HomeMy WebLinkAboutKelly, David - 2022CANDIDATE / OFFICEHOLDER FORnn cioH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers) 2 Total pages filed: �
The C/OH Instruction Guide explains how to complete this form.
$ CANDIDATE/ MS/MRS/MR FIRST MI
OFFICEHOLDER Mr DBVId G OFFICEUSEONLY
NAME.................................................................................
Date Received
NICKNAME LAST SUFFIX
Kel ly �� CGI Jed.
4 CANDIDATE / AO�RESS / PO BOX; APT I SUITE #; CITV; STATE; ZIP CODE �� `l I�j aoaa
OFFICEHOLDER g05 Inwood Lane, Colleyville, TX 76034 i �,`�,
MAILING ,� C�
ADDRESS
Change of Address
5 CANDIDATE/ AREA COOE PHONE NUM6ER EXTENSION
Dale Hend-deliveretl or Date Postmarketl
OFFICEHOLDER
PHONE i817 ) 235-6105
Recaipt # Amount $
6 CAMPAIGN MS I MRS I MR FIRST MI
TREASURER Mr David ('i
NAME................................................................................. Date Processetl
NICKNAME LAST SUFFlX
KeIIy Date Imaged
7 CAMPAIGN STREET ADDRE55 (NO PO BOX PLEASE); APT / SUITE M; CITY; . STATE; ZIP CODE
TREASURER g05 Inwood lane, Colleyville, TX 76034
ADDRESS
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE �g�7 � 235-6105
9 REPORT TYPE �
Janua 15 � 30ih da before election Runoff � i5ih tlay after campaign
ry Y
._._J _...._, .._..�'� ___, freasurerappointment
^ � (Officeholtler Only)
�. � July 15 I I 8lh day before election � Reporting Mmdifed � Final Report (Attach C/OH-FR)
I—I
W PERIOD Mo�m oay vear Mon�h oay vear
COVERED 4 / 2$ / 22 THROUGH 6 � 30 / 22
11 ELECTION ELECTION DATE ELECTION TYPE
Month �ay Veer P�imary Runoff O�her .
Description
GJ / 7 / 'Z'Z ■ General Special
�2 OFFICE OFFICE HELD (if any) 13 OFFICE SOIIGHT (if knawn)
Mayor
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTE� OR POLITICAL EXPENOITURES MqOE 9Y POLITICAL COMMITTEES TO SUPPORT
POLITICAL THECANOIDATEIOFFICEXOLDER. THESEEXPEN�ITURESMAYHAVEBEENMADEW/THOUiiHECANOIOATE'SOROFFlCEHOLOERSKNOWLEDGEOR
CONSENT. CANUIOATES ANO OFFICEHOLOERS ARE REqUIREU TO REPORT THIS INFORMATION ONLV IF THEY RECEIVE NOTICE OF SUCH E%PENUITURES.
COMMITTEE(S)
COMMITTEE TVPE COMMITTEE NAME
GENERAL COMMITTEE AD�RE55
Additional Pages
SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER AD�RESS
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
'I5 C/OH NAME
David Kelly
'17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
CONTRIBUTIONS MADE ELECTRONICALLY)
..................
EXPENDITURE
TOTALS
...................
CONTRIBUTION
BALANCE
..................
OUTSTANDING
LOAN TOTALS
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
$ d�. U�
$ ���� � g,`�
$ �2�.D8
4. TOTAL POLITICAL EXPENDITURES $ re �7 .l S g�
/ l
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ g� ry() 1 n�
OF REPORTING PERIO� J � 7 7
6. TOTALPRINCIPALAMOUNTOFALLOUTSTANDWGLOANSASOFTHE I $ �OOO . Of�J
LAST DAY OF THE REPORTING PERIOD
'IS SIGNATURE I swear, or affirm, under penalty of pery'ury, that the accompanying report is true and correct and includes all information
required to be reported by me under Title 15, Election Code.
����'—_" X
Signature of Candi ate or ceholtler
Please complete either option below:
(1) Affidavit
NOTARY STAMP/SEAL
�'���= MyNole�ylD#1�OB2587
ea•,
`?+bl,�r E�iresMay2�2026
Sworn to and subscribed before me by .1�71V�� �(il �� this the � 1"' day ofSu�,
20 O� tocertifyw(hy'� itnessmyhandandsealofo�ce.
� �'I�i�-e� �1vri�-r--� C�2-f�tn��o�ev� l.lo%��2Y
Signature of officer atlministering oath Printed name of officer administering oath Tide of officer administering oath
(2) Unsworn Declaration
My name is , and my date of birth is
My address is , , ,
(street) (ciry) (state) (zip code) (country)
Executed in County, State of , on fhe day of , 20
(month) (year)
Signature of Candidate/O�ceholder (Declarant)
FORM C/OH
COVER SHEET PG 2
16 Filer ID (Ethics Commission Filers)
Forms provided byTexas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
SUBTOTALS - C/OH FORnn C/oH
COVER SHEET PG 3
79 FILER NAME 20 Filer ID (Ethics Commission Filers)
David Kelly
21 SCHEDULESUBTOTALS SUBTOTAL
NAMEOFSCHEDULE AMOUNT
�� SCHEDULEA1: MONETARV POLITICALCONTRIBUTIONS $ S��j9, 9.t�
Z� SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICALCONTRIBUTIONS $
3� SCHEDl/LE B: PLEDGED CONTRIBUTIONS �
4. SCHEDULE E: LOANS $
5� SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $�p Z}3g, l g
6� SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
�� SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
8� SCHEDULE F4: EXPENOITURES MADE HY CREDIT CARD S�LF 87 �� j
9� SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
��� 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 byTexas Ethics Commission www.ethics.state.tx.us Revisetl 8/17/20Z0
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. 1 Total pages Schedule At: /
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
David Kelly
4 Date 5 Full name of contributor o�t-of-stete aAc (lo#: � 7 Amount of contribution ($)
�" Fr/Lk . � K, rY/ 1�iso.✓
J`� 2/�02� 6 Contributor adtlress; City; State; Zip Code � b �� db
l�'a-( �i�suG�-s I�/� Coc �,lle 7� %6b3`�
$ Principal occupation / Job title (See Instructions) g Employer (See Instmctions)
Date Full name of contributor oubof-state PAC (lou: 1 Amount of contribution ($)
�Z��� �.
..................................................................................
5/� j�}ZZ Contributor address; City; State; Zip Code ���C'j . Q�j
{�6 J3� �Z�b �/�3,J '%R, %�'76 S
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ouo-o!-state PAC poa: 1 Amount of contribution ($)
C Ui'lf�3'a� �Prt�t-Gt
U�j/�p�Z. Contributor address; City; State; Zip Cotle � b L> t� �
133 �cuGF h� �ou�u,/l� 7�, `7603f�
Principal ocwpation / Job title (See Insfructions) Employer (See Instmctions)
Date Full name of contributor ou4of-state PAC (10u: ) Amount of contribution ($)
..................................................................................
Con[ributor adtlress; City; State; Zip Code
Principal occupation / Job tiqe (See Instructions) Employer (See Ins[ructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
rorms proviaed by iexas tmics commission www.eimcsscace.vc.us nevisea cri n�um
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense EvenlFxpensa LoanRepaymenVReimbursement Solicitation/FundroisingExpense
AccountinglBankng Feas OfficeOverhead/RentalExpense TransportallonEqulpmentBRela[etlExpense
ConsuPongExpense Footl/BeverageFxpense P011ingExpanse TravellnDistrict
CoMributlons/OonetionsMadeBy Gi1VAwartls/MemonalsExpense PrintingExpense TravelOWOfDistricl
Cantlitlate/OficeholdedPoliticalCommittee LegalServices SalariesNJages/ContractLabor O[her(en[eraca[e9orynotlistetlabove)
Cretlit CaM Peyment
The Instrucllon Guitle explains how to complele this form.
