Campaign Finance Report 11-28-2017CANDIDATE/ OFFICEHOLDER
FORM C /OH
CAMPAIGN FINANCE REPORT
COVER SHEET PG 1
The O/dH Instruction Guide explains how to complete this form. ,
1 Filer ID (Elhfes Commisslon Filors)
2 Total pages flied:
6
3 CANDIDATE/
OFFICEHOLDER
MsrMR fMR FIRST
-
Mt
OFFICE USE ONLY
NAME
/ I ii i
Date Received
NICKNAME LAST
SUFFIX
z%
4 CANDIDATE/
ADDRESS ! PO BOX; APT I SUITE 0; CITY;
STATE; ZIP CODE
OFFICEHOLDER
MAILING
ADDRESS.
Change of Address
5 CANDIDATE/
AREA CODE PHONE NUMBER
EXTENSION
Data Hand•dellverad or Data Postmarked
OFFICEHOLDER
) /�
��J �r� b _l/
PHONE
6 CAMPAIGN-
Ms I MRS f R FIRST
MI
Reoelpt M
Amount $
TREASURER
Date Processed
NAME
/
NICKNAME LAST
SUFFIX
Date Imaged
„/z
7 CAMPAIGN,
STREET ADDRESS (NO PO BOX PLEASE), APT I SURE d; CITY; STATE;
ZIP CODE
TREASURER
ADDRESS
_
Z o
(Residence, or Business)
S CAMPAIGN
: AREA CODE: PHONE NUMBER
EXTENSION
FfEFi.
Cad ' 113 6)
PHONE
9 REPORT TYPE.
❑' January 15 E] 301h day before election Runoff
E] 151h day alter campaign
treasurer appointment
(Officeholder Only)
❑ July 15 8th day before election ❑ Exceeded $500limit
�Final Report (Attach WH -FR)
10 PERIOD-
Month. Day Year
Day Year
COVERED
/ / � ��
/
/Month
THROUGH / / X� 6 / �U
11 ELECTION
EL'ECT'ION DATE
ELEOTION TYPE
Month Day Year
❑ Prfmary
❑ Runoff ❑ Other
11107—
�Oeneral
Description
❑ Special
X12. OFFICE
OFFICE HELD Of any!)
13 OFFICE SOUGHT (II (mown)
0 [1 �C
C o
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.eihics,state.1x.us Revised 9/8/2016
Forms provided: by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/206 '
SUBTOTALS - G10H FORM C/OH
COVER SHEET PG 3
Is FILER' NAME
20 Filer ID (Ethlos commission Fliers)
21
SCHEDULE SUBTOTALS
NAMEOFSCHEDULE
SUBTOTAL
AMOUNT
1.
El', SCHEDULEAI: MC)NE7FARYPOLITIGALCONTRIBUTIONS
$
2.
SCHEDULEA2: NCN= MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$
31
SCHEDULER., PLEDGED CONTRIBUTIONS
$
SCHEDULE E;;
$
SCHEDULE FI: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
SCHEDULE FZ. UNPAIDINCURRED OBLIGATIONS
$
7.
Lli SCHEDULE F3* PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
$
9.
SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
$ V"? '6-/
6 19 /4"1
10.
El SCHEDULE H).' PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
11.
SCHEDULE k 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 9/8/206 '
CANDIDATE / OFFICEHOLDER
FORM C /OH
CAMPAIGN N FII1 ANCE REPORT COVER SHEET PG 2
14 C /OH NAME
16 Fliar ID (Ethics Commission Filers)
16 NOTICE , FROM
THIS BOX IS FOR NOTICE OF POLITICAL. CONTRIBUTION$ ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL
SUPPORT THE. CANDIDATE. { OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MAoe wrmoNr THE CANDiave�s on oPF7oEHOLDER'S
COMMITTEE(S)!
KNOWLEDQEOH CONSENT, CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH+ EXPENDITURES.
COMMITTEE TYPE.
COMMITTEE NAME
F GENERAL
COMMITTEE ADDRESS
❑'SPECIFIC
C EE CAMPAIGN TREASURER NAME
❑' Additlonal' Pages
ri
COMMITTEE CAMPAIGN TREASURER. ADDRESS
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 $too OR LESS,1
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
$
SUTION
BALAN
BALANCE '
A
g TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
OUTSTANDING
LOAN TOTALS
g„ TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
1S AFFIDAVIT
I swear, eraHirm, under penalty of perjury, that the accompanying report Is
true and co ctandincludes all information required to be reported by me
a ENNIS under ai6 Election Code.
IC
=NOTARY
S
,11 -03 -18
- •• - - Signature' n date o Officeholder
AFFIX "NOTARY STAMP I SEALAROVE
Sworn to and subscribed before me, by the said A this the
day, of 20,; to certify which, witness my hand and seal of office.
6
Signature of cffleer administering oath Printed name of officer administering oath TWO Of Officer admintste ng oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2016
EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4
EXPENDITURE CATEGORIES FOR BOX 10(a)
AdvertlsfngExpense Event Expense Loan Repayment/Retmhursement SolicltatioNFundratsingExpense
Accoundr%Bankfng Fees Office averhead/Ranral Expense Transportation Equlpmenl& Related Exponse
Consulting Expense Foo&l3average Expense Polling Expense Travel In District
ConfdbuftansMonallons Made By Offt/AwardwMarrmorialsExpense PdntingExpense Travel Out OfUstdct
Candl date /Officehokfer/Polltical Committee LegalServices SalariewWagedContract labor other (entera category not listed above)
The instruction Guide explains how to complete this form.
