HomeMy WebLinkAboutContributions and Expenditure Statements-Campaign Finance Reports & Filings-Jody Short -5/15/2014Texas Ethics Commission PO Box 12070 Austin Texas 78711 2070 (512) 463-5800 (TDD 1-800-735-2989) .. -
CANDIDATE I OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT# 2 Total pages filed:
The C/OH Instruction Gulde explains how to complete this form. (Ethics Commission Filers)
-
3 CANDIDATE I MS/MRS~ FIRST Ml OFFICE USE ONLY
OFFICEHOLDER ~VSt"ph_ I NAME D• · ltt!L:[~W[ ..... . . . . . . . . ..
NICKNAME sho~ SUFFIX
)..,,R"\ •
MAY 1520111
4 CANDIDATE I ~Rl~;sox~e yr~u;:~ CITY; STATE; ZIP CODE ..
OFFICEHOLDER rlTV .1'A"''ll" n""-·-
MAILING 0 •-u-nd-deliveredor1->osfm'M1!eci -· 1 Iv
ADDRESS Col\t"1"; I )c • \;( {t,o-s.1 D change of address Receipt # I Amount 1(l 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER ('1?11 ) 2 "'3)' q111_,, Date Processed
PHONE
6 CAMPAIGN MS/MRs@ FIRST Ml Date Imaged
TREASURER v..-V\lC-NAME
NICKNAME I\.(,<) )'.: : V\. $
SUFFIX
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
(\t\ t<-.. t $., _ C1\.-7,/0 lk-;117t..o~( ADDRESS -"2,£; 4 s-1-_ (residence or business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER ( ~1'1) 51?], ---rz-->> PHONE
9 REPORT TYPE D January 15 D 30th day before election D Runoff D 15th day after campaign
treasurer appointment
(officeholder only)
D July 15 D 8th day before election D Exceeded $500 ~ Final report (Attach C/OH -FR)
limit
10 PERIOD Moo• °" Year """" °" Year,
COVERED
z_ / Z'il>/?.1?4 ' / --u.1{ THROUGH s-/: I"'
,-•:--. : :
11 ELECTION ELECTION DATE ELECTION TYPE
Month °" Y•~ D Primary D """"" gi__ General D Special
S°/ ID /-z,,1~
12 OFFICE OFFICE HELD {ff any) 13 OFFICESOUGHT (ifknown)
l\~ c.,.,......,..\ c1.+-; c.,.~..,, ~ l
\)\...ce ~ \)\<><C-c {
GOTOPAGE2
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE I OFFICEHOLDER REPORT:
SUPPORT & TOTALS
FORM C/OH
COVER SHEET PG 2
14 C/OH NAME ~OSrt"pk. 15 ACCOUNT# (Ethics Commission Filers)
16 NQ Tl CE F RQM lHIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITIEES TO SUPPORTlHE
p Q l ITI CAL CANDIDATE f OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
CQ MM l=f-TE-E (-S) -CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORTlHIS INFORMATION ONLY IF lHEY RECEl\IE NOTICE OF SUCH EXPENDITURES.
COMMITTEE NAME
COMMITTEE TYPE
D GENERAL
COMMITTEE ADDRESS
D SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
D additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN 0 TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $
2. TOTAL POLITICAL CONTRIBUTIONS $ 0 (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE $ 0 TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES $ 0
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY 0 BALANCE OF REPORTING PERIOD $
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $ {) LOAN TOTALS LAST DAY OF THE REPORTING PERJOD
18 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report
AIM BETH SHEU.EV
MY COMMISSION EXPIRES
December 2, 2015
AFFIX NOTARY STAMP I SEAL ABOVE
Sworn to and subscribed before me, by the said --~~~t)~d~.u.-~'\-~~-~ho{-~~+-~---------' this the
\5= day ot mo +A . 20 ~'-Y~-tc:certlfyW!ict;~ss my hand and sea1 of office.
\
M.11
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS
SCHEDULE A OTHER THAN PLEDGES OR LOANS
The Instruction Guide explalns how to complete this form. 1 Total pages Schedule A:
2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)
----
4 Date 5 Full name of contributor D out-of-state PAC(ID#· ' 7 Amount of Is In-kind contribution
contribution ($) I description (if applicable)
6 Contributor address; City; state; Zip Code I
I
I
(If travel outside of Texas, complete Schedule T)
9 Principal occupation I Job title (See Instructions) 110 Employer (See Instructions)
Date Full name of contributor D out-of-state PAC(ID#: ' Amount of I In-kind contribution
contribution ($) I description (if applicable)
Contributor address; City; State; Zip Code I
I
I
(If travel outside of Texas, comolete Schedule T)
Principal occupation I Job title (See Instructions)
I
Employer (See Instructions)
Date Full name of contributor D out-of-statePAC(ID#; ' Amount of I In-kind contribution
contribution ($) I description (Jf appllcable)
Contributor address; City; State; Zip Code I
I
I
(If travel outside of Texas, complete Schedule T)
Principal occupation I Job title (See Instructions) l Employer (See Instructions)
Date Full name of contributor D out-of-state PAC(ID#: ' Amount of I In-kind contribution
contribution ($) I description (if applicable)
Contributor address; City; State; Zip Code I
I
I
1 If travel outside of Texas, com[ lete Schedule T\
Principal occupation I Job title (See Instructions)
I
Employer (See Instructions)
Date Full name of contributor D out-of-state PAC (ID#: ' Amount of I In-kind contribution
contribution ($) I description (if applicable)
Contributor address; City; state; Zip Code I
I
I
flf travel outside of Texas, comr lete Schedule T\
Principal occupation I Job title (See Instructions) l Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements.
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
PLEDGED CONTRIBUTIONS SCHEDULE 8
The Instruction Guide explains how to complete this form.
1 Total pages Schedule B:
2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
------------------------------.
4 TOTAL OF UNITEMIZED PLEDGES: ¢ ¢ ¢ ¢ ¢ ¢ 1$
5 Date 6 Full name of pledger D out-of-state PAC (ID#: 1 8 Amount of 19 In-kind description
pledge ($) I (if applicable)
7 Pledger address; City; State; Zip Code I
I
I
(If travel outside of Texas, complete Schedule T)
10 Principal occupation I Job title (See Instructions) 111 Employer (See Instructions)
Date Full name of pledger D out-of-state PAC (ID#· 1 Amount of I In-kind description
pledge ($) I (if applicable)
Pledger address; City; State; Zip Code I
I
I
(If travel outside of Texas, complete Schedule T)
Principal occupation I Job title (See Instructions) I Employer (See Instructions)
Date Full name of pledger D out-of-stataPAC(ID#: 1 Amount of I In-kind description
pledge ($) I (if applicable)
Pledger address; City; State; Zip Code I
I
I
(If travel outside of Texas, complete Schedule T)
Principal occupation I Job title (See Instructions)
I
Employer (See Instructions)
Date Full name of pledger D out-of-statePAC(JD#: ' Amount of I In-kind description
pledge ($) I (if applicable)
Pledger address; City; State; Zip Code I
I
I
(If travel outside of Texas, complete Schedule T)
Principal occupation I Job title (See Instructions) I Employer (See Instructions)
Date Full name of pledger D out-of-statePAC(ID#: 1 Amount of I In-kind description
pledge ($) I (if applicable)
Pledger address; City; State; Zip Code I
I
I
(If travel outside of Texas, complete Schedule T)
Principal occupation I Job title (See Instructions)
I
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
LOANS SCHEDULE E
1 Total pages Schedule E:
The Instruction Guide explains how to complete this form.
