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161019 - Campaign Finance Report - Karl P. MooneyCORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/OFFICEHOLDER 1 Filer ID (Ethics Commission Filers) 3 CANDIDATE/ OFFICEHOLDER NAME 4 ORIGINAL REPORT TYPE 5 ORIGINAL PERIOD COVERED MS/MRS NICKNAME January 15 July 15 30th day before election 8th day before election 2 Total pages filed: ST 1r/ r L T Month Day Year /// /16 6 EXPLANATION OF CORRECTION 7 AFFIDAVIT Ruy(off Exceeded $500 limit 15th day after treasurer appointment (officeholder only) Final report SUFFIX Other (specify) Month Day Year FORM COR-C/OH OFFICE USE ONLY Date Received HAND Oi T 1 J 2016 DELIVEREE' Date Hand -delivered or Date Postmarked Receipt # Date Processed THROUGH %/ /iv //$ Date Imaged ` /1771.4/ li,sitoveethileitved.r1420-e imieliotpri4d6/71-e1/6,',h)26)); Amount $ TANYA McNUTT 11652789.5 Notary Public, State of Texas 3'3 My Commission Expires F,S February 14, 2018 AFFIX NOTARY STAMP / SEAL ABOVE I swear, or affirm, under penalty of perjury, that this corrected report is true and correct. Check ONLY if applicable: Semiannual reports: I swear, or affirm, that the original report was made in good faith and without an intent to mislead or to misrepre- sent the information contained in the report. Other reports: I swear, or affirm, that I am filing this corrected report not later than the 14th business day after the date I learned that the report as originally filed is inaccurate or incomplete. I swear, or affirm, that any error or omission in the report as originally filed was made in good faith. Sworn to and subscribed before me, by the said 0 /6 to , hich, witness hand and seal of office. f Sig ature of Ca idate or Off' eholder P/ / L Q 0 /t..Q_L1L, this the MILday of , nature o offi•er=dministering oath 14741-- .641 c - Printed name of officer admi isteri g oath Title of ofll'cer administering oath Remember To Attach Any Part Of The Campaign Finance Report Form Needed To Report And Explain Corrections Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 04/27/2015 SUBTOTALS — C/OH n1 21 SCHEDULE SUBTOTALS NAME OF SCHEDULE 1. SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS 2. SCHEDULE A2: NON -MONETARY (IN -KIND) -POLITICAL CONTRIBUTIONS 3- 1--P."- l SCHEDULE B: PLEDGED CONTRIBUTIONS 4. SCHEDULE E: LOANS 5. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS 7. 1+ SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS 8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD - SCHEDULE G: POLITICAL EXPENDITURES MADE 'FROM PERSONAL FUNDS 10. V SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH 11. [GA 1 SCHEDULE 1: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS 12. per' SCHEDULE K: INTEREST, CREDITS, GAINS,. REFUNDS, AND CONTRIBUTIONS S-' I RETURNED TO FILER FORM C/OH COVER SHEET PG 3 20 Filer ID (Ethics Commission Filers) SUBTOTAL AMOUNT EXPENDITURES MADE BY CREDIT CARD 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 Salaries/Wages/Contract Labor The Instruction Guide /i/M eexplaiains how to complete this form. 1 Tota127 Schedule F4: 2 FILER . - 4 TOTALOF UNITEMIZED EXPENDITURES CHARGED TOA;DREDIT CARD 5 Date6 Payee name 1� 7 A unt ($) 8 Payee address; ity; State; Zip Code ez//4":"wi 9 7,ge, TYPE OF EXPENDITURE i0eger. Political Non -Political 10 (a) Category (See Categories listed at the top of this schedule) PURPOSE OF EXPENDITURE 11 Complete ONLY if direct expenditure to benefit C/OH Datgyy a/ Am unt $) %6 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) s/4.,*1, (b) Description Candidate Officeholder nam? Office • __.-" Pay7)je i A.7; Payee ddress; TYPE OF EXPENDITURE Political . PURPOSE OF EXPENDITURE Complete ONLY if direct expenditure to benefit C/OH Check if travel outside of Texas, Complete Schedule T. Check if Austin, TX, officeholder living expense Office held State4/1/;;a7 ; ip Code a2,O75 Non -Political Category (See Categories listed at the top of this schedule) Capididate / Officeholder name Description Offige sought Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Office held Revised 9/8/2015 EXPENDITURES. MADE BY CREDIT CARD 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 Gifi/Awards/Memorials Expense Printing Expense Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor The Instruction Guide explains how to complete this form. Total pages Schedule F4: 4 TOTAL OF UN ITEM IZED E PENDITURES CHARGED TO eDFtEDIT CARD 6 P nam e addre s; 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) State; Zip Code 9 TYPE OF EXPENDITURE 10 • PURPOSE OF EXPENDITURE Non -Political (a) Category (See Categories listed at the lop of this schedule) 7.9ie4oz 11 Complete ONLY if direct Candidate / Officeholder name expenditure to ben-eflt: C/OH - ' (b) Description I I Office sought D A Payee t i Z74/ Amount 4$) Payee address- City; State; Zip Co e /77P °Zrni 7g/r1/). 