Campaign Finance Report-Michelle Watson (3)CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
The CIOH Instruction Guide explains how to complete this form. 1 1 Filer ID (Ethics Commission Filers) 2 Total pages filed:
3 CANDIDATE / MS / MRS / MR FIRST MI
�(s 1 OFFICE USE ONLY
OFFICEHOLDER
NAME.................... ................................... Date Received
NICKNAME l.�S SUFFIX
4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
OFFICEHMAILING OLDER �� (� `� son �'. n_aj`
ADDRESS �"
t - Z❑ Change of Address L..�
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
Date Hand-dei red or Date Postmarked
OFFICEHOLDER
PHONE, ibj
------ Receipt # Amount $
6 CAMPAIGN MS / MRS / MR FIRST MI
TREASURER t� NAME ................. ............ Date Processed
NICKNAME ST SUFFIX
Date Imaged
7 CAMPAIGN STREETADDRESS (NO PO BOX PLEASE); APT+/ SUITE #; CITY; STATE; ZIP CODE
TREASURER
ADDRESS V Q �--�
(Residence or Business) ) l(�l
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE ^ / - D 2.�>a
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 Final Report (Attach C/OH - FRI
Reporting Limit
10 PERIOD Month Day Year Month Day Year
COVERED /tp ..[1'v
I1 / THROUGH .[I[
11 ELECTION ELECTION DATE V K
Description CTION TYPE
Month Day Year ❑ Primary ❑ Runoff Other
❑ General ❑ Special
12 OFFICE I OFFICE HELD (if any)
13 OFFICE SOUGHT (f known)
14 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL THE CANDIDATE 1 OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER'S KNOWLEDGE OR
CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE TYPE I COMMITTEE NAME
GENERAL
Additional Pages
❑ SPECIFIC
COMMITTEE ADDRESS
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
I GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
15 C/OH NAME
FORM C/OH
COVER SHEET PG 2
16 Filer ID (Ethics Commission Filers)
17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS $
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
TOTALS $
i
4. TOTAL POLITICAL EXPENDITURES
$
CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$
BALANCE
I
OF REPORTING PERIOD
OUTSTANDING
6. TOTAL PRINCIPAL AMOUN LL O NDING LOANS AS OF THE
LOAN TOTALS
LAST DAY OF THE REP TING PERIOD
$
18 SIGNATURE I swear, or affirm, under
required to be reported by
r Ve 15, Election Code.
Please complete either option
1701-10
and correct and includes
of Candidate or
o�,sY ►o,� SHEILA M EDMONDSON
(1) Affidavit Notary ID #124952131
y�'or My Commission Expires ,
March 17, 2029
NOTARY STAMP/SEAL
MIC14dit
Swom to and subscribed before me by ipL' A jthis the day of
+—
- r
(2) Unsworn Declaration •
My name is _
My address is
Executed in
(street)
County, State of _ on the
, and my date of birth is
(city) (state) (zip code) (country)
day of , 20
(month) (year)
Signature of Candidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/202(
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
19
FILER NAME
20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS
$
2.
El
SCHEDULEA2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$
3.
SCHEDULE B: PLEDGED CONTRIBUTIONS
$
$
4. SCHEDULE E: LOANS
5.
SCHEDULE FI: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
6.
El
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
7.
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
s.
9•
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$
$
10.
11_
El
SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
SCHEDULE I: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
$
12.
SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED
TO FILER
$
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Date
5 Full name of contributor
❑ out-of-state PAC (ID#: )
7 Amount of contribution ($)
..................................................................................
6 Contributor address;
City; State; Zip Code
8 Principal occupation / Job title (See Instructions)
9 Employer (See Instructions)
Date Full name of contributor
I
❑ out-of-state PAC (ID#: ) Amount of contribution ($)
. ................................................................................
Contributor address;
City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date Full name of contributor
❑ out-of-state PAC (ID#: 1 Amount of contribution ($)
................................ ..............................
Contributor address;
..................
City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date Full name of contributor
❑ out-of-state PAC (ID#: ) Amount of contribution ($)
...................................
Contributor address;
.......:.............. ... ..
City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
If contributor is out-of-state PAC,
please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
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:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
i
4 TOTAL OF UNITEMIZED IN -KIND POLITICAL CONTRIBUTIONS $
5 Date 6 Full name of contributor ❑ out-of-state PAC (ID#:
) 8 Amount of 1 g In -kind contribution
Contribution $ I description
I
7 Contributor address; City; State; Zip Code I
[:]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 Contributor's 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 spouse (if any) (FOR JUDICIAL)
16 If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)
Full name of contributor ❑ out-of-state PAC (ID#:
Date
I
Amount of In -kind contribution
Contribution $ I description
I
............................................................................
