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110506 - Campaign Finance Report - Karl P. MooneyTexas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506 CANDIDATE I OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 ACCOUNT# 2 TotBliied:(Ethics Commission filers)The C/OH Instruction Guide explains how to complete this form_Ii I MSIMRSlM!U MI3 CANDIDATE! OFFICE USE ONLY OFFICEHOLDER ~rl Po L NAME . . . . . ... . . . . . . . .. . . . . " .'" Date ReceivR ANDNICKNAME LAST SUFFIX ID-_'oA'"/Y!tPJlley I, MAY 0 6 2011 4 CANDIDATE! OFFICEHOLDER $Oil&:~;;~TIa~ tf;?W~lJfz~~DE nFI IVERE[~MAILING Date Hand-delivered or Date Postmarked ADDRESS I 77&~ Change of Address I AREA CODE PHONE NUMBER EXTENSION5 CANDIDATE! ~t# IAmount PHONE OFFICEHOLDER (?11 ) J/(. ~3d¥ Date Processed 6 MS I MRS It!!) FIRST MI Date Imaged CAMPAIGN TREASURER ".. f4.ll'1Y· . . " " . .NAME NICKNAME LAST SUFFIX 8-f,-j!J/'" 1 7 CAMPAIGN TREASURER ;;;;;;"~J'X:iJ//~'J!,'tJ,I/'F ~Pn.-if71'~t'.:1 ADDRESS (Residence or business) AREA CODE PHONE NUMBER EXTENSION8 CAMPAIGN TREASURER PHONE (In) 777-,;?-y,rLJ ". 9 REPORT TYPE 15th day after campaign treasurer January 15 30th day before election RunoftD D appointment (officeholder only) July 15 8th day before election Exceeded $500 limit Final report (Attach CIOH -FR)D Month Day Year Month Day Year10 PERIOD THROUGHCOVERED ~ //! /£<7// .5 6 //;('O/J ELECTION DATE ELECTION TYPEI11 ELECTION Month . ~ Year . Primary D Runoff ~neral SpeCial5' / I //r:1tJll: OFFICE HELD (if any)12 OFFICE {!f;t;Sa;;;;dl/1LL ~ 14 NOTICE Direcl campaign expenditures are campaign expenditures mate by others without the candidate's prior consent or approval.OF DIRECT " Candidates are required to disclose this information only if they receive notification of the direct campaign expenditure. ..CAMPAIGN IEXPENDITURE NameBY OTHER INDIVIDUALS Address I PO Box; Apt. I SUIte#; City; State: Zip Code o additional pages GOTO PAGE 2 Revised 0910112007 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506 CANDIDATE t OFFICEHOLDER REPORT: FORM CtOH SUPPORT & TOTALS COVER SHEET PG 2 COMMITTEE ADDRESS SPECIFIC COMMmEE CAMPAIGN TREASURER NAMEo additional pages I swear, or affirm, under penalty of perjury, that the accompanying report is true and correct and includes all information required to be reported by ··~t Notary Public, State of TaKas AMANDA M, CONSTANCIO me under Title 15, Election Code. \~. .1:-1 My Commission EKpires "'~~{.;'!j$"" July 08, 2014 AFFIX NOTARY STAMP I SEAL ABOVE ~. t::ft Sworn to and subs«ibed belo", me, by the said k'ax , E mlU1 D~ , this the _ ...L""'O'--__ day 15 C/OH NAME 17 NOTICE FROM POLITICAL COMMITTEE(S) 16 ACCOUNT # IEtIllcaCommllllllonAiers) •• This box is for notice of political expenditures by political committees to support the candidate I officeholder. These expenditures may have been made without the candidate's orofflceholder's knowledge or consent Candidates and officeholders are required to report this information only if they receive notice of such expenditures. •• COMMITTEE NAME COMMITTEE TYPE GENERAL COMMITTEE CAMPAIGN TREASURER ADDRESS 18 CONTRIBUTION TOTALS EXPENDITURE TOTALS CONTRIBUTION BALANCE OUTSTANDING LOAN TOTALS 19 AFFIDAVIT 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN PLEDGES, LOANS. OR GUARANTEES OF LOANS), UNLESS ITEMIZED 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) 3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED $ 4. TOTAL POLITICAL EXPENDITURES 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD $ 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD $ a.oo of ,20 /1 ,to certify which, witness my hand and seal of ffiee. Signature of officer administering oath Revi'ed 0910112007 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506 POLITICAL CONTRIBUTIONS SCHEDULE A OTHER THAN PLEDGES OR LOANS 1 Total pages Schedule A:The Instruction Guide explains how to complete this form. :A 3 ACCOUNT # (Ethics Commission filers) 2 FILER NAMY(d.r/ 1?'/ih"Il~ 7 Amount of Is In-kind contribution contribution ($) I description (if applicable)d.