HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings- Stan Hall -5/2/2014�exas �mics �ommission r.v. t3ox �2070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER FoRnn C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 'I
1 ACCOUNT # 2 Total pages fled:
The C/OH Instructlon Gulda explalns hOW t0 ComplBtO th15 fOIM. (EINCSCOmmissimFilers) �p,
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3 CANDIDATE / �d5/Mft5/MR FIRST Mi
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5 CANDIDATE/ AREACO�E PHONENUMBER EXTENSION
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6 CAMPAIGN MS/MRS/MR FIRST Mi Datelmagetl
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7 CAMPAIGN STREETADDRE55(NOPOBOXPLEASE): APT/$UITEH: CITY; STATE; ZIPCOOE
TREASURER
ADDRESS
(residence or business) , e^
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8 CAMPAIGN AREACOOE PHONENUMBER EXTENSION
TREASURER
PHONE � � �
9 REPORT TYPE
� January 15 � 30fh tlay bafore eleclion � Rumff � i5ih tlay after campaign
Ireasurer appoiNmenl
(officehol0erony)
� July 15 8ih tlay betore election � Exceetled 5500 � Finel report (Attach C/OH - FR)
limit
10 PERIOD Nmm � vear ����
COVERED THROUGH
rea�
���i �ao�� Ds �o2�aa��
11 ELECTION EIECT10NDATE ELECTIONTYPE
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www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 4635800 (fDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER REPORT: FoRnn C/OH
SUPPORT & TOTALS COVER SHEET PG 2
94 C/OH NAME � I� ���� �5 ACCOUNT #(Ethics Commission Filers)
//,
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'I6 NOTICE FROM THISBO%ISFORNOTICEOFNLITICALCONTp18UTI0N3ACCEPTEDORPJLIIICALEXPEN�INRESMADEBYPOLITICALCOMMITfEESTOSUPPORTiHE
POLITICAL CANDI�ATE/OFFICEHOLOER. "/NESEIXPENDITURESMAYHAVEBEENMADEW/THOUTTHECANDIDA7ESOft0iFlCEHOLDEftSKNOWLEDGEOk
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COMMITTEE CAMPAIGN TREASURERADORESS
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17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF 350 OR LESS (OTHER THAN //�'
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED � ��LC ��
. 2. TOTAL POLITICAL CONTRIBUTIONS @
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) `N //9 a�
v
EXPENDITURE
TOTA�S 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED � N�� �Z /- �%
vl�fCt(
. 4• TOTAL POLITICAL EXPENDITURES $� �O �' 'j f
CONTRIBUTION 5. TOTAIPOLITICALCONTRIBUTIONSMAINTAINEDA50FTHELASTDAY @ `�y
BALANCE OF REPORTING PERIOD .p 7V
�/�
OUTSTANDING 6. TOTAL PRINCIPALAMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD � (g/ �Q�J °
18 AFFIDAVIT
I swear, or affirm, untler penalty of pery'ury, that the accompanying report
is frue and correct and includes all information requiretl to be reported by
,� 1y,,, me under Title 15, Elecfion Cotle. /
��'� � x�E CHRISIINE LOVEN ���I/I /�/ �7��t/��
'' MY COMMISSION EXPIRES
.,R�+ May2,2016
Signature of Canditlate or OKceholtler
AFFIX NOTARY STAMP / SEALABOVE 1 1
Sworn to and subscribed before me, by the saitl �"� � i� 1\�,y I I , this the
� day of , 20 LL� , to certify which, witness my hand and seal of office.
Q.tS`�1n� OVG/�l O�rPr
SignaNreofoffceradministeringoath PdnletlnameofoRceratlministenngoath TiUeofofficeradministanngoa�h
tVWw.P.ihirs alafc rv uc
Revised 04N 9/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 4635800 (fDD 1-800-735-2�
POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS SCHEDULE A
The Instruction Guide expiains how to complete thls form. 'I Total pages ScheduleA: �/
2 FILER NAME //��� �� / 3 ACCOUNT #(Ethics Commission Filers)
%, / �/
4 Date 6 Full name of contributor ❑out-obs�aie pqc(ion�. � 7 Amoun[of g In-Kintl conlribution
���/� /� J� `/� wntribution ($) I description (if applirable)
�9���/ /{'
/� '�//�/ 6 Contrlbutoratltlress; Ciry; State; ZipCode I
��
7 � �ia8 �t�-�c� Cf �'//u�r,���/7�� /vd, i
/� �� Qf trevel outside If Texes, wmpiete Schetluta T)
9 Principal occupatlon / Job ti[le (See Inshuctions) 90 Employer (See Instructions)
Date Full name of contributor ❑ oul-ot-slalePqCpDk � Amountof � In-kintl con� udon
contribution ($) I tlescription �Fapplicable)
Contributoradtlress; Ciry; State; ZipCode I
__. __.___.._.." "...._._.,..��....,.�,.,
Ptlncipal occupation / Job title (See Instructions) Employar (See Instructio )
Date Full name of contributor ❑ oubof-slafePhC(IDt � qmount of I In-kintl contribution
contribution ($) I tlascrip[ion (if appllcable)
Contributoraddress; City; State; ZipCotle I
�
�
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ❑ out slalePFCpDp: 1 Amountof � Imkind contrlbution
coNribulion ($) I description (if applicable)
Contribu[or adtlress; ity; State; Zip Cotle I
�
�
If travel outsitle of Texas com leta Schedule T
Principal occupation / Job titl (See Instructions) Employer (See Instructions)
Date F nameofcontributor �ou4of�sialePHC(IpF. � Amountof In-kindcontribulion
contribulion ($) I tlescription (if applicable)
Contributor adtlress; Ciry; State; Zip Cotle ��� I
�
�
Principal occupation / Job title (See Instructions) Employer (See Insttuctions)
ATTACHADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor Is out-of•state PAC, please see instruction guide foradtlitlonal 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
LOANS
The Instruction Guide explains how to complete this form.
2 FILER NAME
_ /�,��C, ST� �/
4
T
SCHEDULE E
1 Totalpages Schedule E:
� /
3 ACCOUNT # (Ethics Commission Filers)
OTAL OF UNITEMIZED LOANS: b b �'i b q q $
5 Da of loan 7 Name of lender
I/���//� e���� ❑out-of-s�atePacpop: � 9 LoanAmount($)
C�
5 /ISlentler . . . . . . . . . . . . . . . . . . ��d�di�
8 Lentleratltlress; Ciry; State; ZipCotle �0 Interestrate
a financial /_ �7 .� /�' y�
Ins�iNtion9 (� (�I// �y}%n'1 ��/lti�/j,.Q W/�
�, � �.`�j„Vy���y_ � �/_�'?r! 11 Ma�irydate
.. � � E7 J j //�
q2 Principal occupation / Job title (See Instructions) 13 Employer (See Instructions)
R'c �; r��p N �
14 Descdption of Collateral 15 Check if personal funds wera deposited into political account
�one ��
16 GUARANTOR �7 Nameofguaran[or q9 AmountGua eetl($)
INFORMATION
18 Guarantoraddress; Ciry; State; ZipCotle
� notappiicabla
20 Principal Occupation (See Instructions) 21 Employer (See Instruction
Dateofloan Nameoflender
❑ o t-o(-state PAC �
Islender Lentleradtlress; City; State; //
a finandal
Institution?
Y N
Princlpal occupation / Job tltie (See Instruai )
Employef (See Instructions)
LoanAmount ($)
Interest rete
Maturity date
Description of Collateral Check if personal funds were depositetl into political account
❑ none �
GUARANTOR Nameofguarantor AmountGuarenteetl($)
INFORMATION
Guarantoratldress: Ciry; State; ZipCotle
� applicable
PrinCipal Occupation (See Instructions) Employer (See Instructions)
ATTACHADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
If lender Is out-of-state PAC, please see instruction guitle for additional reporting requirements.
www.ethics.state.tx.us
Revised 04N 9/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070
POLITICAL EXPENDITURES
Advertising Expense
Accounting/Benking
Consulting Expense
Event Expense
Fees
1 Total pages Schedule F:
4 Date
�t��/y
6 Amount ($)
� q5
8 PURPOSE
OF
EXPENDITURE
9 Complete ONLY if direct
axpentliture to benefit C/OH
oate
„�
Amount ($)
���' �r
PURPOSE
OF
EXPENDITURE
Complete ONLY if tlirect
expenditure to benefit C/OH
Date
� �` � �
.�„o��t cs>
J�7�/
PU---�L
OF
IXPENDI7URE
Complete QN� i! tlirect
expanditure to henefit C/OH
Date
Amount ($)
1a3��3
PURPOSE
OF
EXPENDITURE
Complata Qd� if tlirect
expendiWre to benefit C/OH
(fDD 1
SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
GifVAwards/Memorials Expense SalanesNJages/Contract Labor Loan RepaymenUReimbursemenl
Legal Sarvices Solicitation/Fundraising Expense Transportation Equipment & Ralatetl Expense
Food/Beverage Expense Travel In oistrict Contributions/DOnations Mada By
Polling Expense Travel Out O/ District Canditlate/Of/iceholder/POlitical Committee
Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listetl above)
The Instruction Guide explains how to complete this form.
2 FILER NAME 3 ACCOUNT #(Ethics Commission Filers)
f�/�GG, �'T��/
5 Payeaname
Gi��/ �� s i
7 Payee atltlress; Ciry; State; Zip Cotle
/ 3 D��, GOGO f3 Lv J�, �5'TL� 28'�
%�a s � 9i�oG
(0) C218JOfy (Seecalegorieslisl¢tlallhelopoflhisschetlule) (b) !D.eslcription (I/«eveioulsiaeorTexes,completeScneouieT)
� �-sc vVc6 �ids�'k
Candidate/Off holdarname Officesought Officeheld
ra e name
����
Payee adtlress;
/� �0 �
T�
_r
Cantlitlate /
-� y,-�r �; C�
City; State; Zip Cotle
,�w y �ss s� .
' °7r `/S°� U
etlatlhetopo(Ihisschadula) DeSGnption (Iftraveloulsideo(Texas,complete5chetluleT)
�d'e sj kt
er name Offce sought Office held
P�/ ��/ ��-- /�'1 fl"G/9"Z/.,J �
Payea atltlress; City; State; Zip Cotle
/iDGlGlcl�}"/�J %� �J�G3L
CategOry (Seacalegoneslistetlatt�elopofihissc�etlole)
�� ����
Cantlidate/O�ce oltlername
Payeename �
��+s
Payee atltlress; Ciry; State; Zip Cotle
�Gi,�T /�°'
CategOry (Seecetegoriaslisletlatlhetopof�hissche�ule)
/�d b�X,/��-S.�
Canditlate / O ceholdar name
D25cription (Iftrevelou(sitleofTexas,complete5chetloleT)
i��z,� �a.
Offce
OKCe held
DgSGtlption (Iltreveloutsitleo(Texas,complela5chetluleT)
��
� i i✓�c �; ,2 s �- �%/�ES
✓/`
OHICe soUght Oftice heltl
ATTACH ADDITIONAL COPIES OF THIS SCH EDU LE AS NEEDED
www.ethics. state.ix. us �
Revised 04/19/2013
TexasEthicsCommission P.O.Box12070 Austin,Texas 78711-2070
a
POLITICAL EXPENDITURES
Ativertising Expense
Accounting/Banking
Consultin8 Expense
Evant Expansa
Fee9
pe�s Schedule F:
3
nount ($)
S3 9. s
8 PURPOSE I
OF
EXPENDITURE
9 Complete ONLY d tlirect
expentlifure to 6enefit C/OH
Date� /
Amount ($) �
/�5•�3
PURPOSE
oF
EXPENDITURE
Completa ONLY if tlirect
axpantliture to benefit C/OH
1-800-
SCHEDULE F
EXPENDITURE CATEGORIES POR BOX 8(a)
GifVAwards/MamorialsExpense Salaries/Wages/ContractLabor LoanRepaymenVReimbursement
Lagal Services Solicitetion/Funtlreising Expensa Transportation Equipment& Related Expense
food/eeverage Expense Travel In District Contributione/Donations Mada By
Polling Expense Trevel Out Of District Cantlitlate/O(iiceholtler/POliticel Commitlae
Printing Expensa ORice Overheatl/Rental Expense OTHER (enter a cetegory nol listetl ebove)
The Instructlon Guide explains how to complete this form.
2 FILER NAME
/� d/ / ��/� � / 3 ACCOUNT # (Ethics Commission Filers
T/ �T �-�•y i� ov
6 Payee am/e,� n!
VLSVJ
7 Payeaaddress ° Ciry, State, ZipCotle
��yr,�.�, %k 76�3y
(2) C2fEgory (�yeCalegorleslistetlatt�etopoflhisschetlule) (b) DBSCilption (IflreveloNSlEeotTexee,compleleSChetluleT)
�l f'� C2._ `t„avy, l�e s �O� fiC f.�
Canditlate/OHiceholtle name Officesought Otficeheld
Pay68name� -
Payee atltlress; �� State; Zip Code
��ett�,�l���� � �
CategOry ($eecB�nasli5letla�NBtopo/thlssCheOule)
(i!/1 )cn.�w�e-
Cantlitlate / Officeholtler name
DeSCnption (I/IraveloulSiUe
J%-or
Office sought
Date Payeename
� �3 s� /-e s S�-f'� ��c14 �
Amount ($) Payee atltlress; Clty; State; Zip Cotle
�f � I6 Soaf�.C�c,��, �'
PURPO,SE
OF
IXPEN�ITURE
COmplete Q�y if tlirect
expanditure to 6anafit C/OH
Date
� � /
4mount ($)
��9,� �
PURPOSE
OF
EXPENDITURE
Cvmplata Qd7,y If tlireCl
axpentliWre to 6enefit C/OH
Category (Seecalegoneslisletlellhetopollhlascheaute)
Officeholtler name
Payee na e
�i G�$" SnlJ2 T/ /��
Payee atldress; Clty; Stzte; Zip Cotla
f�a�LST 7�
CategOry (� ceteoonesiir,�eEelNe�opollNSSChetivle)
h vvo��
Candidate / O�caholdar name
�s (�j'' y
Office heltl
Q(Vevel oulsiGe ot iexes, camptela ScheEme i)
'�/S
Offlce sough[
�r0'e,� t
OfFlCe
�KCe held
pt travel ouls�tle of Texes, complete Schetlule T)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Office heltl
www.ethlcs.state.tx.us
Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 4635800
POLITICAL EXPENDITURES
SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Ativertising Expensa GitVAwards/Memorials Expense Salaries/Wages/Coniract Labor Loan RepaymanVReimbursement
AccounlingBanking Lagal Servicas Solicitation/Funtlreising Expanse Transpotlation Equipment& Releted Expense
Consulting Expense Food/Beverage Expense Travel In District Contribufione/Donetions Mada By
Event Ezpense Polling Expense Travel Out Of Oistricl Cantlitlate/Ofliceholder/POliticel Committee
Fees Printing Expense Office Overheatl/Rental Expense OTHER (enter a cetegory not listetl above)
The Instruction Guide explains how to complete this form.
1 Total pe� Schetlule F: 2 FILER NAME 3 ACCOUNi #(Ethics Commission Filers)
<
ff�L�-�; 57� e✓
6 iSnSount�($) -
� �g,07
8 PURPOSE
OF
EXPENDI7URE
9 Complete ONLY if direct
ezpentliture to benefit C/ON
AmoGnt ($)' '
��7' �b
PURPOSE
OF
EXPENDITURE
Complafe Q�LY i( tlirect
expenditure to bene(it C/OH
3a//
',L D'�(, 3 v
PURPOSE
OF
D(PENDITURE
Complete QdyY i( tlirect
expanditure to benefit C/OH
Date
Amount ($)
PURP03E
OF
EXPENDITURE
benefit C/OH
5 Payee
adtlress; City; S[ate; Zlp Code
�Z6�l�a-��'�
% a�, . D.� �5
(a) Cdte� (SeecalegotleslisteGalt�efopollhisschetlule) (b) D83cnptiQn�ireveloulsltleolTexee,completeSChatlulei)
�/l
s v �� � C.R /�
Canditlate/Officeholtlername Officesought Otticeheld
Pay68name
_ STi�LES
Payee atltlress; qry; State; Zip Cotle
soc� �tLj��� �
DategOry (Seecetegonesli5letlatNatopofthlasc�eEUle)
Candi� O�� erna�
Payee name
Payee address; Clty; State; Zip Cotle
/�� !/�, �
Cate ry (SeeCategoneslisteaatthelopoflhlsachbaule)
�o� �k p.�,.�w
Canditlate/ORi holtlername
Payee name
Payee atltlress; City; Sfate;
CategOry (Seeca slisletletNetopo(ihissc/ieaule)
Cantlitlate / Offc¢holder ndTe
ueSC�p[io� (IfVaveloul5itlaolTexas,complete5che4uleT)
�
�h�rs t �., �i PlS
Offce sought Office heltl
O�(ICe
Qf Vavel outsitle of Texas, complele Scheaule T)
�%yfkS
OKce held
Desctlption p�Ireveloulsi09olTexes,completeScheauleT)
OfflCe 5ought
ATTACHADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
haltl
www.ethics.state.tx.us
Revised 04/19/2013
Texas Ethics Commission P.O. Box 1207Q Austin, Texas 78711-2070 (�1 �) �t�,3-S�Q� (��p 1-gL`t�.73�.����}
CANDIDATE / OFFICEHOLDER FoRnn C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG �
1 ACCOUNT # 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form. (Etn�cscommissionFiiers� I. /���
/
3 CANDIDATE / MsiMRS�MR FIRST
OFFICEHOLDER ,�' k
NAME ���/� . . . . 4����,e� ��
NICKNAME �n,_;'T
�j,� ;9v' �� �C--
4 CANDIDATE / ADDRESS
A91
�
SUFFIX
/POBOX, APT/SUITE#; ;;:I'r STATE; ZIPCODE
OFFICEHOLDER
ADDRESS �/} � � � °" �' " ��� � ����� �� �
� change of address („� C� ��.�� �.� 1�{3�, � �`sJ�� �
5 CANDIDATE/ ��r1F�.+�r��1e PHONE NUMBER EXTENSION �
PHONE HOLDER � Q'��� � � � � ��
C� � � ..�—
6 CAMPAIGN MsiMRSiMR FIRS7 MI
NAME URER . . , . ��,%��.,-v�-��� ��Y � �
NICKNAME __ --�Fy`;�" SUFFIX
�
7 CAMPAIGN STREETADDRESS (NOPOBOXPLEASE); APT/SUITE#; CfT`?, 57:�r�
TREASURER
ADDRESS -�'
(residence or business) .�� ~
_��__ = ,�° 1,�,�„�
��
8 CAMPAIGN �REACODE PHONE NUMBER
TREASURER
P H O N E � � ---_ -
��_�. - � /✓`'v`.�
EXTENSION
9 REPORT TYPE
� January 15 �30th day before election � Runoff
� July 15 � 8th day before electlon � F�cceeded $500
limit
r �j?'� �l � �U i`�}
CITY SECRETARY'S OFFICE
Date Hand-delivered or Postmericed
� �. l �l
Receipt # Amount
Date Processed
Date Imaged
ZIP CODE
� 15th day after campaign
treasurer appointment
(officeholtleroniy)
� Flnal report (Attach C/OH - FR)
10 P E R I O D p,�y� �y ,,,>�� Monm �-�, y �,,
COVERED
��/�/ /�K `� THROUGH ?/�/��/�� ��
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11 ELECTION ELECTIONDATE I ELECTIONTYPE
s4mr�r, Cae�i t�bar .�
�� � 4 F?�R?T
Generel
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� �/��� � , �/c�� �
GO TO PAGE 2
www.ethics.state.tx.us
Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 { ai�) 4�5�-��{]� (�fCECy'1-8�Q_°�3�.��8g�
CANDIDATE / OFFICEHOLDER REPORT: FoRnn C/OH
SUPPORT & TOTALS COVER SHEET PG 2
14 C/OH NAME // J' J ����,V � 15 ACCOUNT #(Ethics Commission Filers)
f�
16 NOTICE FROM 7}{�SBOXISFORNOTICEOFPOLITICALCONTRIBU110NSACCEPTEDORPOLITICALEXPENDITURESMADEBYPOLITICALCOMMITTEE9T09UPPORTINE
P O L I T I CAL CANDIDATE I OFFICEHOLDER. THESE IXPENDITURES MAY HAVE BEEN MADE W?HOUT THE CANDIDATE S OR OFFICEHOLDER S KNOWLEDOE OR
C O M M I TT E E( S) CONSENT, CANDIDATES AND OFFICEHOLDERS ARE REpUIRED TO REPORT THI9 MFORMATIpN ONLY IF THEY RECENE NOTICE OF SUCH EXPENDI7URES.
