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Tim Brown 7-9CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C /OH COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: The C /OH Instruption Guide explains how to complete this form. i STREET ADDRESS (NO PO BOX PLEASE1: APT-i SUrrE #; CITY; STATE; ZIP CODE TREASURER r� 3 CANDIDATE I MS! MRS IA- FIRST Mr Of:nCEt7SEONLY OFFICEHOLDER NAME Date Re shed NICKNAME LAST SUFFIX AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE %YYI q CANDIDATE/ ADDRESS / PO 80X; APT f SUITE #; CITY: STATE: ZIP CODE OFFICEHOLDER MAILING 0 Runoff ❑ 15th day titter campaign i ��LUI� •iTJ✓U�lP•t r tr /� ADDRESS treasurer appointment (oHtoaholder bnly) ❑ Change of Address Exceeded $5W limit ❑ Final Report (Attach C/OH - FR) 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Month OFFICEHOLDER �`1jjD ) 392--1,010 Date Hend- dalivered or Date Postmarked I PHONE f S 1 20 L 6 CAMPAIGN Ms.; MRS / MR FIRST MI Receipt # Amount $ TREASURER ELECTwN DATE e NAME Date Processed ❑ Other Desedptlon NICKNAME LAST SUFFIX General ❑ special - — Date imaged 7 CAMPAIGN i STREET ADDRESS (NO PO BOX PLEASE1: APT-i SUrrE #; CITY; STATE; ZIP CODE TREASURER ADDRESS d 4M (Residence or Business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE %YYI 8 REPORT TYPE ❑ January 15 ❑ 80Ih day before election ❑ Runoff ❑ 15th day titter campaign treasurer appointment (oHtoaholder bnly) .per /y t{ / ituly 15 ❑ Bth day before etectlon ❑ "oo��—' �� Exceeded $5W limit ❑ Final Report (Attach C/OH - FR) 10 PERIOD Month Day Year Month Dey Year COVERED Q I / i(e 1z4 j q THROUGH C2 "I / f S 1 20 L 11 ELECTION ELECTwN DATE ELECTION TYPE Month Day Year ❑ Primary ❑ Runoff ❑ Other Desedptlon General ❑ special - — 12 OFFICE OFFICE HELD (it any) 13 OFFICE SCUGHT (a ktowrl) GO TO PAGE 2 Forms provided by Texas Ethics Commission www ethics.state.ix us Revised 9WO15 t 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 CONTRISILMON5 ACCEPTED OR POLn1CAL EXPENDITURES WIDE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE / OFACEHOLDER. • THESE MMEND17URES MAY HAVE BEEN MADE WTMOUT THE CANDIDATES OR OPFWaWLDER S COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE %•r°� Comm. Expires 10 -12 -2022 0;; Notary 1D 131758427 OF SUCH EXPENDITURES. COMMITTEE TYPE COMMITTEE NAME ❑ GENERAL TOTAL POLITICAL CONTRIBUTIONS COMMITTEE ADDRESS p0 ❑SPECIFIC ❑ Additional Pages COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADORF-55 17 CONTRIBUTION 1 , TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN $ "N% rr aa:•••� S ��' A*allotary Public. State of Texas TOTALS %•r°� Comm. Expires 10 -12 -2022 0;; Notary 1D 131758427 PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED I 2. TOTAL POLITICAL CONTRIBUTIONS p0 (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) �� EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $ TOTALS UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES $ 2 , R Z 1 J r CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ BALANCE OF REPORTING PERIOD OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $ LOAN TOTALS LAST DAY OF THE REPORTING PERIOD 18 AFFIDAVIT Swam to and subscribed before me, by the said f r W , this the day of _? i 20 t l , to certify which, witness my hand and seal of office. na e of icer`sdm�ylr srering oath Printed name of officer administering oath Title of officer adminis wring oath J Forms provided by Texas Ethics Commission www.ethics.stale.tx.us Revised 9/8/2015 I swear, or affirm, under penalty of perjury, that the accompanying