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Home My WebLink AboutWaterworth, Tim2-99 Prescri6ed by Secretary� of 5tate 5ection 1a1.031, Ghapters 143 and 144, Texas Efection Code 09/2U23 ,. . J �� UL� APPLI��iTi�N �OR A PLACE Q�I THE BALLOT F�R A G�N�Ra! ELD�i�r�� ri�� FOR.A CITY, SCHC14� DISTRICT al� UTH�R POI.ITIeAL 5UBDIVI510N '`f� dZ� �� ALL INFORMATlUN I� REQUERE� FO BE PR(�VIDED UNL555 If�Q1GATEd AS QPTIONALYFailure to pro�ide req�ired infortnatior� may re�ulC in rejec#ion of appli�atiCn. APPLICAT[ON F�R A PlACE ON THE �4 �f C��rt•tl s.��..ye.. 6��ce: S.t � GENERAt, EL�CTIQ11[ BA►LLOT� TQ: City Secretary/Secreiary of 8oard C plte,1� i I�[name of electiorij 1 reqvestthat my r�ame be placed on theabave-named o�ficial ballat as a eandidatefarthe oifice indicat�d belaw. OFFtCE.50UGHT (Include any pla�e nurrtber or vth�r distitnguishin� numbQr, if any.) �l�t�i i'ERM CQ<<: �ral��. C:k� C��cil. �'�ctr•e � UFu�� UNEI(PIRED FULL NAME (Firs , Middle, iast) PRINT lVAME q5 YQU WANT IT TQ APPEAR .ON TNE BALLOT* l i�a-�I� aq.w.e� �3a-�erc�u�-E� 1�� Jate�-wo� PERNlA111ENT RESIDE E A�DRESS (Do, not include a P.4. Box.or Rural Raate. if PUBLiC M{kltlhlG 1!I[�DRE55 (Optiartal] (Address far which you recei+re you do nvt have a residence address, describe [ocatian of residence.j camp�Ign related corr�spondence, if availabfe.k 6�0� R�ck b fl►�c co.��-� C1TY 5TAT� Z[P CITY STATE Z!P �.c�1��e u[llc i � �'I �d3`� PUBLIG EMAIL AQDRESS �pptEol7�[] [Atidressfor OCCIlPATi01� jDo not leave 61artk] qATE OF BIRTH VaTER I�GISTR�7IQN VUIp which yau receive campaign related emails, ifi available.j NLIMBER� (Optionalj [.t1 �,°� ►�haut e� i��S�s�7�'Y TELEPHpNE CQN7AC71NFURMATIO�i (bptioRal�. Home: Office: �1 ' �� -��d Cell; �i% �� Y F�L�N CONVICTIDN �TA�US {You MLFST �Meck nne) LEfVGI"H OF CE�NT[NUQUS RESIRENCE LlS OF DAT'E"iHiS APPLI�ATION WQS SWQRN I have not heen f'rnally convictet# of a felony, iHTHE STATE OFTEXAS IN TERRITORY%DISTRICT/PRECINC7 FItf�M ❑ I ha�e been finatly convictecf df a f�lony, but 1 hav� be�n � 1NHIC�1 THE OFFlC� Sf�UGHT 15 ELEL7ED pardoned or atherwise released firom the res�lting � year(s} ��year(s} disabilities of that felonycanvict'ronand f F�a�e pravid.ed � month(s} � manih{s) proof of Yhis facC with ihe submission of tftis application:3 *If using a nickna me as part af y�ur name to appear on the baE[oY, ynu are also signing �nd swearin� to the following statements: I further swear that my nickname does nof cqnstiiu#e a slogan or contain a title, nor does it indicate a palit'rcal, ecanomic,, so.eiaf, or religious view ar affifiation. f have been commonly known by this nickname for at f east three years prior to thi3 ef �ctfan: Please review sections 52.o37., 52.032 and 52.033 af the Texas Election Cade regardirig the rule5 for h�w names m�y 6e [istetl on �the ofFicial b�lEpt. Before rtie, tf�e un�iersigned aUthority, on tHis day perst�n��ly ap�ea�`ed (namenf candidatej l t�n�}� ,}, 4�q'��'�p�'�� , who being by me here and now du[y swom, upor� oath says: `9, (name of candidatej 1 i�w��, �•�Q'��?��Q�� ,�af q vr'�x'�a�vl"�C County, Texas, being a candidate for the office of , C�s 1��Yu��1'� � t'�Y ��u►�ac ` _,_„_., swear that I will suppnrt and defend the ConstitutPon and laws of the ltnited States and of the 5tate of T xas. ! am a cieizen of the Unit�d States elEgible to ha[d such afFice �nder the coristitutian and laws af this state. I have not been deterrnined ay a final judgment nf a court exereising probate juri�dietion ta he totally men#alfy incapacitated or partially mer�ta][y incapatita'Eed +n�ithvut the right to �qte. ! am awaYe of the nepoii�m law, Chapt2r 573, Gavernment Code. i am aware tha# I must di5close any priar felony con�iction, �nd if so convicted, must pro�'rde pronf that I have been pardoned or otherwise released from the resuiting disa6ilities of any su�h �nal felor�y convie�ion. ! am aware that knnwingly providing f.alse information on the applitatian regarding my possible felony contictian status constitut�s a Class B misd�meanor. I furkher swearthat t�a for�gaing statemenis in�f�ded in my application are in all thin s true and correct," X `� a ¢ (.� �lG11fATUR�OFCANDI ATE Sworn to and subscribed befare me this the � day uf �p� c,,w� �.� by ��1 VILG�c�rwnr�, (day} (mpnthj {year) (name of cantlidate� �l' � �.Oly Sigr�atur of Officer Autharized to Administer Oath4 Printed N me ef �ffiter � ��"`�;. ar��F�r.aRso�v �letarial ar tJ�iGi :*� NEy N4tary ID # 13396197D . , ,.._�.... .g: Title of Office Authorized to Administer Oath `"'�oF �r� ires TO BE COMPLETED BY FILI�IG bFFICER: THfS APPLiCATION 15 AGCOIViP'ANEED BY THE REQU[R�p FILI ,� ;. ❑ CASH ❑ CHECK ❑ MONEY O�2DER � CASHIERS CHECK OiF� ❑ PETITIQN [N LE�.0 QF A FiL�1VG FE�. This document and $ filing fee or a�aminating pe'titian of pages. rec ived. ❑ Voter Re ' tra �an Status 11eri�ed �/ c�l �� .�.,o� r �02 J�.`�' (See Section 1.a07} � '� �/ � Date Recei�ed Date Accepted Signature Qf Filing Officer or Designee CODE OF FAIR GAMPAIGN FORnn cFCP PRl-1CTICES COVER SHEET OFFICE USE ONLY Pursuant to chapter 258 of the Election Code, every candidate and oa�Re,�;�e, , political cornmittae is en�ouraged to subscribe to the Code of Fair ��V�� Campaign Practices. The Code may be filed with the proper filing authority upon submission of a eampaign treasurer appointment FEE 16 2024 form. Candidates or political coxnmittees that already have a �;ty ��,.e��,s ��l�� current campaign treasurer appointment on file as of September I, 1997, may subscribe ta the aQde at any time. °a`�"a"°�e1eBfedorP°�""a*etl Daie Processed Subscription to the Cade ofFair G"ampaign Practices is valuntary. Date Imagetl 1 AGCOUNT NUMBER 2 TYPE OF FILER (EthicsCommissionFilers) ❑ � CANDIDATE POLITICAL COMMITTEE If fling as a candidate, comp/Bte 6oxes 3- 6, !f filing for a political commiftee, comp/ete then /ead antl sign paqe P. baces 7 and 8, theq read and sign page 2. S NAME OF CANDIDATE TITLE(O�:,Mr.,Ms.,Mc.) FfRST M� (PLEASETyPEORPRINT} �^ � �o^ . � � �o�� ,J . --------------- --------��----------------------- ------ NICKNAME SUFFIX(SR.,JR Ill,etc.) ' 0/' \ 1 �� q'�ea�w o�h� 4 TELEPHONE NUMBER MEACODE PHONENUMBER IXfEN510N OF CANDI�ATE � Q��` Z� �„/A �S V (PLEASETYPEORPRIMj O � lJ � 5 ADDRESS OF CANDIDP�TE STREETiPOBOX; APT/SUITE#; CITY; SiATE; ZIPCODE (PLEASETYPEORPRINn q ` �� (j ��c� ��rot'�4e� C� �i��,9e i��c lK %603`� g OFFICE SOUGHT BY CANDIDATE (' a `\ � � v� �4,e �' t .-(�� C �uNC;� (PLEASETYPEORPRIN'n ` � _� 7� NAME OF COMMITTEE (PLEASETVPEORPRIM) $ NAME OF CAMPAIGN TRLE(Or.,Mr.,Ms.,etcJ FIRS7 MI TREASURER p, (PLEP,SENPEORPRINn � `, �� _'�________'__'_"'___ ____'_"__'_____________""'.i _______,_'_'____' NICKNAME Lp$T SUFFIX SR.,JR.,IIi,e[c �4'�"e��t�� GO TO PAGE 2 rorms proviaea oy iexas etmcs commisgion www.emicsscacezx.us Revised 1/1/2021 CODE OF FAIR CAMPAIGN PRACTICES There arebasicprinciples ofdecency, honesty, andflirplaythatevery candidate andpoliticalcommittee inthis state has amoral obligarionto observe anduphold, in orderthat, aftervigorouslycontestedbutfairlyconductedcampaigns, our citizens may exercise their constitutional rights to a free and untra mmeled chaice and the will ofthe people may b e fixily and clearly expressed on the issues. (1) I will conduct the campaign openiy and publicly and limitattacks on my opponent to legitimate challenges to my oppanenYs record and stated positions on issues. (2) I will not use orpezmit the use of character defamation, whispering campaigns, libel, slander, or scan•ilous attacks on any candidate or the candidate's personal or family life. (3) I will not usa or pernut any appeal to negative prejudice based on race, sex, religion, or national origin. (4) I will notuse campaign material of any sort that misrepresents, distorts, or atheiwise falsifies the facts, nor will I use malicious or unfounded accusations that aim� atcreating or ea�ploiting doubts, without justification, as to the personal integrity orpatriotism ofmy apponent. (5) Iwillnotunderfalceorcondoneanydishonestarunetlucalpracticethattendstocorruptorundemvneoursystem of free elections or that hampers or prevenis tha full and free expression ofthe will ofthe voters, including any activity aimed at intimidating voters or discouraging them frorn voting. (6) I will defend and uphold the right ofevary qualified voter to full and eqnal participation in the electoral proCess, andwill not engage in any activityaimed atmtimidatingvoters or discouragingthem framvoting. (7) IwillixnmediatalyandpubliclyrepudiatemethodsandtacticsthatmaycomefromothersthatIhavepledgednat to nse or condone. I shall take fum action against any subordinate who violates anyprovision ofthis code or the laws goveming elections. I, the undersigned, candidate for election to public office in the State of Texas ar campaign treasurer of a political committee, herebyvoluntarilyendorse, subscribeto, andsolemnlypledgemyselfto conduotthecampaigninaccordance with the above principles andpracfices. �� , � �° Signature F'el�. Q � , Zo �.y Date Forms provided byTexas Ethics Commission www.ethicsstaie.tx.us Revised 1/1/2021 F: dj. �' . t Y �'. rs.. ; k. r E• r':: �; � � ,4 =v �' "s. ' �•: p, AMENDMENT: APPoiNTnneNTOFa FORnnACTA GAMPAIGN TREASURER BYA CANDIDATE PG "I 1 CANDiDATE � � i�-i 2 FILERIDtF. �. 