1 Total pages Schedule Fi: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
2, David Kelly
4 Da[e 5 Payee name
5 3 �'Zaz2 CN�S� VtSA
6 Amount ($) 7 Payee address; City; State; Zip Code
Z?S�f,ob {�b �� �2`1`i' C�-oLS�mns IL �ol�i7
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PURPOSE �p
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EXPENDITURE
(C) CheckiftraveloNsideNTexas.Comple�eSchetluleT. Check if Austin, TX, oHiceholtler living ezpense
9 Complete ONLY if direct Candidate/Officeholdername Offce sought Office hald
expenditure to benefit C/OH
Date Payee name
5/�o�zaz.z (�H.�ys� vrse�-
Amount ($) Payee atldress; City; State; Zip Code
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PURPOSE
oF G,�6�+'✓�r CrYre.n �frym�n�T V�z�ous c,�mv�r�G,.� ��Pcr�,S�
EXPENDITURE
Checki(travelou4sideofTexes.Complete5cheduleL Check ifAuetin, TX, officeholder living expense
Compiete ONLY if direct Cantlidate / Officeholder name Office sou9ht Office held
ezpendiNre to benefit C/OH
�ate Payee name
sI�I�OZZ �dnN�y ��oV�.�
Amount ($) Payee address; Cily; State; Zip Code
/a34,19 22o P20V�DEn�G� �2 I�a�,i i�i.s-,y,�� �r�c ��'i9S
C2[¢JOfy (SeaCa�egorieslis�etla��hetopofihisschetlule) DeSc�iptiOn
PURPOSE
OF 'rjOG��I'L. FV�(sOiA' W�Y3S1� P�IGN`1�OSTln�G1
EXPENDITURE
Checkif4aveloutaitleo(Texas.Complete5chetluleT. Check if Austin, TX, offceholtler living ezpense
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 provitletl by lexas ttnics commission www.e�mcssca�e.vc.us rcemsea en nzuzo
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 S(a)
Advertlsing Expense EventExpensa �.oenRepaymenVReimbursemen[ SolicitatioNFundraisingExpense
Accounting/Benking Fees OfficeOverheed/RantalExpense TransportallonEqulpment&RelalatlEzpense
ConsultingExpenea Footl/BeverageEepanse PollingExpanae TrevellnDisinct
Caniributians/�onationsMatleey GIfUAwartls/MemorialsExpense PrintingExpense TrevelOutOfDiatrict
Cantlidate/OHlceholtledPoliticalCommi�tee LeBalSarvlces SalariesNJages/ContractLebor Other(enteracategorynotllstetlabove)
CreditCartlPayment
The Instruction Guide explains how to complete this farm.
1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
David Kelly
4 Date 5 Payee name
aslo��Zo�z ���sry sP�����
6 Amount ($) 7 Payee address; City; State; Zip Coda
,�D O. DD � .� �I O 7 M.»-�T n� pdYL�c�a�� C�vt�-c-� u, l!� T�Z � 6 U 3` f
g (d) CafegOry (SeeCate9orleslistetlaHhetopo(thisschetlule) (b) DeScflpflOn
PURPOSE �g �p
OF �j%YYY1pfJlG/J InA)LlN(j CiA'�J/i10-9'� A%�:'1G�YL
EXPEN�ITURE
(C) Checkiitrevelou�siOeofTexas.CompletaScheduleT. Check If Auslin, TX, oHiceholder Ilving expense
9 Complete ONLY if direct Candidate / Officeholtler name Office sought Office held
expenditure ro benefit C/OH �
Date Payee name
Amount ($) Payee atldrass; City; State; Zip Code
Category�SaeCetegorieslisledatihatopoRhisschetlule) DeSCripti0n
PURPOSE
OF
EXPENDITURE
CheckifiravelaatsitleofTexes.CompleteScheduleL Check if Austin, TX, o(ficeholder Ilving expense
Complete 9N6Y if tlirect Candidate / Officeholder nama Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category(SeeCalegorieslistedatthetopofthisschedule) DBSCI'Iption
PURPOSE
OF
EXPENDITURE
CheckifVaveloutsideofTexas.CompleteScheduleL Check if Auatln, TX, otticeholtler living expense
Complete ,Qdly if direct Candidate / Officeholder name Offce sought Office held
expenditure to banefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Fnrmc nrnvided hv Tezas Ethics Commission www.ethicsstate.tx.us Revised 8/17/2020
EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 10(a)
Ativertisin9�Pense Even[Ezpense LoanRepaymenVRelmbursemen[ SollcHetion/FuntlreisingExpense
Accounting/Banking Fees OffceOverhead/RentalExpense Transporte�ionEquipmentBRelatetlExpense
ConsultingExpense Food/BeverageEzpense PollingExpense TravellnDist�ict
ContribWons/OonationsMatle6y GiPoAwards/MemotlalsExpense PtlnWgExpense TravelOutOf�istricl
Candidate/O�ceholtler/PoliticalCommittee LegalServices SalenesNJages/ContreclLabar Other(enteracategorynotlistedabove)
The Instruction Guide explains how ta complete this form.
1 Total pages Schedule F4: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
� David Kelly
4 TOTALOFUNITEMIZEDEXPENDITURESCHARGEDTOACREDITCARD g f�z� ��
5 Date 6 Payee name
�l���wzz Us Pos� vF�i �K
7 Amoun[ ($) 8 Payee address; Ciry; Sta[e; Zip Code
�i,�,00 ISoC /��r�� �nb.�s�,.� �bau��,il� T� 76e3�f
9 TYPE OF
EXPENDITURE � PolitiCal � Non-PolitiC01
jp (d) C2tE90fy (SeeCategorieslis�etlat�he�opof�hisschetlule) (b) DCSC�iption
PURP03E
oF L'9rnyAlGiJ %YlA"IL/N!� o5i���
EXPENDITURE
(t) Checkif�revelou�SitleafTexes.ComplateSchetluleL Check itAustin, TX, officeholtler living expensa
11 Candidate / Officeholder name Office sought Offce held
Complete ONLY if direct
expenditure to benefit C/OH
Da/te Payee name
S/ 3 �ZazZ SiYyYtS CLui3
Amount ($) Payee address; Ciry; State; Zip Code
�iU � I.J 5're�- N�"i ��� �j,29'v�v,nl�r %�C %605�
TYPE OF �
EXPENDITURE IJSI POlitiCal � Non-POlitiCal
CateyOrJ/(SeeCategorieslistetlatUetopofthisschetlule) OCSCfIP[iOn
PURPOSE �OPiJ /I✓E1/6�ZPS'Fi�- �XPCrnI.SC% i���b0 //JCNg'/Le'LE '�L����76+—� �dN
OF �
EXPENDITURE
Checki(VaveloutsideofTexas.CompleteScheduleL Check ifAustin, TX, officeholdar living expense
Candidate / Officeholder name Office sought Office held
Complete O� if direct
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Gommission www.etnlcsstate.vc.us rtevisea an nzuzo
EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 10(a)
AdvertisingExpense EventFxpanse LoanRepaymeM/Reimbursemen[ SolicitafioNFuntlraisingExpense
AccounlingBanking Fees OffmeOverheed/RentelF�cpense TransportationEquipment&RelaledExpense
Consulting6cpense Faatl/BeverageE�cpense P011ingExpenae TravellnDistnct
Conhibutions/DonationsMatleBy GiR/Awartls/MemonalsExpense PrintingFxpense TravelOu[OfDistncl
Candidate/O(ficeholtler/PoliticalCommittee LegalServices Salanes/Wages/ContraclLabor Othe�(enterecategorynollistedabove)
The Instruction Guitle explalns how to compiete this form.
1 Total pa9es Schedule F4: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
David Kelly
4 TOTALOFUNITEMIZEDEXPENDITURESCHARGEDTOACREDITCARD g
5 �ate 6 Payee name �
,5� f/20ZZ `p.t//>OhICr7t C�SIZOU!'
7 Amount ($) 8 Payee adtlress; City; State; Zip Cotle
� 3 9, 2 g 5l .zl YI u� y l�� G'oa����/L� i x �6n 3 c�
9 TVPE OF
EXPENOITURE � PolifiCal � Non-PolitiC81
�Q (9) CategOry (SeeCategorieslistedalihetopofihisschetlule) (b) D25c�iption
PURPOSE
oF �V�-nxs �,�P�n15� � FT�-n� �L�vTv�J P�a.�uB77o,J
EXPENDITURE GN En1'i
(L) CheckiftraveloutsltleofTexas.Complete5chetivleL Check if Aus�in, TX, oHiceholtler living ezpense
17 Cantlitla[e / Officeholder name Office sought Office heltl
Complete 4NLY if direct
expenditure ta benefit C/OH
Date Payee name
Amount ($) Payee address; Ci[y; State; Zip Code
TYPE OF �
EXPENDITURE � PolifiCal n Non-PolitiCal �
Category (SeeCategorieslistedattheropofthisschedule) Description
PURPOSE
OF
EXPENDITURE
CheckiftravelouleideofTexae.Comple�e5chetluleT. Check if Austin, TX, oRceholtler living expense
Candida[e / O�ceholder name Office sough[ O�ce held
Complete QJ�y if direct
expenditure to benefit GOH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms orovided 6vTezas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
REe�ivEo
2-26
Pres�rihed by Secretary of State
5ection 141.p31, ChapCers 143 and 144, Texas Election Code
09/2021
APPLICATION FOR A PLACE ON THE BALLOT FOR A GENERAL ELECTION
FOR A CITY, SCHOO�. DISTRICT �R OTHER POLITICAL SUBDIVISION
��� 1 1 i�L4
►ti ��
LL INFORMATION 15 itEQUiRED TO 6E PROVIDE� UNLE55 IN�ICATED A5 OPTIflNALl F�ilure tn prnvide required information may result in rejection oi application.