report is q«ur /ice CHAUNTEL D. DEL2INGARO l� true and correct and includes all information required to be reported by me "N% rr aa:•••� S ��' A*allotary Public. State of Texas under Title 15, Election Code . %•r°� Comm. Expires 10 -12 -2022 0;; Notary 1D 131758427 I I Sipi 1 or Officeholder ' AFFIX NOTARY STAMP 1 SEALABC V E Swam to and subscribed before me, by the said f r W , this the day of _? i 20 t l , to certify which, witness my hand and seal of office. na e of icer`sdm�ylr srering oath Printed name of officer administering oath Title of officer adminis wring oath J Forms provided by Texas Ethics Commission www.ethics.stale.tx.us Revised 9/8/2015 SUBTOTALS - C /OH 19 FILERNAME FORM C /OH COVER SWEET PG 3 20 Filer ID (Ethics Commission Filers; I 21 — SCHEDULE SUBTOTALS _ SUBTOTAL NAME OF SCHEDULE AMOUNT 1. SCHEDULEA7: MONETARY POLITICAL CONTRIBUTIONS $ i 0a x/00 S. SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS _ $ 3• F7 SCHEDULER: PLEDGED CONTRIBUTIONS $ —4. SCHEDULE E` LOANS $ g: d� -- S. F-1 SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS i 777C ?5 5 �? $ JJ 6. El SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7• SCHEDULE FS: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS 8. ❑ SCHEDULE F4; EXPENDITURES MADE BY CREDIT CARD $ 9. SCHEDULE G POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ ' T10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C /OH $ 11 • SCHEDULE 1: 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 wvnv.ethics.state.tx.us Revised 9!8/2015 MONETARY POLITICAL CONTROBUTIONS The Instruction Guide explains how to complete this form. 2 FILER NAME: 4 Date 5 Full name of contributor �gb /f;3 . . . F . I � � 1� � 0� S Contributor address; 13 4 8 Principaf occupation I Job title (See instructions) n j ❑ out•ol -stale PAC (100 SCHEDULE Al I Total pages Schedule Al: 3 Filer ID (Ethics Commission Filers) 7 Amount of contribution. ($) City; State; Zip Code U S_A e_ -z x �s 5 9 Employer (See instructions) Date Full name of contributor ❑ out-of-state PAC (ID:,___ Amount of contribution (g) 41- �: �r� Contributor dress; City; State; Zip Code %¢r SC' 7Y) I Principal occupation 1 Job title (See Instructions) Employer (See'instructions) Q y Date Full name of contributor ❑ out- Df•state PAC (ID #• ) Amount of contribution ($) {� .. -. .12t ....... .... . i ` y3 Contributo. address; City; Sate; Zip Code r ?) f f��v Principal cocupation I Job title {See Instructions) Employer (See Instructions) Date /F 11 name of contributor out-of-state PAC (00: Amount of contribution ($) f 1 (-X A,5 Contributor address; City; State; Zip Code O too o" Principal occupation I Job title (See Instructions) Employer (See Instructions) �- �u ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of -state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.sthIcs.itate.?x.us Revised 9/8/2015 I LOANS 20 Principe! Occupation (See instructions) 21 Employer (See Instructions) SCHEDULE E The Instruction Guide explains how to complete this form. 1 Total pages Schedule E: — 2 FILES A E j! Is lender Lender address; 3 Filer 10 (Ethics Commission Filers) Interest rate a financial 4 TOTAL OF LINITEMIZED LOANS Institution? $ 5 Date of can 7 Nameof lender out-of -state PAC (ID,t; 9 Loan Amount ($) o-rHV' C : i Imo. ) 6 Is lender 8 Lender address; a financial Institution? City; State; Zip Code 16 Interestrate Description of Collateral Y account (See instructions) Maturity ate ❑ none ❑ �Z 3 k �ZozD 12 Principal occupation /ryJoob title (See Instructions) 13 Employer (see Instructions) _ INFORMATION �_ 14 Description of Collateral 15 .. heck if personal funds were deposited into pofitloal � 2 none account (See Instructions) 15 GUARANTOR 17 Name ofguarantor INFORMATION 19 Amount Guaranteed($) 18 Guarantor address; City; State; ZID Code I ❑ not applicable 20 Principe! Occupation (See instructions) 21 Employer (See Instructions) Date of loan Name of lender ❑ out -of -state PAC (ID#: Loan Amount ($) Is lender Lender address; City; State; Zip Code Interest rate a financial Institution? -- —�� i Maturity date Y N Principal occupation ! Job title (See Instructions) Employer (See Instructions) Description of Collateral Check if personal funds were deposited into pollfcal account (See instructions) ❑ none ❑ GUARANTOR Name of guarantor Amount Guaranteed($) INFORMATION . .......... Guarantor address; ... . ..... City; State; Zip Code ❑ not applicable i Principal Occupation (See Instructions) Employer (See Instructions) -- - -I ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If lender is out -of -state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 91812015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS EXPENDITURE CATEGORIES FOR SOX E(E) SCHEDULE F1 Advertising Expense Aecounttnwa&nldng consulting Expense Gvent Expen>,sU Loan ROpayntenVROWWrsemont Fees OfficeOverheacMenlalExpense Saeeitaitoa/FUndraising Expense Trdnsportafiontquipment & Related expenao FoodBeverage r cpense foiling Expense Contri4lkonatDoniWons Made ey (31WAwardwMamerials Expense Printing Expense Travel In [kalriel Travel Out Of District CandidatelOfficeholded1 oritioniCommittee Legal Services Salaries/Wages/Goniraottabor Credit Catd Payment other (enteracategory not listodsome) The Instruotion Guide explains how to complete this form. i Total pages Schedule F1: 2 F1L S NAME 1 _ I _ ` { t' .�4 `ice -� ;., �� 1� . cv) r✓ 3 Filer ID (Ethics Commission Filers) 4 Date $Payee name r 1 Q z 3! I r. yOC( C" Q if K f 6 Amount (S) 7 Payee address; City; State; ZIP Code 8 (a) Category (See Categories Bsted at the top 01 this schedule) (b) Description PURPOSE OF EXPENDITURE, 9 Complete 4?NLY If direct expenditure to benefit C/DH Dppate Amount • ($) PURPOSE OF EXPENDrrURE Complete ONLY If direct expenditure to benefit C40H Date 011 ( 6 5 1 1 Amount ($) i._ PURPOSE OF EXPENDITURE l � Complete O LY if direct expondltors to benertt CIOH Cheekif ravel outside ot7exas. Complete Schedule T. r Chedt It Auslln. TX. olllceholder Wag expense �(t_• I h T7 f U G- �r „n S Candidate /Officeholder name Office sought Office held Payee name ff T !•br�41r Payee address; City; State; Zip Code Category see Categories tistedat title top of this Schedule) Candidate / Officeholder name fP/��ayeee nnam, a �/J� /�/ / r 1- -(Lo � Y e -so e Payee address; City; State; Zip Code Category ( Sse categories listed at” lop ot this Schedule) I AptV- r•rIS)^S EV- Pe,Srr Candidate / Officeholder name Description ❑ Chedkll ravalotrrsideotTexas. Complete Schedule T. ❑rCrheeck if Auern. TX, otacehotder W ns Wing expee TCL'1 —�O fl 5 Offloe sought Oitice held Description ❑ Gheds lfravClotrLSldeofTexao, Complete Schedult T. 0 chock u Austin. TX, olfieoholder going expense Oflloe sought Otfloe held ATTACK ADDITIONAL COPIES OF THIS SCHEDULE AS N EEDFD Forms provided by Texas. Ethics Commission wtvw.ethi0$.st3te.1X.u9 ReAsed 91812015 POLITICAL EXPENDITURES MADE FROM POLIT6ICAL CONTRIBUTIONS 8 PURPOSE OF EXPENDITURE 9 Complete ONLY if eirect expenditure to benefit ClCH Date 1013 I f Amount W PURPOSE OF I EXPENDITURE I Complete ONLY if direoL