3 Tbtalpagesfiled; � NAME , ),.:.":, ' .1�.;..� ' i 1�Af. L��o��, �.1 liw� WQ�ecworfl�...; } , �, �� - � SeeACTAlnstructionGuideforqetailedlnstructiona � .. � �� . ' Use this form for changes to extsting information�on/y. Do not�provide information previously dlsclosed. �� 4 CANDIDATE N�`/ MSlMRS/MR PIRST �. �,� MI - p� ' . NAME � � � . � � � �Gr�Y . - ' . . . � OaleReceived ' . . � . ' �� . NICKNAME . . . .•IAST . . .. ,. � . • • ��. SOFFI%�• . MAR O / LOLi �ity �ec��t�sr�t;� �i�e�� S CANDIDATE� NEW ��RESSlPOBOX; APT/SUITEk; GIiV; STATE; 21PCOOE � � MAILiNG . . . . . . . . . � . . . ' . Q��RE$$ � . - � . _ . . paleHantl-tlellveretlarPuslmarketl � � . . � Recelpfp - Amaunt$ � ' � . . . - . - . � Oale Processetl . . 6 CANDIDATE � NE`/'/ AREA COOE . - PHONE NUMBER -� . � E%TENSION PNONE � �etelmagetl � � 7 OFFICE HELD 'N�.. . . .. . . . . . .. . .. . . � (itanyJ . . . . . � . � . .. � � . � .. 8 OFFICE � � � NEw.. . . . . . . . . .. . . . _ .. . . SOUGHT • - . . - � . � . . . . : � .. . . . �. - � . . . . Qfknovm) � ' . .., . . . 9�CAMPAIGN NEW �MSIMRS/MR FIRST MI NICKNAME lqST - SUFFIX � TREASURER �t ��q � IJAME � . �V�. .S�2.U@.K �•. �QVC�' LLJQSSD�h. . , . ' i0 CAMPAIGN NEVJ STftEETADDRE55 (NOPOBOXPLEASE); APT/SUITEk; CIiY; STATE; ZIPCO�E TREASURER `, ^� � .pr�•�e � �',ml�e utl�� '[' . . '7�p3y � STREET � .� :a:'l L .7. . l.t� � � �'eS .. -... .y . . . � � . . ( ADDRESS � - �� (residencearbusiness) � � , . � � �. - � 'I'I CAMPAIGN � NEW AREA CODE - PHONE NUMBER EMENSION . ' ; ' - � TREASURER _:/tN�2� 1��.�� , PHONE � \ �OD O[ � 12 CANDIDATE ;. �`� .. �. . - . . . . . . �� . . .. . .. . . SlGNATURE I am aware of the Nepotism Law;-Chapter 573 of the TexaS Government Code. �. I am aware of my respon.sibility to file timely reports as required by title 15 of the Election Code. I am aware of the restrictions in title 15 ofthe Election Code on contributions from corporations and labor organizations. , , �� 3 7 zo�_ Signature of Candidate -, � Date Signed � . GO.TO PAGE 2 . �. � . . . �. FormS provitletl by Texas Ethics Commission www:ethics.state�.tx.us �� . � �� Revised 1hf2024 IAMENDMENT: CANDIDATE MODIFIED REPORTING DECLARATION FORnn ACTA PG 2 13 CANDIDATE - �1 �, � � ' , j� � � L � � NAME . ..�� r� t\M•to'i�y � t1. T11�✓�(. `^�Q�EC1.]OYT� ... . . .. / 74 MODIFIED N� � � � - � REPORnN� COMPLETE THISSECTION ONLY IF YOU ARE �eci.a,w�noN ' CHOOSING MODIFIED REPORTING •• This declaration must be filed no later thari the 30th day before � the first election to which the declaration applles. •• � � I � ��• The modified reporting option is valid for one election cycle only.. ••, -� ', (Aneiectioncydelndudesapnmarye�ectlan,ageneralelection,andanyrelatedrunoffs.) � •• Candidetes for the office of state chair of a political party � � may NOT� choose modified reporting. �» . � � . ` I do not intend to accept more than $1,080 in political wntributions or make more thari $1,080 in political expenditureS (excluding filing fees) in connection with'any future election within the election cycle. I understand that if either one of those limits is exceeded, I will be required to file pre-election reports and, if necessary, a. runoff report. � ' _. � � i - '� .� - .. � .. � . .. � : � , , . � . �. �,_ . , - ,, �: : , , , . . . . . � , . � . � . _ . .. . �.. . . . . .., .:..:.. � � , " Year of election(s) or electlon cycle to Signatufe of Candidate . which declaratlon applies � � � e � C This appointment is effective� on the date it is filed with the appropriate filing authority, �. TEC Filers may send this form to the TEC electronically at treasappointna.ethics.state.tz.us or maillo Texas Ethics Commission P.O. Box 12070 Austin, l"X 78711-2070 i Non-TEC Filers must fi(e this form with the bcal ftting authority li DO NOT SEND TO TEC �, For more information alioutwh2re fo file go to: `, i , https://www.ethics.state tx us/filinginfo/QuickFileAReport php IForms proVided by Texas Ethics Commission � www.athics.state.tx.ps . . : � Revised ,1Hl2 � APPQINTMENT OF A CAMPAIGN TREASURER FORM GTA BY A CANDIDATE P� � . See GTAIn3truction G�Ide for tlepiled instruCfion$. 1 Total pages filed: a 2 CANDIDATE M$�MR5/MR FIRST M� pFFICEUSEONLY NAME " M l\ w10� +�� . . J . py `^ Filer 10 # ____`___--,___�__________ ____________--___—____, NICKNAME L4ST 9UFFIR DafeReceiv6tl ' � i ; ti. � 43 �te � �� . R�c�ov�� 3 CANDIDATE nooaess raaeox APT/SUITE#; CIT7; STATE; 21PCOOE FEB 16 2024 MAILING � � b,�.�o l� ADDRESS � �e% � � � '` C� Ci2y Secra�ary"s t8riice C C� � \ e�( �L ` � \ � � x, Z � (� 3 � �ate Hercd-del),ereclq�,p^os/t¢Wdrkgd � j�� p\ U/ l i�( 4 CANDIDATE AREA CODE PHONE N4MBEk EXTENSION Beaelpt# AmauM$ PHONE ( � �� ) 2� I ' � b � � Date Rrocessed 5 OFFICE H E L D A � Date Imaq¢d (if any) "" Q �e . 6 OFFICE ` SOUGHT �� l�� ` C 1� C b VKC �\ (if known) � V "c— � 7 GAMPAIGN MS/MR57MR FIRST MI NIGKNRME Va$T SUFFIX TREASUREFL 11 NAME L e�5 `i �-- � Q�'Cd'�'��1 K H CAMPAIGN STREETADDRE35; APT/SURE#; CIIY; STATE; ZIPCO�E TREASURER �� Vj,rao�( C a�e �r'� STREET ADDRES$ /' / (residence or husiness) ` � � � e � U l 'l � C � ! �( � � O �j � 9 CAMPAIGN AREn cooe PHONE NUMeER EXiEN510N TREASURER PHONE / C1 �') � � ` � � � S 2 � � �� b J 'ID CANDI6ATE SIGNATURE I am awa�e of the Nepoiism Law, Chapter 573 ofthe Texas Government Cbde. I am aware of my responsibility to file timely reports as required by title 15 ofi the EleCtlon Gade. I am awa�e of the restrictions in title 15 of the Election Code on contributions from sorporations and labor organizations. �� • �rd �'�� . � (�� 2 � � � Signa. ure of Canditlate Date Signed GO TO PAGE 2 forms provitletl by Texas Ethlcs Commission www.ethics.state.tX.us Revisetl 1/1/20P4 CANDIDATE MODIFIED REPORTING DECLARATION 19 CANDIDATE NAME 92 MODIFIED REPORTING DECLARAI"ION FORM CTA PG � COMPLETE THIS SECTION ONLY IF YOU ARE GHOOSING MODIFIED REPORTING •• This declaration must be filed no later than the 30th day before the first election to which the declaration applies. •• •• The madified repnMing aption is valid for one election cycle only. •• (An electlon cycle inclutles a primary election, a 9eneral electivn, and any related N�offs.) •• Candidates for the office of state ehair pf a political party may NOT choose modified reporting. •� 1 do not intend to accept more than $1,080 in political eontributions or make more than $1,080 in political expenditures (excluding filing fees) in aonnection with any future electiqn within the election cycle. I understand that iieitherone ofthose limits is exceeded, I will be required to file pre-election reports and, if necessary, a runoff report. 2 � -s-'�� Yearof eleetion(5) or election cycle to which declaYation applies ��^^�^�—I `� Signature of Candidate This appointment is effective on the date it is filed with ihe appcopriate filing authority. TEC Filers may send this form to the TEC eleclronically at treasaapoint(a�ethicsstate.tx.us or mail to Tezas Ethics Commission P:O. Box 12070 Austin, TX 78711-2070 Non-TEC Filers must file this forrn with the local filing authoriiy DQ NOT SEND TO TEC For more information about where to file go to; https://www.ethics.state.bc.us/filinginfo/QuickFileAReport. php Forms provided by Texas Ethics Commission www:ethics.state.tx.us Revised 1N/2Q24 City of Colleyville Financial Disclosure and Business Conflict of Interest Porms PERSONAL FINANCIAL STATEMENT I_1 �� 7_\�l� � � 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 Zqning Commission or the 2oning Board pf Adjustment, and shall file such forms within two (Z) business days following the end of the candidate filing period, or if for appointment, within (2) business day following the end of the applicatio� p�riod stated in the official City advertisement for application for the position. The city manager and the city manager's seniqr 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 oecurrence of any change in the information reflected in the forms previously filed by the individual. Before me, the undersigned authority, personally appeared: � i��'r�.