AP�LICATION FDR A PI.ACE ON THE City af Colleyville GEN�FiAL ELECTiON BA�.LOT
T0: City Secretary/Secretary of Board (name of electionj
I request that rrty name be pEaced on the above-named official ballot as a candidate for the offce indicated below.
t3FFICE 50UGiiT (IncEude any plaCe number or other distinguishing number, if any.) INDiCATE TERM
MAY�R �❑KULL � UNEXPIRED
FULL NAM� (First, Middle, l.ast} PRINT NAME AS YOU WANT IT TO APP�AR ON 7HE BAlLOi"`
DAViD GREGG KELLY DAVID KELLY
PERMAN�NT RESIDENCE ADDRE55 {oo nat include a P,O. Bflx or Rural itoute. If PUBLIC MAILING ADDRE55 {Optionalp (Address for which ynu receive
you do noz have a residence address, describe location of residence.) carnpaign related correspondence, if availahle.}
905 INW40D LANE SAME
LITY STATE ZIP CITY STA7E ZIP
COLLEYVILLE TX 76034
PIiBLIC EMAILADDRE55 {OptionalJ (Addressfor OCCUpqiION {Qa not leaue blank� DATE OF BIRTH VDTER REGISTRATION VllID
which ynu receive campaign related emails, if availabl�.) NUM$ER� {Optional�
INVES�'MENT ADVIS�R 1047858287
TELEPHONE C4NTAC"f fNFORMATION {Optional�
Home: (817) 235-��05 Office; �8�7} 490-3715 Cell: (8�7} 235-61q5
FELQNY CONVICTION STATUS {You MUST check one} LENGTH 4F CONTINUOUS RESIDENCE AS �F DATE THIS APPLiCAiIQN WA5 SWORN
❑✓ I have not been finally convicted of a feiony. IN THE STAT� OF 7EXA5 I�f TERRITORY/DISTRICT/PRECINCT FROM
� I ha�e been finally con�icted of a felony, but i ha�e been WHICH THE OFFICE SOUGHT 15 ELECTED
pardoned or otherwise released from the resulting �� Y�ar{sj 24' year(s)
disabilities of chat felony conviction and I ha�e pro�ided
proof of this fact with the su6mission of this applica#ion.3 7 month(sj � � manth{s)
*If using a nickname as �art of your name to appear on the baElot, you are also signing and swearing to the following statements: i further swear that
my nickname does not tonstitute a slogan or contain a tifle, nor does it inditate a political, ecanomic, sociaf, or religiaus view or affiliation. I have
been commonly known by this nickname for at least three years prior to this elec#ion. Please review sections 52.031, 52.032 and 52.fl33 of the Texas
Election Code regarding the rules for haw names may be listed on the official ballot.
Bef�re me, the undersigned authority, o� this day personally appeared (name of candicfate) DaVld K211y , who
being by me here and now duly swnrn, upnn oath says:
"I, (name of candidate} na�[d Kelly o{ 7arrant County, Texas,
being a candidate for the office of �ity of Colley�il[e Mayor , swear that I wifl support and defend the Constitution and
laws of the United 5tates and of the 5tate of Texas, I am a citizen of the United States eligi6le to hold such ofifice under the constitution and laws of
this state. [ have not been determined hy a fiinal judgment of a court exertising prpbate jurisdiction to be totally mentally incapacitateri or partial�y
mentally incapacitated without the right to vote. I am aware of the nepotism 1aw, Chapter 573, Government Code. I am aware that I must disciose
any prior felony conviction, and if so convicted, must provide proof that I F�ave been pardaned or otherwise released fram the resulting disabilities of
any such fi�al felony conviction. E arn aware that knowingly providing false informat�an on the application regarding my passible fielony conviction
status tonstitutes a Class B misdemeanor. I further swear that the foregoing statements included in my application are in all things true and correct."
X /
SIGI�fATURE OF CANDI ATE
Sworn to and subscribed before me this the 1� day of ��$iZL( (��-Y ` D � by �G1' �} � h FS ��{�
(day) {month} {year} {name of c ndidate}
. � C .n �►��
SEgnature of Officer Authorized to Administer OathA Prin d.�l '�ffiQ�yA►I��� �Q�+��iisYe ath
.�,. •�,:
_. •.
! ��-�' � �� •y'ri .1;�Ei�T� �ires May 2� 2�
'�.
;�ag, r, . �,
_ ---
Title af �fFiterAuthorized to Administer paYh
TO BS CaMPLETED BY FILING OFFICER: THIS APPLICATiON IS ACCQMPANIED 8Y THE REQUIRED FILING FEE (If Applicablej PAID 8Y:
❑ CA5H ❑ CH�CK � MON�Y ORDER � CASHIERS CHECK OR � PE7ITION IN LIEU OF A FILING F�EF/.
7his document and $' � r filing fee or a nominating petitian of � pages re ei�ed. � 1/ote� Reg r ti�n Stat�s Ve�ified
�oC._ I%�� U`oL I�� oWr�Z [See Section 1.007] D'rJ"'�-�
Date Recei�ed Date Accepted Signature of Filing Of#icer qr Designee
APPOINTMENT OF A CAMPAIGN TREASURER FORnn CTA
BY A CANDIDATE Pc 1
1 To�ai pages filed:
See CTA Instruction Guide for detailed instructions. /
2 CANDIDATE MS/MRS/MR Flrtsr Mi OFPICEUSEONLY
NAME
/7%k; �hl//D (,�' Fuarioa
---------------------------------------------
NICKNAME LAST SUFFIX DateReceive�ECEIVED
�'��L� FEB 11 2022
3 CANDIDATE AODRESS/PO80X; APTISUITE#; CITY; STATE; ZIPCODE
MAILING p �r�G,L(,�SUeI�F 'TjZ �%(np.37" C`4O
ADDRESS /b�i /NN�o/iIJ � r � /
Date Hend-tlelivereG or Posimarketl
4 CANDIDATE AREA CO�E PHONE NIIMBER EXTENSION Receipt# Amount$
PHONE
�g! 7�� �� T/ `� Nj Oale Pmcessetl
\ C'l
5 OFFICE oa�e �maged
HELD
(if any)
5 OFFICE
SOUGHT
(if known) %Y%%i y�J2 ^(°i�� G� Cr�GLf yV1 LC�G
7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX
TREASURER p ! ,
NAME IYl'\ D�'✓f0 � �}(�� .
8 CAMPAIGN STREETADDRE55; APT/SUITE#; � CITY; . STATE; ZIPCODE
STREETRER 9�Is /NWODt? �+J �n/I�-yU�/I/s � �i�. rJ�O.'S�
ADDRESS �
(residence or business)
9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASUF�ER
PHONE (/��7 ) �3S��aIOS�
70 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 corporations and labor organizations.
�C�+����� U 7�/ / ��,o Z 7�
SignatureofC idate DateSigned
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2022
CODE OF FAIR CAMPAIGN FORM cFCP
PRACTICES COVER SHEET
OFFICE USE ONLY
Pursuant to chapter 258 of the Election Code, every candidate and Da�eReceived
political committee is encouraged to subscribe to the Code of Fair RECEIVED
Campaign Practices. The Code may be filed with the proper filing
authority upon submission of a campaign treasurer appointment FEB a i 20�
form. Candidates or political committees that already have a ��
current campaign treasurer appointment on file as of September 1,
1997, may subscribe to the code at any time. °a'eHa"°�tle1"efe°°'P°s""a`Ke°
Date Processed
Subscription to the Code of Fair Campaign Practices is voluntary.
. Date Imaged
1 ACCOUNT NUMBER Q TYPE OF FILER
(Ethics Cammission Fllers)
. CANDIDATE � POLITICAL COMMITTEE �
If liling as a candidate, complete bozes 3- 6, If filing for a political committee, comp/ete
then read and sign page 2. boxes 7 and 8, then read and sign page 2.
.�i NAME OF CANDIDATE T�TLE�Or.,Mr.,Ms.,etc.) F�ftsi MI
(PLEASETVPEORPRINT) � ,n ��/O �
K
NICKNAME LAST SUFFIX(SR.,JR.,III,e�cJ
/l�z�y
Q TELEPHONE NUMBER AREACO�E PHONENUMBER EXTENSION
OF CANDIDATE
(PLEASETVPEORPRINT) � �/ � � �'� � _ � / � �
5 ADDRESS OF CANDIDATE STREET/POBOX; A/PT/�SUITE#; GTY; I� STATE; [ 21PCODE
(PLEASETVPEORPRINT) '�/% J //IIY�/t)UG� /�!�/ i r.,fi L��(/� II� � � / � h � �%
s OFFICE SOUGHT
BY CANDIDATE
� (PLEASETVPEORPRINT) ml yO� ,— V�T� (JF CO LL�sY U/ LLF_
/
� NAME OF COMMITTEE .
(PLEASE TYPE OR PRINT) �
$ NAME OF CAMPAIGN TITLE(Or.,M[,Ms.,alcJ FIRST Mi
TREASURER �
(PLEASETVPEORPRINT)
NICKNAME L45T SUFFIX(SR.,JR.,Ill,etc.)