� �.c�r�rri�r�€ ru�.n+t � - —
COMMITTEE TYPE k
���� �.�� �� .��L� � 1 ti c`[ / � ��rY�"����%/? r �/ V
�GENERAL _ i _ ^ � j
COMMITTEE ADDRESS
� SPE�tlF3� � � � � r
2� 1�V�iw�,� � ��. �T�'
�/1������'%�_ �7X �% ��� -
COMMITTEE CAMPAIGN TREASURER NAME
� additional pages � � �a���",`l.
COMMITTEE CAMPAIGN TREASURERADDRESS ^
���� �
17 CONTRIBUTION 1, TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN Q
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED �P j��� [�,���` ,���
�. TOTAL POLITICAL CONTRIBUTIONS � % �
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) �{� �� !
EXPENDITURE
TOTALS 3. TOTAL POLiTICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED � �l/� .f_ �
- � I /r ����/p
4� TOTAL POLITICAL EXPENDITURES � ����y -� (�
/ 13
CONTRIBUTION y, TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY �
BALANCE OF REPORTING PERIOD � _,�
OUTSTANDING �, TOTAL PRINCIPALAMOUNT OFALL OUTSTANDING LOANS AS OF THE j/'�
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD I� '-f"� /j � L1'r%'
( 6'
18 AFFIDAVIT
Nil.l�.�*�,, .. �
°�'�C ''�,=
;: �� AMY BE7H SHElLEY
�' � `� MY COMMISSION EXPIRES
,y;;;�;,,*� �ecertiber2, 2015
I swear, or affirm, under penalty of perjury, that the accompanying report
is true and correct and includes all information required to be reported by
me under Title 15, Election Code.
>
t
i • � r'' . �''!�� ��'� �,,����
, � f �f:.,r ��,,. � �.;.I.
Signature of Cardidate or Officeholder
AFFIX NOTARY STAMP / SEAL ABOVE
�wa�r� tv �nc3 ���scrit��� b�fofie me, bv the ��i� �'� � 1� , this the
_ day of il , 20 �_ , to certify which, witness my hand and seal of office.
- - , ��_���� _ � JP��'��-� r �
Signaturyebf offlcer admir is ering oath Printe i n me of officer ad in(stering oath Title o� offiicer a�irr�l7syenn8 a1�1
L�
www.ethics.state.tx.us
Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070
POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form.
(572� ��3-58!G[? (`C`�� 1-Sd10-735-��89)
SCHEDULE A
1 Total pages Schedule A:
�
2 FILER NAME � 3 ACCOUNT #(Ethics Commission Fllers)
_ _ _ ���; ���-�
4 Date 5 Full name of contributor � out-of-state PAC(IDa.. i 7 Amount of � g In-kind contribution
\ 1��� �C�``��y contribution ($) I description (if applicable)
�J t
•� ��, ���' 6 Contributor address; City; State; Zip Code � � �
D, ,
�,��' �.��/� ���� L����
�� %V% ���j ��� U�� _ _ Qt travel outside of Texas, complete Schedule T)
9 Principal occupatlon / Job title (See Instruc ons) �{ 10 Employer (See Instructions) v v
1
�ks � Fullnameofcontributor ��� out-of-statePAC(IDtt: q:TQUntof J� i
, I Ir�;!cie.d conkrlF�{��ir�n
� �,��� ��„ �� d contrlbutlon ($) � description (If applicable)
lL �
Contributor address; City; State; Zip Code � / I
�
� I �'� �'� /?/L� , �B �f�._ � G' I
_ ��I/�h ���1��7�- �� a � �' � �
,If travel outside of Texas, complete Schedule T}
Principal occupation / Job title (See Instructions) Employer (See Instructlons)
Date �'�all narnppp�e �f rska�tor ,`J'+ „ut-c,r�el�L�P.+uCalf�p _ qmountof In-kind contribution
,���� �� ���� contribution ($) I descriptio� (if applicabie)
i
C�r�tribut�ir �4�dress; �I ; Sta� �I� �ade �� . � . I
�% �j �`� ��I � .1��� �,1� ,�� �� �'`x-'�. j � t� , �--,
� �+ i�i� � y ,� 6��''%' �
� � � � � / [I? !revel outi:�r� oi Tcxes, oom�lr,!n ;;;,h�rdula t�
Principal occupation / Job title (See Instructions) Employer (See Instructions)
° �
Date Ful l���� qf �qr� trlbuto i� a�t. -aiale �a� {I[# i � Amount of i i
���`��-� �i�,y� �f — +� f � contributlon I 'n ptionc(if applioable)
� ` ��J��"� I�JF� ����.l��C, i$) I descri
CbntriG+�kCl�asidr��e; �Ily. S?atr�� Zl��od � I
��z���y ���� � �;-���� ���� ,� � � o�� _
, ��� � � o
J— �� ����' ���' , -/ �f � ��� � � ;It trsvsl c,ut3ide I+ PB`Kub� C+�frpl96g ���i�d�ala T;
" � _.
Principal occupation / Job title ee Instructfons -
� ) Employer (See instructions)
Date Full name of contributor � out-of-state PAC(Iwt � Amount of In-kind contrlbutaon
,� %�/YG� j�'�j� ��S,C/� contribution ($) , description (if appiicable)
/ , / /� V � (
G�nLi�t�utora�rlr�SS.� City; tikat� .�IpGc`c!e I
.3 �7 J� �o.� C���, /��.�%% b�' ��c�, i
_ 1..����i `'��/� � /�� �j ;'It rra�lal c�uLsitl� I Taxea c4m I�rlO Sci�edule T`
r
Principal occupation / Job title (See Instructlons) Employer (See Instructlons)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contrlbutor Is out-of-state PAC, please see Instructlon guide foradditional reporting requirements.
www.ethics.state.tx.us
Revised 04/19/2Q13
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070
POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS
The Instruction Gulde explains how to complete thls form.
463-5800 (TDD 1-800-
SCHEDULE A
1 Total peges Schedule A: �
2 FILER NAME /f��/ ���� 3 ACCOUNT #(Ethics Commission Filers)
�� _
4 Date 5 Fu�Iname�tcC�nRr�t�utur �s ,r-��iale��r�r,lotlp. 7 Amountof �$ In-kindcontribution
� �����.,� contribution ($) � description (if applicable)
��� r'�. 1� f j����['�i�r �' �Y ,�ji�''�' �; � �# l� dr� �' .
6 ConRfi�uko� �ddrese, [;ity, State; Zip Code � . . . ���L' � I
_�'i � � � J�'�� � � �`�� ����� ,� ��- ������' �-+ '�
� � ., �
�� � �' ���� ��.,1'�� � i�� �� d,� � �
!_ � flf treVel auLgiUe o� 7bx�S, compf�ia ScherJUSy T�
9 Princlpai occupation /.� C+tle { F tr�t;ii4ns} 10 Employer (See Instructions)
� ��' �:+' �_{'�G� _ _
Q`�� Fudl name of ntPlbut�r d u1�of.atajaPV,����r �� qmountof I In-kind contributlon
��'� } � '� contribution ($) descriptlon (if ap�licable)
� �' + � �r���ac� �' �.=� , , . . . . . . I
',� � t � � Contributor address; ��ky, Sta#a- ��� ��ti� I %e,��p `' ��, �`'
r. � f ! � � 1�� +��-'3'L�f e� .� .-�' 1 ��+'_�— � G' ,. ` I ,.V _ /�
1 � ,r '� r7{�' -� I `'I � � ��� �`l
� � �'II�`�g �"��/�' r � ',�,��CJ
1' � '3 ���lf travel outside of Texes, complete Schedule ?;•
Principal occupation / Job title�(See )nstruc,�issns} � Employer (See Instructions)
� 'l'� �'� c{'
Date FUII name of contr butor ❑ out-of-stat PnCQDp: 1 ,g:mount oF I In-k�nd cont�o�ki;�n
����f('�d��f �� � �/��3 contribution ($) I description (if applicable)
� � ��
C.:�:1Cribu��ra�dr�s§ Cit,f; �131�, Zs�Cade i
� ��� I ��� /l,� ��`-�-,� �K.�i,� S . . . . � 11 �l.)` a°1
������� f �� /. �f t�.gwel a�l�ide I" Tex��, ccm ate �ahe�7�:y Tl
�_. � � — { .., . �
— Princl al occu lon / Job title See Instruc4�ans) I Employer (See Instructfons)
_ P p� 1� Ct f f.�'s �f �'� I —.
�
Y7a�o Full name of contributor ❑ out-ot-state PqC(ID�: � Amount of In-kind contribution
� contribution ($) � description (if applicable)
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
L]ada I Full name of contributor ❑ out-oi-state
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Empioyer (See Instrvctions)
. i � Amount of �
contributlon ($) I
�
� I
Employer (See Instructions)
In-kind contribution
description (if applicable)
ATTACHADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide foradditlonal reporting requlrements.
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 �,usti€�, %x�s �$7'1'�.�p7� {�'I�� �g�.�#3d]C� �TpE} 1_��]�}. f��_���3g�.
PLEDGED CONTRIBUTIONS SCHEDULE B
� The Instruction Guide explains how to complete this form. 1 Total pages Schedule 8: }
I�
2 FILER NAME 3 ACCOUNT #(Ethics Commission Filers)
�f �L � �"�-,�,�
`� TOTAL OF UNITEMIZED PLEDGES: � � � � � q �
5 Date � g Full name of pledgor ❑ out-ot-statePAC(ID#_ _� �$ �auFlivf I g Ir+-kir.d r��wflqt+C?n '
p;ec��� [�1 I (fr a��p��ta•b��)
7 Pledgor address; City; State; Zip Code � I
I �f r .
ilf irava! ou;�iye I �xas, �or�le6c .��h�.� Tj
10 Principal occupation / Job title (See Instructions) � Employer (See Instructions)��'`
Csa� Full name of pledgor � out-ot-state PqCpDN:_, y +'�m���k oi I Ir-�t�nd �q��Fl���ian
�I'$�i�a {$7 fiF aPPrlcal,ic}
.... ,. I
Pledgor address; City; State; Zip Code � �
' �
�� �
.� , , (If travel outside of Texas, complete Schedule T)
Principal occupatlon / Job title (See Instructions) Eryi'ployer (See Instructions)
� !�� �
aate P —r�,�"
FUII nerne �f �I�d�o'' � n„•-ar-sl�Af_ {uaa f:' ��Amountof I In=kli}� ti�rsevip=ian
��' pledge ($) I (if applicable)
. . . . . . . . . , . . ,�', . . . . . . . ,. .
Piedgor address; City; State; ,�ip Cade i
�
�+ + � I -
{�f f:a4�qf rpuislifo vF ��:exac rn�ple7c �ch�adul:« r}
Principal occupation / Job titie (See Instructions�) Employer (See Instructions)
I
Date � Full name of pledgo,r' � out-of-statePAC(IDk:_ � Ams�ursk �r i If9-kind descrlption
pledge ($) � (if applicable)
Pledgor a�fess; City; State; Zip Code �
,'{J �
�+ I
�;I' kra�,�al uuls� of Texas, �3mplot9 ����u15 T'i
Principal occupati�/ Job title (See Instructions) Employer (See Instructions)
Date� Fullnameofpledgor ❑ out-of•statePaC(�Dit: , Amountof � In-kind description
1 . . pledge ($) � (If applicable)
Pledgor address; City; State; Zip Code �
�
I
— - .— � — i _ (�f travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See Instructions) � Employer (See Instructlons)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additlonal reporting requirements.
www.ethics. state.tx. us
Revised 04/19/2013
Texas Ethics Commission
LOANS
P.O. Box 12070 A�ski��, Tex�s 78711-�07Q {��#2j 4�3-58�4 �;TL7C� 7-8pp-735-�9�gj
SCHEDULE E
The Instructlon Gufde explalns how to complete this form. � 1 Total pages Schedule E:
_�
�,� -
2 FILER NAME 3 ACCOUNT #(Ethics Commissron Filers)
/'t�-��,, ��.��
�- - - - - - _ _ ._
TOTAL OF UNITEMIZED LOANS: b b b b b �, ��:.-�
5 Da e of I an — -- �— �� � _
7 Name of lender � out-of-state PAC ({pg � y Loan Amount ($)
����%� ��"��i ;�.�-�-- ^ � �
_ . . . I �����
6 Islender $ Lenderaddress; City; State; ZipCode 10 Inlerestr�te
a financial �`' //
Institution? � � � � �� �i�l i'%� � re�'ii�- j/ /1X ���`"
Y N � ��/�i, LA� ��E�/ ��j ` ��j �f � �' 11 Matur �date
� _ /V %�-
12 Principal occupaCit�n + Job tiiE� {.�',�ne Instructlons) 13 Employer (See Instructions) �
- - �����'"��I �..--
- -- �/i%,,�`
''14 L�scdopflon of Collateral � 15 Check if personal funds were deposited into political account
.��� �o
'� –
16 GUARANTOR 1 17 Name of guarantor 19 �ount Guaranteed ($) �
INFORMATION �
18 Guarantor address; City; State; Zip Code
�% n�l applicable
1
20 Principal Occupatlon (See Instructions) I 21 Employer (See Instructions) 6
D�te of lo�n � Name oflender
���� � ��� ��� ❑ ouc-ot-stace PAC pD#:_ —� LoanAmount ($)
/ I. . .... ���ao. �
Islender Lenderaddress; City; State; ZipCode InterPSirSt �
afinanGal +�" �--+
Institution? � �� � � 1�Ylh^�'1'�"-�w �/ /�'� �' �j
�, / , "� ��./J� �J P . � � , � MatuNtyd te
��� �� , �' � n. ��' /�,�i4-.
� FriFicipal c���� �� ?,��:�, tltle ;�p jr,a1r�cliu�i�} � Employer (See Instructions)
.` � �` �'� /V �
��aCri #Jon of Collateral � —
Check if personal funds were deposited into politicel account
' nC�ne �
�'�
GUARANTOR � Nameofguarantor � AmountGuaranteed($)
INFORMATION ,
Guarantor address;
�rsot applicable
j
Principal Occupation (Sae Instructions)
City; State; Zip Gode
�
I Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender is out-of-state PAC, please see instruction gulde for additional reporting requirements.
www.ethics.state.tx.us
Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Au�kFri, T�x�s 7871'1-�07D �s�2� �#g��g�p {`i'pp �_g�1f�_�
LOANS
The Instruction Gulde explains how to complete this form.
SCHEDULE E
1 Total pages Schedule E:
�
2 FILER NAME 3 ACCOUNT #(Ethics Commission Filers)
_ 171;¢�L, ���.�
� - - - _
TOTAL OF UNITEMIZED LOANS: b b b � � �i � �
5 Date of loa 7 Name oflender s ❑ out-of-state PAC pDk: c � 9 LoanAmount ($)
�l ����� ��✓✓ ����-�- �� /���, r
6 Islender �g Lenderaddress; City; State; ZipCod��� ' 10 Interest,C/Y�
a financial ��
Institution? �J( � �i�� ����VJ /j/(G2,��jy�, /V
Y � (.�C� //�l iii�/ /� 1 F ���� � 11 Mat� cjate
_ _ ��
12 Principal ac�u�e#larr / Job title (See Instructions) 13 Employer (See Instructions) �
_ �"i � ���; ��� _ _ ° � �!�.� .
14 Descript(on of Collateral � 15 Check If personal funds were deposited into political account
�,�ano �
-�-r_
16 GUARANTOR I 17 Name ofguarantor �g Amount Guaranteed ($)
INFORMAT�ON
18 Guarantoraddress; City; State; ZipCode
�ci qpp���ble
��
�. �
20 Principal Occupation (See Instructlons) 21 Employer (See Instructions)
Date of loan Name oflender � ouc-of-state PAC (ID#: �` LoanAmount ($)
Is lender d.�n��r ad�resg; +Clt�r; Stai�; ZiR ��� Interast rate
a financial
Institution9
Y #�l
� v � I� _ —
Principal occupation / Job title (See InsVuctions) �
Description of Collateral
� nara�
GUARANTOR Nameofguarantor
INFORMATION
Maturity date
Employer (See Instructlons) >
Check if personal funds were deposited into political account
I L:1
Guarantor address; City; State; �Zip Code
❑ n�R ap�I+Catala
Principal Occupation (See Instructions) � Employer (See Instructions)
Amount Guaranteed ($)
ATTACHADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
If lender is out-of-state PAC, please see instruction gulde for additlonal reportfng requlrements.
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P,�3. B�x 12�]7(} Austin, Texas 78711-2070 (512) 463-5800
POLITICAL EXPENDITURES
SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan RepaymenUReimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
€��� Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instructlon Guide explains how to complete this form.
1 Totel pages Scheduie F: I 2 FILER NAME � 3 ACCOUNT #(Ethics Commission Filers)
,� � �
���-1.�- ��1'�}�"
4 Date ����i 5 Payee name —
_3�.,��� i" �� �'.��-
6 Amount ($) 7 Payee address; City; State; Zip Code
� �
r� �1���
$ PURPOSE (a) Category (See categories listed at the top of this schedule)
OF ,/ � °� :,,
EXPENDITURE C. ��%Q�Q, n �'�Ol��,.-
�
9 Complete ONLY if direct Candidate / O ifFcehoider name
expenditure to benefit C/OH
� /
,v„o�nt �$�
/� � .��'
Payee name
�L%��/Ir �1���%
�(b) Descriptlon (If travel outside of Texas, complete Schedule T)
��iYi� Y ri�i �'�c�� t ��)�. '�
Office sought Office held
Payee address; City; State; ZI Code { � {� ry
/�� .?r3� �.'. (�i'��y''-�j��s .%�/Vc�'/ �S'/'�- v�t�
> _ � ,
_ _ � _ i ����� � � ����:�,��� c� ��,� �
'A1Ji�P0�� Cate fY (See categorles listed at the top of this schedule) D6SCfiptiOn If travel outsitle of Texas, complete Schedule T)
OF �.J� Q�
EXPENDITURE �'�! G� .�/L�-,S-�a ��� �� � /� C
Complete ONLY if direct Candidate / Officveholder name OfFice sought �� Off(ce held
expenditure to benefit C/OH
Date �' J Payee name 'y� � -
i/ � % ` � �''����i/�'�`'i'�/'' �J� -.P�-�+'�'�' .3 fLt`"�'� �' �°Lt�.��
Amount ($) Payee address, � C�ty tate; Zip ode
�� U / .✓ � Y! �� / /�'l.L' � f S J���, �� ��,�
�1'�� � � i� ; '/�i "7� lJS %
PURPOSE Category (See cate�ories listed at the top of this schedule) DesChption Qf trevel outside of Texas, complete Schedule T) s
EXPEN ITURE , * ���✓��/� �"� `i.S� l� ,� i�/
_ � � �7/.� � —L
Complete pNLY if direct Candidate / Officeholder �iame Of�ice sought Office held
expendlture to benefit C/OH
I Date �/�L �- I}s�yc �ame � �
�,� J'�E' � f ,�� �' i ,� /�.. �--�� �.���. ���� � � ,I,�'�c�'
Amount ($) Payee adcJr���; Cliy, ta�;" Zip Code
j U � � � f� � �t,�� ,��' � / �S �l1Ct �/�
- �`� � � _ � � �'�' � ,.�.�- ` �-%,�
PURPOSE Ce�gK2ry {ee�ories Gsted at the top of this schedule) Descriptlon Qf trevel outside of Texas, complete Schedule T)
OF 'j� �y„
, EXPENDITURE _ ��� U` I ?��{/��+ / %C � � ��GIS � �� �`✓�
Completa ONLY If direct Candidate / Officeholder nanl�e � Office� ught � Offlce held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
www.ethics.state.tx.us
Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (�7 2) �6�58(�(?
POLITICAL EXPENDITURES
SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense GIfUAwards/Memorials Expense SalariesM/ages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense TranspoRetion Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donetions Made By
Event Expense Polling Expense Traval Out Of District Candidete/Officeholdar/Political Committee
Fees Printing Expense Ofiice Overhead/Rental Expense OTHER (enter a category not Iisted above)
_ The Instructlon Gulde explains how to complete this form.
1 Total pages S� edule F: 2 FILER NAME 3 ACCOUNT #(Ethics Commission Filers)
_ ���� ���-�-�
4 Date 6 �Payee name
� / t/ ���/L� (/ll��/ /� ���OC�'�'" ���CS,/Z—J � �
6 Amount ($) 7 Payee address; Cfty; State; Zip Code —
��� � � �y �`D� �� r��/����rti-,,.�`f,
�i'�"�r�'��-� , %� '7,� /D 1
$ R[1 R�pg� (tx} Ca�egp�; ��� �3sn�unas:. s;a� sl L��a wp,t?h s��M1Sdula} {b� F]escri tlon pttrevel outside of7axae, co lete Schedule T)
QF � `�'
EXPENDITURE --- ��t'����,(`' �. ��S f ,�t r- cF �/ ✓ / �!'L.! /�C�'�S
9 Complete ONLY if direct Candidate / Off(ceholder n�ra�e Office sought Office held
expenditure to benefit C/OH
Date 3'� � Payee name _
_ � �� / �l� � ��-/a� �� � ��'� ,���-H.e�
Amount ($) PayB� �tl[lYa:Sg� �,�y� ;;r�te; �i� Cods �
�� � % ( �� �� c� 17�i � �� ,/� �''��, +��!' � �• i� ��"�-r.
_ ��� ��� # ���,;�, .��� �?���-
PURPOSE Cai�g�iry (See cetegones Ilst�tl et tha top of this schedule) U�gg�IpSi€an flt [ra,r�� pt,�e��Se of Ee�eas, sqrt�pl$le S#i��ylq T,�
OF +�
EXPENDITURE � � � "
��4:.c���v m .S>� �'�'����.����r�,�.��' /��'�;� ,��
Complete ONLY if direct Cahdidate / Officeholder na OfFlce sought Office held
expendlture to benefit ClOH
nat.� }
t� �� �
a„oUnc c$,
l�l,���
PURPOSE
��
EXPENDITURE
Complete ONLY If direct
expenditura to benefit C/OH
Payee name ' �
��� ��
Payee address; City; State; Zip Code �
�l �C� j �Ll v� .� �i�'�
�� �� �� �r�� �� �I� �'�
�a pry (See categones Ilstetl at the top of this schetlule) � C]e�Crlp�i� n I �� r-ovsai p�CS�uL. �i Toxtrs, cntr}u��� ��h4;uie Tl
f�'�9�.�j1'j.�� 'G'//` �-� �.� 1�i /�-�"
Candidate / OfPlcehold�r r��rne Office s� � Office held
Date Payee name — —
'� ��� �� ' � �����
Amount ($) Payee address; City; State; Zip Code �
� ��Y � � � -�o ���,�.�d�, �-- ��y
— — � /�1JL5 7T �'` d .�
PURPOSE Category (See categories listed et the top of this schedule) DASCriptiOn (If travel outside of Texes, complete Schetlule T)
OF �/J
EXPENDITURE �K-fV��I�J�— _ "7" ����'��
� ��+ � �—
Complete ONLY Ii direct Candldata / Offlcaholde name Office sought OfPICg held i
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 P.O. Box 12070 Austin, Texas 78711-2070 ;b;�; �1�3T��3p�}
POLITICAL EXPENDITURES
t. �L�T} i .�d(1-73�-��5�
SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense GIWAwards/Memorials Expense Salaries/Wages/Contract Labor Loan RepaymenUReimbursement
Accounting/Banking Legal Services SolicitationlFundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donetions Mada By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Politicel Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instructlon Guide expla(ns how to complete this form.
1 Total pag`� Schedule F:
� �.�
,'� ���
6 Amount ($)
�, �1.�
8 PURPOSE
QF
EXPENDITURE
2 FILER NAME 3 ACCOUNT #(Ethics Commission Filers)
_ }��L.C.-�, ���r/✓ �
5 Payee name
, �✓'�L--,�,���-
� Payea atl;rf�SS; �iky: �w;e�k+a Zip Cc�e
�,�1 � r /�.�`, i�-4 rr'�-w.�`'��� � ��
�'�`�1�, �` ��'��/�µ;�
�s) ��'ltlg�ry � e,-,irr�orles Ilsted at the lop of this schedule) (b) Description�(If Vevel ou�side of Texas, complete Schedule T)
���`' � � l�� � �'� ���'I
- - - -���� -
9 Complete ONLY if direct Candidate / Officeholder name Office sought Offics held
expenditure to benefit C/OH
Date
� �/ Payeename���/�� �/���� ,1 >
�J
Amount ($) Payee address; City; �C�te, Z Cadg �
�' ��G�• �' � 4�"� �< �'..����.�= /� .�' �'�•���
���� C` �� r`�-�'Y._�. �,��°� `%X� `�6 � 3 �'
PURPOSE Category (See categories Iisted et 1 e top of this schadule) DescfiptlOn (If travel outside of Texes, complete Schedule T)
�� �" {� j
EXPENDITURE ��/''�"j1 j /` !Z�' iiv'�!'� ��S l��i
Complete ONLY If direct �' Candidate / Officeholder name O�ce sought Office held
expenditure to benefit C/OH
Date
Amount ($)
Payee name
Payee address; City; State; Zip Code
A9JF{� Category (See categories 9isted at the top o(this schetlule)
OF
IXPENDITURE
Complete ONLY if diract Candidate / Officeholder name
expenditure to benefit C/OH
Date Payee name
Amount ($) i Payee address; City; State; Zip Code
PURPOSE
�F
EXPENDITURE
Compl�te ONLY if direct `
expenditure to benefit C/OH
Category (See categories hsted at the top of this schedule)
Candidata / O�ceholder name
DesChption (If travel outaide of Texas, complete Schedule T)
Office sought
Office held
DOSCriptiofl (If travel outside of Texas, complete Schedule T)
Office sought
ATTACH ADDiTIONAL COPIES OF THIS SCHEDULE AS NEEDED
Office held
www.ethics.state.tx.us
Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 �5��} �4�3-58�rQ �pp 1�$�_, �_�g�c
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan RepaymenbReimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District ContributionslDonations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expensa Office Overheed/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: I 2 FILER NAME 3 ACCOUNT #(Ethics Commission Filers)
{ �}i�/-�- �'I'i-a+.�
4 Date 5 Payee name
6 Amount ($) i 7 Payee address; City; State; Zip Code
❑Reimbursement from
poliUcel contributlons
Intendetl
8 PURPOSE �a) C2tegory (See categorles listed at the top of this schedule)
C}IF
EXPENDITURE
Date i I Payee name
Amount ($) Payee address; C(ty; State; p
❑Reimbursement irom (
political contributions
intentled
� — — _ . � — _.— — _— /
PURPOSE Category (Seecategorieslistedetthet�r^nlr^SgschE
aC}F
EXPENDITURE
Date I Pay�a name '� '
Amount ($) v Payee
❑ Relmbursement from
— political contnbutlons �
intentled
PURPOSE � /�atego
,�j � V
EXPENDITURE I
City; State; Zip Code
(See categories listed at lhe top of this schedule)
!��� � Payee name
(b) DesC�ption (Iftravel
�
Amount ($) Payee address; C(ty; State; Zip Code
❑Reimbursament from
polltical conlrlbutlons
intended
PURPOSE C8t6gory (See categories listed at the top of this schedule)
E7F
EXPENDITURE
www.ethics.state.tx.us
complete Schetlule T)
DescriptlOn (If travel outside of Texas, complete Schedule T)
Descriptlon (If travel outslde of Texas, complete Schedule T)
DesCription (If travel outslde of Texas, complete Schedule T)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 �ustii�, Tex�� i�7�7-��37� ��q �� q�;�.�$�q�
PAYMENT FROM POLITICAL CONTRIBUTIONS
TOA BUSINESS OF C/OH
1-${1f��73�-�9�9�
SCHEDULE H
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense SalariesJWageslContract Labor Loan RepaymenU.Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Trensportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
F��� Printing Expense Office Overhead/Rental Expense O�'HER (enter a category not listed above)
The Instruction Guide explalns how to complete this form.
1 Total pages Schedule H: 2 FILER NAME 3 ACCOUNT #(Ethics Commission Filers)
� ���- �-, �� � � �_
4 Date � � �� —
5 Business name
6 Amount ($)
$ PURPOSE �
OF
EXPENDITURE
9 Complete ONLY if direct
expenditure to benefit C/OH
Date
7 Business address; City; State; Zip Code
(a) Category (See categories listetl et the top of thls schedule) I(b) DesCription
Candidate / Officeholder name
Business name
�
outside of Texes, complete Schedule T)
OfFlce held
Amount ($) Business address; City; St+�Ce; �id doq
.�
� ,�
f �'�
� PURPOSE Category (See categoriesllsteCSL[!� of Ihfs sc�E+]ul � DeSC1'iptlon (If travel outside ofTexas, complete Schedule T)
€3F ��
EXPENDITURE
��
Complete ONLY it direct Candidate / O�r�hoid'er name Office sought Office heid
expenditure to benefit C/OH �t�
Date Business nam
Amount ($) Busine address; City; State; Zip Code
%
PURPOSE � Category (See categories listed at the top of this schedule)
OF
EXPENDITURE
Complete ONLY i direct Candidate / OfFiceholder name
expenditure to anefit C/OH
I��tt+ �� � Business name` i�' i
r
f
Amount ($) Business address; City; State; Zip Code
PURPOSE
fl�
EXPENDITURE
_�
Complete ONLY if direct
expenditure to benefit C10H
Category (See categories listed at the top of thls schedule)
Candidate / Officeholder name
DeSCliptlOn Qftravel outside ofTexas, complete ScheduleT)
Office sought i Offlce heid
DesC�ption (If travel outside of Texas, complete Schedule T)
Offica sought OPfice held
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us
Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 �Asr�#in, T�ex�s 7�i`1 �-�p�� ����� �}�g.��,�p �p� � Wg�fl,,��_�,
NON-POLITICAL EXPENDITURES SCHEDULE 1
MADE FROM POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form.
1 Total pages Schedule I:I 2 FILER NAME 3 ACCOUNT #(Ethics Commission Filers)
_ _� _ �,��-�, ���-.�G:�''� , � �
4 Date � 5 Payee name �
6 Amount ($) 7 Payee address; City; State; Z(p Code
� PURPOSE (a)Category (See instructions for examples of ecceptable
�'F categories)
—EXPENDITURE
a��� Payee name
(b) DescfiptlOn (See instructions fegarding type of information
required.) �
� _ �._��
Amount ($) Payee address; � City; State; �'ip G� �
� f �,::
j �
PURPOSE {�} �$� o �p } —
C1 F �9! �'i' (�wa I�s�ruc�lnra� inr axar•i I.. �t eccepla�lo i fhi �,7�'scrl�tit�n ,See ,�.al:u�:linns P9QE#;i:ir� I^,+:'9 4P IflfOr�11s1�n�
oa�agornea} ;-,�f�qulred.)
EXPENDITURE �
,J
Date
Amount ($)
� Payee name � i i
Payee address;
����'��� (a) Cate
�� I categ
EXPENDITURE
L'�te
Amount
/
CEtS'� S4at�, �ip �o�a
gOr.y (See instructlons for examp�es of acceptable (b) Description (See instructions re ard� t f
Payee name
requiretl ) 9 ing ype o Information
�
Payee address; City; State; Zip Code
���R��� (a) Category (See msVuctions for examples of accepteble (b) Descrlption (See instructions regarding type of informatlon
� � categories) reqwred.)
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us
Revised 04/19/2013
Texas Ethics Commission P.t�. p�x 12�J7fl Auslir�.. T�x.�s i�7� i.�L7� {
INTEREST EARNED, OTHER CREDITS/GAINS/
REFUNDS, AND PURCHASE OF INVESTMENTS
�) �63-�a$�1€� (TC1 C] '1-�Q1a-73a-� �8�1
SCHEDULE K
The Instructlon Guide explains how to complete this form. 1 Total pages Schedule K: ,r
{
2 FILER NAME //v /J�/ 3 ACCOUNT #(Ethics Commission Filers)
% j , � � ��v V
4 Date 5 Name of person from whom amount is received B Amount
��*�
6 Address of person from whom amount is received; City; State; Zip Code
7 Purpose for which amount is recelved
L�
a��e Name of person from whom amount is recelved �' � Amount
� �$)
. - . . . . . . . . .. . . . . . . I� , � , . _ . . - � - - - - • - �
Address of person from whom amount is e' i�a; �i ; State; Zi Code
� tY p
"�I
�
� �.'�_
i Purpose for which amount is recelve(� ^ �
�
Date
lName of person from whor�'amount is recelved
_.. .r . .....,, ....,
Address of pers9n' from whom amount Is received; City; State; Zip Code
/ �
FUrpar,e #or WlhlCh �T'Fticl r�[ rs raesiv8�
Name of person from whom amount is received
Address of person from whom amount is received; City; State; Zip Code
Purpose for which amount Is received
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Amount
i$)
Amount
�$)
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 .hu�ti�r, T�x�s i 87� �-�DiC? (5��� 463,.58Qp {Tpp �ty�p�73��c
IN-KIND CONTRIBUTION OR POLITICAL EXPENDITURE SCHEDULE T
FOR TRAVEL OUTSIDE OF TEXAS
The Instructlon Guide explains how to complete thls form. � 1 Total pages Schedule T:
2 Fit.EF� Nlaha� . —
3 ACCOUNT # (Ethics Commission Filers�
�� �� � ����
�--,� -- -
� hdam� of Cantrila���r ?�orparatia� ar I�bar C?rganiz�5tltsn 1�Ple€lgaf ! F'ay�ea
5 Contribution / Expenditure reported on: ` �
� Schedule A � Schedule B Schedule C {�+
❑ � Schedule D � Schedule F L���Schedule G
Q Schedule H � Schedule N � COH-UC � COH-T
❑ 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 locatlon
10 Means of transportatlon � �� Purpose of travel (Including name
Name of Contributor / Corporation or Labor Organization / P�edgor
inar, or other event)
Contributlon / Expenditure reported on: i �
� Schedule A � Schedule B � ScFa�dule C � Schedule D � Schedule F
/
� Schedule H � Schedule N �'{COH-UC I -T ��q,�_�
Dates of travel Name of person(s) traveling�
/ �
Departure city or namePt�departure location
Destination �ity qr'�name of destination Iocatlon
Means of transportation } Purpose of travel (including name of conference, seminar, or other event) J
},
Name of Contributor / C�'rp�ration or Labor Organization / Pledgor / Payee
Contribution / Expe�iture reported on
Dates
!
I� Schedule A � Schedule B � Schedule C � Schedule D
7
�� Schedule H � Schedule N � COH-UC � COH-T
r -
3vel Name of person(s) traveling i �
Departure city or name of departure location
Destination city or name of destination location
Means of transportation
� Schedule G
I J ���-�
� Schedule F � Schedule G
❑ PAC-C � PAC-E
IPurpose 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 / OFFICEHOLDER FoRnn C/OH
CAMPAIGN FINANCE REPORT CoveR SHEET P~ 1
1 ACCOUNT # 2 Total pages filed:
The C/OH Instruction Guide expiains how to complete this form. (Etn~cscomm~ss~onF~ie~S~ Y~ ~
cx
3 CANDIDATE / MS/MRS M FIRST nni
OFFICEUSEONLY
OFFICEHOLDER / ~j ~
NAME ,
~~`//Y ~"~`/ -~' DateRe~'vpU ~ ' ~ ~
'. ~ ~ ! ~'" p ~ ~ p,. ~, . J 1 `~ ~/'
~
'
~
U
~v~ j ~
~
' NICKNAME LAST SUFFIX .t~
~
~
a.. tJ
,
;i{ ~
' / /}-N ~"L._L ~
ti; ~ ~
~~JI 1 ~ ~~ ii
4 CANDIDATE / ADDRESS/POBOX, APT/SUITE#, CITY, STATE, ZIPCODE r"~
OFFICEHOLDER
MA %'~
'~
/
'
~ ~~~ ~
'
' ~ ; ~+ g~~~,~,~~~ ~, r~~~A~, ~ ,~ ~,
ILING `(.
Y~
i1~. /
~i
Jh Da -deliveredorPostmarked "tl
-. .
~
~.-~
ADD 9
~
~ ~~" ~'~
~ ~~a ~
~~// ..
_
-~...r.=„~_-'..-:A-.~,Fm,.,.:. ...-m-.,~,.~,:_:...
^
e of ddress r
! / i
R
t # A
t
ece
p moun
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
PHONEHOLDER / ~J~\ ~~~ ~~~ ~ /
\ 1 ~7 oateProcessed
6 CAMPAI GN
TREASURER MS / MR / MR FIRST
-'S~'~~~ I Date Imaged
NAME . . . . . . .
/ . . . . . . . . . .' . . . .
NICKNAME LAST SUFFIX
i~~ ~~ ~
7 CAMPAIGN STREETADDRESS (NOPOBOXPLEASE); APT/SUITE#; CITY; STATE; ZIPCODE
TREASURER
ADDRESS
(residence or business)
,~S /~('/ ~
~OU'"~ ~ GL
~ G'~
.
,
,
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
P H O N E
~ ~}/ ~ ~ / !, {f'~/ ~'~~ yb
s~~ `T~o °
9 REPORT TYPE ^ ~anuary 15 ~ 30th day before election ~ Runoff ~ 15th day after campaign
treasurer appointment
(officeholder only)
July 15 ~ 8th day before election ~ Exceeded $500 ~ Final report (Attach C/OH - FR)
limit
10 P E R I O D Month pay vear Monm Day Year
COVERED THROUGH
D •7//6 /~e r ~
~ 7 /~ ~ /
~r ~
'I'I ELECTION ELECTIONDATE ELECTIONNPE
MoMh Day Year P~~ry
^
~ Runoff ~ General ~ Special
/ /
12 OFFICE OFFICEHELD (ifany) 13 OFFICESOUGHT (ifknown)
~/~ ~~ ~ ~~~~~~
~
GO TO PAGE 2
www.ethics.state.tx.us Revised 09/28/2011
Texas Ethics Commission P_O. Box 12070 Austin. Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER REPORT: FoRnn C/OH
SUPPORT & TOTALS COVER SHEET PG 2
14 C/OH NAME /~~~ ~~~~ ~~ ~ 15 ACCOUNT #(Ethics Commission Filers)
~I s N OT 1 C E F R O M THIS BOX IS FOR NOTCE OF POLIl1CAL CONTRIBUTONS ACCEPTED OR POLJTICAL EXPENDITURES MADE BY POL171CAL COMMITTEES TO SUPPORT 7HE
P O L I T I C AL CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE 3 OR OFFICEHOLDER S KNO WLEDGE OR
C O M M I T T E E( S) CONSENT. CANDIDAIES AND OFFICEHOIDERS ARE REQUIRED TO REPORT 7HIS INFORMATION ONLY IF 7HEY RECENE N071CE OF SUCH EXPENDITURES.
COMMITTEE NAME
COMMITTEE TYPE
~
~ GENERAL
COMMITTEE AL~,\D'~E/~~ ,,..-~°"
'
/
~ SPECIFIC 1 V
\
~~.
