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10-11-2022CANDIDATE / OFFICEHOLDER FORM C /OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C10H Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE/ MS / MRS / MR FIRST MI OFFICEHOLDER //� J� f OFFICE USE ONLY NAME /... r...... . 1..�CA ................ ! ! ........ . Date Received NICKNAME LAST SUFFIX 7z, 4 CANDIDATE / ADDRESS / POw� APT / SUITE #; CITY: r STATE; ZIP CODE OFFICEHOLDER ,�aw�. M !� MAILING ADDRESS I Change of Address I 6 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION _ Date Hand - delivered or Date Postmarked OFFICEHOLDER PHONE 6 CAMPAIGN TREASURER NAME 7 CAMPAIGN TREASURER ADDRESS (Residence or Business) 8 CAMPAIGN TREASURER PHONE 9 REPORT TYPE 10 PERIOD COVERED 11 ELECTION 12 OFFICE 14 NOTICE FROM POLITICAL COMMITTEE(S) Additional Pages MS / MRS / MR FIRST .N�r.. ........... ......�. o ? NICKNAME LAST Receipt # MI Date Processed SUFFIX Date Imaged SY. Amount $ STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE EXTENSION I it Runoff M � !i Exceeded Modified _. 1i Reporting Limit Month 0 & /® % /� /°fir] `1 THROUGH / ELECTION DATE lU �JaW ELECTION TYPE Month Day Year Primary Runoff Other Description I' /oa / General Special OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE CANDIDATE/ OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'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 -IF- . PHONE NUMBER AREA CODE (Officeholder Only) January 15 I X` 30th day before election F__j July 15 F 6th day before election 1 Month Day Year EXTENSION I it Runoff M � !i Exceeded Modified _. 1i Reporting Limit Month 0 & /® % /� /°fir] `1 THROUGH / ELECTION DATE lU �JaW ELECTION TYPE Month Day Year Primary Runoff Other Description I' /oa / General Special OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE CANDIDATE/ OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'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 COMMITTEE CAMPAIGN TREASURER ADDRESS GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/1712020 15th day after campaign treasurer appointment (Officeholder Only) ElFinal Report (Attach C /OH FRI Day Year / SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/1712020 CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT 15 C /OH NAME 17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR CONTRIBUTIONS MADE ELECTRONICALLY) 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) EXPENDITURE 3 TOTALS CONTRIBUTION BALANCE OUTSTANDING LOAN TOTALS 18 SIGNATURE (1) Affidavit FORM C /OH COVER SHEET PG 2 16 Filer ID (Ethics Commission Filers) $ TOTAL UNITEMIZED POLITICAL EXPENDITURE. It 4. TOTAL POLITICAL EXPENDITURES $ 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ F OF REPORTING PERIOD 0 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $ LAST DAY OF THE REPORTING PERIOD 1 swear, or affirm, under penalty of perjury, that the accompanying report is true and correct and includes all information required to be reported by me under Title 15, Election Code. A&��zC-, Signature of Candidate or Officeholder Please complete either option below: SHEILA M. EDMONDSOJTEXAS NOTARY PUBLIC - STATE OF ID 1 12495213.1 My Commission Expires 03/17 NOTARY STAMP /SEAL Sworn to and subscribed before me by / ' Ma if this the day of (� , 20 (2) Unsworn Declaration hand and Printed name of officer administering oath Title of My name is Cwo '4 1 r re-' & , r _, and my date of birth is WOWPN� ' My address is J1-71--7 C`^- WIVE- p (street) (city) (state) (zip code) (country) Executed in L7Pxar County, State of _ �i e _ _ , on the � n day of 20 . (mo �-7 (year) Signature of Candidate /Officeholder (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 6/1 i/2UZi SUBTOTALS - C /OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID (Ethics Commission Filers) 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1 SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS $ 2• SCHEDULE A2: NON - MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS $ (� 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULE E: LOANS $ �` 1 5. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $© 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD 9. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. 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 $ O TO FILER Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 6/1 i/2UZi MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule A1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) i"CA 4 Date 5 Full name of contributor out -of -stale PAC (ID #: ) 7 Amount of contribution ($) 6 Contributor address; City; State; Zip Code 8 Principal occupation / Job title (See Instructions) 9 Employer (See Instructions) Date Full name of contributor out -of -state PAC (ID# ) Amount of contribution {$) Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out -of -state PAC (ID #:_ ) Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor out -of -state PAC (ID #: ) Amount of contribution ($) ......... .... .......... Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) 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.ethics.state.tx.us Revised 8/17/202 NON - MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS SCHEDULE A2 If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule A2: 2 FILER NAME % /� J , 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED IN -KIND POLITICAL CONTRIBUTIONS $ 5 Date 6 Full name of contributor ❑ out -of -state PAC (ID #: ) 8 Amount of i g In -kind contribution Contribution $ I description I 7 Contributor address; City; State; Zip Code I Check if travel outside of Texas. Complete Schedule T. 10 Principal occupation / Job title (FOR NON- JUDICIAL) (See Instructions) I 11 Employer (FOR NON- JUDICIAL)(See Instructions) 12 Contributor's principal occupation (FOR JUDICIAL) 14 Contributor's employer /law firm (FOR JUDICIAL) 16 If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL) 13 Contributor's job title (FOR JUDICIAL) (See Instructions) 15 Law firm of contributor's spouse (if any) (FOR JUDICIAL) Date Full name of contributor ❑ out -of -state PAC (ID #: Amount of I In -kind contribution Contribution $ I description I ............................. ......... ... .. ... Contributor address; City; State; Zip Code I I Check if travel outside of Texas. Complete Schedule T. Principal occupation / Job title (FOR NON - JUDICIAL) (See Instructions) Employer (FOR NON- JUDICIAL)(See Instructions) Contributor's principal occupation (FOR JUDICIAL) Contributor's job title (FOR JUDICIAL) (See Instructions) Contributor's employer /law firm (FOR JUDICIAL) If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL) Law firm of contributor's spouse (if any) (FOR JUDICIAL) 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.ethics.state.tx.us Revised 8/17/2020 PLEDGED CONTRIBUTIONS SCHEDULE B If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule B: 2 .FILER NAME . 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED PLEDGES $ 5 Date 6 Full name of pledgor ❑ out -of -state PAC (ID #: ) g Amount I 9 In -kind contribution of Pledge $ I description I 7 Pledgor address; City; State; Zip Code I I . Check if travel outside of Texas. Complete Schedule T. 10 Principal occupation / Job title (See Instructions) 11 Employer (See Instructions) Date Full name of pledgor ❑ out -of -state PAC (ID #: .. ... ........................ Pledgor address; City; State; Principal occupation / Job title (See Instructions) Date Full name of pledgor ❑ out -of -state PAC (ID #:_ .. ........ Pledgor address; City; State; Principal occupation / Job title (See Instructions) Date Full name of pledgor ❑ out -of -state PAC (ID #: ........................ I............... ......... Pledgor address; City; State; Principal occupation / Job title (See Instructions) Amount I In -kind contribution of Pledge $ I description ............ I Zip Code I I Check if travel outside of Texas. Complete Schedule T. Employer (See Instructions) Amount of I In -kind contribution Pledge $ I description I Zip Code I I I Check if travel outside of Texas. Complete Schedule T. Employer (See Instructions) Amount of I In -kind contribution Pledge $ I description I Zip Code I YCheck if travel outside of Texas. Complete Schedule T. Employer (See Instructions) 1 ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED If contributor is out -of -state PAC, please see Instruction guide for additional reporting requirements. JI Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 LOANS SCHEDULE E If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule E: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Date of loan Name of lender ❑ out -of -state PAC Is lender Lender address; City; State; Zip Code a financial Institution? F-7 Y C i N Principal occupation / Job title (See Instructions) Description of Collateral none GUARANTOR INFORMATION Employer (See Instructions) Loan Amount ($) Inte rest rate Maturity date Check if personal funds were deposited into political account (See Instructions) Name of guarantor Amount Guaranteed ($) ................... .. ... .... ..... ...... .............. Guarantor address; City; State; Zip Code not applicable Principal Occupation (See Instructions) Employer (See Instructions) 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 8/17/2020 4 TOTAL OF UNITEMIZED LOANS $ 5 Date of loan 7 Name of lender 9 Loan Amount ($) ❑ out -of -state PAC (ID #: ) 6 Is lender .... ................... ... 8 Lender address; ...I................ .... ........... City; State; Zip Code 10 Interest rate a financial Institution? -- - 01 Y E-1 N 11 Maturity date 12 Principal occupation / Job title (See Instructions) 13 Employer (See Instructions) 14 Description of Collateral 15 Check if personal funds were deposited into political account (See Instructions) none 16 GUARANTOR 17 Name ofguarantor 19 Amount Guaranteed ($) INFORMATION ........................ ..... 18 Guarantor address; ... ... ..... .............. City; State; Zip Code not applicable — 20 Principal Occupation (See Instructions) 21 Employer (See Instructions) Date of loan Name of lender ❑ out -of -state PAC Is lender Lender address; City; State; Zip Code a financial Institution? F-7 Y C i N Principal occupation / Job title (See Instructions) Description of Collateral none GUARANTOR INFORMATION Employer (See Instructions) Loan Amount ($) Inte rest rate Maturity date Check if personal funds were deposited into political account (See Instructions) Name of guarantor Amount Guaranteed ($) ................... .. ... .... ..... ...... .............. Guarantor address; City; State; Zip Code not applicable Principal Occupation (See Instructions) Employer (See Instructions) 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 8/17/2020 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation /Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment& Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/DonationsMade By Gift/Awards /Memorials Expense Printing Expense Travel Out Of District Candidate /Officeholder /Political Committee Legal Services Salaries/VVages /Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME r I 3 Filer ID (Ethics Commission Filers) 4 Date Mo V I /MW 5 Payee name 6 Amount ($) 7 Payee address; 0. City; State; Zip Code 0)()0,00 PURPOSE OF EXPENDITURE 9 Complete ONLY if direct expenditure to benefit C /0H Date Amount ($) PURPOSE OF EXPENDITURE Complete ONLY if direct expenditure to benefit C /OH Date (a) Category (See Categories listed at the top of this schedule) (b) Description Val 6!!�Xj P6L-YWj&j Pcc- (V It e, 4b"4 (c) Check V travel outside ofTexas . Complete Schedule T Check if Austin, TX, officeholder living expense Candidate / Officeholder name Office sought Office held Payee name Payee address; Category (See Categories listed at the top of this schedule) Check if travel outside of Texas. Complete Schedule T Candidate / Officeholder name Payee name Amount {$) Payee address; PURPOSE OF EXPENDITURE Complete ONLY if direct expenditure to benefit C /OH City; Description State; Zip Code Check if Austin, TX, officeholder living expense Office sought Office held City; State; Zip Code Category (See Categories listed at the top of this schedule) Description Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Candidate / Officeholder name Office sought Office held ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 UNPAID INCURRED OBLIGATIONS SCHEDULE F2 If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 10(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation /Fundraising Expense Accounting /Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate /Officeholder /Political Committee Legal Services SalariesANages /Contract Labor Other (enter a category not listed above) The Instruction Guide explains how to complete this form. 1 Total pages Schedule F2: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED UNPAID INCURRED OBLIGATIONS $ 6 Date 6 Payee name 7 Amount {$) 8 Payee address; City- State; Zip Code 9 TYPE OF � r Political Non - Political EXPENDITURE I. ._1 I 10 (a) Category (See Categories listed at the top ofthis schedule) (b) Description PURPOSE OF EXPENDITURE (C) Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense 11 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C /OH Date Payee name Amount ($) Payee address; City; State; Zip Code TYPE OF ��� EXPENDITURE F-1 Political i Non - Political I Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE Check if travel outside of Texas. Complete Schedule Check if Austin, TX, 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 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 PURCHASE OF INVESTMENTS MADE SCHEDULE F3 FROM POLITICAL CONTRIBUTIONS If the requested information is not applicable, DO NOT include this page in the report. 1 Total pages Schedule F3: The Instruction Guide explains how to complete this form. 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Name of person from whom investment is purchased 6 Address of person from whom investment is purchased; City; State; Zip Code 7 Description of investment 8 Amount of investment ($) Date Name of person from whom investment is purchased ........................ ............................... ... Address of person from whom investment is purchased; City- State; Zip Code Description of investment Amount of investment ($) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17120 EXPENDITURES MADE BY CREDIT CARD If the requested information is not applicable, DO NOT include this page in the report. 9 TYPE OF EXPENDITURE 10 PURPOSE OF EXPENDITURE 11 Complete ONLY if direct expenditure to benefit C /OH Date WI T110 l Amount ($) q5 �00 TYPE OF EXPENDITURE SCHEDULE F4 Solicitation /Fundraising Expense Transportation Equipment & Related Expense Travel In District Travel Out Of District Other (enter a category not listed above) 3 Filer ID (Ethics Commission Filers) $ :75q - a3 State; Zip Code Political ID Non - Political a) Category (See Categories listed at the top of this schedule) (b) Description . isitn���v+ 5G �o w_��tca�'.'�_, y�.+-� ; ate► (c) Check if travel outside of Texas. Complete Schedule T. Candidate / Officeholder name Payee name Payee address; Office sough 8A— C - LO)n We're °e j+- - - Political F7! Non - Political Category (See Categories listed at the top of this schedule) Check if Austin, TX, officeholder living expense t Office held City; State; Zip Code W Description PURPOSE —r OF EXPEN ITURE _ r t G am�?c� Check f veloutsideofTexas. Complete Schedule Check if Austin, TX, officeholder living expense Candidate / Officeholder name Office sought Office held Complete ONLY if direct 11 o, IK,. expenditure to benefit C /OH RO �` ,■ 1 5 j r, I VI rV� or ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 EXPENDITURE CATEGORIES FOR BOX 10(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Accounting/Banking Fees Office Overhead /Rental Expense Consulting Expense Food/Beverage Expense Polling Expense Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Candidate /Officeholder /Political Committee Legal Services SalariesANages/Contract Labor The Instruction Guide explains how to complete this form. 1 Total pages Schedule F4: 1 2 FILER NAME 4 TOTAL OF LIN ITEMIZED EXPENDITURES CHARGED TOACREDIT CARD 5 Date 6 Payee name Vj" CAD 7 Amount ($) 8 Payee address; City; 9 TYPE OF EXPENDITURE 10 PURPOSE OF EXPENDITURE 11 Complete ONLY if direct expenditure to benefit C /OH Date WI T110 l Amount ($) q5 �00 TYPE OF EXPENDITURE SCHEDULE F4 Solicitation /Fundraising Expense Transportation Equipment & Related Expense Travel In District Travel Out Of District Other (enter a category not listed above) 3 Filer ID (Ethics Commission Filers) $ :75q - a3 State; Zip Code Political ID Non - Political a) Category (See Categories listed at the top of this schedule) (b) Description . isitn���v+ 5G �o w_��tca�'.'�_, y�.+-� ; ate► (c) Check if travel outside of Texas. Complete Schedule T. Candidate / Officeholder name Payee name Payee address; Office sough 8A— C - LO)n We're °e j+- - - Political F7! Non - Political Category (See Categories listed at the top of this schedule) Check if Austin, TX, officeholder living expense t Office held City; State; Zip Code W Description PURPOSE —r OF EXPEN ITURE _ r t G am�?c� Check f veloutsideofTexas. Complete Schedule Check if Austin, TX, officeholder living expense Candidate / Officeholder name Office sought Office held Complete ONLY if direct 11 o, IK,. expenditure to benefit C /OH RO �` ,■ 1 5 j r, I VI rV� or ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 EXPENDITURES MADE BY CREDIT CARD If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 10(a) SCHEDULE F4 Advertising Expense Event Expense Loan Repayment/Reimbursement Solicltation/Fundraising Expense Accounting /Banking Fees Office Overhead /Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate /Officeholder /Political Committee Legal Services SalariesNVages /Contract Labor Other (enter a category not listed above) The Instruction Guide explains how to complete this form. 1 Total pages Schedule F4: 2 FILER NAME AAAA 3 Filer ID (Ethics Commission Filers) Ca.r 1 / -' 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TOA CREDIT CARD $ Q 0 5 Date 6 Payee name UU q `( 7 Amount ($) $ Payee address; City; State; Zip Code 9 TYPE OF EXPENDITURE 10 PURPOSE OF EXPENDITURE 11 Complete ONLY if direct expenditure to benefit C /OH Date �/t�e � v J v Amount ($) TYPE OF EXPENDITURE PURPOSE OF EXPENDITURE Complete ONLY if direct expenditure to benefit C /OH ► 70 r � _ a Q 1 444 . o4,, DaAQ Political El Non - Political (a) Category (See Categories listed at the top of this schedule) I (b) Description )) /! P (c) Checkiftravel outside ofTexas . Complete ScheduleT. Check if Austin. Tx, officeholder living expense Candidate / Officeholder name Office sought Office held Payee name 0 Cl ,! �S 0m6 6,4e,-_5, L �G Payee address; / -72.90 V-1 9 35 t /' City; j State; Zip Code Political F-1 Non - Political Category (See Categories listed at the lop of this schedule) Description sc )43G al.