expenditure to benefii ClOH F Date {{ Flo 3 / 1_$ Amount (S) 4 -7 30 "?. (a) Catelory (Sae Catepories Irstbd at the lop of this sahedute) n) f_jC Candidate / OfHeehoider name Payee name f + Cz t'tcr Payee address; 1191.2 (off .JS CRY; State; Zip Code Category (See Categories listed at the lop of this sehedulo) Candidate /Officeholder name SCHEDULE F, SoticlWitorvPvndrafsnxf Expense Transpo fallen Equipment a Related Expense Travel In DisIfiot Travel Out of Dlelrtot Other (entera ceiagery net fistod abavo) 3 Filer lb (Ethics Commission Filers) (b) �Description l..J Chadcil Travel oulshda of Texas. Complete SchOduteT. ❑ Check It Auslln. TX, Officeholder fiving axpenee Slcjrn:5 Office sought Office held Description ❑ Cheektttraveioutsldeot 'iaxas,COmplolaSsheduleT. ❑ Check it Austin, TX, offlceaDlder living expanse {�75 7• CA of A �� 2 .� rtS i 1� 0 0 'L. Office sought Office hale) Payee name -- L A r2 of L4 0 r, Payee address; City; State; Zip Code uetegory 1500 Galegories listed at the cp of this schedule) PURPOSE OF EXPENDrruna ((� &ASctLil JL ixez._IS.,� Complete ONLY if diroet Oandidata f Officeholder name expenditure to benefit =H Description ❑ Chedclf i2vef ouisfdaetTexas,CompleW SciiGdulCT, ❑ Check if Austin, TX, officeholder living expanse j I Office sought DI d hel ATTACK ADDITIONAL COPIES OF T 41S SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethlcs.slate.tx.us Revised 9/8!2015 EXPENDITURE CATEGORIES FOR BOX S(a) Adue'hi ng Expanse AaeauntingrBanking Event Expense rmbume 1"CCCS E+Da1r RePaYmenVRenial Expment Consuuvexpense FooCBevarageExpense oiliCB OverheaWRantal Expense Can auticnsrponaftans wcraey f>oNing Exper�e GtUAwardslMernorials Candidate/ ptfiCa}reidadPafilipalCornmittee PrfnfmgBxpensc Legal Services Credit Card Payment SaWl- Wages/Conlraot Lobar The Instruction Guide explains how to complete this toms. ti Tolai Reyes Schedule F1; 12 FILER NAME � ("a b. '7 rri r' I 4 Date / i 5 Payee name 6 Amount ($) 7 Payee address; City; State; Gip Code ( 8 PURPOSE OF EXPENDITURE 9 Complete ONLY if eirect expenditure to benefit ClCH Date 1013 I f Amount W PURPOSE OF I EXPENDITURE I Complete ONLY if direoL expenditure to benefii ClOH F Date {{ Flo 3 / 1_$ Amount (S) 4 -7 30 "?. (a) Catelory (Sae Catepories Irstbd at the lop of this sahedute) n) f_jC Candidate / OfHeehoider name Payee name f + Cz t'tcr Payee address; 1191.2 (off .JS CRY; State; Zip Code Category (See Categories listed at the lop of this sehedulo) Candidate /Officeholder name SCHEDULE F, SoticlWitorvPvndrafsnxf Expense Transpo fallen Equipment a Related Expense Travel In DisIfiot Travel Out of Dlelrtot Other (entera ceiagery net fistod abavo) 3 Filer lb (Ethics Commission Filers) (b) �Description l..J Chadcil Travel oulshda of Texas. Complete SchOduteT. ❑ Check It Auslln. TX, Officeholder fiving axpenee Slcjrn:5 Office sought Office held Description ❑ Cheektttraveioutsldeot 'iaxas,COmplolaSsheduleT. ❑ Check it Austin, TX, offlceaDlder living expanse {�75 7• CA of A �� 2 .� rtS i 1� 0 0 'L. Office sought Office hale) Payee name -- L A r2 of L4 0 r, Payee address; City; State; Zip Code uetegory 1500 Galegories listed at the cp of this schedule) PURPOSE OF EXPENDrruna ((� &ASctLil JL ixez._IS.,� Complete ONLY if diroet Oandidata f Officeholder name expenditure to benefit =H Description ❑ Chedclf i2vef ouisfdaetTexas,CompleW SciiGdulCT, ❑ Check if Austin, TX, officeholder living expanse j I Office sought DI d hel ATTACK ADDITIONAL COPIES OF T 41S SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethlcs.slate.tx.us Revised 9/8!2015 POLITICAL EXPENDITURES MADE FROM POLI'T'ICAL CONTRIBUTIONS t PURPOSE OF EXPENDITURE 9 Complete ONLY if direct expenditure to benefit 010H Date Y [60i f� Amount (S) [boo, PURPOSE OF EXPENDITURE Complete ONLY if direct expenditure to benefit C/OH Date Amount ($) PURPOSE OF EXPENDITURE Complete ONLY ff direct expenditure to benefit C10H I.