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Campaign Finance Report 10-11-17
CANDIDATE / OFFICEHOLDER FORM c /oH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 I. Filer l0 (RhIcs Commission Fllors) 2 Total pages filed: The C1OH Instruction. Guide expiains:how to complete,Ahis form, 3 CANDIDATE / OFFICEHOLDER Ms f MR A ! FIRST " `�- ` �; Mi OFFiOE;USE ONLY FM j i j l' -'�1�' 4'f' it . ,. Date Received NICKNAME LAST SUFFIX ADDRESS /-PO BOX, APT 1 SUITI; #;: CITY; STATE; ZIP CODE /( ([ / s t � — d 666 4 CANDIDATE I OFFICEHOLDER MAILING x - f p » ° j r� �1 1 � Z / €� f.j,L §_z- / f ADDRESS ❑ Change of Address AREA CODE PHONE NUMBER 7 Y d EXTENSION 5 CANDIDATE/ OFFICEHOLDER` 'PHONE r / �c Date Handrdellyered, or Date Postmarked CAMPAIGN MS:/ MRS / R 1 FIRST Mt Recalpl # Amount TREASURER j�a NAME -.•- s 1 J` Date Processed NICKNAME, LAST .. 'SUFFIX .Cato Imaged T CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT /.SUITE 9; CITY; STATE; ZIP CODE: TREASURER ADDRESS tf �C sf ✓% (Residence or Business) S CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER (C' Ai } 06'_.� PHONE 9 REPORT TYPE ❑ January 15 30th day before election ❑ , Runoff ❑ 15th day after campaign treasurer appointment (Oftioeholder Only) July '15 ❑ Sth.day before election ❑ EXceeded $600 limit. ❑ Final Report (Attach C40H- FR) 10 PERIOD Month Day Year Month, Day Year COVERED /'`)/ E l f�' THROUGH / / :1 �' 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑! Primary ❑ Runoff ❑ Other - Z1,107 f General ❑ Descrlpilon. Sp'eatal 12 OFFICE OFFICE HELD (if 13 OFFICE (111 known) pany� �SO,sUGHTp Li4Jr''114:¢::Fr'f'.F`~ / "�3 6' J GO TO PAGE 2 Forms provided by Texas Ethics Commission www:ethfcs,slate.tx.us Revised 918(2015 �r CANDIDATE f OFFICEHOLDER FORM C /OH CAMPAIGN FINANCE REPORT COVER SHEE=T PG 2 14 r_NAME 15 Fier ID (Ethics Commission. Filers) 16 NOTICE FROM THIS BOX is Fop HOTice OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES .MADE BY POLITICAL :COMMLTMES'TO POLITICAL COMMITTEE(S) SUPPORT THE CANDIDATE I OFFICEHOLDER, THESE EXPENDITURES MAY HAVE DEEN MADE WRHOUF THE CAAND-•IDDATS!e-OI� oFFlCEHCLDEA9 �01Tr KNOWLEDGE OR CONSENT. CANDIDATES. AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS DANA I-ONIY IF THEY .RECEIVE NOTICE OF SUCH EXPENDITURES: •-'" ` COMMITTEE TYPE COMMITTEE NAME ' GENERAL COMMITTEE ADDRESS EI SPECIFIO- MMITEE CAMPAIGN TREASURER NAME 0 .Additional Pages r�l COMMITTEE CAMPAIGN TREASURER ADDRESS E/ 17 CONTRIBUTION TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN PLEDGES, LOANS, OR .GUARANTEES OF:LOANS), UNLESS ITEMIZED 2. TOTAL POLITICAL CONTRIBUTIONS. $ (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) EXPENDITURE TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED 1 4. TOTAL; POLITICAL EXPENDITURES `. 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 DAY OF fir• $ LAST THE REPORTING PERIOD >' is AFFIDAVIT I swear, or affirm, under penalty of perjury, that the. accompanying report is true an '0456rrIct andincludas all information required to be reported;by me and Tltle 1� , Election Cpde. BRENDA LOUISE DENNIS NOTARY PUBLIC STATE OF TEXAS LZ= My Commission p Ires 11_03_18 Signature eMUOAte-4� Officeholder AFFIX NOTARY STAM Pd SEALA60VE $v/orn io ands sort bed before me, by the said i this. the day.t of 20 to certify Which, my hand and seal of office. witness Signature of officer ldministering oath Printed name of officer administering oath. Title of officer administering oath. WWvv ethics.state.tz.us Revised 9/8!2015 i Forms provided by Texas Eihics Commission PwYw;ethics.state. txms. Revised 918/201.5 ' SUBTOTALS. - C /OH FORM C /OH COVER SHEEN' PQ 3 T9 FILER NAME 20 Flier,ID (Ethics Commission Filers) I .29 SCHEDULE SUBTOTALS NAME OF SCHEDULE SUBTOTAL AMOUNT 1• ❑ S.CHEDULEA1: MONECA.RY POLITICAL CONTRIBUTIONS r 2• ❑ SGHEDULEA2: NON-MONETARY ([N-KIND) POLITICAL CONTRIBUTIONS $ � r 3• ❑ SCHEDULEB: PLEDGED CONTRIBUTIONS 4; ❑ SCHEDULE E; LOANS $ �. 