Contributor address; City; State; Zip Code 1
❑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 www.ethics.state.tx.us Revised 811712020
PLEDGED CONTRIBUTIONS SCHEDULE B
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
2 FILER NAME
1 Total pages Schedule B:
3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED PLEDGES $
5 Date 6 Full name of pledgor ❑ out-of-state PAC (ID#: 3 8 Amount I 9 In -kind contribution
of Pledge $ I description
I
7 Pledgor address; City; State; Zip Code
I
❑ Check if travel outside of Texas. Complete Schedule T.
10 Principal occupation / Job title (See Instructions) 11 Employer (See Instructions)
Date Full name of pledgor ❑ out-of-state PAC (ID#: I Amount I In -kind contribution
of Pledge $ I description
I
...... ........... ............................
Pledgor address; City; State; Zip Code
I
❑ Check if travel outside of Texas. Complete Schedule T.
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of pledgor ❑ out-of-state PAC (ID#: } Amount of
In -kind contribution
Pledge $ I description
I
Pledgor address; City; State; Zip Code
I
❑Check if travel outside of Texas. Complete Schedule T.
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of pledgor ❑ out-of-state PAC (ID#: Amount of I In -kind contribution
Pledge $ I description
..........................................-...............................
I
Pledgor address; City; State; Zip Code
I
I
❑ Check if travel outside of Texas. Complete Schedule T.
Principal occupation / Job title (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
LOANS
SCHEDULE E
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 E:
2
FILER NAME
3 Filer ID (Ethics Commission Filers)
4
TOTAL OF UNITEMIZED LOANS
$
9 Loan Amount ($)
10 Interest rate
5 Date of loan
7 Name of lender
..................................................................................
8 Lender address;
❑ out-of-state PAC (ID#: )
City; State; Zip Code
6 Is lender
a financial
Institution?
11 Maturity date
Y N
12 Principal occupation / Job title (See Instructions)
13 Employer (See Instructions)
14
Description of Collateral
15
❑ Check if personal funds were deposited into political
❑ none
account (See Instructions)
16
GUARANTOR
17 Name ofguarantor
19 Amount Guaranteed ($)
INFORMATION
..................................................................................
18 Guarantor address;
City; State; Zip Code
❑ not applicable
20
Principal Occupation (See Instructions)
21 Employer (See Instructions)
Date of loan Name of lender
out-of-state PAC (ID#: ) Loan Amount ($)
...............................
Is lender Lender address;
..................................................
City; State; Zip Code Interest rate
a financial
Institution?
Maturity date
Y N
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Description of Collateral
if personal funds were deposited into political
El
❑ none
account (See Instructions)
account
GUARANTOR Name of guarantor
Amount Guaranteed ($)
INFORMATION
...............................................................................
Guarantor address;
City; State; Zip Code
❑ not applicable
Principal Occupation (See instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
If lender is out-of-state PAC, please
see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS
SCHEDULE F1
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement
Solicitation/FundraisingExpense
Acoounting/Banking Fees Office Overhead/Rental Expense
Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense
Travel In District
Contributions/Donations Made By Gtff/Awards/Memorials Expense Printing Expense
Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services SalariesMages/ContractLabor
Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1:
2 FILER NAME
f 3 Filer ID (Ethics Commission Filers)
5 Payee name
11
4 Date
State; Zip Code
5 Amount ($)
7 Payee address; City;
g (a) Category (See Categories listed at the top of this schedule) i (b) Description
PURPOSE
OF
EXPENDITURE
(C) Check iftravelo ,Aside ofTexas.Complete Sch
g Complete ONLY if direct Candidate / Officeholder name
expenditure to benefit C/OH
Date Payee name
Amount ($)
PURPOSE
OF
EXPENDITURE
Payee address;
Office sought
Office held
City; State; Zip Code
Category (See Categories listed at the top of this schedule) I Description
Check iftravel outside ofTexas. Complete Schedule T. Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date I Payee name
Amount ($) 1 Payee address;
City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
Check iftraveloutside ofTexas.complete SrheduleT. Check If Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
UNPAID INCURRED OBLIGATIONS
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 10(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
AccountingBanldng Fees Office Overhead/Rental Expense Transportation Equipment& Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/VVeges/Contract Labor Other (entera category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F2: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED UNPAID INCURRED OBLIGATIONS I $
5 Date 6 Payee name
7 Amount ($) 8 Payee address; City; State; Zip Code
9 TYPE OF
EXPENDITURE
10
PURPOSE
OF
EXPENDITURE
11 Complete ONLY if direct
expenditure to benefit C/OH
Date
Amount ($)
El Political Non -Political
(a) Category (See Categories listed at the top of this schedule) I (b) Description
SCHEDULE F2
(C) Check iftravel outside ofTexas. Complete Schedule T. Check if Austin, TX, officeholder living expense
Candidate / Officeholder name Office sought Office held
Payee name
Payee address;
City; State; Zip Code
TYPE OF
EXPENDITURE ElPolitical Non -Political
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
❑ Check iftraveloutside ofTexas.Complete Schedule T. ❑ Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/1712020
PURCHASE OF INVESTMENTS MADE SCHEDULE F3
FROM POLITICAL CONTRIBUTIONS
If the requested information is not applicable, DO NOT include this page in the report.
