HomeMy WebLinkAboutBunn, Zac - 2022RECEIVED
03/17/2022
CSO
2-26
Prescribed by 5ecretary of 5tate
Section 141.431, Chapters 143 and i44, Texas Election Code
n9/mz1
RECE�VED
FiEB � 7102�
APPLICATION FOR A PLACE ON THE BALL�T FOR A GENERAL ELECTION �
FOR A ClTY, SCHOOL �15TRICT �R �THER POLITICAL SUBDIVI510N
ILL INFORMA"fEON 15 REQUIREDTO BE PRQVlDED UNLE551M1lDiCAiED AS OPTiONAL1F�ilure tC rovide re uired information ma result in re'ection ot a licatinn,
APPLICATIQN FQR A PLAC� ON THE MaY 7. 2p22,City of Cofleyvills GENERAL ELECTION BALLOT
T0; City 5eeretary/5ecretary of Baard (name of election}
I request that my name be placed on the above-named officia! ballot as a candidate far the ofFice indicated below.
OFFICE 50UGHT (Inciude any place number or other distinguishing number, if any.) INDiCA7E iERM
Calleyville Ci#y Council Place 2 �FULL � UNEXPIREQ
FULL IVAME (First, Middle, Lastj PR1NT NAME AS YDU WANT IT TO APPEAR ON THE BALiOT*
Zachary Quinn Bunn Zac Bunn
PERMANEIVT RESIDENCE ADDRESS (Do not indude a PA. Box or Rural Route. If PUBLiC MAlLING A�DKE55 (Dptinnal} (Address for which you receive
you do not have a residenca address, descri6e location of residence.) campaign related correspondence, if avallable.j
59 7 SAphie Ln
CITY� 57ATE ZIP CITY STATE 21P
Ca�leyville TX 76034
PIJBLIC EMA(L A�DRESS �Qpt1011a1} {Addressfor OCCUPATI01� (bo not lea�e blankj DATE OF 91RTH VOTER REGISTRATION VUID
which you receive campalgn re�ated emaifs, if available.J ' NUMBERz (OptionalJ
VP af Research
TELEPHONE CONTACT INFORMATlON (Optionalj
Name: OfFice: Cell:
FELONY CUNVICTION STATUS (Yata MUST check ane) LENGTH OF CUNTINUOUS RE5IDENCE A5 OF DA7E iHl5 APP�.IGATION WA5 SWORN
� I have not been finally con�icted of a felony. IN THE 51"A7� OF TEXAS IN TERRITORY/DISTRICT/PRECINCT FROM
� I have been finally convicted of a felony, but I have been WHICH THE OFFlCE 50UGHT IS ELECTED
�ardoned or otherwise released from the resulting �$ year{s) 2 year(sj
disabilities of that felony conviction and I have provided
proaf af this fact with the submission of this application.3 7 manth{sJ g month(sj
*If using a nickname as part of your name to appear on the ballot, you are also signing and swearing to the following statements: I further swearthat
my nickname daes nat constit�te a slogan os- contain a tiile, nor does it incficaYe a political, economic, social, or religious view or affiliation. I ha�e
been commonly known by this nicfcnarr3e for at least three years priar to this eiection. Please rev9ew sections 52.a31, 52.032 and 52.fl33 of #he Texas
Election Code regarding the rules for how names may be IistecE on the official ballot.
Before rne, the undersigned authority, on this day persanally appeared (name of candidate) ZaChary bUnn Who
being hy me here and now duly sworn, upan oath says:
��I, (name of tandidate) �aChary gGni1 of Tarrant county, Texas,
being a candidate far the offite of ColleyviEle City Councif Place 2 swear that I wil! support and defend the Canstitution and
laws of t�e United States and of the State o# Texas. I am a titizen af the iJnited States efigible to hold such office under the tanstitutian and laws af
this state. I have not been determined by a finaE judgment of a court exercising probate jurisdiction to be totally mentally incapacitated or partially
mentaHy incapacitated without the right to vote. i am aware o# the nepotism law, Chapter 573, Government Code. I am aware that I must disclose
any prior felony conviction, and if so convicted, must provide proof that I have been pardoned or otherwise re ased firam the resuiting disak�ilities of
any suth finaf felony tonviction. I am aware that knowingly praviding false information on the a re �ding my possib[e felony conviction
status constitutas a Class B misdemeanar. I furi�er swear that the foregoing statements i e' ' tion are in all things true and correct."