MITTEE CAMPAIGN TREASURER NAME
O' r~
~ additional pages ,%'~
,/
t"
COMMITTEE CAMPAIGN TREASURER ADDRESS
/
~
17 CONTRIBUTION
TOTALS ~ TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN Q ~)
~~
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED ~P --- U
2. TOTAL POLITICAL CONTRIBUTIONS ~ i ,;l
~
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) U
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED ~~ /
~
4. TOTAL POLITICAL EXPENDITURES ~ ~ jJ /
v
CONTRIBUTION
BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
~
~ ~
OF REPORTING PERIOD ,~-
OUTSTANDING
LOAN TOTALS 6. TOTAL PRINCIPALAMOUNT OF ALL OUTSTANDING LOANS AS OF THE ~/~
~ ~
~J
LAST DAY OF THE REPORTING PERIOD
18 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report
is true and coRect and includes all information required to be reported by
~~~„oN,,, me under Title 15, EI ion Code.
; .~~'~b.~~t CYNTHIA D. SINGLETON
~~,°~ :°= Notary Public, State of Texas
~
~
r~.,: My Commission Expires `~
~,y~.
'~'~f~°~` Aptil 12, 2015 /`'"----
w~~~~„~~"
Signature of ndidate or Officeholder
AFFIX NOTARY STAMP ! SEAL ABOVE
~~ ~
~~~
~ ~
S
t
d
b
ib
d b f
th
id
-
thi
th
b
/
worn
o n
su
scr
e
ore me,
,
s
e
y
e sa
~
~
day of , 20 ~, to certify which, witness my hand and seal of office.
i
~7
J
~
~
'
~
~a
~- ~ ~
~7D
e e/
~ z~-
ig ature of o r admini ing oath Pri ed name of officer administeri oath Title o officer administering oath
www.ethics.state.tx.us Revised 09/28/2011
Tcrac Fthicc f'nmmicsinn P(7 Rox 12070 Austin. Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER FoRnn C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 'I
1 ACCOUNT # 2 7otal pages filed:
The CIOH Instruction Guide explains how to complete this form. (Em~cscomm~SS~onF~ierS>
3 CANDIDATE /
OFFICEHOLDER MS / MRS M FIRST
~~A_ • ~~ M~
/1 OFFICE USE ONLY
~
NAME ~ .
~Y/~/ . .
. .
~~ ~
Dat
c
. . . . . .
NICKNAME LAST SUFFIX
~5'Ti~i~ h~/,LG-L J~+i ~. ~ 2n~~
4 CANDIDATE ! ADDRESS / PO BOX; APT / SUITE #; CITY; STATE: ZIP CODE
OFFICEHOLDER ~
./ ' '
MAILING ~j y~
~
~ ~~ / ~~~~ Dat d-deliveredorPostmarked
ADDRESS n ~C
~~ ~ A
change of address N
w~~` y / ~ ~
~ O~
Receipt #
Amount
EXTENSION
5 CANDIDATE/
OFFICEHOLDER AREA CODE PHONE NUMBER
Q ~~ /
~
~~~~ Date Processed
PHONE ~ p 17 ~
°!/ C'
6 CAMPAIGN MSlMR MR FIRST ~ Date Imaged
TREASURER ~j
~ ~
NAME
`~ , T .
. . . . . . . . . . . .
NICK
E
LA$T SUFFIX
~
~
~
/ / ~
~ /
7 CAMPAIGN STREETADDRESS (NOPOBOXPLEASE); APT/SUITE#: CITY; STATE; ZIPCODE
TREASURER ~ ~Z~f G~~YIH'1 ~liYG~^ T /
ADDRESS
(residence or business) !
~~ / G-~ ~L~l'/
G~C~G
%~ 7~J a~~
~
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER ~ Q
\ ~~j~' /
`
PHONE I~
~~~
~ ~ D /"
9 REPORT TYPE ~ ~anuary 15 ~ 30th day before election ~ Runoff ~ 15th day afler campaign treasurer
appointment (officeholder only)
July 15 ~ 8th day before election ~ Exceeded $500 limit ~ Final report (Attach C/OH - FR)
10 PERIOD Month Day Year Month Day Year ~
COVERED ~ r / ~~ /~ 4 ~ ~ THROUGH
J D !f / / t~ /`~ 2OII
( 6J
'I'I ELECTION EIECTION DATE ELECTION TYPE
Month Day Year
~ ~ ~ Primary ~ Runoff ~ General ~ Speaal
12 OFFICE FICE HELD (if anyj
~t C~~%; P1~~3 13 OPFICE SOUGHT (if known)
14 NOTICE
OF DIRECT
aRECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS WITHOUT THE CANDIDATE~S PRIOR CONSENT OR APPROVAL.
CAMPAIGN ~NDIDATES ARE REQUIRED TO DISCLOSE THIS INFORMATO N ONLY IF THEY RECEIVE NOTIFICATION OF THE DIRECT CAMPAIGN EXPENDITURE.
EXPENDITURE
BY OTHER Name
INDIVIDUALS
Address I PO Box; Apt. I Suite #; City. State; Zip Code
~ additional pages
GO TO PAGE 2 'y ~~- ~ ~
/
www.ethics.state.tx.us ~ Revised 04121/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER REPORT: FoRnn C/OH
SUPPORT & TOTALS COVER SHEET PG 2
15 CIOH NAME~~~ ~~~ ~ ~, 16 ACCOUNT# (Ethics Commission Filers)
~ 7 N OT I C E THIS BOX IS FOR NOTICE OF POL171CAL CON7RIBUTIONS ACCEP7ED OR POLI7ICAL EXPENDITURES MADE BY POLITCAL COMMITfEES TO SUPPORT iHE
F R O M CANDIDATE I OFFICEHOI.DER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE~S OR OFfICEHOLDER~S KNOWLEDGE OR
P O L I T I C AL CONSENT. CANDIDAlES AI~ OFFICEHOLDERS ARE REQUIRED TO REPORT THIS MFORMA710N ONLY IF THEY RECEIVE N071CE OF SUCH EXPENDITURES.
COMMITTEE
S
(
)
COMMITTEE NAME
COMMITTEE TYPE
~ GENERAL
COMMITTEE ADDRESS
~ SPECIFIC / ~
/'
CO TEE CAMPAIGN TREASURER NAME ~
~ additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
18 CONTRIBUTION
TOTALS ~. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
~ ~
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS ~ /~
-~
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) ~
EXPENDITURE
UNLESS ITEM~ZED
TOTAL POLITICAL EXPENDITURES OF $50 OR LESS
3 ~
~
TOTALS ,
.
4. TOTAL POLITICAL EXPENDITURES ~ ~ C~ ~-+
J
CONTRIBUTION
BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE IAST DAY Q ~
pF REPORTING PERIOD `P
OUTSTANDING
LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE ~
~
LAST DAY OF THE REPORTING PERIOD
19 AFFIDAVIT
I swear, or affirm, under penalty of pery'ury, that the accompanying report
is true and correct and includes all information required to be reported by
i~ me under Title 15, Election Code.
~,~~:d;•., CYNTHIA D. SINGIETON ~ /~ ~`~~~-'
?r°~ ~~ ~c= Notary Public, State of Texas //
: My Commission Expires
_~;~~.
.,
y4~~Fyltt~~' April 12, 201 b
y~~~~~~~~~ Signature of Candidate or dfficeholder
AFFIX NOTARY STAMP / SEAL ABOVE
~
~~
~
CZ-~
`"`~1.~
Sworn and subscribed before me, by the said
, this the
:
i
I~ day of , 20 ~_ , to certify which, witness my hand and seal of office.
~ ~ ~~
i
~atu e of officer administering oa Printed na of officer administering oath Title of officer administerin o h
www.ethics.state.tx.us ~f// ~~~ Revised 04/21/2010
/
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS
SCHEDULE A
OTHER THAN PLEDGES OR LOANS
1 Total pages Scheduie,4:
The Instruction Guide explains how to complete this form.
2 FILER NAME
~
~ 3 ACCOUNT #(Ethics Commission Filers)
~/~.
•
~" v"' ~J ~~
4 Date 5 Full name of contributor out-of-state PAC(iDik j 7 Amount of g In-kind contribution
contribution ($) I description (if applicable)
6 Contributor address; City; State; Zip Code I
~
(If travel out ' e of Texas, complete Schedule T)
9 Principal occupation / Job title (See Instructions) 10 Employer (See Instructions
Date Full name of contributor ^ out-of-state Pa.C(IDa: ) ount of I In-kind contribution
ontribution ($) I description (if applicable)
Contributor address; City; State; Zip Code ~
V ~
If travel outside of Texas. com lete Schedule T
Principal occupation / Job title (See Instructions) 1 y r(See Instructions)
Date Full name of contributor ^ out-of-st AC(I . Amount of I In-kind contribution
contribution ($) I description (if applicable)
Contributor address; City; State; ip Code ~
~
~
(If travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See Instructio s) Employer (See Instructions)
Date Full name of contri tor ~ out-of-state PAC (ID#: ) Amount of ~ In-kind contribution
contribution ($) I description (if applicable)
Contributor ddress; City; State; Zip Code ~
~
~
If travei outside of Texas, com lete Schedule T
Principal occupation Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ^ out-of-statePAC(iD# ~ Amountof In-kind contribution
contribution ($) I description (if applicable)
Contributor address; City; State; Zip Code ~
~
~
If travel outside of Texas, com lete Schedule T
Principal occupation / Job title (See I~structions) 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.
~~r~~
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
PLEDGED CONTRIBUTIONS SCHEDULE B
The Instruction Guide explains how to complete this form. 1 Total pages Schedule B: ~
2 FILER NAME
-
~ 3 ACCOUNT #(Ethics Commission Filers)
~/
.
~~-~c, ~T.~-~t~
4 TOTAL OF UNITEMIZED PLEDGES: b b b b b b $
$ Date 6 Full name of pledgor ~ out-of-state PAC (ID#: ~ g~ount of I g In-kin description
pledge ($) I (' applicable)
7 Pledgor address; City; State; Zip Code ~
~
(If trave utside of Texas, complete Schedule T)
10 Principal occupation / Job title (See Instructions) 11 Employer (See instructio )
Date Full name of pledgor ~ out-of-state PAC (IDn ~ Amount of I In-kind description
pledge ($) I (if applicable)
Pledgor address; City; State; Zip Code ~
~ I
I
(If travel outside
f Texas, complete Schedule T)
Principal occupation / Job title (See Instructions) ployer (See Instructions)
Date Full name of pledgor ^ ou stat ACp : __~ Amountof ( In-kind description
pledge ($) I (if applicable)
Pledgor address; City; Stat , Zip Code ~
~
~
(If travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See Instruc ns) Employer (See Instructions)
Date Full name of ple or ^ out-of-statePAC(ID# 1 Amountof ~ In-kind description
pledge ($) I (if applicable)
Pledgor dress; City; State; Zip Code I
~
~
(If travel outside of Texas, complete Schedule T)
Principal occupati / Job titie (See Instructions) Employer (See Instructions)
Date Fullnameofpledgor ~ out-of-statePAC(ID# ) Amountof ~ In-kind description
pledge ($) I (if applicable)
Pledgor address; City; State; Zip Code I
~
~
(if travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See Instructions) Empioyer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDU~E AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
www.ethics.state.tx.us ^~/~ f //~ Revised 04/21/2010
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 S
ule E:
The Instruction Guide explains how to complete this form. ~
/
2 FILER NAME
~~~~ S T"/f -~ 1~• 3 ACCOUNT #(Ethics Commission Filers)
4
TOTAL OF UNITEMIZED LOANS: b b b b b b $
5 Date of loan 7 Name of lender ^ out-of-state PAC pD#: ~ 9 Loan Amount ($)
6 Islender . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$ Lenderaddress; City; State; ZipCode
10 Interestrate
a financial
Institution?
11 Maturity date
Y N
~y Principal occupation / Job title (See Instructions) 13 Employer (S e Instructions)
14 Description of Collateral
^ none
15 GUARANTOR 16 Nameofguarantor ~$ AmountGuaranteed($)
INFORMATION
17 Guarantor address; ty; State; Code
~ not applicable
19 Principal Occupation (See Instructions) 20 Employer (See Instrudions)
Date of loan Name of lender ~ out-of-state PAC (ID#: ~ Loan Amount ($)
Is lender . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lender addre , City; State; Zip Code
Interest rate
a financial
Institution?
Maturity date
Y N
Principal occupation / Job itle (See Instructions) Employer (See Instructions)
Description of Collat ral
~ none
GUARANTO Name of guarantor Amount Guaranteed ($)
INFORMAT N
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Guarantor address; City; State; Zip Code
~ not applicable
Principal Occupation (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender is out-of-state PAC, please see instruction guide for additional reporting requirements.
www.ethics.state.tx.us ~/~r/l~ Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8{a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment 8 Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Politicai Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pag~Schedule F: 2 FILER N~~ ~~~
~ ~~ ~ , 3 ACCOUNT #(Ethics Commission Filers)
4 Date 5 Payee name
6 8 ~/ ~
~~s~
~
~' /
i
~ ~-1,
6 Amount ($) 7 Payee address; City; State; Zip Code
~~~p, ~ ~ U.S' ~rn-•' ~1 ~ !~a~~ ~' l/c7 N ~/~, ~ 76 03 j'
$ PURPOSE (a) Category (See categories listed at the rop of this schedule) (b) DesCfiptlon (It travel outside of Texas.. complete Schedule T)
OF n
A
/~
/
EXPENDITURE ~
~ ~
/~ `^V / ~-j7G/~
9 Complete ONLY if direct Candidate / O~ceholder nam Office sou t Office held
expenditure to benefit C/OH ~ ~~ L~ ~- % /~~
~ 7 ~st.
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel ou ~ e of Texas. complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office ght Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; Code
pURpp~qE Category (See categories I~ d at the top of this schedule) Descfiption (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candida / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date P ee name
Amount ($) Payee address; City; State; Zip Code
PU POSE Category (See categones listed at the rop of this schedule) Description (It travel outsitle of Texas, complete Schedule T)
OF
EXPENDITURE
Complete NLY if direct Candidate / Officeholder name Office sought O~ce held
expenditure to benefit ClOH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us ~~t~~~ Revised 04/21/2010
~
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES
SCHEDULE G
MADE FROM PERSONAL FUNDS
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District ContributionslDonations Made By
Event Expense Polling Expense Travel Out Of District Ca~didate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Totai pages Schedule G: 2 FILER ME 3 ACCOUNT #(Ethics Commission Filers)
~- ~T ~ ~~
4 Date 5 Payee name
6 Amount ($) 7 Payee address; City; State; Zip Code
^ Reimbursement from
political contributions
intended
$ PURPOSE ~a) CHtegOry (See categories listed at the top of this schedule) (b) Description (If trave utside of Texas, complete Schedule T)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zi C
^ Reimbursement from
political contributions ~
intended
PURPOSE Category (See categories listed at the t o this sch ule) DeSCflption (If travel outside ofTexas, complete Schedule T)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Reimbursement from
^
political contributions
irrtended
PURPOSE Category ee categories listed at the top of this schedule) DesCflptlOn (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Reimbursement from
^
political contributions
intended
PURPOSE C2tegOry (See categories listed at the top of this schedule) Description Qf trevel oulside of Texas, complete Schedule T)
OF
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED '7/~ ~~~
www.ethics.state.tx.us Revised 04/21/2010
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 FoodlBeverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District CandidatelOfficeholderlPoliticai 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 p~e~Schedule H: 2 FILER AME ~
~ 3 ACCOUNT #(Ethics Commission Filers)
~ ~~~
•
~(i~/
4 Date $ Business name
6 Amount ($) 7 Business address; City; State; Zip Code
$ PURPOSE (a) Category (See categories listed at the top of this schedule) (b) DeSCfiption Qf travel outside of xas, complete Schedule T)
OF
EXPENDITURE
9 Complete ONLY if direct Candidate / Officeholder name Office sought O~ce held
expenditure to benefit C/OH
Date Business name
Amount ($) Business address; City; State; Zip Code
~
PURPOSE Category (See categories listed at the top of thi s ed e) DescriptiOn (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought O~ce heid
expenditure to benefit C/OH
Date Business name
Amount ($) Business address; City; State; Zip Code
pURppgE Catego (See categories listed at the top of this schedule) DesCription Qf travei outside of Texas. complete Schedule T)
OF
EXPENDITURE
Complete ON~Y if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/O
Date Business name
Amount ($) Business address; City; State; 2ip Code
PURPOSE Category (See categories listetl at the top of this schedule) DesCfiption (If travel ou[side of Texas, complete Schedule T)
OF
EXPENDITURE
Complete NLY if direct Candidate / Officehoider name OfF e sought O~ce held
expenditure to benefit C/OH ~ /~" ~ ~
~
ATTACH ADDITIONAL COPIES OF TH S SC DULE AS NEEDED
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
NON-POLITICAL EXPENDITURES
SCHEDULE I
MADE FROM POLITICAL CONTRIBUTIONS
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officehoider/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule I: 2 FILER NAME
~
"
' 3 ACCOUNT #(Ethics Commission Filers)
l NG-~
T~9
~9-~~. s
4 Date 5 Payee name
6 Amount ($) 7 Payee address; City; State; Zip Code
~
8 PURPOSE ~a) Category (See categories listed at the rop of this schedule) (b) Descripti (See instructions regarding type of information required.)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; ip e
~
PURPOSE Category (See categories ~isted at the top o Is schedule) Description (See instructions regarding type of information required.)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE C gory (See categones listed at the top of this schedule) Description (See instrudions regarding type of information required.)
OF
EXPENDITURE
Date Payee name
Amount ( Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description (See instructions regarding type of intormation required.)
OF
EXPENDITURE ~ //"' ! /
J ~
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/21/2010
Taxac Fthir_c Cnmmicsinn PO Rox 12070 Austin. Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CREDITS (optional) SCHEDULE K
The Instruction Guide explains how to complete this form. 1 Total pages Schedu~e %
b(
2 FILER N E
~/`~ '~ ~ /
~! ~ / ~ "
!/ , 3 ACCOUNT #(Ethics Commission Filers)
4 Date 5 Payor name g Amount
~$
. .
s . . . . . . . . . .
Payor address; . . . . . . . . . . . . . . . .
City; State; . . . . . . .
Zip Code . . . . . . . . .
7 Reason for credit
Date Payor name Amount
($)
. . . . . . . . . . . .
Payor address; . . . . . . . . . . . . . . . .
City; State; . . . . . . .
Zi Code . . . . . . . . .
Reason for credit /S
U
Date Payor name Amount
($)
. . . . . . . . . . . .
Payor address; . . . . . . . . . . . . . . .
City; Stat . . . . . . .
Zip Code . . . . . . . . .
Reason for credit
Date Payor name Amount
($)
. . . . . . . . . . . .
Payor address; . . . . . . . . . . . . . . . .
City; State; . . . . . . .
Zip Code . . . . . . . . .
Reaso or credit
Date Payor name Amount
($)
. . . . . . . . . . . .
Payor address; . . . . . . . . . . . . . . . .
City; State; . . . . . . .
Zip Code . . . . . . . . .
Reason for credit
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED //~ ~~
www.ethics.state.tx.us Revised 04/21/2010
r,.~~ FfFiirc (" nmmiecinn P n R~Y ~~mn AuGtin Texas 78711-2070 (5121463-5800 (TDD 1-800-735-2989)
IN-KIND CONTRIBUTION OR POLITICAL
FOR TRAVEL OUTSIDE OF TEXAS EXPENDITURE SCHEDULE T
The Instruction Guide explains how to complete this form. 1 Total pages Schedule T:~ /
2 FILER ME !~ /'
t/ 7 ~%'~ ~• 3 ACCOUNT# (Ethics Commission Filers)
4 Name of Contributor ! Corporation or Labor Organization / Pledgor / Payee
5 Contribution / Expenditure reported on:
~ Schedule A ~ Schedule B ~ Schedule C
~ Schedule H ~ Schedule N ~ COH-UC
~ Schedule D ~ Schedule F
^ COH-T ^ PAC-C
~ Schedule G
^ PAC-E
6 Dates of travel 7 Name of person(s) traveling
$ Departure city or name of departure location
9 Destination city or name of destination location
10 Means of transportation ~~ Purpose of travel (including name f confer ce, seminar, or other event)
Name of Contributor / Corporation or Labor Organization / Pledgor / a
Contribution ! Expenditure reported on:
~ Schedule A ~ Schedule B hedule
~ Schedule H ~ Schedule N COH-UC
Schedule D ~ Schedule F
^ COH-T ^ PAC-C
~ Schedule G
^ PAC-E
Dates of travel Name of person(s) traveling
Departure city or nam of departure location
Destination city r name of destination location
Means of transportation Purpose of travel (including name of conference, seminar, or other event)
Name of Contributor / C oration or Labor Organization / Pledgor / Payee
Contribution / Exp diture reported on:
Schedule A ~ Schedule B ~ Schedule C
~ Schedule H ~ Schedule N ~ COH-UC
~ Schedule D ~ Schedule F
^ COH-T ^ PAGC
~ Schedule G
^ PAGE
Dates 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 04/21l2010
r,.~~ Ffhirc ( nmmiccinn P n R~Y ~~mn 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 #(Et i s Commission Filers)
~~ !~ ~~ Y .