~nhe .e:d'pj~ . . .. 4 Date 15 Full name of contributor []out44atePAC(ID# ) I;~t'-R> I~l-/I I19t9;.g;;;;~~i~;e S~/;.f 1,HI; I (If travel outside of Texas, complete Schedule T) 9 Principal occupation / Job title (See Instructions) 10 Employer (See Instructions) 1 ) Amount of I In-kind contribution contribution ($) I deSCription (if applicable) Date Full name of contnbutor 0 out4-s1atePAC (ID# ?u.'t; ..l,~ ~'t. . .. .... II~/J.I/ '5,,1>."" I~;;6 ~;in-:;r;/;{tf,~e~, I~77~1J (If travel outside of Texas, complete Schedule n Principal occupation / Job title (See Instructions) Employer (See Instructions) I Date ) Amount of I In-kind contribution contribution ($) I description (if applicable)~:0:;0~;1 w,;;r .. . 11f)·I/ -~c:?~J.":/;Oi7"";f:.j:A ::'&€C;~~~;2( I77$y'~ (If travel outside of Texas, complete Schedule T) Principal occupation I Job title (See Instructions) Employer (See Instructions) I Date Amount of I In-kind contribution contribution ($) I description (if applicable)!d;;;·:°/ir.'f;~;-2:; r ..... ) (~7-/1 1;';;~d~~~5~~ /'T:J.~ : I/X I'/~ IIf travel outside of Texas complete Schedule n Principal occupation / Job title (See Instructions) Employer (See Instructions) 1 Date Amount of I In-kind contribution contribution ($) I description (if applicable) .'J,Jt~tt£tt. a'1rt:l1~#r .. ~me of contributor Dout4-statePAC(ID# -.l Contributor address; City; State; Zip Code ?'jew. ", I I .f~ul !18// fAuhIJ/JtJDti; Mre 9dln1/~7-7$# I I (If travel outside of Texas complete Schedule T) Principal occupation I Job title (See Instructions) Employer (See Instructions) I ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements. Revised 0910112007 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506 POLITICAL CONTRIBUTIONS SCHEDULE A OTHER THAN PLEDGES OR LOANS The Instruction Guide explains how to complete this form. 1 Total pages Schedule A: vt.. 2 FILER NAME /flr/ P.ftJ/j It el 3 ACCOUNT fI. (Ethics Commission filers) 4 Date ~'J-II 5 Full name of contnbutor D out4-stala PAC {10It ) 7 Amount of I 8 In-kind contribution .~~¥/~r contribution ($) I description (if applicable) ' . .lip/) • .PIS I ~;;":l/f,12~~I ?~;;;~~~ I I778 '0 (If travel outside of Texas. complete Schedule n 9 Principal occupation I Job title (See Instructions) 1 10 Employer (See Instructions) r----­I [J out4-state PAC (10It: Amount of IDate Full name of contributor ) In-kind contribution contribution ($) I description (if applicable) : IContributor address; City; State; Zip Code I I I (If travel outside of Texas complete Schedule T) Principal occupation I Job title (See Instructions) I Employer (See Instructions) Date Full name of contributor [J out4-sta!ePAC(ID#~ ) Amount of I In-kind contribution contribution ($) I description (if applicable) Contributor address; City; State; Zip Code I I , I I (If travel outside of Texas, complete Schedule T) Principal occupation I Job title (See Instructions) 1 Employer (See Instructions) Date Full name of contributor D out4-state PAC (ID# ) I Amount of I In-kind contribution contribution ($) I description (if applicable) Contributor address; City; State; Zip Code I I I I (If travel outside of Texas complete Schedule T) Principal occupation I Job title (See Instructions) I Employer (See Instructions) Date Full name of contributor D out4·state PAC (tOlt ) Amount of I In-kind contribution contribution ($) I description (if applicable) Contributor address; City; State; Zip Code I I I i (If travel outside of Texas complete Schedule Tl PrinCipal occupation I Job title (See Instructions) 1 Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED It contributor is out-ot-state PAC, please see instruction guide foradditional reporting requirements. R&vised 0910112007 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TOO 1-800-735-2989) PLEDGED CONTRI BUTIONS SCHEDULE B ! 1 Total pages Schedule 8:The Instruction Guide explains how to complete this form. ( 2 FILER ~"I ;P~;lJ~V 3 ACCOUNT # (Ethics Commission Filers) 4 TOTAL OF UN ITEMIZED Pt..,iDGES: ¢ ¢ ¢ ¢ ¢ ¢ I $'Pt)· ~ 5 Date 1'...