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Contributions and Expenditure Statements-Campaign Finance Reports & Filings-04/01/2021
nwaac Prescribed by Secretary of Stafe Secfiou 145.001, Texas ElecHon Code N/0/ CERTIFICATE OF WTTFIDRAWAL I, }'�YYI�� �y � I%�y�+ , a candidate for the office of ('p����t��.p� �(�-�1 �o ��c„ � �'. (D , hereby withdraw my caudidacy from the � � ce � electioa The elecHou is beiug conducted by �ri` (��- (' e, ,,c._..� 1 _ and is to be held on �� � 2 (political subdivisiou/county/party) (date) � Signati e Cau� idate "The State of I �i�rl� , "Countyof � (ZIC.C.,yl,l, , RECEIVED FEB 10 2021 � "This instrumentwas ackuowledged before me on rGDQ.I�.�'T_by (date) 1��� G� ► an:c, //�^^��� ( thdrawingcandidate) �� � a �. t� , (Siguature of ofiicer) zzoa t�� � �; 165Z60LL#QI�=MNRW ;•i •: Np�''d� N3AOl3NIlSRIN� `��e�t�' (Title of o�cer) My commission expires: 1"� �i ol ��oZ�. Formrt D�'�rifa por la Secrefar(a A¢ Estado Fmreidn Id5.001 del CddigoEle�mm/deTejas CONSTANCIA DE RETZRO DE C.9NDIDATURA Yo, , candidato/a al ca�ga de por este medio rekro mi candidatura de la eleccion . Dicha e[eccidn estarb rt cargo de y se celebrm•a el (subdivision politica/condado/partido) (fecha) Firma de//de la Caralidato/a El estado de "Condado de "EZ presente instrumento fi�e reconocido ante mi eZ por (fecha) (persona que retir¢ su candadntura) Fanaa de//de 1¢ Ofacial (Seal) (Tfhrlo deUde ln Ofacia� (Nli carga se vence el): z-u Prescribed by Secretary of State Sx[ion 191.031, Chap[ers 143 and 144, Texas Election Code 1/201] ALL INFORMATION IS REQUIRED TO BE PROVIDED U' APPLICATION FOR A PLACE ON THE TO: City Secretary/Secretary of Board 1 request that my name be OFFICE SOUGHT (Include a LENGTH OF CONTINUOUS IN STATE FULL NAME (First, Middle, La'st) � PRINT NpME AS YOU WANT IT TO APPEAR ON THE �-rny� C-�; l��ia � �my,n C-� � �a�, ; PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural PUBLIC MAILING Route. If you do not have a residence address, describe the address at which you receive personal mail and location of residence.) (�a3 L'1<e-er meacl�� N. CpU3 C')cc��n �rn��dow �. CITY STATE ZIP CIN STATE ZIP Coll�eyv,ll�e, TX� it�v�y CQl(eyu;l�e, Tx. 7����� PUBLIC EMA(�II ADDRE55 (If available) OCCUPATION (Do not leave blank) DATE OF BIRTH VO7ER REGISTRATION VUIO 9��y(�} -rOi C[�IiQyV����2. � Gy�eCSeG��;� NUMBER�Optional)� 9cnrn�1, Ccad`n �X2�.o�-'�V-l'� �ii � �O � r�Cri TELEPHONE CONTAR INFORMATION (Optional) Home: (uf pc Wark: Cell: N /A- 2ca2 —5 i c�= l�-1 o� '�l year (s) If using a nickname as part of your name to appear on the ballot, you are also signing and swearing to the following statements: I further swear that my nickname does not constitute a slogan nor does it indicate a political, economic, social, or religious view or a�liation. I have been commonly known by this nickname for at least three vears orior to this election. Befo�e me, the undersigned authority, on this day personally appeared (name) Yt7V� � Vl C'1 � I� fl 1 . who being by me here and now duly sworn, upon oath says: "I, (name) `M � \. � 1�i 1 of �I 2( f 4�t✓\"'r Counry, Texas, being a candidate for the office o 4'�1 I2Yv;'Ip , C i� U�nc l� PITcq �. swear that I will support and defend the Constitution and laws of the United States and of the State of Texas. I am a citizen of the United States eligible to hold such o�ce under the constitution and laws of this state. I have not been finally convicted of a felony for which I have not been pardoned or had my full rights of citizenship restored by other o�cial ac[ion. I have not been determined by a final judgment of a court exercising probate jurisdiction to be totally mentally incapacitated or partially mentally incapacitated without the right to vote. I am aware of the nepotism law, Chapter 573, Government Code. I further swear that the foregoing statements inciuded in my application are in all things true and X � � Sworn to and subscribed of Officer the above-named official ballot as a candidate forthe office indicated below. umber or other distinguishing number, if any.) INDI TE IERM C�V�II �� \ I�l.� � ^I'fULL 1 I I IPIFVDIOFfI of GENERAL ELECTION BALLOT IN TERRITORY FROM WHICH THE OFFICE SOUGHT IS ELERED' � year (s) OF � ` ' ih�plotery ID # 11 s«: F+: 1 n`1 •.: N�TC�IVT �y''�'„?'aP}�'t�� E%{)1f86M8Y2� Title of Officer AdministerinR Oath , . n TO BE COMPLETED 8Y CIN SECRETARY OR SECREfA1RY� OF BOARD: �� _• .�— (See Section 1.007) ��y� �ll ��,�� �a..\ C�� ,�/ Date Received Signature of Secretary VMer Reeistration Status Verified U� APPOINTMENT OF A CAMPAIGN TREASURER FORnn CTA BY A CANDIDATE PG 1 � Total pages filed: See CTA Instruction Guide for detailed instructlons. � 2 CANDIDATE MS/MRSIMR FIRST M� OFFICEUSEONLY NAME ,/N',,. /� �, y`^ . 1� � tT V Y \ Filer lo C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NICKNNME LAiST SUFFIX OaleReceived -� � �d i F tl'(� t FEB 1 0 1011 3 CANDIDATE ADORESS /P090X; APT/SUITE#; CITV; STATE; ZIPCOOE MAILING ��y�, '�\ n 1 � CSO ADDRESS �03 �-°' (�{,'�(,'1 � e ��D W W�/ • '1 a:3� .� � Co`fQ, (` i 1�,� y�� � J„/'��� oa�eHenddeliveretlorPaaMa�ked ii� �� � ����,� ¢ CANDIDATE AREA CO�E PHONE NUMBER EXTENSION Receipt# Amoun[$ PHONE (2� L) �'� ^ l `�� Date Processetl 5 OFFICE oateimeeetl HELD (if any) 6 OFRCE (� /��� 'j� c� i1�, SOUGHT 1..��� LCIU'n��� r���.P✓ � lVf �011cyvl'� (if known) 7 CAMPAIGN MSIMRSIMR FIRST MI NICKNAME L4ST SIJFFIX TREASURER NAME �'rS . C�� �r� . �1 . C!� �1 LC}� 1 8 CAMPAIGN STREETA�DRESS (NOPOBO%P�EASE�; APTBIIITE#, QTV; STATE; 21PCOOE TREASURER �j�'�( ADDRESS ICxJ� C�'�l.�.i ` 1 1 1�QW Y�/ ' CO �I��`I V l ��� 1'\ (residence or business) � � D� � 9 CAMPAIGN AREA CODE PHONE NUMBEFi EXTENSION TREASURER PHONE /gI�L � �(�`Z'' �Z I1 \ � 10 CANDIDATE SIGNATURE I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code. I am aware of my responsibility to file timely reports as required by title 15 of the Election Code. I am aware of the restrictions in title 15 of the Election Code on contributions from corp rations a�1 labororganizations. 1 , Z I� Zl �� S g � u e of Candidate Date Signed GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.sta[e.tx.us Revised 1!1/2020 CANDIDATE MODIFIED FORnn CTA REPORTING DECLARATION PC+ 2 11 CANDIDATE NAME �z MODIFIED COMPLETE THIS SECTION ONLY IF YOU ARE REPORTING DECLARATION CHOOSING MODIFIED REPORTING •• This declaration must be filed no later than the 30th day before the flrst election to which the declaration applies. •• •• The modified reporting option is valid for one election cycle only. •• (An election cycle incWdes a primary eleciion, a general election, and anyrelatetl runoffsJ •• Candidates for the o�ce of state chair of a political party may NOT choose modified reporting. •• I do not intend to accept more than $900 in political contributions or make more than $900 in political expenditures (excluding filing fees) in connection with any future election within the election cycle. I understand that if either one of those limits is exceeded, I will be required to file pre-election reports and, if necessary, a runoff report. Yearofelection(s)orelectioncycleto SignatureofCandidate which tleclaration applies This appointment is effective on the date it is fled with the appropriate £ling authority. TEC Filers may send this form to the TEC electronicaily at treasappoint anethics.state.bc.us or mail to Texas Ethics Commission P.O. Box 12070 Austin, TX 78711-2070 For more information about where to file go to: https://www.ethics.state.tx. us/fili nginfo/Qu ickFi leAReport. ph p Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800.735-2989) CODE OF FAIR CAMPAIGN FORM cFCP PRACTICES COVER SHEET OFFICE USE ONLY Pursuant to chapter 258 of the Election Code, every candidate and oa,aRa�;�a, political committee is encouraged to subscribe to the Code of Fair RECEIVED Campaign Practices. The Code may be filed with the proper filing FEB i 0 2021 authority upon submission of a campaign treasurer appointment form. Candidates or political committees that already have a cso current campaign treasurer appointment on file as of September 1, �,: �j`� r'Vl_ 1997, may subscribe to the code at any time. °a'eHd"°tle1VefetlorPostniarked oate Pmcessea Subscription to the Code ofFair Campaign Practices is voluntary. oa�simaeee 1 ACCOUNT NUMBER Z TYPE OF FILER (EMics Cammission Filers) CANDIDATE � POLITICAL COMMITTEE � If �ling as a candidate, complefe boxes 3- 6, lf filing for a politica! committee, complete then read and sign page 2. boxes 7 and B, fhen read antl sign page 2. $ NAME OF CANDIDATE TITLE(�c,Mc,Ms.,etc.) Fias1 xn (PLEASETYPEORPRINT) ✓Y�P ���y 1 1 � �1 / � � \ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NICKWIME lAST SUFFIX(SR,JR.,Ill,etc.) C-�,1a����� 4 TELEPHONE NUMBER /1REACO�E axoNENUMeER �crEr�sion OF CANDIDATE / \ 1 '`, (PLEASETYPEORPRINT) 12��/ S IO ' 'liO� 5 ADDRESS OF CANDIDATE STREEf/POBOX; APT/SUITE#; CITY; STATE; ZIPCO�E (PLEASETPEORPRIIJn ��� �� ^�� ��%�OLT�.� N C6`��� V 1\� � t p� �`,� � W U3 s OFFICE SOUGHT r BY CANDIDATE `A '`�V . ,� �Q��C'`\ �,0.� t-� (PLEASENPEORPRINT) �,I'�� v , \\� C ` ` \ J J � NAME OF COMMITTEE (PLEASETYPEORPRItJn $ NAME OF CAMPAIGN TRLE(or.,Mr.,ms.,etc.) FIRST Mi TREASURER �^n�� L,�I,n� 1� 4 JCY (PLEASETVPEORPRINT) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NICKNqME LAST SUFFIX(SR.,JR.,Ill,etc.) C`2 � � d l`11 GO TO PAGE 2 www.ethics.state.tx.us Revised 11/23/2010 iexasciniwi.unnnission r.v.aox-icw� r.usnn, iexas CODE OF FAIR CAMPAIGN PRACTICES There aze basic principles ofdecency, honesty, and fairplay that every candidate andpolitical committee inttus state has a moral obligafionto observe anduphold, in orderthat, aftervigorously contestedbut fairly conducted campaigns, our citizens may exercise their constitutional rights to a free anduntrammeled choice andthe will ofthe people maybe fully and clearly expressed onthe issues. THEREFORE: (1) I will conduct the campaign openly andpublicly and limit attacks on my opponent to legitimate challenges to my opponenYs record and statedpositions on issues. (2) Iwillnotuseorpemuttheuseofcharacterdefamation,wlusperingcampaigns,libel,slander,orscurrilousattacks on any candidate or the candidate's personal or family life. (3) I wIll not use or pernut any appeal to negative prejudice based on race, sex, religion, or nafional origin. (4) I will notuse campaign material of any sort that misrepresents, distorts, or otherwise falsifies the facts, norwill I use malicious or unfounded accusations that aim at creating or exploiting doubts, without justificafion, as to the personal integrity orpatriofism ofmy opponent. (5) Iwillnotundertakeorcondoneanydishonestorunetlucalpracticethattendstocorruptorundeimineoursystem offree elections or that hampers or prevents the full and free expression ofthe will ofthe voters, including any acrivity aimed at intimidating voters or discouraging them from voting. (� I will defend and uphold the right of every qualified voter to full and equal participa6on in the electoral process, and will not engage in any activity aimed at intimidatingvoters or discouraging them fromvoting. (� IwillimmediatelyandpubliclyrepudiatemethodsandtacticsthatmaycomefromothersthatIhavepledgednot to use or condone. I shall take firm action against any subordinate who violates any provision ofthis code or the laws goveming eleclions. I, the undersigned, candidate for election to public office in the State of Texas or campaign treasurer of a political comxnittee,herebyvoluntarilyendorse,subscribeto, andsolemnlypledgemyselftoconductthecampaigninaccordance with the above principles andpractices. e 2 tb 2 l Date www.ethics.state.tx.us Revised 11/23l2010 City of Colleyville Financial Disclosure and Business Conflict of Interest Forms PERSONAL FINANCIAL STATEMENT AFFIDAVIT Financial Disclosure and Business Conflict of Interest Forms shall be provided by candidates for Mayor and City Council and by applicants seeking appointments to the Planning and Zoning Commission or the Zoning Board of Adjustment, and shall file such forms within two (2) business days following the end of the candidate filing period, or if for appointment, within (Z) business day following the end of the application period stated in the official City advertisement for application for the position. The city manager and the city manager's senior staff members (including any staff member who is appointed with City Council approval) shall also file the same within thirty (30) days of hiring. All person(s), as outlined above, shall have a duty to file supplemental disclosures annually and within five (5) business days of an occurrence of any change in the information reflected in the forms previously filed by the individual. Before m/e�, the undersigned authority, personally appeared: �4ViJ/� l5-� � I adl..�. who, after being duly swom upon their oath and deposed and stated as follows: "My name is � m�� r� G� �'r'a (l C, and I hereby submit for filing the attached Financial Disclosure and Business Conflict of Interest forms. I have personal knowledge of ail information contained in said forms and all information contained in the forms is true and correct." "Further, all information contained in the forms is complete. There is no information that has been withheld or not disclosed which is responsive to or required to be disclosed by the forms." A�ant to and subscribed before me, this the� day of N I� L��-"°6i' , 20� CNPo511NELOYEry �� - � My Nofary ID # 11052b87 �� � E�ires May 2, 2U22 Notary Public, State of Texas INITIAL HERE:�� DATE: 3'L� 1 Z_ (1 z� Ciry of Colleyville Financial Disclosure and Business Conflict of Interest Forms INFORMATION STATEMENT TOTAL NUMBER OF PAGES FILED: � OFFICE USE ONLY 1 NAME Frst, MI Date tteceived ;�rn�� last, Suffix RECEIVED Ci��Yll MAR 0�'1011 Address/City/SWte/Zip ti � ZADDRESS �gp -� (00� C-t reen ����� � - Coll�v;11�, ,'C� 1(c,ci3� 3 TELEPHONE Area Code, Phone Number, Extension NUMBER �D.� —S � U— t.�l.' �� ° REASON 0 EMPLOYEE (CIIY MANAGER OR *SENIOR STAFF) FORFiLiNG � CANDIDATE Ci1-\f ovnc�\ 7?lc�c� � (INDICATE OFFICE) STATEMENT � ELECTED OFFICIAL�I QNDICAIE OFFICE) 0 ZONING BOARD OF AD]USTMENT �nrrucnrir oa nrroirrree� 0 PLANNING & ZONING COMMISSION �nPa�cnxroanraorn�e> ❑Two (2) business days following the end of the candidate filing period or if appointment, following the end of the application period stated in the official city advertisement for the position. � Supplemental disclosure filed annually and within five (5) business days of an occurrence in previously filed form. *SENIOR STAFF is defined as those employees who are classified as directors and above in the City's classification system and the City Manager and City Secretary. s SPOUSE NAME S�ha �� �an' DEPENDENT 1. CZCa AM�� C`1� �'d�'1 � CHILD/CHILDREN 2. NAME(S) 3. 4. COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY INITIALHERE: .(i�p��i�� DATE: 3 �'I 20'Z\ ��� City of Colleyville Financial Disclosure and Business ConFlict of Interest Forms INTERESTS IN REAL PROPERTY Section 1 Describe the location, size, and current use of ali property owned within the included map, or held in trust by the filer, spouse, and any dependent minor children, or any business entity in which the person has a financial interest. When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which the child is listed on the Information Statement. HELD OR ACQUIRED BY FILER POUSE EPENDENT CHILD # ZDESCRIPTION �oc �-� c�ty Ct�\\24v �\l�. Block `i County \ ���a�k" Gy.rld�CbC00�C Subdivision 2�:. Ad Valorum Tax Account Number Acre(s) and Tract ° ��52 �SSz�'}oo STREET ADDRESS STREEf ADDRESS, INCLUDING C1TY, COUNTY, AND STATE (ep3 C� rt'E � �'��,� a.