3 SIGNATURE
I do not expect any further political contributions or political expenditures in connection with my can ~ acy. i understand that designating a
report as a final report terminates my campaign treasurer appointment. I also understand that i m 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 8 B below only if you are not an o~ceholder. •
A. CAMPAIGN FUNDS
Check only one:
~ I do not have unexpended contributions or unexpended i erest o come earned from political contributions.
0 I have unexpended contributions or unexpended int est or i arned from political contributions. I understand that I may
not convert unexpended political contributions or nexpend rest or income earned on political contributions to personal
use. I also understand that I must file an ann al report of u pended contributions and that I may not retain unexpended
contributions or unexpended interest or in me earned on political contributions longer than six years after filing this final
report. Further, I understand that I must ispose of unexpended political contributions and unexpended interest or income
eamed on political contributions in ac rdance with the requirements of Election Code, § 254.204.
B. ASSETS
Check only one:
~ I do not retain assets pur ased with political contributions or interest or other income from political contributions.
~ I do retain assets pur ased with political contributions or interest or other income from political contributions. I understand that
I may not convert sets purchased with political contributions or interest or other income from political contributions to personal
use. I also und stand that I must dispose of assets purchased with political contributions in accordance with the requirements
of Election C e, § 254.204.
Signature of Candidate
5 OFFIC HOLDER
-• Complete this section on/y if you are an officeholder ••
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 political
contributions or interest or other income from political contributions.
~ ~ ~ ( ~ Signature of Officeholder
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin. Texas 78711-207~ (.51~1 a~3-SRnn rTnn ~_Rnn_~~F_~aua~
CANDIDATE / OFFICEHOLDER FoRnn C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT # 2 Total pagesfiled:
The C/OH Instruction Guide explains how to complete this fO~fil. (EthicsCommissionFilers)
3 CANDIDATE /
OFFICEHOLDER MS / MR / MR FIRST M~
/I ~[,~
T~
~
NAME L! `'' . / . . . . . . . . . . .
, . . . ' ceiv~Ql O ~ ~0~~
NICKNAME LAST SUFFIX
STff /1~ ~~~' CITY SECRETARY'S OFFICE
4 CANDIDATE /
OFFICEHOLDER ADDRESS / PO BOX; APT/ SUITE #; CIT/~Y; STATE; ZIP CODE
` ~~ i ~ /1~4 1~ //~~
~~ d ~
~
~ ~~
~~
MAILING
ADDRESS (9
-
-
`~
^ ~~ '/, L ~ ~
~~. ~~ ~ ~j~
~~
~~ 7 Date Hand-delivered or Postmarked
~ change of address ~
~~ Receipt # Amount
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
PHONE ~ f// ` ~~,
/ I Date Processed
6 CAMPAIGN MS / MRS MR FIRST M~ Date Imaged
NAME URER ~~~/~, ~
~7 ir . . . J. . . . . . . . . .
-
.
. . .
NICKNAME LAST SUFFIX
~~"~-
7 CAM PAI G N
TREASURER
ADDRESS STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
~ ~~~ ~~~~0/~ '1~
/J
(residence or business) ~ ~ ~, • ~/S`l ~/ ~/ O ~ (~
~ / /1 ~v /
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
PHONEURER ~ Q^,~ ` / 1~ 7 ~+~/
o , .,~ ~~~ J.
9 REPORTTYPE
~ January 15 ~ 30th day before election ~ Runoff ~ 15th day after campaign treasurer
appointment (officeholder only)
~ July 15 ~gth day before election ~ Exceeded $500 limit ~ Final report (Attach ClOH - FR)
10 PERIOD
COVERED Month Day Year Month Day Year
t~[f/ /~ j~~ THROUGH D~/ )~//~
~/ ~ ~
'I'I ELECTION ELECTION DAT ELECTION TYPE
~~ Month Day Year
~ ~ /
~ Primary ~ Runoff I (/I (;eneral ~ Special
`~--'
12 OFFICE FFICE HEL (if any)
c
3
~i ~ ~~ 13 OFFICE SOUGHT (if known)
~
, ~~~
14 NOTICE
OF DiRECT DIRECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS WITHOUT THE CANDIDATE~S PRIOR CONSENT OR APPROVAL.
CAMPAIGN CANDIDATES ARE REQUIRED TO DISCLOSE THIS INFORMATION ONLY IF THEY RECEIVE NOTIFICATION OF THE DIRECT CAMPAIGN EXPENDITURE.
EXPENDITURE
BY OTHER Name
INDIVIDUALS
Address ! PO Box; Apt. / Suite #; City; State; Zip Code
~ additional pages
GO TO PAGE 2
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin. Texas 7fi711-~~7n ~~~ ~~ d~~_FRnn iTnn ,_ann ~~~ ~~Qn~
- - - - - - - _ . ...,., . ..., ~.,.,..,
CANDIDATE / OFFICEHOLDER REPORT: FoRnn C/OH
SUPPORT & TOTALS COVER SHEET PG Z
15 C/OH NAME
/~G-L ~9-~I G ~_ /~_ 16 ACCOUNT #(Ethics Commission Filers)
'I7 N OT I C E
F R O M THIS BOX IS FOR NOTICE OF POLITiCAL CONTF216 ONS ACCEPTED OR POLITICAL EXPEND~TURES MADE BY POLITICAL COMMITfEES TO SUPPORT iHE
CANDIDATE I OFFICEHOLDER. THESE EXPEND/TURES MAY HAVE BEEN MADE W/THOUT THE CANDlDATE S OR OFFICEHOLDER S KNOWLEDGE OR
P O L I T I CA L
COMMITTEE(S) CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECENE NOTICE OF SUCH E%PENDI7URES.
COMMITTEE TYPE COMMITTEE NAME ~
~
~
~ GENERAL r
~ /~~
~ SPECIFIC COMMITTEE ADDRE ~ ' ~
/ ~
i
/
COMA~LY EE CAMPAIGN TREASURER NAME
i•
~ additional pages /
COMMITTEE CAMPAIGN TREASURERADDRESS
18 CONTRIBUTION
TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
PLEDGES
LOANS
OR GUARANTEE ~
~
,
,
S OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
OT Q ~
(
FfER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) `~
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED ~ ~
4. TOTAL POLITICAL EXPENDITURES ~ ~
CONTRIBUTION
BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTIN
P Q /
r~
2~
G
ERIOD 0,
W
v
OUTSTANDING
LOANTOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAS Q ~
T DAY OF THE REPORTING PERIOD `
`~' ~ 0 ~
19 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report
$INGLETON ~ is true and correct and inc~udes all information required to be reported by
•`'~p~P~''; CYNTHIA D
.
o ~~~'' ~%
e?; "c Notary Public, State of Texas me under Title 1, Election Code.
" ' ~.,a My Commission Expires
"%:rEOi~E`~' Aprll 12, 2015
~„~~~~~~~`
Signature f Candidate or Officeholder
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me
by the said ~~~/~~-( ~~ /~--~v
,
, this the
~ d f
20 ~
to certif
which
it
h
,
_ ,
y
, w
ness my
and and seal of office.
G"'L ~ ~
Q
~
~
-- ~J //j( '~
/l /
gna re of o~cer administe t Printe name of o~cer administeri g oath Titie of o~cer administering ath
www.etnics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989}
POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS SCHEDULE A
The Instruction Guide explains how to complete ~his form. 1 Total pages Scnedule A:
2 FILER NAME
~~(~-) ~~ N ~ ~/ 3 ACCOUNT #(Ethics Commission Filers)
4 Date 5 Full name of contributor ~ out-of-state PnC(IDU: ~ 7 Amount of g -kind contribution
contribution ($) I scription (if applicable)
6 Contributor address; City; State; Zip Code ~
i I
/
~
I
(If tra4el outside of Texas, compiete Schedule T)
9 Principal occupation / Job title (See Instructions) 10 Employer (See Instru¢tions)
~
/
Date Full name of contributor ^ out-of-state PAC(ID#: V ~ Amount of I In-kind contribution
,;
'
contribution ($) I description (if applicable)
Contributor address; City; State; Zip Code / ~
~l (
~
~ ~
I
If travei outside of Texas, com lete Schedule T
Principal occupation / Job title (See Instructions)
i I r(See Instructions)
Date Fuli name of contributor ^ out-of-state ~C(ID#:
1
Amount of I In-kind contribution
~ contribution ($) I description (if applicable)
Contributor address; City; S~ie
Zip Code I
~~
i ~
~/ I
(If travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See Ins uctions) Employer (See instructions)
Date Full name of ntributor ^ out-of-state PaC(ID#: ~ Amount of I In-kind contribution
contribution ($) I description (if applicable)
Contr' utor address; City; State; Zip Code I
~
~
If travel outside of Texas, com lete Schedule T
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ^ out-of-statePnC(iDtt: ~ Amount of I in-kind contribution
contribution ($) ( description (if applicable)
Contributor address; City; State; Zip Code I
(
~
If travel outside of Texas, com lete 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 04/21/2010
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 Sched B:
The Instruction Guide explains how to complete this form.
2 FILER NAME ~
~-~,,.~ ST~„~ r~ . 3 ACCOUNT #(Ethics Commission Filers)
4 TOTAL OF UNITEMIZED PLEDGES: b b ~ ~ b ~
5 Date 6 Full name of pledgor ^ out-of-state PAC(ID#: ~ g Amount f I g In-kind description
pledge ($) I (if applicable)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 Pledgor address; City; State; Zip Code
~
~
~
(If travel outside of Texas, complete Schedule T)
10 Principal occupation / Job title (See Instructions) 11 Employer ( e ~nstructions)
Date Full name of pledgor ~ out-of-state PAC(ID#: ~ Amount of I In-kind description
(if applicable)
pledge ($)
/ I
~
Pledgor address, City; State; Zi de J
b % '
~ ~ ~
(If travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See Instructions) mployer (See Instructions)
Date Full name of pledgor ^ out-of-stafe PAC(iD#: ~ Amount of I In-kind description
pledge ($) I (if applicable)
Pledgor address; City; .. State; Zip Code I
~
I
(If travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See In~structions) Employer (See Instructions)
/~
Date Full name of ledgor ~ out-of-statePAC(IDn: ~ Amountof ~ In-kind description
pledge ($)
(if applicable)
I
Pled~ address; City; State; Zip Code I
I
~
(If travel outside of Texas, complete Schedule T)
Principal occu~ation ! Job title (See Instructions) Employer (See Instructions)
Date Full name of pledgor ^ out-of-state PAC~1D#: ~ Amount of I In-kind description
pledge ($) ~ (if applicable)
Pledgor address; City; State; Zip Code ~
~
~
(If travel outside of Texas, comp~ete 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 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
LOANS SCHEDULE E
The Instruction Guide explains how to complete this form. 1 Totai pages Schedu e E~ ~
2 FILER NAME /_ ~ ~
~ s ~ • 3 ACCOUN~ #(Ethics Commission Filers)
r ~
- ,
4
TOTAL OF UNtTEMIZED LOANS: b b ~ ~ b v~/~ $
J
5 Date of loan 7 Name of lender ^ out-of-state PAC (iD#: ~ 9 LoanAmount ($)
g Is lender $ Lender address; City; State; Zip Code 10 Interest rate
a financial
Institution?
11 Maturity date
Y N
~2 Principal occupation / Job title (See Instructions) 13 E ye (See Instructions)
14 Description of Collateral
^ none
15 GUARANTOR 16 Name ofguarantor 18 Amount Guaranteed ($)
INFORMATION
. . . . . . . . . . . . . . . . . . . : . ~ ~ - - - - . . . . . . . . . . . . . . .
17 Guarantor address; City' State; Zip Code
~ not applicable
19 Principal Occupation (See Instructions) 20 Employer (See Instructions)
Date of loan Name of lender ~ out-of-state PAC (iD#: ~ LoanAmount ($)
Is lender Lender addr ss; City; State; Zip Code Interest rate
a financial
Institution? ~
/ Maturity date
Y N ~
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Description of Collater I
^ none
GUARANTOR Name ofguarantor Amount Guaranteed ($)
INFORMATION
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Guarantor address; City; State; Zip Code
~ not applicable
Principal Occupation (See Instructions) Employer (See Instructions)
ATfACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender is out-of-state PAC, please see instruction guide for additional reporting requirements.
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin. Texas 78711-2070 (512) 463-5800 (TDC~ 1-Fino-735-~9Rq~
POLITICAL EXPENDITURES ~ ~ SCHEDULE F
~
't~'
~
I ~~- .
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense GifUAwards/Memorials Expense Salaries/WageslContract Labor Loan Repaym '/t Reimbursemen't
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transporta ' n Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contribu 'ons/Donations Made By
Event Expense Polling Expense Travel Out Of District Ca idate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OT R(enter a category not fisted above)
The Instruction Guide explains how to complete this for .
1 Total pages Schedule F: 2 FIL R AME. ~ ~~~~ ~~ ~•
jj ~ L 3 ACCOUNT #(Ethics Commission Filers)
4 Date 5 yee name
6 Amount ($) 7 Payee address; City; State; Zip Code
~
$ PURPOSE (a) Cat2gory (See categories listed at the top9~ is du ) (b) D6SCription (if travel outside of Texas, complete Schedule T)
OF U
EXPENDITURE
9 Complete ONLY if direct Candidate / Officeholder Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; ity; State; Zip Code
PURPOSE Category (See tegories listed at the top of this schedule) DesCfiptiOn (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete NLY if direct Can idate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date ayee name
Amount ($) Payee address; City; State; Zip Code
PURPO CategOry (See categories listed at the top of this schedule) DesCriptiOn (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Cat6gOry (See categories listed at the top of this schedule) DesCription (If travel outside ofTexas, complete Schedule T)
OF -
EXPENDITURE
Complete NLY if direct Candidate / Officeho~der name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/21l2010
Texas Ethics Commission P.O. Box 12070 Austin. Texas ~a~~~-~mn /5171 dR~_FR(1(1 r-rnn,_unn_~~~ ~oQO~
- -- ~ --- . ......,
POLITICAL EXPENDITURES
SCHEDULE G
MADE FROM PERSONAL FUNDS
.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense GifUAwards/Memorials Expense Salaries/Wages/Contract Labor Loan RepaymenUReimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations ade By
Event Expense Polling Expense Travel Out Of District Candidate/Officeho er/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a ca gory not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 FILER ME
/~ ~~ 3 ACC UNT #(Ethics Commission Filers)
4 Date 5 Payee name `
1
6 Amount ($) 7 Payee address; City; State; Zip Code
^ Reimbursement from
political contributions ~
t >
intended ~
~~
$ PURPOSE (a) CategOry (See categories listed at the rop of this,sc le) DesCription (If travel outside of Texas, complete Schedule T)
OF ~~
EXPENDITURE v
Date Payee name
Amount ($) Payee address; City; State Zip Code
Reimbursement from
^
politicai contributions
intended
PURPOSE Category (See categories lis d at the top of this schedule) DesC~iption (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee y tldress; City; State; Zip Code
~
^ Reimbursement from
political contributions ~
intended
PURPOSE Cat@gory (See categories listed at the top of this schedule) DeSCfiptiOn (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Date
i Payee name
Amount ($) Payee address; City; State; Zip Code
Reimbursemen[ from
~
political contributions
intended
PURPOSE C2tegOry (See categories listed at the top of this schedule) DesCription (If travel outside of Texas, complete Schedule TJ
OF
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.etnics.state.tx.us Revised 04/21/2010
r
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-29891
PAYMENT FROM POLITICAL CONTRIBUTIONS
SCHEDULE H
TO A BUSINESS OF C/OH .
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memoriais Expense Salaries/Wages/Contract Labor Loan RepaymenUReimbursement
Accounting/Banking Legai Services SolicitationlFundraising Expense Transportation Equipment R Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/OfficeholderlPolitical Committee
Fees Printing Expense Office Overhead/Rentai Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule H: 2 FILER M / ~' 3 ACCOUNT #(Ethics Commission Filers)
4 Date 5 Business name
6 Amount ($) 7 Business address; City; State; Zip Code
~
$ PURPOSE (a) CatBgory (See categories listed at the top of this schedule) (b) DOSCription (If travel outside ofTexas, complete Schedule T)
OF
EXPENDITURE
9 Complete ONLY if direct Candidate / Officeholder name Office sought
' Office held
/
expenditure to benefit CIOH ~
Date Business name
/J
Amount ($) Business address; City; State; Zip Code
/
~ /
/
PURPOSE CategOry (See categories listed at the rop of t~s sc le) , DeSC~iptiOn (If travel outside of Texas, complete Schedule T)
OF ~~
EXPENDITURE U ~
Complete ONLY if direct Candidate / Officeholder na e
Office sought Office held
~
expenditure to benefit C/OH
/
Date Business name /
~
%
Amount ($) Business address; ~ City; State; Zip Code
PURPOSE Cate (See categories listed at the top of this schedule) DesCription (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate / Officehoider name Office sought Office held
expenditure to benefit C/Oji
i
Date '
:", Business name
Amount ($) j Business address; City; State; Zip Code
PURPOSE CategOry (See categories listed at the top of this schedule) DeSCfiptiOn (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Compiete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
NON-POLITICAL EXPENDITURES
SCHEDULE I
MADE FROM POLITICAL CONTRIBUTIONS
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense GifUAwards/Memorials Expense Salaries/Wages/Contract Labor Loan RepaymenUReimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consuiting Expense Food/Beverage Expense Travel In District ContributionslDonations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Politicai Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this fo~m.
1 Total pages Schedule I: 2 FILER NAME
~ 3 ACCOUNT #(Ethics Commission Filers)
_
W / ~ IV ~
4 Date 5 Payee name
6 Amount ($) 7 Payee address; City; State; Zip Code
$ PURPOSE ~a) Category (See categories listed at the top of this schedule) (b) DesCfiption (See instructions r arding type of information required.)
OF
EXPENDITURE
Date Payee name
(
Amount ($) Payee address; City; State; Zip Code
a
. PURPOSE C2t2gOry (See categories listed at the top of this s hedule) 2SCfiptiOfl (See instructions regarding type of informalion required.)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; ty; State; Zip Code
PURPOSE CategO (See categories listed at the top of this schedule) DeSCfiption (See instructions regarding rype of information required.)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE C2t2gOry (See categories lisled at the top of this schedule) Description (See insVUCtions regarding type of information required.)
OF
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CREDITS (optional) SCHEDULE K
The Instruction Guide explains how to complete this form. 1 Total pa9e~cheduie K:
(>Ci
2 FILER NAME
~ 3 ACCOUNT #(Ethics Commissi Filers)
~- L~ S N '
4 Date 5 Payor na e $ Amount
/ ~$)
. .
6 . . . . . . . . . .
Payor address; . . . . . .
City; . . . . .
State; . . . . . . . . . . . .
Zip Code . . . . . . . . .
7 Reason for credit
Date Payor name Amount
($)
Payor address; City; State; Zip Cod
Y
Reason for credit (
U
Date Payor name Amount
($)
. . . . . . . . . . . .
Payor address; . . . . . .
City; . . . . .
Sta ; . . . . . . . . . . . .
Zip Code . . . . . . . . .
Reason for credit
Date Payor name Amount
~$)
Payor address;
i" City; State; Zip Code
Reason for credit
Date Payor name Amount
($)
. . . . . . . . . . . .