X
SIGNATUR AND E
Sworn to and subscribed before me this the '� day of �f_� �l.�'r3�.� by �yq,Cyl� �� ��,� /� /�
{dayy (monthj {year) (narr�e of candidate)
. � ��
Signature of Officer Autharized to Aclminister Oath4 Prin d„ � .��ffir�����9a�g�nis r 4ath
� i� ��4L�S ''.Npj�,. •;{,�' Cvnir�ne �'j�'�`�`
• ly. �..n�i�rw
Title of Officer Authorized to Adrninisier Oath
TO BE COMPLETEb BY FILlNG DFFICER: THIS APPLICATION IS ACCOM#�pNIED BY THE REQUiREp FII,ING �EE (!f Applicable} PAiD BY:
❑ CASN ❑ CHECK ❑ MONEY QRR�R � CASHIERS CHECK OFt ❑ PETITION IN LIEIJ OF A FfI.ING FEE.�`
This document and $��� � filing €ee or a nominating petition of •- O�-`pages receivecf. ��Voter Re ' r tion Status Verified
�o�. /� � �a . U' o� / f� '�.. (See Section 1.p07) �
Date fteceived Data Accep#ed Signature of Filing Officer ar Designee
RECEIVED
03/17/2022
CSO
APPOINTMENT OF A CAMPAIGN TREASURER FORnn CTA
BY A CANDIDATE P� 1
SeeCTAlnstructionGuidefordetailedinstructions. 1 Totsipagesnled:�
2 CANDIDATE MS/Mft51MR FIRST MI
OFFICE USE ONLY
NAME Mr. Zachary Q FilerlDp
� ____________________________________________________
NICKNAME LAST SIIFFI% DeteReceivetl
Zac B u n n RECEIVED
3 CANDIDATE A��RESSIPOBOX; APT/SUITE#; GTV; STATE; ZIPCO�E fEB 17.2021
MAILING 517 Sophie Ln � �
ADDRESS Colleyville, TX 76034
�ale Hantl-dNiveretl or Postmaticetl
4 CANDIDATE ARFA CODE PHONE NOMBER � EXTENSION Receipl# Amaun�$
PHONE
(972 ) 953-8197 Date Pmcessetl
5 OFFICE
H E L D - n/� oete Imagea
(if any) � �
6 OFFICE
SOUGHT Colleyville City Council � Place 2
(if known)
7 CAMPAIGN MS/MRSIMR FIRST MI NICKNAME LAST Sl1FFIX
TREASURER Mrs. Erin N � Middleton Bunn
NAME
8 CAMPAIGN STREETAD�RESS; APT/SUITE#; CITV; STATE; 21PCOOE
TREASURER 517 Sophie Ln
STREET Colleyville, TX 76034
ADDRESS
(residence or business)
9 CAMPAIGN �+REA CO�E PHONE NUMBER EXTENSION �
TREASURER
PHONE �972 �g53-8197
10 CANDIDATE.
SIGNATURE I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code.
I am aware of my responsibility to file timely reports as required by title 15 of
the Election Code.
I am aware of the rest ' ons i 4itle 15 of the Election Code on contributions
from corporation lab organizations.
0�1�7/��
Si eofCandidate DateSigned
GO TO PAGE 2
Forms provided byTexas Ethics Commission www.ethics.state.tx.us Revised 1/t/2022
CANDIDATE MODIFIED
REPORTING DECLARATION
11 CANDIDATE
NAME
12 MODIFIED
REPORTING
DECLARATION
�L ����
FORM CTA
PG 2
COMPLETE THIS SECTION ONLY IF YOU ARE
CHOOSING MODIFIED REPORTING
•• This declaration mus4 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 cyGe includes a pnmary election, a general election, and any related runo�s.)