4 Total! paga .Sch dule,F4:
2, FILER
3 Filer ID (Ethics Commissfon Filers)
TOTALOFUNITEMIZED EXPENDITURES CHARGED TOA CREDIT CARD
a
$
5 /Date /'
6 Payee name
M, , 0��
{
IJ / —1 d
7 mount ($)
a Payee address; City; State; Zip Code
��7e ci r I <-t2 O� ll� �<l� 5� %C f%0
f, f
3 dJ�a
'56'Tv Av%d iJ <c1 ( i�
9 TYPE OF
EXPENDITURE
fV7 Political Fj Non - Political
10
(a�, Category (See Categories listed at the top oflhls schedule)
(b) Description
PURPOSE
[:]Check II travel outside.ITexas, Complete Schedulo T
O F
Ile, J.�'r //V t �.- J / G 1.. G
41 4
❑Check If Austin, TX, officeholder living expense
EXPENDITURE
11 Complete ONLY If, direct Candidate / Officeholder name Office sought Office held
agree CLQH
Date:
Payee name
Amount (^)
Payee. address; City; State; Zip Code
TYPE OF°
EXPENDITURE
P Ittic I 0 Non - Political
at (Sea Categories listed' at Hie top of this schedule)
Description
Q Check if travel outside olTexas, Complete Schedule T,
PURPOSE
OF
❑Check Ii Austln, TX, officeholder living expense
EXPEN!DI ' RE
Co late ONLY If direct. Candidate ! Officeholder name Office sought Office held
e enditure to benefit C /Ott
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission' wwmethles.state.N.us Revised 8/8/2015
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX8(a)
Advertising, Expense Event Expense LoarnRepaymenWelmbursement SolicilatlonrFundraleingExpense
AccountingtBanMiig Fees OfficaOveihead/Rental Expense Transportation Equipment& Related Expense
CansullingEcpense Food/Heverage Expense Polling Expense Travel In Dlstrlrt
Conuihutions(Donations Made By Glft/Awards/lviemoriels Expense Printing Expense Travel OutOf District
Candldate(0(0c liolder/PollikaNCommittes LegalServtces SalartswWages/ContractLabor othar(onlera category not listedabove)
CfeaCardPayment The Instruction Guide explains how to complete this form.
1' Total: pages SchedutaG:
2 FILER: NAME
3 Flier ID (Ethics Commission Filers)
4 Date
5 Payee name
AX111
6 Amount ($)
7 Payee address; City; State; Zip Code
r`7
2
:313 evrff"9"-) "YTS,
El,Refilcalcomenhfrom
I. pollllcakconiributlons
5 al 6
Intended
'8-
(a) Category (see Categories listed at the top of this schedule)
(b) Description
PURPOSE
❑ Check It travel outside of Texas. Complete SchadoleT,
OF
EXPENDITURE
j
(y /%L�% (� �/2 j ��
❑ Check If Auslin, TX, officeholder living expense
9 CoMpleteL ONLY If direct Candidate / Officeholder name Office sought Office held
expenditure to benefit CIOR
Date
Payee name
Amount ($)
Payee addross; City; State; Zlp Cade
❑Refmbursementfrom
pol itleat contribullons
Intended
Category (Sao Categories listed at the top of this schedute)
(b) Description
PURPOSE
❑ChecktftravelautsIdeeI as, Gonipl.teScheduleT
OF
EXPENDITURE
❑ Check It Austin V officeholder living expense
Complete, ONLY if direct Candidate / Officeholder name Office sought ' Office held
expenditure to benefit C /OH°
/
Date,
Payee name %
Amount ($)
Payee address; City, State; Zip Code
Re(mtwrsementfrom
'
y
politicatcantiibutions
intended
dJ,
Category ( SaaCol egorios .ilstodat the top of this schedule)
(b) Description
PURPOSE.
❑ CheckiltraveloulekfeofTexas Schedule T
OF
:Complete
❑
EXPENDITURE
Check it Austin, TX, officeholder living expense
Complete ONLY , direct Candidate / Officeholder name Office sought Office held
expenditure t eneflt C /OH
ATTACH ADDITIONAL COPIES OF THISSCHEDULE AS NEEDED__ v -_ -g-
Forms provided: by Texas Ethics. Commission www.ethics.state.tx,us Revised 9/8/2015
pa
CANDIDATE/ OFFICEHOLDER REPORT:
DESIGNATION OF FINAL. REPORT FORM C /OH - FR
The Instruction Guide explains how to.completethis form.
•• Complete only if "Report Type" on page 1 is marked "Final Report" •-
1 C /OH NAME
2 Filer ID (Ethics Commission Filers)
S x/1-
,¢vl
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 u er land that I may not ac ept any campaign
contributions or make any campaign expenditures without a campaign treasurer ap int nt on file,
Z2-�z
Signature n !date Officeholder
4 FILER WHO IS NOT AN OFFICEHOLDER
•• Complete A& B below only if you are not an officeholder. ••
A. CAMPAIGN FUNDS
Chec only one:
I do not have unexpended contributions or unexpended Interest or income earned from political contributions.
El 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.
S. ASSETS
Chec only one:
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 r m political contributions. I understand
that I may not convert assets purchased with political contributions or interest o of r Income from political contributions to
personal use. I also understand that I must dispose of assets purchased wit poll lcal co tributi n in accordance with the
requirements of Election Code, § 254.204.
Signature of a didate
5 OFFICEHOLDER
•• Complete this section only if you are an officeholder ••
[] I am aware that I remain subject to filing requirements pll a to an officeholder who does not have a campaign treasurer on
if, last
file. I am also aware that I will be require Jt 1Ie eports of unexpended contributions after filing the required report as an
'lout
officeholder, I retain political con of s, interest or other income from political contributions, or assets purchased with politi-
cal contributions or in or other income from political contributions.
Signature of Officeholder
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015