12. COH-UC Candidate-Officeholder Report of Unexpended Contributions 01012026CANDIDATE / OFFICEHOLDER
REPORT OF UNEXPENDED CONTRIBUTIONS
FORM C/OH-UC
COVER SHEET PG 1
The C/OH-UC Instruction Guide explains how to complete this form.
1 Filer ID (Ethics Commission Filers)
OFFICE USE ONLY
Date Received
Date Hand-delivered or Date Postmarked
Date Processed
Date Imaged
Receipt #Amount $
2 CANDIDATE /
OFFICEHOLDER
NAME
MS/MRS/MR FIRST MI
NICKNAME LAST SUFFIX
3 CANDIDATE /
OFFICEHOLDER
ADDRESS
change of address
ADDRESS / PO BOX;APT / SUITE #;CITY;STATE;ZIP CODE
4 REPORT
TYPE Annual Final Disposition
5 PERIOD
COVERED
Month Day Year
THROUGH
Month Day Year
6 TOTALS 1.TOTAL AMOUNT OF UNEXPENDED POLITICAL CONTRIBUTIONS AS OF
DECEMBER 31 OF THE PREVIOUS YEAR.$
2.TOTAL AMOUNT OF INTEREST AND OTHER INCOME EARNED ON
UNEXPENDED POLITICAL CONTRIBUTIONS DURING THE PREVIOUS YEAR.$
7 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.
Signature of Candidate/Officeholder
Please complete either option below:
(1) Affidavit
NOTARY STAMP / SEAL
Sworn to and subscribed before me by _______________________________________________ this the ________ day of __________________,
20 ___________, to certify which, witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title 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 1/1/2026
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2026
C/OH REPORT OF UNEXPENDED CONTRIBUTIONS:
EXPENDITURES
FORM C/OH-UC
PG 2
8 C/OH NAME 9 Filer ID (Ethics Commission Filers)
10 Date 11 Payee name
12 Payee address;City;State;Zip Code
13 Amount
($)
14 Purpose of expenditure (See instructions regarding type of information required.)
Check if travel outside of Texas. Complete Schedule T.
15
Is expenditure a contribution Yes
to a candidate, officeholder, or
Nopolitical committee?
Date Payee name
Payee address;City;State;Zip Code
Amount
($)
Purpose of expenditure (See instructions regarding type of information required.)
Check if travel outside of Texas. Complete Schedule T.
Is expenditure a contribution Yes
to a candidate, officeholder, or
Nopolitical committee?
Date Payee name
Payee address;City;State;Zip Code
Amount
($)
Purpose of expenditure (See instructions regarding type of information required.)
Check if travel outside of Texas. Complete Schedule T.
No
YesIs expenditure a contribution
to a candidate, officeholder, or
political committee?
Date Payee name
Payee address;City;State;Zip Code
Amount
($)
Purpose of expenditure (See instructions regarding type of information required.)
Check if travel outside of Texas. Complete Schedule T.
No
YesIs expenditure a contribution
to a candidate, officeholder, or
political committee?
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _