Loading...
HomeMy WebLinkAboutElder, Brandi - 2022z-zs Prescribed 6y Secretary of State Section E41.031, Chapters 143 and 144, 7exas Election Code 09/2021 APPLICATION FOR A PLACE �N THE BALLOT FOR A GENERAI. ELECTION FOR A CETY, 5CHOOL DISTRICT OR OTH�R POLITfCA! SUBDIVISIQN RECEIVED F£� 112Q�Z w���' LL INFORNfATION IS REQU�RED TO BE PROViDED UNLESS INDICATE� RS OPTIONALl Feilure to pravide required informatian may result in rejectian of application. APPLICATION FOR A PLACE ON THE L'� f GENERAL ELECTtON BALLOT T0: City Secretary/Secretary of 8oard (nam of election} I request that my name be placed on the abo�e-named official ballot as a candidate for the office indicaCed below. OFFICE 50UGHT {Include any place number or other distinguishing number, if any.} 1fVDICATE TERM C r Co u ne.l r Pla�e � �-� FULL ❑ UNEXPIRE� �ULL NAME (First. Middle, Lastj PR1NT NAME AS YOU WANT kT TO APPEAR ON THE BALLUT* �'3rart�r �e�' h �lde�' I�randi ��der PERMANEIVT RE51dENCE AI7DRE55 (Do not incfude a P.O. eox or Rural Route. If PUBLiC NlAILIlUG A�DRE55 [Optional} (Address For which you receive you do not have a residence address, descrihe ]ocation of residence.j campaign related correspondence, if availa6le.) CITY ATE ZIP CITY 5TATE ZIP Co��eyyi`1!� `rx y�o,3� Pl1BL[C EMAILADDRESS (Optianaly {Addressfor OCCUPATIDN [Do not leave blank} DATE OF B1RTli VOTER REGISTRATION VUED whichyoureceivecampaignrelatedemails,ifavailahle.j �OM�����' NUMBERZ{Optionalj i �. 1% � e. ' TELEPHON� CONTACT INFOR ATION {pptional ' Home: OfFice: Cell: C��T7 %Dl�� � Q� 0 FELONY CONVICTIUN STATUS (You MU5T check one) EENGTH OF CDNTINUOUS RE5lDENCEAS OF DATE THiS APPLICATION WAS 5WdRN I have not been fina[[y can�icted of a felony. IN THE STATE OF TE7(AS IIV TERRITORY/DISTRICT/PRECINCi' FROM � I have been finally convicted of a fe�ony, but I have been WHICH THE OFFICE SOIIGHT IS ELECTE� pardoned or otherwise released fram tf�e resulting �y�a��$) � Y�ar(sj disabilities of that felony conviction and I have provided proof of this fact with the submission of this application.3 � month(s) month{s� *If using a nickname as part of your name io appear on the ballot, you are also signing and swearing to the following statements: I further swearthat my nickname does not constitute a slogan or contain a title, nor does it indicate a political, econorroic, social, or religious view or affiliation. I have been commonly known by this nickname for at least three years priar to this election. Please review sections 52.031, 52.032 and 52.d33 of the Texas Eiection Code regarding the rules for how names may be listed on the ofFicial ballot. Before me, the undersigned authority, on this day personally appeared [name of candidate) �% Q/� �l ���el" . wha being 6y me here and now duiy sworn, upon oath says: "I, (name af candidate) rn n pt�,�l d er'/ , of 1riQ � _Coun#y, Texas, being a candidate for the office of rOII CV V� IIC L 1�1i �Uf'}CI ��. �wear that 1 wifl support and defend the ConstituYion and laws of the United States and of ihe 5tate�s. I am a citiz n of the United States eligible to hold such office under the constitution and laws af this state. ! have not been determined by a final judgment of a courY exercising prot�ate jurisdiction ta 6e tota[ly mentally incapacitated or partially mentally incapaciYated without the right to vote. I am aware of the nepotism law, Chapter 573, Government Code. I am aware that I must disclase any prior felony conviction, and if so convicted, must pro�ide proof that I have been pardoned ar otherwise releasad from the resulting disa6ilities of any such final felony convictian. I am aware that knowingly providing false informaiion on the application regarding my possible felony conviction status constitutes a Class B misdemeanor. I furtner swear thatthe foregaing state nts induded in rr�y ap ic tion are in all things true and correct." X SIGNATURE OF CANDIQA�E Sworn to and subscribed 6efore me t' the �yday af F� �(�.i.tr�(ZS� . Ol�, by � iZ�.