2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
.
4
TOTAL OF UNITEMIZED LOANS: 9 9 9 9 9 9 $
5 Date of loan 7 Name of lender D out-of-state PAC (ID#: ) 9 LoanAmount ($)
6 ls lender 8 Lender address; City; State; Zip Code 10 Interest rate
a financial
Institution?
11 Maturity date
y N
12 Principal occupation I Job title (See Instructions) 13 Employer (See Instructions)
14 Description of Collateral 15 Check if personal funds were deposited into political account
D none D
16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed($)
INFORMATION
18 Guarantor address; City; state; Zip Code
D not applicable
20 Principal Occupation (See Instructions) 21 Employer (See Instructions)
Date of loan Name of lender D out-of-state PAC (ID#: ' Loan Amount($)
ls lender Lender address; City; State; Zip Code Interest rate
a financial
Institution?
Maturity date
y N
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Description of Collateral Check if personal funds were deposited into political account
D none D
GUARANTOR Name of guarantor Amount Guaranteed($)
INFORMATION
Guarantor address; City; State; Zip Code
D not applicable
Principal Occupation (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender is out-of-state PAC, please see Instruction guide for additional reporting requirements.
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission PO Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX S(a)
Advertising Expense GifUAwards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F: 2 FILER NAME 13 ACCOUNT# (Ethics Commission Filers)
4 Date 5 Payee name
6 Amount ($) 7 Payee address; City; State; Zip Code
8 PURPOSE (a) Category (See categories listed at the top of this schedule) (b) Description (If travel outside of Texas, complete ScheduleT)
OF
EXPENDITURE
9 Complete Qt:l1l'. if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule} Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete Qli.LJ:'.. if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission PO 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 B(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not fisted above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
4 Date 5 Payeename
6 Amount ($) 7 Payee address; City; State; Zip Code
D Reimbursement from
political contributions
intended
8 PURPOSE (a) Category (See categories listed at the top of this schedule) (b) Description (ff travel outside of Texas, complete Scheduler)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; state; Zip Code
D Reimbursement from
political contributions
Intended
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; state; Zip Code
D Reimbursement from
political contributlons
intended
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
D Reimbursement from
political contributions
intended
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04119/2013
Texas Ethics Commission PO 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 B(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 Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule H: 2 FILER NAME 13 ACCOUNT# (Ethics Commission Filers)
4 Date 5 Business name
6 Amount ($) 7 Business address; City; State; Zip Code
8 PURPOSE (a) Category (See categories listed at the lop of this schedule) (b) Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
9 Complete ONLY if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Business name
Amount ($) Business address; City; State; Zip Code
PURPOSE Category (See categories listed al the top of this schedule) Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Business name
Amount ($) Business address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas, com plate Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Business name
Amount ($) Business address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete QNbY if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
NON-POLITICAL EXPENDITURES SCHEDULE I
MADE FROM POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form.
1 Total pages Schedule I: 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)
4 Date 5 Payee name
6 Amount ($) 7 Payee address; City; State; Zip Code
8 PURPOSE (a) Category (See instructions for examples of acceptable (b) Description (See instructions regarding type of information
OF categories) required.)
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE (a) Category (See instructions for examples of acceptable (b) Description (See instructions regarding type of information
OF categories) required.)
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE (a) Category (See instructions for examples of acceptable (b) Description (See instructions regarding type of information
OF categories) required.)
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE (a) Category (See instructions for examples of acceptable (b) Description (See Instructions regarding type of information
OF categories) required.)
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
INTEREST EARNED, OTHER CREDITS/GAINS/
SCHEDULE K REFUNDS, AND PURCHASE OF INVESTMENTS
The Instruction Guide explains how to complete this form. 1 Total pages Schedule K:
2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
4 Date 5 Name of person from whom amount is received 8 Amount
($)
6 Address of person from whom amount is received; City; State; Zip Code
7 Purpose for which amount is received
Date Name of person from whom amount is received Amount
($)
Address of person from whom amount is received; City; State; Zip Code
Purpose for which amount is received
Date Name of person from whom amount is received Amount
($)
Address of person from whom amount is received; City; State; Zip Code
Purpose for which amount is received
Date Name of person from whom amount Is received Amount
($)
Address of person from whom amount is received; City; State; Zip Code
Purpose for which amount is received
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
IN-KIND CONTRIBUTION OR POLITICAL EXPENDITURE SCHEDULE T
FOR TRAVEL OUTSIDE OF TEXAS
The Instruction Gulde explains how to complete this form. 1 Total pages Schedule T:
2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
4 Name of Contributor I Corporation or Labor Organization I Pledger I Payee
5 Contribution I Expenditure reported on:
D Schedule A D Schedule B D Schedule C D Schedule D D Schedule F D Schedule G
D Schedule H D Schedule N D COH-UC D COH-T D PAC-C D PAC-E
6 Dates of travel 7 Name of person(s) traveling
8 Departure city or name of departure location
9 Destination city or name of destination location
10 Means of transportation 11 Purpose of travel (including name of conference, seminar, or other event)
Name of Contributor I Corporation or Labor Organization I Pledger I Payee
Contribution I Expenditure reported on:
D Schedule A D Schedule B D Schedule C D Schedule D D Schedule F D Schedule G
D Schedule H D Schedule N D COH-UC D COH-T D PAC-C D PAC-E
Dates of travel Name of person(s) traveling
Departure city or name of departure location
Destination city or name of destination location
Means of transportation Purpose of travel (including name of conference, seminar, or other event)
Name of Contributor I Corporation or Labor Organization I Pledger I Payee
Contribution I Expenditure reported on:
D Schedule A D Schedule B D Schedule C D Schedule D D Schedule F D Schedule G
D Schedule H D Schedule N D COH-UC D COH-T D PAC-C D PAC-E
Dates of travel Name of person(s) traveling
Departure city or name of departure location
Destination city or name of destination location
Means of transportation Purpose of travel (including name of conference, seminar, or other event)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE I OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT FORM C/OH -FR
The Instruction Guide explains how to complete this form.