� 3•�0."F�ea�w o�l"��-s who, after being duly sworn upon their oath and deposed and stated as follows: "My name is �"^^-a"{�9� 3•�`��"`'`''Q'��- and I hereby submit for filing the attached Financial Disclosure and Business Canflict 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," Hlllqfll Sworn to and subscribed before me, this the �(o� day of F�B'Qu1��24 , 20 2'-t SEANA LYNN RASOR Jotary Public, State of Texa: Comm: Expires 05-15-2027 NotarvlD 132013961 Nptary INITIAL HERE: � � � DATE: �- � �d � � `� City of Colleyvilie Finencial Disclosure and Business Conflic# of Interest Forms INFORMATI�N STATEMENT . TOTAL NUMBER OF RAGES FILED, 5 OFFICE USE ONLY = NAME �� fi`rst, MI ;� Date Reeeived �- o, �i!�o� J, ' Last, Suffix� . ��p�� 1 � 'E"e,r WD�'"�"� ZADDRESS Address/City/State/Zip �� 1 � ZO�� (P `�0 $ 1ZoC�C �1roo�C Ca�v� C�l�e�vtldc�'tX Zbo3°$ - City.Sec�etaay��ffic� 3 TELEPHONE Area Code, Phone Numbep Extension �' �� NUMBER � �-, ,.L7 V. ty (o S`'� 4 REASON 0 EMPLOYEE (CIT1' MANAGER OR'SENIOR STAFF) FORFILING C�'GANDIDATE Col\�u,,tU4 eit� Ce.,..dil (INDICATE OFFICE) STATEMENT 0 �LECTEb OFFICIAL (INDICATE OPRCE) � ZONING BOARD OF RDJUSTMENT �nvrucnnrr oanraorNree� 0 PLANIVING & ZQNING COMMISSION tAaauenaroaaaPomree7 ❑Two (2) business days following the end of the candidate filing period car 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 oceurrence in previously filed farm. *SENIOR STAFF is defined as thos� employees who are classified as directors and above in the City's clas�ification system and the City Manager and Ciry Secretary. s SPOUSE NAME �G l� e` L° �a��`'�� DEPENDENT 1. CHILDJCHILDREN 2. NAME(S) 3. 4. COPY ANQ ATTACH ADDITIONAL PAGES AS NECESSARY ��.u2 INITIPiL HERE� � DATE: �' �� City of Colleyville Financial Disclosure and Busfness ConflicC 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 childrert, or any business entity in which tMe person has a financial interest. When reporting information about a dependenC child's activity, indicate the child about whom you are reportmg by providing the number under which the child is listed on the Information Statement. � 1 HELD OR ACQUIRED BY FILER SPOUSE DEPENRENT CHILD #_ ZDESCRIPTION �ot 2- Ciry C�l�ev✓ille Bbck S County � A�'�`a"�� Subdivision �i�sSS b�w'tS Ad Valorum TaxAccount Number z+rte.ke> P!� 16� � �� ' Acre(s) and Tract 3 STREET ADDRESS STREET ADDRESS, INCLUDING CITY, COUNTY, AND STATE ��8 �Z��kb�om� eo.�v� co��ey��t� , Tyc 'tc�o3y 4 NANIE LIST THE N MES AND ADDRESSES OF OTHER PERSONS OR BUSINESS ENTITIES WHICH OWN AN INTEREST IN THE REAL 1.tvSj' PROPERTY WI��R�WO�'�� A+�n��y �4vo�q�1e ��`uS"7 0 INDIVIDUAL / Q BUSINESS 1 HELD OR ACQUIRED BY FILER SPQUSE DEPENDENT CHILD #_ Z DESCRIPTION Lot City 81ock County � Subdivisian Ad Ualorum Tax Account Number Acre(s) and Tract STREET ADDRESS STREET ADDRESS, INCLUDING CITY, COUNTY, AND STATE ° NAME LIST THE NAMES AND ADDRESSES QF OTHER PERSONS OR BUSINESS ENTITIES WHICH OWN AN INTEREST IN THE REAL PROPERTY �INDIVIDUAL ❑ BUSINESS COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY ❑ NOT APPLICABLE INITIAL HERE:� DATE; �� City of Colleyville Finaneial Disdosure and 6usiness Conflict of Interest Forms FEE, SALARY, OR GIFT Section 2 The name and address of any person or corporation which current)y has br during the preceding twelve (1Z) months has had a direct or indirect contractual relationship with the City and from which the pers�n(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 reparti�g try prouiding the number under which the child is listed on the Information Statement. ��.`� �� 1 RECIPIENT �FILER �SPOUSE �DEpENDENi CHILb # ZFEE, SALARY, GIFT NAME AND ADDRESS 3 DESCRIPTIQN OF FEE, SALARY, GIFT 1 RECIPIEMT �FILER OSPOUSE �DEPENDENT CHILD #_ � FEE, SALARY, GIFT NAME AND ADDRESS DE3CRIPTION OF FEE, SALARY, GIFT 1 RECIPIENT OFILER �SPOUSE �DEPENDENT CHILD # Z FEE, SALARY, GIFT NAME AND ADDRESS 3 DESCRIPTION OF FEE, SALARY, GIFT COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY - NOT APPLIGABLE INITIAL HERE:�" DATE: �� d � City of Colleyville Financial Disclasure and Business Confljct of Inte�est Farms. BUSINESS INTERESTS S+ection 3 The rtame and address af any corporation or business, which currantly ha5 or in the preceding twelve (12} months has had a direct or indirect eAntractual relationship with the City, of which person(s}, their spouse, or any dependent minor children own more than two percenY (Z%) of the outstand"mg equity interest or more than two percent (2°/n) of the assets. When reporting information about a depende c il� tivit , indicate the child about whom you are reporking by providing the nu r d n c � e child is listed on the Information Statement. 1 HELD OR ACQUIRED BY �FILER �SPbUSE ODEPENDENT CHILD #_ Z DESCRIRTIpN NAME AND ARDRESS 3 NATURE OF BUSINES9 1 HELD OR ACQUIRED BY �FILER �SPQUSE ODEPENDENT CHILD #_ 2 DESCRIPTION NAf�IE AND ADDRESS 3 NATURE OF BUSINESS 1 HELD OR ACQUIRED BY �FILER �SPOUSE ODEPENDENT CHILD #_ Z DESCRIPTION NAME AND ADDRESS 3 NATURE OF BUSINESS COPY AND ATTACH ADDITIONAL PAGES AS NECESSARY NOT APPLICABLE INITIAL HERE:�� DATE: p 4�' �V CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE/ MIS /MRS I MR FIRST MI OFFICEHOLDER M 1 7p: i4p �..... OFFICEUSEONLY NAME ..... ►.".! X........... NICKNAME .�y....................... ...... LAST Dale ReceivRECE/vED l+6 Y 3UFFIX lt�6,+eirwortI'lit, !A JUL 12 2024 4 CANDIDATE/ ADDRESS I PO BOX; APT I SUITE #; CITY; STATE; ZIP CODE OFFICEHOLDER MAILING 6 $0S Roc. k to rook C n, r f C/t y5ecret8ryg pryr/ce ADDRESS Col leyva Ile- [:] Change of Address 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand -delivered or Dale Postmarked OFFICEHOLDER PHONE a ( 8 I7 ) a -, /- m 6 sY 6 CAMPAIGN MIS /MRS/MR FIRST MI Receipt # Amount $ I TREASURER /�A �QVe t/1.......................W............ NAME....1 v.ir............ ... Date Processed NICKNAME SUFFIX Date Imaged Sleeve 1 'LAST Wmsso� 7 CAMPAIGN STREETADDRESS (NO PO BOX PLEASE); APT I SUITE #; CITY; STATE; ZIP CODE TREASURER a y 13 Wilkes D r t V e ADDRESS Cl(Residence I e C V Ile _ 7 Go3 y or Business) O t 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE / ( 10 92) -Z 15 - 53 9 REPORT TYPE January 15 30th day before election Runoff 15th day after campaign treasurer appointment (Officeholder Only) ❑ July 15 8th day before election Exceeded Modified f� Final Report (Attach C/OH - FR) I� Reporting Limit 10 PERIOD Month Day Year Month Day Year COVERED dJ l THROUGH �// 3 I /aS /Zo2v To / 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary ❑ Runoff ❑ Other 5 / 1-1 /2e2� l Description eneral ❑ Special 12 OFFICE OFFICE HELD is any) 13 OFFICESOUGHT (ifknown) Cope ✓illeCi-t Co.+Act� MACo- 14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT POLITICAL THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR COMMITTEE(S) CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE TYPE COMMITTEE NAME GENERAL COMMITTEE ADDRESS ❑ Additional Pages ❑SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2024 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 15 C/OH NAME 16 Filer ID (Ethics Commission Filers) l i %'�o-i7. W 4'F -rwo 17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $ CONTRIBUTIONS MADE ELECTRONICALLY) 2. TOTAL POLITICAL CONTRIBUTIONS $ p D (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) 0 /1 EXPENDITURE 3TOTALS. TOTAL UNITEMIZED POLITICAL EXPENDITURE. $ I of p```��0��^ 4. TOTAL POLITICAL EXPENDITURES $ 2A `y CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ . ................. OF REPORTING PERIOD OUTSTANDING LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD y G $ OO 13 1(} 18 SIGNATURE I swear, or affirm, under penalty of perjury, that the accompanying report is true and correct and includes all information required to be reported by me under Title 15, Election Code. Sig ture of Candidate or Officeholder Please complete either option below: r HISAKO tARRYSA GUTTERMAN `.•4r�...Vd'�i Notary Public, State of Texas (1)Affidavit ,Te; Comm. Expires 04-03-2028 ,;...� Notary lD 134834599 NOTARY STAMP/SEAL Sworn to and subscribed before me by l ituo V J. t..1at¢r..+ortl-r this the 3 rd day of T.