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Contributions and Expenditure Statements-Campaign Finance Reports & Filings-07/17/2018 (3)
CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 l Filer ID (Ethics Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. i (� 3 CANDIDATE/ MS/MRS/MR FIRST MI OFFICEUSEONLY OFFICEHOLDER � ,� D NAME NICKNAME LAST SUFFIX rT E E I�j� � n /] ItJr_ in A yn/.�-p V E JUL 16 2010 Q CANDIDATE / ADDRESS / PO BOX; APT / SUITE 4; CITY; STATE; ZIP CODE OFFICEHOLDER MAILING //�t Jd�� �9�,Cn✓bnO LnJ C b1&-yv+He— 72 7k65 ADDRESS CITY SECRETARY'S OFFICE Change of Address OP. 111,3 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER �i �� Z'� S 3C�•S Date Hand -delivered or Date Postmarked PHONE 2S 6 CAMPAIGN MS/MRS/MR FIRST MI Receipt If Amount$ TREASURER /,L Data Processed NAME 177 . . . NICKNAME LAST SUFFIX ^�,aL �// I Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE TREASURER 30OyL �n Cc�wtr,n L^� Gar � �'V ✓/ �/� T'� �lnb3tF ADDRESS / (Residence or Business) 6 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 1 / 26 L/) Z s S' — 3q-�'_ 9 REPORTTYPE January 15 30ih day before election El Runoff El 15th day after campaign treasurer n (Ofliceholtler Officeholder Only) RL July 15 ❑ 8lh day before election Exceeded$500 limit Final Report(Attach C/OH -FR) 10 PERIOD Month Day Year Month Day Year COVERED 0'/ /27 /2.0/O6 THROUGH 0jl� /&0 /bpi 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary ❑ Runoff ❑ Other Description 5�t General ❑ Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) GO TO PAGE 2 Forms provided by Texas Ethics Commission wwvv.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) 21 SCHEDULE SUBTOTALS NAMEOFSCHEDULE SUBTOTAL AMOUNT 1. SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS $ 3S-0 2. SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULE E: LOANS $ 5. ® SCHEDULE F7: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 8. ❑ SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. ❑ SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8- ❑ SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9. ❑ SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. ❑ SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ it. SCHEDULE I: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12. SCHEDULE K: RETURNED TO INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS FILER $ Forms provided by Texas Ethics Commission w .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 At: / 2 FIE NAME 3 Filer ID (Ethics Commission Filers) --q� jl�i S J 4 Date 5 Full name of contributor out-of-state PAC (Ion: ) 7 Amount of contribution ($) lam°/ ©n ► ....... � 6 Contributor address; City; State; Zip Code -SV9'3/ -Dn ���-yvt 16e ,.T)� 7(WA 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date 1 Full name of contributor ❑ out-obstete PAC (Ion: t Amount of contribution ($) Li Contributor address; City; State; Zip Code L1308 Pc-,Sr� 76W,s V Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contrib�utoar ❑ out-of-state PAC (Ion: ) Amount of contribution ($) t� / Contributor address; City; State; Zip Code 12�7/onl �r C44./�,GC�, 703 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (Ion: t Amount of contribution ($) 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 w .ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX S(a) Advertising Expense Event Expense Loan Rea ment/ReimbursemeM Expense y Accourrung/Banking Fees v Transportation Equipment Consulting Expense Food/Beve a Expense Office Overense ental Expense Travel In atlon Equipment&Relaied Expense rag ExP Palling Expense Travel In District Confdbutions/Donations Made By GifVAwartls/Memodals Expense Printing Expense Travel Out Of District Candidate/Officeholder/Polkical Committee Legal Services Salariee/Wages/ContraIX Labor Other (enter a category not listed above) Credit Cartl Payment The Instruction Guide explains how to complete this form. Y Total pages Schedule F7: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) tAJ&V n/C Oj N 4 Date 5 Payee name 0.6jo,- i S 1U,4 tJ6- /?rfJ"�NFtYil7 6 Amount ($) 7 Payee address; City; State; Zip Code '34n� �OC-:S�tloott L/J COLG 63 3 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE d�� ❑Checkiftraveloutsideof Texas.Complete Schedule T. OF ��� ❑ Check It Austin, TX, officeholder living expense EXPENDITURE 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name vrajorli wAy,JE MA-YAIOW,,O Amount ($) Payee address; City; State; Zip Code a 3/. 4 7 3no V 4i�,oCCn,Jaoo Ln/ eall--YWIIl 77- 76 n 3 yl Category (Sae Categories listed at the top of this schedule) Description PURPOSE (�BAYh+/ mow?O�s jI7�>N�TaIinU' le2B'O(t- ❑Check iftravel outside of Texas. Complete Schedule T. OF EXPENDITURE ��7g � El if Austin, TX, officeholder living expense 13y L,�A,C)r OATS 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 PURPOSE ❑ Check if travel outside of Texas. Complete Schedule T. OF El EXPENDITURE 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 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 CANDIDATE / OFFICEHOLDER REPORT: DESIGNATION OF FINAL REPORT FORM C/OH - FR The Instruction Guide explains howto complete this form. •• Complete only if "Report Type" on page 1 is marked "Final Report" -- I C/OH NAME 2 Filer ID (Ethics Commission Filers) Lc,�6} y A",r J A26Y Nip 3 SIGNATURE I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that 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 treasurer appointment on file. Signature of Candidate / Officeholder 4 FILER WHO IS NOTAN OFFICEHOLDER •• Complete A & B below only if you are not an officeholder. •• A. CAMPAIGN FUNDS Check only one: E/ I do not have unexpended contributions or unexpended interest or income earned from political contributions. 0 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 Chec only one: I do not retain assets purchased with political contributions or interest or other income from political contributions. (] I do retain assets purchased with political contributions or interest or other income from political contributions. I understand that 1 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 -- 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. Signature of Officeholder Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAME 15 Filer ID (Ethics Commission Filers) L2_),4y,)� s MB-y/✓en-�P 18 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WrTHOUT THE CANDIDATES OR OFFICEHOLDERS 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 GENERAL COMMITTEE ADDRESS SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME ❑ Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN C7 $ PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED Q r �Q 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ 436 , 60 EXPENDITURE 3. TOTALS TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $ UNLESS ITEMIZED O 4. TOTAL POLITICAL EXPENDITURES $ ,S6bO (JO CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ C� OF REPORTING PERIOD OUTSTANDING 8. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 6 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 I ' CHRIME LOVEN under Title 15, Election Code. MY NOINY ID # 11092587 E>af m May 2, 2022 Sign ture of C didate or Officeholder AFFIX NOTARY STAMP/SEALABOVE CC !t�/ .1 ,. /,, .�/..)� l.�yAJ �. MOl VJVA/�-� lb 4_ Sworn to and subscribed before me, by the said [, , this the f day of �LL IT, 20 1 U , to certify which, witness my hand and seal of office. Q it�— s4iil er 1 zlde.� Apiao-l/ Signature of officer administering oath Printed name of officer administering oath Title 4 officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015