•• Complete only if "Report Type" on page 1 is marked "Final Report" ••
1 C/OHNAME 2 ACCOUNT# (Ethics Commission Filers)
3 SIGNATURE
I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designating a
report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign ntributions
or make any campaign expenditures without a campaign treasurer appointment on file.
4 FILER WHO IS NOT AN OFFICEHOLDER
•• Complete A & B below on/yifyou are not an officeholder. ••
A. CAMPAIGN FUNDS
Check only one:
~ I do not have unexpended contributions or unexpended interest or income earned from political contributions.
D I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I may
not convert unexpended political contributions or unexpended interest or income earned on political contributions to personal
use. I also understand that I must file an annual report of unexpended contributions and that I may not retain unexpended
contributions or 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:
g 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 :h72uirements
of Election Code, § 254.204. , J} ,/ .-
'-R'~
5 OFFICEHOLDER
•• Complete this section only if you are an officeholder ••
I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on file.
I am also aware that I will be required to file reports of unexpended contributions if, after filing the last required report as an
officeholder, l retain political contributions, interest or other income from political contributions, or assetfl;has~d ith political
contributions or interest or other income from political contributions. _7 //Y
~~~~r-~~~~~~~~~~~~~~
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.~. BOX ~ 2070 Ai ~ctin TaYac 7R71 ~_'~h7l1 ~~~ 7~ ~a~ conn i-rr~r, . ~
.. -__ _ -.~~ . ........ ~ivv - -IJJ-GJV~~
CANDIDATE / OFFICEHOLDER FoRnn C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG ~
The C/OH Instruction Guide explains how to complete this fo~m. 1 ACCOUNT #
(EtnicsCommissionFi~ers) 2 Total pages filed:
3 CANDIDATE/ MS/MRS/ R FIRST ^^~
OFFICEHOLDER
I
~
~ OFFICEUSEONLY
NAM E _
S~'" ` ~
NICKNAM . . . . . . . . .~qST . . . . . . . . . . . . . . . SUFFIX
~ ~~lL~~~ a
~ D
~p r~
~
4 CAN DI DATE /
ADDRESS / PO BOX; APT / SUITE it; CITY; STATE; ZIP CODE JUL 5
1 Zp ~?
OFFICEHOLDER /
MAIUNG -~1 r ~ l~ 7~3~
C~ ~~lZ'
-Iu3 JC~"~t~Su
V' I~ ' a - '/t1`t'T''~dOFFICE
ADDRESS --
~
I
~ change of address Receipt # Amount
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
P a
~~~1 ~ Z~I - I 1 7~ Date Processed
HONE
6 CAMPAIGN MS / MRS /~ FIR T M~ Date Imaged
TREASURER ~~~n~.G
NAME ..................
.........
NICKNAME LAST SUFFIX
~~~ k ~~s
7 CAM PA I G N STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
TREASURER
ADDRESS ~ / ' ~
~ J 1' ~U~~S"`- S
(~1
t°
V'~ ~ 1'` 7~U 3
(residence or business) ~ _
1
~
(/
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
PH NEURER ~ ~~ 1 ~ ~o3-~~J3
9 REPORTTYPE
~ January 15 ~ 30th day before election ~ Runoff ~ 15th day after 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 s ' ~ / r,~'' THROUGH ~7 / ' ~ / ,,~' 1
1 l
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year
S '`~ /~ t I ^ Primary ~ Runoff ~ General ~ Special
12 OFFICE OFFICE HELD (it any) 13 OFFICE SOUGHT (if known)
~
~~
~tIY v , I iz c ~ ~-, ~~.... I -
14 NOTICE
OF DI RECT DIRECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS WITHOUT THE CANDIDATE~S PRIOR CONSENT OR APPROVAL.
CAMPAIGN CANDIDATES ARE REQUIRED TO DISCLOSE 7HIS INFORMATION ONLY IF THEY RECEIVE NOTIFICATION OF THE DIRECT CAMPAIGN EXPENDITURE.
EXPENDITURE
Name
BY OTHER ~ ~
INDIVIDUALS N
Address / PO Box; Apt. / Suite #; City; Slate; 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 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER REPORT: FoRnn C/OH
SUPPORT & TOTALS COVER SHEET PG Z
15 C/OH NAME 16 ACCOUNT #(Ethics Commission Filers)
JoSf(,~~ ~ _ ~~
"I 7 N OT I C E THIS BOX IS FOR NOTICE OF POLITICAL CONTF216Ui1pNS ACCEP'TED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITfEES TO SUPPORT THE
F R O M CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDlDATE~S OR OFFICEHOLDER S KNOWLEDGE OR
P O L I T I CA L CONSENT. CANDIDATES AND OFFICEHOL~ERS ARE REpUIRED TO REPORT THIS INFORMA770N ONLY IF THEY RECEIVE NO77CE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE NAME
COMMITTEE TYPE
~ GENERAL
COMMITTEEADDRESS
~ SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
~ additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
18 CONTRIBUTION ~. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN Q
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED W D
2. TOTAL POLITICAL CONTRIBUTIONS Q
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) `~' ~O~
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED ~j ~
4. TOTAL POLITICAL EXPENDITURES $ ~~~/ i3
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY Q
BALANCE OF REPORTING PERIOD .p - O -'-
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE Q
LOAN TOTALS ~AST DAY OF THE REPORTING PERIOD `~ __-~ ~
19 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report
~~o~'!~:~, CYNTHIA D. SINGlE10N ~s true and correct and includes all informatio required to be reported by
~ Notary Public, State of Texas me under Title 15, Election Co e.
~~+g My Commission Expires
~%;,;°;';; `~'' Aprll 12, 2015
.
Signature of Candidate or O~ceholder
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed b fore me, by the said V ~~ ~~~~~ , this the
~~ d f , 20 ~_ , to certify whi`h, witness my hand and seal of office.
. ~ ~ ~
I?~.. (~, /~
ignat re of officer administering ath Printed na of officer administering oat Title ot o~cer admfnister th
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-80~-73.ri-~9R91
POLITICAL CONTRIBUTIONS
SCHEDULE A
OTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form. 1 Total pages Schedule A:
2 FILER NAME ` OSCPI T_ ~
; h ~ 3 ACCOUNT #(Ethics Commission Filers)
4 Date 5 Full name of contributor ~ out-of-state PAC ~IDq:___ ~
~~ /+
I 7 Amount of $ In-kind contribution
contribution ($)
description (if applicable)
~'~ I _, ~
~ r~
JC
c,~
r'°~ I
' .