~tJ-11 6 Full na~e of ~or 0 aut·al-state PAC (10#: ) .t:!a·ft ..1Pltdle. 7 Pledg address, ~Ity; State, ZIP ?!,de __ ~~6..,-/~I!"r~,.eJ,/)?e' f~T.t/.>( 7'7&j,Lt) 8 Amount of 19pledge ($) I 5to··~I I I In-kind description (if applicable) (If travel outside of Texas. complete Schedule T) 10 Principal occupation I Job title (See Instructions) 111 Employer (See Instructions) Date Full name of pledgor o out-aI-state PAC (ID#: ) . , Pledgor address; City; State; Zip Code Amount of pledge ($) I I In-kind description (If applicable) I I I (If travel outside of Texas, complete Schedule T) Principal occupation I Job title (See Instructions) Employer (See InstrUctions)I Date Full name of pledgor o out-aI-state PAC (10#: Amount of I In-kind description 1,1 pledge ($) (if applicable)I . . .. Pledgor address; City; State; Zip Code I I I (If travel outside of Texas, complete Schedule T) Principal occupation I Job title (See Instructions) Employer (See Instructions) Date Amount of I In-kind description pledge ($) (if applicable) Full name of pledgor o Qut-ot-state PAC (ID#: ) I I I I Pledgor address; City; State; Zip Code (If travel outside of Texas, complete Schedule T) Principal occupation I Job title (See Instructions) Employer (See Instructions) I Date Full name of pledgor o out-ol-state PAC (10#: ) Amount of I In-kind description pledge ($) I, (if applicable) Pledgor address; City; State; Zip Code I I I I (If travel outside of Texas, complete Schedule T) PrinCipal occupation I Job title (See Instructions) Employer (See Instructions) I ATIACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED If contributor Is out·of·state PAC, please see Instruction guide for additional reporting requirements. www.ethics.state.tx.us Revised 04/2112010 Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TOO 1 -600-735-2989), LOANS SCHEDULE E 1 Tolal pages Schedule E: The Instruction Guide explains how to complete this form. I 2 mER NA?1if/ j?IJ/pP71ej 3 ACCOUNT # (Elhics Commission Filers) 4 TOTAL OF UNITEMIZED LOANS: ¢ ¢ ¢ ¢ ¢ ¢ $O,d' 5 Dale of loan 7 Name of lender o out-of-state PAC (10#: ) 9 LoanAmount ($) 6 Is lender 8 Lender address; City; Stale; Zip Code 10 Interest rate a financial Institution? 11 Maturity date y N 12 Principal occupation I Job title (See Instructions) 1 13 Employer (See Instructions) 14 Description of Collateral none 15 GUARANTOR 16 Name of guarantor 18 Amount Guaranteed (S) INFORMATION 17 Guarantor address; City; State; Zip Code D not applicable 19 Principal Occupation (See Instructions) 20 Employer (See Instructions) Date of loan Name of lender o out-of-state PAC (10#: )1 Loan Amount (S) Is lender Lender address; City; State; Zip Code Interest rate a financial Institution? Maturity date y N Principal occupation I Job title (See Instructions) Employer (See Instructions) ..--~-...-.­ Description of Collateral D none GUARANTOR Name ofguarantor I Amount Guaranteed ($) INFORMATION .: Guarantor address; City; State; Zip Code not applicable Principal Occupation (See InstructionS) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED It lender is out-at-state PAC, please see instruction guide tor additional reporting requirements. www.elhics.slale.tx.us Revised 04/21/2010 Texas Ethics Commission PO Box 12070 Austin , Texas 78711-2070 (512) 463-5800 POLITICAL EXPENDITURES SCHEDULE F The Instruction Guide explains how to complete this form. 1 Total pages Schedule F: I 2 FILER NAME ~/ ? ~~Jf:eY 3 ACCOUNT # (Ethics Commission fliers) 4 Date r:11! 5 ";If/!A(-~tf/l1!M/t4J'iy~: . 7 Amount ($) ~!1;?D. d Qj;1J/IPf ~ft S~Y::~M~~/k" 17e~? 8 Purpose of payment (See instructions regarding type of information required.) /ltI~i/ (If travel outside of TeXIS, comple:~ule T) 9 •• Complete if direct expenditure to benefit C/OH •• Candidate I Officeholder name O1Iios sought O1Iios held '(ttr!P.