GO TO PAGE 2
Forms provitletl by Texas Ethics Commission www.etnics.state.tx.us Revisetl 7/1I2021
CODE OF FAIR CAMPAIGN PRACTICES
There are basic prniciples ofdecency, honesry, and fair play that every candidate andpoliHcal committee in this state
has amoral obliga6onto obseroe anduphold, in orderthat, aftervigorouslycontestedbut fairlyconductedcampaigns,
our citizens may exercise their constitutional rights to a free and untramrueled choice and the will ofthe people may be
fully and clearly expressed onthe issues.
.1 : • '
(1) I will conduct the campaign openly and publicly and limit attacks on my opponent to legitimate challenges to my
opponenYs record and stated positions on issues.
(2) I will not use orpemut the use of character defamarion, whispering campaigns, libel, slander, or scurrilous 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 national origin.
(4) I will not use campaign material of any sort that misrepresents, distorts, or otherwise falsifies the facts, nor will L
use malicious or unfounded accusations that aim at creating or exploiting doubts, without justification, as to the
personal integrity or patriotism ofmy opponent.
(5) I will not undertake or condone any dishonest or unethical practice that tends to corrupt or undermine our system
of free elections or that hampers or prevents the full and free expression of the will of the voters, including any
activity aimed at intimidating voters or discouraging them from voting.
(6) I will defend and uphold the right of every qualified voter to full and equal participation in the electoral process,
and will not engage in any activity aimed at intimidating voters or discouraging them from voting.
(7) I will immediately andpublicly repudiate methods and tactics that may come from others that I have pledged nof
to use or condone. I shall take firm action against any subordinate who violates any provision ofthis code or the
laws governing elecrions.
I, the undersigned, candidate for election to public office in the State ofTexas or campaign treasurer of a political
wmmittee,herebyvoluntarilyendarse,subscribeto, andsolemnlypledgemyselftoconductthecampaigninaccordance
with the above principles and practices.
G—��
Signature
62/!/�zt>Z7
Date
Forms provided byTexas Ethics Commission www.ethics.state.tx.us Revised 1/1/2027
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 inembers (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 me, the undersigned authority, personaily appeared:
David Gregg Kelly who, after being duly sworn upon their
oath and deposed and stated as follows:
"My name is David Gregg Kelly and I hereby submit
for filing the attached Financial 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 which is responsive to or required to be
disclosed by the forms."
to and subscribed before me, this ther�/�� day of �f-Y�� 1R��7 , 20�2
CHRISTINE LQV�N
My Notary ID �# 11Q92587
F.�ires May 2, 202Q
Notary Public, State of Texas
INITIAL HERE: �
��,.�
DATE: Z�2zI Z�'
City of Colleyville Financial Disclosure and Business Conflict of Interest Forms
INFORMATION STATEMENT
� TOTAL NUMBER OF PAGES FILED:
�'
OFPICE USE ONLY
1 NAME First, MI Date Received
David G
Last, Suffix
Kel ly RECENE�
2 ADDRESS Address/City/5tate/zip FEg �, 2 2U22
905 Inwood Lane, Colleyville, TX 76034
cso
3 TELEPHONE Area Code, Phone Number, Extension
NUMBER g 17-235-6105
° REASON 0 EMPLOYEE (CITY MANAGER OR *SENIOR STAFF)
FOR FiLiNG 0 CANDIDATE Mavor (INDICATE OFFICE)
STATEMENT � ELECTED OFFICIAL (INDICATE OFFICE)
0 ZONING BOARD OF ADJUSTMEN7 cAPP���NT oa nvPocNree�
0 PLANNING & ZONING COMMISSION cAPP��cnnroanPro�Nree>
�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
SPOUSENAME
DEPENDENT 1•
CHILD/CHILDREN
2.
NAME(S)
3.
4.
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
INITIAL HERE: ��'' DATE: � Zv�Z2
City of Colleyville Financial Disclosure and Business Conflict of Interest Forms
INTERESTS IN REAL PROPERTY Section i
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 HELD OR ACQUIRED BY ✓ FILER SPOUSE DEPENDENT CHILD #_
DESCRIPTION �ot `� CityColleyville
g�o�k 11 �o��tY Tarrant
Saddlebrook
Subdivision� Ad Valorum Tax Account Number
3476 05531888
Acre(s) and Tract �
STREET ADDRESS STREET ADDRESS, INCLUDING CITY, COUNTY, AND STATE
905 Inwood Lane, Colleyville, TX 76034
" NAME LIST THE NAMES AND ADDRESSES OF OTHER PERSONS OR
BUSINESS ENTITIES WHICH OWN AN INTEREST IN THE REAL
PROPERTY
Q 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
❑ NOT APPLICABLE INITIAL HERE: �/r�" DATE: Z ty2'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.
1 RECIPIENT 0 FILER OSPOUSE ODEPENDENT CHILD #_
ZFEE, SALARY, GIFT NAME AND ADDRESS
3 DESCRIPTION OF FEE,
SALARY, GIFT
1 RECIPIENT OFILER OSPOUSE ODEPENDENT CHILD #_
Z FEE, SALARY, GIFT NAME AND ADDRESS
DESCRIPTION OF FEE,
SALARY, GIFT
1 RECIPIENT OFILER OSPOUSE �DEPENDENT CHILD #_
Z FEE, SALARY, GIFT NAME AND ADDRE55
3 DESCRIPTION OP FEE,
SALARY, GIFT
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
� NOT APPLICABLE INITIAL HERE: !�r"' DATE: 2 tZ �Z
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.
1 HELD OR ACQUIRED BY OFILER OSPOUSE ODEPENDENT 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
' HELD OR ACQUIRED BY OFILER OSPOUSE ODEPENDENT CHILD #_
2 DESCRIPTION NAME AND ADDRESS
3 NATURE OF BUSINESS
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
� NOT APPLICABLE INITIAL HERE:� DATE: 2 Z2/ZZ
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commission FiiersJ 2 Totel pages filed: �
The CIOH Instruction Guide explains how to complete this form. I
3 CANDIDATE / MS I MRS I MR FIRST MI
OFFICEHOLDER ,y�� p�.}�!p � OFFICEUSEONLY
NAME ................................................................................. .
Date Received
NICKNAME LAST SIIFFIX
K�- �y RECE►vED
4 CANDIDATE / ADORESS I PO BO%; APT I Sl/1TE #; CITV; STATE; ZIP CODE
OFFICEHOLDER APR' �.1011
MAILING I /�
ADDRESS �D S I Nwoo o L n1 1�r7 LL6 y �� 1 I E '�1-J�- 1 G' O'� 4' ��
� Change of Address
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hantl-tleliverad o� Det¢ Posima�ketl
OFFICEHOLDER
PHONE � �I`� � 2,35-(c,10`�
Receipt p Amount $
6 CAMPAIGN MS I MRS I MR FIRST MI
TREASURER `.y� � f�gVi D � C�
NAME................................................................................. Date Processed
NICKNAME LAST SUFFIX
� ❑ale Ime9ed
K�.�Y
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE k; CITY; STATE; ZIP CO�E
TREASURER �o
ADDRESS � o u I NWnUD �-�J t�� �LE7 �� ��� T�- �7 � � 3'�-
(Residence or Business)
S CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER .
PHONE � g �-� � 23 �_ G� � p�
9 REPORT TYPE � �anuary 15 � 30ih day before election � Runoff � 15Ih day after campaign
treasurer appoinMent
. (ORiceholtler Only)
� July15 � 8ihtlaybeforeelection � ExceedetlMotlifetl � FinalReport(AttachC/OH-FR)
Reporling Llmit
10 PERIOD Monih oay vear Mo�m oay vaar
COVERED
O Z / I� /22 THROUGH a,�j / Z� /ZZ
'I'I ELECTION ELECTION DATE ELECTION TYPE
Monih Oay Vear ❑ P�imary � RunoH ❑ Other
oescrip�lon
6 .� /b � /2 Z � Gene�el � Speciel
12 OFFICE OFFICE HELD (i(any) 73 OFFICE SOUGHT (if knawn)
h'1 P1 �/ O 1_
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBiITIONS ACCEPTEO OR POLITICPL EXPENDITURES MA�E BV POLITICAL COMMITTEES TO SUPPORT
POLITICAL THECANOIUATEIOFFICEXOLOER. THESEEXPENDITUftESMAYHAVEBEENMAOEWITHOUTTNELAN010ATE'SOROFFICEHOLOER'SKNOWLEUGEOR
CONSENT. CANOIUATES ANU OFFICEHOLUERS ARE REOUIREO TO HEPORT THIS INFORMATION ONLY IF THEV RECEIVE NOTICE OF SUCH EXPENDITUHES.