6 Contributor address; City; State; Zip Code
8 {~
~
~ ' D~ I
~
~
-.
rc C-
~ I d
-X7~o3~
~l~r /~I~~ I
, (If travel outside of Texas, complete Schedule T)
9 Principal occupation / Job title (See Instructions) 10 Employer (See Instructions)
Date Fuil name of contributor ^ out-ot-state PAC(ID#:___ ) Amount of I In-kind contribution
n,~
~{ l i SSo~ /~ , ~~pnnt `~ contribution ($) description (if applicable)
~
~/~l''~ ((
, Contributor address; City; State; Zip Code I
~~ ~~ ~-~JJ ~c~ c I L C L~ (
~
(~.I~ry~i) ~, 1 ~ ~?[~v3
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-sta~e PAC(ID#:_ )
' Amount of ( In-kind contribution
i
~ I~~ /
~ ~~~ contr
bution ($) I description (if applicable)
/ ~(
~ ! ~ Contributor a dress; City; St te; Zip Code
~ I
LDO
-r ~r C .
230¢ ~u ~p h I
,%/c I~
~(~z!~ v , 71ro3~
I
J (If travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full na of contributor ^ out-of-s(ate PAC (ID#: )
\
~~
I
I
~ Amount of ~ In-kind contribution
contribution ($)
description (if applicable)
G
~C
I I
a
J -~~ ~~.u y G~. I
~ II ?)1Z0~ ~ Contributor addres City; State; Zip Code
C
` I
30C~
r.
1 °IOd .~C ~~ ~ I
Gol~t~~~l r,T~7(ro3c~ 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-statePAC(I6u: ~ Amountof In-kind contribution
contribution ($) I 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 1-800-735-29891
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)
4 TOTAL OF UNITEMIZED PLEDGES: ~ ~ K; ~ ~, ~ $
5 Date 6 Full name of pledgor ~ out-of-state PAC QD#:
~ $ Amount of
I 9 In-kind description
led e$
P 9 ( ) I (if applicabie)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 Pledgor address; City; State; Zip Code I
I
~
(If travel outside of Texas, complete Schedule T)
10 Principal occupation / Job title (See Instructions) ~~ Employer (See Instructions)
Date Fuil name of pledgor ~ Qut-of-state PqCpD#,___ _~ Amount of I In-kind description
Pledge ($) I (if applicable)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pledgor address; City; State; Zip Code I
~
~
(If travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of pledgor ^ out-of-state PAC(iD#:_ _ ~ Amount of I ~n-kind description
. Pledge ($) I (if applicable)
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pledgor address; City; State; Zip Code ~
I
~
(If travel outside of Texas, compiete Schedule T)
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of pledgor ^ out-of-state PAC(IDa:_ ~ Amount of I In-kind description
piedge ($) I (if applicable)
Pledgor address; City; State; Zip Code ~
~
~
(If travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of pledgor ^ oui-of-state PnC pD#:__ __~ Amount of ~ In-kind description
pledge ($) I (if applicable)
Pledgor address; City; State; Zip Code ~
~
_ ~
(If travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See tnstructions) 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 ~~~~ ~-~mn IFa ~~ da2_FStnn irnn ~ o~~ ~~~ ~~o~~
- - -- ---_ ~ . ~~ . .,.,., , ,,,
LOANS SCHEDULE E
The Instruction Guide explains how to complete this form. 1 Total pages Schedule E:
2 FILER NAME 3 ACCOUNT #(Ethics Commission Filers)
4
TOTAL OF UNITEMIZED LOANS: b b ~ b b ~ $
5 Date of loan 7 Name of lender ~ out-of-state PAC (ID#: __ ) 9 Loan Amount ($)
6 Is lender g Lender address; City; State; Zip Code 10 Interest rate
a financial
Institution?
11 Maturity date
Y N
~2 Principal occupation / Job title (See Instructions) 13 Employer (See Instructions)
14 Descriptfon of Collateral
^ none
15 GUARANTOR 16 Name ofguarantor 18 Amount Guaranteed ($)
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 ($)
Is lender .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lender address; City; State; Zip Code
Interest rate
a financial
Institution?
Maturity date
Y N
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Description of Collateral
~ none
GUARANTOR Name of guarantor Amount Guaranteed ($)
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 GifVAwards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District
Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F: 2 FILER NAME `
S
~ ~~ I_
J r~- 3 ACCOUNT #(Ethics Commission Filers)
Q
~P
4 Date
S'13 $ Payee name
~e~ ~ ~~ ~~ c
6 Amount ($) 7 Payee address; City; State; Zip Code
B~~ • `~~ ~~lY~~~J1r ,-~ ~'1~03
8 PURPOSE (a) CBtegOry (See categories listed at the top of this schedule) (b) DeSCfiption (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE (~ (~
1" <<''~~ `"~ I 1 a5 °
,t- \ nn
1"c ct~ fi~~ ~ I r~
~
, ~
9 Complete ONLY if direct Candidate / Officeholder name Office sou ht
9 Office held
expenditure to benefit C/OH
Date
S
~ Payee name ~
S
z
°
.
I ~.-
`1
~
Amount ($) Payee address; City; State; Zip Code
d'~
~Z.
PURPOSE CBtegory (See categories listed at the rop of this schedule)
~~~
~~~A~~ DeSCfiption (If trave o tside ofTexas, complete Schedule T)
~~~~~ P°.'r.
-
M
EXPEN ITURE l ~
C~
ZtV
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
5''~ Payee name
~hn~~~ '+-1s ~~^r
Amount ($) Payee address; City; State; Zip Code
~Q O~
5 V
PURPOSE
oF C2i2gOry (See categories lis~ed at the top of this schedule)
~
G
6
~ ~ DESCfIptiOn (If travel out de f Texas, co ~e Schedule T)
~
~ ~
~
~-
EXPENDITURE ~
~
--
l
T ~
4
~
~.-
,~
Complete NLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
`~
~ Payee name
~~-
S~
~
! w
~vscp
-
Amount ($)
o
( Payee address; fCity; State; Zip Code
•-
~s
3 ~
~
~
~~~ ~ v
-
~1v
c
d~
~) ~ ~e f ~ ~'
3~
,
Co ~~t~ ~ ~ ~D
PURPOSE
o F CategOry (See categories listed at e top of this schedule)
'
~ ~
~ DeSCfipt~ n(If travel outside of Texas, compl te Schedule T)
~
{~
EXPENDITURE '
1~- ~ l,
'^ ~ .