51 SCHEDULE F9:. POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 6. ❑ SCHEDULE F2: UNPAID, IINCURREDOBLIGATIONS $ /ui 7. SCHEDULE F3: PURCHASE OF :INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ r 1 81 SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD 9 SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ e'px 10, ❑ SCHEDULE .H; PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C /OH $ Ll 11. ❑ SCHEDULE 1: NON-POLITICAL EXPENDITURES MADE.FROM POLITICAL CONTRIBUTIONS $ 12, SCHEDULE K; INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS' RETURNED, TO FILER $ �� PwYw;ethics.state. txms. Revised 918/201.5 ' EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4 EXPENDITURE CATEGORIES .FOR BOX10(a) Adverttsing Expense Evont.Expense Loan RepaymentfRelrnbursement Solldfaffon/Fundralsing Expense Accounting/Banking 'Fees OfgcaOverhead/Rental.Expense Transportation Equlpment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/DonatlonsMe&By Gift /Awards/Memoria(s'.Expense. . PrinllndExpense Travel Out Of District Mc Candidate /Oeholder/PoWcalCommittee Legal Services Salarhi.Wages/ContractLabor Other (enteracategory'notlistedabove) The Instruction Guide explains how to complete this form, y Total/ gas Scheduie',Fh; -2—FILER NAME 3 Flfei .ID (Ethics Commission Filers). / 6 •w Sir f S- . :"'"�4.../ 4 TOTAL OF'. UNITEMIZED EXPENDITURES CHARGED TOA CREDIT. CARD � 5 Date 8 Payee name ,fwaT— 1`4- i ! 7 Amount W 8 Payee, address,' City:; State; ZIp:Code �r�,' 110 T ,'" ,g `" ' r 9 TYPE OF EXPENDITURE Political F-1 Non - Political 10 (a) Category (Sae Categories listed ,al the top ofthissohedule) (b) Description PURPOSE ❑ Checklf travel outsidea (Texas.CompteleScheduleT. EXPEN ITUREf // ~ QCheck If Austin, Tx, officeholder living expense 11 Complete ONLY If direct Candidate ! Officeholder name Office sought Office held expenditure to benefit C /OH. Date Payee name Amount ($j Payee address; City; State; Zip Code c f TYPE OF EXPENDITURE Political Non - Political Category (See Categories listed at the top of this schedule( Description. PURPOSE; � Q Check if tMvelputslde ofTexas, Complete Schedule T. 00 EXPENDITURE ? trT `i�.su� ❑Check II Austin, TX, of(Iceholder living expense Complete ONLY If direct Candidate / Officeholder name Office sought Office herd expenditure to benefit C /OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission. www.ethics,state.tx.us, Revised, 9/8/2015 EX ENDITUREs MADE BY CREDIT CARD SCHEDULE F4 EXPENDITURE CATEGORIES FOR BOX 10(6) AdvantstngExponso �ivohttixpensa Wan RepaymenVRolmhumofnant SollahaltoWundrobInp:Expanse =, ngng -I1ng Fees' Q$flce.0milx�adlRenial:Expansa Transpeftallon >- Aulpment &. Related apense - ConsuWng>= Ypenes Food/BeverageExpense PollIng Expanse Travel In DISM61 ContributlansMaria@ons Made By. O;(UAwards.+MamodalsExpense Printing Expense. Travel out ofplsttict Candidate /oiitcehblder/Pollli.