- s!yn s1 Check if travel outside of Texas. Complete Schedule T. ❑ Check if Austin, TX, officeholder living expense Candidate / Officeholder name Office sought Office held ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 811712020 POLITICAL EXPENDITURES MADE FRONli PERSONAL FUNDS If the requested information is not applicable, DO NOT include this page in the report. Reimbursement from political contributions intended 8 PURPOSE OF EXPENDITURE (a) Category (See Categories listed at the top of this schedule) I (b) Description SCHEDULE G Solicitation /Fundraising Expense Transportation Equipment & Related Expense Travel In District Travel Out Of District Other (enter a category not listed above) 3 Filer ID (Ethics Commission Filers) State; Zip Code (C) Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense 9 Candidate / Officeholder name Office sought Office held Complete ONLY if direct expenditure to benefit C /OH Date I Payee name Amount ($) Reimbursement from political contributions intended PURPOSE OF EXPENDITURE Payee address; Category (See Categories listed at the lop of this schedule) Check if travel outside of Texas. Complete Schedule T. Candidate / Officeholder name Complete ONLY if direct expenditure to benefit C /OH Date Payee name i Amount ($) Reimbursement from political contributions intended PURPOSE OF EXPENDITURE Complete ONLY if direct expenditure to benefit C /OH Payee address; City; State; Zip Code Description Check if Austin, TX, officeholder living expense Office sought Office held City; State; Zip Code Category (See Categories listed at the top of this schedule) I Description Check if travel outside of Texas. Complete Schedule T. Candidate / Officeholder name Check if Austin, TX, officeholder living expense Office sought Office held ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2021 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Accounting/Banking Fees Office Overhead /Rental Expense Consulting Expense Food/Beverage Expense Polling Expense Contributions/Donations Made By Gift/Awards /Memorials Expense Printing Expense Candidate /Officeholder /Political Committee Legal Services Salaries/Wages/Contract Labor Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule G: 2 FILER NAME 4 Date 5 Payee name 6 Amount ($) 7 Payee address; City; Reimbursement from political contributions intended 8 PURPOSE OF EXPENDITURE (a) Category (See Categories listed at the top of this schedule) I (b) Description SCHEDULE G Solicitation /Fundraising Expense Transportation Equipment & Related Expense Travel In District Travel Out Of District Other (enter a category not listed above) 3 Filer ID (Ethics Commission Filers) State; Zip Code (C) Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense 9 Candidate / Officeholder name Office sought Office held Complete ONLY if direct expenditure to benefit C /OH Date I Payee name Amount ($) Reimbursement from political contributions intended PURPOSE OF EXPENDITURE Payee address; Category (See Categories listed at the lop of this schedule) Check if travel outside of Texas. Complete Schedule T. Candidate / Officeholder name Complete ONLY if direct expenditure to benefit C /OH Date Payee name i Amount ($) Reimbursement from political contributions intended PURPOSE OF EXPENDITURE Complete ONLY if direct expenditure to benefit C /OH Payee address; City; State; Zip Code Description Check if Austin, TX, officeholder living expense Office sought Office held City; State; Zip Code Category (See Categories listed at the top of this schedule) I Description Check if travel outside of Texas. Complete Schedule T. Candidate / Officeholder name Check if Austin, TX, officeholder living expense Office sought Office held ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2021 PAYMENT MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE H TO A BUSINESS OF C /OH If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation /Fundraising Expense Accounting /Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate /Officeholder /Political Committee Legal Services SalariesAAlages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule H: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) - 4 Date 5 Business name State; Zip Code 6 Amount ($) 7 Business address; City; 8 (a) Category (See Categories listed atthe lop of this schedule) I (b) Description PURPOSE OF EXPENDITURE (c) Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C /OH Date Business name Amount ($) Business address; City; State; Zip Code PURPOSE OF EXPENDITURE Complete ONLY if direct expenditure to benefit C /OH Date Amount ($) Category (See Categories listed at the top of this schedule) I Description Check if travel outside of Texas. Complete Schedule T, Candidate / Officeholder name Business name Business address; Check if Austin, TX, officeholder living expense Office sought Office held City; State; Zip Code Category (See Categories listed al the top of this schedule, Description PURPOSE OF EXPENDITURE Check I travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C /OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/202 NON - POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE I If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule I: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Payee name 6 Amount ($) 7 Payee address; City State Zip Code 8 (a)Category (See instructions for examples of acceptable (b) Description (See instructions regarding type of information PURPOSE categories.) required.) OF EXPENDITURE Date Payee name Amount ($) Payee address; City State Zip Code PURPOSE OF EXPENDITURE Date Amount ($) PURPOSE OF EXPENDITURE Date Amount ($) PURPOSE OF EXPENDITURE Category (See instructions for examples of acceptable Description (See instructions regarding type of information categories.) required.) Payee name Payee address; Category (See instructions for examples of acceptable categories.) Payee name City State Zip Code Description (See instructions regarding type of information required.) Payee address; City State Zip Code Category (See instructions for examples of acceptable I Description (See instructions regarding type of information categories.) required.) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised is /1 112 INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER SCHEDULE K If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages Schedule K: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Name of person from whom amount is received 8 Amount ($) .......................... .. 6 Address of person from whom amount is received; City; State; Zip Code 7 Purpose for which amount is received Check if political contribution returned to filer Date Name of person from whom amount is received Amount ($) . ....................... I............................ ........ ... ............. Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received Check if political contribution returned to filer Date Name of person from whom amount is received Amount ($) ............ ...... .I............................. Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received Check if political contribution returned to filer Date Name of person from whom amount is received Amount ($) ........ ............................... . . Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received Check if political contribution returned to tiler ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.stateAx.us Revised 8/17/2020 IN -KIND CONTRIBUTIONS OR POLITICAL EXPENDITURES SCHEDULE T FOR TRAVEL OUTSIDE OF TEXAS If the requested information is not applicable, DO NOT include this page in the report. 1 Total pages Schedule T: The instruction Guide explains how to complete this form. 2 FILER NAME 4 Name of Contributor / Corporation or Labor Organization / Pledgor / Payee 5 Contribution / Expenditure reported on: n Schedule A2 F] Schedule B 011 Schedule B(J) Schedule C2 Schedule F2 L l Schedule F4 n Schedule G Schedule H 6 Dates of travel 7 Name of person(s) traveling F--!' Schedule G 8 Departure city or name of departure location 3 Filer ID (Ethics Commission Filers) I� Schedule D ED Schedule F1 Schedule COH -UC 01 Schedule B -SS 9 Destination city or name of destination location 10 Means of transportation 11 Purpose of travel (including name of conference, seminar, or other event) Name of Contributor / Corporation or Labor Organization / Pledgor / Payee Contribution / Expenditure reported on: i Schedule A2 I ' Schedule B n Schedule B(J) Dj Schedule C2 0 Schedule D ED Schedule F1 E-1 Schedule F2 r Schedule F4 F--!' Schedule G F_j Schedule H Ej Schedule COH -UC Schedule B -SS Dates of travel Name of person(s) traveling Departure city or name of departure location Destination city or name of destination location Means of transportation Purpose of travel (including name of conference, seminar, or other event) Name of Contributor / Corporation or Labor Organization / Pledgor / Payee Contribution / Expenditure reported on: I.__..l Schedule A2 l_J Schedule B I J Schedule B(J) I I Schedule C2 L ' Schedule D n Schedule F1 j Schedule F2 n Schedule F4 FJ Schedule G n Schedule H 0 Schedule COH -UC Ej Schedule B -SS Dates of travel Name of person(s) traveling Departure city or name of departure location Destination city or name of destination location Means of transportation 1 Purpose of travel (including name of conference, seminar, or other event) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 CANDIDATE/ OFFICEHOLDER REPORT: DESIGNATION OF FINAL REPORT The Instruction Guide explains howto complete this form. FORM C /OH - FR •• Complete only if "Report Type" on page 1 is marked "Final Report" •- 1 C /OH NAME 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 designating 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: [-i I do not have unexpended contributions or unexpended interest or income earned from political contributions. f— 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: jI do not retain assets purchased with political contributions or interest or other income from political contributions. r I do retain assets purchased with political contributions or interest or other income from political contributions. I understand f 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 political contributions or interest or other income from political contributions. Signature of Officeholder Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020