� t �� d��_ _ [day} {month} ( a �' � �,.`� �,*�.,P�j, H I Ii�N a Signature of OfFicer Authorized to Administer Dath4 Printe ;�in f F��fice u�,or� y�1 ��ister �th I�lO�.�l :�T�oF;ti4�� �� � � . Title of Officer Authorized to Administer �ath TO BE CDMPL�7E€3 BY FiLING OFFICER: THIS APPLICATION 15 ACCOMPAN[ED BY THE REQUIRED FILING FEE (If Applicab[e) PA1D BY: ❑ CASN ❑ CHECK ❑ M4NEY ORDER � LASHIERS CNECK OR � PETITION IN LI�U 0� A FILWG F��E�. � This document and $� filing fee ar a nomina�ing petition of �ages received. L1 Voter Re ' ra ion Status Verified � �� c7�� � /��{See Section 1A07) � �'�-Q-� � Date Received Date Accepted Signature of Filing Officer or Designee APPOINTMENT OF A CAMPAIGN TREASURER Forznn CTA BY A CANDIDATE Pc 1 � Total pages fled: See CTA Instruction G uide For detailed instructions. 2 CANDIDATE MS/MRS/MR FIRST Mi pFFICEUSEONLY NAME /yr5. 8rand�� �- Filer ID M NICKNAME LAST Sl1FFlX DateReceivetl Q',1',.Y�C'vE� El der ..��� FEBi�1�'� 3 CANDIDATE A�DRESS/POBOk; APT/SUITE#; GTV; STATE', ZIPCO�E MAILING � •3SO0 C�.mb,.;dye �our� �� ADDRESS � Cotleyv�lle, T'x 7�034� Dale Hantl-tleliveretl or Pasimaiketl 4 CANDIDATE AREA COOE PHONE NUMBER EXTENSION Receiptk Amoun�$ PHONE ♦ � g'�/ f oV/rW �90 DateProcessed 5 OFFICE Datelmagetl HELD (if any) 6 OFFICE SOUGHT �DIIeyVi (1e Cr-f-y COU�G•� ��Q�� Z (if known) 7 CAMPAIGN MS/MRSIMR FIRST MI NICKNAME LAST SUFFIX TREASURER M r• T� m V� Q� I / L.r� NAME 8 CAMPAIGN STREETA��RESS; APT/SUITE#; CIN; STATE; ZIPCODE TREASURER �sa3 Kinq 5���/�+ h-C4�� STREET ColleyVil'le, ix yl�o3� ADDRESS (residence or business) 9 CAMPAIGN AREA CO�E PHONE NUMBER EXTENSION TREASURER PHONE (�'�!� �2Q^,�2�2 \ � � / � J 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 ofthe restrictions in title 15 ofthe Election Code on contributions from corporations and labor organizations. �rG�G����L zi�l�izQ�z Signature of Candidate Date Signed GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2022 CANDIDATE MODIFIED REPORTING DECLARATION 11 CANDIDATE NAME 12 MODIFIED REPORTING DECLARATION FORM CTA PG 2 COMPLETE THIS SECTION ONLY IF YOU ARE CHOOSING MODIFIED REPORTING •• This declaration must be filed 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 includes a primery election, e general election, and any related runoffs.) •• Candidates for the office of state chair of a political party may NOT choose modified reporting. •• I do not intend to accept more than $940 in political contributions or make more than $940 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. Year of eledion(s) or election cyde to which declaration applies Signature of Candidate This appointment is effective on the date it is filed with:the appropriate filing authority. TEC Filers may send this form to the TEC electronically at treasappoint a(2ethics.state.tx.us or mail to Texas Ethics Commission P.O. Box 12070 Austin, TX78711-2070 Non-TEC Filers must file this form with the local filing authority DO NOT SEND TO TEC For more information about where to file go to: https://www.eth ics. state.tx. us/filingi nfo/Q u ickFileAReport. ph p 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 oa�aRa�e�� 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 1 1 2012 form. Candidates or political committees that already have a �p current campaign treasurer appointment on file as of September 1, 1997, may subscribe to the code at any time. °a`eHa"°.tle1VefetlorPos�"a'"e' Date Processetl Subscription to the Code of Fair Campaign Practices is voluntary. . Date Imagetl 1 ACCOUNT NUMBER 2 TYPE OF FILER (Ethi<s Commission Filers) CANDIDATE POLITICAL COMMITTEE � If filing as a cantlidate, comp/ete boxes 3- 6, If filing for a politica/ commiftee, complete then read and sign page 2. boxes 7 and 8, then read and sign page 2. CS NAME OF CANDIDATE TITLE(Dr.,Mr.,Ms.,e�c.) F�RSi M� (PLEASETYPEORPRINT) �rs, �3ra,nc�r, � ____________'_________'_____________________________ ___ NICKNAME LAST SIIFFIX(SR.,JR.,Ill,etc.) ,EI der 4 TELEPHONE NUMBER AREACODE PHONENIIMBER EXTENSION OF CANDIDATE R ' 7 (PLEASETYPEORPRINT) � " �� • O�—�D�D 5 ADDRESS OF CANDIDATE STREET/POBOX; APT/Sl11TE#; CITY; STATE; ZIPCO�E (PLEASETYPEORPRINT) � f�:JO o CQ�! /�%1 J V y� COU�/ � Col�eyV�'ll e, rx ✓ � 7 s OFFICE SOUGHT . 