-�Y , 20/ �2 4 � , �to certify which, witness my hand and seal of office. ✓17J_3�y �S^. Ni5Q�C0i limusa t;,A rman Signature of officer a istering oath Printed nameministering oath Tile of officer administering oath , (2) Unsworn Declaration My name is and my date of birth is My address is , (street) (city) (state) (zip code) (country) Executed in County, State of , on the day of , 20 (month) (year) Signature of Candidate/Officeholder (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2024 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME W 20 Filer ID (Ethics Commission Filers) 21 SCHEDULE SUBT TALS NAMEOFSCHEDULE SUBTOTAL AMOUNT 1. SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS $ 00 .300 2. Da SCHEDULE A2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS $ 40 5 QO (OO 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULE E: LOANS $ 5. ��,( IXI SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ I U 6. El SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9. ❑ SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. SCHEDULE I: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER $ Forms provided by Texas Ethics Commission v .ethics.state.tx.us Revised 1/1/2024 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule At: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 1 : �.At'+ �. 4i ck+e V L.3 C) r +L-. 4 Date 5 Full name of contributor ❑ out-of-state PAC (ID#: ) % Amount of Contribution ($) � Jz6i�o: L�sq M. Mtl�s ......................... � ed 6 Contributor address; City; State; Zip Code �rzt* O V /.� `oo � 3 S F;Ke Zs lQt44 %4. Heatf SC 29924a 8 Principal occupation /Job title (See Instructions) g Employer (See Instructions) RG-t 4ej 014 Date Full name of contributor ❑ out -of -stale PAC (ID#: > Amount of contribution ($) 5I101202`I ... $eve.tSsaK ............................................................... Contributor address; City; State; Zip Code I pp a 13 WIAts W. Cdtcyvide TX 7401 t °° Principal occupation / Job title (See Instructions) -T Employer (See Instructions) 9Ze{i�ee( N f(} Date Full name of contributor ❑ out -of -stale PAC (ID#: ) Amount of contribution ($) s/101 zezY .Fa.,.iG . G ma Contributor address; City; State; Zip Code _ 1 V ,23oS VJitte> (%rrrsCA! @truit�e I?C 76c)3`( l V IDD Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑out-of-state PAC (to#: ) Amount of contribution ($) ....................................................................... ............ Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED If contributor is out -of -slate PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2024 NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS SCHEDULE A2 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 A2: 1 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED IN -KIND POLITICAL CONTRIBUTIONS $ 5 Date 6 Full name of contributor ❑ out-of-state PAC (IDu: 1 g Amount of 1 9 In -kind contribution 11 �Q�� D14QM� Contribution $ 1 description SI�iIZOiy 7 Contributor address; City; State; Zip Code _ 1 Soo.I e?C'�'(t't) Tx 76o3f Check if travel outside of Texas. Complete Schedule T. 10 Principal occupation / Job title (FOR NON-JUDICIAL)(See Instructions) 11 Employer (FOR NON-JUDICIAL)(See Instructions) 12 Contributors principal occupation (FOR JUDICIAL) 13 Contributor's Job title (FOR JUDICIAL) (See Instructions) 14 Contributor's employer/law firm (FOR JUDICIAL) 15 Law firm of contributor's use (if any) (FOR JUDICIAL) 16 If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL) Date Full name of contributor ❑ out-of-state PAC (to#: ) Amount of In -kind contribution Contribution $ I description ............................................................................ Contributor address; City; State; Zip Code Check If travel outside of Texas. Complete Schedule T. Principal occupation / Job title (FOR NON -JUDICIAL) (See Instructions) Employer (FOR NON-JUDICIAL)(See Instructions) Contributor's principal occupation (FOR JUDICIAL) Contributor's Job title (FOR JUDICIAL) (See Instructions) Contributor's employer/law firm (FOR JUDICIAL) Law firm of contributor's spouse (if any) (FOR JUDICIAL) If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission wwmethics.state.tx.us Revised 1/1/2024 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 AccountingBanking Event Expense Loan Repayment/Reimbursement Solicitation/Fundralsing Expense Fees Office Overhead/Rental Expense p Transportation Equipment & Related Expense Consulting Expenseab GiftAwevemge Expense Polling Expense Travel In District Contributions/Donations Made By GRVAwartls/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salanes/Wages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. I Total pages Schedule Fl: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) I+ W a erwor L' 4 Date 5 Payee name Y 2f, 202 J. a lt,rt -RQV tat 6 Amount ($) 7 Payee address; City; State; Zip Code ZO N,0�,ueKi4:y b rlVe. T-wrt f OW'k.. l K 716to`7 (o0 8 (a) Category (See Categories listed at the top of this schedule) (b) Descriptionj� PURPOSE , - — w '''1� :x li O`� �r..t'b,�1'3 0.� lQ'S 0 VA OF EXPENDITURE �Vey�-t- ,�u� f Grill (c) Check fftravel oulsideofTexas. Complete Schedule T. Check If Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name O tce sought Office held expenditure to benefit C/OH �`• 1 �o-I' -i'C'r'wOr'}�. COL -C vr �(,- C� \OYY r•� p� 6 Date Payee name 7 f 2.1%0-44 1. w,,,+ky j. t ucte r war44 Amount ($) O Payee address; City; State; Zip Code (ps05 Rw_kI aQL<Cv�+i Cjot61vtt(e T)c 7(1 Category (See Categories listed at the stop of this schedule) PURPOSE `lly pq ke%4*440-;�400JC pDescription T0.W-tRep 4,ep4Y ♦Kelct 64OF ` u w EXPENDITURE t 6 GAMA�d.r%. y+ �erSoyOl G CtpyLt". Check ftravel outside of Texas. Complete Schedule T. r Check If Austin, TX, officeholder living expense Complete ONLY if direct Candidate/ Officeholder name ffice sought Office held expenditure to benefit C/OH�+ � 11rN.OTh ~. W0. 'P—rraaOr'0-L Co"*-yltilt QA C"u ti Plkf—c f� Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the lop of this schedule) Description PURPOSE OF EXPENDITURE Check iflravel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED Forms provided by Texas Ethics Commission wvw.ethics.state.tx.us Revised 1/1/2024 CANDIDATE / OFFICEHOLDER REPORT: DESIGNATION OF FINAL REPORT FORM C/OH - FR The Instruction Guide explains how to complete this form. •• Complete only If "Report Type" on page 1 is marked "Final Report" •• 7 C/OH NAME 2 Filer ID (Ethics Commission Filers) 3 SIGNATURE I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designating a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign contributions or make any campaign expenditures without a campaign treasurer appointment on file. dt s— Sjgnat re Candidate /Officeholder 4 FILER WHO IS NOTAN OFFICEHOLDER •• Complete A & e below only if you are not an officeholder. •• A. CAMPAIGNFUNDS Check only one: I do not have unexpended contributions or unexpended interest or income earned from political contributions. I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I may not convert unexpended political contributions or unexpended interest or income earned on political contributions to personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain unexpended contributions or unexpended interest or income earned on political contributions longer than six years after filing this final report. Further, I understand that I must dispose of unexpended political contributions and unexpended interest or income earned on political contributions in accordance with the requirements of Election Code, § 254.204. B. ASSETS Check only one: I do not retain assets purchased with political contributions or interest or other income from political contributions. 0 I do retain assets purchased with political contributions or interest or other income from political contributions. I understand that I may not convert assets purchased with political contributions or interest or other income from political contributions to personal use. I also understand that I must dispose of assets purchased with political contributions in accordance with the requirements of Election Code, § 254.204. Si n o ure of Candidate 5 OFFICEHOLDER •• Complete this section only if you are an officeholder •• F-1 I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on file. I am also aware that I will be required to file reports of unexpended contributions if, after filing the last required report as an officeholder, I retain political contributions, interest or other income from political contributions, or assets purchased with political contributions or interest or other income from political contributions. Signature of Officeholder Forms provided by Texas Ethics Commission www.ethics.state.lx.us Revised 1/1/2024 OFFICE USE ONLY s AFFIDAVIT FOR Date Received w CANDIDATE OR OFFICEHOLDER: ELECTRONIC FILING EXEMPTION An exemption affidavit must be submitted with each paper report- Date Hard -delivered or Date Postmarked Beginning on January 1, 2024, a candidate or officeholder who has accepted more than $32,810 in political contributions or made more than $32,810 in political expenditures Receipt# Amounts in any calendar year must file all subsequent reports electronically. Date Processed Filer iritaa �j /� Filer ID # )�A/r7YLI , � ("Vkbl/ - Date Imaged 1. I swear or affirm that I have not accepted more than $32,810 in political contributions or made more than $32,810 in political expenditures in a calendar year. 2. 