 Name of person from whom amount is received 8 Amount ($) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Address of person from whom amount is received; City; State; Zip Code 7 Purpose for which amount is received � Check if political contribution returned to filer Date Name of person from whom amount is received Amount ($) ............................................ Address of person from whom amount is received; City; State; Zip Code Purpose for wM1ich amount is receivetl � Check if political contribution returned to filer Date Name of person from whom amount is received Amount ($) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address of person from whom amount is receivetl; City; State; Zip Code Purpose for which amount is received � Check if political contribution retumetl to filer 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 � Check if political contribution returned to filer ATTACH ADDITIONAL COPI ES OF THIS SCHEDU LE AS NEEDED rorms pmvided oy iexas ttnics commission www.emics.state.tx.us rcevisea yieizuio IN-KIND CONTRIBUTIONS OR POLITICAL EXPENDITURES FOR TRAVEL OUTSIDE OF TEXAS SCHEDULE T The Instruction Guide explains how to complete ihis form. 1 Total pages Schedule 7: I J�' 2 FILER NAME '- 3 Filer ID (Ethics Commission Filers) �t o>1 � �-kFl n�t � 4 Name of Contributor / Corpora/t�ion/ or Labor Organization / Pledgor / Payee Yv 5 Contribution / Expenditure reported on: ❑ Schedule A2 ❑ Schedule B ❑ Schedule B(J) ❑ Schedule C2 ❑ Schedule D ❑ Schedule F1 ❑Schedute F2 ❑ Schetlule F4 ❑ Schedule G ❑ Schedule H ❑ Schedule COH-UC ❑ Schedule B-SS 6 Dates of travel 7 Name of parson(s) traveling 8 Departure city or name of departure location 9 Des[ination city or name of destination location 70 Means of transportation 7� Purposa of travel (including name of conference, seminar, or other avent) Name of Contributor / Corporation or Labor Organization / Pledgor / Payee Contribution / Expenditure reported on: ❑ Schedule A2 ❑ Schedule B ❑ Schedule B(J) ❑ Schedule C2 ❑ Schedule D ❑ Schedule F7 ❑Schedule F2 ❑ Schedule F4 ❑ Schedule G ❑ Schedule H ❑ Schedule COH-UC ❑ Schedule B-SS 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 / Pletlgor / Payea Contribution / Expenditure reported on: ❑ Schedule A2 ❑ Schedule B ❑ Schetlule B(J) ❑ Schedule C2 ❑ Schedule D ❑ Schedule F1 ❑Schedule F2 ❑ Schedule F4 ❑ Schedule G ❑ Schedule H ❑ Schedule COH-UC ❑ Schedule B-SS Dates of travel Name of person(s) traveling Departure city or name of departure location Destination city or name of tlestination location Means of transportation Purpose of travel (including name of conference, seminar, or other event) ATTACH ADDITIONALCOPIES OFTHIS SCHEDULEAS NEEDED horms provitletl by Texas Ethics Commission www.ethlcs.state.tx.us • Revisetl 9/8/2015 CANDIDATE / OFFICEHOLDER REPORT: DESIGNATION OF FINAL REPORT FORnn C/OH — FR The Instruction Guideexplains how to completethis form. •- Complete only if "ReportType" on page 7 is marked "Final Repor[" •• 1 C/OH m`l DV /�—K � c��'',� 3 SIGNATURE 2 Filer ID (E[hics Commission Filers) I do not expect any further political coniribuiions or political expenditures in conneciion with my candidacy. I understand thai designat- ing 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 ireasurer appoint� nt on file. Gl,�� ' Signatureof � ndidate/Officeholder 4 FILERWHOISNOTANOFFICEHOLDER •• Complete A& B below on/y if you are not an officeholder. •• A. CAMPAIGN FUNDS Check only one: I 1(1` I do not have unexpended contributions or unexpended interest or income earned from political contributions. �� I have unexpended contributions or unexpended inierest 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 coniributions or unexpended interest or income earned on political contributions longerthan 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 requiremenis of Election Code, § 254204. B. ASSETS Check only one: � I do not retain assets purchased with political contributions or interest or other income from politicat wntributions. % 0 I do retain asseis purchased with political contributions or interest or other income from political coniributions. I understand that I may not convert assets purchased with political contributions or interes[ or other income from political contributions to personal use. I also understand that I must dispose of assets purchased with political contributions in accordance wiih the requirements of Election Code, § 254204. ��ll I� �` �L/ Sign re of Candidate 5 OFFICEHOLDER •• Complete this section only if you are an officeholtler •• 0 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 politi- cal contributions or interest or other income from political contributions. � D\� (�i%� Sig ture of Officeholder =nrmc nrnvidorl hv Tovac Fihire Cnmmiceinn wmmu afhins cfata iv uc Rovicerl 4/R/9m 9