COMMITTEE(S)
COMMITTEE TVPE COMMITTEE NAME
�GENERAL COMMITTEE A�ORESS
� Additional Pages
�SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER AD�RESS
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
15 C/OH NAME n
F/ %�/ .O �
77 CONTRIBUTION
TOTALS
1
TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
CONTRIBUTIONS MADE ELECTRONICALLY)
.................
EXPENDITURE
TOTALS
2.
TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
3. TOTAL UNITEMIZED POLITICAL EXPENOITURE.
FORM C/OH
COVER SHEET PG 2
16 Filer ID (Ethics Commission Filers)
$ �J
$ 3�9s
$ �. � �
4. TOTAL POLITICAL EXPENDITURES $
...................
���IO.O I
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINE� AS OF THE LAST �AY '1
BALANCE pF REPORTING PERIOD $ � S�y CJ r S 3
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ �� 000
78 SIGNATURE I swear, or affirm, under penalty of pery'ury,�that the accompanying report is true and correct and includes all information
required to be reported by me under Title 15, Election Code.
I�-�c�
Signature of Candidate or Offc holder
Please complete either option below:
,�,���'�y.,_ CHRISTINE LOVEN
+: *: My Notary ID # 1109258T
'�'�....;�' Expires May 2.2028
(7) iiYa�•••
NOTARY STAMP/SEAL
Swom to and subscribed before me by���%� V K�� �`� this the'/7� day of �_�_,
0�� � to cert' ich, witness my hand and seal of office.
�.i1 n.i,a��nX�� �n P�5-� i n� �.o u e.rti. No%� F2a
Signatureofofficeradministeringoaih Prin[ednameofofficeratlminisieringoath Tideofofficeradministeringoath
(2) Unsworn Declaration
My name is
My address
Executed in
and my date of birth is
(street)
County, State of
(ciry) (state) (zip code) (country)
, on the day of , 20_
(month) (year)
Signature of Candidate/Offceholder (Declarant)
Forms provided byTexas Ethics Commission www.ethics.state.bc.us Revised 8/17/2020
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAME 20 Filer ID (Ethics Commission Filers)
D��ro ��L
21 SCHEDULESUBTOTALS SUBTOTAL
NAMEOFSCHEDULE AMOUNT
�� � SCHEDULEA1: MONETARYPOLITICALCONTRIBUTIONS $ j�Gj s
Z� � SCHEDULEA2: NON-MONETARY(IN-KIN�)POLITICALCONTRIBUTIONS $
3� � SCHEDULEB: PLEDGEDCONTRIBUTIONS S
4. � SCHEDULE E: LOANS $ S�O6
5� �SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ ��LFD. bI
6� � SCHEDULE F2: UNPAI� INCURREO OBLIGATIONS $
�� � SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS S
$� � SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $�g(j'�
9� � SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $
��� � SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINE55 OF C/OH $
��� � SCHE�ULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
12. � SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED $
TO FILER
Fnrms oroviAeA hvTexas Ethicc Cnmmission www.ethics.5tate.Uc.us Revised 8l17/2020
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. 1 Total pages schedule At: 3 t
��
2 FILER NAME 3 Fller ID (Ethics Commissian Filers)
��lv/D fi'�Gy'
4 Date 5 Full name of contributor � ou4oi-stete PAC (ID#: ) 7 Amount of contribution ($)
.%7�U6'' O j�`iJ�'1 �02>i✓
'�/2,3/Z 022. ............... �?`' ................. ..........................................
6 Contributor address; City; State; Zip Code ,���
�{oo� ���.,�,NGm�m �� Cv�/s-y�,��� � 7�bsy
$ Principal occupatioh / Job title (See Instructions) 9 Employer (See Instructions)
Date Full name of contributor ❑ ouhof�stete PAC (ID#: � Amount of contributlon ($)
� AI�^�5 ..E/GV�
.....................................................
Z/2$ �'LZ Contributoraddress; City State; ZipCoda j��
�'L�f.> Ldlleyu�llt, �hr.RB"GL (°AG[.G+�U�IIe TiL 71003'�
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ❑ oubot�sta�e Pnc (ION: � Amount of contribution ($)
ICun,-r i�° kk't'z7 rv`Gy�tz-s
......
� in�
✓� �� ��Z' Contributoraddress; City; State; 21pCode
�tioR 6n.�-n., ��a�t- Cou�y���l� 'rX- "�6,n3�
Principal occupation / Job title (See Instructions) Employer (See Instructlons)
Date Full name of contributor ❑ oubobstate PnC po#: ) Amount of contribution ($)
5'�'Fug Prn�� wOovaPr Yn��f �sT
............................ i o 0
,3�1 J l..UL� Contributor address; City; Stete; Zip Cotle
39�7 F�v, C�- C�,��.y�,,�� -r� °7hhs�
Principal occupation / Job title (See Instructlons) Employer (See Instructlons)
ATTACH ADDITIONAL COPIE5 OF THIS SCHEDULEAS NEEDED
If contributor is out-of-state PAC, please see Instruetion guide fo� additional reporling requirements.
Forms orovided bv Texas Ethics Commission www.ethics.state.tx.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 Tofal pages 5chedule A1:
2 FILER NAME 3 Filer I� (Ethlcs Commission Filers)
J��/!O �'�zLLy
4 Date 5 Full name of contributor � out�of�state PAc (lo#: � 7 Amount of contrlbutlon ($)
�(.7lIL��(� 14,0(s�'+'�KC
...................................................................................
b.�^�l j/�j2- 6 Contributor address; City; State; ZipCode ��b
�1��7 1����d,n E7�.. Dn��-s -r� 7szz�
$ Principal ocwpation / Job title (See Instructions) � 8 Employer (See Instructions)
Date Full name of contributor ❑ out-oi�etata PAC pD#: ) Amount of contribution ($)
� /�.E�Si} {Z. U?ld (tK.�FC) 7 .D
..................................................................................
3�ZS/2dZ,2 contriburoraddress; ary; State; zipcode Z��)
2q13 W��,�sw�rr�rre�. Gou.cyv�il.� -t�. 'tfoo3�N
Principal occupation / Job title (See Insfructions) Employer (See Instmctions)
Date Full name of contributor ❑ ou4of-stete PAC (IDk: ) Amount of contribution ($)
Lti 1 n�h% � �.1. 1-2 �.� 1 IQ.
..................................................................................
,j�2� Z.C)ZZ Contributoraddress; City; State; ZipCode SbD
�o� Jo�,., M�C��a �� t`.ou�yv� II.� -r�z ��osGp
Princlpal occupation / Job tille (See Instruc[ions) Employer (See Instructions)
Date Full name of contributor � ouMo45�ate PAC (ID#: ) Amount of contribution ($)
I�Cs-NFg �iJLDNO
................. ............................................... 7 ��
,3 I� 2!?22� Con[ributor address; City; State; Zip Code / CJ D
'-lZ UEe,n,Joe L�J Cae.c,L�url(R -r�t 7(003�%
Principal occupation / Job title (See Instructions) Employer (See Instructions) ,
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-sSate PAC, please see Instruction guide for additional reporting requirements.
Forms provitletl by Texas Ethics Commission www.etnics.state.ix.us nevisea an n�u<v
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form. 7 Totel pages Schedule A7:
2 FILER NAME 3 Filer ID (Ethics Commission Fllers)
f�fl'Vll� l��2L
4 Date 5 Full name of contributor � oW-o4slete PAC (ID#: ) 7 Amount of contribution ($)
�-v �� (.,U c Prs
.....................................................................P.............
3I �� � z� 6 Contributor address; City; State; Zi Code
(bb
�}OD$ aT6GP[..Lltttit.3F !'.oU�lr�v+�l¢. 'I�iL iG03`%
$ Principal occupation / Job title (See Instructions) 9 Empioyar (See Instructions)
Date Full name of contributor ❑ out-of-stete aAc po#: 1 Amount of coMributlon ($)
QpGs-rc. Nttt,sr>;J
..............................ry,.................................... I c�o
3 I ��J ZI� Z� Contributor atldress; CI State; 2ip Code
4sc�q parc,-m,�,n� L,.� �U�U,ii� -t'�c -7�ans�
Principal occupation / Job title (See Instructions) Employer (See Instructlons)
Date Full name of contributor ❑ out-o6state PAC (ION: 1 Amount of contribution ($)
Y�IGiC V �Lt.�3"YL1 p
..................................................................................
� j.�,u �Z p� z Contributor adtlress; City; State; Zip Code � C� U
t
ZoI M�c-e.l,l)aob i.°-r °(�u-�yv��4, '�-� �1(cfl3��
Principal occupatlon / Job title (See Instruc[ions) Employer (Sae InstrucHons)
Date Full name of contributor � oul�of-steta PHC (ID#: 1 Amount of contri6ution ($)
(�o(3r3�� l�ia���.+�.