^� N. �0l\2��vi�l-(, i "r� �(o��j� ° NAME LIST THE NAMES AND ADDRESSES OF OTHER PERSONS OR BUSINESS ENTITIES WHICH OWN AN INTEREST IN THE REAL PROPERTY ,�,/ 5�r�� c.K,�a�; (,se��se,� L�IINDIVIDUAL (,po'� C-��R� ��$b1�0i1'3 � Q BUSINESS Cal��{�`1� , T� �CBG�� HELD OR ACQUIRED BY FILER SPOUSE DEPENDENT CHILD # DESCRIPTION Lot City Block County Subdivision Ad Valorum Tax Acmunt Number Acre(s) and Tract 3 STREET ADDRESS STREEf ADDRESS, INCLUDING CITY, COUNTY, AND STATE ° NAME LIST THE NAMES AND ADDRESSES OF OTHER PERSONS OR BUSINESS ENTITIES WHICH OWN AN INTEREST IN THE REAL PROPERTY � INDIVIDUAL Q BUSINESS COPY AND A7TACH ADDITIONAL PAGES AS NECESSARY ❑ NOT APPLICABLE INITIAL HERE:�'�_ DATE: �I`� Z 1 City of Colleyville Financial Distlosure and Business ConFlict of Interest Forms FEE, SALARY, OR GIFT Section 2 The name and address of any person or corporation which currently has or during the preceding twelve (12) months has had a direct or indirect contractual relationship with the City and from which the person(s), their spouse, or dependent minor children have received a fee, salary, or gift of value exceeding one hundred doliars ($100.00). When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which the child is listed on the Information Statement. ' RECIPIENT � FILER OSPOUSE �DEPENDENT CHILD # ZFEE, SALARY, GIFT NAME AND ADDRESS DESCRIPTION OF FEE, SALARY, GIFT 1 RECIPIENT �FILER SPOUSE ODEPENDENT CHILD #_ Z FEE, SALARY, GIFT NAME AND ADDRESS DESCRIPTION OF FEE, SALARY, GIFT 1RECIPIENT OFILER OSPOUSE ODEPENDENT CHILD # Z FEE, SALARY, GIFT NAME AND ADDRESS DESCRIPTION OF FEE, SALARY, GIFT COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY � NOT APPLICABLE INITIAL HERE:�_ DATE:�_Zo�-� City of Colleyville Financial Disclosure and Business Conflict of Interest Forms BUSINESS INTERESTS Section 3 The name and address of any corporation or business, which currently has or in the preceding twelve (12) months has had a direct or indirect contractual relationship with the City, of which person(s), their spouse, or any dependent minor children own more than two percent (2%) of the outstanding equity interest or more than two percent (2%) of the assets. When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which the child is listed on the Information Statement. ' HELD OR ACQUIRED BY OFILER �SPOUSE �DEPENDENT CHILD #_ ZDESCRIPTION NAMEAND ADDRESS 3 NATURE OF BUSINESS 1 HELD OR ACQUIRED BY �FILER �SPOUSE �DEPENDENT CHILD #_ Z DESCRIPTION NAME AND ADDRESS 3 NATURE OF BUSINESS ' HELD OR ACQUIRED BY OFILER OSPOUSE ODEPENDENT CHILD #_ Z DESCRIPTION NAME AND ADDRESS 3 NATURE OF BUSINESS COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY �OT APPLICABLE INITIAL HERE:� DATE: �T�Z�Z� City of Colleyville Financial Disclosure and Business Conflict of Interest Forms PERSONAL FINANCIAL STATEMENT AFFIDAVIT Financial Disclosure and Business Conflict of Interest Forms shall be provided by candidates for Mayor and City Council and by applicants seeking appointments to the Planning and Zoning Commission or the Zoning Board of Adjustment, and shall file such forms within two (2) business days following the end of the candidate filing period, or if for appointment, within (2) business day following the end of the application period stated in the official City advertisement for application for the position. The city manager and the city manager's senior staff members (including any staff member who is appointed with City Council approval) shall also file the same within thirty (30) days of hiring. Alf person(s), as outlined above, shall have a duty to file supplementa� disclosures annually and within five (5) business days of an occurrence of any change in the information reflected in the forms previously filed by the individual. Before me, the undersigned authority, personally appeared: � rn� r�..G�� ��(Ll, who, after being duly sworn upon their oath and deposed and stated as follows: "My name is 1'�mYl� ��� ��'� � and I hereby submit for filing the attached Fina cial Disclosure and Business Conflict of Interest forms. I have personal knowledge of all information contained in said forms and all information contained in the forms is true and correct." "Further, all information contained in the forms is complete. There is no information that has been withheld or not disclosed whic�s responsive to or required to be disclosed by the forms." , ( \ A�ant to and subscribed before me, this the � day of �GYJQ.U.�Lf2..7 , 20� CHRISI7NE LOVEN � �� A�ly Notary iD # 11092507 F..�ires May 2� 2022 �-(/P�L ✓ Notary Public, State of Texas INITIAL HERE: �('� DATE: 2� �o (2 j l City of Colleyville Financial Disclosure and Business ConFlict of Interest Forms INFORMATION STATEMENT TOTAL NUMBER OF PAGES FILED: � OFFICE USE ONLY 1 NAME Frst, MI Date Received �rn� � �St, s°r�X I RECEIVED C� �� la Y19 FEB ZADDRESS Address/City/State/Zip 101�Zf (�3 C ��P2�'t �t�'1�o� V�I . cso C�U� v,11�, , 'C�� ��a3`1 3 TELEPHONE Area Code, Phone Number, Extension NUMBER �Z'_cJ �U —�6S a�. 3qP� 1'Y\. " REASON � EMPLOYEE (CITY MANAGER OR *SENIOR STAFF) FOR PILING � CANDIDATE C i�V C'o�n c;� (0.�.2, � (INDICATE OFPICE) STATEMEN7 � ELECTED OFFICIQL �irvoicnre oFr�ce� O ZONING BOARD OF AD7USTMENT cAPPuca�r oa naPom�ree> � PLANNING & ZONING COMMISSION �avvucarrroanvrorn�e� ❑Two (2) business days following the end of the candidate filing period or if appointment, following the end of the application period stated in the official city advertisement for the position. � Suppiementai disclosure filed annually and within five (5) business days of an occurrence in previously filed form. *SENIOR STAFF is defined as those employees who are classified as directors and above in the City's classification system and the City Manager and City Secretary. s SPOUSE NAME `��` ra C� 1� �\ DEPENDENT 1. l:Z�'�� Pr�`�Y�' C'l���v1, CHILD/CHILDREN 2. NAME(S) 3. 4. COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY INITIAL HERE:� DATE: �-- �� '�- � City of Colleyville Financial Disclosure and Business ConFlict of Interest Forms INTERESTS IN REAL PROPERTY Section 1 Describe the location, size, and current use of all property owned within the included map, or held in trust by the filer, spouse, and any dependent minor children, or any business entity in which the person has a financial interest. When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which the child is listed on the Information Statement. 1 HEID OR ACQUIRED BY FILER POUSE EPENDENT CHILD # DESCRIPTION LOt Ciry Block County Subdivision Ad Valorum Tax Account Number Acre(s) and Tract STREET ADDRESS STREET ADDRESS, INCLUDING CITY, COUNTY, AND STATE ° NAME LIST THE NAMES AND ADDRESSES OF OTHER PERSONS OR BUSINESS ENTITIES WHICH OWN AN INTEREST IN THE REAL PROPERTY 0 INDIVIDUAL Q BUSINESS HELD OR ACQUIRED BY FILER SPOUSE DEPENDENT CHILD # DESCRIPTION Lot City Block County Subdivision Ad Valorum Tax Account Number � Acre(s) and Tract STREET ADDRESS STREET ADDRESS, INCLUDING CITY, COUNTY, AND STATE ° NAME LIST THE NAMES AND ADDRESSES OF OTHER PERSONS OR BUSINESS ENTITIES WHICH OWN AN INTEREST IN THE REAL PROPERTY D INDIVIDUAL Q BUSINESS COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY 1 �'INOTAPPLICABLE INITIALHERE:� DATE:Z-I�o�� City of Colleyviife Financial Disclosure and Business Conflict of Interest Forms BUSINESS INTERESTS Section 3 The name and address of any corporation or business, which currently has or in the preceding twelve (12) months has had a direct or indirect contractual relationship with the City, of which person(s), their spouse, or any dependent minor children own more than two percent (2%) of the outstanding equity interest or more than two percent (2%) of the assets. When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which the child is listed on the Information Statement. 1 HELD OR ACQUIRED BY OFILER QSPOUSE �DEPENDENT CHILD #_ Z DESCRIPTION NAME AND ADDRESS 3 NATURE OF BUSINESS 1 HELD OR ACQUIRED BY OFILER �SPOUSE ODEPENDENT CHILD #_ Z DESCRIPTION NAME AND ADDRESS 3 NATURE OF BUSINESS 1 HELD OR ACQUIRED BY �FILER OSPOUSE �DEPENDENT CHILD #_ Z DESCRIPTION NAME AND ADDRESS 3 NATURE OF BUSINESS COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY �NOT APPLICABLE INITIAL HERE: i�tf1 DATE:�21 City of Colleyville Financial Disclosure and Business Conflict of Interest Forms FEE, SALARY, OR GIFT Section 2 The name and address of any person or corporation which currently has or during the preceding twelve (12) months has had a direct or indirect contractual relationship with the City and from which the person(s), their spouse, or dependent minor children have received a fee, salary, or gift of value exceeding one hundred dollars ($100.00). When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which the child is listed on the Information Statement. 1 RECIPIENT �FILER �SPOUSE �DEPENDENT CHILD # ZFEE, SALARY, GIFT NAME AND ADDRESS 3 DESCRIPTION OF FEE, SALARY, GIFT 1 RECIPIENT OFILER �SPOUSE ODEPENDENT CHILD #_ Z FEE, SALARY, GIFT NAME AND ADDRESS DESCRIPTION OF FEE, SALARY, GIFT 1 RECIPIENT �FILER �SPOUSE ODEPENDENT CHILD # Z FEE, SALARY, GIFT NAME AND ADDRESS 3 DESCRIPTION OF FEE, SALARY, GIFT COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY �NOT APPLICABLE INITIAL HERE:� DATE: 2-I leI'Z l _ _ _ — — —��t -- — :-zs hescribed W Sxretary of State iection 141.031. Chap[ers 143 and 194, Texas Elec[ion Cotle =/201] ALL INFOHMATION IS RE UIRED TO BE PROVIDED UNLESS INDICATED OPTIONAL I APPLICATION FOR A PLACE QN THE ` GENERAL ELECTION BALIOT ; TO: City Secretary/Secretary of Board � i request that my name be placed on the a6ove-named official ballot as a wndidate for the office indicated below. OFFICE SOUGHT (Include any place num6er or other distinguishing num6er, if any.) INDICATE TERM C.i•%' �'A��C� � �I��P � �u« ❑UNEXPIRED FULL NAME (First, Middle, W st) PRINT NIWIE AS YOU WANT IT TO APPEAR ON THE BALLOTi p�rnyn C-��I�n:, p�rnyn C��,I�r,; PERMANENT RESIDENCE ADDRE55 (Do not include a P.O. Box or Rural PUB�IC MAILING ADDRESS (Campaign mailing address, if available.) Route. If you do not have a residence address, describe the address at which you receive personal mail and lowtion of residence.) (�O'3 Gr��n '��ea�uW N. Coo3 C��een '(�l2ado� �v. CITY . STATE ZIP CITY SfATE ZIP CoUe v�,11�, -r � ��n3� Col�eyv,Ile 'r� �c�o3�l PUBLIC EMNL ADDRE55 (If av`ailable) OCCUPATION (Do not leave blank) DATE OF BIRTH VO7ER REGISTRATION VUID i'c7f1i �� Eo�1ey�;1`Qi 4�i C Y3�(5E'CJCI�;'`}- y NUMBER(Optional)� 9 cy rn$'. �.�U f�/! � E 2 C V t*�1'�°�.. � � f Y� � Y� �iG TELEPHONE CONTACf INFORMATION (Optional) LENGfH OF CONTINUOUS HESIDENCE AS OF DATE APPLICATION SWORN Home: N�� INSTA7E INTERRRORYFROMWHICHTHE OFFICE SOUGHT IS ELECTED' Work: �I (} (,t year (s) � year (s) Ce1L• �,Q"�'Ci�U" �'i�{�'`Pj - .i �y month(s) T' month(s) If using a nickname as part of your name to appear on the ballot, you are also signing and swearing to the following statements: I further swear that my nickname does not constitute a slogan nor does it indicate a political, ecanomic, social, or religious view or afBliation. I have been commonly known by this nickname for at least three years prior to this election. Before me, the undersigned authority, on this day personally appeared (name) �iYf�9✓� l`� i I�('� 1 . who being by me here and now duly sworn, upon oath says: � '9, (name) Hfy1yi� �I �'� (l � . of � arfol Y�-�C' County, Texas, being a candidate for the office of �� �� II�C�, G���-N ( a�M(�: ���o.CA. �0 . swear that I will support and defend the Constitution and laws of the United States and of the Sta e of Texas. I am citizen of the United States etigible to hold such office under the constitution and laws of this state. 1 have not been finally convicted of a felony for which I have not 6een pardoned or had my full rights of citizenship restored by other o�cial action. I have not been determined by a finai judgment of a court exercising probate jurisdiction to be totaliy mentally incapacitated or partially mentally incapacitated without the right to vote. I am aware ofthe nepotism law, Chapter 573, Government Code. I further swear that the foregoing statements included in my application are in 11 things u nd correc�t." X SI ATURE OF , � Swom to and subscribed befor at '�� � � i� this the '� day of 2. �' '- � N I� ID # 11092587 j � • :m: °.�S4�ay 2, so22 ::;;� ..,t�,.f l �.��>I,i,�� � 011�'�"� l�lu��� � Signature of Officer Administering Oath" Title of O�cer Administering Oa h TO 8E COMPLETED BY CITY SECRETARV OR SECRF�TARY F B R�' � (See Section 1.007) a�. r{ Date Received Signature of Secretary Voter Registration Status Ver�ed u APPOINTMENT OF A CAMPAIGN TREASURER FORnn CTA { BY A CANDIDATE P� 1 1 Tofal pagas fled: See CTA Instruction Guitle for detailed instructions. 2 CANDIDATE MS/MR5/MR FIRST MI NAME � OFFICE USE ONLY ' � ` � " " . . . . . . ���� . . . . . . . . . . . . . . . Filer ID # NICKNNufE LAST 3��� Da�eReceiv�ECEIV C�, �a�l eD 3 CANDIDATE /�DRESS/POBOX; APT/SUITE#, CITY; STATE; ZIPCODE FEB041011 MAILING ADDRESS (003 C�re,�c� C`�-�o�da� N� �so ,y�o�P �oll�,yv�U�e, T� -�c�p'Sy oaleHentldeliveretlorPosVnarketl 4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt# Amount$ PHONE (�d�) � � � � �� O� Oate Processetl 5 OFFICE HEID oateimaeea (if any) 6 OFFICE r sou�cHr C����f' �.vJ�C�, ��o�CR. � #aC CQ��'2,�v�i�, 1 7 CAMPAIGN MSIMRSIMR PIRST MI � NICKNNME LpST SOFFIX TREASURER � L.� ' NAME ��'Fa. J��� C1,t'��1� B CAMPAIGN $TREEfA��RESS (NOPOBOXPLEASE); APT/SIIITE#, CITY; STATE; ZIPCODE TREASURER d '�`7� STREET ,�/� � CC��,'i1 V��I'e, �/� ��VV� ADDRESS �O� C�iL:F�C� \ � �'� ��� N � � (residence or business) J CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE /p I—L\ /�l Q"%.,,—�'�i `I � D T/ '10 CANDIDATE . SIGNATURE I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code. I am aware of my responsibility to file timely reports as required by title 15 of the Election Code. � am aware of th estrictions in title 15 of the Election Code on contributions from co oratio s nd labor organizations. z tioZ-1 ignatureofCandidate Da Signed GO TO PAGE 2 rorms providea by iexas tthics Gommission www.ethlcs.state.tx.us Revised 7/1/2020 CANDIDATE MODIFIED FORnn CTA REPORTING DECLARATION PG 2 '11 CANDIDATE NAME 'I2 MODIFIED REPORTING COMPLETE THIS SECTION ONLY IF YOU ARE DECLARATION CHOOSING MODIFIED REPORTING � •• This declaration must be flled no later than the 30th day before the first election to which the declaration applies. •• •• The modified reporting option is valid for one election cycle only. •• (An election cycle includesa primary elec[ion, a general elecfion, and any rela[ed iunoRs.) •• Candidates for the office of state chair of a political party may NOT choose modifled reporting. •• I do not intend to accept more than $900 in political contributions or make more than $900 in political expenditures (excluding filing fees) in connection with any future election within the election cycle. I understand that if either one of those limits is exceeded, I will be required to file pre-election reports and, if necessary, a runoff report. Yearofelection(s)orelectioncyGeM Signatu�eofCandidate which tleclaration applias This appointment is effective on the date it is fled with the appropriate filing authority. TEC Filers may send this form to the TEC electronically at treasappoint(�ethics.state.6c.us or mail to Texas Ethics Commission P.O. Box 12070 Austin, TX78711-2070 For more information about where to file go to: hKps://www. ethics.state.tx. us/fi linginfo/Qu ickFileAReport. php Forms provided byTexas Ethics Commission www.e[hics.state.tz.us Revised 7!1/2020 Texas Ethics Commission P.O. Box 12070 Austin, Texas 787'11-2070 (512)463-5800 (TDD 1-800-735-2989) CODE OF FAIR CAMPAIGN FORM CFCP PRACTICES COVER SHEET OFFICE USE ONLY Pursuant to chapter 258 of the Election Code, every candidate and DateReceivetl political committee is encouraged to subscribe to the Code of Fair �E�ENED Campaign Practices. The Code may be filed with the proper filing 41U21 authority upon submission of a campaign treasurer appointment FEB 0 form. Candidates or political committees that already have a �� current campaign treasurer appointment on file as of September 1, f�.'Gv ��'Y� 1997, may subscribe to the code at any time. °�"a"°-0a""a'�°°'P°"'"a'"e° Oete ProcesseE Subscription to the Code ofFair Campaign Practices is voluntary. �ate ImageE 1 ACCOUNT NUMBER Z TYPE OF FILER (Ethics Commission Flers) CANDIDATE POLITICAL COMMITTEE � If �ling as a candidate, complete boxes 3- 6, If filing for a political committee, complete then read and sign page 2. boxes 7 and 8, then ieatl and sign page 2. $ NAME OF CANDIDATE TRLe(oc,Mc,Ms.,ero.) FIRST MI (PLEASETYPEORPRINT) ,/�A� �{'�,�'`(� �-� ............................................ NICKNAME IqST Sl1FFIX(SR.,JR.,Ill,etc.) �„1, �� n � 4 TELEPHONE NUMBER AREqCOOE PHONENUMBER EXTENSION OF CANDIDATE 1M'� (PLEASET'PEORPRWT) �Z�Z � : � � O ♦ � "� `� 5 ADDRESS OF CANDIDATE STREEf/POBOX; APT/SUREM; CITY; STPTE; ZIPCODE (PLEASETPEORPRIfJ� � � �()IIQ V�,�� 1 �� Cc�`� C.