Payor address; . . . . . .
City; . . . . .
State; . . . . . . . . . . . .
Zip Code . . . . . . . . .
Reason for credit
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin. Texas 78711-2070 (51 ~l 4F3-SF~nn rrnn ~_Rnn_~~~_~qRa~
IN-KIND CONTRIBUTION OR POLITICAL EXPENDITURE
FOR TRAVEL OUTSIDE OF TEXAS SCHEDULE T
The instruction Guide explains how to complete this form. 1 Total pages Schedule f
b
2 FILER NAME ~~ / f
N . 3 ACCOUNT #(Ethics Commission Filers)
4 Name of Contributor / Corporation or Labor Organization / PI dgor / Payee
5 Contribution / Expenditure reported on:
~ Schedule A ~ Schedule B ~ Schedule C ~ Schedule D
~ Schedule H ~ Schedule N ~ COH-UC ~ COH-T
~ Schedule F
^ PAC-C
~ chedule G
PAC-E
6 Dates of travel 7 Name of person(s) traveling /
i
%
$ Departure city or name of departure location ~
~
/
9 Destination city or name of destination location
10 Means of transportation ~~ Purpose of travel (including name of conference, semi r, or other event)
Name of Contributor / Corporation or Labor Organization / Pledgor / P y
Contribution / Expenditure reported on:
~ Schedule A ~ Schedule B Schedule C ~ ule D
~ Schedule H ~ Schedule N COH-U ~ COH-T
~ Schedule F
^ PAC-C
~ Schedule G
~ PAC-E
Dates of travel Name of person(s) traveling
Departure city or name of departur location
Destination city or name of estination location
Means of transportation Purpos of travel (including name of conference, seminar, or other event)
Name of Contributor / Corporation or bor Organization / Pledgor / Payee
Contribution / Expenditure repo ed on:
~ Schedu A ~ Schedule B ~ Schedule C ~ Schedule D
~ Schedule H ~ Schedule N ~ COH-UC ~ COH-T
~ Schedule F
^ PAGC
~ Schedule G
~ PAC-E
Dates of travel Name of person(s) traveling
Departure city or name of departure location
/
6 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 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin. Texas 78711-2070 (5121463-5800 (TDD 1-8no-735-~9R91
CANDIDATE / OFFICEHOLDER REPORT:
FoRnn C/OH - FR
DESIGNATION OF FINAL REPORT
The Instruction Guide explains how to complete this form.
•• Complete only if "ReportType" 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 / Officeholder
4 FILER WHO IS NOT AN OFFICEHOLDER
•• Complete A 8~ B below on/y if you are not an o~ceholder_ •-
A. CAMPAIGN FUNDS
Check only one:
~ I do not have unexpended contributions or unexpended interest or income earned from political contributions.
~ I have unexpended contributions or unexpended interest or income earned from political contributions. 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:
~ 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
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 on/y 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
o~ceholder, 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 O~ceholder
www.ethics.state.tx.us Revised 04/21/2010
c
, Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER FoRnn C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG ~
1 ACCOUNT # 2 Total pagesfile
The ClOH Instruction Guide explains how to complete thlS f0~1)l.
(EthicsCommissionFilers) ~~
3 CANDIDATE / MS / MRS / MR FiRSr nni
OFFICEHOLDER
NAME ~ Q • S /~~~ f'~jA /,
/~ ~] /`~ % ~
( _
t eiv
.a
. .
NICKNAME LAST SUFFIX
~~~
APR 14 2011
4 CANDIDATE/ ADDRESS /POBOX; APT/SUITE#; CIN; STATE; ZIPCODE ~IrY s~c~~ra~Y'S OFFICE
OFFICEHOLDER - -
MAILING
ADDRESS ,•_ / 'L~~ , , y~~
Yn ~ d~ ~~" k D~2. C'.~ ~~.~. DateHand-deliveredorPostmarked
~ change of address ~ /~ ~
v Receipt # Amount
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
PHONE ~ ~ ~Q^ ~~~ f
~ ~ 0 ~
Date Processed
j
6 CAMPAIGN I Date Imaged
MS/ MRS/ MR FIRST M
TREASURER
NAME 1~
~ d, ~~e., ~' ~1 ~,
~` rl ~l/ [iG ~
NICKNAME IAST SUFFIX
~~~
7 CAM PAI G N
TREASURER STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
,0 ~/
~
,
]~
ADDRESS ~'4
L`~
N•
~
~
I~l ~W" !~
(residence or business) ~~ ~ u~- ~ 76 a 3y
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE ¢`~ ` ~ w ~~~
~ 0 ~ ~
~i
9 REPORTTYPE
~ January 15 ~ 30th day before election ~ Runoff ~ 15th day aker campaign treasurer
appointment (officeholder only)
~ July 15 ~ 8th day before election ~ Exceeded $500 limit ~ Final repoR (Attach C/OH - FR)
10 PERIOD Month Day Year Month Day Year
COVERED O ~ / ~ / /~ ~, THROUGH 0 ~ / /~ //A _,/
7"' % -Q
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year
~~~ ~ ~~~ ~~
~ Primary ~ Runoff ~neral ~ Special
12 OFFICE O FICE HELD (if any) ~ 3 OFFICE SOUGHT (if known)
~-~'%~, I~ah'-~ 3 CyK,vc~Z, ~~~.~
14 NOTICE
OF DIRECT aRECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS WITHOVT THE CANDIDATE~S PRIOR CONSENT OR APPROVAL.
CAMPAIGN CANDIDATES ARE REQUIRED TO DISCLOSE THIS INFORMATION ONIY IF THEY RECEIVE NOTIFICATION OF THE DIRECT CAMPAIGN EXPENDITURE.
EXPENDITURE
BY OTHER Name
INDIVIDUALS
Address / PO Box; ApL / Suite #; City: State; Zip Code
~ additional pages
GOTOPAGE2
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-29891
CANDIDATE / OFFICEHOLDER REPORT: FoRnn C/OH
SUPPORT & TOTALS COVER SHEET PG 2
15 C/OH NAME~ A~ ~,/~7~/~~
~ . 16 ACCOUNT #(Ethics Commission Filers)
'I 7 N OT I C E
F R O M THIS BOX IS FOR NOTICE OF POLfT1CAL CONTRI ONS ACCEP'fED OR POLfT1CAL EXPENDITURES MADE BY POLITICAL COMMITfEES TO SUPPORT THE
CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE W/THOUT THE CAND/DATE S OR OFFICEHOLDER S KNON2EDGE OR
P O L I T 1 CA L CONSENf. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECENE NOTICE OF SUCH EXPENDRURES.
COMMITTEE(S)
COMMITTEE NAME
COMMITTEE TYPE
~ GENERAI
COMMITTEE ADDRESS
~ SPECIFIC ~
COMMITTEE CAMP TREASURER E
~ additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
18 CONTRIBUTION
TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
PLEDGES
LOANS
OR GUARANTEE Q
,
,
S OF LOANS), UNLESS ITEMfZED W
2. TOTAL POLITICAL CONTRIBUTIONS ~
~ a
~
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) .
~
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED ~
~
4. TOTAL POLITICAL EXPENDITURES ~
CONTRIBUTION
BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF ~ ,~-
~D
REPORTING PERIOD ~
0-~
OUTSTANDING
LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE ~
~qST DAY OF THE REPORTING PERIOD
19 AFFIDAVIT ~NN~~~~~i~-Old/
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~ is true and correct and nPludes all nfor ation re
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orted b
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_: : me under Title 15, Election Code.
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~~~//~jS220;4j,~`R~~~~~~~~a Signature o andidate or Officeholder
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn t
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o an
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ore me, by the said ./ ~
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, this the
T-~.- day of K- , 20 ~~ , to certify which, witness my hand and seal of office.
~ ~S ~ ~
~ ~- v ~r ~C! ,2.
Signature of officer administering oath Printed name of o~cer administering oath Title of officer ad istering oath
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (5121463-580~ fTl~l~ 1-ft(l(1-73.5-~9R91
POLITICAL CONTRIBUTIONS
SCHEDULE A
OTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form. 1 Total pages Schedule ~
2 FILER NAME //~ ~i ^/~~~~~~ \'
~ ~~ ~ ~ % 3 ACCOUNT #(Ethics Commission Filers)
4 Date 5 Ful~ name of contnbutor ~ out-of-state PAC(~D#: ~
~ ~
~,/ 1 J. 7 Amount of g fn-kind contribution
tribution ($) ~ description (if applicable)
~
~/~ ~
~ /~ % ~~'
{~~
~ ~Y~7'7
6 Contributor address; City; State; Zip Code
~
' ~
~~~, ~ I ~~~
1 ~
3osCs~; ~., -f~
cla~,~, ~
~,.~~,~ ~ i
~~ e~~ o
//~ (If travel outside
f Texas, complete Schedule T)
9 Principal occupation / Job title (See Instructions) 10 Employer (See Instructions)
Date Full name of contributor ^ out-of-state PAC(ID#: ) Amount of I in-ki contribution
contribution ($) I desc tion (if applicabie)
Contributor address; City; State; Zip Code
~
(
ravel outside of Texas, com lete Schedule T
Principal occupation / Job title (See Instructions) Employer (See I ructions)
Date Full name of contributor ^ out-of-scate PnCpD#: Amount of I )n-kind contribution
contribution ($)
description (if applicable)
/ I
~
Contributor address; City; State; Z' /''
~~ ~
(
~
(If travel outside of Texas, compiete Schedule T)
Principal occupation / Job title (See Instructions) Employer (See instructions)
Date Fuil name of contribut ^ out-of-state PnC (ID#: ~ Amount of I In-kind contribution
contribution ($) I description (if applicable)
Contributor ddress; City; State; Zip Code I
~
~
If travel outside of Texas, com lete Schedule T
Principal occu tion / Job title (See Instructions) Employer (See instructions)
Date Full name of contributor ^ out-of-state PAC(ID#: ~ Amount of In-kind contribution
contribution ($) I description (if applicable)
Contributor address; City; State; Zip Code (
~
~
If travei outside of Texas, com lete 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 04/21l2010
Texas F_thics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
PLEDGED CONTRIBUTIONS SCHEDULE B
The Instruction Guide explains how to complete this form. 1 Total pages Schedule B: ~~
2 FILER NAME 3 ACCOUNT #(Ethics Commission Filers)
/
I~~L ST ~ ~ -
4 TOTALOF UNITEMIZED PLEDGES: b ~ ~ ~ b b $ .~}_.
(/
5 Date 6 Full name of pledgor ~ out-of-state PAC(ID#: ~ g Amount of I g In-kind description
pledge ($) ~ (if applicable)
7 Pledgor address; City; State; Zip Code _ ~ ~
~ f~.
.
~ l
(If travel outside of Texas, compaete Schedule T)
10 Principal occupation / Job title (See instructions)
,
11 Employer (See Instructions)
/
i
Date Full name of pledgor ~ out-of-statePAC(IQq: ~ Amountof ,f In-kind description
pledge ($) <` ~ (if applicable)
Pledgor address; City; State; Zip Code ~
~~
~
~
r I
(If travel outside of Texas, complete Schedule T)
Principal occupation ! Job title (See Instructions) Employer ee Instructions)
~`
Date Full name of pledgor ^ out-of-statePAC(IDq: ~ Amount of I In-kind description
~
~ pledge ($) ( (if applicable)
Pledgor address; City; State; Zip Code ~
~
~
(If travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See Instructions), Employer (See Instructions)
Date Full name of pledgor,~~ ^ out-of-state PAC(IDp: > Amount of I In-kind description
pledge ($) I (if applicable)
i
Pledgor ad~ess; City; State; Zip Code
i
I
I
/
~
i
(If travel outside
f Texas, complete Schedule T)
Principal occupa ' n/ Job title (See Instructions) Employer (See Instructions)
Date Full name of pledgor ^ out-of-state PAC(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)
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 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
LOANS SCHEDULE E
The instruction Guide explains how to complete this form. 1 Total pages Scred le E:
fj
~/
2 FILER NAME
~
~ 3 ACCOUNT #(Ethics Commission Filers)
~~, V 4./ ~
~~~
4
TOTAL OF UNITEMIZED LOANS: b b ~ b b b $ ~
5 Date of loan 7 Name of lender ^ out-of-state PAC (ID#: ~ 9 LoanAmount ($)
g Is ~ender . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$ Lender address; City; State; Zip Code
10 Interest ra
'
a financial !
~
Institution?
11f~Wlaturity date
Y N i
12 Principal occupation / Job title (See ~nstruaions) 13 Employer (See Instructions)
14 Description of Collateral
~ none
15 GUARANTOR 16 Nameofg~arantor 18 AmountGuaranteed($)
INFORMATION
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17 Guarantor address; City; State; Zip Code
~ not appiicable
19 Principal Occupation (See Instructions) / ployer (See Instructions)
Date of loan Name of lender ~ out-of-state PAC (ID#: ~ Loan Amount ($)
Is lender Lender addre , City; State; Zip Code Interest rate
a financiai
Institution? ~
/ Maturity date
Y N
Principal occupation / ob title (See Instructions) Employer (See Instructions)
Description of ollateral
^ rione
GUA NTOR Name ofguarantor Amount Guaranteed ($)
INFORMATION
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Guarantor address; City; State; Zip Code
~ not applicable
Principal Occupation (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender is out-of-state PAC, please see instruction guide for additional reporting requirements.
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense GifUAwardslMemorials Expense Salaries/Wages/Contract Labor Loan RepaymenUReimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office OverheadlRental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total page Schedule F:
~ 2 FILER N ME ~
/ ~'
S%
~ 3 ACCOUNT #(Ethics Commission Filers)
ts -
~
h
L
4 Date 5 Payee name
6 Amount ($) 7 Payee address; City; State; Zip Code
$ PURPOSE (a) Cat6gory (See categories listed at the top of this schedule) (b) DesCfiption (If travei outside of Texas, comple~ chedule T)
OF /
EXPENDITURE ~
9 Complete NLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
/
Amount ($) Payee address; City; State; Zip Code
PURPOSE C2t@gOry (See categories listed at the top of this sc e DBSCfiptiOn (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder n Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; ~City; State; Zip Code
/
~
PURPOSE Catego (See categories listed at the top of this schedule) DeSCription (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought O~ce held
expenditure to benefit C/
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE C2tegory (See categories listed at the top of this schedule) DesCfiption (If travei outside of Texas, complete Schedule T)
OF
EXPENDITURE
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 04/21/2010
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/AwardslMemorials Expense Salaries/Wages/Contract Labor Loan RepaymenUReimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District ContributionslDonations Made By
Event Expense Polling Expense Travel Out Of District CandidatelOfficeholder/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 ME 3 ACCOUNT #(Ethics Commission Filers)
~~ ~ ,V /~~
4 Date $ Payee name
6 Amount ($) 7 Payee address; City; State; Zip Code
/
^ Reimbursement from
political contributions /
intended
8 PURPOSE (a) Cat2gory (See categories listed at lhe top of this schedule) (b) Description (If trav outside of Texas, complete Schedule T)
OF
EXPENDITURE
Date Payee name
/
Amount ($) Payee address; City; State; Zip Code
~ Reimbursement from U
politicai contributions
intended
PURPOSE CatBgOry (See categories listed at the top of this sched e) SCfiption (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; ity; State; Zip Code
Reimbursement from
^
political contribulions
intended
PURPOSE Category ( e categories listed at the top of this schedule) DeSCfiption (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Date ayee name
Amount ($) Payee address; City; State; Zip Code
Reimbursement from
^
poiitical contributions
intended
PURPOSE CategOry (See categories listed at the top of this schedule) D6SCfiption (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/21/2010
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 RepaymenUReimbursement
Accounting/Banking Legal Services SolicitationlFundraising 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 compiete this form.
1 Total pages Schedule H: 2 FILER NAME ,~
~
~ 3 ACCOUNT #(Et ' s Commission Filers)
LL
i
~ ~/ -
4 Date 5 Business name
~
6 Amount ($) 7 Business address; City; State; Zip Code !
$ PURPOSE (a) Cat6gOry (See categories listed at the top of this schedule) (b) DesCfip ' n(If travel outside of Texas, complete Schedule T)
OF j
EXPENDITURE
9 Complete NLY if direct Candidate / Officeholder name ice sought O~ce held
expenditure to benefit C/OH
F
~
Date Business name
Amount ($) Business address; City; State; Zip de
(' ~
PURPOSE Cat@gOry (See categories listed at the t of this schedule) D25CfiptiOn (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete NLY if direct Candidate / Officehold r name Office sought Office held
expenditure to benefit C/OH
Date Business name
Amount ($) Business ddress; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) DesC('iption (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete NLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Business name
Amount ($) Business address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) DeSCripUOn (If travel outside ofTexas, complete Schedule T)
OF
EXPENDITURE
Compfete NLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin. Texas 78711-2070 (5121463-580n rTnn ~_ftnn_~ss_~ARq~
NON-POLITICAL EXPENDITURES
SCHEDULE I
MADE FROM POLITICAL CONTRIBUTIONS
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan RepaymenUReimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Poliing Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule I: 2 FILER ~VAME ~
~ I i 3 ACCOUNT #(Ethics Commi fon Filers)
4 Date 5 Payee name
6 Amount ($) 7 Payee address; City; State; Zip Code
$ PURPOSE (a) Category (See categories listed at the top of this schedule) (b) cfiptiOn ( e instructions regarding type of information required.)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Cat2gOry (See categories listed at the top o is schedule) D2SCriptiOn (See instructions re9arding type of information required.)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee addres City; State; Zip Code
PURPOSE CategOry (See categories listed at the top of this schedule) D6SCription (See instructions regarding type of information required.)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Cat2gory (See categories listed at the top of this schedule) Description (See instructions regarding type of information required.)
OF
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CREDITS (optional) SCHEDULE K
The Instruction Guide explains how to complete this form. 1 Total pages Schedu~ j
2 FILER NA~IyI~C ~ ~ 3 ACCOUNT #(Ethics Commission Filers)
~~
~~ ~ '
4 Date 5 Payor name g ount
($)
s Payor address; City; State; Zip Code /
7 Reason for credit j
%
/
Date Payor name Amount
~ ($)
Payor address; City; State; Zip $,~de
~ /
Reason for credit ~ ~
Date Payor name Amount
~$)
. . . . . . . . . . .
Payor address; . . . . .
City; . . . . .!. . . . . . .
S~ate; . . . . . . . .
Zip Code . . . . . .
/
;
i
/
Reason for credit ~
i~
Date Payor name ~' Amount
i ~g~
Payor add ss; City; State; Zip Code
%
/
Reason for credit
Date Payor name Amount
. . . . . ($)
. . . . . . .
Payor address; . . . . .
City; . . . . . . . . . . . .
State; . . . . . . . .
Zip Code . . . . . . .
Reason for credit
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/21/2010
Texas F_thics Commission P.O. Box 12070 Austin, Texas 78711-2070 {512) 463-5800 (TDD 1-800-735-2989)
IN-KIND CONTRIBUTION OR POLITICAL
FOR TRAVEL OUTSIDE OF TEXAS EXPENDITURE SCHEDULE T
The Instruction Guide explains how to complete this form. 1 Totai pages Scheduie T;!~
~~
2 FILER E 3 ACCOUNT #(Ethics Commission Filers)
4 Name of Contributor / Corporation or Labor rganization / Pledgor / Payee
5 Contribution / Expenditure reported on:
~ Schedule A ~ Schedule B ~ Schedule C
~ Schedule H ~ Schedule N ~ COH-UC ~
~ Schedule D ~ Schedule F/^ Schedule G
~ COH-T ^ PAC- ~ PAC-E
6 Dates of travel 7 Name of person(s) traveling
$ Departure city or name of departure location
/
9 Destination city or name of destination location
10 Means of transportation ~~ Purpose of travel (including nam f confere ce, seminar, or other event)
Name of Contributor / Corporation or Labor Organization ! Pledgor / ee
Contribution / Expenditure reported on:
~
~ Schedule A ~ Schedule B Sc dule C
~ Scheduie H ~ Schedule N ~ COH-UC
Schedule D ~ Schedule F
~ COH-T ^ PAGC
~ Schedule G
^ PAGE
Dates of travel Name of person(s) traveling ~'
~,;
Departure city or name of~d"eparture location
Destination city or me of destination location
~
Means of transportation urpose of travel (including name of conference, seminar, or other event)
Name of Contributor ! Corpo tion or Labor Organization / Pledgor / Payee
Contribution / Expen ' ure reported on:
~ Schedule A ~ Schedule B ~ Schedule C
~ Schedule H ~ Schedule N ~ COH-UC
~ Schedule D ~ Schedule F
~ COH-T ^ PAC-C
~ Schedule G
~ 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 eventj
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER REPORT:
FoRnn C/OH - FR
DESIGNATION OF FINAL REPORT
The Instruction Guide explains how to complete this form.
