10-05-2015 ReportTavac Ffhirc C.nmmiccinn P . Rnx 19n7n Austin. Texas 78711 -2070 (512) 463 -5800 (TDD 1- 800 - 735 -2989)
SPECIFIC-PURPOSE COM I` T
FORM SPAC
CAMPAIGN I C T
COVER SHEET PG 'I
1 ACCOUNT#
2 Total pages filed:
The SPAC Instruction Guide
explains how to complete this form.
(Ethics Commission
Filers)
e
3 COMMITTEE NAME
OFFICE USE ONLY
Received
S -6
p eDate
�r� a (_ 4 /I
f kl
4 COMMITTEE
ADDRESS /PO BOX; APT /SUITE #; CITY; STAE;
ZIP CODE
ADDRESS
❑ change of address
N d 0 ! 6) 1*
Date Hand - delivered or Postmarked
5<,- Pr W-1 1" � ��
Receipt#
Amount
5 CAMPAIGN
MS / MRS / MR FIRST
MI
Date Processed
TREASURER
NAME
f!C�iQL.
.
NICKNAME LAST
SUFFIX
Date Imaged
6 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; #; CITY;
STATE; ZIP CODE
STREET ADDRESS
(residence or business)
7 CAMPAIGN
STREET OR PO BOX; APT / SUITE #; CITY;
STATE; ZIP CODE
TREASURER'S
MAILING ADDRESS
❑ change of address
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
C)� 6 �ry
9 REPORT TYPE
❑ January 15 30th day before election
❑ Exceeded $500 limit
❑ July 15 ❑ 8th day before election
❑ Dissolution (attach PAC -DR)
❑ Runoff
❑ 1Olh day after campaign treasurer termination
10 PERIOD
Month Day Year
Month Day Year
COVERED
9 j I o /15 THROUGH
�
10 n /-3
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
�' / /� �•
❑ Primary ❑
Runoff General ❑ Special
GO TO PAGE 2
www. eth ics. state. tx. us Revised 07/28/2014
Texas Fthir.G Cnmmission P.O. Box 12070 Austin. Texas 78711 -2070 (512) 463 -5800 (TDD 1- 800 - 735 -2989)
SPECIFIC-PURPOSE COMITT T: FORM SPAC
PURPOSE AND TOTALS OVER SHEET PG
12 COMMITTEE NAME
ACCOUNT # (Ethics Commission Filers)
yy�� /) °� /� ® �pq
13 COMMITTEE
CANDIDATE / OFFICEHOLDER NAME
PURPOSE
(Attach lists on plain
paper to complete this
CANDIDATE
report if necessary.)
SUPPORT
F-1 OFFICEHOLDER
OFFICE SOUGHT (candidate) / OFFICE HELD (officeholder)
(Candidate or Measure)
II
OPPOSE
(Candidate or Measure)
BALLOT IDENTIFICATION / # ELECTION DATE
Month Day Year
ASSIST
MEASURE
(Officeholder)
DESCRIPTION
0 Etkcl) btJ A J,J e 0AkTW M ENM
14 CONTRIBUTION
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
$
TOTALS
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
ao C
2. TOTAL POLITICAL CONTRIBUTIONS
$
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
T �r a
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
EXPENDITURE
TOTALS
4. TOTAL POLITICAL EXPENDITURES
$ 936,q
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
$
CONTRIBUTION
BALANCE
OF THE REPORTING PERIOD
5 C m
Jcs T�
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
15' 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 U,. .'e file 15, Election Code.
Signature of Campaign Treasurer
AFFIX NOTARY STAMP / SEAL ABOVE
tt In In `
V�Y
Sworn'' ``to and subscribed before me, by the (said r lQ�� l ` this the
F a day of i U , 20 I� tr�ss_mv hand and seal of office.
YP rrri.
=a i_ Regina alamuda
G� *� ,* Notary Public
Signat a of officer administering oath Printed name of w t STitle fficer administering oath
OFnano• Pti�'r`ission expires 6 -3
rrn -2017
www.ethics.state.tx.us Revised 07 /28/2014
A
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711 -2070 (512) 463 -5800 (TDD 1- 800 - 735 -2989)
CORPORATE LABOR ORGANIZATION
CONTRIBUTIONS OTHER THAN PLEDGES LOANS SCHEDULE C
The Instruction Guide explains how to complete this form.