Pr ~ ~" ~
S
Complete ONLY if direct Candfdate / Officeholder name Office sought Office held
expenditure 1o benefit ClOH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04l21/2010
Texas Ethics Commission P.O. BOX ~2~7~ Auctin Tavac ~a~~~_~mn ic~-~~ ~co ~
- --_- . _• • • ~„• „ ~., ~~~ TVJ'JVVV ~ ~ vv i-avtl-i.S~-LytSy)
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 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 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 pages Schedule G: 2 FILER NA E
~
51 3 ACCOUNT #(Ethics Commission Filers)
r~ L
~~
4 Date
I ~~
~ 5 Payee nam
k~ 1~« ~~~~~a~~
~-l
s
~ u
w~s
6 Amount ($)
~'~ .2`~ 7 Payee address; City; State; Zip Code
c,l~l Collr~v~l~ ~1,,~
Reimbursement from
~
political contribution ~j/ ~(~
~ ( I~
/ ~I ~ ~ ' ~ I CO ~ ~7
..
s ~
intended
$ PURPOSE (a) CBtegory ( ee categories listed at the top of this schedule) (b) DeSCription (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
~V'~ ~ Z~~ •
~~~5 '-~ ~I~S
Date
sl~~~~~ Payee name
~~ ~,~ o <«
Amount ($)
~ Payee address; City; tate; Zip Co e
Q~
~~
~
2~' C
~
JL~~s ~b~~t /~
~ Reimbursement from
politicalcontri6utions ~/ D L
(/ (I ~L ~ "' ~~ ~ /
Cp I I7l
intended ~
1
PURPOSE Cat2gory (See categories listed at the top of this schedule) D2SCfiption (if travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Q( ~,1 ~~-~
5~5r5
Date Payee name
~/,~ ~~ 5~;~ ~~r~k ~6a
Amount ($) ~
l~~ •~ Payee address; City; St te; Zip Code
~~S .SI-} 11~~ l,uf5~
Reimbursement from
~ politicalcontribulions I ~ ~~~ -~}/_
( rn~V`•C ~ /~y~~ I
intended
PURPOSE Category (See categories listed at ihe top of this schedule) DeSCription (If travel outside of Texas, complete Schedule T)
oF
EXPEN DITU R E ~ ~~ ,
.~D.-' .-
~,~.P ~ ~ - P ~~
~
Date
3 ~ ~
~ I Payee na e
~
i
. ca
~os
Amount ($)
~ Payee address; City; State; Zip Code
~ I~~
I
~ S t
Z(~
^ Reimbursementirom
politicalcontributions ~~ l ~t~k,~ ,T~ ~l/ _~ Z,
7 IL/
intended
PURPOSE
O F Category (See categories listed at the top of this schedule)
2
~ DeSCription (If travel outside of Texas, cpfnp te Schedule T)
i //
~
~
~ /
EXPENDITURE ~
~-U
I `~ J" ~
~O
~~~ ~
~
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin Texas ~R~~ ~_~mn «~ ~~ daz_~ann ~Tnn , stnn ~~~ ~norn
- - - -- ~ --- . .... _...,.,,
PAYMENT FROM POLITICAL CONTRIBUTIONS
SCHEDULE H
TO A BUSINESS OF C/OH
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule H: 2 FILER NAME 3 ACCOUNT #(Ethics Commission Filers)
4 Date 5 Business name
6 Amount ($) 7 Business address; City; State; Zip Code
$ PURPOSE (a) Cet2gory (See categories listed at lhe top of this schedule) (b) D6SCfiption (If travel outside of Texas, compiete Schedule T)
OF
EXPENDITURE
9 Complete NLY if direct Candidate / Officeholder name Office sought Otfice heid
expenditure to benefit C/OH
Date Business name
Amount ($) Business address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) DesCription (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate ! Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Business name
Amount ($) Business address; City; State; Zip Code
PURPOSE C2t2gory (See categories listed at the top of this schedule) DeSCfiptiOn Qf travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Comp~ete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Business name
Amount ($) Business address; City; State; Zip Code
PURPOSE CatBgOry (See categories listed at the top of this scheduleJ DesCfiptiOn (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.~. BOX ~2~7~ Austin Tavac 7R711 _'7f17l1 /~~ 7~ ~a~ ~onn iTnr, . o
. . - -- ~ - - .-~ .~..~ ...~vv ~ i v - -l JJ'GJVJ~
NON-POLITICAL EXPENDITURES
SCHEDULE I
MADE FROM POLITICAL CONTRIBUTIONS
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan RepaymenUReimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Trave~ In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule I: 2 FILER NAME 3 ACCOUNT #(Ethics Commission Filers)
4 Date 5 Payee name
6 Amount ($) 7 Payee address; City; State; Zip Code
$ PURPOSE Ia) Cat2gOry (See categories listed at ~he top of this schedule) (b) Description (See instructions regarding type of information required.)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE CBtegOry (See categories listed at the top o( lhis schedule) D2SC~iptiOn (See instructions regarding type of information required.)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Cat6gOry (See categories listed at the top of this schedule) DeSCfiptiOn (See insVUCtions regarding type of information required.)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of ihis schedule) DesCfiption (See instructions regarding type of informalion required.)
OF
EXPENDITURE
ATI'ACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CREDITS (optional) scHE~u~E K
The Instruction Guide explains how to complete this form. 1 Total pages Schedule K:
2 FILER NAME
3 ACCOUNT #(Ethics Commission Filers)
4 Date 5 Payor name
8 Amount
($)
6 Payor address; City; State; Zip Code
7 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 name
Amount
~$)
Payor address; City; State; Zip Code
Reason for credit
Date Payor name
Amount
. . . . . . . _ . ($)
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
TexasEthicsCommission P.~. BOX 12070 Auctin Tavac 7R71~_7mn rG~m AG9 conn
~ - - - - --' - ~~ . ~~ ..... vvvv ~ ~ v -vV V-! JJ-LJV.7~
IN-KIND CONTRIBUTION OR POLITICAL EXPENDITURE SCHEDULE T
FOR TRAVEL OUTSIDE OF TEXAS
The Instruction Guide explains how to complete this form. 1 Total pages Scheduie T:
2 FILER NAME 3 ACCOUNT #(Ethics Commission Filers)
4 Name of Contributor / Corporation or Labor Organization / Pledgor / Payee
5 Contribution / Expenditure reported on:
~ Schedule A ~ Schedule B ~ Schedute C ~ Schedule D ~ Schedule F ~ Schedule G
~ Schedule H ~ Scheduie 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 location
10 Means of transportation ~~ Purpose of travel (including name of conference, seminar, or other event)
Name of Contributor / Corporation or Labor Organization / Pledgor / Payee
Contribution / Expenditure reported on:
~ Schedule A ~ Schedule B ~ Schedule C ~ Schedule D ~ Schedule F ~ Schedule G
~ Schedule H ~ Schedule N ~ COH-UC ~ COH-T ^ PAC-C ~ PAC-E
Dates of travel Name of person(s) traveling
Departure city or name of departure location
Destination city or name of destination location
Means of transportation Purpose of travel (including name of conference, seminar, or other event)
Name of Contributor / Corporation or Labor Organization / Pledgor / Payee
Contribution / Expenditure reported on:
~ Schedule A ~ Schedule B ~ Schedule C ~ Schedule D ~ Schedule F ~ Schedule G
~ Schedule H ~ Schedule N ~ COH-UC ~ COH-T ^ PAC-C ~ PAC-E
Dates of travel Name of person(s) traveling
Departure city or name of departure location
Destination city or name of destination location
Means of transportation Purpose of travel (including name of conference, seminar, or other event)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/21J2010
T .. .. Cat~:.... ~_.Y__:_ _
---,..,--~--~,,,,,,,~~~~~~ ~.~.oux ~~u~~ Husun, lexas 78711-2070 (512)463-5800 (TDD1-800-735-2989)
CANDIDATE / OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT FoRM C/OH - FR
The Instruction Guide explains how to complete this form.