1 further swear or affirm that I do not use computer equipment to keep current records of political contributions, political expenditures, or persons making political contributions to me. 3. 1 further swear or affirm that no person acting as my agent or consultant, and no person with whom I contract, uses computer equipment to keep current records of political contributions, political expenditures, or persons making political contributions to me. 4. 1 further swear or affirm that I understand that I am required to file my campaign finance reports electronically if I, my agent or consultant, or a person with whom I contract exceeds $32,810 in political contributions or political expenditures in a calendar year, or uses computer equipment to keep current records of political contributions, po'tical expenditures, or persons making political contributions to me. 5. 1 am filing this affidavit with theTelil 3,00W report due on \j tt 1l 15dn) I understand that this affidavit is reVired to be filed with each campaign fin nce report for which I am claiming an exemption from electronic filing. Please complete eithe .�`ira"' HISAKO LAARYSA GUTTERMAN des; Notary Public, State of Texas (1) Affidavit 3:°c" •. ' =�`•�i "= Comm. Expires 04-03.2028 �'.;�,o� �`,:�` Notary ID 134834599 NOTARY STAMP/SEAL Signature of Filer Sworn tot and subscribed before me by (t :.ao�� J W A, IF fva+`r�y'1 this the �'g day of 20 4 , to certify which, witness my hand and sealofoffice. Signature of officer admanWering oath Printed name of Amer administering oath Title of officer administering oath (2) Unsworn Declaration My name is My address is Executed in and my date of birth is (city) . sta a zip c e country County. State of , on the day of , 20 (month) (year) Signature of Filer (Declarant) FILERS WHO ARE EXEMPT FROM THE ELECTRONIC FILING REQUIREMENT ARE STILL REQUIRED TO FILE CAMPAIGN FINANCE REPORTS ON PAPER Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2024 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Fllar ID (Etnlce Cammieclon Flien) 2 7o�al pagea flled: The C/OH InaWcNon Ciuide explains how M completa Shis form. 3 CANDIDATE/ M5/MRS/MR FIRST � OFFICEUSEONLY OFFICEHOLDER Y1AV "��T-, .� NAME .. N Cf.l ..E .............. (.7 rV�'�J .. `� ................... � .....SUFFIX Ua1B RBCe�6d�/�� l� �a� V / �?� APR 2 5 2024 4 CANDIDATEl. nooa�ss rrosox: nrrisurrea, cirn arnre: z�rcooe OFFICEHOLDER MAILING �� lrCrO�. CitySecredary's��ice ADDRESS ��//_� �� Chenge of Adtlress �� (,i I�'t�. ( T� i�� 5 CANDIDATEJ �A COOE PHONE NUMBER EXTENSION Oele Hentl�Eeilveretl of DaiB Poelmefkatl PHONEHOLDER ��I� ` �� J h� ^� ! aaoeiv� a r.moum a 6 CAMPAIGN M8 / MRS/ MR �J R8T 1 TREASURER �j/� � ` J�� NAME ...✓ '•� �•' .............. 4? ............. Dele Proteaeatl ...�...� ................... NICNN LA3T 3UFf1X � �� oalo ImaBetl 7 CAMPAIGN STREETAODRE55 (NO PO B% PLEASEJ; APT! SUITE N; CIN: STATE; ZIP COOE TREASURER '�(�i� 3 f, l� g�� ADDRESS �N (Resldance or Business) Cp P �J� { � �(7�� 8 CAMPAIGN �� CODE PHONE NUMBFA EMENSION TREASURER PHONE � � /' /1 r�—� �� 5''� /' �jZ . IG�f P )p 9 REPORT TYPE ❑ �g��y �6 � 301h Oey bePore eledion � RunoR � i6th tlayaRer mnpeign traasurer eppoNMent . (Ofllwholtlar Only) � Juty 15 � Bih day betore eleotlon ❑�� MOd�� Flnel Report (Anech CIOH • FR) RepoNng L4ni1 TO pERIOD � rnonm Oay Year � Manl� � Uey Veer COVERED � /�C/�a; �/�� /�e, `� THRpUGH V� i1 ELECTION. ELECTION DA7E ELECTION 7YPE . Monlh Oay Yea� ❑ P��ry ❑ Runoll ❑ Olhet / f' Oeaulplion 4--./ /�I /�vJ � General � Speclel �.o -r T '120FFICE OFFlCEHELD(Nmry) 13 OFFICE90UGHT (qkmwn) '14 NOTICE FROM TXIe 80X IB FOR NOTICE OF P0411CAL CONIRIBUTIONB ACCEp1Ep Ofl POIITICAL E%PEN�ITIINEB IW106 BY POLITICAL COMMITTEES M BfIPPORT POLITICAI TMecaxemnre�ocruexo�orx TXESEFJ�ENDRURE9NAYHAVEBEENNAD¢WIfH0Uf1HECAl10fDATE'SOROFpCENOLDER'SIPIOWLEDOEOR COMMITTEE(S) �NSENf. GUIOIDAI�ANDOFFICEHOL0ER8APERE0U10.E�70REVOPT7HiSINFORMATIONONL�IPTHEYRECBNEN0710E0F8UCHIXVENOff11RES. COMM17TEE TYPE COMMITTEE NAME � �GENERAL COMMITTEEAUDRES6 � AdtliGonal Peges � �SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREPSURER ADDftES3 � GO TO PAGE 2 Forms provided hy Texas Ethlcs Commisslon www.ethics.state.tx.us Revised tI112024 : ' ! l +, � : � M, ; . . � �, . �: ,. �5 GJqH 97 CONTRIBUTION TOTALS .................. EXPENDITURE TOTALS ................. CONTRIBUTION BALANCE ................. OUTSTANDING LOAN TOTALS �% GLia�vu.��- _�._....__� 1. TbTAL UNITEMIZED POLITICAL CONTRI6UTIONS (OTHER THAN PLEDGES, IOANS, OR GUAftANTEES OF �OANS, OR CONTRIBUTION5 MA�E ELECTRONIChLLV1 2. 3 TOTAL POLITICAL CONTRlBUTIONS (OTHER THAN PLEOGES, 1.00.N5. OR GUARANTEES OF' LOANS) TOTAL UNITEMIZED P041TICAl EXPENOITURE. FORnn ciaw CdVER SHEET PG 2 '18 FiIBf I� (Elhics Commission Filars) $ /� � �.� 1��-c� � ��3 �� f 4, TOTAL POLITICAL EXPEN[}�TURES �" /` ��% +'� `/� � GL / [p- l -----._.....-- -- -_____ _ --......---.._...._....- - - 5, T07AL POLITICAL CONTRIBUTIONS MAINTAINEO AS OF THE LAST DA� 1J�� j�] OF REPpRTING PERIOD � a� 4✓ ��^'� 8. TOTAL PRINC�PFI AMOUNT OF ALL OUT5TANOWG IOANS AS OF THE /� �� p� LAS( DAV OF' Thi[ R[POftTING PERIOD �� 9$ SIGNATURE I swear, or affirm, under penelty of perjury, that the aacompanying rgport is true antl correc� aad inciudes alI information required to be reparted by me under Tiile 15, Eleotipn Code. � " � w��?t��-- � Sic�nature o Vandidata or Offic�holtler (1) A�davit NOTARY STAMP/SF�,L Please compleie either op4ion below: ;o:"ra'� HISAKO LARHYSA GUTTEAMAN �;...�e�:, rY _z: �A7 ,o_Nota Public,StateofTexas �' �•'<"� Comm. Expires 04-03-2028 ��....�+`: ' „°;,,�� Notary ID 134834599 Swom to and suhscri6ed before rne by �:w.e�1� �1�1 �a.�r...ov�� this the o1�7� day of F'1,Pr�i` . 20�, tocertitywhich,witnessmyhandandsealofoffice. � SignaEUro nf officer aCminisierinc� onth {2} Unsworn Declaretion My name is My address is J Executed in P�inted name o( adminietering oaih TiUe o( ofticer administering oalh and my date of birth is (street} County, State ot (city) (stato) (zip eode) (country) on lhe day of , 2D � (month) (year) Signah�re of Candidate/pfficeholder (fleclarant) Forms provided by Texas Ethics Gommission sw'w.ethics.state.tx.us Revised 1Hl202C SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 �9 FILER� E ZO Fller ID (Ethics Commiuion Fllers) � �� 27 SCHEDULESUBTO�ALS SUBTOTAL NAME OF 8CHEDl1 AMOUNT �• � SCHE�ULEA'I:MONETARYPOLITICALCONTRIBUTION6 $� 071� l U' 2• � SCHEDULEA2: NON-MONE7ARY(IN-KIND)POLITICALCONTRIBUTION3 E a y� 1 �� 3• � 3CHEDULEB: PLEDGEDCONTRIBUTIONS � S 4. � SCMEDULE E: LOANS � $� Cj�, � 5• � 3CHEDULE Ft: POLITICAL EXPENDITURES MADE FROM POLiTICAL CONTRIBUTIONS $`r �� _�� 8• 3CHEDULE F2: UNPAID INCURRED OBLIGATIONS � S �. �• � SCMEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTION3 $ e• � 3CHEDULE F4: EXPENDRURES MADE BY CREDIT CARD $ 8• � 3CHEOU�E G: POLRICAL EXPENDITURES MADE FROM PER30NAL FUNDS $ ��• � SCNEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINE98 OF C/OH $ �1• � SCHEDULEI: NON-POLRICALEXPENDITURESMA�EFROMPOLITICALCONTRIBUTION& $ �Z � SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED $ TO FlLER Forms provided byTexas Ethics Commissfon www.ethics.affite.tx.us - Revised 1N/2024 MONETARY POLITICAL CONTRIRUTtONS sct�eou�E A1 If the requested intormatlon is not applicable, DO NOT include lhis paga In the report. The Inskuotion Oulde exptalns how W complete thla }orm. t Tc1a1 pegee 3ChedUla At� 2 FRBR N� � �j � 9 Fller Io (Ethim Commission Flte�s) /aM✓�,P� Cv� � �tsv�i�� 4 De1e 5 Full na otwnWtrutor ❑ outm6tl(010 FAC (I�d: 1 7 Amo�nt of convi6uuan ($) �%/..// � � .�j ............................................ J ........................ .. � O/�,f� 8 ContHbutorstltlres, �Ctry; j� S�tp�� Iqpoda ��- ( � adl' C�t�N�t z^,�t, � �lCt� l��e�l�� 8 Pdnafpel aecvpoUon! Job Iltle (See Ins;rucUons) 9 Errtptoyer (3ea Inatruclians) � Date F�� bWor ❑ outwf-neio PpC (loll: � qmount of contrl6uUoa ($) l� .......� .............1'/..d (i�.........................,...�............. l�� ContAbumraddreae; Gty, /Sptate• IpCode �� (G� li,�G� �1��/GY',e �Glf'��/GlG ��f PrinWpel oocupeUon f Job tlfle (Ses lnetrucllona) Employer tsea InsWcllons) �� Oal9 Full IIdMB Pf wrtWhuLor OYIA(-BW10 PAC IDN: � J�Wrt1 of COnifIbUU0i1 ($) ( �/ . `K../1� �..