•• 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 elaction(s) or election cycie to
whlch deGaration 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(c�ethics.state.tx.us
or mail to
Texas Ethics Commission
P.O. Box 12070
Austin, TX 78711-2070
Non-TEC Filers mustfile this%rm with the local filing authority
DO NOT SEND TO TEC
For more information about where to file go to:
https:�/www. ethics.state.tx.us/fili nginfo/Qu ickFileAReport. php
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1l2022
CODE OF FAIR CAMPAIGN FORM CFCP
PRACTICES COVER SHEET
OFFICE USE ONLY
Pursuant to chapter 258 of the Election Code, every candidate and oa,aRe�a;��,
political committee is encouraged to subscribe to the Code of Fair RECEIVED
Campaign Practices. The Code may be filed with the proper filing fEB 17 2022
authority upon submission of a campaign treasurer appointment
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'eHe"a°�'"ef8°°`P°s""a`"a°
Date Processed
Subscription to the Code of Fair Campaign Praciices is voluiatary.
Date Imagetl
1 ACCOUNT NUMBER y� TYPE OF FILER
(EthlcsCommisslon Filers)
� CANDIDATE � POLITICAL COMMITTEE �
!f filing as a candidate, complete boxes 3- 6, If filing for a politica/ committee, complete
then read and sign page 2. boxes 7 and 8, then read and sign page 2.
3 NAME OF CANDIDATE nr�e�or.,mr.,ms.,eia� Fiasr mi �
(PLEASETYPEORPRINT) %��. ��L 1 ��
ll h
---NICKNAME ---- _-_--LA� -----------------'--"-"SUFPIX(SR.,JR Ill,eta)-------_-
'C� � � � �
Q TELEPHONE NUMBER AREACODE PHONENUM9ER EXTENSION
OF CANDIDATE �y^1 r'�// /
(PLEASETYPEORPRINT) �(J 1 l � �OG-"��C �
5 ADDRESS OF CANDIDATE STREET/POBOX; APTISUITE#; CITV; STATE; 21PCODE
(PLFASETVPEOftPRINT) �r/ / v � I � G(/� (iO( ( \%I�( tC �( \ ���U / /
( 7
s OFFICE SOUGHT
BY CANDIDATE
(PLEASENPEOR PRINT) Cf1 �'L� V I, � I L G�`� . �� C � � �( � � �
] NAME OF COMMITTEE -
(PLFASE T'PE OR PRINT) .
$ NAME OF CAMPAIGN 71TLE(Dr.,Mc,Ms.,e�c.) FIRST M�
TREASURER � �,I
(PLEASETVPEORPRINT) �✓� �
--� - ----------�� -�` --------------------------!��--
NICKNAME IqST St1FFIX(SR.,JR.,III,etcJ
P�i ������ � ���
GO TO PAGE 2
Forms provided byTexas Ethics Commission www.ethicssta[e.tx.us Revised 1/1l2021
CODE OF FAIR CAMPAIGN PRACTICES
There are basic principles ofdecency, honesty, and fairplay that every candidate andpoliticai committee in this state
has amoral obligationto observe anduphold, in order that, aftervigorously contestedbutfairlyconducted campaigns,
oar citizens may exercise their constitutional rights to a free anduntrammeled choice and the will ofthe people may be
fullyandclearly expressedonthe issues.
�I I_ : �77�F
(1) I will conduct the campaign openly and publicly and limit attacks on my opponent to legitimate challenges to my
opponent's record and stated positions on issues.
(2) Iwillnotuseorpernuttheuseofcharacterdefamarion,wlusperingcampaigns,libel,slander,orscurrilousattacks
on any candidate or the candidate's personal or family life.
(3) I will not use or pernut any appeal to negative prejudice based on race, sex, religion, or national origin.