......................... Sbn
3�25'�Z,Z Contributoraddress; City; Sta[e; ZipCode
�Z,iDI K�5in1G�UtJ �L t,iJU,c-��u,lLe. 'f"X, rJIoD3N
Princlpal occupation / Job title (See Instruc[ions) Employer (See Instructlons)
� ATTACHADDITIONALCOPIESOFTHISSCHEDULEASNEEDED
If eontributor is out-of-slate PAC, please see Instruetion guide for addilional reporling requirements.
Forms provided by Texas Ethics Gommission . www.emics,state.tx.us rtevisea oi i rv�o�u
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to eomplete this form. 1 Total pages Schedule A7:
2 FILER NAME 3 Filer ID (Ethics Commissian Fllers)
('/,}�/„D JG�LGy
/
4 Date 5 Full name of contributor � oubof-state PAC (I�#: ) 7 Amount of contribution ($)
Yj'%l,eE Gv�P
.........................................................................
,j/?�$/2�22- 6 CoMri6utor address; City; State; Zip Code � ��%J
E'63 I�Wbo.O LiJ CALL6�U�!(F ja'. �%O��'
$ Principal occupation / Job title (See Instructions) 9 Employer (See Instructions)
Date Full name of contributor ❑ ouaovs�a�e PnC po#: ) Amount of contribution ($)
LOV�S I•��L4C1'(,.
.....................................................................p............
�I2� �22 Contributoraddress; City; State; ZI Cotle 2sD
fc40Li "h�'L($o"i "fYC-L CvLL(ttiu�l�„�, TiZ ��c0��'i
!
Principal occupa[ion / Job title (See Instructions) Employer (See Instructions) .
Date Full name of contributor ❑ oubof-state PAC (IDM: 1 Amount of contribution ($)
OA'UL V i!'L1�p�P_/Y'i
....... Zb0
3�2�1 IZ-04�� Contributor address; Gty; State; Zip Code
(oSID CnNn��� Ln1 CIOL�(��illz i�- �l(003�
Principal occupatlon / Job tltle (See Instructions) Employer (See Instructions)
Date Full name of contributor � ou4obetata PAC (ID#: ) Amount of contribution ($)
..................................................................................
Contributor atldress; City; Stata; Zip Code
Principal occupation / Job title (See Instructions) Employer (See Instruc[ions)
ATTACH ADDITIONAL COPIE5 OF THIS SCHEDULE AS NEEDED
If conlrlbuSor is out-of-state PAC, please see Instruetion guide for additional reporting requiremenSs.
Forms provided by Texas Ethics Commission www.etnlcsstate.tx,us rcevisea ai�i ii<u�u
LOANS SCHEDULE E
If the requested information is not applicable, DO NOT include this page in the report.
1 Total pages Schedule E: r
The Instruction Guide explains how to complete this form. �
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
.%�.9 I// D ri �!_L'�
4 TOTAL OF UNITEMIZED LOANS $ _, ��
5 Date of loan 7 Nameof lender � ou4ot-sta[e PAC Q�#: ) 9 LoanAmount ($)
oz��i�6�2naz ��}V1 /J �G�'-� y i ann
6 Is lender g 10 Interes[re[e
Lender address; City; State; Zip Code
a financial /� , �7 // ._
Insti[utian? ���' �ju�d0,0 G✓� �/��0' �l�' �%� /�� 3i
11 Maturitydate
Y N _
72 Principal ocwpation / Job title (See Instructions) �3 Employer (See Instructions)
jn�U�-s-7rt2s�� 6fodiso� 5�F-£m,�royc—o
14 Description oF Collateral 15
�,� Check if personal funds were deposited in[o political
� none account (See Instruclions)
16 GUARANTOR 77 Nameofguarantor 19 AmountGuaranteed($)
INFORMATION
...........� .......................................................................
18 Guarantor atltlress; City; � State; Zip Cotle
�ot applicable
20 Principal Occupation (See Instructions) 21 Employer (See Instructions)
�ate of loan Name of lender ❑ ou4ofs[ate PAC (I�k: � Loan Amount ($)
..................................................................................
Is lender Lender address; City; State; Zip Code Interest rete
a Tinancial
Ins[itution?
Maturity date
Y N
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Descrip[ion of Collateral
� Check if personal funds were deposited into political
❑account (See Ins[mctions)
none
GUARANTOR Nameofguarantor � AmountGuaranteetl($)
INFORMATION
..................................................................................
Guarantor address; Ciiy; Sta[e; Zip Code
� not applicable
Principal Occupation (See Instmclions) Employer (Sae Insiructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided byTexas Ethics Commission www.ethicsstate.te.us Revised 8/17/20Z0
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS
If the requested information is not applicable, DO NOT include this page in the
EXPENDITURE CATEGORIES FOR BOXS(a)
Advertising Expense EventExpense LoanRepeymenVReimbmsement
AccountlnglBanking Fees OfficeOverheetl/RentalExpense
ConsultingExpense Footl/BevemgeBcpensa POIIIngExpanee
ConVlbutions/OonationsMatle6y GIf�/Awartls/MamonelSEzpense P�inHngEzpense
Candidate/OfficeholtledPoli[icalCommittee LagalServicas SeleriesANages/Contrec[Labor
CredlmakPeyment 7he Instructlon Guide explains how ta complete this farm.
1 Total pages Schedule Fi: 2 FILER NAME
z o�-V,D /iC2L
4 Date 5 Payee name
I.>Z/Z3 �Z,o2Z ,1�G�7Uli L°L�75/CCs
SCHEDULE F1
Soliclte�ioMFundrelsin9 Ezpense
Trensportation Equipment & ftalaletl Enpense
Trovel In �istrict
Trevel Out Of �Istnct
Other (en[ere calagory not listed ebove)
3 Filer ID (Ethics Commisslon Filers)
6 Amount ($) 7 Payee address; City;
2�� S�i 1�9 SS � A- �N�<r �cw y jB� �rnu� o
8 (a) Category (SeeCategorieslistedafihetopofthisschadule) (b) Desc�iption
PURPOSE
OF
EXPEN�ITURE
9 Complete ONLV if tlirect
expendimre to benefit C/OH
� C�D L I�QI eJ t..'1 /%� �1� IG/n/ lq
(G) � Checki(VeveloutsltleofTexas.Complete5cheduleT.
Candidate / Offceholtler name
�ate Payee name
CS3��s£t/Za7,2- �I � .�CcsiG„1
Amount (S) Payee address;
y S+l�h, so /-1'� � s S', ��a���-s� ,On,
PURPOSE
OF
EXPENDITURE
Complete 4L�Y if direct
expendiWre to benafit C/OH
Date
63I�zz-IZ,n2z
Amount ($)
I 5 9 , 3'�
C2tegory (SaeCategorieslistetlatthetopafthisschetlule)
j� �N 5 �xP&<v3G
� CheckifUavelauwitleofTexas.Comple�eScheduleT.
Candidate / Officeholder neme
G' ld �C IGS
State; Zip Code
� X '� FI 2 Sb
� Check If Auatin. TX, oHiceholder living expense
Office sought Office held
Ciry; State;
( ���y�,,��. T�
�escription
JIGNS 4 21NS7�/�
Code
7�a 3 �f
� Check if Austin, TX, offceholde� Ilving expenae
Office sought Office heltl
Payeename
Cl�r�s� urs�4-
Payee address; City;
�t� �,s� � 29 � ��L Srn,��mn
Cetegory (SeaCetegorieslistedatihelopofthisscheeule) DesCfiption
State; Zlp Code
IL �00/9%
PURPOSE
oF Cn.�nrr c��rn� f',<ryrn��- st�n�s �xvKTrsC�
EXPENDITURE
� CheckifVaveloutsideotTexas.Complate5cheduleT. � Check IfAuatin, TX, officeholder IlvinB expense
Complete �Y If direct Candidate / Officeholder name Office aought Office heltl
expenditure to benefit GlOH
ATTACH ADDITIONAL COPIES OF THIS SCHEDU LE AS NEEDED
Forms provided byTexas Ethics Commission www.ethics.state.bc.us Revised
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITU RE CATEGORIES FOR 80X 8(a)
Ativertising Ezpense EventF�pense LoanRepaymeM/Relmbursement Solici[ation/FuntlraisingEzpense
Accounting/BenWn9 Fees OffceOverhead/RentalEzpense hansporta[ionEquipment&Rela[etlExpense
ConsultingExpense Footl/BeverageFxpense P011ingExpense TrevellnDis[ricl
Contributlons/DonationsMadeBy GifVAwartls/MemonalsExpense PdntingExpense TravelOutOtDlsMct
Candidate/OffceholtledPoliticalCommittee LegalServices SaletleslWeges/ContractLabor Other(enleracete8orynotlistetlabova)
CreditCard Payment
The Instruction Guftle explains how to complete this form.