8Y CANDIDATE ` � (PLFASETVPEORPRINT) Co�►ey v��ll e �I'�-y CounG /�l ace 7 NAME OF COMMITTEE (PLE45ETYPEORPRINT) � $ NAME OF CAMPAIGN TITLE(Or.,Mr.,Ms.,etc.) F�Rsi � M� TREASURER j� � '�j'' � / d � (PLEASETYPEORPRINT) ___________________________________________________________________________ NICKNAME LAST SUFFlX(SR.,JR.,III,e�c.J Crab�ree GO TO PAGE 2 FormsprovidedbyTexasEthicsCommission www.ethics.sfate.tr.us � Revised 1/1/2021 CODE OF FAIR CAMPAIGN PRACTICES There are basicprinciples ofdecency, honesty, and fairplaythatevery candidate andpolitical committee inthis state has amoral obligationto observe anduphold, in orderthat, aftervigorously contested butfairly conductedcampaigns, our citizens may exercise theirconstitutional rights to afree anduntrammeled choice andthewill ofthepeoplemay be fully andclearlyexpressed onthe issues. Tf�REFORE: (1) I will conduct the campaign openly and publicly and limit attacks on my opponent to legitimate challenges to my opponenYs record and statedpositions on issues. (2) I will not use or permit the use ofcharacter defamadon, 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 I use malicious or unfounded accusations that aim at creating or exploiting doubts, without justification, as to the personal integrity orpahiotism ofmy opponent. (5) I will not undertake or condone any dishonest or unethicai practice that tends to corrupt or undermine oar 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 and publicly repudiate methods and tactics that may come &om others that I haue pledged not to use or condone. I shall take fum action against any subordinate who violates any provision ofthis code or the laws governing elections. I, the undersigned, candidate for election to public office in the State of Texas or campaign treasurer of a political committee, hereby voluntarily endorse, subscribe to, and solemnly pledge myselfto conductthe campaign in accordance with the above principles and practices. �� . �� %_ / � �1_ a. 2fl �2�2�2� Date Forms provided 6y Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021 RECEN�p City of Colleyville Financial Disclosure and Business Conflict of Interest Forms FEB d p��� 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. 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, personally appeared: Branrli E�der who, aRer being duly sworn upon their oath and deposed and stated as follows: "My name is C�►�Q,Clfi 1�r 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 compiete. There is no information that has been withheld or not disclosed which is responsive to or required to be disclosed by the forms." n • Affiant Sworn to and subscribed before me, this the �l day of ��r,� i�-Cf �iLy , 20� zo��""°`��, CHRIS71NE40VEN 1 '• � � �: My Notary ID # 97092587 \ '�. oF ,c*' Expires May 2, 2022 _� A,e ,�� Notary Public, State of Texas INITIALHERE: �� DATE: /..����zO,Z� City of Colleyville Financial Disclosure and Business Conflict of Interest Forms INFORMATION "STATEMENT TOTAL NUMBER OF PAGES FILED: �J OFFICE USE ONLY ' NAME First, MI Date Received 13randi �.. Last, Suffix �Ec��VE� �t�� �E@1t1011 ZADDRESS /+ddress/City/State/zip 350o Cp,.mbridye Cou�t �� co�leyvil�e,rx 7(�03� 3 TELEPHONE Area Code, Phone Number, Extension � NUMBER (gl7) 70(0-(0090 4 REASON 0 EMPLOYEE (CITY MANAGER OR *SENIOR STAFF) FOR FILING ��CANDIDATE �rrv�icnre oFFice> STATEMENT 0 ELECTED OFFICIAL �iNo�ca-re oFF�ce> 0 ZONING BOARD OF ADJUSTMENTeAPP��cnNToanaPoiNree> � PLANNING & ZONING COMMISSION �nPa�icnNroanPaoiNree� ❑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 r' �V I%� F l d er DEPENDENT 1. IV p+hQ-i� �� dEr' CHILD/CHILDREN G� br; el Elr�er 2. NAME(S) 3. 4. COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY INITIAL HERE: � DATE: ���J/�ZD�Z,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 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 � ��tY r.� �� ; >>e B�o�k 1P �oU�tY �Tc�rrc�nt Subdivision wo�d �o���l'J Ad Valorum Tax Account Number Acre(s) and Tract _ S. 35 � 3 STREET ADDRESS STREET ADDRESS, INCLUDING CITY, COUNTY, AND STATE 35 0o Ca.mbri d ye Cov�t Coll� vrll��Tjc 7(ooa� 4 NAME LIST THE NAMES AND ADDRE SES 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 # Z DESCRIPTION Lot City Block County Subdivision Ad Valorum Tax Account Number Acre(s) and Tract 3 STREET ADDRESS STREET ADDRESS, INCLUDING CITY, COUNTY, AND STATE 4 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:�� DATE: �Z // ,Z,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. 1RECIPIENT OFILER OSPOUSE ODEPENDENTCHILD # ZFEE, SALARY, GIFT NAME AND ADDRESS 3 DESCRIPTION OF FEE, SALARY, GIFT 1 RECIPIENT �FILER 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 ADDRESS 3 DESCRIPTION OF FEE, SALARY, GIFT COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY � NOT APPLICABLE INITIAL HERE:�`[� DATE:�zO�Z,v 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 �FILER OSPOUSE �DEPENDENT CHILD #_ ZDESCRIPTION NAMEAND ADDRESS 3 NATURE OF BUSINESS 1 HELD OR ACQUIRED BY �FILER OSPOUSE ODEPENDENT CHILD #_ ? 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 �OT APPLICABLE INITIAL HERE:� DATE: 2,////,20,Z,7� CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (ENirs Commission Filers) 2 Total pages filetl: The CIOH Instruction Guide explains how to complete this form. � 3 CANDIDATE / MS I MRS / Mft FIRST s e `� Mi OFFICE USE ONLY OFFICEHOLDER ....�.!.14I!..........�IR.r1.N�1 ...................� NAME ����"�"�' OaleReceivetl NICKNAME LAST SUFFI% EL.I3F� RECEIVED 4 CANDIDATE / A�ORE55 / PO BOX; APT / SUITE M; CITV; STATE; ZIP CO�E OFFICEHOLDER �� po �.�,a��.�DGE �u��' APR 7 ��2��2 MAILING p � �° y��y y+�j �yI 2(� ADDRESS �O� � r� YJ—��� L j� ! W Oa.7 / CSO � Change of Address 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hantl-tleliveretl or Dale Pos�marketl PHONEHOLDER / �j6� � � yq!_m`�- rynry l b 1 VlY vr �.s�/l� Receipl # Amoun� $ 6 CAMPAIGN MsiMRsiMR F,asi mi TREASURER MQ T M NAME..........................................:...................................... Oate Processetl NICKNAME LAST SUFFIX ���Q��� Oate Imaged U 7 CAMPAIGN STREET AOORESS (NO PO BOX PLEpA�S�EJ; AP/T �I SU�ITEpM;I r CITYy;�B � � T� � S�T±ATE; ZIP CO�Ep� ADDRESSER '�1/�.7 �1—/Vty�W ��N i�-r/N�� CC✓L�C..Ly�.LC.LG� I X !�CJ�t/ (Residence or Business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE � O�Y � /J ��,�,��J 2 d / .c.ai rw 9 REPORT TYPE ❑ �anuary 15 �30th day before election � RunaH � 15ih tlay after rampaign treasurerappainiment (OKcehalder Only) � July 15 � Bih tlay before election � Exceetled Modified � Final RepoA (Atlach C/OH-FR) RepoNng Limit 70 PERIOD Month �ay Year Month oay Vear COVERED y� / �� /�D�� � /� �/ �� ,(„ THROUGH � 'I'I ELECTION ELECTION DATE ELECTION TYPE Monih Day Vear ❑ P�imary � Runoff ❑ Other MMwrf oescription � j � /A A9 �General � Special I�.{/Ib 12 OFFICE OFFICE HELD (if enyJ 13 OFFICE SOUGHT (if knownj CoU�YVZt.� ��i9� �f,�JCZL. P�, 14 NOTICE FROM THIS BO%IS FOR NOTIGE OF POLITICAL CONTRIBUTIONS ACCEPTEO OR POLITICAL EXPENDITURES MADE 6Y POLITICAL COMMITTEES TO SUPPORT POLITICAL THECANDIOATEIOFFICEHOLOER THESEEXPENOITURESMAYHAVEBEENMADEWITHOIITTHECANDIDATE'SOROFFICEHOL�ER'SKNOWLEOGEOR CONSENT. CANDIDATEbANDOFFIGEHOLOER&AREREQUIREDTOREPORTTHISINFORMATIONONLVIFTHEYRECEIVENOTICEOFSUGHEXPENDITIIRES. COMMITTEE(S) COMMITTEE TVPE COMMITTEE NAME � GENERAL COMMITTEE AD�RESS � Additional Pages �SPECIRC COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER AODRE55 GO TO PAGE 2 Forms provided byTexas Efhics Commission www.ethics.state.Uc.us Revised 8/17/2020 CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT 15 C/OH NAME '17 CONTRIBUTION 1. TOTALS 2. .................. EXPENDITURE TOTALS .................. CONTRIBUTION BALANCE 3 ,� 5. TOTAL UNITEMIZED POLITICAL CONTRI9UTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR CONTRIBUTIONS MA�E ELECTRONICALLY) TOTAL POLITICAL CONTR�BUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) TOTAL UNITEMIZE� POLITICAL EXPENDITURE. TOTALPOLITICALEXPENDITURES � FORM C/OH COVER SHEET PG 2 16 Filer ID (Ethics Cammission Filers) TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD E� $ 3,32�. 