(4) I will not use campaign material of any sort that misrepresents, distorts, or otherwise falsifies the facts, nor witl I
use malicious or unfounded accusations that aim at creating or exploiting doubts, without justification, as to the
personal integriry orpatriorism ofmy opponent.
(5) I will notundertake or condone any dishonest or unethical practice that tends to corrupt or undemune our system
of free elections or that hampers or prevents the full and free expression of the will ofthe voters, including any
activity aimed at intimidating wters or discouraging them from voting.
(6) I will defend and uphold the right of every qualified voter to full and equal participation in the electaral process,
andwill not engage in any activity aimed at intnnidating voters or discouraging them from voting.
(7) I will immediately and publicly repudiate methods and tactics that may come from others that I haue pledged not
to use or condone. I shall take firm action against any subardinate who violates any provision ofthis code or the
laws goveming elections.
I, the undersigned, candidate for elecrion to public office in the State of Texas or campaign treasurer of a political
committee, hereby voluntarily endorse, subscribe to, and solemnly pledge myselfto conduct the campaign in accordance
with the above nrinciales and roractices. �-'
Z/ 17/2�2�-
Date
Forms provided byTexas Ethics Commission w.vw.eihics.state.ix.us Revised 1/172021
City of Colleyville Financial Disclosure and Business Conflict of Interest Forms
PERSONAL FINANCIAL STATEMENT
AFFIDAVIT
Financial Disclosure and Business Conflict of Interest Forms shall be provided by
candidates for Mayor and City Council and by applicants seeking appointments to the
Planning and Zoning Commission or the Zoning Board of Adjustment, and shall file such
forms within two (2) business days following the end of the candidate filing period, or if
for appointment, within (2} business day following the end of the application period
stated in the official City advertisement for application for the position.
The city manager and the city manager's senior staff members (including any staff
member who is appointed with City Council approval) shall also file the same within
thirty (30) days of hiring. 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:
Zachary Bunn who, after being duly sworn upon their
oath and deposed and stated as follows:
"My name is ZaCllc'ar�/ BUPII'1 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 iriformation
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���d t�
disclosed by the forms." /
Zachary Bunn
Affia
to and subscribed before me, this the � day of �,�nl2U.�—� , 20�
CHRISTINE LOWEN
My Notary ID # 110925$7
Expires May 2, 2p2Z
Notary Public, State of Texas
INITIAL HERE: ;�'° ✓ DATE: �7iI ( ���Z�
City of Coileyville Financial Disciosure and Business Conflict of Interest Forms
INFORMATION STATEMENT
TOTAL NUMBER OF PAGES FILED:
�
OFFICE USE ONLY
1 NAME First, MI Date Received
Zachary Q
Last, Suffix
Bunn RE�E���D
2 ADDRESS Address/City/State/Zip F
517 Sophie Ln fe l? ppP1
Colleyville, TX 76034 �
3 TELEPHONE Area Code, Phone Number, Extension
NUMBER g17-706-0848
" REASQN � EMPLOYEE (CITY MANAGER OR �SENIOR STAFF)
FOR FILING � CANDIDATE ColleVville CitV Council Place 2 (INDICATE OFFICE)
STATEMENT � ELECTED OFFICIAL (IN�ICATE OFFICE)
0 ZONING BOARD OF ADJUSTMENT cnaaucnNr oa naPoiNree>
0 PLANNING & ZONING COMMISSION (APPLICANTORPPPOINTEE)
❑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 rvaME Erin Middleton Bunn
DEPENDENT 1, Emelia Bunn
CHILD/CHILDREN Z Sadie Bunn
NAME(S)
3.
4.
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
INITIAL HERE: �� DATE: �/!�/�eZ`L
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.
HELD OR ACQUIRED BY ✓ FILER POUSE DEPENDENT CHILD #
DESCRIPTION �ot L CityC011e.yVllle.
