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Robin Thompson - Campaign Final Report FinalCANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (Ethics Commission Fliers) 2 Total pages filed: The C /OH Instruction Guide explains how to complete this form. 3 CANDIDATE/ OFFICEHOLDER MS / MRS MR F` MI oil o l ("I C OFFICE USE ONLY NAME Dale Received ' NICKNAME LAST SUFFIX t' i q CANDIDATE/ ADDRESS ! PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE OFFICEHOLDER MAILING ADDRESS ^ l l sA ❑ Change of Address L- `t�QJ�� 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand - delivered or Date Postmarked OFFICEHOLDER fr tt�� ��/1 7 PHONE \©ttLJo�" 6 CAMPAIGN MS /MRS FIRST MI L� -'' Receipt # Amount $ TREASURER C' P��` . L, Date Processed NAME ........ .... NICKNAME LAST SUFFIX Date Imaged ` t 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE @; CITY; STATE; ZIP CODE TREASURER C_ At C,:�, ADDRESS _ q �) y v, 1A (Residence or Business) I SCN\_ \z �x -78 kS1 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER �, PHONE 1 9 REPORT TYPE ❑January 15 ❑ 30th day before election ❑ Runoff 15th day after campaign ❑ y e treasurer appointment (Officeholder Only) ❑ July 15 ❑ 8th day before election ❑ Exceeded $500 limit Final Report (Attach C/OH - FR) 10 PERIOD Month Day Year Month Day Year COVERED 1 / /(7 THROUGH / l / 1 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary ❑ Runoff ❑ Other - Description /(�y `✓-7/ 17 �(I General ❑ Special j' 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT pf tmown) GO TO PAGE 2 ❑o„t�o�t a /a /�niF Forms provided by Texas Ethics Commission www.etnics.state.uc.us CANDIDATE / OFFICEHOLDER FORM C /OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C /OH NAME 15 Filer ID (Ethics Commission Filers) 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS COMMITTEE(S) KNOWLEDGE OR 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 SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME ❑ Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED (� J 2. TOTAL POLITICAL CONTRIBUTIONS $ (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) ( ?�� EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, TOTALS UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ �� OF REPORTING PERIOD `✓ , OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE ,per LOAN TOTALS LAST DAY OF THE REPORTING PERIOD 18 AFFIDAVIT I swear, or aff irm, under penalty of perjury, that the accompanying report is true and correct and includes all Information required to be reported by me DONNA R. SCHMOEKEL under Title 15, Election Code. NOTARY PUBLIC STATE OF TEXAS % My Commission Expires 12.AI.OAI9 c Signature of Candidate or Officeholder AFFIX NOTARY STAMP / SEALABOVE Sworn to and subscribed before me, by the said ` ` 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 Forms provided by Texas Ethics Commission www.ethics.state.mus RCVMS � I U Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 SUBTOTALS C /OH FORMA 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. SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $�✓ 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4, SCHEDULE E: LOANS $ 5• SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 6. El SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ T. 0 SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ f -' 8• El SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9• � SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. El 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 www.ethics.state.tx.us Revised 9/8/2015 NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE I The Instruction Guide explains how to complete this form. 1 Total pages Schedule I: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) �t 4 Date 5 Payee name f` r 6 Amount ($) 7 Payee address; City; State; Zip Code C4 (0 _ 02� 3 (a)Category (See Instructions for examples of acceptable (b) Description (See Instructions regarding type of Information PURPOSE OF categories.) required.) C�� \ y,) qC EXPENDITURE Date Payee name r� COip� V \v w \ p �� f czcc� ��k")t� Amount ($) Payee address; City; State; Zip Cade CIO PURPOSE Category (See Instructions for examples of acceptable Description (See Instructions regarding type of Information OF categories.) required.) EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Code PURPOSE Category (See Instructions for examples of acceptable Description (See Instructions regarding type of Information OF categories.) required.) EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Code PURPOSE Category (See Instructions for examples of acceptable Description (See Instructions regarding type of Information OF categories.) required.) EXPENDITURE ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9 /8/2U1 b l,Q- .b ,juV_ ,Vk CANDIDATE / OFFICEHOLDER REPORT: DESIGNATION OF FINAL REPORT FORM C /OH - ER The Instruction Guide explains how to.completethis form. •• Complete only if "Report Type" on page 1 is marked "Final Report' -• 1 C /OH NA4 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 designat- ing 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 NOT AN OFFICEHOLDER •• Complete A& B below only if you are not an officeholder. •• A. CAMPAIGN FUNDS Check only one: E] I do not have unexpended contributions or unexpended Interest or income earned from political contributions. E] 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: E] I do not retain assets purchased with political contributions or interest or other income from political contributions. E] 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 •• 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 politi- cal contributions or Interest or other income from political contributions. Signature of Officeholder Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015