1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
q� (�-� r D �C �. �
4 Date 5 Payee name
I6��28 �2UZz Gy�}-5� V�5/�
6 Amount ($) 7 Payee address; City; State; Zip Code
,e�pp Po �o�G6z94� Cmwc,Sm�• IL 6r�19%
8 (a) C2tCyory (SeeCategorieslistetlal�hetopo(ihisschadule) (b) Desc�ipti0�
PURPOSE �a
OF Ci/z.C-(�1T ('iAJL-di ��177��/7� ��I��'i�/.s
EXPENDITURE
(e) � CheckifirevelouLvitleofTexas.Comple�eScheduleL � Check i(Austin, TX, officeholder living expense
9 Complete ONLY if direct Canditlate / Officeholder name Offce sought O�ce held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
CategoYy (SeeCategorieslis�etlatlhetopof�hisschedule) DBSCfiPtlOfl
PURPOSE
OF
EXPENDITURE �
� CheckifUaveloutsitleofTexas.Complete5cheduleL � Check if Aus�in, TX, officeholtler living expense
Complete � if direct Candidate / Officeholder name Office sought Offce held
expendiWre to benefit C/OH
Date Payae name
Amount ($) Payee address; City; State; Zip Code
CategOry (SeeCa�egorieslisteda�the�opof�hisschedule) DesCription
PURPOSE
OF
EXPENDITURE
� CheckiftraveloNsideofTaxas.Comple�eScheduleT. � Check ifAustin, TX, officeholder Ilving ezpense
Complete 1$��y i( direc� Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
AITACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
❑...,.�� „�..,,�do,� h„r .�� Frhi�� c�rnrni��i�� www.ethir.sstatelx_us Revised 8/17/2020
EXPENDITURES MADE BY CREDIT CARD
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 10(a)
AtivertlsingExpense EventExpense LoanRepaymerNRelmbursement
AccountinglBanking Fees OfficeOverheatl/RentalExpense
Consultin9Expense Food/BeverageExpensa POIIIngExpense
Con[ributlons/Dona�lonsMadeBy GIfVAwerds/MemotlalsExpense P�IntingExpense
Cantlidate/OffceholtledPoliticalCommittee LegalServices SaletlesNJages/ConNectLabor
The Instructlon Gulde explalns how to complete thls form.
1 Total pages Schedule F4: 2 FILER NAME
`7 /�,<rvi� K��y
a TOTALOFUNITEMIZEDEXPENDITURESCHARGEDTOACREDITCARD
5 Date
p�,a��2/Za2Z
7 Amount ($)
f�,�3
9 TYPE OF
EXPENDITURE
10
PURPOSE
OF
EXPEN�ITURE
11
Complete QL if direct
expenditure to benefit C/OH
6 Payee name
SCHEDULE F4
SolicifalloNFundraising Ezpensa
Trensporletian Equipment& Releted Exp
Treval In �Islricl
Travel Ou[OtDistrict
Other (enter a category not listetl above)
3 Filer ID (Ethics Commission Filers)
S
WCsuRA�tc-� ✓�;'L� 1�Bi�l>WD'��
8 Payee address; City; State; Zip Code
�"7t� I L`de,�4�u, Ilfr ��v.o #ldn l'plle yv,rG` 'T�L ��,P 3�l
�Political � Non-Political
(a) Category (SeeCategorieslistedatthetopoffhisachetlule) (b) DesCfiptiOn
�jr�,NS �XFG�n/S'� S/CN -n�s
(G) � ChackiftraveloutsideMTexas.CompletaSchetluleT.
Cantlitlate / Officeholtler name
� Check i( Austin, TX, otticehalder living expense
Office sought Offlca held
Date Payee name
PS3(IZ�'LC�Zz �'DY+'a� �C�O'�
Amount ($) � Payee address; City; Siate; Zip Code
23 .��-1 ��l 1 O,x,�eivo-r- li,�� �� /�/o ��oa�E.,qNo 11��ls 'I�C ila� 8.n
TYPE OF
EXPEN�ITURE
PURPOSE
OF
EXPENDITURE
� Political � Non-Polilical
Catego�y (SeeCa�egorieslistedalihalopofthisachetlule) DesC�iption
J I G�, N 5 [�X.00rA1�S � � L[' �J �Yl �
� ChecklflrevelauleideofTexae.CompleteScheduleT. � Check if Aus�in, TX, oXiceholder Ilving expense
Candidate / Officeholder name Office sou9ht Offlce hald
Complete Q�LY if direct
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided byTexas Ethics Commission www.ethlcsstate.Uc.us Revised 8/17/2020
EXPENDITURES MADE BY CREDIT CARD
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 10(a)
Ativetllsing�pense EventExpense LoanRepaymanVRelmbureement
AccountingiBanking Feas OffceOverheatllRentalExpense
ConsulUngExpense FoodlBeverageExpense P011ingExpense
ConVibutlons/DonationsMetleBy GIfVAwaMs/MemotlalsExpense PrintlngExpense
Candidate/O�ceholder/PoliticalCommittea LeBelServlces SalanesNJages/ContractLebor
The Instruction Guide explains how to complele this form.
'I Total pages Schedule F4: 2 FILER NAME
�.�> o K��Y
a TOTALOFUNITEMIZEDEXPENDITURESCHARGEDTOACREDITCARD
SCHEDULE F4
Trevel in Dlslrict
Travel Out Of Dislricl
Other (entet e category notliatetl above)
3 Filer ID (Ethics Commission Filers)
S
5 Da[e 6 Payae name
d�/,� 1zo�� �.�e�� r����
7 Amount ($) 8 Payee atltlress; Ci[y; Sta[e; Zip Cotla
S / � � �` ��/�i �I�LiNG'r /-^N� /�O �d �1[H'68N'a YIILL$ %/'Z /�t+� �G"J
9 TVPE OF
EXPENDITURE
'10
PURPOSE
OF
EXPENDITURE
11
Complete O if direct
ezpendiWre to benefit C/OH
Dete
�� �I�,26zz
Amount ($)
.�3b.�S
�Political � Non-Political
(a) Category (SeeCetegorieslistetla��he�o0ofthisschetivle) (b) DeSCYiptiOn
�tGn�s �xv��� "�f' Pos-rs
(G) � Checkif�ravelouuideMTeXas.Complete5cheduleT. � Check It Austin, TX, atticehaldet living expenee
Candidate / Officeholder name OHice sought Offwe held
Payee name/�
1i15��3 I'�2.r a ��f
Payee address;
/ao /�.a.yoc,,..i �-ut�v�
Ci�y; State; Zip Code
L�i��ru,� m�- vzya/
TYPE OF � Non-Political
EXPENDITURE �PolitiC81
Category (SeeCategorlesliatedatthetopofihiaschetlulej DesC�iptlon
PURPOSE
OF
EXPENDITURE
�2r�.J�NG GkP6n35Is (�iRr✓+9.6Y�C-aJ (1�bt>L(�YL�
� ChecklfVaveloutsltleofTe�s.Comple�e5cheduleL � Cheek if Aus�in, TX, officehaltler Ilving expense
Candidate / Offlceholder name Office sought Office held
Complele Q�il' if direcl
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
IForms provided by Texas Ethics Commission www.ethwsstate.tx.us Revised 8/17/2020
EXPENDITURES MADE BY CREDIT CARD
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 70(a)
AtivertisingExpanse Even[Ezpenae �anRepeymenVRelmbureament
AcwuntinglBankin9 Fees OfficeOverheed/RantalExpense
ConsulfingExpense FaodlBeverageEzpense P011ingExpenae
ContribWons/�onaHonsMetleey GiPoAwarde/MemoflalsExpense PtlntingExpensa
Candidate/Officeholder/PoliticalCommitlea LegalServices SelenesNJeges/ConVactLebor
Tha Instruction Guide explains how to complete this form.
1 Total pages Schedule F4: 2 FILER NAME
%��Svl rJ /�CtLc-�
i
4 TOTALOFUNITEMIZEDEXPENDITURESCHARGEDTOACREDITCARD
SCHEDULE F4
SollcitatioNFuntlraising Expense
Transportatlon Equlpment& Related ExF
Traval In Dlstricl
Trevel Out Of Dlstrict
O�her (enter a cetegory notliated ebove)
3 Filer ID (Ethics Commission Filers)
Ej
5 Date 6 Payeepame
b �� I-t �2az.Z ST�s�G�
7 Amount ($) 8 Payee adtlress; City; Stata; Zip Code
� �,�j � Zbo A�o 1G v�,ga�� ��ZI Sova�turK� ��E '76/�9 Z
9 TYPE OF
EXPENDITURE
'10
PURPOSE
OF
EXPENDITURE
'17
Complete �Y_ if direct
expendiWre to 6enefit C/OH
Date
oaJ�-,�zozz
Amount ($)
� v»
TVPE OF
EXPENDITURE
PURPOSE
OF
EXPENDITURE
�Political � Non-Political
(a) Category (seaCategoriaslisteaauhetopotthisscheduie) (b) Description
G9mP�iur✓ rsa���iniG £xPcr,usls ���L<,.�CS LFY33GzS
(t) � CheckiflreveloutvideMTe%as.CampleteSchatluleL � Check ifAustin, TX, ofticeholtler living expense
Candidate / Officeholder name O�ce sought Office held
Payee name
U 5 Pc>s-s vrF� f�
Payee address; C�h'�
�5�� �L �BH/✓San.� LUl�&�/Ut/��
,
�Political � Non-Political
Category(SeeCategorieslistedetchefopofthisschedule) Desc�iption
�arrv�,ua me-�L,N� �wv��✓s� �T�mFs
State;
-�
Zip Cotle
�Gd3 �G
� ChecklHreveloulsldeofTexas.CompleteScheduleL � Check If Austin, TX, oHicaholder Iiving expense
Candidate / Officeholder name Office sought Offica held
Complete ONLY If direct
expenditure to benetit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
EXPENDITURES MADE BY CREDIT CARD
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 10(a)
AdvertisingExpense EventExpanse LoanRepeymenVRelmbursement
AccountingBanking Fees OfficeOverheetl/RentelExpense
ConsulYngExpensa FoodlBeverageF�tpense PallingExpense
ContribWone/DonatlonsMatleBy GItUAwa�ds/MemotlelsExpense PrintingEupanse
Candldate/O�ceM1older/PoliticalCommittee LegalServices SalanesNVagas/Contrac[Lebor
� The Instruction Guide explains how to complete this form.