•• Complete only if "Report Type" on page 1 is marked "Fi~al 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 / O~ceho~der
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.
C] 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 o~ceholderwho does not have a campaign treasureron file.
1 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.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)
CANDIDATE / OFFICEHOLDER FoRnn C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 'I
1 ACCOUNT # 2 Total pages filed:
The C/OH Instruction
Guide explains how to complete this fO~m.
(EthicsCommissionFi~ers) ~
3 GANDI DATE / MS / MRS / FIRST nni
OFFICEHOLDER \
I
~
,~
p`~ '' ~ ~
eceived
NAME ~ FFIX
S MPt! O~ 2Q11
NICKNAME LAST
~
~ U
O/
\ ~
~
`~ CITY SECRETARY'S OFFICE
4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
OFFICEHOLDER `
' '~
~
~
/
MAILING \' /
/~
~ ~ " ~~~~~
~~~~ U~- ~~~ C_~ ~~
~~~~~ DateHand-detiveredorPostmarked
ADDRESS
~ change of address Receipt # Amount
AREA CODE PHONE NUMBER EXTENSION
5 CANDIDATEJ Date Processed
OFFICEHOLDER /~ ~~j ~gI _q~ /~
\ ~ ~ < <
PHONE
6 CAMPAIGN MS / MRS ~ FIRST MI Date Imaged
TREASURER ~~ ~~
NAME ...................... .............
NICKNAME LAST SUFFIX
-I-~ I.J ~~~~s
7 CAM PAI G N STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY: STATE; ZIP CODE
TREASURER
ADDRESS
~ ~~~j`. ~
, I ~
l~ I',•
~~ ~ ~ , ' ~'
IC~p~~
(residence or business) ~ ~
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER ~ $~~ ~ ~'~3 _ ~Z3~
PHONE
9 REPORT TYPE
~ January 15 ~ 30th day before election
~ Runoff 15th da after cam ai n treasurer
~ Y P 9
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 , / / ~ ~ / ~1 ~ THROUGH
~~ ~ / ~ / ~~ ~
11 ELECTION ELECTION DATE EIECTION TYPE
Month Day Year
J!. ~ '~ /~-^II
GV ~ Primary ~ Runoff ~, General ~ Special
12 OFFICE OFFICE HELD (if any) ~ 3 OFFICE SOUGHT (if known)
P~
~
C,
'
Co~,~^ ~'~' -
~cc- c
( r
14 NOTICE
OF DIRECT
aRECT CAMPAIGN EaPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS WITHOUT TH
E CANDIDATE~S PRIOR CONSENT OR APPROVAL.
CAMPAIGN CANDIDATES ARE REQUIRED TO DISCLOSE TH~S INFORMATION ONLY 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
GO TO PAGE 2
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
SUPPORT & TOTALS COVER SHEET PG Z
15 C/OH NAME ~ P~ ~~
f ~ 16 ACCOUNT #(Ethics Commission Filers)
'I 7 N OT I C E THiS BOX IS FOR NOTICE OF POLfTICAL CONTRIBU'T)ONS ACCEPfED OR POLfT1CAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
F R O M CANDIDATE I OFFICEHOLDER. THESE IXPEND/7URES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE 5 OR OFFICEHOLDER S KNOWLEDGE OR
P O L I T I C A L CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT TFHS INFORMAiION ONLY ~F THEY RECENE NOTICE OF SUCH EXPENDITURES.
COMMITTEE
S
(
)
COMMITTEE NAME
COMMITTEE TYPE
~ GENERAL
COMMITTEE ADDRESS
a SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
~ additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
18 CONTRIBUTION
TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN Q "I
~~
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED ~P 'y
2. TOTAL POLITICAL CONTRIBUTIONS ~ ~
(OTHER THAN PIEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE UNLESS ITEMIZED
TOTAL POLITICAL EXPENDITURES OF $50 OR ~ESS
3 ~
TOTALS
,
. ~
~~
4. TOTAL POLITICAL EXPENDITURES ~ ~j'Q , v?
( 0
CONTRIBUTION
BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY ~ ~~
~ I~
OF REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
~
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
19 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report
SINGLETON is true and correct and includes all information required to be reported by
~a~PUaa CYNTHIA D
; i
.
='r°' ;^": Notary Public, State of Texas me under T' le 15, Electi n Code.
~
~~ My Commission Expires
:,r
~''.,',~f'oi~E:• April 12, 2015
,
~„~~~~..
~ •
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP / SEALABOVE
~
v``' pr
, this the
Sworn t and subscribed b fore me, by the said
~ d , 20 1~ , to certify which, witness my hand and seal of office.
~
!'
~
/ lU
~V ~2 ~~itl
i nat e of offcer administerin ath Printed nam of o~cer administering o Title of officer administ ath
www.ethics.state.tx.us Revised 04/21l2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS
SCHEDULE A
OTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to compiete this form. 1 Total pages ScheduleA: ~
2 FILER NAME
~ 3 ACCOUNT #(Ethics Commission Filers)
L~\X'~~ ~
OT
4 Date 5 Full name of contributor ~ out-of-state PAC(iD#: ~ 7 Amount of g In-kind contribution
/ ~~`C ~~1_ ~
D contribution ($) I description (if applicable)
~
I~''
1~
I 6 Contributor address; City; State; Zip Code ~D ~
~ CA( kq Y~ ~Ic ,T ~i6o3~
Z~l v~«'- ~ I
~
(It travel outside of Texas, complete Schedule T)
9 Principal occupa ion / Job title (See Instructions)
~ 10 Employer (See I tructions1)-
~
5 /~u
~c ~ ~h.t~FS
L ~ L~
Date Full name of contributor ^ out-of-state PAC(ID#: ) Amount of ( In-kind contribution
~~s
~kh contribution ($) ( description (if applicable)
~~~
~ I2~ (
C Contributor address; City; State; Zip Code 1 y,D
` `~
~2~, W _ G ~z Q~ Cdk~~~l I~ ,TX~ ~o~ -
-
If travel outside of Texas, com lete Schedule T
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ^ ou~-of-state PAC(ID#: ) Amount of ~ In-kind contribution
~ ~ ` \. ~
r~ ~~ l~ contribution ($) I description (if applicable)
~~~'~~\ Contributor address; City; State; Zip Code ~
3~
$~ ~~ ~ r r C I~ I~ ~.+~ i 1'f~ 7/o I SZ. ~
~
(If travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ^ out-of-statePaC(ID#: ) Amountof I In-kind contrib~tion
~ Jr
/iv.~
~ contribution ($) I description (if applicable)
'` . . . .