-�r��en SY1�n.da„�,� `� ��� 6 OFFICE SOUGHT BV CANDIDATE (PLEN9 E TYPE OR PRif�ll) Coll��,�4e G� G��ne', �1�.c-e. Cp 7 NAME OF COMMITTEE (PLEASEiYPEORPRIM) $ NAME OF CAMPAIGN TfiLE(Oc,Mc,Ms.,atcJ FIftST MI TREASURER ��� �jaY�a (PLENSETVPEORPRI�'!T) . . . . . . . . . . . . . . . . . . . . . . . . . . NICKNAME IASI' SUFFIX(SR.,JR.,Ill,etc.) C.-��� `a�'a� GO TO PAGE 2 www.ethics.state.tz.us Revised 11/23/2010 �ews iar�ri-cury CODE OF FAIR CAMPAIGN PRACTICES There are basic principles ofdecency, honesty, and fairplaythat every candidate andpolirical committee in tlus state has amoral obligafionto observe anduphold, in orderthat, aftervigorously contestedbut fairlyconducted campaigns, our citizens may exercise theirconstiturionalrights to a free anduntrammeled choice andthewill ofthepeoplemaybe fully andcleariy eacpressed onthe issues. Y.I : • : (1) I will conduct the campaign openly and publiciy and limit attacks onmy opponent to legitimate challenges to my opponenYs record and stated positions on issues. (2) I will not use orpermit the use ofcharacter defamation, wlrispering campaigos, libel, slander, or scnrrilous attacks on any candidate or the candidate's personal or family life. (3) I will not use or permit any appeal to negative prejudice based on race, sex, religion, or na6onal origin. (4) I will notuse campaignmaterial ofany sort that misrepresents, distorts, or otherwise falsifies the facts, nar wil1I use malicious orunfounded accusations that aitn at creating or exploiting doubts, without jusrification, as to the personal integrity orpatriotism ofmy opponent. (5) Iwillnotundertakeorcondoneanydishonestorunetlucalpracticethattendstocorruptorundeiiniueoursystem offree elecrions or that hampers orprevents the full and free expression ofthe will of the voters, including any activity aimed at intimidating voters or discom•agiug them fromvoting. (� Iwilldefendandupholdtherightofeveryqualifiedvotertofullandequalparticipationintheelectoralprocess, andwillnotengageinanyactivityaimedatintimidatingvoters ordiscouragingthemfromvoting. ('� Iwillimmediatelyandpubliclyrepudiatemethodsandtacficstl�atmaycomefromothersthatIhavepledgednot to use or condone. I shall take firm action against any subordinate who violates any provision ofthis code or the laws goveming elections. I, the undersigned, candidate far election to public office in the State of Texas or campaign treasurer of a polirical committee,herebyvoluntarilyendoise,subscn'beto, andsolemnlypledgemyselftoconductthecampaigninaccordance with the above principles andpractices. s Z ��I �- j �� www.ethics.state.tx.us Revised 11/23/2010 City of Colleyville Financial Disclosure and Business ConFlict of Interest Forms PERSONAL FINANCIAL STATEMENT AFFIDAVIT Financial Disclosure and Business Conflict of Interest Forms shall be provided by candidates for Mayor and City Council and by appiicants seeking appointments to the Planning and Zoning Commission or the Zoning Board of Adjustment, and shall file such forms within two (2) business days foliowing the end of the candidate filing period, or if for appointment, within (2) business day following the end of the application period stated in the official City advertisement for application for the position. The city manager and the city manager's senior staff members (including any staff member who is appointed with City Council approval) shall also file the same within thirty (30) days of hiring. All person(s), as outiined above, shall have a duty to file supplemental disclosures annually and within five (5) business days of an occurrence of any change in the information reflected in the forms previousiy filed by the individual. Before me, the undersigned authority, personaily appeared: �L'1i'1��h1 iti�l �'�l(l�. who, after being duly sworn upon their oath and deposed and stated as follows: "My name is �fY4l.Al(1 ��� i'�1'l � and I hereby submit for filing the attached�ial Disclosure and Business Conflict of Interest forms. I have personal knowledge of all information contained in said forms and all information contained in the forms is true and correct." "Further, all information contained in the forms is compiete. There is no information that has been withheid or not disclosed which ' responsive to or required to be disclosed by the forms." AfFiant Swom to and subscribed before me, this the ��i�- day of t'E-U ���� N , 20�-� CHRISTINE LOVEN ; � My Notary ID # 11092587 ' �j Expires MaY 2� 2022 �d G'`ZZ%� �'%�-� Notary Public, SWte of Te�cas INITIAL HERE: ,� DATE: �-f � (� � C(ty of Colleyville Financial Dtsclosure and Business Conflict of Interest Forms INFORMATION STATEMENT � TOTAL NUMBER OF PAGES PILED: OFFICE USE ONLY 1 NAME Frst, MI Date Received ���� Last, Suffix C-�� lan � RECEIVED ZADDRE55 address(City/State/Zip �03 C-�rCE�n �M��`�'" N FEB 0 41029 Cel�e�(u�112 , '�X, �1(QO`3� �� 3 TELEPHONE Area Code, Phone Number, Extension NUMBER .LQ�— S l O ' ��-I,pS ° REASON � EMPLOYEE (CITV MqNAGER OR *SENIOR STAFF) FOR PILING C� CANDIDATE n•; lacA, (INDICA7E OFFICE) STATEMENT 0 E�EGTED OFFICI L (INDICATE OFFICEJ � ZONING BOARD OFADJUSTMENT�arrucJ,Nronarronuree� O PLANNING & ZONING COMMISSION �avaurAxToanavo�rrree> ❑Two (2) business days following the end of the candidate filing period or if appointment, following the end of the application period stated in the official city advertisement for the position. � Supplemental disclosure filed annually and within five (5) business days of an occurrence in previously filed form. *SENIOR STAFF is defined as those employees who are classified as directors and above in the City's classification system and the City Manager and City Secretary. 5 SPOUSE NAME S� n� C�l i,a n� DEPENDENT 1. �Ztc� I�YY\l��il C�l�,��� CHILD/CHILDREN 2. NAME(5) 3. 4. COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY INITIAL HERE: DATE: �' `'� � � City of Colleyviile Financial Disclosure and Business ConFlict of Interest Forms INTERESTS IN REAL PROPERTY Section 1 Describe the location, size, and current use of all property owned within the included map, or held in trust by the filer, spouse, and any dependent minor children, or any business entity in which the person has a financial interest. When reporting information about a dependent child's activity, indicate the chi�d about whom you are reportmg by providing the number under which the child is listed on the Information Statement. HELD OR ACQUIRED BY FILER POUSE EPENDENT CHILD # DESCRIPTION Lot City Block County Subdivision Ad Valorum Tax Actount Number Acre(s) and Tract STREET ADDRESS STREEf ADDRESS, INCLUDING CTfY, COUNTY, AND STATE ° NAME LIST THE NAMES AND ADDRESSES OF OTHER PERSONS OR BUSINESS ENTTTIES WHICH OWN AN INTEREST IN THE REAL PROPERTY � INDIVIDUAL Q BUSINESS HELD OR ACQUIRED BY FILER SPOUSE DEPENDENT CHILD # DESCRIPTION Lot city Biack County Subdivision Ad Valorum Tax Account Number Acre(s) and Tract STREET ADDRESS STREEf ADDRESS, INCLUDING CIfY, COUNTY, AND STATE ° NAME LIST THE NAMES AND ADDRESSES OF OTHER PERSONS OR BUSINESS ENTITIES WHICH OWN AN INTEREST IN THE REAL PROPERTY � INDIVIDUAL Q BUSINESS COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY L"J NOT APPLICABLE INITIAL HERE: � F`1 DATE: � I`'1 I Z City of Colleyville Financial Disclosure and Business ConFlict of Interest Forms FEE, SALARY, OR GIFT Section 2 The name and address of any person or corporation which currently has or during the preceding twelve (12) months has had a direct or indirect contractual relationship with the City and from which the person(s), their spouse, or dependent minor children have received a fee, salary, or gift of value exceeding one hundred dollars ($100.00). When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which the child is listed on the Information Statement. 'RECIPIENT �FILER �SPOUSE ODEPENDENT CHILD #_ ZFEE, SAI.ARY, GIFT NAME AND ADDRESS DESCRIPTION OF FEE, SALARY, GIFT 1 RECIPIENT �FILER SPOUSE ODEPENDENT CHILD #_ = FEE, SALARY, GIFT NAME AND ADDRESS DESCRIPTION OF FEE, SALARY, GIFT 1 RECIPIENT �FILER �SPOUSE �EPENDENT CHILD #_ 2 FEE, SALARY, GIFT NAME AND ADDRESS DESCRIPTION OP PEE, SALARY, GIFT COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY i�i N�OT APPLICABLE INITIAL HERE:�C L DATE: 2 l 2-� City of Colleyville Financial Disclosure and Business Conflict of Interest Forms BUSINESS INTERESTS Section 3 The name and address of any corporation or business, which currently has or in the preceding twelve (12) months has had a direct or indirect contractual relationship with the City, of which person(s), their spouse, or any dependent minor children own more than two percent (2%) of the outstanding equity interest or more than two percent (2°/a) of the assets. When reporting information about a dependent child's activity, indicate the child about whom you are reporting by providing the number under which the child is listed on the Information Statement. ' HELD OR ACQUIRED BY O�LER dSPOUSE �DEPENDENT CHILD #_ ZDESCRIPTION NAMEAND ADDRESS 3 NATURE OF BUSINESS 1 HELD OR ACQUIRED BY OFILER �SPOUSE ODEPENDENT CHILD #_ Z DESCRIPTION NAME AND ADDRESS 3 NATURE OF BUSINESS 1 HELD OR ACQUIRED BY �FILER �SPOUSE �DEPENDENT CHILD #_ 2 DESCRIPTION NAME AND ADDRESS 3 NATURE OF BUSINESS COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY �OT APPLICABLE INITIAL HERE:�'� DATE: Z�-I �- � CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 I 1 Filer D (Ethics Commission Filers) 2 Total pages filed; The CIOH Instruction Guide explains how to complete this form. .:1.1 3 CANDIDATE / MS I MRS I MR FIRST MI OFFICEHOLDER Mr. Amyn OFFICE USE ONLY NAME................................................................................. Date Received NICKNAME LAST SUFFIX RECEIVED Gilani APR U 12021 4 CANDIDATE / ADDRESS i PO BOX; APT I SUITE #; CITY; STATE; ➢P CODE OFFICEHOLDER 603 Green Meadow N. Colle vllle, TX 76034 y MAILING ADDRESS C80 Change of Address /0' 35 An -- J 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand -delivered or Date Postmarked OFFICEHOLDER (202 ) 510-4405 PHONE Receipt # Amount $ 6 CAMPAIGN MS I MRS I MR FIRST MI TREASURER Mrs. Sana Data Prccessed NAME................................................................................. NICKNAME LAST SUFFIX Date Imaged Gilani 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE #; CITY; STATE; ZIP CODE TREASURER 603 Green Meadow N. Colleyv Ille, TX 76034 ADDRESS (Residence or Business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE / 817 ) 602-9211 \ 9 REPORT TYPE January 15 30th day before election Runoff 15th day after campaign treasurer appointment (Officeholder Only) July 15 But day before election Exceeded Modified Final Report (Attach CIOH -FR) Reporting Limit 10 PERIOD Month Day Year Month Day Year COVERED 2 4 / 21 THROUGH 3 31 121 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year Primary Runoff Other Description 5 / 1 / 21 ■ General Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (f knoym) Colleyville City Council Place 5 14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT POLITICAL THE CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES My HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE(S) COMMITTEE TYPE COMMITTEE NAME GENERAL COMMITTEE ADDRESS Additional Pages SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 15 C/OH NAME 16 Filer ID (Ethics Commission Filers) Arri Gilani 17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN TOTALS S LOANS, OR $ 1,081.04 CONTRIBUTIONS MADE ELECTRONICALLY) 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $12, 265.04 ................... TOTALS EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. $ 0.00 ................... 4. TOTAL POLITICAL EXPENDITURES $ 6,681.05 CONTRIBUTION BALANCE 5 . TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ 5, 583.99 .................. OF REPORTING PERIOD OUTSTANDING LOAN TOTALS 5 IISTANDING LOANS AS OF THE $ 0.00 LAST DAY OFTHE REPORTING PERIOD 18 SIGNATURE 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. ' Si t o arwicat. or Officeholder Please complete either option below: CHPoSTINE 10VEN (1) Affidavit N: •= My Notary ID # 11092587 E)Ores May 2, 2022 NOTARY STAMP/SEAL Swom�^lto and subscribed before me by ArnV GI [%(�i.+ this the /51 day of P)e/ 4,, 20 0 to certify Ilness my hand and seal of office. C {A. goer C h2cs-Wn� %nee J XIOM y Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath (2) Unworn Declaration My name is'Arl 6ifer i and my date of birth is My address is 693Jawe, ileadiaw N, ., per— —T.X-- 79934— ,4120' (street) (city) (state) (zip code) (country) Executed in County, State of , on the day of , 20 (month) (year) Signature of Candidate/Officeholder (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME Amyn Gilani 20 Filer ID (Ethics Commission Filers) 21 SCHEDULE SUBTOTALS NAMEOFSCHEDULE SUBTOTAL AMOUNT 1. ■ SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS $ 12,265.04 2. SCHEDULEA2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS $ 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULEE: LOANS $ 5. ■ SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 6,329.67 0. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9. ■ SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 351.38 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. SCHEDULE I: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER $ Forms provided by Texas Ethics Commission w .ethics.state.tx.us Revised 8/1712020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: �, I 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Amyn Gilani 4 Date 5 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of Contribution ($) Afzal Somani 02/14/2021 ................................................................. 6 Contributor address; City; State; Zip Code 200.00 13608 Bare Island Dr. Chantilly, VA 20151 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Date Full name of Contributor out-of-state PAC (to#: ) Amount of contribution ($) Omar Javery 02/ 15/2021 ............................................................. I .................. Contributor address; City; State; ZipCode O O.O O 2300 N Kensington St. Arlington, VA 22205 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of Contributor out-of-state PAC (ID#: ) mount of contribution A ($) Elizabeth Tribelli 02/15/2021 ............................... I........... ................................... Contributor adtlress; City; State; Zi..Code i I OO.00 2122 N Rolfe St. Arlington, VA 22209 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: 1 Amount of contribution ($) Navid Kapadia 02/ 15/2021 ..................................................................... .. .................................. Contributor address; City; State; Zip Code 100.00 760 Memorial Drive SE Atlanta, GA 30316 Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule At: 1 2 FILER NAME ` 1 jj '�YVIy>,C�t. I� YL � 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC (ID#. ) 7 Amount of Contribution ($) 2(�3I2� ..6 ....C......ontributor.......adtlress;......................1 C.i.Ty..; ............ State.; .....Zip......ode... C Q{ 00 (p2o"7- Quk� -Tra 4 1.V, SU)ac 1-anc{ rr T-/- -+-+LA 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) �rzt2 Cl�tk-2wa1� Z�l'I IZ, ................................... Ci.................., d. dress; Contnbu tor aCiTy,tae; �S�tZip Cade I9(01 �f ae_cl', 'Da- WE T�rNn-tc, L7a 3 s32 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) N';za(- c-t,1a�� ...................................................................... Contributor adtlress; CiTy; Slate; Zip Code00 va11-e-1 be- 13sa waPa -�' I, aw rt cz v 11 2 L--) pt- 0e 4'7 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) S1n2rn'n� C-G� ' ZI Ito I Z ....................... Contributor address; City; State; Zip Code � `� QO � �....v k3so N f rAU� �r. t--aVjrcY-\eQv:�t-e— Q=-lA- Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission w .ethics.state.tx.us Revised 8/1712020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. d Total pages Schedule At: ` 2 FILER NAME � my 1 o 141 1-A 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC (to#: ) 7 Amount of contribution ($) Cdw2 ,A C- koe5{-�C vy �1 6 Contributor address; City; State; Zip Code il3 ttrnbecl',n� Vc. sJ coite�Vitje� l l w -s'-I 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Yvt Ctn��,� 'T. T)-eo <'I (\i Amount of contribution ($) c` ................................................................ Contributor atltlress; City; State; Zip Code s� IOD� f. LI$2% laic--'> cC.sv Dc. coU,°�v<�1� Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (IDK ) Amount of contribution ($) .ate `.... Ck ..............................: ............................ .......... Contributor address; Ciry; State; Zip Code "r O` •� � b� SQSb� zo-- e.C' V<> Cot,if'v:�t-e Tc -1 Z Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (IDAk ) Amount of contribution ($) �j Contributor address, City; State; Zip Code ZSO •— lot rvt� Valle, c, �JJ cotte Ile. O v, Principal occupation / Job title (See Instructions) Employer (See Instructions) .. ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED If contributor is out-of-state PAC, please see Instruction guide foradditional reporting requirements. Forms provided by Texas Ethics Commission www.ethies.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule At: I� 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC (lot._) 7 Amount of contribution ($) 6 Contributor address; City; State; Zip Code OQ 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-of-state PAC dD#: ) �1odlj\ Amount of contribution ($) h.. ........ ... .. o� '�T), Zl t.. V \tor..CIry; Ce:y�Zip Cotle PA -A Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#' ) Amount of contribution ($) C-1uls'\(\'2.rS '�elaw0l\c\� j ...................address;.......................C..ity........................i-lp ........ Contributor ; State; Zip Code 00 10� S3(oS Ca1o'kf�- C*- >.,\l��ri ao L4--+— Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#' ) Amount of contribution I$) 1z1 ...} ...... ................c. Contributor address; City; State; Zip Code tootles �U-�sP�vt -11,0 Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDU LE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule At: 1�\ 2 FILER NAME Jn,�\/�/t`' ^ 3 Filer ID (Ethics Commission Filers) 4 Date 6 Full name of contrib for out -al -state PAC (ID#: ) 7 Amount of contribution ($) �.+ kLzz ................................................................ Contributor l 6 address; City; State; Zip Code 9 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) 1...... 3 C..ontributor.........address;..........................C.i..ty.;......... ...Sl....ate;...... Zip ...C.od..e....... .. I �� •Z,scoo k,\'\jS CA-. Co\kVU-T�L -7�-p-Z'q \ Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) S1ha�r3� �-c.,Sse,;v` Amount of contribution ($) .......................................................................... Contributor address; City; tale; Zip Code OO r� -� to 1z k,..), C\k (CX51� M -1lb-1S — Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out -of -stale PAC (ID#: ) Amount of contribution ($) '(S�ev-cc�, rtiav� 5 l .t.o.r................ ........ate; Zip -Code .......... ....p'.miC.�l.'o. 'bob jn.t.brib.l\.0a�ddre..s.s; City; C-1 Y\A-c-oeiJM col\ v lIt T�L -1 u o 3 v1 r Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission w ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schad UIs At: 2 FILER NAME A M1� ��' 1ay-\�\ 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out -of -stale PAC (ID#: ) 7 Amount of contribution ($) `3 1 LQ' �� ......................e.\..s.t.................................... Contributor C.% �0o � S....tate;........ i..Ty; 6 addr Or _ CZip Code Cp33� G `Z(S C.orC-or�v w%' ii Se—_ `I O 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#. ) Amount of contribution ($) Zl, 3 21 ........................�.. ............................P ..... Contributor atltlress; Ci`ryy,' State; Zi Code Rr)o L•n. "'_L 1oDoo "^ LAO`() yror.}tiF.t\�i SL Co 0<)d13 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out -of -stale PAC (ID#: ) 1Zw�+ Amount of contribution ($) g ...nt.................................. ................ ............ ............ Coributor address; City; State; Zip Cade 3�1 3 L 'J-.\\•er� V 3 OD `ate CPr Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) �Y\NbIr VW\o\n3nnvVntj,.� Amount of contribution ($) .............................................. Contributor address; City; State; Zip Code Iwo S O\ cjvv,yNRrcz k/JCAI Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDU LE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule At: 2 FILER NAME (t rnIV\ C-C. \^O, �, 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of contribution ($) 2 z4 ............................................. -............ -7 �q 00 —_ 6 Contributor address; City; State; Zip Cotle 4W 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) �>ti��a Sc�w�ravU "Z-1 AIZI ....................................................................... .. Contributor address; City; State; Zip Code Za�11 (�zS �, f s�- S� S a*sas Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) -('ate 4air-4- Amount of contribution ($) �ly�� y` .................................................................................. Contributor address; City; State; Zip Code t11� Pcvon CokKIV,�LL Z �o� Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name mee of contributor out-of-state PAC (ID# ) Amount of contribution ($) tul+�l/ '.......... l "Sin .. Contributor address; City; State; Zip Code �yoCp �,tSon TCr ace Mer}�n (,AWVe-, p0 4 O� �- 3 Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements, Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule At: L� 2 FILER NAME P�>vty,� Cam, laril 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC pD#: ( ($) 7 Amount of contribution00 6 Contributor address; City; State; Zip Code C, o V� �0 C-av^nlo.{ M � 3j 6 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) rvt t .0 R- s ..........................c....................................... ip.. odd...... Contributor atltlress; City; State; Zip Code � 00 � ^— i 3 �v %eAre 1 Ske its 4- yvt cl emn (V Lti 10 A Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) �e 1�c-4Pnka(r� .................................... 3 I (. Contributor address; City; State; Zip Code ./ �� �� CtS �L{ Iror.,loo L.v- Coij V\oz — tw'0 U Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) QAr� rk` ^SQ! L�Z�I Zl .........obutor. .........................................tate; .ZipC.......... Contributor address; City; State; Zip CodeLi-1 � me o Fceit- ° Ctg of-, CoWelvitt-C "f,)(- Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission wwvt.ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. i Total pages Schedule At:(� 2 FILER NAME C,•t Va " O� 3 Her ID (Ethics Commission' Filers) 4 Date 5 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of contribution ($) 5alvdn2n {.„5a;n 6 Contributor address; City; State; Zip Code 2©-2Oi No(-4A� Co,( i.).) e- Ni✓ 72- W SSY�� �✓� (� L z(x�oz a Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Nf I -.1 t/ \af`M.1 Amount of contribution ($) ..... -on-fr............................................................ Code Contributor atldress; City; State; Zip Code 13<n Iy coeetr I�A5L; pr. f vA- 2a 1-11 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) g.-4n;511 -1 o 1 � � 2 � ................. addr .................; City; ..... State ............11 Contributor address; City; State; Zip Code �p fl'M, 1M.0.6LAr• LO,t.J�'.b Wt C� Principal occupation / Job title (See instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) 1°t ®Y�Ii.�, P�� 1 t� IZ ............. ............................ ity.......... .............i........... Contributor address; City; State; Zip Code 1 g6 Q -� j2(o� �clno v�ll�� btOe�<,an 1 � 6 D 1 -7-C, Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission w .ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 9 Total pages Schedule At: I� 2 FILER NAME An,Nv, C-L1laA°v 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of contribution ($) po .6--C...................... .................... t.a...... ip C. d....... 6 Contributor address; Ciry; State; Zip Cotle . 10 f7 z R-\ag -.. WCl 3�2z Cp 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) �t Z.W O vA "r- \ Cn% `-1 \ Amount of contribution ($) 'Zl 1 I21 .............................................................. Contributor addr..ess; City; State; Zip Code I O0 � t t52- sGl f A- VJ � Sit } i l Q 13 (o Principal occupation / Job title (See instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: t Amount of contribution ($) C--a I'a r'tla, �'1�1 Z` ...........�.............. ............................. Code...... Contributor address; City; State; Zip Code too of 30H Cpr- � T'l-- -7 (o 0 5' ii Principal occupation / Job title (See instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) �awtezIF &ss� Contributor address; 5+ City; State; Zip Code "3-1-y E U 5l-, pcpk ZTt 1� �— t 1N y too CO' - Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission w .ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule At: 2 FILER NAME A M�A /'! s\ t ay ., 3 Filer to (Ethics Commission Filers) 4 Date S Full name of Contributor out -&-state PAC (ID#: ) 7 Amount of contribution ($) 6address; Stale; Zip Code -2ContriLbJutgor rC�i1Lry; Jet LA l F-01-' i Q (^. i a\ t-P..\}C.�.�c�p /yvvt V T' %i%rJ a Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) Ctiad Ike\-\ Z i Z I Contributor address; City; State; Zip Code t OOe Zz2o i Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: t Amount of contribution S) 1 ................................................................ C ontributor....add..ress; City; State; Zip Code 301 'jW (��lai ^ LaeB I West L'•nn / pq—— a-I®�g Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) Sad Dl/.a na'NL: -ems ..............orad.................................... o0 t��Z� tate;..ZipC.......... Contributor address; City; State; Zip Code d �caZ T SI—. NW IV& 10' -A'> T ken S) (- Z066 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. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: �y 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of contribution ($) Z./Lvad Vora V%, .v� 6 Contributor address; City; State; Zip Code (9ZS �}�tnv;eu� Ln. E}UruSfi Tk 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#; ) Amount of contribution ($) IJoms-n (y\oK-a rv%a4 Z ` 'L �� ................................ ............ ........................... Contributor address;..City; Slate; Zip Code cj l + II { Ito c.l^ W 1lo Vj L v�. -gyp r+ t or+ n (JO T)4, (oloct Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID# ) Amount of contribution Is) jZ; az, C-t'I Ilan, ................................................................................ Contributor address; City;State; Zi..Code I ao L40 Sk. Un: 1 Z (Ryl. v coo1,e Y\ / 02k7-3� Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) Mira YYViANAa � 'z3 �Z, .... ........`...-add-.r................ it..... Contributor address; City; State Zi Code _1`1 to 4 ab Or. Yet e( V:�12 tX y � eD l "— -IB(QQo Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission w-ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: iL 2 FILER NAME p�i Il A (� bi I8Al 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC (IDa: ) 7 Amount of contribution ($) Stj4 ,n .......................................................... 6 Contributor City; Slate; Zip Code /�� � address; 2- j lcr/ OyrtcIoo14 LAYA A�I�n�2 W C� 3o3z`i 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) F� re�A K(A.'San� IZ �7i �t ............................................y................t........---........ address; Ciry; State; ZipCode }} t7o �'o)_.. + ,Contributor ill 2.S ?S;ar 1no , Vc .. - cool n 'TiL. -=Fs-o o Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (tou: ) Amount of contribution ($) D-.Ignesln �br�tA'„nn ��l�Q �� ...tri..b...utor.....atldr...ess;....................C..ity;...... ........S....tate;.....Z.ip ...C...ode........ Con SO —I COOS'1 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (to#: ) e�,u��, Amount of contribution IS) Na>Q�C'� ZIZZ �l ..................................................................... Icl cp tornksAn �A k+- � ,State; Zip Cotle Pnk#k- ��D— cViaVvv�lor, c' 0z,l3`� Principal occupation / Job title (See Instructions) Employer (See instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission v .ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: l Lt 2 FILER NAME Amin (419n-) 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of contribution ($) SH21�ee� �,andea�� s I�t.P�2� `....:...........................F............... 6 Contributor address; City; State; Zipode too °© 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-af-state PAC (ID#: ) Amount of contribution ($) .................................................................................. Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#' ) Amount of contribution ($) ............................................................................. Contributor address; City; State; Zi..Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) .................................................................................. Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/1712020 POLITICAL EXPENDITURES MADE SCHEDULE F1 FROM POLITICAL CONTRIBUTIONS If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment Reimbursement Solicitation/Funcheisin Accounting/Banking Fees Office Overhead/Rentai Expense 9nt&Rele Pe Transportation Equipment&Related Expense Consultin g Expense Fo Wevaver-age Expanse Polling Expense Travel In Out Contdbulions/Donations Made By Giff/Awams/Memodals Expense Printing Expense Travel Out Of District Candidate/Oficeholder/Polifical Committee Legal Services Salaries/Wages/ContraIX Labor Other (enter a category not listed above) Credit CardPayment The Instruction Guide explains how to complete this form. 1 Total pages Schedule Ft: 2 FILER NAME Arnyv� c�,lari, 3 Filer ID (Ethics Commission Filers) 4 Date .' (Spa 5 Payee name r"�'g C) Ia�N:v�� 6 Amount ($) 7 Payee address; City; State; Zip code (0a 4L1i e,�a�e�. ,� Tx -I (0 8 (a) Category (See Categories listed at the lop of this schedule) (b) Description PURPOSE OF la r,k ]i oo(' han�Jec�j d EXPENDITURE (o) CheckifldaveloutskleofTexas. Complete SrheduleT Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Rnu M Sti-@v\ Amount ($) Payee address; City; State; Zip Code ZSD = 222 t J°5 �( ;� `�F • C��,��� , l Coo�w S ` Category (See Categories listed at the top of this schedule) Description PURPOSE OF ctv'pC�'Si (� m3;1^fi C('C�j,�'�c'Y� tOKo Ci��q✓� ) tJ EXPENDITURE V Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name In)orcre Amount ($) Payee address; City; State; Zip Code r l��, (' (00 -z Pt.", �i� lelA k—{�ci /tC .�j Cp CA� )to 1 Category (See Categories listed at the top of this schedule) Description PURPOSEOF EXPENDITURE � �t Jt(.t,WE Check iftraveioulside efTexas. Complete Schedule T. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/1712020 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Lvenl Expense Loan Repayment Reimbursement Solicitation/Funtlrsising Expense Accounfing/Banking Fees Office Overhead/Rental Expense Transportation Equipment& Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contribugona Donations Made By Gift/Awards/Memorials Expense Printin Expense 9LxP Travel Out Of District Candidate/Oficeholder/PoliticalCommittee Legal Services SalariesNVages/ConVact Labor Other (enters category not listed above) Credicald Payment The Instruction Guide explains how to complete this Form. 1 Total pages Schedule F1: 2 FILER NAME �n C�t1VV�1 3 Filer ID (Ethics Commission Filers) ''rflat^, 1V4 V 4 4 Date 5 Payee name 6 Amount ($ 7 Payee address; City; State; Zip Code j \\lckf r �J�� M2vr�� 4a� I Cyr gy02S 8 (a) Category (See Categories listed at the top ofthis schedule) (b) Description PURPOSEJ.