1 Total pages Schedule C:
2 FILER NAME
3 ACCOUNT # (Ethics Commission Filers)
pp 11
�n ice'
4 Date
5 Corporation/ Labor Organization name
7 Amount of 8 In -kind contribution
contribution ($) I description (if applicable)
6 Corporation /Labor Organization address; City; State; Zip Code
21)0(
-�j� & (ommW- <& 600
PJ A/ )G31`j j 6j _T)\
(If travel outside of Texas, complete Schedule T)
Date
Corporation/ Labor Organization name
Amountof I In -kind contribution
contribution ($) I description (if applicable)
Corporation /Labor Organization address; City; State; Zip Code
�, 0( "0
�j 6 0 eVr®N t / C% iq
(If travel outside of Texas, complete Schedule T)
Date
Corporation/ Labor Organization name
Amount of In -kind contribution
contribution ($) I description (if applicable)
Corporation / Labor Organization address; City; State; Zip Code
(If travel outside of Texas, complete Schedule T)
Date
Corporation/ Labor Organization name
Amount of In -kind contribution
contribution ($) description (if applicable)
Corporation'/ Labor Organization address; City; State; Zip Code
(If travel outside of Texas, complete Schedule T)
Date
Corporation/ Labor Organization name
Amount of In -kind contribution
contribution ($) I description (if applicable)
Corporation / Labor Organization address; City; State; Zip Code
(If travel outside of Texas, complete Schedule T)
Date
Corporation/ Labor Organization name
Amount of I In -kind contribution
contribution ($) I description (if applicable)
Corporation / Labor Organization address; City; State; Zip Code
(If travel outside of Texas, complete Schedule
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www. ethics. state. tx. us Revised 07/28/2014
I exas Ctnl(;S UOfTtlTl15510n r. U. t5ox ILU /U HUSUn, texas to/ I I -zutu
POLITICAL EXPENDITURES
EXPENDITURE CATEGORIES FOR BOX 8(a)
IL) 4bJ -0oUU ( I UU "I- ouu- /Jo -zub
SCHEDULE
Advertising Expense
Gift /Awards /Memorials
Salaries /Wages /Contract Labor
Loan Repayment /Reimbursement
Accounting /Banking
Expense
Solicitation /Fundraising Expense
Transportation Equipment & Related
Consulting Expense
Legal Services
Travel In District
Expense
Event Expense
Food /Beverage Expense
Travel Out Of District
Contributions /Donations Made B Y
Fees
Polling Expense
Office Overhead /Rental Expense
Candidate /Officeholder /Political Committee
(b) Description (If travel outside of Texas, complete Schedule T)
Printing Expense
schedule)
OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
EXPENDITURE
1 Total pages Schedule F:
2 FILER NAME
Check ifAustin, TX, officeholder living expense
3 ACCOUNT # (Ethics Commission Filers)
Candidate / Officeholder
name
Office sought Office held
expenditure to benefit C /OH
4 Date
5 Payee game
D-
� ' 60K�
/
016% TAL-
6 Amount ($)
7 Payee address;
City; State; Zip Code
8
PURPOSE
(a) Category (See categories
listed at the top of this
(b) Description (If travel outside of Texas, complete Schedule T)
OF
schedule)
EXPENDITURE
Y �N)NION
Check ifAustin, TX, officeholder living expense
9 Complete ONLY if direct
Candidate / Officeholder
name
Office sought Office held
expenditure to benefit C /OH
Date J Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this Description (If travel outside of Texas, complete Schedule T)
OF schedule)
EXPENDITURE �)
l VV®" I Check ifAustin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C /OH
Date Payee name
q
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this Description (If travel outside of Texas, complete Schedule T)
OF schedule) ®
EXPENDITURE p -)T
�`� Check ifAustin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C /OH
Date Payee name
Amount ($)
Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this Description (If travel outside of Texas, complete Schedule T)
OF schedule)
EXPENDITURE
Check ifAustin, 7X, 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
www.ethics.state.tx.us Revised 07/28/2014