~bJt-t1 tJ7~':/~ Date Payee name Amount ($) Payee address; City; State; Zip Code j Purpose of payment (See instructions regarding type of information required.) (If travel outside of Texas, complete Schedule 1) .. Complete if direct expenditure to benefit C/OH •• Candidate I Officeholder name OffiCI> sought Offios held Date Payee name . . .. Payee address; City; State; Zip Code Amount ($) Purpose of payment (See instructions regarding type of information required.) (If travel outside of Texas, complete Schedule T) •• Complete if direct expenditure to benefit C/OH .. Candidate I Officeholder name Office sought Office held Date Payee name Payee address; City; State; Zip Code Amount ($) Purpose of payment (See instructions regarding type of information required.) (If travel outside of Texas, complete Schedule T) .. Complete if direct expenditure to benefit CIOH .. Candidate I Officeholder name omos sought Office held ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED Revised 0910112007 Texas Ethics Commission P.O. Box 12070 Austin Texas 78711-2070. (512) 463-5800 (TOO 1-800-735-2989) POLITICAL EXPENDITURES SCHEDULE GMADE FROM PERSONAL FUNDS EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense GiftJAwardslMemorials Expense SalarieslWages/Contract labor Loan RepaymenUReimbursement AccounllnglBanking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Travel In District ContribUtions/Donations Made By Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above) The Instruction Guide explains how to complete this form. 1 Total pages Schedule G: 2 F~AME 13 ACCOUNT # (Ethics Commission Filers) ~ '4,1 j? Mii71el/ 5 Payee name I ~-~t,. .. // 4 Date Go ,Yp~/v: Cppt /~?;;eN #~~~~5~;?/~~D??je:lJy42;.gS;<c:.6~~($). .f! lIim emenltrom political conllibutions intended (a) Category (Se" categories listed at the lop of this schedul,,) (b) Description (If Irayel outslae ofTexas. complete Schedule n OF EXPENDITURE 8 PURPOSE /!/;,rer/tJjo/ 6~7Jj-e u)e/~jl'k afi'e?l<.ev/ Date PaYE'l? name J-Y-I/ d~~~p~l--. ~Y~a;r::ft,~ ~;~~~:o~Ald.I<.,fA-~ ;'1k~6~~~~~~ B' Reimbursement rrom pOlitical contribution. intended Category (See categories listed at the top of Ihis schedule) Description (If trave! outside of Texas. complete Schedule n OF EXPENDITURE PURPOSE )jk£?rJ.;./~/ $; JL;e ?a~"'~f/ C~ Date 7;Z~~11 7J1;;~/v~4J1 5$r~ ~~;;;~r~itY~State; .Zi:::',~":.)~ IS" 8IReimbursemeni from poliUcal contributions '?PPZ £ ~ari4eI tl;:ar.5"J1tJj~ :I.JV ~7j3tJintended Category (See eategoriesfisled at the top oflhisschedule) Description (If Iravel outside of Texas, complele Schedule nPURPOSE OF EXPENOnuRE Ib'ver--z1j/~ LkjPlL:7 t' &~/d/f~ f'L ltj Date ;.!t!!:"7·:7'0-// ~e ~~I-it7;.t ($) /6h:;t::;jk6;?~;;:OdAi~~~#A/2~MY~ ,f3' B'·Reimbursement from political contributions intended Category (See categories listed at the top of this schedule) Description (I!ltavel outside ofTexas. complete Schedule T)PURPOSE OF EXPENDITURE g/(J(..ef/ Cd.n/;lJ£erA~i~ &/dYJ7( ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethlcs.state.tx.us Revised 0412112010 Texas Ethics Commission P.o. Box 12070 Aus1in Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989) POLITICAL EXPENDITURES SCHEDULE GMADE FROM PERSONAL FUNDS EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Gift/Awards/Memorials E"pense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Travel I n District Contributions/Donations Made By Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee Fees Printing Expense Office OverheadlRental Expense OTHER (enter a category not listed above) The Instruction Guide explains how to complete this form. 1 Total pages Schedule G: 2 13 ACCOUNT # (Ethics Commission Filers) F~ME?~'5 'I. '/J J' nell 4 Dste I P-~~II ~~~~~ 6 Amount ($) ?l)r ';77 7#J#~jq,d;;o/~7h~1n!1 -:z;; 77.&2'0 ~imbUlSement from political conbibutions intended (a) Category (See categories listed "tthe top of this schedule) (b) Description (If travel outside of ~.s.comple!e ScIledUle n OF EXPENDITURE 8 PURPOSE J%.,.;;;~f.l ~q.t6 ~;~~/I/~e,...ItJ/o/ 6~4f-e Date .;z. ~z.6 -/1 fMm/tPf~ Amount ($) ~t>b'.3< . lY;;;lY ~7:~;;$//~~~~~~~~?"