1 Total pages Schedule F4: 2 FILER NAME
%� �'V I �'J �i�L L �
4 TOTALOFUNITEMIZEDEXPENDITURESCHARGEDTOACREDITCARD
5 Date
b 3 /r g �z.d zy
7 Amount ($)
�vo
9 TVPE OF
EXPENDITURE
10
PURPOSE
OF
EXPENDITURE
6 Payea name
(} S Pos i UE�+��
$ Payee atltlress;
,�o0 5� rrf� �T2�67"
Ciry;
�ni,�a.�i� �
�olitical � Non-Political
(0) Cate90ry (SeeCe�egorieslistetla�the�opo(thisschetlule) (b) D¢SCfipti011
��tm �m�,� m�,u.✓�, �xv�n✓s� J �rn,-r+-� P 5
State; Zip Code
�'�C 7�d9 �
I(G) � Checkiflravelou4sldeofTazes.Complete5chaduleL � Check IlAustin, T%, oHiceholder Ilving expenee
11 Candidate / Offlceholder name Office sought Office held
Complete � if direct
expentliWre to benefit CIOH
Date Payee name
v�l �q ��zz 1<ko�� I�G�o�
Amount ($) Payee adtlress; City; State; Zip Code
� / ' � � 4a'I (I P26'G�NLT �/NG l�Yl Nts (C,(GdJl.BIiJD YJ/4LS � ��+I ��
TYPE OF
EXPENDITURE
PURPOSE
OF
EXPENDITURE
�Political � Non-Political
Category (SaeCetegoriaslistedatthelopofthisschedule) DescdptiOn
�iG,NS GJt��NS� � i"!>5'YS
� CheckifVaveloulsitleafTexas.CompleteScheduleL � Check If Aus�ln, TX, oBicaholder living exvanse
Candidate / Offlceholder name Office sought Office held
Complete QNLY if direct
expendiNre to beneflt C/OH
SCHEDULE F4
SollcitafioNFundraising Expense
Trenspartetlon Equipment& Related Exp
Trevel In DlsVlct
Travel Ou[ Of �islrict
Other (enlera category not lis�etl above)
3 Filer ID (Ethics Commission Fllers)
3
IATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx,us Revised 8/17/2020
EXPENDITURES MADE BY CREDIT CARD
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIE3 FOR BOX 70(a)
AdvertlsingExpense EventExpense LoanRepaymenVRaimbursement
AccountinglBanking Fees OffceOverheedlRentalExpense
ConsulUng6tpense Food/Bevera9eExpense P011ingExpanse
Conhibutlons/DonalionsMatleBy GIR/Awards/MemotlalsExpense PrintingExpense
Candidare/O�ceholdedPoliticalCommittee LeBalServices SalanesNJages/ConVecCLabor
The Instruction Guide explains how to complete thls form.
1 Total pages Schedule F4: 2 PILER NAME
DvJvro K�"��Ly
�
a TOTALOFUNITEMIZEDEXPENDITURESCHARGEDTOACREDITCARD
5 Date
b3 �"2.3 I�D2-7
7 Amount ($)
�'-��a
9 TYPE OF
EXPENDITURE
'10
PURPOSE
OF
EXPENDITURE
'11
Complete O�LY if direct
expenditure to benefit C/OH
Date
cS 3 z 3 '
Amount ($)
Zo �
TYPE OF
EXPENDITURE
PURPOSE
OF
EXPENDI7URE
6 Payee nama
lS5 �aSS P�FF�LC�
$ Payee adtlress;
/SOPF O�N�Lc� �eStiAJSb/✓
City;
�OtGC�Ur/(t.
�Political � Non-Pollfical
(e) Category (SeeCategorleslistedatihetopo(thisechetlule) (b) DBSC�iptiOn
��mv»-,t� m�r����ti �.�v�s� STa3��n-�Q.S
State; Zip Cotle
T"� �G�v.3�
(c) � CheckifUevelaulsldaofTezas.Complete5cheduleT. � Check IFAustin, TX, aRiceholder living expense
Candidete / Officeholder name Office sought Office held
Payee name
li � �/_>'S � (3� � t G C%
Payee adtlress;
,�06 ��n3T� �'e�-�s
pity; State; Zip Code
�o+m-1�,er,� � 7�o9Z
� Political � Non-Political
Cetagory(SeeCalegoriesliatedatlhetopofthiaschetlule) DesCription
C�rmaFn�a me�c.���r� �,�v��sd � S�ra9mP.�
� CheckiftrzveloulsideotTexas.Camplete5cheduleT. � Check If Pustiq TX, ofliceholEer Ilving expense
Candidate / Officeholder name Office sought Office held
Complete 9�Y if direct
expenditure to henefit C10H
SCHEDULE F4
SallclqtioNFuntlraising Expense
Transportallon Equlpment& Related Ezp
Trevel In Dlatricl
Travel Out Of Dlstrict
Other (enter a category not Ileled above)
3 Filer ID (Ethics Commission Filers)
S
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised
EXPENDITURES MADE BY CREDIT CARD
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 10(a)
AtivartlsingFxpense EventExpense LoanRepaymenVRalmbursement
AccountinglBanWng Feas OffceOverheed/RentelExpenae
ConsultingExpense FaadlBeveragaExpense POIlin9Expenae
ConiribuYons/DonetlonsMadeey Gik/Awartls/MemonalsExpense PtlnlingExpense
Candidate/Offceholtler/POIIHcalCommlHee LegalServices Salenes/WeBes/ContractLebor
The Instmction Guide explains how to complete this form.
1 Total pages Schedule F4: 2 FILER NAME
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4 TOTALOFUNITEMIZEDEXPENDITURESCHARGEDTOACREDITCARD
5 Date 6 Payee nanme
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11
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Date
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SCHEDULE F4
Sollcitafion/Fundraisin9 Expenae
Trenspartatlon Equlpment& Relatetl Ezp
Travel In Dislticl
Trevel Out Of Dlstrict
O�her (enter a cetegory not lialed above)
3 Filer ID (Ethlcs Commisslan Filers)
$
IATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.bc.us Revised
EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 10(a)
AtivertisingExpanse EventExpense LoanRepaymenVReimbursemenf SolicitatioNFuntlraisingExpense
AccountinglBanking Fees OffceOverfiead/Rental6cpense hansportationEquipment&Related6cpense
ConsulUngExpense Food/BeverageFxpense P011ingExpenee TravellnDlsMc[
Contributions/DonatlonsMatleBy GiIVAwards/MemotlalsExpense Pnn[ingExpense TravelOutOfDistrict
Cantlidata/Officeholder/PoliticalCommitlee LegalServicas Seleries/Wages/ConlraclLabor Other(enteracategorynotlisledabove)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F4: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
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4 TOTALOFUNITEMIZEDEXPENDITURESCHARGEDTOACREDITCARD g
5 Date 6 Payee name
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7 Amount ($) 8 Payee address; City; S[ate;, Zip Code
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9 TYPE OF
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PURPOSE
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11 Cantlitla[e / Offceholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit C/OH
Da[e Payee name
Amoun[ ($) Payee address; City; Slate; Zip Code
TYPE OF
EXPENDITURE � PolitiCal � Non-Polltical
Category(SaeCategoriealistedetthetopotmisschedule) Descrlption
PURPOSE
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EXPENDITURE
� CheckifireveloutsitleatTexas.CompleteSchetluleL � Check I(AusHn, TX, ofriceholder living expense
. Candidate / Offceholder name Office sought Offce heltl
Complete Q�y if direct
expendiNre to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provmed by iexas ttnics commission www.emics.scace.a.us rcevisea ori ncu�u