B�o�k 2 �o��tY Tarrant
Madison Place
. Subdivision Ad Valorum Tax Account Number
0.2032 07827539
Acre(s) and Tract
3 STREET ADDRESS STREET ADDRE55, INCLUDING CITY, COUNTY, AND STATE
517 Sophie Ln
Colleyville, TX 76034
Tarrant County
° NAME LIST THE NAMES AND ADDRESSES �F OTHER PERSONS OR
BUSINESS ENTITIES WHICH OWN AN INTEREST IN THE REAL
PROPERTY
Erin Middleton Bunn 517 Sophie Ln; Colleyville, TX 76034
D INDIVIDUAL Corey and Debbee Johnsen 910 Suffolk Ct; Southlake, TX 76092
Q BUSINESS
HELD OR ACQUIRED BY FILER SPOUSE DEPENDENT CHILD #
Z DESCRIPTION
Lot City
Block County
Subdivision Ad Valorum Tax Account Number
Acre(5) and Tract
3 STREET ADDRESS STREET ADDRESS, INCLUDING CITY, COUN7Y, AND STATE
4 NAME LIST THE NAMES AND ADDRESSES OF OTHER PERSONS OR
BUSINESS ENTITIES WHICH OWN AN INTEREST IN THE REAL
PROPERTY
� INDIVIDUAL
Q BUSINESS'
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
❑ NOT APPLICABLE INITIAL HERE:� DATE: �7/�?/
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 �FILER �SPOUSE �DEPENDENT CHILD #_
Z FEE, SALARY, GIFT NAME AND ADDRESS
DESCRIPTION OF FEE,
SALARY, GIFT
1 RECIPIENT �FILER �SPOUSE �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: �S DATE: Z�17�Z2
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 �DEPENDENT CHILD #_
2 DESCRIPTION NAME AND ADDRESS
3 NATURE OF BUSINESS
1 HELD OR ACQUIRED BY OFILER OSPOUSE �DEPENDENT CHILD #_
Z DESCRIPTION NAME AND ADDRESS
3 NATURE OP BUSINESS
1 HELD OR ACQUIRED BY OFILER OSPOUSE ODEPENDENT CHILD #_
Z DESCRIPTION NAME AND ADDRESS
3 NATURE OF BUSINESS
COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY
� NOT APPLICABLE INITIAL HERE: � DATE: 2//�/�Z
CANDIDATE / OF�ICEFIOLDEF2 FORM C/oH
CAMPAIGN FINARI�E RE�Ci�T COVER SHEET PG 1
1 Filer ID (Elhics Commission Filersj 2 Totel pages fled: ��
The C/OH Instruction Guitle ezpiains how to camplete this form.
3 CANDIDATE/ MS/MRSlMR � FIRST MI
OFFICEHOLDER / OFFICE USE ONLY
NAME �`4 r' �f �
................................. �............................
""�""'�""" DateRecelved
NICKNAME LAST SUFPIX
�, � �,� �, h RECEIVED
� Q CANDIDATE / ADDFESS / PO BOX; A?T / SUITE k; CITV', S/TATE; ZIP CODE
MAFL NG OLDER � 7���, i Q G�, ��(�e.�Vl `�l�} ��(�� � APR 7-.1022
ADDRESS (�o�
� Change of Address
5 CANDIDATE/ AREA cooE PHONe rvunnaER ExTENsioN
Date Hand-aeliveretl or Date Poslmarked
OFFICEHOLDER [�^ ✓/ 1 r.7w (�
PHONE .� a' l / �IO%i— f%6 -� 6
s CAMPAIGN MS I MRS 1 MR FIRST � �� . M� Receipt N Amount 5
TREASURER �� S G�, � n .