� 7 ... � ��..... � ......................... �........ il ��, ( Conutbutor edtlress: ty: Smte: Zlp Ca7e ✓ �� % � I v� � `��" %�lr(, �c� (il �� ca��c ��'%� � PBncFpel oxupauon f Job tlUe (3uo InatrucU ) Empfoyerj,9ee �netructlans) _J Date uil n 9 Oi(tOnVlbUtof . oVl-aFBieto PpC pDp: 1 Amoun! of canM6vUon ($) � � ...........,�1.�.�..� ....................................... �l� �� +J.� .• •ContH�Wr addros ; Clry; 51at ZiP Code �"?/ � � r�� 1�� - ��' �i�'�� Prinelpal oxupaVon / Job tlUe (8ee InstrueUons) Employer (Seo InsWeUons) ATfACH AqDIT10t�tAL COPIES OF THI5 SCHEbULEAB NE�DBD N oonkibutor Is outwt�etata PAC, pioseo smn inswednn gu�do for addiUanal repaNnO raquiremanm. FartneprovhladbyTaxasEthicsCammission wwx.ethics.atete.M.us RaW9ed 9(tl2024 MONETARY POLITICAL CONTRIBUi'fONS SCHEDULE A'I If the requested lnTortnatlon is not applicable, DO NOi include this page In the report. The InaVuctlon Guide explalns how W complete this form. 1 To�el pegee senepu�e at: � 2 FfLER N � � � � � , \�� / , 9 f0er ID (E�hics Commisslan fltere) �iV LJIi 7W M1 oete S Full na s of mnUlbubr, � ❑ auMabatala PAC (Ip9: 1 T Amount of mMriuuYon (g) _/ 1 �/j��! ..�1!:E.. ... a.(.n...�/ i iri�4?^.< ................. ........... � Cjp�� / 5 T 8 Conirl6uWr addfess; Ctty; 9tetet .••�IP �' de 2�� " —� ir�% P�ti,�c��, C'�� d6le �3� / 8 Pdncipat oaeupation / Job Iltle (Sae Insiructlons) g Emptoyer (Sea IneWcliang) pg�p FuII n6me af eontr) utor ❑ ouFol-ttalo PAC (IOH: � punount ot tonitlntluon ($) j�G.�!!t%� ....G�'/.�1�.�`'.�.. .?� .................................. fij ContAb�addreas; �Iry; State; XlpCode �-�,� �'�� j�� yvl�� a3� PAndpal oacupeQon ! Job Utle (Sea InsWctlona) Empioyer (Sea IneWcUoes) Oale Full na e of cortir76utor ❑ ommFefula PAC (IWI: � Ampvrtt M co�trlduUon ($) (� .G%��'%5.�:.......�✓��s :....................................... �� ConUibutor atldre85; Gty; Ste�; ; 21p CCdb ��. � �� b �Oc�wt c�at� �' �e ��L� h< �l �3� PHnclpel oaupaUon / Job tltle (See Instructlone) EmR�oyer (3ee tne�ructlons) oate Full nema of co vinu t � ou4oi•etel0 PAC {IOp' . � Amount of conklhutlon (S) � �w:.......... .................................................. �.-� � ConlHbuwr addro a�� Clty; State; Zlp Cnae � �� 3� l��aU �� C'�Gi ° or� Tx �3 ri � � . Pflndpal attalpellon / Job uue (8ae tnsWCUons) Employer (5eo InsWetlon9) ATfACH ADDITIONAL COAIES OF THfS SCHEDULEAS NEEOED Nconhibutor Is outwf�stat� PAC, ptoseo seo InsWeGon guido for addiGanal reporllng requlremants. rormeprovweaoyiaxasemwswmmis�ion wwx.tlm�cx�.umin.u.ua �<nao�,�„F��Y MON�TARY POI.lTICAL COlVTRIRUTIONS SCHEDiJLH A1 If the requested intortnation fs noF appliqbls, DO NOT include this peee In the report. The Inaductlon Gulde exptaine how to completa thla form. t Te�el pegee 3ch¢duta ni:� 2 FILER NAME 9 Fllar lo (Ethiaa Commissinn Flle�s) 4 DetB 5 ull n me af c9n bub � oubobe�elo PAC pP9: 1 7 Nncunt of wMrlbuUpn ($j t�//, ..�_�...�:��Y va�s..,...... J ......................... '('�/� 8 Cenlrt6uWr eddYess; Ciry; 91ate; Xfp Ootle a�E� � �` ��a( L�'.�sa��g � C'��o�C� �' �.� 6 Principot aoeupoUon / Job Iltle (See InatrucUons) 9 Emptoyar (3ea Inatruotlons) �� 7 Data RWI nama ol Wn utor ❑ ouo-of•alalo PAC (lon: . � Amount o� GonLinuUon ($) ��'�)' :�-�.... ..�-�� ................................... 'V I CorttrfCumraddress: ...� J/_Sta��.C"f' /'�� r� �Z1.�C.mC! �. . 1 l _ ��'�GL �j � lJ`, � ' Princlpal oorupeUon 1 Joh lllle (Sea IrshucUons) Fmplsryar (See Inslncdions) ri� Oels Fu n e of cortir76u r [J ou�mFeNla PAC pDA: � Amoyrst of CoOklbuUon ($) .. �p �1�� ... . . ...... :... as�.. � ......................P............ �� 13 ��il'� � � �� e p �; r PBnolpat owupaUon / Job tNte (3ao Inetruc�tlons) Emptoyer (8e lnetwalana) `�� "�� Date Fuil name oicanulbutor ❑ ou4a1•sleto PAC IIDp� � Amounl ol oonMhuUon ($) .......� ...................�....................�...�..............�.............� ContrlbuWr addrosa; qry; Sreta; Zlp Cetla Prinelpal oxupaGan / Job tllla (8ee InstrueUons) Employer (Seo InsWetlone) AITACH ADDITIONAL COPIES RF TH(3 SCHEbULEAS NB�OBD B oontributor Is eutwt-stem PAC, piaaso seo InstrueNnn guido for addfUonat reporting requiremanta. FarmaprovidedbyTaxasEthicsCommission wwx.etAics.stete.tx.us Revleed 1NI2024 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1 If the requested information is not applicable, DO NOT include this page fn the report. The Instruction Guide explains how to complete this torm. 1 Totel pagea Schedme A1� 2 FILER N ��`/� J� 3 Filer ID (Ethics Commiseion Filers) �� 4 Date 5 Full nama at cantribu[or oubo/•elate p/qC. p0#: � 7 Amount of conWbulion ($) ��'L� /I� ....�:1/�tt�.'!f../.1��......�[.`.:'�.".:"�C�.�.�Y..'?� ................. / �,iW �� /� 8 ConMbutol atldress: Oity; Slete; Zlp Code r� j 1�,�� l��" �� , � 8 Principal accupatlon I Job title (See InstrucUons) 9 Employer (See Inshuctions) �^ Dete Full nema of contribuWr ❑ ouo-o!-e�ete PAC pD#� � qmount of wnidbutlon ($) �/ .�,.� ......l.�.L.�..�:, �>:�.`::..ry .. . ...... .... .. ....... .. .... ......... / / F�� Coniributor atltlress; G Stete; Zip Cotle .//�� .�� . `� �-�� ca�)1I� �Q� � �� l� � �� < <A�. Pdnclpal occupetlon / Job title (Sae Insiructlons) � Employer (See Instructlons) �""�� . Date Full name oi conWbutor ❑ om-af-sleta PAC (IDp: � Amount of conMbu4on ($) (�I�� ..�b�1.......�.�....�...�Y...ry :.................................... 1�,1,�.-J ( �� "1. � :. �- t Conidbutor adtlress; /� Ci /{g/ te; Zlp Code (' k'f C7� ��Q.. Ll✓ I..vrV1Y �/� d��j . C� Principei occupetlon ! Job title (Sea InstrucllonsJ Empfoyer (See Instrucllons) -�' e'�" Date Fuil neme of contributor , I,/ � oul.af,e�ale PAC (ID77: 1 Amount of contfibWon ($) // �/,/e / r ... ..r7..�..........,Ybr� ....................... 1 � II%-i/.' Conttlbutor address; Clty; , State; Code� �' �� a,�/ o r � �Ck-i�1��Ql��L`�" � l��GG� s�S � �� . Principal oocupetion / Job Ulle (See Instrucllons) Employer (See InsvucUons) �� ATTACH ADDITIONAL COPIES OP THIS SCHEDULE AS NEEDED If contributor is out-o4state PAC, please see Instruetion guide for additional raporGng requirementa. FormsprovidedbyTexasEthlcsCommission www.ethics.steta.tx.us Revlsed1N/2024 MONETARY POLITICAL COlVTRIBUTIONS sct�eov�e A1 If the req�ested informadon fs not appliqbfe, DO NOT Fnclude this pags In the report. The Insuuctlon Gulde axpEains how to completa thle Mrm. t To1e1 pagee SqladUle A1: �. � 2 FILER NAM�� j � a\ �^ /, S Fller I� (Ethios Commtaelon flters) % i. �vC.L�� 1 � ti/� 4 �e�e 5 Fvll name MconWbubr ❑ ow.ohms�e rnc ppu: i 7 Amount ot comrlbullon ($) 2�/i ... .�t/�7.1lE.�:.....d�..-�� !/.... 1��e� 8 Contri6utor eatlress; •.•• Ctty; •••••te; ..•xfP Cotlm .. �,(}� � ( �� l��Ga�� - �l� �a�� -v, � 9 Pqnolpet oeeupupon / Job Iltlo (Sae 1n aUons) g Emptoyer (Sea Inatructlana) � �� Oeb Full nama ol rwnvinumr ❑ WFOf•fi61R PAC (IDq: � Nnaunt o� eontrinuuon (3) , � rttA6uto edCre�Nl.k��(.!L..�-' ......................................... i� ��/� ��.��..., c�a: a; zip coda �� ,� ��— CJ � �/C�`� �� -�5�� Pr7nclpel oocupelton / Jo6 tlUe (3ea InsweWons) Empioyar (See I�eWctlons) oeta �ame a conr.teuuor [] oui-oFt01a PAC (IDp: s qmpunl of conM6uUan (S) �,/ • �1��.....!:�`l� �6�1�........ .... ....................� ...... .............,......., J� �� v�/��rTJ�'B�V� 1! C��La�`��e L/'� PBnctpel oxupeilon / Job tltte (Sao tngtruetlons) Emptoyer (9ae �nsttuotlans) DeIB Full nema oicanM6utor [� ou4nf-slato PAC pDA: 1 Amount of cankltuGon ($) q � �C'�� ' v . ..�<,..?...::. �.... ...... �.� ............................... I ContHbuwr addroso; CI ; steta; Zip otle � � ��f �`�' ��< JI�.,,+- ; , � �� a�l� �r � � �i��,�� , PrinUpal o�upeuon! Job tlue (8se tnsWeltons) Employer (Sao In etlone) ATTACH AAAIfIONAL GOPIES OF THlB SCHEDULEAS NE�tIED If oanMbutor7s outwl•stata PAC, pteaso sao instruction gutdo for addlUanal repoAing requiramsnte. FartnaomvtdedbvTexasElhiosCammissian tvwx.ethics.siete.IX.ue Revlead'171l2024 Nf3N-MONETARY (1N-KIND) POliTiCAL CONTRIBUTIONS scr�euu�e A2 if tha requssted informatfon Is not appllcable, p0 NOT inctude ttds page in th� repart. The InetrueNert Gutae expis�ne how to eompleie ibia torm, '� Totel pegue Sehedule A2: Z FILEF2 NAME 3 Filar Ip (6fhfca Cammieeion fllera) r ( �'�-� t� ''S" �,�, e,.-t-�, 4 70TAL OF UNl7EMIZED IN-KIND pOLITICAI CdN7R18UTIONS $ g e� 8 Full neme ol �cJontllbuWr ou�bt-omie PAc ptM: � g q�upt oT I g IMtlntl contrlbutlon '7�1� ...��.'::J�.tif.L...:..—. .,..,��..`:.d'�:I,Pr�.��li��.