~B':mbursemenl from . political contributions intended Categoty (See categori.... tisled at the lop of this schedule) DeScription (Iftravel outside oITexas. complete ScIledule nPURPOSE OF EXPENDITURE /l1~!bfp#Jtle; ~!eh:?'fiJ~~/ o:::;~ ~-I/ aeref1??~_/~fll/£e Amount ($) 8:~ Z;ili41e fr~~&.1e>izJt?r,7i711j,~ El Reimbursement from political conlnllu!ions intended Description {If travel outside of Texa", complete ScIledute nPURPOSE OF EXPENDITIJRE C/ili';;:;;~."_' ?~P/ Z5~7fltd(/­r;;:7~1/ 7/117 /:;;;i~//(flc8;;; lip&'1~ '>-iI$A;~:Z;;-77.81? ~mbursement from political contributions intended Description (If travel outside ofT".as. complete ScheduIenCategory (See categories listed al the top of this schedule)PURPOSE OF EXPENDITURE ::::z;;.k~J/-er-/tJ/~, ATTACH ADDITIO~LCOPIES OF THIS SCHEDULE AS NEEDED Revised 0412112010 www.ethlcs.state.tx.us Texas Bhics Commission PO Box12070 Austin Texas 78711-2070 . (512)463-5800 (TOO 1-800-735-2989) POLITICAL EXPENDITURES SCHEDULE GMADE FROM PERSONAL FUNDS Advertising Expense Accounting/Banking Consulting Expense Event Expense Fees 1 Total pages Schedule G: -? 4r;./I_/J ~Amount ($) 1! t /ZJ. ' ~imbursetnent !'rom political contributions intended 8 PURPOSE OF EXPENDITURE Dale 5--1-/1 1:i?1$Q 8 Reimbursement from • political contributions intended PURPOSE OF EXPENDITURE Date Amount ($) Reimbursement 'rom0 political contributions Intended PURPOSE OF EXPENDITURE Date Amount ($) Reimbursement from0 political contnbulions Intended PURPOSE OF EXPENDITURE EXPENDITURE CATEGORIES FOR BOX 8(a) GiflJAwardslMemorials Expense SalarieslWagesiContract Labor Loan RepaymenllReimbursement Legal Services SOlicitation/Fund raising Expense Transportation Equipment & Related Expense Food/Beverage Expense Travel In District Contributions/Donations Made By Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above) The Instruction GUide explains how to complete this form. ACCOUNT # (Ethics Commission Filers) 2 F/i1;M !3 S ;P fth ' ". '/J" J'Let/ ~~~~X I 7~k~~"~~~~,~7~~O (a) Category (See categories fisted at the top 01 this schedule) (b) Description (II Iravel outside of Texas, complete Schedule T) ~~~k~.s;..::z;;k.. ~~/l/rC!rlliio/ Gr4fe Payee name {!"~r c;".fter Payee address; City; Stale; Zip Code q$d1 ~$~~.i5.)(J:,~,~ /5I4:ll~/2Y7/B~ Category (See categories listed at the top of this schedule) Description (If travel outside olT""as. complete Schedule T) F/)er;;/l/ver/Ji/Io/ ..:;-~(~e Payee name Payee address; City; State; Zip Code Category (See categories listed at the lop of this schedule) Description (If travel outside tJI Texas, complete Schedule T) Payee name Payee address; City; State; Zip Code Category (See categories listed althe lop of lhis scbedule) Description (If trave! outside tJI Texas, complete Schedule T) ATIACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED www.ethics.state.tx.us Revised 04/21/2010 Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 , (512) 463-5800 (TOO 1-800-735-2989) PAYMENT FROM POLITICAL CONTRIBUTIONS SCHEDULE HTO A BUSINESS OF C/OH EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above) The Instruction Guide explains how to complete this form. 1 Tota I pages Schedule H: 2 FILER N?i4 J?~ ~l/ 13 ACCOUNT # (Ethics Commission Filers) I . r. ; "/~;11.e i 4 lD~te 5 Business name I,­ 6 Amount ($) 7 Business address; City; State; Zip Code 8 PURPOSE (a) Category (See categories lisled al the top of Ihis schedule) I (b) Description (If travel outside of Texas, complete Schedule T) OF EXPENDITURE i 9 Complete Q!::!I.X if direct Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH Date Business name Amount ($) Business address; City; State; Zip Code I PURPOSE Category (See categories listed at the top of this schedule) I Description (If travel outside olTexas. complete Schedule T) IOF EXPENDITURE Complete .QJiI"t if direct Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH Date Business name i Amount ($) Business address; City; State; Zip Code Category ~ -". (Iftravel outside ofTexas, complete Schedule T)PURPOSE LJ""'~......,", OF