•• Compfete only if "ReportType" 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 / Officeholder
4 FILER WHO IS NOT AN OFFICEHOLDER
•• Complete A 8~ B below on/y if you are not an o~ceholder. ••
A. CAMPAIGN FUNDS
Check only one:
0 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. f 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:
~ 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. 1 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 •-
0 I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasureron file.
1 am also aware that 1 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 04/21/2010
,
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
CANDIDATE / OFFICEHOLDER FoRnn C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 'I
1 ACCOUNT# 2 Total pages filed:
The C/0H Instruction Guide explains how to complete this form. (Etnics Commission filers)
3 CANDIDATE / MS / MRS / MR FIRST MI
OFFICEHOLDER ^' ~
/ - • • • " ~
~~
'
NAME ~N •
~~'~
_` -/ ~
_.' .
' "
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eceivetl
J
NICKNAME LAST I SUFFIX
~~~i l~j~~}'~- JJL ~~.3 %'(';: ~3
4 CANDIDATE /
OFFICEHOLDER ADDRESS / PO BOX; AP / SUITE #; CITY; STATE; ZIP CODE
~
r
/
~~
~~~~
j~/~~a
D
~ CITYSECRETAkY"S
MAILING ~
A
DDR ~
L~~
~ a~
^
a geofAddress ~y~
/ ~ `
~
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
PHONEHOLDER /~~ ~ ~~ ¢ yg y~
~ v Receipt u Amount
Date Processed
s CAMPAIGN
TREASURER MS! MRS / MR FIRST MI
~
~~/~
Date Imaged
NAME .
. . . . . . . . . . . .
. . . . . . . . . . . . . .
NICKNAME LAST~~~ SUFFIX
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
TREASURER
ADDRESS //~{D /7~GC.~I~
V ~~
•f/K
~
O7~ ~IS.
(~~~1~ ~'" ~~y
(Residence or business) ~
/
f
i
8 CAMPAIGN
TREASURER AR CODE PHONE NUMBER EXTENSION
~
v
G
~ ~
~
~ ~QA ~
~
a
~
PHONE (
7
9 REPORTTYPE
~ January 15 ~ 30th day before eiection ~ Runoff
~ 15th day after campaign treasurer
appointment (officeholder only)
~ July 15 ~ 8th day before eleciion ~ Exceeded $500 limit ~inal report (Attach C/OH - FR)
10 PERIOD Month Day Year Month Day Year
COVERED / / THROUGH / /
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year
/ / ~ Primary ~ Runoff ~ General ~ Special
12 OFFICE O ICE HELD (rf any)
~ ~ 3 OFFICE SOUGHT ('rf known)
l~ ~ 3
u/
14 NOTICE
OF DIRECT " Di ect campaign expenditures are campaign expenditures made by others withou t the candidate's prior consent or approval.
CAMPAIGN Candidates are required to disclose this information only if they receive notification of the ' campaign expenditure. ••
EXPENDITURE
BY OTHER Name
INDIVIDUALS
Address / PO Box; ApL ! Suite #; Cit r tate; Zip Code
^ additional pages
GO TO PAGE 2
~.~' f
i ~
I~
3
I4 ~
~
Revisetl O6/27/2006
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
CANDIDATE / OFFICEHOLDER REPORT: FoRnn C/OH
SUPPORT & TOTALS COVER SHEET PG 2
15 C/OH NAME ~~~ ~A-, f '
/~~~/V 16 ACCOUNT #(EthicsCommissionFilers)
17 NOTICE « This box is for notice of political contributions accepted or political expenditures made by political committees to support the
FROM candidate 1~ceholder. These expenditures may have been made without the candidate's or officeholders knowledge or consent.
POLITICAL Candidates and officeholders are required to report this information only if they receive notice of such expenditures. ••
COMMITTEE(S)
COMMITTEE NAME
COMMITTEE TYPE
~ GENERAL
~ COMMITTEE ADDRESS
~ SPECIFIC
^ additional pages COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
~ CONTRIBUTION
TOTALS ~~ TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
PIEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED ,~ `
~ TX
V
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
$ ~
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED
~ ~
4. TOTAL POLITICAL EXPENDITURES /~
~ ~~ ~,
CONTRIBUTION
BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
$ ~i
~~
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST.DAY OF THE REPORTING PERIOD $
19 AFFIDAVIT
(~~~ ~~ ~~~ I swear, or affirm, under penalty of perjury, that the accompanying repoR
•.
1~O~f~/ PNbIIC, Stale ~ Tsxes ~ is true and correct and includes all information required to be reported by
~
u~ ~I~/ Cr011M11~f~01'1 ~: me under Title 15, Election Code.
Janua-Y 31 ~ 2009 ,,,,
~/.
Signature of andidate or Officeholder
AFFIX NOTARY STAMP / SEAL ABOVE 1 ~
~
/~ ~
~
Swo n to nd subscribed before me, by the sai ~6"V ~~ ~,~~ J , this the ~ day
of , 20 , to certify which, witness my hand and seal of office.
Signature of officer administe~ing oath Printed name of o~cer administering oath TRIe of officer administering oath
Revisetl O6/27/2008
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5500 1-800-325-8506
POLITICAL CONTRIBUTIONS SCHEDULE A
OTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form. 1 Total pages ScheduleA: ~/
~
2 FILER NAME ~~~ ,/-~
! / ~ 3 ACCOUNT# (ethicsCommissionfi~ers)
4 Date 5 Full name of contributor ~ ouaof-statePAC(ID#: ~ 7 Amount of g In-kind contribution
I contribution ($) I description (if applicable)
/1~/
6 Contributor addres ~ City, State; Zip Code
,/~%~
~
~
(If travel outside of Texas, complete Schedule ~
g Principal occupation / Job title (See Instructions) 10 Employer (See Instructions)
Date Full name of contributor ^ out-of-statePAC(ID#: ) Amount of In-kind contribution
contribution ($) I description (if applicable)
Contributor address; City; State; Zip Code I
~
I
If travel outside of xas, com lete Schedule
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ^ out-of-statePaC(iDa: 1 A unt of In-kind contribution
co ibution ($) I description (if applicable)
Contributor address; City; State; Zip Code /~ I
~
I
I
(If travel outside of Texas, complete Schedule '~
Principal occupatio~ / Job tit~e (See Instructions) r(See Instructions)
Date Fuil name of contributor ^ out-0f-stateP (IDq: ) Amount of in-kind contribution
contribution ($) I description (if applicable)
Contributor address; Cit State; Zip Code I
~
~
If travel outside of Texas, com lete Schedule
Principal occupation / Job titl ee Instructions) Employer (See Instructions)
Date F nameofcontributor ~out-of-statePAC(ID#: ) Amountof In-kind contribution
contribution ($) I description (if applicable)
Contributor address; City; State; Zip Code I
~
~
If trevel outside of Texas, com lete Schedule
Principai occupation ! Job title (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements.
Revised O6/27/2008
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
PLEDGED CONTRIBUTIONS SCHEDULE B
The Instruction Guide explains how to complete this form. 1 Total pages this Schedule B~
2 FILER NAME ~~~~ ~~~ 3 ACCOUNT# (EthicsCommissionfilers)
4 TOTALOF UNITEMIZED PLEDGES: b b b b b b ~ ~
$ Date g Full name of pledgor ~ ou[-0t_yYatePAC(ID#: ~ g Amount of y P
In-kind descri tion
pledge ($) I (if applicable)
7 Pledgor address; City; State; Zip Code I
~
~
(If travel outside of Texas, compl Schedule ~
10 Principal occupation / Job title (See Instructions) 1~ Employer (See Instructions)
Date FuII name of pledgor ^ out-of-sratePACpDtk ) Amount of In-kind description
pledge ($) (if applicable)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pledgor address; City; State; Zip Code
I
~
~
(If travel outside of 7exas, complete Schedule ~
Principal occupation / Job title (See Instruc- Em y e nstructions)
tions)
Date Full name of pledgor ~ out-of-statePAC(IDp: ) Amount of I In-kind description
(if applicable)
pledge ($)
. . . . . . . . . . . . . . . . . . . . . . . .
Piedgor address; City; State; Zi I
I
I
~ ~
(If travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See Instrudions) Employer (See Instructions)
Date Full name of pledgor ~ -of-siatePAC(ID#: ) Amount of I In-kind description
pledge ($) I (if applicable)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pledgor address; City; State; Zip Code
I
~
~
(If travel outside of Texas, complete Schedule T)
Principal occupation / Job ' e(See Instructions) Employer (See Instructions)
Date ull name of pledgor ~ outof-statePAC(ID#: ) Amount of In-kind description
Pledge ($) I ~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 Instrudions)
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
Revised 06/27/2009
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
LOANS SCHEDULE E
1 Total pages Schedule E
The Instruction Guide explains how to complete this form. ~
~ y
v
2 FILERNAME ~ y~~ ~~
T 3 ACCOUNT# (EthicsC~nfilers)
4
TOTAL OF UNITEMIZED LOANS: b b b b ~ b ~
$ Date of loan 7 Name of lender ~ out-of-state PAC (16#: ) 9 Loan Amount ($)
6 Islendera . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$ Lenderaddress; City; State; Zip Code
1 0 interestr
financial institution?
Y N 11 aturity date
~ y Principal occupation / Job titie (See Instructions) ~ 3 Employer (See Instructions)
14 Description of Collateral
^ none
15 GUARANTOR 16 Name of guarantor 18 Amount Guaranteed ($)
INFORMATION
17 Guarantoraddress; City; State; ZipCo
~ not applicable
~ 9 Principal Occupation plo
Date of loan Name of lender ^ out-of-statePAC (IDU: ) Loan Amount ($)
Is lender a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lender address; City; State; Zip Code
Interest rate
fi n an cial I nstituti on?
Y N Maturity date
Principal occupation / Job title (Se structions) Employer (See Instructions)
Description of Collateral
^ none
GUARANTOR Name of guarantor AmouM Guaranteed ($)
INFORMATI
..........................................
Guarantor address; City; State; Zip Code
~ ot applicable
Prinapal Occupation Empioyer
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
If lender is out-of-state PAC, please see instruction guide for additionai reporting requirements.
Revised 66/27/2008
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
POLITICAL EXPENDITURES SCHEDULE F
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F:
2 FILERNAME 3 ACCOUNT# (EthicsCommissionfilers)
4 Date 5 Payee name 7 Amount
($)
6 Payee address; City; State; Zip Code ~
$ Purpose of payment (See instructions regarding type of information 9 •• Complete if direct expenditure to benefit C/OH
requi~ed.) Candidate / Officeholder name Offce sought Office held
(If travel outside of Texas, complete Schedule 'f)
Date Payee name Amount
~$)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payee address; City; State; Zip Code
P~rpose of payment (See instructions regarding type of information •• Complete if direct expenditure to benefit ClOH ••
1'equlfed.) a date / Ofliceholder name Office sought Office held
~
(If travel outside of Texas, complete Schedule T)
Date Payee name Amount
~$)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payee address; City; S e; Zip Code
Purpose of payment (See instructions r arding type of information •• Complete if direct expenditure to benefit C/OH ••
feqUlfOd.) Candidate / Officeholder name Office sought Office held
(If travel outside of Texas, mplete Schedule T)
Date P ee name Amount
~$)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payee address; City; State; Zip Code
Purpose of payment (See instructions regarding type of information •• Complete if direct expenditure to benefit C/OH ••
~eqUired.) Candidate / Officehoider name Office sought Office held
(If travel outside of Texas, complete Schedule n
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Revisetl O6/27l2008
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
POLITICAL EXPENDITURES SCHEDULE G
MADE FROM PERSONAL FUNDS
The Instruction Guide explains how to complete this form. 1 Total pages Schedule~
2 FILER NAME ~%~ ~l~J~ ~(n
11 F%KJ~ 3 ACCOUNT# (EthicsCommissionfilers)
4 Date 5 Payee name g Amount
6 Payee address; City; State; Zip Code ~$)
(~
~v
7 Purpose ofexpenditure (See instructions regarding type of information required.) ~ Reimburs ent
from po ~ cal
contr' tions
If travel oulside of Texas, com lete Schedule int ded
Date Payee name Amount
~$)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payee address; City; State; Zip Code
Purpose ofexpenditure (See instructions regarding type of information require . ~ Reimbursement
from political
contributions
(If travel outside of Texas, complete Schedule'f) intendea
Date Payee name Amount
. . . . . ($)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payee address; City; State; Zip C~
Purpose ofexpenditure (See instructio re rding type of information required.) ~ Reimbursement
from political
contributions
(If travel outside of Texas, complete S edule T~ intended
Date Payee name Amount
. . . . . . . . . ($)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payee address; iry; State; Zip Code
Purpose of penditure (See instructions regarding type of information required.) ~ Reimbursement
from politicel
contributions
(Iftr el outside of Texas, complete Schedule'~ intended
Date P yee name Amount
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~$)
. .
Payee address; City; State; Zip Code
Purpose ofexpenditure (See instructions regarding type of information required.) ~ Reimbursement
trom political
contributions
~If travel outside of Texas, complete Schedule 1') incended
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Revisetl OG/27/2008
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
PAYMENT FROM POLITICAL CONTRIBUTIONS SCHEDULE H
TO A BUSINESS OF C/OH
The I~struction Guide explains how to complete this form. 1 Total pages Schedule H: ~/
2 FILERNAME !V I ~A~ l~
~1/ 3 ACCOUNTtt(EthicsCommissionfilers)
4 Date 5 Business name 7 Amount
($)
~ ...........................................
g Business address; City; State; Zip Code
g Purpose of payment (See instructions regarding type of information y •• Complete if direct expenditure to benefit H••
~equi~ed.) Candidate / Officeholder name Offce so t Office held
(If travel outside of Texas, complete Schedule T)
Date Business name Amount
~$)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Business address; Cily; State; Zip Code
Purpose of payment (See instructions regarding type of information Complete if direct expenditure to benefit C/OH ••
fequlfed.) ndi / iceholder name Office sought Offce held
f
" ~
(I
travel outside of Texas, complete Schedule
f)
Date Business name Amount
~$)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Business address; Ciry; S te; Zip Code
Purpose of payment (See instructions r arding type of information •• Compfete if direct expenditure to benefit ClOH ••
~equil'ed.) Candidate / Officeholder name Offce sought Office held
(If travel outside of Texas, co ete Schedule T)
Date Bu ' ess name Amount
($)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Business address; Ciry; State; Zip Code
Purpose of payment (See instructions regarding type of infortnation •• Complete if direct expenditure to benefit ClOH ••
reqUired.) Candidate / Officeholder name Office sought Offce held
(If travel outside of Texas, complete Schedule n
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Revised 0~5/27/2008
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
NON-POLITICAL EXPENDITURES SCHEDULE I
MADE FROM POLITICAL CONTRIBUTIONS
The Instruction Guide expiains how to complete this form. 1 Total pages Schedule I: ~/
/
Z FILER NAME 3 ACCOUNT #(Ethics Commission filere)
~
W
4 Date $ Payee name $ Am t
)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g Payee address; City; State; Zip Code
7 Purpose of expenditure (See instructions regarding type of information required.)
Date Payee name Amount
~$)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payee address; City; State; Zip Code
Purpose ofexpenditure (See instructions regarciin typg fo ation required.)
OI~
T"
Date Payee name Amount
P
dd
Ci
S
Zi
C
~ ~$)
ayee a
ress;
ty;
tate;
p
o
Purpose of expenditure (See instructio s regarding type of infortnation required.)
Date Payee name Amount
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~$)
Payee address; City; State; Zip Code
Purpose of ex nditure (See instructions regarding type of information required.)
Date Paye name Amount
~$)
ayee address; City; State; Zip Code
Purpose of expenditure (See instructions regarding type of information required.)
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Revisetl 06/27/2008
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
CREDITS (optional) SCHEDULE K
The instruction Guide explains how to complete this form. 1 Total pages Schedule K: ~~
2 FILER NAME ~ a~~ 3 ACCOUNT# (EthicsCommissionfilers)
4 Date 5 Payor name $ Amou
. .
g . . . . . . . . . . .
Payor address; . . .
City; . . . .
State; . . . . . . . . . . . . . . .
Zip Code . . . . . . . . .
7 Reason for credit
Date Payor name Amount
.
. . .
~$)
. . . . . . . . . . . . .
Payor address; . . .
City; . . . .
State; . . . . . . . . . . . . . .
Zip Code . . . .
.
l
Reason for credit
b
Date Payor name Amount
~$)
Payor address; City; State; ip Code
Reason for credit
Date Payor name Amount
~$)
. . . . . . . . . . . .
Payor addr s; . . .
Ciry; . . . .
State; . . . . . . . . . . . . . . .
Zip Code . . . . . . . . .
ason for credit
Date Payor name Amount
~$)
. . . . . . . . . . . . .
Payor address; . . .
City; . . . .
State; . . . . . . . . . . . . . . .
Zip Code . . . . . . . . .
Reason for credit
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Revised 08/27/2008
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
IN-KIND CONTRIBUTION OR POLITICAL
FOR TRAVEL OUTSIDE OF TEXAS EXPENDITURE SCHEDULE T
The Instruction Guide explains how to complete this form. 1 Tota1 pages Schedule T: _/~ /
a~ 1
2 FILER NAME ~ ~~ 3 ACCOUNT #(EthicsCommissionfilers)
4 Name of Contributor / Corporation or Labor Organization / Pledgor / Payee
5 Contribution / Expenditure reported on:
~ Schedule A ~ Schedule B ~ Schedule C
~ Schedule H ~ Schedule N ~ COH-UC
~ Schedule D ~ Schedule F
^ COH-T ^ PAC-C
Schedule G
^~'AC-E
6 Dates of trave~ 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, minar, or other event)
Name of Contrib~tor / Corporation or Labor Organization / Pledgor / Payee
Contribution / Expenditure reported on:
~ Schedule A ~ Schedule B Schedu C
~ Schedule H ~ Schedule N C -UC
Schedule D ~ Schedule F
^ COH-T ^ PAGC
~ Schedule G
^ PAGE
Dates of travel Name of person(s) traveling
Departure city or name of dep ure location
Destination city or nam of destination ~ocation
Means of transportation Pur ose of travel (including name of conference, seminar, or other event)
Name of Contributor / Corporation r Labor Organization / Pledgor / Payee
Contribution / Expenditure r orted on:
~ Sch ule A ~ Schedu~e B ~ Schedule C
~ edule H ~ Schedule N ~ COH-UC
~ Schedule O ~ Schedule F
^ COH-T ^ PAC-C
~ Schedule G
^ 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 FORM AS NEEDED
Revisetl O6/2712008
TPY'.iS Fthirc Cnmmissinn P.O_ Box 12070 Austin. Texas 78711-2070 (512) 463-5800 1-800-325-8506
CANDIDATE / OFFICEHOLDER REPORT: FoRnn 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 ~~
~~~ k 2 ACCOUNT #(EthicsCommissiontilers)
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 Ca didate / Officeholder
4 FILER WHO IS NOT AN OFFICEHOLDER
•- Complete A 8~ B below only if you are not an officeholder. ••
A. CAMPAIGN FUNDS
Check only one:
0 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.