- (a) Category (See Categories listed attha top of this, schedule) 7: Oi J eq-4TS r Candidate / Officeholder name Payee name Payee address; City; State: Zip Code Category (Bee Categories listed at the top af this schedule) A4QI Qi( {f57 i1�� Candidate l Officeholder name (b) Description tr--`l-I Check iftraveloutsideorTexas . Complete ScheduivT. LJ Check It Austin, TX. officeholder lh+ing expense a S Tc.A 2. %o .S Office sought Office held SCHEDULE F1 SoTeltalloyFundraising Expense Transpoltaifon EGulprnent &Related Expense Travel In Cfstriti Travel Out V District Other (entera category not fisted above) { 3 Filer ID (Ethics Commission Filers)) -- 1 _._. Description — ❑ Chedt if vavel outsidcofTaxaa. Cortoete schedulo T. Q Check N Austin. TX, ofrldeholder living expense ?^ s 16 £ 5- +'-Me5 Office sought Payee name P✓ `t'S 1 t �� f� f� l Z. Z ii- % �� C't� lr� Y�� Payee address; City; Slate; Zip Code Offfoe held Category (See Categories listedattha top ofihiaschedule) Description ❑ Cheek 8 travel oulgIde 0 Teat. Complete Sohedu L' .! it �� ` � Check if Austin, Tx, vNfceholder roving expe +� ny a e� - Candidate / Officeholder name Office sought Of ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Etttics Commission www.ethic9.sIata.tx.us Revised 918/2015 EXPENDMIURE CATEGORIES FOR BOX 8(a) Advertising Expense AccourdingBanking EventExponse L�nRepaymenVRelmlxusement Loan V Consulting Expense C'onalbullonsOcnatfons Made B elan Overhe F odBevereae tense Expense Polling Expense Y GWAUrdrds/memoriasExpense Printing Expense C9itCard Paymem hUder/POlilit�l Commixes LegalServicea Salarles/Wages/Cartaaa Labor Cred'R Card Payte:erd The Instruction Guide explains how to complete this form. i Total pages Schedule F1: 2 FILER NAME 3/t c 71-1 t, C. f' (-Lo .� 4 Date ! (. `� { _3 Payee name t n� _F % (-e .D -i J- s c tYt. � L._ 6 Amount (S) 7 Payee address; City; state; Zip Code "City. PURPOSE OF EXPENDITURE 9 Complete ONLY if direct expenditure to benefit 010H Date Y [60i f� Amount (S) [boo, PURPOSE OF EXPENDITURE Complete ONLY if direct expenditure to benefit C/OH Date Amount ($) PURPOSE OF EXPENDITURE Complete ONLY ff direct expenditure to benefit C10H I.- (a) Category (See Categories listed attha top of this, schedule) 7: Oi J eq-4TS r Candidate / Officeholder name Payee name Payee address; City; State: Zip Code Category (Bee Categories listed at the top af this schedule) A4QI Qi( {f57 i1�� Candidate l Officeholder name (b) Description tr--`l-I Check iftraveloutsideorTexas . Complete ScheduivT. LJ Check It Austin, TX. officeholder lh+ing expense a S Tc.A 2. %o .S Office sought Office held SCHEDULE F1 SoTeltalloyFundraising Expense Transpoltaifon EGulprnent &Related Expense Travel In Cfstriti Travel Out V District Other (entera category not fisted above) { 3 Filer ID (Ethics Commission Filers)) -- 1 _._. Description — ❑ Chedt if vavel outsidcofTaxaa. Cortoete schedulo T. Q Check N Austin. TX, ofrldeholder living expense ?