NAME................................................................................. oare amcessetl
NIGKNAME L2ST SUFFIX
Oate Imagetl
�h�
7 CAMPAIGN �ST7REET ADDRE55 (NO/ PO BOX/ PLEASE)', A!PT l SUITE N; �j CITY; STATE', ZIP CODE
AD RESSER �4� JIY�P�i0,6v� �.(AI�i/Vl��)� CVG"� .
r
(Resitlence or Business)
$� CAMPAIGN AREA COOE PHONE Nl1MBER EXTENSION
TREASURER
PHONE � q �7q � �/� _ � Q `�
6 t �,- l
9 REPORT TYPE ❑ �anuary 15 �30�h tlay befo�e election � Runott � i5th dey aftercampaign
ireasurer appointment
� (Offceltoltler Only)
� July15 � B�htlaybeforeeiec�ion � ExceedetlModited � FinalReport;AtiechClOH-FR)
Reporting Limit
'10 PERIOD MonN pay Yea� Month Day Year
COVERED r7
�J � ]� ��� THROUGH 4� � / �,���'�Z
(/ t i
11 ELECTION ELECTION DATE ELEGT�ON TYPE
Monih Day Vear ❑ P^mary � RunoB ❑ Other
Desc�iption
� �General � Special
'�% °7 / Z�Z �
72 OFFICE OFFlCEHELD (ifany) i3 OFFICESOUGNT (iiknown) �
( e(�� U�'1 �(�' �o�.,c i i���c� Z
'14 NOTICE FROM THIS 80%IS FOR NOTLE OF POLITICAL CONTRIBUTIONS ACCEPTE� OR POLIIiCAL EXPEN�ITIlRE3 MPOE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL TNECANDI�AtEIOFFICEHOLDER. THESEEXPEMOITURESMAYHAVEBEENMADEWITHObTTNECAN�IOATP50ROFFICEHOLOER'SHNOWLE�GEOA
CONSENi. CAN�IDAiE5AN0OFFICEH�L�ER9pREREU111REDTOREPORTTHiSINFORMATIONONLYIFTHEVRECEIVEN�TICEOFSIICHEXPEN0ITURES.
COMMITTEE(S)
COMMITTEE TYPE COMMI�TEE NAME
�6ENERAL COMMITTEEAODRESS
� Additional Pages �
�SPECIPIC COMMITTEE CAMPP.IGN TREASURER NAME
CO"dMITTEE CAMPAIGN TREASURER ADDRE55
GO TO PAGE 2
Forms provided byTexas Ethics Commission www.ethics.state.ix.us Revised 8/17/2020
CANDIDATE / 4�FFICEHf3LDER
CAMPQ.IGN FINANCE F2EPORT
'IS C(OH NAME r� 1
17 CONTRIBUTION
TOTALS
..................
EXPENDITURE
TOTALS
P
�
�
'`� �L1�/1✓1
TOTAL UNITEMIZEO POLITICAL CONTRIBUTIONS (OTHER 7HAN
PLE�GES,LOANS;OR GtJARANTEES OFLOANS:OR
CONTRIBUTIONS MADE ELECTRONICALLV)
TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES Of LOANS)
TOTAL UNITEMIZED POLITICAL EXPENDITl1RE.
FORM C/OH
COVER SHEET PG 2
1fi Filer ID (Elhics Cammission Filers)
�
� ��,j "u�
�
4. TOTAL POLITICAL EXPENDITURES $ Zg � r�'L �
..................
CONTRIBUTION � TOTAL POLITICAL CONTRIBUTIONS MAMTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $
OUTSTANDING 6. TOTAL PRINCIPALAMOUNT OF ALl OUTSTANDING LOANS AS OF iHE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $
18 SIGNATURE I swear, or affrm, under penalry of perjury, that the aceompanying report is e.gnd correct and indudes all i
required to 6e reported by me untler Title 75, Election Cotle. �> �
or Offceholtler
=� r° " ..., CHRIS7INE IOVEN
�� ease com lete either o tion below:
€•; »= My Wota�y ID # 11082587 p p�
€'"•;'ya�~= E�MeY2�2028
(1) Affidavit
NOTARY STAMP/SEAL
Svom to and subscribed pefore me 6y C—.� �� LC./v� I�-' this the � day of Tr�,
20 � tocertiiywhich, 'nessmyhandandsealofo�ce.