5'3 $ $5,835,35 $7;4$5,18 OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE }�/� LOAN TOTAI.S LAST �AY OF THE REPORTING PERIOD � � O ��:%`�" �D 98 SIGNATURE I swear, or aSirm, under penalry of perjury, that the accompanying report is true and correct and includes all informafion required to be reported by me untlerTiile 15, Election Code. IJ��IJACL f�(`� •.-- ��'—'�� Signature of Ganditlafe or Officeholder lease complete either option below: ;�+'"°+�;;. ct+RisnN� �.ovFN ' ' hiy Notary ID # 11032587 _.: *: :�• '°_ .'�:,;, �: Explres May 2, 2028 (1) NOTARY STAMP/SEAL Sworn to and su6scribed before me by �2an..d� �I de�. this ihe �j_ day of�, 20 � , to certifywhic , wi ess my hand and sea of Io_ffice. I ,�,�n• ' � �biJ'�� �VlP.lST�i�.�i �1�'�l'L �� 1 OIIU% Signature of officer administering oath Printed name of officer administering oath Title of officer ad iniste�ing oath (2) Unsworn Declaration My name is , and my date of birfh is My address is , , , , (street) (city) (siate) (zip code) (country) Executed in County, State of , on the day of , 20 (monfh) (year) Signature of Candidate/Offceholder (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.t�c.us Revisetl 8/17/2020 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID (Ethics Cammission Filers) 27 SCHE�IJLESUBTOTALS SUBTOTAL NAMEOFSCHEDULE AMOUNT �� �SCHEOULEA1: MONETARYPOLITICALCONTRIBUTIONS . $ 33,`�•J3 Z� � SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICALCONTRIBUTIONS � 3� � SCHEDULE B: PLEDGE� CONTRIBUTIONS � 4. �SCHEDULEE: LOANS � +�('d(� C'p(�}„ (:}(� 5� � SCHEDULE F1: POLITICAL EXPEN�ITURES MADE FROM POLITICAL CONTRIBUTIONS �u �� �� �a '�� 6- � SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ �- � SCHEDULE F3; PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ $� � SCHEDULE F4: EXPEN�ITURES MADE BV CREDIT CARD S 9� � SCHEDULE G: POLITICAL EXPEN�ITLIRES MADE FROM PERSONAL FUNDS � $ 10. , � SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH ��u ��� � SCHEDULEI: NON-POLITICA�EXPENDITURESMADEFROMPOLITICALCONTRIBUTIONS $ 12. � SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED �y , .- ,,. �. -� :., TO FILER ., Forms provided by Texas Ethics Commission vxaw.einicsstate.tx.us rtewsea nn nzuzo IUIONETARY POL9TICAL CONTRIBUTIOMS SCHEDULE A1 If the requested information is nof applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 7 rotal pages Scneaule ni: �%. 2 FILER NAME (� ra� r� �' ( er 3 Filer ID (Ethics Commission Filers) I,J (i C� 4 Date 5 Full name of contributor ❑ out-ahstate PAC (IOx: � 7 Amounl of contribution (S) 3/(/2,022 pG�ri c� c�. Frc� .....................:...""""'.......................P............. �' I,�C.�' aC� 6 Contributor atltlress; City; State; Zi Code 35013 Cambrtr�a� C-1 � �d� leyv i(i�� TX 7t�p3�{- $ Principal occupation / Job tifle (See Instructions) 9 Employer (See Instructions) Re-}-F��d N'onc� Date Full name ot coniriburor ❑ out-oi-stafe PnC (ioa: � qmount oF contribution (S) l�i"sa l�i i`!l er 3�fq oz .................................................................................. ,// '� Contributor address; City; State; Zip Cotle '^ �I ���' p� a5o5 N��hfanc� PCefKC�, Co���yvi11e,7X 7�� Principal occupation / Job title (See Instructions) Employer (See Inshuctions) �wn�r' 13ab f'Y]oo�'e SpGrts C�n+ea' Date Full name ot contributor ❑ out-af-state PAC (IOp: � Amount of contribution (5) ��s� ��►•� Z qn co�,......Y ......................... ry .......................P............ ��/�a'� .��c..C. tributor address; Ci ; State; Zi Cotle � 5�5 3� 533 .Ihdla.r)CreeK Ot", �rophy C[u.b, TX `162� Principal occupation / Job title (See Instructions) Employar (See instmctions) CDD 7he Lawn Firrn Oate FuII name of contributor � mPot-state PAC QO�: 1 Amount of contribution ($) j'�1 � rK 7U r� e t� 3/��/zo�� ....................................................................P............ Contributoraddress; City; State; Zi Code �_%�7` �� ���� P��rs I�ath, Gorf�yvi lie, i�, �7��� �� Principal occupalion / Job tipe (See instructions) Employer (See Instructions) �3e-�-'i rexl None ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-af-state PAC, please see Instruction guitle for additlonal reporting requirements. �� F�.�„� o.��adPd hvT r�� Ftnt�� c��.,m�����., wanN.efhicsstate.tx.us Revised 8/17/2020 t�ONETARY POLiTICAL COt�lTRIBUTIOMS SCHEDULE Ps'! If the requested information is not appiicable, DO NOT include this page in the report. The Instruction Guide explains how to completa this form. 7 rotai pages Schetlu�e A1: � 2 FILER NAME ��^, �C� I (�' �.�j� 3 Filer ID (Eihics Commission Filers) l.a r �..1 4 Date g Full name of contri6utor � out-at-state PAC pOk: � 7 Amounl of contri6uHon (5) Sc��}- Richardson .....................................................................P............. { Q �,(�/�� 6 Contributor address; Ciry; State; Zi Code � I O�' ��+ 2ao5 �eyno{c7� briVe,Cali��u';Iie,T� 1�03 8 Principal occupation / Jo6 title (See instructions) g Employar (See Instructions) Re.f-i recl /VOn e Date Full name of contributor ❑ ouhof-state P�1C (I�H: � Amount of contribution (S) 3/i�/� ..�'eo���..PoclSdn - � ................. � ................. F� Contri6utor atldress; Ciry; S[ate; Zip Cotle ,j� 5�; • �4� �73c�� Baimmral Dr,Calley�ille;T� 'it�ca��F Principal occupacion / Job tiHe (Sae Instmctions) Employer (See Instructions) �ic�-i t�eci. None Date Full name of contributor ❑ ouMof-sta[e PAC (10�: � Amount of contribution (5) �m Y-�-da.m5 �( ,......... � ................................................................... -y / �3I� Contributor atltlress; Ciry; Sta[e; Zip Cotle � � � �. / ,� 5�}�q t�u5-��C1'rail,Coileyv�Ile�TX"If�o��- Principal occupation / Job title (Ses Instmetions) Employer (See Instructions) Ot,,�n�r Dvei hecA.e� b��° C_c�. aF� �=+. Wof°�-h Date FuII name oi contributor � aul-of-state PAC (IOM: 1 Amount of contribution (S) ............................................Y;.................................... Contributar address; Cit State; 2ip Code Principal occupation ! Job title (See Instructions) Employer (See Instructions) ATTACH ADDiTIONAL COPIES OP THIS SCHEDULE AS NEEDE� If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. -� Forms provided 6yTexas Ethics Commission wNnv.etnlcsstate.tz.us rtewsea an nzuzu LOANS SCHEDULE E If the requested information is not applicable, DO NOT include this page in the report. 'i Total pages Schedule E: The Instruction Guide explains how to complete this form. � 2 FILER NAME 3 Filer I� (Ethics Commission Filers) i3P'GtF1Clt �(4'��f 4 TOTAL OF UNITEMIZED LOANS $ 5 Dateofloen 7 Nameoflender ❑ouhof-statePACpDX: - ) 9 LoanAmount($) 21��1zo22 b�^ancii �Icle� �a,5oo.oa 6 �s lender 8 L¢ntler address; City; State; Zip Cotle 10 Interestrate a financial Institution? O � '� .y , J ��'i �U' I��Jy �aa _ ry� 35 � c�mbric �,�.t k�. �X u�c� 19 Maturitytlate Ya �2 Principal otcupation / Job title (See Instructions) 13 Employer (See Instructions) I�i-fJYY�t' VYl Gi�i�t" fV U r� e 14 Description of Collateral 15 � Check if personal funds were deposited into political �none account (See Instructlons) 76 GUARANTOR 97 Nameofguarantor 99 AmountGuaranteed(§) INFORMATION .................................................................................. 