^ s 16 £ 5- +'-Me5 Office sought Payee name P✓ `t'S 1 t �� f� f� l Z. Z ii- % �� C't� lr� Y�� Payee address; City; Slate; Zip Code Offfoe held Category (See Categories listedattha top ofihiaschedule) Description ❑ Cheek 8 travel oulgIde 0 Teat. Complete Sohedu L' .! it �� ` � Check if Austin, Tx, vNfceholder roving expe +� ny a e� - Candidate / Officeholder name Office sought Of ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Etttics Commission www.ethic9.sIata.tx.us Revised 918/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ (a) Category (see Categories listed at Uw top of this schedule) (b) Description PURPOSE EXPENDITURE CATEGORIES FOR BOX 8(8) Advertising Expense Accounting/8arrkin9 Ever- dapenec Loan Repayment/Reimbursement Foas CMOs OverheadfRenlalExpense ConsuhingExpense Faodl 7,,geExperm polling Expense _kpa Contributhr&Dchations Made By GiB/ ofe/lul¢morfals Expense Printing Expense C 'anckdatalOtliceholderlPolHiral Committee Legal Services SalarlealWageWCantract Labor Ci edtcard Payment Candidate! Officeholder name expenditure to benefit CIOH The instruction Guide explains how to complete this form, 1 Total pages Schedule Ft: 2 FILE F; NAME = Date / J 15 Payee name t 6 Amount ($) 7 Payee address; City; State; Zip Code $ (a) Category (see Categories listed at Uw top of this schedule) (b) Description PURPOSE OF EXPENDITURE. 44 9 Complete ONLY it direct Candidate! Officeholder name expenditure to benefit CIOH Hate Payee name Amount ($) I Payee address; City; State; Zip Code SCHEDULE F1 Solicilation/Fundralsing Expense Transportation Equipment& Related Expense Travel In District Travel Out OI District Other(enter a category not listed above) 3 Flier ID (Ethics Commission Filers) ❑ Mack If travel ouLSlde of Texas. Complete Schedule T. ❑ Check If Austin, TX, officeholder living expense Office sought Office held Category (See Categories listed at the top of this schedule) Description PURPOSE ❑ Check If treveloutsideofTexas. Complete Schedule T. OF ❑ Check If Austin, TX, officeholder living expense EXPENDITURE Complete ONLY if direct Candidate /Officeholder name Office sought Office held expenditure to benefit CICH Date Payee name I Amount ($) Payee address, City; State; Zip Code Category (See Categories listed at the topof this schedule) ( Description PURPOSE ❑ Check If travel outside of Texas. Complete ScheduleT. 0F EXPENDITURE Check II Austin, TX, officeholder living expense Complete ONLY if direct Candidate l Officeholder name Office sought expenditure to benefit Glol-t ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED fiorms provided by Texas Ethics Commission www.ethics.state.tx.us Otflce held I Revised 9/8/2015 CANDIDATE/ OFFICEHOLDER REPORT: DESIGNATION OF FINAL REPORT FORM G /OH - FR 'rhe Instruction Guide explains how to complete this form. -- Complete only if "Report Type" on page 'I is marked "Final Report" -- ti C /OH NAME 2 Fifer ID (Ethics Commission Filers) 3 SIGNATURE I do not expect any further political contributions or political expenditures in connection with my candidacy. f 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 fife. Signature of Candidate / Officeholder 4 FILER WHO IS NOTAN OFFICEHOLDER Complete A& B below only if you are not an officeholder. -- A. CAMPAIGNFUNDS Check only one: 0 I do not have unexpended contributions or unexpended interest or income earned from political contributions. 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 t 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: CJ I do not retain assets purchased with political contributions or interest or other income from political contributions. [] 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 -- Q 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.eihics.state.tx.us Revised 9/8/2015