�� rtUi��nS i deac on Co 1t � � ��'`� $� �� — /J' , v�L.v��' l�'�-�' �� '}v;`��, l�� Y(� . � ❑Check H trsvel outetda ofTwves. mpleia S�hedwe T. 10 Pdncipel oaUpatl�b t1Ue (FOR NON-JUDI61At}(3ee IasUuctbns) 11 Employet (FOR NON.JUDtCIA!)(8ao �netructtona) � 12 ConMbutnYs�peip�taewpeUon (FOR JURICIAL) �3 Conbibulor's Job tlQe (FOR JUO�R�AI.)(Saq matruqlone) <�r 74 qonMbuta's employe Omt (FOR JUDICIAL) 15 Lew flm1 ot ConMbutofe epouae (If eny) (FOR JUbIC1Al.) �� i8 If con416ulor le a Chftd, lew R1M of parsM(e) Qf eny) (FOR JUOlGIA6) � �s Og� Full neme of canMbutar ❑ eu�rol-ua[e Pnc pop: � qmount of � In-kl�d mnLibutlan ConMhuUon S i tlaectlpRon ..............................�......................................... � ContHbuWr edtlress; Clty; �te; ZIA �de � { ❑Cheak If trevei culslde ol fi�e. Complote Schodule T. PNnclpat oceupet[oq f Job tlUe {FOR NONJUDtCiAL) (8ee Inxtruetlores) Emplayar (FOR NONJU�ICIAI.j(9uu Inatruetlons) ConlHhutafe pAnclpaf accupetlan (FOR JUpICiAL) ConMbutoYs jqb UUe (FOR JUDICIALj{8ee Inetrucliana) CaotMbutoYs emptayedlew rtrtn (FOR JUDI0IAL) i,.ew flrtn of con0lbutoYa 9ppuse (Ii any� (FOR JUDICIAL) If wnttlbutor Is a chltd, lew fltm of parenl(a) (If eny) (FOR dUDICIAt) ATiACH ADDfT10NpL COPIES OF THIS SCHEDULE AS NEEDEO I! oontributor Is outwf-sfete PAC, please seo Instructibn guFtle foY addittanaf repoKing requlraments. Fotiil8 proVltletl byTexea EttIICR COrtIR11ss100 SW.W.ei�ICB.eleW�1%.U9 ROVIBBtl 11112U2a NON-MONETARY (IN-KIND) POLITICAL CONFRIBUTIONS sct�euuRs A2 I( iha requested informatton Is not applicable, DO NOT fnciuda this page in the report. Tha Inetruetbn 6ultle esplaina baw to aomplete thla tom, 1 Towl pegae Sohedule A2: � 2 RILER NAME 3 Fllor ID (Ethke Commtaebq Fllemj � � i..a.a-E � �' uw �r-h � 4 TOTAI. OF UNITEMI2ED IN-KIND POLITICAL CON7RiBUT10NS $ g e� 8 Fuil me of contrlhuto�1 ❑ aui-aFetai9 PAC tloA• 8 Amaunt oi I g In-kl�tl wnlrlbuHan �� L_-_�� ConlribuUon $ j dasc�IPibn ............. . .. ................. �.� y � .... .,.+� 1�7 7 Contcihubraddress; /' clry; ••• '••Stsl/q� pCoYe ••• l� � /�� V�;GCL, � t_.e% y y b` ��✓� ❑Chedt H Iravel oubide of Te�ws. ��te Sdredme T. 1U Pdnclpel oaupetlart f Job qUe {FOR NON-JUDICWty(3ea Inslcvctbns) 11 EmPloyef (POR NON-JUDICIAL)(8oa Inetnmtlone) �� .--�-�_ 12 ConMbutoYs R��Gpal accupatton (FOR JUDICIAL) �3 ConMbulots job U8e (FOR JUPiDIAI.)(8ao Inawqlona) �� tQ COnMbotors employeMaw flrtn (POR SUDICIAL) 15 Lew flrm of c:ontributol'e spouae (I( eny) (FOR JUDIOIAL) �� 76 Ii mntrFburor le e ahild, lew Iirtn of pore�(s) (If eny) (FOR JUDICWL) pg� Full name o1 conMbutor ❑ am.obau�e pao��iop: � pmaunt of � In•klnd canLibutlon y �� V r�� i nVtbu4on S� ae cN don W /� �.........��.........�� . ...��...... �,� , � Iy� Co Iribubr atld , typ;�� J � Ip Cade `��. •� � � / 2 `� �j/�J�/ //� �� "/)L�}y� l:�Ve, � �{ rJ �%� (/ d�(y, "'° "`i �lq r� l�il �� /i�"7 �cnerx n aavai oucaia� m ro�e. comamt� su,oauio T. PdnWpal occupeYo Job Utle (FO NONJUOtC�AL)(9eo Instru ons) 8m to pR NON.IUdIC�AI.){8ap InsWctlona) CanUthulor's princlpal occupettan (FOR JUpICIqL) . ConMbutor's job Uqe (FOR JUDIOfAL)(8ea InatrucUons) _� � CondibutoYs employe� rm (FpR JUDIC1At) Lew firtn of conoibuWYa eRouse pf an� (FOR JUDICIAL) �� if mnttlbutor Is a cMld, Isw flfm qf parent(s) (If any) (FO JUDICIAi) ATTACH ADDfiIOWpL COPIES OF THIS SCNECIULE AS HEEDED It contr�butor is outrof-slete PAC, please eeo Instructlon gutd0 far atldltlonai repoKing requiremente. FormsprovldedbyTexasEthfceCommisslon wvnvslhice.etele.Ix.us ReWsadl/1/2024 LOANS SCHEDULE E If the requested information fs not applicable, DO NOT include this page in the report. The �nstruetlon Gulde explains how to complete this form. � rotai pages Scneauie e� 2 FI E E 3 Pfier I� (Ethics Commiaeion Filere) �'�� Gva��e��lti 4 TOTAL OF UNITEMIZED LOANS $�� ,c,� 5 D ofloan 7 Nameoflentler �ouPof-s�tePAC(IDk: ) 8 LoanAmount($) � � � �.% � � �:a��,�.... �.....�Q�i<a��:.:... � ��, g Is lentler 10 ��tares[ra[e 6 Lentlar atlC ss; Clry; � Stete; Zlp Cotla a tinenciel InsQWtlon? / j� �-' (/pQ� � �"7��C/�� 11 Maturitydete Y C;kJ � � �� . �' - �2 Pdncipal occupatioq /. b llUe (See Inswctlans) 13 mpipyq�(See InsWcifona) n� r�� 14 DeaeripUon of Collateral 1S� Cheek If perSonel funtle were tleposited into pollllCal � �none account (3ee Inatmctlons) �6 GUARANTOR 77 Nemeofguerantor 18 AmountGueranteetl($) INFORMATION .................................................................................. 78 Guerantor address; Ciry; Slate; Zip Code � not applicable 20 Principal Occupatlon (See Instructlons) 21 Employer (See Instructlons) Dateofioan NameoFlentler �out�aFatataPACQO#: � LoanAmount($) .................................................................................. Is lentler Lender addreae; City; Sfate; Zip Code �^�erest rete e Onancial Inatltutian? Maturily data Y N Prineipal aceupation / Jab title (See inswctlons) Employer (3ea Inswctions) Descnptlon ol Coilateral � Chack if personel funds wara tleposited into paliticel ❑ none account (See Inatructlona) GUARANTOR Nameofguerantor AmountGuaranteed($) INFORMATION ............................................�..................................... Guerantor adtlrese; Ciry; State; Zip Code � not applicable Principal Occupetion (Sea Inatructlona) Employer (Sae Inetrucllona) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED It lendar is out-of•state PAC, please see Instructlon guide for additfonal reporting requirements. FortncnroviAedhvTevweEthir_¢Cemm(salon Vnvw.ethlCS.Sfe�¢.tX.US ReVISed1N/2024 POLITICAL EXPEN�ITURES MADH FROM POLI'fICA� CONTRIBUTIONS If ihe requested InformaQon fa not applicable, DO N4T inolude this page in ihe Fxv�Norrurx� an�ooa�es �aR sox e�� (c� � Chod�ttbevmw�(daolTmnaCamplqte8tliedWeT. aavorttaing Bxpenso E�emEvpo�as loan�men� gyl�t�yFyr��p�ng� AmM+�g�ank�B 6rtes � OIRCeOvahesN:�aNelEvpermo Tra+�O�k�ECWP�BRefe1BCF�Wwae ��s�� .Faodiawa�neve+�e�mo rom��yonoa Trovo�inamma OOM@uUpttlOanatlomModo6Y oNVAwaMelMwneXelaF-W�atree PdntlnBe+Porreo 7mVolOulOf07aMG cenmaamromoertetdeNPoauralcommHwo �5arvkea 6ale�treNJoposJConvaalancr Othortontarambe�Yr�nemdabove) �� The Inelruation Dulde oxplelns how eo oomplolo thle form. Tolel peHes SohaO�le F7; �eneme ' � p, � �� Qi'%i-C�1. V�(� ►R 8 Ambunt ($) � � POyee etldreas; Glty; Sc ��, �i � ��. �� 53 g (a) Cpl9gory �sooGa�oeoSoellqoaatlReropotweaonoaulo) (h) Oeseriptlon PURP6SE �///j n ,��. y" �1�� - EXPEN ITURE + ��`✓ �'t.�'1 � IC'N"C�'�� I 8 Comptete 4NR1( IS 6traef axpenditure to bane(t GOH l / r nmounc �s, aaree eaaress; � I�� I�� %�au.ci�, �,�� C��'e ncetae rlSseocaie�urceensieamum�+mu,�secneaueo� PURPOSE �J/� A -�� qP V !v�- EXPENDITURE � Chakpbnvolw6EaolTaxm.ComtlobShctwWloT. CompteSe gyyY I} dlteel ' o��hn.) ��8...naSAF axpandlWre to banotlt CIOH � ,�� 0 PURP09E OF 6XPEN�RURe Complate QNLV If tlirecl e�pendlWro to 6enall! ClOH SCHEDULE F1 (Ethip CommisstCn F7fore) Chork il Avapn, 771, eftkeAWGnr 6wng wpensa i souBhV. ne Offlce halA � Chedc il AuaVn. T%� omW holCor MInB NOema is u ht qiRoe heltl ��-c�_ �l � W �� i �p�� Payea addrees; / �j(,�1 � V ��iLnfN�(i � Cal9gofy �SeoCBqrgoXBalWtOtletUlotopo(VIIOBc1�aQulo) �/�� ct�ed:aaew�wmbea�ara�.compmwsrnoa�ror, Cliy; Stete; 71p Code � �"�� UeswipUnn �-��,r�ue�"l� � v�C% [] eneex +r a�au�. m, O�COMidm IIrMg arponao I ATTACH AOUITIONAL COPIES OF TNIS SCHEDULEAS NEEUHD Forms provfded byTexas Ethios Commisslon www.elhlcs.atete.M.us POUTICAL EXPENDITURES MADE FROM POLITICAL C�NTRIBUTIONS SCHEDULE F'I If the re uested Informetton ia noi appltaeble, DO NOT include thf� page In lhe report, EXPENb17URE CATEOORIES FOR BOX 8(a) AAvoNt� aln�g 8zneonao �lHEqqme � �� g�p�y�� WrouW�BE�a�e FaoC/Bavam9eE�eiWD POIQnB�w TNV01� IPO�COq��n,SReletBdEqan59 Co�tlomModoBy 61NAwarde7MomalelaE�erree PAntlngCxporeo 7rrtvalOu101Dia41G CenNtietBiO111oal1aidBNPoellralC0.Trt11WB LBge1SeMOB3 Be1B�ImIWn909fCN148CLPYof Olhnf(9t1t01aealOporyrwtllbtBdBboVe) �� The Inelruotlon Gulda oxplalna how to qomploto thle form. 1 Tatal pee�oAeO�ta F1; 2 FILE,BJYltijelE r%1 �� 3 Fiter ID (£ihles Commfaskn F7to�ey �/ 39/i.e��T�G 4 � n g P eme �^p '+^� n' � d� � � � . /'K'� T �� l� 8 A ount ($) 7 Payae eGdresa; � 41ty; Stete; 21p Qode �� '�"� 7 C�? `F�"��n,sa�- �v �-c�V� '� %'�-�-� $ (8) (Jtil9gory �SooCSiogolto011eloE8tlhatvpalWa004o4Y1e) (h) DescrfpUon PURP036 E%PE 0(TURE �Vllti ��Go��-�,/ �[''� ��(�i'v✓`� (c) � dmd�ttbavdw�idaof7mea.GmnWnfe8d�adWeT. � ChookilAuetln.TX�oflkehWCef6�lnHwPerO 9 Comptele,Q�(UQI7ec1 ��leeholdar eme / Otft�¢ sought OiRcehetd aMpenditura to 6onafil C/OH � � _c�/ �A� P //e /�/�, �,� ou �- w w Oet Peyee neme � �1��- � ��.