. .
~~
~1~- Contributor address; City; State; Zip Code ~~ I
Fj,aakc C~ . Gal(~ ~~I It,T~f ~L,3~
L
~,; I
~o
,
s I
If travei outside of Texas, com lete Schedule T
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Fuil name of contributor ~ out-of-statePAC(ID#: ~ Amountof In-kind contribution
~~-t
yc~ ~. ~~~G~~S Pf7C~, contribution ($) I description (if applicable)
~I ~\~ ,
~~(~ V"
~ Contributor address; City; State; zip Code ' O~ ~
~oll ~,1~
~a~ ~Cil~°f'
laDSS ~-r~~.~~o_al ~'2a ~
, I
If travel outside of Texas, com lete Schedule T
Principal occupation ! Job title (See Instructions) Employer (See Instructions}
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements.
www.ethics.state.tx.us Revised 04/21l2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense SalarieslWages/Contract Labor Loan RepaymenUReimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment 8~ Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pagei Schedule F:
~ 2 FILER NAME~ ~~ ~~
~Y ~ 3 ACCOUNT #(Ethics Commission Filers)
4 Date
~~27 l 1 l 5 Payee name
~ 1 ~ i.c.._c-c. ~~~ ~.~~.- V~~c~a s~a p'"~S
6 Amount ($) 7 Payee address; City; State; Zip Code
P.o . c~o,~ c~ ~s
g ~~ ~ ~-cll~~ ,T~ -tLZ~~
$ PURPOSE
OF (a) Category (See categories listed at the top of this schedule) (b) DesCnption (If travel outside of exas, complete Schedule T)
/~
'
~~'~ ~ ~ NI
' `T`~ S ~Q ~
EXPENDITURE /
j
5
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit ClOH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) DesCription (If travel outside of 7exas, complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed af the top of this schedule) DesCfiption (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/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE C2tB90ry (See categories listed at the top of this schedule) D2SCfiptiOn (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/21/2010
•Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES
SCHEDULE G
MADE FROM PERSONAL FUNDS
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense GifUAwards/Memorials Expense Salaries/Wages/Contract Labor Loan RepaymenUReimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Poliing Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 FILER NAME
l
S~ 3 ACCOUNT #(Ethics Commission Filers)
j o
.
~asTP
4 Date 'f
`l ~~b ( ~~ 5 Payee name ~ ~
WZSd- ~c.~t ~r~.,
6 Amount ($)
23 7 Payee address; City; State; Zip Code~
-~*• ~;llc ¢1~
~?bl Gol~
~ Reimbursement from
political contribulions ~
~'t J, I~ t^~y ~~ O~~
N ~ !~
intended 1
$ PURPOSE (a) Category (See categories listed at the top ot this schedule) (b) DesCfiption (If travel outside of Texas, complete Schedule T)
EXPEN ITURE ~l}t~' p~5 ~~ ~p t' ~tS
Date
~1 I~~ ~ ~~ Payee name
k~ ~ a.-~~_,~
~-,
,
,
~
Amount ($) Payee address; City; State; Zip Code
l-l • ~" ~-~`lc~l ~tlT ~, Ilr 61~`I
~
Reimbursementfrom '1 _
'~
~~/ p~~
~
~
T
~
political contribulions ~
~
l V
1
~
~
intended
PURPOSE
O F Cate^gory (See categories listed at the top of this schedule)
/1
Y
~ DesCfiption (If travel outside of Texas, complete Schedule T)
L
EXPENDITURE _
V y
.~ ~
~Q`~~ ~ Z ~
a l
~
~
Date
~ f ~~
I Payee na" ~e n " ~~~_
-'
~~
-~ k
2
"1 t
7
-
~Jtsd
Amount ($ / Payee address; City; State; Zip Code
'8Y L(~~o Lollr~~;llr ~~~~
~ Reimbursement from
political contributions ~1~~ I 1 ,~~ D,~~
~~~ `~ ~(~
intended
PURPOSE
OF Category (See categories listed at the top of this schedule)
~ DesCfiption (If travel outside of Texas, complete Schedule T)
~
EXPENDITURE ~'g~
~U{ ~'- QoS
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Reimbursement from
^
political contributions
intended
PURPOSE Category (See calegories listed at the top of this schedule) DeSCfiptlOn (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04l21/2010
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 pages filed:
The C/OH Mstruction
Guide explains how to complete this form.
(EthicsCommissionFi~ers) ~
3 CAN DI DATE / MS / MRS /~tW FIRST nni
OFFICEHOLDER \ .-
' r
NAME jQ~.
•JY~ t ve
.............
NICKNAME LAST ............
SUFFIX
APR
~~ s~.a; ~- 1 ~ ZQIi
4 CANDIDATE/ ADDRESS /POBOX; APT/SUITE#; CITY; STATE; ZIPCODE CITY SECRETAAY'S OFFICE
OFFICEHOLDER
MAI LI NG
ADDRESS r
7~ n3 ~
t ~ ~ t~C'~`Q
~ i ~
~~
7(
~ Date Hand-delivered or Postmarked
.
,
~ ~~ (~4 ,a
X
~~
~ change of address ` Receipt # Amount
C
ND
T AREA CODE PHONE NUMBER EXTENSION
5
A
IDA
EJ
PHONEHOLDER ~ ,p ~ ~~~
D11 2'g~' [o ~ Date Processed
6 CAMPAIGN MS / MRS /~r~rc ~ FI T MI Date Imaged
TREASURER `~ ~4 ~ e ~
NAME ....................... ...........
NICKNAME LAST
~~~ S SUFFIX
7 CAMPAIGN STREETADDRESS (NOPOBOXPLEASE); APTlSUITE#; CITY; STATE; ZIPCODE
TREASURER
ADDRESS ~~ , t ~a~~r~~ G~ ~,,~
"~ 1
`~
I~
( ~~~
"~Q
~t ~/C
I
v[
~
(residence or business) " ~
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE Q'~ -7
~~/' l~ 7Z 7
~
O s 7
9 REPORT TYPE
~ January 15 ~ 30th day before eledion 15th da after cam ai n treasurer
~ Runoff ~ Y P 9
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 ~ / ' f / ~ ~ THROUGH
J ~ / ~ 5 /~ `~
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year
~ j~ ~/I /~"
`t ~ Primary ~ Runoff ~ General ~ Special
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
i ~ i.~.V~C~ ~
14 NOTICE
OF DIRECT aRECT 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; ApL 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 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER REPORT: FoRnn C/OH
SUPPORT & TOTALS COVER SHEET PG 2
15 C/OH NAME ~~ ~ ^'~ ~l _
~ Yl0 16 ACCOUNT #(Ethics Commission Filers)
'I 7 N O T I C E THIS BOX IS FOR NOTICE OF POLITICAL CONTTtIBUT10NS ACCEP'TED OR POLtTICAL EXPENDITURES MADE BY POLJTICAL COMMITTEES TO SUPPORT THE
F R O M CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE S OR OFFICEHOLDER~S KNOWLEDGE OR
P O L I T I C A L CONSENT. CANDIDA7ES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMAiION ONLY IF THEY RECENE NOTICE OF SUCH EXPENDfTl1RES.