�C,�,,�ZD�aC(',bOOK<j OF EXPENDITURE (c) CheckfflmveloulsideofTexas.Complete SrheduleT Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name -� 1-2-61 L\ W,,� won' Amount ($) Payee address; City; State; Zip Code Zsaoa ZSy"1 Sg� ^�b,l\ Q�. QIr N TX -7vjS1 Category (See Categories listed at the top of this schedule) Description PURPOSE OF 1 �'"U NA\RC �%i'a � EXPENDITURE U Check fftravel oulsideofTexas. Complete Schedules Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 3`�12i ww"�' fey S-vd;o-r' (LLC Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) PURPOSE OFA(�ef�'�'S8'VUR.1n7\' ��Description �V'J'Dt� \✓�V'�:1b�W�W� EXPENDITURE CheckiHraveloutside of Texas. Complete Schedules Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan RepaYmenVReimbumement Solicitation/Fundraising Expense Accointing/Banking Fees Office Ovemead/Rental Expense Transportation Equipment& Related Expense Consulting Expense Footl/Beverage Expense Pullin Expense 9 P Travel In District ContnbutlonsUonabous Made By Gift/Awants/Memonals Expense Y Exp Panting Expense Out Of District Cantlitlate/Oficaholtler/PoliticalCommittee LegalServices SalanesM/ages/Contrac[Labor Other (enters category not listed above) Other category Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 31t� I-LI 5 Payee name vA,Gti-&ejt,,, 6 Amount ($) 7 Payee address; City; State; Zip Code ifs, -tx -(��3 8 (a) Category (See Categories listed at the top ofthis schedule) (b) Description PURPOSE OF i(";v4iW—, Zjc(r, Pt-;v\* vVta�t.(;MS EXPENDITURE C1 (c) Checkff r "loutsideofTexas.Complete Sch uleT Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the lop of this schedule) Description PURPOSE OF EXPENDITURE Check' iftraveloulsideofTexas. Complete ScheduleT. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE Check iftravel outside of Texas. Complete ScheduleT. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS SCHEDULE G If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense I.nen RepaymenH%ximbumement SolicantioNFundmising Expense AxoundngBanking Fees Office OverheadlRerrtal Expense Transportation Equipment B Related Expense Consulting Expense Faod/Beverage Expense Palling Expense Travel In District ContdbuGons/DonaGons Made By Gih/AwardleVemonals Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SalarievWages/Contract Labor Other Isom,. am goryitm listed above) Credit Cana Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule G: 2 FILER NAME 3 Filer to (Ethics Commission Filers) 4 Date 5 Payee name 6 Amount ($) 7 Payee address; City; State; Zip Code 1$CIL414 Reimbureemeal Z-(a1 polifcal contributions intended E (a) Category (See Categodeslistedatthetop ofthisschedule) (b) Description PURPOSE OF q O-F r Mau ( 'F VIMJi a(� EXPENDITURE O�. (c) Checkiftnevel oulside efTexas. Complete Schedule T. Check if Austin, TX, officeholder living expense 9 Candidate / Officeholder name Office sought Office held Complete ONLY if direct expenditure to benefit C/OH Date l2 l I PaYeel ame ) C'k-jjS C, � Amount ($) C Reimbursement in Payee address; City; State; Zip Cade z90 political contributions imendert Category (see Categories listed at the top ofthis schedule) Description PURPOSE OF vl4Sv�— u EXPENDITURE Chmkffi miouWidedTe s.Complete Schedule T. Check if Austin, TX, officeholder living expense 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 Reimbursementfmm polifcal contributions intended Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE Check 1mast oufsideofTexas. Compute Schedule T. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (E(hics Commission Filers) 2 Total pages nied: � The C/OH Instruction Guitle explains how to complete this form. 3 CANDIDATE/ MS/MRS/MR FIRST MI OFFICEHOLDER m{�� �rn\(� OFFICEUSEONLY NAME........................ .. �................................................ Date fteceivetl NICKNAME LAST SUFFI% G,lan� RE�Fi�Eo q CANDIDATE / A�ORESS / PO BOX; APT / S,�UITrE N�; CITY; STATE; LP CO�E MAILI NG OLDER �O�S C,�IrPR(� •M��6�.UW t�1 � APR 23701/ ADDRESS � O lleyv �,��. i T�{` 1 rP ��� ` �0 � Change of Address �:0_3 5 CANDIDATE/ NREA CODE PHONE NUMBER EXTENSION pa�e Hand-tlaliveretl or Oate Pos�me�katl PHONEHOLDER �,L�.Z` Cj`Oai.�l-,Oo / Receipi 1l Amount $ 6 CAMPAIGN MS/MRS/MR FIRST MI TREASURER '(Y�TS- S�'n� NAME................................................................................. �ate Processed NICKNAME LAST S�FFIX Oata Imegetl C�;��w� 7 CAMPAIGN STREET A��RE55 (N� PO BOX PLEASE); APT / SUITE d; CITY; 1 STATE; ZIP CO�E TREASURER �0 �j C.��2(� �(`n,e�,db� QV • C-0��2�'�`�ie' �% ��p()3� ADDRESS (Residence or Business) � 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER �+ � PHONE � �,�" � CPO`L ' l�i^�� 9 REPORT TYPE � �anuary 15 � 3oN tlay before eleclion � RunoiF � i5ih day after campaign ireasurerappoinhnen[ . (ORiceholtler Only) � July15 �Btl�tlaybeforeelec0on � ��tledMotlified � FinalReporl(AXacM1C/OH-FR) Repotling Limit 10 PERIOD Monm oay vear Monih Uay Vear COVERED � / i / "�OZ � THROUGH l� /ZZ/'L \ 'Ii ELECTION ELECTION�ATE ELECTIONTYPE MONh Oay Year ❑ P^mary � Runoff � O�M1er Descnplion 5 / � /Z 1 � General � Speciai l �2 �FF�CE OFFlCEHELD ('rfany) �3 OFFICESOUG1Hi (ifknown)1 n r C,O���,�,V � L��, C,��t� iJ3�n.C� � C 16.(�, b 74 NOTICE FROM THIS BOX IS FOR NOTIGE OF POLITIGAL GONTftIBUT10N5 ACCEPTED OR POLITICAL EXPEN�ITURES IMOE BY POLITICFI LOMMITTEES TO SIIPPORT POLITICAL THECANOIOATE/OFFICEHOLOER. THESEIXPENOITURESMAYHAVE9EENMAOEWITHOUlTHECANDIDATE50ROFFlCEHOLUER3KNOWLEOOEOR CONSENT. CANDIOATES AND OFi10EHOL�ERS ARE RE�UIRED TOREPORT THIS INFORMATION ONLV IF THEY RECEIVE NOTICE OF 3UCH E%PENDINRES. COMMITTEE(5) COMMITTEE TVPE COMMITTEE NPME �GENERAL COMMITTEEADORE55 � Additional Pages �SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER AOORESS GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx_us Revised B/1712020 CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT 75 C/OH NAME 17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR � CONTRIBUTIONS MADE ELECTRONICAILY) 2. TOTALPOLITICALCONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR Gl/ARANTEES OF LOANS) ................... EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. TOTALS .................. CONTRIBUTION BALANCE ................. OUTSTANDING LOAN TOTALS $ 1��°� $ O 4. TOTALPOLITICALEXPENDITURES $ "%J ��L-t_ L.II..� 5 OF REPORTING PERIODRIBUTIONS MAINTAINED AS OF THE LAST DAY $ y+y a���� 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANOING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD � D 18 SIGNATURE I swear, or affirm, under penalty of perjury, that the accompanying report is true and correct antl includes all infortnation required to be reported by me under Title 15, Election Code. � Si nat re of Ca�didate or Officeholder Please complete either option below: (1) Affidavit '""° � CHRISTINELOWEN : � •...�;. ;�:�',�; MyNotaryID�11092587 ,,�....�+,A �re6 May 2, 2022 NOTARY STAMP/SEAL /� Swom to and subscribed before me by '1"� �� 1�+' �.T � I�� l.� this the �_� day of ��, 20 � tocertifywhich "nessmyhand dsealofofice. , t � . ,� �.,..s� ��215�in e� %.oUc� /�Go ��/ Signature of officeradministering oath Printed name of officar atlministering oath Title of officer a inistering oaih (2) Unswom Declaration My name is _ My address is Ezecuted (street) County, State of Forms provided by Texas Ethics Commission and my date of birth is (city) (state) (zip code) (couniry) , on the day of , 20_ (month) (year) Signature of Candidate/O�ceholder (Declarant) www.ethicsstate.t�c.us Revised 8/17/2020 FORM C/OH COVER SHEET PG 2 16 Filer ID (Ethics Commission Filers) g � �� �-'� SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME I . 20 Filer ID (Ethics Commission Filers) ���� ��I la�i 21 SCHEDULESUBTOTALS SUBTOTAL NAMEOFSCHEDULE AMOUNT �- SCHEDULEA1: MONETARVPOLITICALCONTRIBUTIONS $ `l('�(� v— Z� � SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICALCONTRIBUTIONS $ 3� � SCHEDULEB: PLEDGEDCONTRIBUTIONS $ 4. � SCHEDULE E: LOANS � 5� �SCHEDULE F7: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ i'3� •O� l 6� � SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ �� � SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS � 8� � SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9� SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNOS $'ZO (00•�� ��� � SCHEDULE H: PAYMENT MADE FROfN POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ ��� � SCHEDULEI: NON-POLITICALEXPENDITURESMADEFROMPOLITICALCONTRIBUTIONS $ 72. � SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRI6UTIONS RETURNED $ TO FILER ro�n�s yiuviueu uy iexas umcs i.ommission www.emicss�a[e.ocAS KCVISEtl tl/l //LUZU MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1 If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. � iotal pages Schedule A7: 2 FlLER NAME ��^�`n �1,� 3 Filer ID (Ethics Commission Pilers) � r � V \ 4 Date 5 Pull name of contri6utor ❑ out-ot-state PAC (10#: ) 7 Amount of wntribution ($) ...... �-047 �J 1 f✓..... ��Jh'iii� %, ........................................................ �7�.y� o� � 1 I 6 Contributor address; City; State; Zip Code �^� ZSO\ IGCn�tr.S�v-. P1. Ce�s�v���-P� T�C 't (o a3 8 Pnncipal occupation / Job title (See Instructions) 9 Employer (See Instmc[ions) Date FWI name of contributor ❑ ouaot-state PAC pDd: ) qmount of contri6ution ($) �,�VriS�-� 5p�v'e� ...............................�.............................., ................. i` I Z�� 1 ConMbutor address; City; State; Zip Code /� 0� '1 `� `3'j��— i�2fkT 1�ycWJ�i P9`�'C+.1M�i�Q. �� I�JIJ� l V �'I ����r`'i Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ ouaof-state PAC pDu: ) Amount of contribution ($) Contributor addres�aST� �/� `i I ��' I �1 �aY��eeJ . ............ ........ .....................°J..... . ................... � s; City; State; Zip Code -Z�� �� `iloA, Pe���� PkW� v� ca�l-c. ��162, T� �l(oo Principal occupation / Job title (See Instructions) Employer (See Instructions) �ate Full name of contributor � wbof-state PAC (IDC: 1 Amount of contribution ($) J�'(T ��UIV� � ��?tr!''..� ......... .......... . ... ............... o0 1�` I �.�' .%� Contri6utor address; City; State; Zip Code 2�� �' �a �00 si'. �c�NtieS �.'F coile v�ll-e, T� '1�o"3y Principal occupation / Job title (See Instructions) Employer (See Instmctions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor Is out•of-state PAC, please see Instructlon guide for additional reporting requlrements. Forms provided by Texas Ethics Commission www.ethics.state.M.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1 If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 7 Total pages Schedule Ai: 2 FILER NAME 3 Filer ID (EthiCs Commission Fllefs) �v��� C�`,��i 4 Date 5 Full name of contributor � out,o6state anC (ioq: ) 7 Amount of wntribufion ($) }���i�f� i-j � 1i, i z l ........�.a' ............ b c .................................... ` ....... r�oa 6 Contributor address; City; S[a[e; Zip Code �`�J "� 3�l �a�e., ;a� �,n• c_.����c,�,.:l+e. � � � � �, 0'�='1 8 Principal occupation / Job tiHe (See Instructions) g Employer (See Instruc[ions) Date Full name of contributor � out-of-stata PACt (IDp: ) qmount of contribution ($) �aa11��Y� �j\nd�G'�1`r .�aJ�'a 1 .................... .............................. ....... ....... ....... . ..... � � Z Z Contributor address; City; State; Zip Code ��v `300� %�b,, nn P�-F� 5��� Ira.�,d �'`� 11`i'1°� Principal accupation / Job title (See Instructians) Employer (See Instmctions) Date Full name of contributor � out-ar-state PAC pDa: ) Amount of co�tribution ($) ...........................................ri:.......................P............ Contributor atldress; Ci State; Zi Cotle Principal occupation / Job lide (See Instructions) Employer (See Instructions) Date FWI name of contributor � out-of-state PaC (lo#: ) Amount of contribution ($) .................................................................................. Contributo� address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructioos) ATTACH AD�ITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. rorms prwweo oy iexas cmics commission www.emics.scace.vc.us tcevisea sit nzuzu POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 8(a) .Advertising Expense EveMExpense LoanRepaymenVReimbursemen[ SolicivaGONFuntlraisingFxpense ,AcwuntinglBanking Fees OfficeOverheaNRe�rtelFxpense TansportationEquipment&RelaletlFxpense Consultln9�Pe�� FoodlBeverageExpense PollingExpense TravellnOisMc[ ConinbuHons/DonaHonsMadeBy GiIVAwaNs/MemorialsExpense Pnnlin9�Panse TravelOu[OfOisVic[ Cantlitla[NOfficeholtler/PoliticalCommittee Lega15ervicas SalariesNVages/Contrac[Labor Other(enteraca[egorynoqistedabove) CretlitCaNPaymenl The Instruction Guitle explains how to complete this form. 'I Total pages Schedule F7: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) {}r��v� C�19�v, 4 Date 5 Payeename "� I ltF'2\ �Oi»�'�' ��av��' �0,��-1CCn.� ��—�. 6 Amount ($) 7 Payee address; city; State; Zip Code ��Ob�-n `33o c�owv� Oy.K C-e.v�l-P-�' �Or i.d�acoci �L -�-z�-1jp � g (0) C3t¢gOry (SeeCategorieslistetlalthetopofihisschetlule) (b) Desc�iption PURPOSE [� 1 y� f,, OF I�,U'2C�vS`� �'tE�aSE`s�A, i�K��' EXPENDITURE d (c) � CheckrfM1aveloutsideofTexas.Complete5chetlulei � CM1eck if Aus[in, TX, offceholtler living expense 9 Complete Q�,y if tlirect Candidate / Officeholtler name Office sought Office held expendiNre to benefit C/OH Date Payeename �t�l�ly1 �c.e.�� Amoun[ ($) Payee address; City; , S[ate; Zip Code �13`-f•�(p � Hacl�,c wa� Yv�lo �� c�A-- �1�io2S CatBgory (SeeCategorieslisteEalthetapofihisscM1etlule) Desc�iption PURPOSE n J � OF ��Q,�'.�Fj'ti/1� IKU, EXPENDITURE � � CheckrftravelouRitleofTeras.CompleteScM1etlulei � Check'rfAustin,TX,offceholtlerlivingexpense Complete ONLV if direct Candidate / Officeholtler name Offce sought Office held expenditure to 6enefi! C/OH Date Payee name Amount ($) Payee atldress; Ciry; State; Zip Cotle Category (SeeCatagoneslistetlatihetopo(@isscheduls) Desc�iption PURPOSE OF EXPENDITURE � CheckdirevelouhitleofTesas.CompieteSchetlulei � Check ifAustin, TX, oRceholder living expansa Complete Qj��y it direct Candidate / O�ceholtler name Office sought Offrce held expendiWre ro benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED Forms provided by Texas Ethics Commission www.ethics.slate.tx.us Revised 8/17I2020 POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS SCHEDULE G If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 8(a) AtivertisingExpense Even[Expense LoanRepaymenVReienbursemerR SolicilatioNFuntlraisingEzpense AcmuntingBaniting Fees ORceOvertieatl/RentalEzpense TransportadonEquipmentBRelatetlExpense ConsulGngExpense Foatl/Beverege�pense P011ingFxpense Trevelln�isMct Contribu4ons/DonaVonsMatleBy GiNAwards/MemodalsErzpense p�����y�py�sy TravelOu[OfDisVict Cantlitlate/ORceholtler/POlrticalCommR[ee LegalServices SalariesNVages/Conhac[Labor 00er(entaracategorywtlistetlabova) Cre�itfaN Payment The Instructian Guitle explains how to compiete this form. 1 Total pages Schedule G: 2 FIL� NAME 3 Filer ID (Ethics Commission Filers) m.�n C���an%, 4 Date 5 Payee name `i � 11�2\ ��W '�t,f1 Crta� 6 Amount ($) 7 Payee address; ' City; State; Zip Cotle '33�-So �� y,�,,�.� � ;raw��,-- �w� ��.\t�s �r� �3�-z.yy eimbursemerrtfiom poli[ical con(nbutions inteiuletl $ (a) Category (SeeCategorieslistetlanhetopofihisschedule) (b) DeSc�ipfion L PUROPFSE s, _J rp�,_„'fGt1�� �'i. Cil`.c%V�� 7l.eQlla' � �socf�� I IJev� EXPENDITURE (c) � CheckifireveloutaitleofTexasComplete5cheduleT. � Check itAustin, TX, oKcaM1oltler living expense 9 Candidate / Officeholder name Office sought Office held Complete ONLV if direct expenditure to benefit C/OH Date Payee name �-#,A��r�21 -G@r�2, Lr,ndun�e,v- Amount ($) Payee address; . Ciry; State; Zip Code o� ��'�' ��20 �1 Y� -1�1 � Colb�",`r` � `I k ��oo`�� ❑Reimbursementham polidcalconfibutions interqetl Category (SeeCategone¢listedatiheropoffiisacheaule) Description PURPOSE {+ 1 I7��,�Y�`- ni_�� ��� ( ���� ��yJ� OF �..4� �i���,.��.. TF9 EXPENDRURE � CheckifhavelovLsideMTe�s.CompieteSCM1etluleT. � Check if Austin, TX, offceholtlar living axpense Complate 9�i Ly if direct Canditlate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name W l�Zi�Z� P�a+�- c1�e�,�, �- R;��•Mo�d P��c. Amount ($) Payee atltlress; City; 5[ate; Zip Code i3ocv . 88 �'J_o1 N- R�v�ec-.�r�v�F �1vd S�e • t no �a��S j Y. ❑ReimbursementGom polilcalcontribufions ;��d� `1��2..0 Category (SeeCategorieelistetla�ihetopof(hisschetluls) Desc�iption PURPOSE oF �a� �Crv�c.c_,5 �iv�sor�'� EXPENDITURE � Check'rfhaveiou�ItleofTaxas.CompleteSchetluleL � CM1eck ifAus�iq T%, oRiceho�tleriiving expense � Candidate / O�ceholtler name Office sought Office held Complete ONLY if tlirect expendifure to banefit ClOH ATTACH ADDITIONAL COPIES OP THIS SCHEDULE AS NEEDED rorms proviaea oy iexas ccmcs commission www.eemcs.scace.cz.us rcewseo ai�i i¢ueu CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer fD (Ethics commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. 