1 Total pages Schedule F3:
The Instruction Guide explains how to complete this form.
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
4 Date g Name of person from whom investment is purchased
................................................................................................................................
6 Address of person from whom investment is purchased; City; State; Zip Code
7 Description of investment
8 Amount of investment ($)
Date Name of person from whom investment is purchased
......................................................................................................................... .....
Address of person from whom investment is purchased; City; State; Zip Code
Description of investment
Amount of investment ($)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 10(a)
Advertising Expense Evert Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/ContractLabor Other (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F4: 2 FILERNAME 3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TOACREDIT CARD $
5 Date 1 6 Payee name
1 7 Amount ($)
9 TYPE OF
EXPENDITURE
10
PURPOSE
OF
EXPENDITURE
1 11
Complete ONLY if direct
expenditure to benefit C/OH
Date
Amount ($)
TYPE OF
EXPENDITURE
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
a Payee address;
City; State; Zip Code
❑ Political Non -Political
(a) Category (See Categories listed at the top of this schedule) I (b) Description
(o) Check if travel outside of Texas. Complete ScheduleT. ElCheck if Austin, TX, officeholder living expense
Candidate Jr Officeholder name Office sought Office held
Payee name
Payee address;
City; State; Zip Code
El Political Non -Political
Category (See Categories listed at the top of this schedule) I Description
ElCheck iftraveloutside ofTexas.Complete Schedule T. ❑ Check if Austin, TX, officeholder living expense
Candidate / Officeholder name Office sought Office held
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/202(
POLITICAL EXPENDITURES MADE FROM SCHEDULE G
PERSONAL FUNDS
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/DonationsMade By Gift/Awards/MemorialsExpense Printing Expense Travel Out Of District
Candidate/OFioeholder/Political Committee Legal Services SalariesMages/Contract Labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
4 Date 5 Payee name
6 Amount ($) 7 Payee address; City; State; Zip Code
Reimbursementfrom
El political contributions
intended
$ (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE
OF
EXPENDITURE _
(c) Check iftraveloutside ofTexas.Complete Schedule T. Check if Austin, TX, officeholder living expense
9 Candidate / Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit C/OH
Date ! Payee name
Amount ($)
Reimbursementfrom
Elpolitical contributions
intended
PURPOSE
OF
EXPENDITURE
Payee address;
City; State; Zip Code
Category (See Categories listed at the top of this schedule) I Description
Check if travel outside of Texas. Complete Schedule
Candidate / Officeholder name
Complete ONLY if direct
expenditure to benefit C/OH
Date I Payee name
Check if Austin, TX, officeholder living expense
Office sought Office held
Amount ($) Payee address; City; State; Zip Code
Reimbursement*=
political contributions
intended
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
Check if travel outside ofTexas. Complete Schedule T. EJ Check if Austin, TX, officeholder living expense
Candidate / Officeholder name Office sought Office held
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/202
PAYMENT MADE FROM POLITICAL CONTRIBUTIONS
TO A BUSINESS OF C/OH SCHEDULE H
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office OverheadlRental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By GWAwards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officehokier/Political Committee Legal Services Salaries WageslContract Labor Other (entera category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule H:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Date
5 Business name
6 Amount ($) 7 Business address; City; State; Zip Code
$ (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE
OF
EXPENDITURE
(c) Check iftravel outside ofTexas. Complete Schedule T. El Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct
Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Business name
Date
Amount ($)
Business address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
ElCheck if travel outside of Texas. Complete ScheduleT. ❑ Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Business name
Amount ($)
Business address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
ElCheck if travel outside of Texas. Complete ScheduleT. Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
NON -POLITICAL EXPENDITURES
MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE I
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 I: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
4 Date 5 Payee name
6 Amount ($) 7 Payee address; City State Zip Code
8 (a)Category (See instructions for examples of acceptable (b) Description (See instructions regarding type of information
PURPOSE categories.) required.)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City State Zip Code
PURPOSE
OF
EXPENDITURE
Date
Amount ($)
Category (See instructions for examples of acceptable
categories.)