COMMITTEE
S
(
)
COMMITTEE NAME
COMMITTEE TYPE
~
~ GENERAL / ~
COMMITTEE AD RESS
~ SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
~ additional pages
COMMITTEE CAMPAIGN TREASURERADDRESS
18 CONTRIBUTION ~. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED ~
2. TOTAL POLITICAL CONTRIBUTIONS
~
(OTHER THAN PLEDGES, IOANS, OR GUARANTEES OF LOANS) ~JS~ L°~
~
EXPENDITURE
UNLESS ITEMIZED
TOTAL POLITICAL EXPENDITURES OF $50 OR LESS
3
~ I C
~D
TOTALS ,
. ,
~
4. TOTAL POLITICAL EXPENDITURES ~ I ~ s?Z . 70
CONTRIBUTION
BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY ~~ o 0
~
OF REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
~
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD
19 AFFIDAVIT
\1~~~6llfidlfAf
~
~R\
~
~r
'
~\\'
P
p
a
~
e
tr
~'~~~~RY pU~ `FiJi
~% is
for ation requ
ed to be
e
ported by
~~~`
n
ludes all
ue a d
r ct a d
° • ! ~
.
? ~ ~~' : ~ me under Title 15, ction Code.
~ ~ .
= . :
: • ~
y •. `~',q~ Q,5 ; ~ ~ ,
: ~
•
~`•.~PIRES •' a~~ Signature of Candidate or Officeholder
~~s
~~
/s
~~e~~`~~"
/s~~s/ies~2;?_(?14
yk
AFFIX NOTARY STAMP / SEAL ABOVE
Swor to and subscribed before me, by the said ~~C~T'1"7 ~ ~ ~C~L. , this the
day of ( , 20 ~~ , to certify which, witness my hand and seal of office.
y ~~ R-~5-~~1,e.~ V ~ O ~2
Signature of o~cer administering oath Printed name of officer administering oath Title of o~cer administering ath
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS
SCHEDULE A
OTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form. T Total pages Schedule A: ~
2 FILER NAME \ ~~ \, ~
~JOS~ r 3 ACCOUNT #(Ethics Commission Filers)
4 Date 5 Full name of contributor ~ out-of-state PnC(iD#: ~
~
~ 7 Amount of g In-kind contribution
contribution ($) ~ description (if applicable)
~
~
~ ~~
.
, ~e.e
..
~~~ ~ I 6 Contributor address; City; State; Zip Code
' ~~ i
~ ~
~Zv~ wla~<<sv-~
~--~j C~~le~~,~~le 7~ ~l~~j~ I
(If travel outside of Texas, complete Schedule T)
9 Principal occupation / Job title (See Instructions) ~p Employer (See Instructions)
Date Full name of contributor ^ out-of-scate PAC(io#: ) Amount of I In-kind contribution
~, e,k Nb~ contribution ($) ( description (if applicable)
` Contributor address
~it
State
Zi
Code ~
~ 1 ~ ;
y;
;
p
~ ~ ~C~
~~ ~c~ ~~,:;~-
'~ec,~ ~~~~~~~~4 ~T~ ~Z~~~~- (
I
If travel outside of Texas, com lete Schedule T
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ^ out-of-statePAC(ID#: 1 Amountof ~ In-kind contribution
~ ~ \~ ~ ~~ ~ nf „ ,
\ \ ~~~/~ contribution ($) I description (if applicable)
~/ ~ l I
~ Contributor address; City; State; Zip Code _ (
`~Z ~ ~
i~~ ~~~~ c~-. ~m~~ ~'~ll~e ' C~ 7~~' ~
~
(If travet outside I f Texas, complete Schedule T)
Principal occupation / Job title (See Instructions) Employer (See Instructionsj
Date Full name of contributor ^ out-of-state PaC(iDU: 1
~ Amount of ~ In-kind contribution
~ ~
J ~
L
•
~ contribution ($) I description (if applicable)
r
r ~
/L ~~Q ll
] ~. Contributor address; City; State; Zip Code ~~~ ~
z~q.~,l~., M ~~._ (~(. ~~~~y~~[~~ i,~ ~71~ ~~ i
If travel outside of Texas, com lete Schedule T
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ~ out-of-state PAC(ID#: ~ Amount of In-kind contribution
contribution ($) I description (if applicable)
Contributor address; City; State; Zip Code (
~
~
If travel outside of Texas, com lete Schedule T
Principal occupation / Jotr 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 04l21/2010
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 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 Travei In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Politicai 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 pages Schedule G: 2 FILER NAME 3 ACCOUNT #(Ethics Commission Filers)
~ J ostP1~. ~, s~ ~
4 Date
3j2~~~~ 5 Payee name
co c~a~y.~~~
6 Amount ($) ~
oS 7 Payee address; City; State; Zip Code
~
~
Reimbursement from
~
political contributions
intended
$ PURPOSE (a) Category (See categories listed at the top of this schedule) (b) D25Cfiption (If travel outside of Texas, complete Schedule T)
oF
EXPENDITURE ~~~~~~~.
~ ,,vtbs;~ c~„_ ~~,sl,..l-:~..
~
Date ~
3
s~-~ Payee na e
~o~
~ P~,,,~-
~
~ .
~5
Amount ($) Payee address; City; State; Zip Code
~7. ~~ ~ ~}
~/g Reimbursement from
I X 1 political contributions
`
'"
r
intended
PURPOSE C2tBgory (See categories listed at the top of this schedule) D@SCftption (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
~U~~ s¢~ ~ /' _~
~jlnS~~TSS ~°~S
Date
~~
~I Payee name
~~
D
~
~
~
~ .
,.
Q~
~.
Amount ($)
L7 Payee address; City; State; Zip Code
13~~. IZ~{~ ~ ~~ So~~.
(~I Reimburseme~t from
I;N political conlributions
~~-~mtended ~
~ ~ ~"~( -~ s ~3
~' ~ 1 ~~ ~
PURPOSE Category (See categories listed at the top of this schedule) DesCriptiOn (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
(J4/ ~~sl -~ •
S~~-~'
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Reimbursement from
a
political contributions
intended
PURPOSE C02BgOry (See categories lisled at the top of this schedule) DeSCription (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/21l2010