� Amount ($I PaYsa adtlress; Clly; State: Zlp Catle �`��, �� (��v�w�A-- G�v, Cz��e�/�� C9tagory( eaCataporlaailslatlatihouyaflhlauUeCuta) DosC�p�on J PU aF SE ��/'"t�%� G�"��" �Y Z1T (LiL (i�'N—'F EXPEN�RURE J � ChatictlVmrelautldoalTam.CamyotoSehoEJfoL � Che�x II AueWi, 7%, ollfmhoWor IMng ocperrse Complste g�,y if direct 1 QNfeo�c�der n�me OfFlce sought QHtce heltl oxpunditure to banaBl CION f�� /J, l�r�'__ , y'„� ,•7_ f'�!� � f/ j L/✓ ((:(/fdW (�!G �,.9 paj� Payeeneme � �Ir �`� �9;� l/I/�� cx�►�., � Amount ($) payeeaddreea; /' �/"�`� Cit l'�U�/�� te: 21RCoda C� l�, b�' ��j(cz r�2z iv�1c s� � Cetegory (6eoCalogoXealtalotletlheWDeIIXIeeeTudulOy OesplpUon p PUROP� 9E �//� .f��, �,,�y/� ��, _ / �n/ //,l7 (fa FXP�NPITURE I �°''� . !i3'�Yv""'�� .L�, (�r�ti T Q dreexuaevmauvnaanma.arnrmwsewaurer, [] cnaek rtn�aun. rx, o�wnawm nvme o�nao Complate �},y if dlrect �� I McehWder neme Otfice so hs Ufflce heltl ezpendlWre to 6enafit CIOH ./ �,.� A. IG �.,,f� . � , d o7_ 3 �,� ./�� /� ✓ _ (.�iJ z(t�i(,t V"fL„ �s� C1 6(e' ATTACH D�ITIONALCOPIESOFTHISSCHHDUI.EASNEEA�D Forms arovfded bvTenas Ethics Commiaslon www.ethles.at�te.M.us Revised 1J112824 POLITtCAL EXPENDITUR�S MADE FROM POLITICAI. CONTRIBUTIONS If the requesled information is noi a�plicable, DO NOT include this page in th� EXFEND�TURE GATEOORIF� FQR BOX 8(a� SCHEDULE F'I AUwnteing Ezpaneo EwMF�ppM1so Cyan�ymm�vR�dncmnmt ,�(�gpp�/Ryrpp�g�gE,yp�yq ��nB F6es plReeGrefiOaNRaNal6pe�mo htvepmlelimEQvlpmvnlSRetatetl@q�er�se Corou�e FaodlBavemeeF�e�ao Acmne�so imvo��earouw OonWtwll ModoBY QiINNAwarde�Mwno�le�sE+�enee PdntlngExpareo 7rpVVo10NO�OtBMG cendwem�Omaanotdermoaueelcammivoe LogelsaMoes saWtos/WnBaNConuaalanar C�hntlanterawbgory�iteeedabove) �� 7he Inetruotion liulde oxplalns how to aomploto thls form. 1 Totel p8qe�,SohaOute Ft: 2 � 4 oa�e , /. . / . 5 3 FUer ID (Elhles Commission F71ote) 8 Amount (S) � 7 P0ye9 atltlresa; I Giry; , Stete; 7tp Qode �(��-.�� l ��l c� ��= �s�� /i� �um��a,��i��, 8 (� Cpt6gcry �SooCAIOB��oillstvtlatlhebAo��aw�aQYla) (n) oeecr(puon �,, , PV oF 5E �'4^�J�i� /�C�ll (�� 'C"'% E%PEHDCNRB (c► � amattbm,moumtdeorrmse.CamcwreaeredweL [] cnoeknnwun.n6aneaneroarfivin¢oYpm�se B apanditvre�t bolneltGOH � e/GJ�leehot g/t{ame.. ,/..'."r{'/. . ��i1.tZ°.i%//. ( ��, ,f>I /.oWMcehelE � / � Da Payee neme / � �II J�%�' ��✓�O� K/ �C[,�111.`-} �'�� iF7/�.� Amcunt ($) p�yee sddress; City; Sfete; Zlp Code �a� � a �� BD�� . �� Catagary (Beacategeneeanieaeturouaaru�bachaeNa) oeecr�pa n . � PtfRPQS� � �� i,/dL2- PR � 7 EXPENDRURE � Cliecktltmvalaumtlaol7¢vc�.CemqobSd�doL � Check II AusW, T%, WllcahoWor tiving oxpema Co�mplete QN6Y If direct n .-A`//,hcWe�i��.l� _,. �t� O%J1�e n/{' /7n ,n/ l� Oflic9 Maitl o� ondlWra W banoflt CIOH � �/ l� u"1 ��g� PURP09E OF EXPENORURfi � �� .� / t �'G'�✓ ' � 'l�-' ��j � Payeeaddreea; Clly', Stale; 7JpCode �7 l � �iVc�rar�aZJ �j vr��C�%C�ll �� ' CBtugory (SeoCowqaHasflnwtlauhempolNleac�edWo� ��/�� ,�.- � � Chvth M AueUn. TX, n�awnaaor im�ng wqwnao Complaw �y If direct e�gendlWre to 6ene0! ClOH fl COPIES OF THIS NEED�D FormsprovldedbyTezasEthicsCamm{s51on www.elhlcs.atele.d.us Revtsetl 1H12624 POlITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS If the requested lnfortneUon ta not aaplioable. DO NOT inolude tfiis oaae in the � EXPENOtTURE CATEOORlE5 FCR BOX 8(a) Ativor�leing 8xponeo EvemFipoma luan�vRe6wwemnant 6o1k1�pvNFyrWm�ingE�lOnee �P� ��P�+�& ReletBd E9�a�ae ��^8�^^� FaodlBavem9�� p� 6W��NO�E1SBIi80 TiPY011nOIBMQ camro'mo�sioonadorernodoey awa,Yereemsa,ane�sc-�e�me Penn�e�w�ao 7mvWOu�Of0leMa Cend(tlata/Om��attleNPa911e91CammlVae Lg0e15oMo99 8efe�lasNJnpG9lContrecllatlM OUWf(ontaracebgorymtlfs�dabave) �� , The lnairuotion Gulde asplelns how to oomploto this ferm. Talel �-�� 8 PURrose OF E]CPENDITURE :� 3� SCHEDULE F1 CAmm18810n Fllore) L GIN� Siete; 7Jp �y�9> �y�,�;�-� ��/ (� Cats6o�Y IsouuioB�oeitaoaa�ma�oaoiunaeonoaa�e7 (b1 �V��•YI I(cj � qmdtthevdeumkeoFilaeeCwnp�nteBAiedWeL � phoek II Awlin. TX, oflhBhuMer BWnp a�pensa Compteie4y61t1t61ree1 �' J rsholder�{am� Ofl[ aought ofReaheto eapendlture to boaefit ClOH /f�� / /�77y`�� /��I�/� /}°7 �� / L✓I AVGU✓ L.O l sr./ Deta Payeeneme � �� 4 �� c�� y� anoun� (S) payes aaa�e�; ciry; srece; ap coa 51 �,�� 1z��3 �(� � - Catogory (8eoCategerleaile�atlotfhompotNbxhedute) Deac�p�/on PUR"P�OSE � f ln� �� _. / /�" /� ,�/ „� v� -,r,,s��,. � � K EXPENDRURE Comptete QN6$ if direcl azpandlWre to banollt CIOH �II I ,� PURPOSB OF E]CPENDRURE Complele �yy If direct e�pendlWre to benelit ClOH CI�aCk dberel wWtleolTl.W. ComD�a 9cho WIOL p/�L'%i�`-f Paryee addreea: �� Category (SeoCatogo11aa1WtoEacUwmvollFlsaNadulo) �� t� e�'`�'""✓ Q t�qwvulwmWeMlBrm.Compbla9rhoauteT COPIES CheaM 11 fwatN. TX, M�cuholdor IMnB mDemo i sauuht n ONiCO haW �`�1i1�' � Slele: �21pCoda �� , Desuip0an �� n� ChaM tf AueUn. TX, o�wMbor Ilring mpanso )SOu9�% ..! . OtflCB NEEQ�D Forms provWed by Taxas Eti�ics Cammisslon POLtTtCAL EXPEhIDITURES MADE FROM POUTICAL C0IVTRIBUTIONS SCMEDULE F'I If the re uested lnfortneUon fa noi appifoable, DO NOT include this page fn ihe report. �xr�Hurru� ca-�ooR��s Faa aox a�a� AAvortl� en I�n�E�xnBaneo � Eqqme �� ,gp��pg�u�p�� Coteuf�b+B�awe Paod/eavamBeE�a+ao �P��IUlpmmrtBRetaietl�e ConWbiNWdDwletlaqModoBY ddVAwartlefMmnoflB�BE+We1188 CAP�n� Eqqneo TfAV011nOletltd CertdltletelO�le911NtletlPoBlltalCommivae B�+m�so 7ravWOYlOfOtgWG �eB�S9rvICB9 Se16�ImNYf�09IGOf�IRGlBEM OU1Gf(CtItWeCakgory1�1�80Bd81MYB) �� The Ineuuauon ciulde oxptatna bow to aomplMo thls Porm. 1 Tolel pBHe ctiatlute FL 2 FI�� —��,. 3 Fiter ID (Et�lcs Commisefon FlIaB) � �: 4 � - $ Psyee e � � �� 8 amoum (S) 7 ravee aaaresa� o�b� srete� 21p ooaa ��na�� v�6��y� �,,�" �� g (a) Categoy (soacawe��awe�mawnorudeaonoaula> (b) oescnptlon PURPOSE �i c//�./}Y�t��1� /� FJCPEHOtTURE � � �� (� V r , V �.1 (Cj � Gaidttbevmw�tmofivae¢.CmnryometlisiWeT. � ChorkllAuetln.'ryt,oflkOhoMorflvU�gmpense 9 Complele 4Z41,Y It Olrocl Ofltee oldern � ORiea ht / � offles hela eapandlture to ba�afil ClOH _ � � Q�i �G �� Data Peyeeneme - nmo�n� �s) payee aaa�e�; ciry; sa�e; ap coce C9togoy (BeoCalagn�leailstatlotiheupotNUu�eCuie) Doec�iptlOn PISRPOBH ax ExaeNorrc�ree Q Chadctl4avala�dodTarw.CampbbStltoQutoT. � CReCM H/wsW. T%, Omcaholdor iMnB uapemtl Comptete �{I,Y It direct Can4ldato / OfflcohoWer name Ofllce sought qfryoe hettl a�pandllura to bonoBt CIOH � p� Peyaeneme Amount ($) payse addreee: Gify; Slate; 21p Code Cafegory (SeaCa[ogatlealWloAetlhaloDOlNleaMSEuloy Desa71pUo71 PURP09E OF EXPENORURB Q pre�kHag�W WbWeatl§im.CompteW &hoEukT, � Cnaak If Aualln. T%, o�awneaar nrma m�,onao Complete f�,y If direat Cendidate / ORlceholdar nama OHiee saughl Omca heltl e�gendlWre to bertefi{ CfOH ATTACH ADDITIONAL COPIES OFTHIS SCHEDULEA5 NEED�D FormsprovidedbyTezasHtiiicsCummiselon www.elhlcs.afete.d.us Revisetl 1H/2024 UNPAID INCURRED OBLIGATIONS SCHEDULE F2 If the requested information is not applicable, DO NOT include thts page in the report. EXPENDRURE CATEGORIE3 FOR BOX 10(8) nwenieina�ae�aa E�e�«ea �oanrtepayma�uaeimew��x SOIldtatianlFuntlrebingExpaneo AmounUng/BanitlnB Foae OfliceOverhaeNRentelExpensa TreneportetlonEqulpmentBReleteOEzpanea CaneulUngExpenae Footl/BeveregaExpanse PoWngEl�pense TravellnDlelnct ConYibutlane/OonetlaneMetleBy GINAweNelMemorleiaEryanse Pry�tlngExpanee TravelOutOfDlablcl Candiaate/OFiceholtler/POIIUralCommlttea LegalSarvlees 3alerlstlVJeB��aLebor ONar(anlaracategoryrrotlleledabave) Tha Inetructlon Gulde explelna how to completa thls torm. 1 Totel pegea 5ahedule F2: 2 F NAME � A. 1�� 3 Filer ID (Elhica Commlaslon Fllare) � jjyi 4 TOTAL OF UNITEMIZED UNPAID CURRED OBLIGATIONS $ � g$ xt l o�o 5 �a 6 Payee ame � !� C�v� � 7 Amount O 8 Payee a d ess; �' � City; Sfate; Zip Cotle ��J�J �� e�� 9 TYPE OF EXPENDITURe PolltlCal � Non-Political 10 (e) Cetegory (3eJe�CeteBotlealietetletUelopoflhisac�atlula) (b) DescN lbil PURPOSE �!v'L✓UV "t C.i%l"f`"�-L'� [,'""�/G�� C%C�L��%�Y r �'� OF G �j EXPENDITURE (C) � C�eckl/baveloubiEeofTeras.ComplelaScheOulaT. � ChackllAue�In.7%.olllwhoWerlivinBezpenee 11 Complate Qpj`y If dlreCt Aete Offlceholtlef nama OHlce sought Offlce h8id anpendiNra to beneft C/OH .�� a�y��-- C.�� C� ►�� ' Date Peyee neme Amount ($) Payee address; Ciry; Slela; Zip Code TVPE OF EXPENDITURE � P011tiCal � Non-PolltlCal CatBgOry(S9eCetagatlesllsledelNotoDoflhiasclledula) D09cdptlon PURPOSE OF EXPENDITURE � ChackHUevelauleltleolTaxea.CompeiaSchetluleL � C�eck If Auelln, TX, ofllceholtlot INInB arpanee Complete Qj�yy if direct Cantlltlate / O(flcaholder name Oftice sought Offica held axpandlWra lo benaflt C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Fnrmn nrnvided hvTevwe Fthir_¢ Cammissian wwa.ethics.state.tx.us Revised 1/1I2024 RECEIVED April 3, 2024 City Secretary's Office 12:03 p.m.