41) TYPE OF EXPENDITURE Political PURPOSE OF EXPENDITURE • Complete ONLY if direct expenditure to benefit C/OH I Check If travel outside of Texas, Complete Schedule T. Check if Austin, TX, officeholder living expense Non -Political Category (See Categories listed at the top of this schedule) 7 nom. 29ffice held j Description LiCheck if travel outside of Texas. Complete Schedule T. I 1 Office sought Check if Austin, TX, officeholder living expense ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Office held / Revised 9/8/2015 EXPENDITURES. MADE BY CREDIT CARD 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 Salaries/Wages/Contract Labor The Instruction Guide explains how to complete this form. 1 Total pages Schedule F4: 2 FILE 4 TOTAL OF UNITEM ZED EXPENDITURES CHARGED 5 Ete 6 Payee am 10 TYPE OF EXPENDITURE • PURPOSE OF EXPENDITURE 8 Payee address; RENT CARD Cit ; State; Zip Code ‘ Non -Political SCHEDULE F4 Solichation/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) (a) Category (See Categories listed at the top of this schedule) (b) Description LiCheck if travel outside of Texas, Complete Schedule T. 11 Complete ONLY it direct Candidate / Officehalciqr darn% expenditure to benefit C/OH --- Datetc, m n ($) Payee I I Office sought Check if Austin, TX, officeholder living expense - Office held Payedress; -0),64» /rdWAvs TYPE OF EXPENDITURE Political PURPOSE OF EXPENDITURE Complete ONLY if direct expenditure to benefit C/OH City; State; Zip Code Non -Political Category (See Categories listed at the top of this schedule) 7 1 7/4 A ed, Description Cvdistate :;eholder Demo Officeifwght 7Z, e Check ff travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Office held, Revised 9 2 5 EXPENDITURES. MADE BY CREDIT CARD Advertising Expense Ac.counting/BankIng Consulting Expense Contributions/Donations Made By Candldate/Officeholder/Political Committee 1 Total pages Schedule F4: EXPENDITURE CATEGORIES FOR BOX 10(a) Event Expense Fees Food/Beverage Expense Gift/Awards/Memorials Expense Legal Services Loan Repayment/Reimbursement Office Overhead/Rental Expense Polling Expense Printing Expense Salaries/Wages/Contract Labor The Instruction Guide explains how to complete this form. 47/1/4 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO REDIT CARD 9 10 TYPE OF EXPENDITURE • PURPOSE OF EXPENDITURE 6 Payee e 8 Payee address; //lee (a) . • .• , City; State; ZiO SCHEDULE F4 Solicitation/Fundraising Expense Transportation Equipment & Related Expense Travel In District Travel Out Of District Other (enter a category not listed above) 3 Filer ID (Ethics Commission Filers) Non -Political Category (See Categories listed at the top ot this schedule) (b) Description Check if travel outside of Texas. Complete Schedule T. LJCheck if Austin, TX, officeholder living expense 11 Complete ONLY if direct Candidate / Officer(older name Office sought Office held ekrilefidit-ure to benefit C/OH • _ Amount ($) • EXT.YEPNEDI-Tr,RE PURPOSE OF EXPENDITURE Payee narn// 4/,W141Z/ Payee addre ; City; State; Zip Code /fivi -/Y,ds%9.0,527 J*z csf 7ztoz) ?r"--)4olitical Non -Political egory (See Categories listed at the lop of this schedule) Complete ONLY if direct expenditure to benefit C/OH Candidate / Officeholder name Description I J Check If travel outside of Texas. Complete Schedule T. 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 9/8/2015 EXPENDITURES. MADE BY CREDIT CARD 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 Salaries/Wages/Contract Labor 1 Total pages Schedule F4: 2 FILER The Instruction Guide explains how to complete this form. 4 TOTAL OF UNITEMIZED EXkND!TURES CHARGED TCREDIT CARD 5 Da 7 A ount ( Vri 46W ,4"g 9 TYPE OF EXPENDITURE 10 PURPOSE OF EXPENDITURE 11 Complete ONLY if direct expenditure to benefit C/OH 744 Payeename �Ano e7 ii/,?7;-//wdz/i3 TYPE OF EXPENDITURE Political 6 Payee n e 8 Payee address; 716‘) VPolitical 11 City; State; A/i/IM 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) Zip Code _ /;60034ef.,/ 77,16?#0 Non -Political (a) Category (See Categories listed at the top of this schedule) Candidate / Officeholder name PURPOSE OF EXPENDITURE (b) Description Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Office sought Office held Payee address; City; State; Zip Code 11,(1/-XOi:04) k ----711/f Non -Political Category (See ategories listed at the top of this sche ) 4(er IC/ 7 Complete ONLY if direct Candidate / Officeholder name expenditure to benefit C/OH Description II Il Check it travel outside of Texas. Complete Schedule T. 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 9/8/2015 EXPENDITURES MADE BY CREDIT CARD 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 Salaries/VVages/Contract Labor 1 Total pages Schedule F4: 2 FILER N The Instruction Guide explains how to complete this form. / W/ s 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO REDIT CARD 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) 5 Dat 6 Payee na _ / 7 Amount ($) 8 Payee address; City; State; Zip ode gY:A /&ICaAl4 :4 !We 7.0;,. 778e 9 TYPE OF EXPENDITURE Political 10 PURPOSE OF EXPENDITURE Non -Political (a) Category (Se Categories listed at the op of this sche kker ‘.(r - e, 6 11 Complete ONLY if direct expenditure to benefit C/OH Candidate / Officeholder name e, [.- // //(!� Paye me`%.. 2 Amount K) Payee aadddJJress; City; St Zip Code 44&# (b) Description fI Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Office sought Office held TYPE OF EXPENDITURE Political PURPOSE OF EXPENDITURE Complete ONLY if direct expenditure to benefit C/OH eo. Non -Political ate (Dry (See ategories listed at the top of this schedule) >114 —>\ Candidate / Officeholder name Description Check if travel outside of Texas. Complete Schedule T. 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 9/8/2015 EXPENDITURES MADE BY CREDIT CARD 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 Salaries/Wages/Contract Labor 1 Total pages Schedule F4: 2 FILE 4 TOTAL OF UNITEMIZED EX The Instruction Guide explains how to complete this form. :;) )9X/47/ ENDITURES CHARGED Tgit A CREDIT CARD 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) 5 D14 Payee n 1 7 Amount ) 8 Payee a)7 -(_/5f,7 00th, dress; City; State; Zip Code /-� Z)SV( /1742, 9 TYPE OF EXPENDITURE olitical Non -Political 10 PURPOSE OF EXPENDITURE 11 Complete ONLY if direct expenditure to benefit C/OH (a) Category (See Categories listed at the top of this schedule) Candidate / Officeholder name e e 9A, 1/PayPayee address; City; State; ip Code 105 /dif i)11 odg (b) Description [1 Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Office sought Office held TYPE OF EXPENDITURE Political PURPOSE OF EXPENDITURE Non -Political 1aegory (See Categories listed at the p of this schedule) ---;7.y,P)- Complete ONLY if direct Candidate / Officeholder name expenditure to benefit C/OH 761721. - Description Check if travel outside of Texas. Complete Schedule T. riCheck if Austin, TX, officeholder living expense Office sought Office held ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethics.state.tx.us Revised 9/8/2015 Forms provided by Texas Ethics Commission EXPENDITURES MADE BY CREDIT CARD 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 Salaries/Wages/Contract Labor 1 Total pages Schedule F4: The Instruction Guide explains how to complete this form. 2 FILER NAME 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TOA CREDIT CARD 5 D e 6 Payee name 4 / / 'P/) 7 i mount $) 8 Payee address; City; State; Zip Code SCHEDULE F4 Solicitation/Fundraising Expense Transportation Equipment & Related Expense Travel In District Travel Out Of District Other (enter a category not listed above) 3 Filer ID (Ethics Commission Filers) 'A /6/f aii;/ 9 TYPE OF � 44+7),(). itical Non -Political EXPENDITURE 10 (a) PURPOSE OF EXPENDITURE at (v gory (See�Caiegorixs listed at the top of this schedule) 11 Complete ONLY if direct Candid expenditure to benefit C/OH 4at. li Payee nam / Officeholder name Amount ($) Payee address; TYPE OF EXPENDITURE PURPOSE OF EXPENDITURE 2/J City; /State; Zip Code (b) Description II Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Office sought Office held 0/4/, v v Political PSaiz, 2z7i* Non -Political a%gory (See Categories listed at the top of this schedule) eff- Complete ONLY if direct Candidate / Officeholder name expenditure to benefit C/OH Description Check if travel outside of Texas. Complete Schedule T. 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 9/8/2015 EXPENDITURES MADE BY CREDIT CARD 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 Salaries/Wages/Contract Labor The Instruction Guide explainA how to complete this form. 1 Total pages Schedule F4: 2 FILER NAME / , 1/0/52/./i �/ri/%�0 � 4 TOTAL OF UNITEMIZED EXPEN ITURES CHARGED TO A C DIT CARD 5 Dae 6 Payee n Amount ( 8 Payee address; SCHEDULE F4 Solicitation/Fundraising Expense Transportation Equipment & Related Expense Travel to District Travel Out Of District Other (enter a category not listed above) 3 Filer ID (Ethics Commission Filers) 7 City; State; Zip Code 7q% '6 / a 9 / - TYPE OF Political EXPENDITURE Non -Political 10 (a) Category (See Categories listed at the top of this schedule) PURPOSE OF EXPENDITURE 11 Complete ONLY if direct expenditure to benefit C/OH 7ph? // Arr>6unt TYPE OF EXPENDITURE PURPOSE OF EXPENDITURE Candidate / Officeholder name (b) Description II Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Office sought Office held Paye e .gif ?iNt.k-d1Z4 Payee a ress; City; State; Zip Code / 47(t t.., Political 776$5 Non-Polital Category (See Categories listed at the top of this schedule) ,b;)1/ 1 � Complete ONLY if direct Candidate / Officeholder name expenditure to benefit C/OH Description Check it travel outside of Texas. Complete Schedule T. 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 9/8/2015 EXPENDITURES MADE BY CREDIT CARD 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 GiftiAwards/Memorials Expense Printing Expense Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor 1 Total pages Schedule F4: The Instruction Guide explains how to complete this form. 2 FILER NAME 1i i407/4e 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TOA CRE T CARD City; State; Zip Co,e 6 Payee nam ount '•) 8 Payee address; 9 TYPE OF EXPENDITURE Political 10 PURPOSE OF EXPENDITURE 11 Complete ONLY if direct expenditure to benefit C/OH 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) &sdov, 77747 Non -Political (a) Category (See Categories listed at the top of this schedule) woliQW 4w> Candidate / Officeholder name Payee na lAVP Payee address; .7(g7t/ /171/. TYPE OF EXPENDITURE PURPOSE OF EXPENDITURE Complete ONLY if direct expenditure to benefit C/OH Political (b) Description Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Office sought Office held City; tate; Zip Code /1:42/ Non -Political 7tagory (See tegories listed at the top of this schedule) Candidate / Officeholder name Description i;03) Check if travel outside of Texas. Complete Schedule T. 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 9/8/2015 EXPENDITURES. MADE BY CREDIT CARD 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 Salaries/Wages/Contract Labor The Instruction Guide explains how to complete this form. 1 Total pages Schedule F4: 2 PI E / Awl/ 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TOA2REDITCARD $ 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) 6 Payee nap— . i mount /'$) 8 Payee a dress; City; State; Zip Code 2d1/ 9 TYPE OF EXPENDITURE 10 PURPOSE OF EXPENDITURE 11 Complete ONLY if direct expenditure to benefit C/OH Altra Political Non -Political (a) Category (See Categories listed at the top of thls schedule) 69, Candidate / Officeholder name 7074 Payee namA)/ Payee address; City; Stat?; Zip Code / (b) Description Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Office sought Office held olee/zif Y.)2} TYPE OF EXPENDITURE PURPOSE OF EXPENDITURE Political 117t#_i ) k77 Non -Political / Category (See Categories listed at the top of this schedule) yirk/it Complete ONLY if direct Candidate / Officeholder name expenditure to benefit C/OH Description Check if travel outside of Texas. Complete Schedule T. 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 9/8/2015