3 CANDIDATE/ MS/MRS/MR FIRST MI OFFICEHOLDER Mr. Amyn OFFICEUSEONLY NAME................................................................................. NICKNAME LAST SUFFIX Data Recei fPECENEp Gilani JULr 1 U5 2021 4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE OFFICEHMAILING OLDER 603 Green Meadow N. Colleyville, TX 76034 C80 ADDRESS Change of Address 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand -delivered or Date Postmarked OFFICEHOLDER (202 ) 510-4405 PHONE Receipt # Amount $ 6 CAMPAIGN MS I MRS I MR FIRST MI I TREASURER Mrs. Sena Data Processed NAME................................................................................. NICKNAME LAST SUFFIX Data Imaged Gilani 7 CAMPAIGN STREETADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE TREASURER 603 Green Meadow N. Colleyv ille, TX 76034 ADDRESS (Residence or Business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE (817 ) 602-9211 9 REPORT TYPE January 15 SOLD day before election Runoff 15th day after campaign treasurer appointment (Officeholder Only) July 15 8th day before election Exceeded Modified Final Report (Attach C/OH-FBI Reporting Limit 10 PERIOD Month Day Year Month Day Year COVERED 4 23 21 THROUGH 7 15 121 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year Primary Runoff Other Description 5 / 1 / 21 111 General Special 12 OFFICE OFFICE HELD (ff any) 13 OFFICE SOUGHT (if known) Colleyville City Council Place 5 14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT POLITICAL THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAYHAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFMCEHOLDER'S KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLYIF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE(S) COMMITTEE TYPE COMMITTEE NAME GENERAL COMMITTEE ADDRESS Additional Pages SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 15 C/OH NAME 16 Filer ID (Ethics Commission Filers) Amyn Gilani 17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $ 0.00 CONTRIBUTIONS MADE ELECTRONICALLY) 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ 689.74 ................... TOTALS EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. $ 0.00 ................... 4. TOTAL POLITICAL EXPENDITURES $ 5,148.08 CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ 0.00 .................. OF REPORTING PERIOD OUTSTANDING LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $ 0.00 LAST DAY OF THE REPORTING PERIOD 1S SIGNATURE I swear, or affirm, under penalty of perjury, that the accompanying report i and correct and includes all information required to be reported by me under Title 15, Election Code. 1 Si lure f Candidate or Officeholder Please complete either option below: (1)Afidavit `+'b• CHRISTINELOVEN "r ►y"ryro#11092687 :X�r• EVIMS►t1ay2,2022 NOTARY STAMP/SEAL ((�� j1 / —c- Sworn to and subscribed before me by'P"'rny«_ 13-1 ( L. this the Lt'�.. day of , 20 ,to cerlifywhi witness my hand and seal of office. , C - � ��rlx-v�� Signature of officer administering oath Printed name of officer administering oath Title of officer administering oa& r (2) Unswom Declaration My name is Amyn Gilani and my date of birth is October 10, 1986 My address is 603 Green Meadow N. Colleyville TX 76034 USA (street) (city) (state) (zip code) (country) Executed in County, State of , on the day of , 20 (month) (year) Signature of Candidate/Officeholder (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME Amyn Gilani 176� Commission Filers) 21 SCHEDULE SUBTOTALS NAMEOFSCHEDULE SUBTOTAL AMOUNT I. SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS $ 2. SCHEDULEA2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS $ 3. SCHEDULES PLEDGED CONTRIBUTIONS $ 4. SCHEDULE E: LOANS $ 5. IN SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 4,458.34 8. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ T SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9. ■ SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 689.74 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. SCHEDULE I: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER $ Forms provided by Texas Ethics Commission www.ethics.state.ix.us Revised 8/1712020 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan RepaymentiRsimbursement Soniffition/Fundraising Expense Accoun6ngManldeg Fees Ofice OverheadlRerdal Expense Transportation Equipment&Belated Expense Consulting Expense FoodlBeverage Expense Polling Expense Travel In District ContribuVonslDonalions Made By Glft/AwanichieRwrials Expense Printing Expense Travel Out OFDistrict Canditlate/Omceholder/Political Committee Legal Services SalariesM/ages/ContractLabor ONer(entera category not listed above) Credit Card Payment The Instruction Guide explains how to complete this farm. i Total pages Schedule Fl: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 1 Amyn Glad 4 Date 5 Payeename 05/25/2021 Home Key Studios, LLC 6 Amount ($) 7 Payee address; City; State; Zip Code 4,258.34 1208 Costa Azul Ct. Southlake, TX 76092 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE Advertising/Printing Expense Graphic design services OF EXPENDITURE (C) CM1ack'rftraveloulsitleofTexas. Complete SCM1etlulaT Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 04/29/2021 The Londoner Amount ($) Payee address; City; State; Zip Code 200.00 5120 TX-121 Colleyville, TX 76034 Category(See Calegarias listed mine top ofthis schedule) Description PURPOSE Food/Beverage Happy hour event OF EXPENDITURE CheckfftavelouisideofTexas.Complete S�eduleT. Check If Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefl C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categorea lisletl at the top of this achetlule) Description PURPOSE OF EXPENDITURE Check ff novel outside ofTexas. Complete Schedule T Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8flW2020 POLITICAL EXPENDITURES MADE FROM SCHEDULE G PERSONAL FUNDS If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment Reimbursement Solichation/Fundmising Expense Accoungng/6anking Fees Office Overhead&t mulExpense Transportation Equipment&Related Expense Consultant, Expense Food/Bavemge Expense Polling Expense Travel In District ContributionslDonaffixs Made By Gilt/Awasele Memanal6Expense Printing Expense Travel Out Of District Candidate/OfliceholdenrPolitiral Committee Legal Services SuditnislWagis/Conbacl-abor Other(entera category not listed above) CretlRCaN Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule G: 2 FILER NAME 3 Filer to (Ethics Commission Filers) 1 Amyn Gilani 4 Date 5 Payee name 05/25/2021 Home Key Studios, LLC 6 Amount ($) 7 Payee address; City; State; Zip Code 689.74 1208 Costa Azul Ct. Southlake, TX 76092 Reimbursom enttioeencalcrontribudons Wte innded 8 (a) Category (See Categories listed at the to of this schedule) (b) DCSCription PURPOSE OF Advertising/Printing Graphic Design EXPENDITURE (c) Chock iftravel outside ofTexas. Complete Schedule T Check if Austin TX, officeholder living expense 9 Candidate / Officeholder name Office sought Office held Complete ONLY if direct expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; Stale; Zip Code ReimburomenYtmm political conlributons interded Category (See Categories listed at the top ofthis schedule) Deecription PURPOSE OF EXPENDITURE Checkdtraviicutdif.dTaxas.Cmnplete Schedules Check if Austin, TX, officeholder living expense Candidate / Officeholder name Office sought Office held Complete ONLY if direct expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code ReimbursemeMfrom - polfficalcontributions intended Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE Check Whavel outside of Texas. Complete Schedule T Check if Austin, TX, officeholder living expense Candidate / Officeholder name Office sought Office held Complete ONLY if direct expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.bc.us Revised S/17/2020 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 "Final Report" •- 'I C/OH NAME 2 Filer ID (Ethics Commission Filers) Amyn Gilani 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 app intment 1i`ftja. Signatur J Ca d ate /O iceholder 4 FILER WHO IS NOTAN OFFICEHOLDER •• Complete A $ B below only if you 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. 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: ✓ 1 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 1 must dispose of assets purchased with political contributions in accordance with the requirements of Election Code, § 254.204. ig a u an ate 5 OFFICEHOLDER •• Complete this section only if you are an officeholder •• I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on file. I am also aware that I will be required to file reports of unexpended contributions if, after filing the last required report as an officeholder, I retain political contributions, interest or other income from political contributions, or assets purchased with political contributions or interest or other income from political contributions. Signature of Officeholder Forms provided by Texas Ethics Commission w .ethics.state.tx.us Revised 8/17/2020 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 I 1 Filer D (Ethics Commission Filers) 2 Total pages filed; The CIOH Instruction Guide explains how to complete this form. .:1.1 3 CANDIDATE / MS I MRS I MR FIRST MI OFFICEHOLDER Mr. Amyn OFFICE USE ONLY NAME................................................................................. Date Received NICKNAME LAST SUFFIX RECEIVED Gilani APR U 12021 4 CANDIDATE / ADDRESS i PO BOX; APT I SUITE #; CITY; STATE; ➢P CODE OFFICEHOLDER 603 Green Meadow N. Colle vllle, TX 76034 y MAILING ADDRESS C80 Change of Address /0' 35 An -- J 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand -delivered or Date Postmarked OFFICEHOLDER (202 ) 510-4405 PHONE Receipt # Amount $ 6 CAMPAIGN MS I MRS I MR FIRST MI TREASURER Mrs. Sana Data Prccessed NAME................................................................................. NICKNAME LAST SUFFIX Date Imaged Gilani 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE #; CITY; STATE; ZIP CODE TREASURER 603 Green Meadow N. Colleyv Ille, TX 76034 ADDRESS (Residence or Business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE / 817 ) 602-9211 \ 9 REPORT TYPE January 15 30th day before election Runoff 15th day after campaign treasurer appointment (Officeholder Only) July 15 But day before election Exceeded Modified Final Report (Attach CIOH -FR) Reporting Limit 10 PERIOD Month Day Year Month Day Year COVERED 2 4 / 21 THROUGH 3 31 121 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year Primary Runoff Other Description 5 / 1 / 21 ■ General Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (f knoym) Colleyville City Council Place 5 14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT POLITICAL THE CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES My HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE(S) COMMITTEE TYPE COMMITTEE NAME GENERAL COMMITTEE ADDRESS Additional Pages SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 15 C/OH NAME 16 Filer ID (Ethics Commission Filers) Arri Gilani 17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN TOTALS S LOANS, OR $ 1,081.04 CONTRIBUTIONS MADE ELECTRONICALLY) 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $12, 265.04 ................... TOTALS EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. $ 0.00 ................... 4. TOTAL POLITICAL EXPENDITURES $ 6,681.05 CONTRIBUTION BALANCE 5 . TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ 5, 583.99 .................. OF REPORTING PERIOD OUTSTANDING LOAN TOTALS 5 IISTANDING LOANS AS OF THE $ 0.00 LAST DAY OFTHE REPORTING PERIOD 18 SIGNATURE 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. ' Si t o arwicat. or Officeholder Please complete either option below: CHPoSTINE 10VEN (1) Affidavit N: •= My Notary ID # 11092587 E)Ores May 2, 2022 NOTARY STAMP/SEAL Swom�^lto and subscribed before me by ArnV GI [%(�i.+ this the /51 day of P)e/ 4,, 20 0 to certify Ilness my hand and seal of office. C {A. goer C h2cs-Wn� %nee J XIOM y Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath (2) Unworn Declaration My name is'Arl 6ifer i and my date of birth is My address is 693Jawe, ileadiaw N, ., per— —T.X-- 79934— ,4120' (street) (city) (state) (zip code) (country) Executed in County, State of , on the day of , 20 (month) (year) Signature of Candidate/Officeholder (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME Amyn Gilani 20 Filer ID (Ethics Commission Filers) 21 SCHEDULE SUBTOTALS NAMEOFSCHEDULE SUBTOTAL AMOUNT 1. ■ SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS $ 12,265.04 2. SCHEDULEA2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS $ 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULEE: LOANS $ 5. ■ SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 6,329.67 0. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9. ■ SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 351.38 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. SCHEDULE I: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER $ Forms provided by Texas Ethics Commission w .ethics.state.tx.us Revised 8/1712020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: �, I 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Amyn Gilani 4 Date 5 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of Contribution ($) Afzal Somani 02/14/2021 ................................................................. 6 Contributor address; City; State; Zip Code 200.00 13608 Bare Island Dr. Chantilly, VA 20151 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Date Full name of Contributor out-of-state PAC (to#: ) Amount of contribution ($) Omar Javery 02/ 15/2021 ............................................................. I .................. Contributor address; City; State; ZipCode O O.O O 2300 N Kensington St. Arlington, VA 22205 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of Contributor out-of-state PAC (ID#: ) mount of contribution A ($) Elizabeth Tribelli 02/15/2021 ............................... I........... ................................... Contributor adtlress; City; State; Zi..Code i I OO.00 2122 N Rolfe St. Arlington, VA 22209 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: 1 Amount of contribution ($) Navid Kapadia 02/ 15/2021 ..................................................................... .. .................................. Contributor address; City; State; Zip Code 100.00 760 Memorial Drive SE Atlanta, GA 30316 Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule At: 1 2 FILER NAME ` 1 jj '�YVIy>,C�t. I� YL � 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC (ID#. ) 7 Amount of Contribution ($) 2(�3I2� ..6 ....C......ontributor.......adtlress;......................1 C.i.Ty..; ............ State.; .....Zip......ode... C Q{ 00 (p2o"7- Quk� -Tra 4 1.V, SU)ac 1-anc{ rr T-/- -+-+LA 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) �rzt2 Cl�tk-2wa1� Z�l'I IZ, ................................... Ci.................., d. dress; Contnbu tor aCiTy,tae; �S�tZip Cade I9(01 �f ae_cl', 'Da- WE T�rNn-tc, L7a 3 s32 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) N';za(- c-t,1a�� ...................................................................... Contributor adtlress; CiTy; Slate; Zip Code00 va11-e-1 be- 13sa waPa -�' I, aw rt cz v 11 2 L--) pt- 0e 4'7 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) S1n2rn'n� C-G� ' ZI Ito I Z ....................... Contributor address; City; State; Zip Code � `� QO � �....v k3so N f rAU� �r. t--aVjrcY-\eQv:�t-e— Q=-lA- Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission w .ethics.state.tx.us Revised 8/1712020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. d Total pages Schedule At: ` 2 FILER NAME � my 1 o 141 1-A 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC (to#: ) 7 Amount of contribution ($) Cdw2 ,A C- koe5{-�C vy �1 6 Contributor address; City; State; Zip Code il3 ttrnbecl',n� Vc. sJ coite�Vitje� l l w -s'-I 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Yvt Ctn��,� 'T. T)-eo <'I (\i Amount of contribution ($) c` ................................................................ Contributor atltlress; City; State; Zip Code s� IOD� f. LI$2% laic--'> cC.sv Dc. coU,°�v<�1� Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (IDK ) Amount of contribution ($) .ate `.... Ck ..............................: ............................ .......... Contributor address; Ciry; State; Zip Code "r O` •� � b� SQSb� zo-- e.C' V<> Cot,if'v:�t-e Tc -1 Z Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (IDAk ) Amount of contribution ($) �j Contributor address, City; State; Zip Code ZSO •— lot rvt� Valle, c, �JJ cotte Ile. O v, Principal occupation / Job title (See Instructions) Employer (See Instructions) .. ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED If contributor is out-of-state PAC, please see Instruction guide foradditional reporting requirements. Forms provided by Texas Ethics Commission www.ethies.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule At: I� 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC (lot._) 7 Amount of contribution ($) 6 Contributor address; City; State; Zip Code OQ 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-of-state PAC dD#: ) �1odlj\ Amount of contribution ($) h.. ........ ... .. o� '�T), Zl t.. V \tor..CIry; Ce:y�Zip Cotle PA -A Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#' ) Amount of contribution ($) C-1uls'\(\'2.rS '�elaw0l\c\� j ...................address;.......................C..ity........................i-lp ........ Contributor ; State; Zip Code 00 10� S3(oS Ca1o'kf�- C*- >.,\l��ri ao L4--+— Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#' ) Amount of contribution I$) 1z1 ...} ...... ................c. Contributor address; City; State; Zip Code tootles �U-�sP�vt -11,0 Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDU LE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule At: 1�\ 2 FILER NAME Jn,�\/�/t`' ^ 3 Filer ID (Ethics Commission Filers) 4 Date 6 Full name of contrib for out -al -state PAC (ID#: ) 7 Amount of contribution ($) �.+ kLzz ................................................................ Contributor l 6 address; City; State; Zip Code 9 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) 1...... 3 C..ontributor.........address;..........................C.i..ty.;......... ...Sl....ate;...... Zip ...C.od..e....... .. I �� •Z,scoo k,\'\jS CA-. Co\kVU-T�L -7�-p-Z'q \ Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) S1ha�r3� �-c.,Sse,;v` Amount of contribution ($) .......................................................................... Contributor address; City; tale; Zip Code OO r� -� to 1z k,..), C\k (CX51� M -1lb-1S — Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out -of -stale PAC (ID#: ) Amount of contribution ($) '(S�ev-cc�, rtiav� 5 l .t.o.r................ ........ate; Zip -Code .......... ....p'.miC.�l.'o. 'bob jn.t.brib.l\.0a�ddre..s.s; City; C-1 Y\A-c-oeiJM col\ v lIt T�L -1 u o 3 v1 r Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission w ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schad UIs At: 2 FILER NAME A M1� ��' 1ay-\�\ 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out -of -stale PAC (ID#: ) 7 Amount of contribution ($) `3 1 LQ' �� ......................e.\..s.t.................................... Contributor C.% �0o � S....tate;........ i..Ty; 6 addr Or _ CZip Code Cp33� G `Z(S C.orC-or�v w%' ii Se—_ `I O 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#. ) Amount of contribution ($) Zl, 3 21 ........................�.. ............................P ..... Contributor atltlress; Ci`ryy,' State; Zi Code Rr)o L•n. "'_L 1oDoo "^ LAO`() yror.}tiF.t\�i SL Co 0<)d13 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out -of -stale PAC (ID#: ) 1Zw�+ Amount of contribution ($) g ...nt.................................. ................ ............ ............ Coributor address; City; State; Zip Cade 3�1 3 L 'J-.\\•er� V 3 OD `ate CPr Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) �Y\NbIr VW\o\n3nnvVntj,.� Amount of contribution ($) .............................................. Contributor address; City; State; Zip Code Iwo S O\ cjvv,yNRrcz k/JCAI Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDU LE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule At: 2 FILER NAME (t rnIV\ C-C. \^O, �, 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of contribution ($) 2 z4 ............................................. -............ -7 �q 00 —_ 6 Contributor address; City; State; Zip Cotle 4W 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) �>ti��a Sc�w�ravU "Z-1 AIZI ....................................................................... .. Contributor address; City; State; Zip Code Za�11 (�zS �, f s�- S� S a*sas Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) -('ate 4air-4- Amount of contribution ($) �ly�� y` .................................................................................. Contributor address; City; State; Zip Code t11� Pcvon CokKIV,�LL Z �o� Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name mee of contributor out-of-state PAC (ID# ) Amount of contribution ($) tul+�l/ '.......... l "Sin .. Contributor address; City; State; Zip Code �yoCp �,tSon TCr ace Mer}�n (,AWVe-, p0 4 O� �- 3 Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements, Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule At: L� 2 FILER NAME P�>vty,� Cam, laril 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC pD#: ( ($) 7 Amount of contribution00 6 Contributor address; City; State; Zip Code C, o V� �0 C-av^nlo.{ M � 3j 6 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) rvt t .0 R- s ..........................c....................................... ip.. odd...... Contributor atltlress; City; State; Zip Code � 00 � ^— i 3 �v %eAre 1 Ske its 4- yvt cl emn (V Lti 10 A Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) �e 1�c-4Pnka(r� .................................... 3 I (. Contributor address; City; State; Zip Code ./ �� �� CtS �L{ Iror.,loo L.v- Coij V\oz — tw'0 U Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) QAr� rk` ^SQ! L�Z�I Zl .........obutor. .........................................tate; .ZipC.......... Contributor address; City; State; Zip CodeLi-1 � me o Fceit- ° Ctg of-, CoWelvitt-C "f,)(- Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission wwvt.ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. i Total pages Schedule At:(� 2 FILER NAME C,•t Va " O� 3 Her ID (Ethics Commission' Filers) 4 Date 5 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of contribution ($) 5alvdn2n {.„5a;n 6 Contributor address; City; State; Zip Code 2©-2Oi No(-4A� Co,( i.).) e- Ni✓ 72- W SSY�� �✓� (� L z(x�oz a Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Nf I -.1 t/ \af`M.1 Amount of contribution ($) ..... -on-fr............................................................ Code Contributor atldress; City; State; Zip Code 13<n Iy coeetr I�A5L; pr. f vA- 2a 1-11 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) g.-4n;511 -1 o 1 � � 2 � ................. addr .................; City; ..... State ............11 Contributor address; City; State; Zip Code �p fl'M, 1M.0.6LAr• LO,t.J�'.b Wt C� Principal occupation / Job title (See instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) 1°t ®Y�Ii.�, P�� 1 t� IZ ............. ............................ ity.......... .............i........... Contributor address; City; State; Zip Code 1 g6 Q -� j2(o� �clno v�ll�� btOe�<,an 1 � 6 D 1 -7-C, Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission w .ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 9 Total pages Schedule At: I� 2 FILER NAME An,Nv, C-L1laA°v 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of contribution ($) po .6--C...................... .................... t.a...... ip C. d....... 6 Contributor address; Ciry; State; Zip Cotle . 10 f7 z R-\ag -.. WCl 3�2z Cp 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) �t Z.W O vA "r- \ Cn% `-1 \ Amount of contribution ($) 'Zl 1 I21 .............................................................. Contributor addr..ess; City; State; Zip Code I O0 � t t52- sGl f A- VJ � Sit } i l Q 13 (o Principal occupation / Job title (See instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: t Amount of contribution ($) C--a I'a r'tla, �'1�1 Z` ...........�.............. ............................. Code...... Contributor address; City; State; Zip Code too of 30H Cpr- � T'l-- -7 (o 0 5' ii Principal occupation / Job title (See instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) �awtezIF &ss� Contributor address; 5+ City; State; Zip Code "3-1-y E U 5l-, pcpk ZTt 1� �— t 1N y too CO' - Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission w .ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule At: 2 FILER NAME A M�A /'! s\ t ay ., 3 Filer to (Ethics Commission Filers) 4 Date S Full name of Contributor out -&-state PAC (ID#: ) 7 Amount of contribution ($) 6address; Stale; Zip Code -2ContriLbJutgor rC�i1Lry; Jet LA l F-01-' i Q (^. i a\ t-P..\}C.�.�c�p /yvvt V T' %i%rJ a Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) Ctiad Ike\-\ Z i Z I Contributor address; City; State; Zip Code t OOe Zz2o i Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: t Amount of contribution S) 1 ................................................................ C ontributor....add..ress; City; State; Zip Code 301 'jW (��lai ^ LaeB I West L'•nn / pq—— a-I®�g Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) Sad Dl/.a na'NL: -ems ..............orad.................................... o0 t��Z� tate;..ZipC.......... Contributor address; City; State; Zip Code d �caZ T SI—. NW IV& 10' -A'> T ken S) (- Z066 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. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: �y 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of contribution ($) Z./Lvad Vora V%, .v� 6 Contributor address; City; State; Zip Code (9ZS �}�tnv;eu� Ln. E}UruSfi Tk 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#; ) Amount of contribution ($) IJoms-n (y\oK-a rv%a4 Z ` 'L �� ................................ ............ ........................... Contributor address;..City; Slate; Zip Code cj l + II { Ito c.l^ W 1lo Vj L v�. -gyp r+ t or+ n (JO T)4, (oloct Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID# ) Amount of contribution Is) jZ; az, C-t'I Ilan, ................................................................................ Contributor address; City;State; Zi..Code I ao L40 Sk. Un: 1 Z (Ryl. v coo1,e Y\ / 02k7-3� Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) Mira YYViANAa � 'z3 �Z, .... ........`...-add-.r................ it..... Contributor address; City; State Zi Code _1`1 to 4 ab Or. Yet e( V:�12 tX y � eD l "— -IB(QQo Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission w-ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: iL 2 FILER NAME p�i Il A (� bi I8Al 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC (IDa: ) 7 Amount of contribution ($) Stj4 ,n .......................................................... 6 Contributor City; Slate; Zip Code /�� � address; 2- j lcr/ OyrtcIoo14 LAYA A�I�n�2 W C� 3o3z`i 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) F� re�A K(A.'San� IZ �7i �t ............................................y................t........---........ address; Ciry; State; ZipCode }} t7o �'o)_.. + ,Contributor ill 2.S ?S;ar 1no , Vc .. - cool n 'TiL. -=Fs-o o Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (tou: ) Amount of contribution ($) D-.Ignesln �br�tA'„nn ��l�Q �� ...tri..b...utor.....atldr...ess;....................C..ity;...... ........S....tate;.....Z.ip ...C...ode........ Con SO —I COOS'1 Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (to#: ) e�,u��, Amount of contribution IS) Na>Q�C'� ZIZZ �l ..................................................................... Icl cp tornksAn �A k+- � ,State; Zip Cotle Pnk#k- ��D— cViaVvv�lor, c' 0z,l3`� Principal occupation / Job title (See Instructions) Employer (See instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission v .ethics.state.tx.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: l Lt 2 FILER NAME Amin (419n-) 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of contribution ($) SH21�ee� �,andea�� s I�t.P�2� `....:...........................F............... 6 Contributor address; City; State; Zipode too °© 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full name of contributor out-af-state PAC (ID#: ) Amount of contribution ($) .................................................................................. Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#' ) Amount of contribution ($) ............................................................................. Contributor address; City; State; Zi..Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($) .................................................................................. Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/1712020 POLITICAL EXPENDITURES MADE SCHEDULE F1 FROM POLITICAL CONTRIBUTIONS If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment Reimbursement Solicitation/Funcheisin Accounting/Banking Fees Office Overhead/Rentai Expense 9nt&Rele Pe Transportation Equipment&Related Expense Consultin g Expense Fo Wevaver-age Expanse Polling Expense Travel In Out Contdbulions/Donations Made By Giff/Awams/Memodals Expense Printing Expense Travel Out Of District Candidate/Oficeholder/Polifical Committee Legal Services Salaries/Wages/ContraIX Labor Other (enter a category not listed above) Credit CardPayment The Instruction Guide explains how to complete this form. 1 Total pages Schedule Ft: 2 FILER NAME Arnyv� c�,lari, 3 Filer ID (Ethics Commission Filers) 4 Date .' (Spa 5 Payee name r"�'g C) Ia�N:v�� 6 Amount ($) 7 Payee address; City; State; Zip code (0a 4L1i e,�a�e�. ,� Tx -I (0 8 (a) Category (See Categories listed at the lop of this schedule) (b) Description PURPOSE OF la r,k ]i oo(' han�Jec�j d EXPENDITURE (o) CheckifldaveloutskleofTexas. Complete SrheduleT Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Rnu M Sti-@v\ Amount ($) Payee address; City; State; Zip Code ZSD = 222 t J°5 �( ;� `�F • C��,��� , l Coo�w S ` Category (See Categories listed at the top of this schedule) Description PURPOSE OF ctv'pC�'Si (� m3;1^fi C('C�j,�'�c'Y� tOKo Ci��q✓� ) tJ EXPENDITURE V Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name In)orcre Amount ($) Payee address; City; State; Zip Code r l��, (' (00 -z Pt.", �i� lelA k—{�ci /tC .�j Cp CA� )to 1 Category (See Categories listed at the top of this schedule) Description PURPOSEOF EXPENDITURE � �t Jt(.t,WE Check iftraveioulside efTexas. Complete Schedule T. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/1712020 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Lvenl Expense Loan Repayment Reimbursement Solicitation/Funtlrsising Expense Accounfing/Banking Fees Office Overhead/Rental Expense Transportation Equipment& Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contribugona Donations Made By Gift/Awards/Memorials Expense Printin Expense 9LxP Travel Out Of District Candidate/Oficeholder/PoliticalCommittee Legal Services SalariesNVages/ConVact Labor Other (enters category not listed above) Credicald Payment The Instruction Guide explains how to complete this Form. 1 Total pages Schedule F1: 2 FILER NAME �n C�t1VV�1 3 Filer ID (Ethics Commission Filers) ''rflat^, 1V4 V 4 4 Date 5 Payee name 6 Amount ($ 7 Payee address; City; State; Zip Code j \\lckf r �J�� M2vr�� 4a� I Cyr gy02S 8 (a) Category (See Categories listed at the top ofthis schedule) (b) Description PURPOSEJ.