C!�,�, ,n,� Ch�e..es-h���C.o�� �o+a�2..y' _
Signatureofofficeratlministerin oath Printetlnameofofficeradministeringoath TitleoFOFficeratlministeringoath
(2) Unsworn Declaration
My name is
My address
Execuled in
(street)
County, State of
Forms provided by Tezas Ethics Commission
and my date of birth is
(ciry) (state) (zip cotle) (country)
, on the day of � , 20_
(month) (year)
Signature of Candidate/Offceholder (Declarant)
www.ethics.state.ix.us Revisetl 8l77l2020
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAME 20 Filer ID (Ethics Commission Filers)
�icfnL(� �fnkVl
21 SCHEDULESUBTOTALS SUBTOTAL
NAMEOFSCHEDULE AMOUNT
��v
y� � SCHE�IJLEA1; MONETARVPOLITIGALCONTRIBUTIONS S ��D
Z� � SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICALCONTRIBUTIONS � �
3� � SGHEDULEB: PLE�GEDCONTRIBfJTIONS $
4. � SCHEOULEE:LOANS §
5� � SCHEDULE F1:' POLITICAL EXPENDITURES MA�E FROM POLITICAL CONTRIBUTIONS S
6� � SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
�� � SCHEDULE F3: PURCHASE OF INVESTMENTS MA�E FROM POUTICAL CONTRIBUTIONS S
8� � SCHEDULE F4: EXPEN�ITURES MADE BV CREDIT CARD S
9� � SCHEDULE G: POLITICAL EXPENDITURES MRDE FftOM PERSONAL PUNDS $ `�Z� � 1 ( V
��� � SCHE�ULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A eUSINESS OF C/OH �
��� � SCHE�ULEI: NON-POLITICALEXPENDITURESMADEFROMPOLITICALCONTRIBUTIONS $
12. n SCHEDULE K: INTEREST, CREDITS, GAINS, REFUND5, AND CONTRIBl1TIONS RETURNED $
� TOFILER
rorms proviaeo oy iexas timcs commission www.emicssiace.cx.us K2VI520 0/ I/ILUGU
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guitle expiains how to comple4e this form. 1 7ota1 pages Sche�dule A1:
2 RLER NAME ) 3 Filer ID (Ethics Commission Filers)
�/�l�r �u.��
4 Date 5 Full name of contributor ❑ ouo-of-state PAC (I�H� ) 7 Amount of contribution ($)
�
?jf21�22 ....��i�Un �"�rnrr��.�...._..... ��'�`�
� (� ..........................
6 Contributor tltlress� City; State; Zip Cotle
� 32� y� �,, ��,�..�5 �.�� �r-� 7 S�y
$ Principal oc�f.upation / Job tiile (See Instmctions) g Employer (See Instructions)
'I e� �%-� c��3�sn
Date Full name of contributor ❑ out-m-state Pnc (ioa: � qmount of contribution ($)
3
/zl�22 �i�� ilei`��,.��� � ��
Contributor adtlress; Ciry; State; Zip Coqe
2��1 i: �,'n d�(� �iolnU�c�(o� � ��(%�
Principal occupation f Job title (See instructions) EmploYer (See Instructions)
y S �x�v�l���r'�e
Date � Full nam!e of contributor � ow-of-state P2C pD#: ) Amount of contribution ($)
f .... lP� 1/(.l✓In ............................_ � iG�%
3/22 /ZZ . �"1...... �
Contributor address; g City; State; Zip Cnde
�30 � G%L (�{'In S�% �j ,.G Qvl /� 2 I 4C `7� S%
Principal occupatio� ob title (See Instmctions) EmplOyer (5 � Instmctions)
�/'ES` ��l
I CeY! f1d L
�ata Full name of contributor � ow-oastate aAC pDu: 1 Amount of contribution (S)
I�/ � �I � G`(vl �/� 'n hG�/�
/`ti.l . ............................................. ...... ' � �l9
Contributor address; City; Sfate; Zip Code (%�
7vl ��u�s�'�i}- �ti� �.�e I?C �6�2
Principal occupation / Job title (See Instmctions) � Employer (See Instmctions)
fEa,�h`re �
ATTACH A�DITIONAL COPIES OF THIS SCHE�ULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide tor atlditional reporting requirements.