-alCammities LegalServtaes SaladasllNagesfCOnlraetLabnr' otho (enteracategory not licleda4nve) The instruction aulde explains how to complete .this farts, 1 Ttstn! pages ScNodule P ME 3 Filer III :(Efhlcs Commisslon Filets) 4: TOTAL OF: UNITEMIZEDi=XPI—END. ITURESC}=ARGEDTOACRED(TCARD � 5 bate 6 Prlyee 1AML, g�ojunt ($) 8 'Payee address; City, State; Zip Code �p $V TYPE OF EXPENDITURE � ('ellttcal � Nonpolitical io (a) 0alegory'( SeaCetagortealisl8aatihetopoEihissehadu la) +b) DasGftpiloh PURPOSE El Chock 11imul outs! do ofTexao, Complete SuhedutsT.' O F' %i?EtQDITURL ; ca. S ❑check If Austln, IX, olllcetoltlar hving expe nse tit Complete QM if dlrort Oahtildale ! Officeholder, name Off ae soughfi Office hold expenditure to benefit 0J01 -1 Dale Payee itame Amount ($) Payee address; City; State; Zip Cade TYPE 9F EXPENDITURE o Ralttical El ikon Paiilical Catagary (tie& Catenorlos ilstod at the.lap of t4lssahadule) QBSQiII?ftOfl PURPOSE Chad, BtrawloutsweOsexe s,CompletesnhedufeL: G F � Ii Tx, ilvinu EXPENDITURE i . 1Ch"k mglri, otrtnehaider expense Complete ONLY it direo! Candidate /'Officeholder Caine Office sought Offics held expendiilira to benefit G /Ott ATTACH ADDITIONAL COPIES OF THIS SCHEIDIJLE AS'fid PDED Fofma provided byTexes:Eth(es Comtlt ssion �wavv.athics.siale,ix:u Revised 918/2if15. POL ITICALo EXPENDITU RES MACE FROM PERSONAL. FUNDS SCHEDULE G EXPENDITURE CATEGORIES FOR BOX B(al) Advertlslnd Expense Event Expense Loan RepaymenURelinbursemenl SollchaVon/Fundralsing E�,pense Acoountin office Overhead/RentalExpense Transportallon Equipment & Related Expense Consulting Expense Foo0eaverage,Expense 'Polling 'Expense Travel In District Contributions7Donallons Made ,By GIRLAwardWarnorialsExpense Printing Expense Travel OutOfplslflct Candidate /Ofttceholder/PollticalCommittee LegalServlaes SalaiiesNJages/ContractLabor other .(enter a category notilstedabove) Creda Card,Payinenl, The Instruction Guide: explains how to complete this forma i Total pa es Schedule G: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) r f" 4 .Date' 5 Payeename �!j��f 1a�`i p`J1' �f >��lo"+.,�'L'� t� i�_ 3`✓r ir., 6r Amount ($) 7 Payee address; City; State; Zip Code 3 � f ❑Relmbursementfrom ' _ � •• i •':, i/,y?. 444 politicalcontrlbutions intended 8 (a) Category (See Categories listed al the top of this schedule) (b) Description PURPOSE Check If kavel outside of Texas. Complete Schedule T.,, OF EXPENDITURE F 'Check li Austin, TX, offleeholder living expense 9 Complete ONLY If direct Candidate 10 fficeholder.name Office sought Office held expenditure, to benaflt C /OH Date ems. . 'r Payee name 2f$ •� i. a- ` ~�rt � ' :•s„ GI 20? E d3 Dr.�. _ �e;. ° _ °Fr' ,� .i �"�, A m P^� y' a'�. ddr_e s° s ; City; S tat-e-, ; Ip Code q� f c7 rr C Reirnhursementfram pcliticalaontdbutlons - '�� ✓ �� -^'p f y ` 15-r S 0i0P,�`: ' {,er`$,�"'�R .'ie� - S v'� L �. Intended Category (See Calegodes listed at the lop of this schedule) (b) Description PURPOSE ❑ CheckfltraveloulsideolTexas :CompeteSgheduleT. OF EXPENDITURE '3 P,,;}'a,�,�`� 1" ems'` ❑Check If Austin, TX, officeholder living expense Complete ONLY if direct Candidate % Officeholder name Office. sought Office held' expenditure to benefit'C /OH [Date Payee name�9J Amount ($). Payee address; City; State, Zip Code o Reimbursement fro ❑: e Ilticalcontributions � � J3 Intended Category (See Categories listed at the top of this schedule) (5) Description PURPOSE OF 4 t'� El check 4lreveiculsidecitexas :CompleteScheduleT. EXPENDITURE 4- FF ©© r ❑Check. 11 Austin, TX, ofnosholder living expense Complete.ONLY If direct Candidate ( Officeholder name Office sought Office held expenditure, to benefit enefit O /OH ATTACH ADDITIONAL COPIES .OFTHISSC4DULEAS NEEPE10