98 Guerentor eddress; City; Stete; Zip Code � not applicable 20 Principal Occupation (See Insimctions) 29 Employer (See Instructions) Dateofloan NameoFlender �out-of-statePAC(ID#: � LoanAmount($) 3fz/Zoz2. Brcx.nc�i Elcle.i^ a�`d,5oe�.oO Is lender Lentler edtlress; City; State; Zip Cotle �nterestrate a �inancial Institution? /� },, i, ` Y �q �SGO l.-L��U�{�O{�CT r�O�IQ_�VIIIPi �}C�I%D Maturirydate ��` � Principal occupation / Job title (See Instructions) Employer (See Instmctions) �-�- Q iYIC'. i"7� Ca.� �'` ni O h� Description of Collateral �Check if personal funds were deposited into political � account (Sae Insiructions) none GUARANTOft Nameofguarantor AmountGuaranteed($) INFORMATION .................................................................................. Guarantor adtlress; City; State; Zip Code [y]�not applicable Principal Occupation (See Instmctions) Employer (See Instructions) ATTACH ADDITIONAL COPIE5 OF THIS SCHEDULE AS NEEDED If lender is out-of-state PAC, please see Instruction guide for atlditional reporting requirements. rorms provided by iexas ethics Commission v�nvw.emicsstate.tx.us rtewsea si� nzuzu LOANS SCHEDULE E If the requested information is not applicable, DO NOT include this page in the report. i Total pa9es SchetlWe E: The Instruetion Guide explains how to complete this form. � 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 1�f0..i�Q�I i�-I�'�Y' 4 TOTAL OF UNITEMIZED LOANS $ 5 Dateofloan 7 Nameoflentler �out-of-sfatePAC�IDfF' ' ) 9 LoanAmount($) �1z.3/:�.-b �fcR.nc1� (�Ic1�r' � �', ne�Q, ot� 6 Is lender 8 Lentler atltlress; City; State; Zip Cotle 70 Interestrate a financial Institution? y� r �,i /�{, (V { �1 �q ' JJ C3� `-�(:'1�� � UAei l7� lll. �I�-yy � ���` IX, l jCJI� . �1 Maturirytlate Y �N .� �2 Principal occupation / Job tifle (See Instmc[ians) 13 Employer (Sae Instructions) li-t�rne �nc�,e-�` t�y c�n� 14 Deseription of Collateral 15 �/'" Check if personal funds were deposited into political [.� one �� account (See Instruclions) '�6 GUAR4NTOR � 17 Nameofguarantor 99 AmountGuaranteed($) INFORMATION .................................................................................. 98 Guarantor atldress; Ciry; State; Zip Cotle U not applicable � 20 Principal Occupation (See Inatructlons) 21 Employer (See Instructfons) ❑ateofloan Nameoflender ❑oubof-5fatePHCQD,Y: � LoanAmount(5) .................................................................................. Is lender Lenaer aaaress; City; State; Zip Code �nterest rate e frnenciel Institution? Maturity tlate Y N Principal occupation / Jo6 title (See Instructions) Employer (See Instruclions) Description of Collateral � ❑ Check if pereonal funtls were deposited into political ❑account (See Ins�mctions) . none GUARANTOR Nameofguarantor AmouMGuaranteetl($) INFORMATION .................................................................................. Guarantor address; City; State; Zip Cotle � not applicable Principal Occupation (See Instructions) Employer (See Instruclions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED � If lender is out•of-state PAC, please see Instruction guitle for additional reporting requirements. rorms prowaea by iexas ttnics commission w�w�.emicsscace.vc.us . Keviseo ai� nzuzu POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEG�RIES FOR BOX 8(a) Ativertising Expensa EventExpense LoanRepaymenVRelmbursement SoIlGtatioNFuntlraisingExpense Accounting/Benking Fees OKceOverhead/Rental�pense T2nspotlalionEqoipment&RelffietlFxpense Consulting�pense FaaNBeverdgeEepense PoilingFxpense TravellnOistnct ConUibutions/DonationsMatleey � Gitt/Awertla/MemorialsF�pense PnnlingF�cPense TravelOutOfDistrict Candidate/OKceholdeOPoli�calCommittee LegalServices SalariesMlageslConiractLabor Other(enletacategorynotlistetlabove) CreditCaNPayment The Instruction Guide explains haw to complete this form. 1 7otal pages Schedule F1: 2 FILER NAME �r�n,,,1 i � I��� 3 Filer ID (Ethics Commission Filers) r'1 _ l3 /Li 4Da[e / SPayeenameC������p �r���n �e���� 3lii 2�x� .� 6 Amount (5) 7 Payee address; City; State; Zip Code �,�,3e�d.e�e� 2.t1 Srctc1�orz�IPriV�.� �'1i1�'a��t�N �f5�5o g (a) Category (SeaGategorleslistetlatlM1etapoflnisscnedule) (b) De{s�c�iption PURPOSE ���%�^'i'��in {Wha�.i�"�l(� �I�ie.U�l'i'e. ��J'� n 1_0 o�-Pr�n+ 9 / EXPENoirurxe E-'� Pf�nj 2.�J � St Ctt�C'U � U1 ��5ji'L �f3cS��-i 1'� �1- C (c) � CheckifUavelautsitleofTexas.Camplete5chetlWaT. � Check if Aus(in, TX, offceholder living expense 9 Complete ONLY if direct Candidate /O�ceholder name Office sought Office held expenditure to benefit C/OH Date Payee name 3f �4�2,�22. Ed9e.r+ah S�f-rc�+ey+�es U-C. Amount ($) Payee atltlress; City; State; Zip Cotle � 2,8(,p• I� IS� �KIo►�le� ParKwc�y} K�t►e�-, Tx �rt� z.t!-8 Category (SeeCategarieslistetlattnefopofthisschetlule) Desc�iption � PURPOSE prin+ing �.Jj9�15 M �a""� �wvJ OF EXPENDITURE � CheckiftravelaufsitleofTexas.CompleleSchedvleT. � Chack if Austiq TX, offireholtler IIVInB expense Complete ONLV if direct Canditlate / Offceholtler name O�ce sought Offica heltl expenditure to benefit C/OH Date Peyee name 3/Ito/2oz�. C�"c49er}t�n Sf-ra:��a��e;� �.LC Amount ($) Payee address; � City; State; Zip Code � 500. ab j 5�a �ei ��oPa��way, ��c�i��, �rx '7 c� :[._�-F$ Cetegory (SeeCateqorieslistetlattnetopafthisscheaula) Description PURPOSE n1 � C a }� EXPEN ITURE """�`����}'�J "`afC� �4�5�.����� �'�' � Check'rfUaveloulsitleofTexas.CompleteSchetluleT. � CheckifAustiqTX,oKceholtlerlivingexpense Complete Qf�Y if direct Cantlitlate / Officeholtler name Office sought Office held expendilure to 6enefit C/OF7 ATTACHADDITIONALCOPIESOFTHISSCHEDULEASNEEDED � rorms prowaea py iexas ttmes commission � www.emicsscaie.ix.us Re��seu o� ������� POLI�ICAL EXPENDITURES MADE SCHEDULE F7 �RO�id POLITICAL CONTRIBUTIOIVS If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 8(a) Advartising Expense EventErpense I.oanRepaymenVReimbursement SolitlfatioNFuntlra'�singFxpense Accounting/Banking Feas OKceOverheetl/RenialFxpense T2nsportaGonEquipment&RelatedFxpense ConSUltingExpense -� FooNBeverageEepense P011ingExpense T�avellnDistrict ConUibutionslDonationsMatleBy GIfNAvreMSlMemorialsExpense PrintingFxpense Trave�OulOfOisVict Candida:e/O�ceholtleAPoliti�ICommittea �egalServi<es SalariesNVagas/ConUactLabor Olher(enleracelegarynoqisfeCabove) CretlitCertlPeymmi The Instruction Guide explains how to complete this form. 1 Total pages Schedule F7: 2 FILER NAME 3 Filer ID (Elhics Commission Filets) �3rctnr�i ElcYer 4 Date $ Payee name ��%Z$�'2A:�'.Z.I Ft��2_iL � C6YY1 6 Amount (S) 7 Payee address: City; State; Zip Code �J -ry..q3 8'+I IKlacl�-M-hu�PC�rK,Irving,TX 75oCQ3 g (a) Category fSaeCat�gorieslistetlat�helapaflhisschetlulaj (b) Descfiption PU OF SE pr� nfPng Exper,,s� �� 11 �� U1.1 WV � h�'1 4��' V�.1 G E):PEN�ITURE � � (c) � ChxkitlraveloulsitltofTexas.CanpWWSchstlulaT. � Check ilAvslin, TX, officeholtler living expanse 9 Camplete ONLy if direct Candidate! O�ceholder name Office sought Otfice heltl expenditure to henefit C/OH Date Payee name 3(z.� j;Za�.�. M0.K�,si-icKerS : cam Amount (S) Payee atltlress; City; State; Zip Cotle �1 ioe�.32. Ur�Kr�ou��1-t�e�SF+e Qn1ir�e c�rd�r ( Category(S=_eCategarissllsletlatihetapaftnisschatlul=) Desefiption " P�a�s= t�c1ver+is�ng ��pe�s� cainpt�rt�n Si-iGk�rrS EXPEN�ITUP.E � CYleckifVaveloulsitleatTeXas.Camplele5chc-0uleL � Chack i; Austiq TX, af�reholtlzr Ilvin4 �oena� Complete QN1,Y if direct Canditlete / Offceholtler name Office sou9ht Office heitl expanditura to 6enefit ClOH Data Paye=name Amount (S) Payee address; City: State; Zip Code Category (SexCalSgarie�lisLtlallBetapoithissc�etlule) Desctiption PURPOSE OF EXPENDITURE � , � CheGtitVzveloutsitl3a;Texas.Ccmplele5ch=_tlNaL � Check ifP.uslin, TX, oKczholtlerliv�na Expense Complete OP1LY ir airect Candidate ! OKceholtler name OfFce sougM� Office held expantliN2 to bznarlt C/OH ATfACHADD]TIONALCOPIESOFTHISSCHEDULEASNEEDED � c,,...,�...,.,,��en�,,,Te���c��,���c,.,.,�.,�a���., vnfiwethirsstate.tx.us Revised8/77I2020