~ 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 --
~ 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, at the time
I cease holding office, I retain assets purchased with political contributions or i erest or other income from
political contributions. j1 /~. 7~
J f
~
Signature f Officeholder
Revisetl C~6127/2008
Texas Ethics Commission P.O. Box 12070 Austin. Texas 78711-2070 (5121 463-5800 1-8~0-325-ti5n~
CANDIDATE / OFFICEHOLDER FoRnn C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 'I
7 ACCOUNT# Z Total pages filed:
The C/OH Instruction Guide explains how to compiete this form. (Emi~s Commission filers)
3 CANDIDATE /
OFFICEHOLDER MS / MRS / MR FIRST MI
J~
OFFICE USE ONLY
NAME ~~al~f, /v •
NICKNAME LAST SUFFIX t
~S+a ~ ~}/~-L ~
A P R 0 8?
OOsS
4 CANDIDATE /
OFFICEHOLDER ESS / PO BOX; APT ! SUITE #; CITY; STATE; ZIP CODE
~ !~~ ~ !~•~ n~G~ ` ~/~
~~
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MAILING ,
-
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ADDRESS /~ , C
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~ ~~03~ Date Ha d- e w stma ed
~ ChangeofAddress C/~G~L
yV
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5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
HOLDER r c~' ~~ \ (la G~!~ ~j~~
~' i Receipt u a,mount
PHONE ~ ~ / l D b
D
t
P
d
s e
a
rocesse
CAMPAIGN MS / MRS / MR FIRST MI
TREASURER ~~~ L ~ Dale Imaged
NAME ,
NICKNAME IRST SUFFIX
~~ ~
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; Z~P CODE
TREASURER
ADDRESS /_ J~ /l~ lJ
(~ ~D~D /~/Lf~1 ~ffQf l~ J//~
~ 76 ~ 3/
(~G L~I/I ~
(Residence or business) j
~
8 CAMPAIGN
RER AREA CODE PHONE NUMBER EXTENSION
r ¢
` ~p ¢ 1 /~G+ /
PHONE ~~
\ U / 40 d / ! P
9 REPORTTYPE
~ January 15 ~ 30th day before election ~ Runoff ~ 15th day aRer campaign treasurer
appoinlment (officeholder only)
~ July 15 ~ 8th day before election ~ Exceeded $500 limit ~ Final report (Attach C/OH - FR)
10 PERIOD Month Day Year Month Oay Year
COVERED ~ / THROUGH /
i
,
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year
C
~
d
~ P
~
G
~
// /
/ /)
J ~~ ~~~ nmary
Runott ~
eneral ~ Speci:3t
12 OFFICE OFFICE HELD (if any) q 3 OFFICE SOUGHT (if known)
~~ ~~~if/ ~~•~ ~=~-~
14 NOTICE
OF DIRECT " Direct campaign expenditures are campaign expenditures made by others without the candidate's prior cons~nt or approval.
CAMPAIGN Candidates are required to disclose this information only if they receive notificatioh of the direct campaigrt expenditure~. ••
_ •
EXPENDITURE
BY OTHER , ,
Name ` `
INDIVIDUALS
Address / PO Box; Apt. / Suite #; City; Sta ip Code l ~
N
^ additional pages
GO TO PAGE 2
Revisetl 09IOV2007
Texas Ethics Commission P.O. Box 1207o A~~~r~n rA,.~~ ~u~„_~n~~ .~,~. .
- - - - " ' ' -~' ~ \`~' • ~-/ -T - ~V VIJ~JGJ~0.7U0
CANDIDATE / OFFICEHOLDER REPORT: FoRnn C/OH
SUPPORT & TOTALS COVER SHEET PG 2
15 C/OH NAME ~~ /~ //
h ` L~ 1BACCOUNT# (EthicsCommissionFilera)
17 NOTICE
FROM •• This box is for notice of political expenditures by political committees to support the candidate I o~ceholder. These expenditures
POLITICAL may have 6een made without the candidate's or officeholder's knowledge or consent. Candidates and o~ceholders are required to report
this information only if they receive notice of such expenditures. ••
COMMITTEE(S)
~ COMMITTEE NAME
COMMITTEE TYPE
~ ~ GENERAL
~ (' COMMITTEEADDRESS
N o SPECIFIC
^ additional pages COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
18 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ "f2
v -
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) ~ ~
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED
TOTALS ~ ~
4. TOTAL POLITICAL EXPENDITURES
~ ~
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD ~ a
v~
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD ~
~
19 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report
is true and correct and includes all information required to be reported by
~11RtgNE IACIAII.tN'1
••, ~ ~~ry public Sterts of YinW me under Titie 15, Election Code.
i MY ~p~xr~ission E~
~ , t ~ };, Z009
Signature fCandidateorO~ceholder
AFFIX NOTARY STAMP / SEAL ABOVE
~1
Sworn to and ubscribed before me, by the said / ~~ ~,~ , this the /"'-'~~ day
of ( I~ , 20 ' 0 , to c rtify which, witness my hand and seal of o~ce.
~i /
`
~
r
~
~
~
/
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I C1
J
ature of offcer a i is ering oath Printed name of o~cer ad in tering oath Title of officer a ministering oath
Revised 09l01/2007
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
POLITICAL CONTRIBUTIONS SCHEDULE A
OTHER THAN PLEDGES OR LOANS
The instruction Guide explains how to complete this form. 1 Total pages ScheduleA: ~
0
Z FILER NAME ~^/ _~ 1~''!N//
~i ~v? 3 ACCOUNT#(EthicsCommissionflers)
4 Date 5 Full name of contributor ~ out-of-statePAC(ID#: ~ 7 Amount of g In-kind contribution
~p
/ V /~ contribution ($) f description (if applicable)
6 Contributor address; City; State; Zip Code I
~ ~(~
~ ~~
.. ~
(If travel outside of Texas, complete Schedule T)
g Principal occupation / Job title (See Instructions) 1Q Employer (See Instructions)
Date Full name of contributor ^ out-of-statePnC(iDn: ~ Amount of In-kind contribution
contribution ($) I description (if applic e)
Contributor address; City; State; 2ip Code I
~
~
If travel outside o exas, com lete Schedule
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ^ out-of-statePnC(iD#: ) ount of In-kind contribution
ntribution ($) I description (if applicable)
Contributor address; City; State; Zip Code
~ I
'
~ ~ ~
'
(If trevel outside of Texas, complete Schedule
n
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ^ out-of atePnC(IDa: ~ Amount of In-kind contribution
contribution ($) I description (if applicable)
Contributor address; ity; State; Zip Code I
~
~
If travel outside of Texas, com lete Schedule
Principal occupation / Job t' e(See Instructions) Employer (See Instructions)
Date F I name of contributor ~ out-of-statePACpD#: ) Amount of In-kind contribution
contribution ($) I description (if applicable)
Contributor address; City; State; Zip Code I
~
~
If travel outside of Tezas, com lete Schedule
Principal occupation / Job title (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS FORMAS NEEDED
if contributor is out-of-state PAC, please see instructfon guide foradditional reporting requirements.
Revised 09f0112007
Texas Ethics Commission P.O. Box 12070 Austin TPYae 7R71~_9(17f1 ~~,o~ ~~~ ~o~~ , o
PLEDGED CONTRIBUTIONS SCHEDULE B
The Instruction Guide explains how to complete this form. 1 Totai pages this Schedule~/
2 FILER NAME ~~~ l~~// 3 ACCOUNT# (EthicsCommissionfilers)
4 TOTAL OF UNITEMIZED PLEDGES: b b ~ b b b ~ ~
5 Date g Full name of pledgor ^ ou~-of-srate anC~lDx
) Amount of
8 9 ~n-kind description
pledge ($) I (if applicable)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 Pledgor address; City; State; Zip Code
I
~
~
(if travel outaide o exas, complete Schedule T)
10 Principal occupation / Job title (See Instructions) q~ Employer (See Instructions)
Date Full name of pledgor ~ out~of-statePAC(iDp: ~ Am nt of In-kind description
P d9e ($) I (if applicable)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pledgor address; City; State; Zip Code I
~
~
(If trevel outside of Texas, complete Schedule T)
Principal occupation / Job title (See Instruc- E pioyer (See Instructions)
tions)
Date Full name of pledgor ~ outof-statePAC(IDIt ~ Amount of I In-kind description
. . . . . . . Pledge ($) I (if applicable)
. . . .
Pledgor address; City; State; p Cod~ ~~ I
~ lJ ~ U~l - ., I
(
(If travel outside of Texas, compiete Schedule 1')
Principal occupation / Job title (See Instructio Employer (See Instructions)
Date Fullnameofpledg ~out-ot-scatePAC(IDa: ~ Amountof ~ In-kind description
. . . . . . . . . . Pledge ($) ( (if applicable)
. . . . . . . . . . . . . . . . . . . . .
Pledgor add ss; City; State; Zip Code I
~
~
(If travel outside of Texas, complete Schedule T?
Principa) occupatio Job titie (See instructions) Empioyer (See Instructions)
Date Full name of pledgor ~ out-of-statePAC(IDq: ) Amount of in-kind description
. . . . . . . . . . . . . . . . . . . Pledge ($) ~ ~if applicable)
. . . . . . . . . . .
Pledgor address; City; State; Zip Code ~
~
~
(If travel outside of Texas, complete Schedule n
Principal occupation / Job title (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
Revised 09101I2007
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 f5~21 463-5800 1-800-325-iiSnR
LOANS SCHEDULE E
The Instruction Guide explains how to complete this form. 1 Total pages Schedule E: ^ O
~~~
2 FILER NAME
~~ ~ ~ ~~ 3 ACCOUNT #(Emics Commission ti~ers)
4
TOTAL OF UNITEMIZED LOANS: b ~'a ~ b b ca $
$ Date of loan 7 Nameof lender ^ out-ot-state P,4C (iD#: ~ 9 Loan mount ($)
g Is lender a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g Lender address; City; State; Zip Code
10 Interest rate
fi n a n d a I I n st it ut i o n?
Y N ~~ Maturitydate
~ 2 Principal occupation / Job title (See Instructions) ~ 3 Employer (See Instructi s)
14 Description of Collateral
^ none ~
15 GUARANTOR 16 Name of guarantor 18 Amount Guaranteed ($)
INFORMATION
......................~~~ .~ ............
17 Guarantoraddress; City; State; ZipC d
~ not applicable
19 principalOccupation ZQ Employer
Date of loan Name of lender ^ outof-state Pa,C 00#: ) Loan Amount ($)
is lender a Lender address; C' ; State; Zip Code ~nterest rate
fi nandal Institution7
Y N Maturity date
Principal occupation / Job title (S e Instrudions) Employer (See Instrudions)
Description of Collateral
^ none
GUARANTOR Name of guarantor Amount Guaranteed ($)
INFORMATI
..........................................
Guarantor address; City; Stale; Zip Code
~ t applicable
Principal Occupation Employer
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
If lender is out-of-state PAC, please see instruction guide for additional reporting requirements.
Revised 09I01l2007
Texas Ethics Commission P.O. Box 12070 Austin. Texas 78711-2mn rF~~~ daz_~ann ~_ann_z~~_u~na
POLITICAL EXPENDITURES SCHEDULE F
The Instruction Guide explains how to compiete this form. 1 rotal pages Scnedule F:
U(
2 FILER NAME
C/ _~ //
~~'"~ <<
3 ACCOUNT #(Ethics Commission tilers)
4 Date $ Payee name
7 Amaunt
($)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Payee address; City; State; Zip Code
~
8 Purpose of payment (See instructions regarding rype of information 9 •• Complete if dir t expenditure to benefit CIOH ••
requifed.) Candidate / Officeholder ame Offce sought 01fice held
(If trevel outside of Tezas, complete Schedule T)
Date Payee name Amount
($)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payee address; City; State; Zip Code
~
Purpose of payment (See instructions regarding type of inform 'o •• Complete if direct expenditure to benefit C/OH ••
fequired.) O [
~~ J Candidate / Officeholder name Office sought Office held
(If travel outside of Texas, complete Schedule T)
Date Payee name Amount
~$)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payee address; ity; State; Zip Code
Purpose of payment (See instructi s regarding type of information •• Complete if direct expenditure to benefit C/OH ••
fequifed.) Candidate / O%iceholder name Office sou9ht Office held
(If trevel outside of Texas complete Schedule T)
Date P ee name Amount
~$)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payee address; City; State; Zip Code
Pu se of payment (See instructions regarding type of information •• Complete if direct expenditure to benefit ClOH ••
req ired.) Candidate / Officeholder name Office sought Office held
(If travel outside of Texas, complete Schedule n
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Revised 09/01i2007
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
POLITICAL EXPENDITURES SCHEDULE G
MADE FROM PERSONAL FUNDS
The Instruction Guide explains how to complete this form. 1 Total pages Schedule G: ~/
2 FILER NAME ~~h /~ //
l 3 ACCOUNT# (EthicsCommissionfi~ers)
4 Date $ Payee name g Amount
~$)
6 Payee address; City; State; Zip Code ~
7 Purpose of expenditure (See instructions regarding type of information required. ~ Reimbursement
from political
contributions
If travel outside of Texas, tom lete Schedule intended
Date Payee name s Amount
/ ~$)
. . . . . . . .
. . . . . . . . .
Payee address; City; State; Zip Code /
~
Purpose of expenditure (See instructions regardin
of' fo ation required.) ~ Reimburseme nt
from political
~ contributions
(If travel outside of Texas, complete Schedule intended
Date Payee name Amount
~$)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payee address; City; State; Zip ode
Puipose of expenditure (See instru ons regarding type of information required.) ~ Reimbursement
from political
contributions
(If travel outside of Texas, com te Schedule T) intended
Date Payee name Amount
~$)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payee address; City; State; Zip Code
Purpose of xpenditure (See instructions regarding type of information required.) a Reimbursement
from political
contributions
(If t el outside of Texas, complete Schedule ~ intended
Date P ee name Amount
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
~$)
Payee address; City; State; Zip Code
Purpose of expenditure (See instructions regarding type of information required.) ~ Reimburseme:nt
from political
contributions
(If travel outside ot Texas, complete Schedule ~ intended
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Revised 09/0112007
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 ~,1~~ aa~_~stnn ~_ann_z~~_u~na
PAYMENT FROM POLITICAL CONTRIBUTIONS SCHEDULE H
TO A BUSINESS OF C/OH
The Instruction Guide explains how to complete this form. 1 7otal pages Schedule H: ~~
2 FILER NAME ~/ I,A /~
)~ l ~, ~ / 3 ACCOUNT# (Ethics Commissionfilers)
4 Date $ Business name
7 Amount
($)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
s Business address; City; State; Zip Code
g Purpose of payment (See instructions regarding type of information
POquiYed.) 9 •• Complete if di ct expenditure to benefit C/OH ••
Candidate / Officehold name Office soughl O~ce heid
(If trevel outside of Texas, complete Schedule ~
Date Business name ~ ~ Amount
~$)
Business address; City; State; Zip Co e ~ f j~
~
Purpose of payment (See instructions regarding type of information •• Complete if direct expenditure to benefit CIOH ••
required.) Candidate / ORiceholder name Offica sought OKCe held
(If travel outside of Texas, complete Schedule T-
Date 8usiness name Amount
($)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Business address; C' ; State; Zip Code
Purpose of payment (See instrudion egarding type of information •• Complete if direct expenditure to benefit C/OH ~•
required.) Candida[e / ORceholder name Office sought Office held
(If travel oufside of Texas, co plete Schedule T)
Date Bu ness name Amount
($)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Business address; City; State; Zip Code
Purpose of payment (See instructions regarding type of information •• Complete if direct expenditure to benefit C/OH ••
required.) Candidate / Officeholder nama Office sought Office held
(If travei outside of Texas, complete Schedule T)
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Revisetl 09107i2007
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
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 ~~,A %~//
i~ 3 ACCOUNT# (EthicsCommissionfl~ers)
4 Date $ Payee name g Amount
~$)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
s Payee address; City; State; Zip Code
7 Purpose of expenditure (See instructions regarding type of information required.)
Date Payee name Amount
. . . . . . . . . . . . . ~$)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payee address; City; State; Zip Code
Purpose of expenditure (See instructions regarding type of' formation required.)
Date Payee name { Amount
,` N
. . ~$~
. . .
. . . . . . . . .
Payee address; City; State; Zip ode~ ` V ~L
~U ~ ~~
Purpose of expenditure (See instru ions regarding type of infortnation required.)
Date Payee name Amount
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~$)
. . . . .
Payee address; City; State; Zip Code
Purpose of e enditure (See instructions regarding type of information required.)
Date Pa e name Amount
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ($)
. . . . . . . . . . . . .
Payee address; City; State; Zip Code
Purpose of expenditure (See instructions regarding type of information required.)
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Revised 09/0 V2007
Texas Ethics Commission P.~. BOX 1207C) Auctin Tovac 7A7~1_9n7n ic~o~ AGO conn
CREDITS (optional) SCHEDULE K
The Instruction Guide explains how to complete this form. 1 Total pages Schedule K:
2 FILER NAME ~~ // ~~
~ j~~ 3 ACCOUNT #(Ethics Commission fiiers)
4 Date 5 Payorname
$ Amoun
~$
6 Payor address; City; State; Zip Code
7 Reason for credit
Date Payor name Amou~t
. . . . . . . . . . . . . . . . . . . . . . ~S)
. . . . . . . . . . . . . . . . . .
Payor address; City; State; Zip Code
C
Reason for credit ~
Date Payor name Amount
. . . . . . . . . . . . . . . . . . . ~$)
. . . . . . . . . . . . . . . . . . . . . . . . .
Payor address; City; State; Zip Code
Reason for credit
Date Payor name Amount
. . . . . . . . . . . . ~$)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payor address; City~ State; Zip Code
Reason for credit
Date Payor na e Amount
. . . . . . . . . . . . . . . . . . . . . . ($)
. . . . . . . . . . . . . . . . . .
Pay r address; City; State; Zip Code
Reason for credit
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Revised 09I07/2007
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
IN-KIND CONTRIBUTION OR POLITICAL
FOR TRAVEL OUTSIDE OF TEXAS EXPENDITURE SCHEDULE T
The Instruction Guide explains how to complete this form. 1 TotalpagesScheduleT: ~
2 FILER NAME ~ ~ 3 ACCOUNT # lEthicsCommiasiontilers~
4 Name of Contributor / Corporation or Labor Organization / Pledgor / Payee
5 Co~tribution / Expenditure reported on:
~ Schedule A ~ Schedule B ~ Schedule C
~ Schedule H ~ Schedule N ~ COH-UC
~ Schedule D ~ Sched e F
^ COH-T ^ P -C
~ Schedu~e G
^ 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 travef (inciuding name of confe ence, seminar, or other event)
Name of Contributor / Corporation or Labor Organization / Pledgor / Payee
Contribution / Expenditure reported on:
~ Schedule A ~ Schedule B ~ S ed le
~ Schedule H ~ Schedule N C -~
~ chedule D ~ Schedule F
^ COH-T ^ PAGC
~ Schedule G
^ PAGE
Dates of travel Name of person(s) traveling
Departure city or name o eparture location
Destination city or me of destination location
Means of transportation urpose of travel (including name of conference, seminar, or other event)
Name of Contributor / Corpor on or Labor Organization / Pledgor / Payee
Contribution / Expenditu reported on:
~ 5 edule A ~ Schedule B ~ Schedule C
Schedule H ~ Schedule N ~ COH-UC
~ Schedule D ~ Schedule F
^ COH-T ^ PAGC
~ Schedule G '
^ PAGE ~
Dates of trav 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 FORM AS NEEDED
Revisetl 09i0U2007
Texas Ethics Commission P,O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
CANDIDATE i OFFICEHOLDER REPORT: FoRnn 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# (EthicsCommissionfilers)
3 SIGNATURE
I do not expect any further politicai 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 1 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 onfy one:
~ I do not have unexpended contributions or unexpended interest or income earned from political contributions.
~ l have unexpended contributions or unexpended interest or income earned from politicai 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:
[~ I do not retain assets purchased with political contributions or interest or other income from politicai
contributions.
~ 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 politicai 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 on(y 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, at the time
1 cease holding office, 1 retain assets purchased with political contributions or interest or other income from
political contributions.
Signature of Officeholder
Revised 09l07f2007