Payee name
Payee address;
Description (See instructions regarding type of information
required.)
City State Zip Code
PURPOSE
Category (See instructions for examples of acceptable
Description (See instructions regarding type of information
OF
categories.)
required.)
EXPENDITURE
Date
Payee name
Amount ($)
Payee address;
City State Zip Code
Category (See instructions for examples of acceptable
Description (See instructions regarding type of information
PURPOSE
categories.)
required.)
OF
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2(
INTEREST, CREDITS, GAINS, REFUNDS, AND
CONTRIBUTIONS RETURNED TO FILER SCHEDULE K
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 K:
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
4 Date 5 Name of person from whom amount is received a Amount ($)
1 6 Address of person from whom amount is received; City; State; Zip Code
7 Purpose for which amount is received
Check if political contribution returned to filer
Date Name of person from whom amount is received Amount ($)
Address of person from whom amount is received; City; State; Zip Code
Purpose for which amount is received Check if political contributionreturnedto filer
Date Name of person from whom amount is received Amount ($)
.................................... ... ..
Address of person from whom amount is received; City; State; Zip Code
Purpose for which amount is received Check if political contribution returned to filer
Date Name of person from whom amount is received Amount ($)
Address of person from whom amount is received; City; State; Zip Code
Purpose for which amount is received Check if political contribution returned to filer
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17120,
IN -KIND CONTRIBUTIONS OR POLITICAL EXPENDITURES SCHEDULE T
FOR TRAVEL OUTSIDE OF TEXAS
If the requested information is not applicable, DO NOT include this page in the report.
1 Total pages Schedule T:
The Instruction Guide explains how to complete this form.
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
4 Name of Contributor / Corporation or Labor Organization / Pledgor / Payee
5 Contribution / Expenditure reported on:
❑ Schedule A2 ❑ Schedule B ❑ Schedule B(J) ❑ Schedule C2 ❑ Schedule D ❑ Schedule F1
❑ Schedule F2 ❑ Schedule F4 ❑ Schedule G ❑ Schedule H ❑ Schedule COH-UC ❑ Schedule B-SS
6 Dates of travel 7 Name of person(s) traveling
8 Departure city or name of departure location
9 Destination city or name of destination location
10 Means of transportation
11 Purpose of travel (including name of conference, seminar, or other event)
Name of Contributor / Corporation or Labor Organization / Pledgor / Payee
Contribution / Expenditure reported on:
❑ Schedule A2 ❑ Schedule B ❑ Schedule B(J) ❑ Schedule C2 ❑ Schedule D ❑ Schedule F1
❑ Schedule F2 ❑ Schedule F4 ❑ Schedule G ❑ Schedule H ❑ Schedule COH-UC ❑ Schedule BSS
Dates of travel Name of person(s) traveling
Departure city or name of departure location
Destination city or name of destination location
Means of transportation Purpose of travel (including name of conference, seminar, or other event)
Name of Contributor / Corporation or Labor Organization / Pledgor / Payee
Contribution / Expenditure reported on:
❑ Schedule A2 ❑ Schedule B ❑ Schedule B(J) ❑ Schedule C2 ❑ Schedule D ❑ Schedule F1
❑ Schedule F2 ❑ Schedule F4 ❑ Schedule G ❑ Schedule H ❑ Schedule COH-UC ❑ Schedule B-SS
Dates of travel Name of person(s) traveling
Departure city or name of departure location
Destination city or name of destination location
Means of transportation Purpose of travel (including name of conference, seminar, or other event)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
CANDIDATE / OFFICEHOLDER 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" ••
9 C/OH NAME
3 SIGNATURE
2 Filer ID (Ethics Commission Filers)
1 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.
Signature of Candidate / Officeholder
4 FILER WHO IS NOTAN OFFICEHOLDER
•• Complete A & B below only if you are not an officeholder. ••
A. CAMPAIGN FUNDS
Check only one:
F--1 I do not have unexpended contributions or unexpended interest or income earned from political contributions.
have unexpended contributions or unexpended interest or income earned from political contributions. I understand that
may not convert unexpended political contributions or unexpended interest or income earned on political contributions to
personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain
unexpended contributions or unexpended interest or income earned on political contributions longer than six years after
filing this final report. Further, I understand that I must dispose of unexpended political contributions and unexpended
interest or income earned on political contributions in accordance with the requirements of Election Code, § 254.204.
B. ASSETS
Check only one:
1 do not retain assets purchased with political contributions or interest or other income from political contributions.
F-1 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.
Signature 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.tx.us Revised 811712020