12-28-2022CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
The CIOH 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
/ OFFICE USE ONLY
OFFICEHOLDER
NAME ...41 / �.....✓. ...............
Date Received
NICKNAME LAST SUFFIX
4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
OFFICEHOLDER r�
MAILING
ADDRESS
❑ Change of Address
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
Dale Hand -de ered or Dale Postmarked
OFFICEHOLDER
(AW , — 1 — _ _ _ — . _ _
PHONE
/
�r7ty 7--cm—-
Receipt #
Amount $
+fir
6 CAMPAIGN MS / MRS / MR FIRST Ml
TREASURER
�,% /E1r
Date Processed
N' ` .-
NAME
NICKNAME LAST SUFFIX
Date Imaged
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY;
STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
8 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
9 REPORT TYPE
January 15
❑ 30th day before election Runoff
15th day after campaign
treasurer appointment
(Officeholder Only)
July 15
❑ 8th day before election Exceeded Modified
Final Report (Attach C/OH - FIR)
Reporting Limit
10 PERIOD
Month
Day Year Month Day
Year
COVERED
0 7/o�D
>
/�OG THROUGH 4?
11 ELECTION
ELECTION DATE ELECTION TYPE
❑ Primary ❑ Runoff ❑ Other
Month Day
Year
Description
/3
/ ❑ General � Special
�2
12 OFFICE
OFFICE HELD (if any)
3 OFFICE SOUGHT (if known)
T
O.G
�Oy'
% f!fOf'
14 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL
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(S)
—
COMMITTEE TYPE
COMMITTEE NAME
FD GENERAL
COMMITTEE ADDRESS
Additional Pages
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 8/17/2020
i
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
16 C/OH NAME
17 CON IBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
17 CON IBUTION
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
CONTRIBUTIONS MADE ELECTRONICALLY)
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE TOTALS 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE.
16 Filer ID (Ethics Commission Filers)
OP
4. TOTAL POLITICAL EXPENDITURES $ �/
..................
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 SIGNATURE I 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.
ASigof Candidate or Officeholder
SHEILA M. EDMONDSON Please complete either option below:
NOTARY PUBLIC -STATE OF TEXAS
?.. ID i 12495213 t
s My Commission Expires 017/M5
(1) Affidavit
NOTARY STAMP/SEAL
Sworn to and subscribed before me by
2 , to certi which, witness my hand
Si ature of officer administering oath
(2) Unsworn Declaration
My name is _
My address is
Executed in
(street)
County, State of
(vt
name of officer administering oath
this the day of
Title of officer
ring oath
and my date of birth is
(city) (state) (zip code) (country)
on the day of 120
(month) (year)
Signature of Candidate/Officeholder (Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
SUBTOTALS - C/OH
FORM C/OH
COVER SHEET PG 3
19
FILER NAME
20 Filer ID (Ethics Commission Filers)
u / .
21
SCHEDULE SUBTOTALS
SUBTOTAL
NAME OF SCHEDULE
AMOUNT
1
SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS
$ { do
2.
iJ<i
SCHEDULE A2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$
$
3. ❑ SCHEDULE B: PLEDGED CONTRIBUTIONS
4.
SCHEDULE E: LOANS
$
5.
SCHEDULE FI: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$ 91
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
$
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020
MONETARY POLITICAL CONTRIBUTIONS
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form.
2 FILER NAME
SCHEDULE Al
1 Total pages Schedule Al:
7-
3 Filer ID (Ethics Commission Filers)
er C.- �' 0
4 Date 5 Full name of contributor ❑ out-of-state PAC (ID#: J 7 Amount of contribution ($)
See-..",f</7i................................... T /
6 Contributor address; City; State; Zip Code
8 Principal occupation / Job title (See Instructions) g Employer (See Instructions)
Date Full name of contributor ❑ out-of-state PAC (ID#: Amount of contribution ($)
...................................................... ...........................
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 ($)
.................................................................................
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ❑ out-of-state PAC (ID#: i Amount of contribution ($)
.............................
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 8/17/2020
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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
_ 4 ld fi �C{ i P� P
3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED IN -KIND POLITICAL CONTRIBUTIONS
$ Q�
5 Date 6 Full name of contributor ❑ out-of-state PAC (ID#:
) 8 Amount of 19 In -kind contribution
Wl�l� .1/..
Contribution $ i description
Sri /
7 Contributor address; City; State;
Zip Code
Z `Z Z
Check ff travel outside of Texas. Complete Schedule T.
10 Principal occupation / Job title (FOR NON-JUDICIAL)(See Instructions)
11 Employer (FOR NON-JUDICIAL)(See Instructions)
r
12 Contributor's principal occupation (FOR JUDICIAL)
13 Contributor's job title (FOR JUDICIAL) (See Instructions)
15 Law firm of contributor's spouse (if any) (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)
Date Full name of contributor ❑ out-of-state PAC (ID#:
I Amount of I In -kind contribution
Se
Contribution $ I description
Contributor address; City; State;
Zip Code
2®�z •
,Check if travel outside of Texas. Complete Schedule T.
Principal occupation / Job title (FOR NON -JUDICIAL) (See Instructions)
Employer (FOR NON-JUDICIAL)(See Instructions)
io
e / "a, C 1
5&//
Contributor's principal occupation (FOR JUDICIAL)
Contributor's job title ( OR J DICIAL) (See Instructions)
Contributor's employer/law firm (FOR JUDICIAL)
Law firm of contributor's spouse (if any) (FOR JUDICIAL)
If contributor is a child, law firm of parent(s) (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
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS
If the requested information is not applicable, DO NOT include this page in the report.
SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense
Event Expense Loan Repayment/Reimbursement
SolicitatiorVFundraising 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/Memodals Expense Printing Expense
Travel Out Of District
Candidate/Officeholder/Political Committee
Legal Services SalariesM/ages/Contract Labor
Other (entera category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Fl:
2 FILER NAME/ 3 Filer ID (Ethics Commission Filers)
z-
lea
4 Date
5 Payee n me
tSeQ �� C--%
6 Amount ($)
7 Payee address; City; State; Zip Code
/&
V/
Y 5 $
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
EXPENDITURE
(c) Check if travel outside ofTexas. 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 I Payee name
Amount ($) I Payee address;
City; State; Zip Code
Category (See Categories listed at the top of this schedule) I Description
PURPOSE
OF
EXPENDITURE
Check if travel outside of Texas. Complete Schedule T
Complete ONLY if direct Candidate / Officeholder name
expenditure to benefit C/OH
Date Payee name
Amount ($)
PURPOSE
OF
EXPENDITURE
Payee address;
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
y Check if travel outside of Texas. Complete Schedule T. ❑ Check if Austin, TX, officeholder living expense
Complete ONLY if direct I 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 wwmethics.state.N.us Revised 8/17/2020
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