�C,�,,�ZD�aC(',bOOK<j OF EXPENDITURE (c) CheckfflmveloulsideofTexas.Complete SrheduleT Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name -� 1-2-61 L\ W,,� won' Amount ($) Payee address; City; State; Zip Code Zsaoa ZSy"1 Sg� ^�b,l\ Q�. QIr N TX -7vjS1 Category (See Categories listed at the top of this schedule) Description PURPOSE OF 1 �'"U NA\RC �%i'a � EXPENDITURE U Check fftravel oulsideofTexas. Complete Schedules Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 3`�12i ww"�' fey S-vd;o-r' (LLC Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) PURPOSE OFA(�ef�'�'S8'VUR.1n7\' ��Description �V'J'Dt� \✓�V'�:1b�W�W� EXPENDITURE CheckiHraveloutside of Texas. Complete Schedules Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan RepaYmenVReimbumement Solicitation/Fundraising Expense Accointing/Banking Fees Office Ovemead/Rental Expense Transportation Equipment& Related Expense Consulting Expense Footl/Beverage Expense Pullin Expense 9 P Travel In District ContnbutlonsUonabous Made By Gift/Awants/Memonals Expense Y Exp Panting Expense Out Of District Cantlitlate/Oficaholtler/PoliticalCommittee LegalServices SalanesM/ages/Contrac[Labor Other (enters category not listed above) Other category Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 31t� I-LI 5 Payee name vA,Gti-&ejt,,, 6 Amount ($) 7 Payee address; City; State; Zip Code ifs, -tx -(��3 8 (a) Category (See Categories listed at the top ofthis schedule) (b) Description PURPOSE OF i(";v4iW—, Zjc(r, Pt-;v\* vVta�t.(;MS EXPENDITURE C1 (c) Checkff r "loutsideofTexas.Complete Sch uleT Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the lop of this schedule) Description PURPOSE OF EXPENDITURE Check' iftraveloulsideofTexas. Complete ScheduleT. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE Check iftravel outside of Texas. Complete ScheduleT. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS SCHEDULE G If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense I.nen RepaymenH%ximbumement SolicantioNFundmising Expense AxoundngBanking Fees Office OverheadlRerrtal Expense Transportation Equipment B Related Expense Consulting Expense Faod/Beverage Expense Palling Expense Travel In District ContdbuGons/DonaGons Made By Gih/AwardleVemonals Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SalarievWages/Contract Labor Other Isom,. am goryitm listed above) Credit Cana Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule G: 2 FILER NAME 3 Filer to (Ethics Commission Filers) 4 Date 5 Payee name 6 Amount ($) 7 Payee address; City; State; Zip Code 1$CIL414 Reimbureemeal Z-(a1 polifcal contributions intended E (a) Category (See Categodeslistedatthetop ofthisschedule) (b) Description PURPOSE OF q O-F r Mau ( 'F VIMJi a(� EXPENDITURE O�. (c) Checkiftnevel oulside efTexas. Complete Schedule T. Check if Austin, TX, officeholder living expense 9 Candidate / Officeholder name Office sought Office held Complete ONLY if direct expenditure to benefit C/OH Date l2 l I PaYeel ame ) C'k-jjS C, � Amount ($) C Reimbursement in Payee address; City; State; Zip Cade z90 political contributions imendert Category (see Categories listed at the top ofthis schedule) Description PURPOSE OF vl4Sv�— u EXPENDITURE Chmkffi miouWidedTe s.Complete Schedule T. Check if Austin, TX, officeholder living expense 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 Reimbursementfmm polifcal contributions intended Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE Check 1mast oufsideofTexas. Compute Schedule T. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (E(hics Commission Filers) 2 Total pages nied: � The C/OH Instruction Guitle explains how to complete this form. 3 CANDIDATE/ MS/MRS/MR FIRST MI OFFICEHOLDER m{�� �rn\(� OFFICEUSEONLY NAME........................ .. �................................................ Date fteceivetl NICKNAME LAST SUFFI% G,lan� RE�Fi�Eo q CANDIDATE / A�ORESS / PO BOX; APT / S,�UITrE N�; CITY; STATE; LP CO�E MAILI NG OLDER �O�S C,�IrPR(� •M��6�.UW t�1 � APR 23701/ ADDRESS � O lleyv �,��. i T�{` 1 rP ��� ` �0 � Change of Address �:0_3 5 CANDIDATE/ NREA CODE PHONE NUMBER EXTENSION pa�e Hand-tlaliveretl or Oate Pos�me�katl PHONEHOLDER �,L�.Z` Cj`Oai.�l-,Oo / Receipi 1l Amount $ 6 CAMPAIGN MS/MRS/MR FIRST MI TREASURER '(Y�TS- S�'n� NAME................................................................................. �ate Processed NICKNAME LAST S�FFIX Oata Imegetl C�;��w� 7 CAMPAIGN STREET A��RE55 (N� PO BOX PLEASE); APT / SUITE d; CITY; 1 STATE; ZIP CO�E TREASURER �0 �j C.��2(� �(`n,e�,db� QV • C-0��2�'�`�ie' �% ��p()3� ADDRESS (Residence or Business) � 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER �+ � PHONE � �,�" � CPO`L ' l�i^�� 9 REPORT TYPE � �anuary 15 � 3oN tlay before eleclion � RunoiF � i5ih day after campaign ireasurerappoinhnen[ . (ORiceholtler Only) � July15 �Btl�tlaybeforeelec0on � ��tledMotlified � FinalReporl(AXacM1C/OH-FR) Repotling Limit 10 PERIOD Monm oay vear Monih Uay Vear COVERED � / i / "�OZ � THROUGH l� /ZZ/'L \ 'Ii ELECTION ELECTION�ATE ELECTIONTYPE MONh Oay Year ❑ P^mary � Runoff � O�M1er Descnplion 5 / � /Z 1 � General � Speciai l �2 �FF�CE OFFlCEHELD ('rfany) �3 OFFICESOUG1Hi (ifknown)1 n r C,O���,�,V � L��, C,��t� iJ3�n.C� � C 16.(�, b 74 NOTICE FROM THIS BOX IS FOR NOTIGE OF POLITIGAL GONTftIBUT10N5 ACCEPTED OR POLITICAL EXPEN�ITURES IMOE BY POLITICFI LOMMITTEES TO SIIPPORT POLITICAL THECANOIOATE/OFFICEHOLOER. THESEIXPENOITURESMAYHAVE9EENMAOEWITHOUlTHECANDIDATE50ROFFlCEHOLUER3KNOWLEOOEOR CONSENT. CANDIOATES AND OFi10EHOL�ERS ARE RE�UIRED TOREPORT THIS INFORMATION ONLV IF THEY RECEIVE NOTICE OF 3UCH E%PENDINRES. COMMITTEE(5) COMMITTEE TVPE COMMITTEE NPME �GENERAL COMMITTEEADORE55 � Additional Pages �SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER AOORESS GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx_us Revised B/1712020 CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT 75 C/OH NAME 17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR � CONTRIBUTIONS MADE ELECTRONICAILY) 2. TOTALPOLITICALCONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR Gl/ARANTEES OF LOANS) ................... EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. TOTALS .................. CONTRIBUTION BALANCE ................. OUTSTANDING LOAN TOTALS $ 1��°� $ O 4. TOTALPOLITICALEXPENDITURES $ "%J ��L-t_ L.II..� 5 OF REPORTING PERIODRIBUTIONS MAINTAINED AS OF THE LAST DAY $ y+y a���� 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANOING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD � D 18 SIGNATURE I swear, or affirm, under penalty of perjury, that the accompanying report is true and correct antl includes all infortnation required to be reported by me under Title 15, Election Code. � Si nat re of Ca�didate or Officeholder Please complete either option below: (1) Affidavit '""° � CHRISTINELOWEN : � •...�;. ;�:�',�; MyNotaryID�11092587 ,,�....�+,A �re6 May 2, 2022 NOTARY STAMP/SEAL /� Swom to and subscribed before me by '1"� �� 1�+' �.T � I�� l.� this the �_� day of ��, 20 � tocertifywhich "nessmyhand dsealofofice. , t � . ,� �.,..s� ��215�in e� %.oUc� /�Go ��/ Signature of officeradministering oath Printed name of officar atlministering oath Title of officer a inistering oaih (2) Unswom Declaration My name is _ My address is Ezecuted (street) County, State of Forms provided by Texas Ethics Commission and my date of birth is (city) (state) (zip code) (couniry) , on the day of , 20_ (month) (year) Signature of Candidate/O�ceholder (Declarant) www.ethicsstate.t�c.us Revised 8/17/2020 FORM C/OH COVER SHEET PG 2 16 Filer ID (Ethics Commission Filers) g � �� �-'� SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME I . 20 Filer ID (Ethics Commission Filers) ���� ��I la�i 21 SCHEDULESUBTOTALS SUBTOTAL NAMEOFSCHEDULE AMOUNT �- SCHEDULEA1: MONETARVPOLITICALCONTRIBUTIONS $ `l('�(� v— Z� � SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICALCONTRIBUTIONS $ 3� � SCHEDULEB: PLEDGEDCONTRIBUTIONS $ 4. � SCHEDULE E: LOANS � 5� �SCHEDULE F7: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ i'3� •O� l 6� � SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ �� � SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS � 8� � SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9� SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNOS $'ZO (00•�� ��� � SCHEDULE H: PAYMENT MADE FROfN POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ ��� � SCHEDULEI: NON-POLITICALEXPENDITURESMADEFROMPOLITICALCONTRIBUTIONS $ 72. � SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRI6UTIONS RETURNED $ TO FILER ro�n�s yiuviueu uy iexas umcs i.ommission www.emicss�a[e.ocAS KCVISEtl tl/l //LUZU MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1 If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. � iotal pages Schedule A7: 2 FlLER NAME ��^�`n �1,� 3 Filer ID (Ethics Commission Pilers) � r � V \ 4 Date 5 Pull name of contri6utor ❑ out-ot-state PAC (10#: ) 7 Amount of wntribution ($) ...... �-047 �J 1 f✓..... ��Jh'iii� %, ........................................................ �7�.y� o� � 1 I 6 Contributor address; City; State; Zip Code �^� ZSO\ IGCn�tr.S�v-. P1. Ce�s�v���-P� T�C 't (o a3 8 Pnncipal occupation / Job title (See Instructions) 9 Employer (See Instmc[ions) Date FWI name of contributor ❑ ouaot-state PAC pDd: ) qmount of contri6ution ($) �,�VriS�-� 5p�v'e� ...............................�.............................., ................. i` I Z�� 1 ConMbutor address; City; State; Zip Code /� 0� '1 `� `3'j��— i�2fkT 1�ycWJ�i P9`�'C+.1M�i�Q. �� I�JIJ� l V �'I ����r`'i Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ ouaof-state PAC pDu: ) Amount of contribution ($) Contributor addres�aST� �/� `i I ��' I �1 �aY��eeJ . ............ ........ .....................°J..... . ................... � s; City; State; Zip Code -Z�� �� `iloA, Pe���� PkW� v� ca�l-c. ��162, T� �l(oo Principal occupation / Job title (See Instructions) Employer (See Instructions) �ate Full name of contributor � wbof-state PAC (IDC: 1 Amount of contribution ($) J�'(T ��UIV� � ��?tr!''..� ......... .......... . ... ............... o0 1�` I �.�' .%� Contri6utor address; City; State; Zip Code 2�� �' �a �00 si'. �c�NtieS �.'F coile v�ll-e, T� '1�o"3y Principal occupation / Job title (See Instructions) Employer (See Instmctions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor Is out•of-state PAC, please see Instructlon guide for additional reporting requlrements. Forms provided by Texas Ethics Commission www.ethics.state.M.us Revised 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1 If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 7 Total pages Schedule Ai: 2 FILER NAME 3 Filer ID (EthiCs Commission Fllefs) �v��� C�`,��i 4 Date 5 Full name of contributor � out,o6state anC (ioq: ) 7 Amount of wntribufion ($) }���i�f� i-j � 1i, i z l ........�.a' ............ b c .................................... ` ....... r�oa 6 Contributor address; City; S[a[e; Zip Code �`�J "� 3�l �a�e., ;a� �,n• c_.����c,�,.:l+e. � � � � �, 0'�='1 8 Principal occupation / Job tiHe (See Instructions) g Employer (See Instruc[ions) Date Full name of contributor � out-of-stata PACt (IDp: ) qmount of contribution ($) �aa11��Y� �j\nd�G'�1`r .�aJ�'a 1 .................... .............................. ....... ....... ....... . ..... � � Z Z Contributor address; City; State; Zip Code ��v `300� %�b,, nn P�-F� 5��� Ira.�,d �'`� 11`i'1°� Principal accupation / Job title (See Instructians) Employer (See Instmctions) Date Full name of contributor � out-ar-state PAC pDa: ) Amount of co�tribution ($) ...........................................ri:.......................P............ Contributor atldress; Ci State; Zi Cotle Principal occupation / Job lide (See Instructions) Employer (See Instructions) Date FWI name of contributor � out-of-state PaC (lo#: ) Amount of contribution ($) .................................................................................. Contributo� address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructioos) ATTACH AD�ITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. rorms prwweo oy iexas cmics commission www.emics.scace.vc.us tcevisea sit nzuzu POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 8(a) .Advertising Expense EveMExpense LoanRepaymenVReimbursemen[ SolicivaGONFuntlraisingFxpense ,AcwuntinglBanking Fees OfficeOverheaNRe�rtelFxpense TansportationEquipment&RelaletlFxpense Consultln9�Pe�� FoodlBeverageExpense PollingExpense TravellnOisMc[ ConinbuHons/DonaHonsMadeBy GiIVAwaNs/MemorialsExpense Pnnlin9�Panse TravelOu[OfOisVic[ Cantlitla[NOfficeholtler/PoliticalCommittee Lega15ervicas SalariesNVages/Contrac[Labor Other(enteraca[egorynoqistedabove) CretlitCaNPaymenl The Instruction Guitle explains how to complete this form. 'I Total pages Schedule F7: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) {}r��v� C�19�v, 4 Date 5 Payeename "� I ltF'2\ �Oi»�'�' ��av��' �0,��-1CCn.� ��—�. 6 Amount ($) 7 Payee address; city; State; Zip Code ��Ob�-n `33o c�owv� Oy.K C-e.v�l-P-�' �Or i.d�acoci �L -�-z�-1jp � g (0) C3t¢gOry (SeeCategorieslistetlalthetopofihisschetlule) (b) Desc�iption PURPOSE [� 1 y� f,, OF I�,U'2C�vS`� �'tE�aSE`s�A, i�K��' EXPENDITURE d (c) � CheckrfM1aveloutsideofTexas.Complete5chetlulei � CM1eck if Aus[in, TX, offceholtler living expense 9 Complete Q�,y if tlirect Candidate / Officeholtler name Office sought Office held expendiNre to benefit C/OH Date Payeename �t�l�ly1 �c.e.�� Amoun[ ($) Payee address; City; , S[ate; Zip Code �13`-f•�(p � Hacl�,c wa� Yv�lo �� c�A-- �1�io2S CatBgory (SeeCategorieslisteEalthetapofihisscM1etlule) Desc�iption PURPOSE n J � OF ��Q,�'.�Fj'ti/1� IKU, EXPENDITURE � � CheckrftravelouRitleofTeras.CompleteScM1etlulei � Check'rfAustin,TX,offceholtlerlivingexpense Complete ONLV if direct Candidate / Officeholtler name Offce sought Office held expenditure to 6enefi! C/OH Date Payee name Amount ($) Payee atldress; Ciry; State; Zip Cotle Category (SeeCatagoneslistetlatihetopo(@isscheduls) Desc�iption PURPOSE OF EXPENDITURE � CheckdirevelouhitleofTesas.CompieteSchetlulei � Check ifAustin, TX, oRceholder living expansa Complete Qj��y it direct Candidate / O�ceholtler name Office sought Offrce held expendiWre ro benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED Forms provided by Texas Ethics Commission www.ethics.slate.tx.us Revised 8/17I2020 POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS SCHEDULE G If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 8(a) AtivertisingExpense Even[Expense LoanRepaymenVReienbursemerR SolicilatioNFuntlraisingEzpense AcmuntingBaniting Fees ORceOvertieatl/RentalEzpense TransportadonEquipmentBRelatetlExpense ConsulGngExpense Foatl/Beverege�pense P011ingFxpense Trevelln�isMct Contribu4ons/DonaVonsMatleBy GiNAwards/MemodalsErzpense p�����y�py�sy TravelOu[OfDisVict Cantlitlate/ORceholtler/POlrticalCommR[ee LegalServices SalariesNVages/Conhac[Labor 00er(entaracategorywtlistetlabova) Cre�itfaN Payment The Instructian Guitle explains how to compiete this form. 1 Total pages Schedule G: 2 FIL� NAME 3 Filer ID (Ethics Commission Filers) m.�n C���an%, 4 Date 5 Payee name `i � 11�2\ ��W '�t,f1 Crta� 6 Amount ($) 7 Payee address; ' City; State; Zip Cotle '33�-So �� y,�,,�.� � ;raw��,-- �w� ��.\t�s �r� �3�-z.yy eimbursemerrtfiom poli[ical con(nbutions inteiuletl $ (a) Category (SeeCategorieslistetlanhetopofihisschedule) (b) DeSc�ipfion L PUROPFSE s, _J rp�,_„'fGt1�� �'i. Cil`.c%V�� 7l.eQlla' � �socf�� I IJev� EXPENDITURE (c) � CheckifireveloutaitleofTexasComplete5cheduleT. � Check itAustin, TX, oKcaM1oltler living expense 9 Candidate / Officeholder name Office sought Office held Complete ONLV if direct expenditure to benefit C/OH Date Payee name �-#,A��r�21 -G@r�2, Lr,ndun�e,v- Amount ($) Payee address; . Ciry; State; Zip Code o� ��'�' ��20 �1 Y� -1�1 � Colb�",`r` � `I k ��oo`�� ❑Reimbursementham polidcalconfibutions interqetl Category (SeeCategone¢listedatiheropoffiisacheaule) Description PURPOSE {+ 1 I7��,�Y�`- ni_�� ��� ( ���� ��yJ� OF �..4� �i���,.��.. TF9 EXPENDRURE � CheckifhavelovLsideMTe�s.CompieteSCM1etluleT. � Check if Austin, TX, offceholtlar living axpense Complate 9�i Ly if direct Canditlate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name W l�Zi�Z� P�a+�- c1�e�,�, �- R;��•Mo�d P��c. Amount ($) Payee atltlress; City; 5[ate; Zip Code i3ocv . 88 �'J_o1 N- R�v�ec-.�r�v�F �1vd S�e • t no �a��S j Y. ❑ReimbursementGom polilcalcontribufions ;��d� `1��2..0 Category (SeeCategorieelistetla�ihetopof(hisschetluls) Desc�iption PURPOSE oF �a� �Crv�c.c_,5 �iv�sor�'� EXPENDITURE � Check'rfhaveiou�ItleofTaxas.CompleteSchetluleL � CM1eck ifAus�iq T%, oRiceho�tleriiving expense � Candidate / O�ceholtler name Office sought Office held Complete ONLY if tlirect expendifure to banefit ClOH ATTACH ADDITIONAL COPIES OP THIS SCHEDULE AS NEEDED rorms proviaea oy iexas ccmcs commission www.eemcs.scace.cz.us rcewseo ai�i i¢ueu