rorms provioeo oy iexas e�mcs commission www.emicsstate.a.us rtewseo nn n[u[V
POLITICAL EXPENDITURES MADE FROM
PERSONAL FUNDS SCHEDULE G
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8�a)
AtivetliaingEzpense EventFxpense � LoanRepaymanVReimbursement Solicitation/FuntlrisingExpense
Accovritinq/Bankng Fees OficeOverheatl/RentelExpanse TlensportelionEquipmant&Relatetl�pense
GonsuHing Ezpense Pootl/Beverage Eupense papi�g �zpense Trdvel In Dishict
Contnbutions/�onationsMatleBy Giff/Awardr✓MemotialsExpense PrinkingE�pense TreveiOutOfOisttict
Cantlitlate/ORceholtle�/PoliticalCommittee LegaiServices SalanesM1Nages/ContraMLa�or qther(entaracategorynotliatetlabove)
CrotlitCaMPaymenl
The Instruction Guide explains how to complete this form.
1 Total pagis Schedule G: 2 FILE�NANjE � 3 Filer I� (Ethics Commission Filars)
44N.b�f �ryy�
4 Dete 5 Payee nsme
2ll%/Z� ��(Iu�
6 Amou� %�) 7 Payee address; City; State; Zip Code
�� 7
❑Re'imbuSeR�entfrom
politicai con[ribuGons
intentled
$ (a� Gategory ($eaCele9�neslistedatih=tapofihlssche�ule) (b) �esc�iption
PURPOSE ^�.�Q���� � � 1
OF %y a"^o,in nc��.-� Q-_
EXPENDITURE �
(G) � CheckifVaveiaulsideolT=xas.Cmnple�eSchedulei. � CheckiFAwtiqTX,ofliceholtlerlivingexpensa
9 Cantlitlate / Officehoider name Office sought Office heltl
ComPiete QdLy ii tlirect �)�f l/��� j.,/e_ v'��(Q ��� uNC!` �(�-Ce Ci
expenditure to beneflt ClOH (�L O (A l
�ate Payee name
'3l �Zl ZZ S� h�V��� � �
Amount ($) Payee atltlress; City; State; Zip Cotle
Z,,�Z 3� l�l S� nw1�Y 4u�'� ►o� G�'e�i'^� ,`1�7��s �
�Reimbursamentfiom
political coninbutlons
irrrentletl
GategOry (SeeCategorieslis[etlaithetopoi�hisschetlule) Oescri tion
PURPOSE
OF k�VC��1�S�ro� _____ �1��5 _
EXPENDITURE _d
� CheckiftreveloulsitleoiTaxas.CompleleSchetluleT � Check if Aastin, TX, ofliceholder living expense
Complete � iP tlirect Candidate / Officehoitler name Office sought Offce heltl
expenditure to 6enefit ClOH ���`r �u, n,1 /_'/� VI I/e G'I�� / u�l'j �/�Q 7
(.D f � (,0 � (i
Date Payee name
Amount ($) ' Payee atltlress; City; State; Zip Cotle
❑Reimbursemenlhom
political conhibutions
intentletl
C3tegOry (SeeCategorieslistetla:the�opofihisschetlNe) �escription
PUftPOSE
OF
EXPENDITURE
� Checkifhavelou�SltleofT�es.Compl�leScheCuleT. � Cneck if Auslin, TX, oPoce�oldsr Ilving expense
Cantlitlate 7 Officeholder name Office sought Office heitl
Compiete ONIY if direct
expentliture to benefit C/OH
ATTACH ADDITIOldAL COPIES OF THIS SCHEDt1LE AS NEEDED
Forms provided bV Tezas Ethics Commission v�nnn�v.ethics.state.ix.us Revisetl 8717l2020