EXPENDITURE Complete .QJiI"t if direct Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH Date Business name Amount ($) Business address: City: State: Zip Code PURPOSE Category (See categories listed at the top of thIS schedule) Description (tf travel outside of Texas, complete Schedule T) OF EXPENDITURE Complete QMI.Y if direct Candidate I Officeholder name Office sought Office held expenditure to benefit c/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethics.stale.tx.us Revised 04/21/2010 Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) , NON-POLITICAL EXPENDITURES SCHEDULE IMADE FROM POLITICAL CONTRIBUTIONS EXPENDITURE CATEGORIES FOR BOX ala) Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan RepaymenUReimbursement Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By Event Expense Polling Expense Travel Out Of District Ca ndidate/Office hold er/Political Comm illee Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above) The Instruction Guide explains how to complete this form. 1 Total pagiSChedule I: 2 FILE:;t{rl? ~bJ1ev 13 ACCOUNT # (Ethics Commission Filers) 4 Date 5 Payee name ( 6 Amount ($) 7 Payee address; City; State; Zip Code a PURPOSE (a) Category (See categories listed at the top of this schedule) (b) Description (See instructions regarding type of information required.) OF EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Code PURPOSE Category (See categories listed at the top of this schedule) Description (See inslructions regarding type of information required.) OF EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Code PURPOSE Category (See categories listed at the top of this schedule) Description (See instructions regarding type of information required.) OF EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Code PURPOSE OF EXPENDITURE Category (See categories listed at the top of this schedule) Description (See instructions regarding type of information required.) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.elhics.slale.\x.us Revised 04/21/2010 Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-73fr2989) CREDITS (optional) SCHEDULE K 1 Total pages Schedule K: tThe Instruction Guide explains how to complete this form. '" 3 ACCOUNT # (Ethics Commission Filers) 2 FILERNAM~/ ? /lJolll1el/ 5 Payor name4 Date 8 Amount/ ($) 6 Payor address: City; State; Zip Code 7 Reason for credit Date Payor name Amount ($) i Payor address; City; State; Zip Code I Reason for credit I Payor nameDate Amount ($)I Payor address; City; State; Zip Code Payor name Amount ($) Date Payor address; City; State; Zip Code Reason for credit i I. Date Payor name Amount ($) Payor address; City; State; Zip Code i Reason for credit I ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethics.state.lx.us Revised 04/21/2010 Texas Ethics Commission P.O. Box 12070 Austin. Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989) IN-KIND CONTRIBUTION OR POLITICAL EXPENDITURE FOR TRAVEL OUTSIDE OF TEXAS SCHEDULET 2 4 5 The Instruction Guide explains how to complete this form. 1 Total pages Schedule T: FILER NAME 3 ACCOUNT # (Ethics Commission Filers) Contrlbution { Expenditure reported on: 0 Schedule A 0 Schedule B L Schedule C Schedule 0 Schedule F Schedule G Schedule H Schedule N PAC-E0 COH-T PAC-C 10 Means of transportation 11 Purpose of travel (including name of conference, seminar, or other event) COH-UC0 0 7 Name of person(s) traveling 8 Departure city or name of departure location 6 Dates of travel 9 Destination city or name of destination location Name of Contributor {Corporation or Labor Organization I Pledgor I Payee Contribution I Expenditure reported on: Schedule A Schedule B Schedule C Schedule 0 0 Schedule F 0 Schedule G Schedule H Schedule N COH-UC COH-T PAC-C PAC-E0 0 0 0 Name of person(s) travelingDates of travel 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 I Corporation or Labor Organization I Pledgor I Payee Contribution I Expenditure reported on: Schedule A 0 Schedule B Schedule H 0 Schedule N Dates of travel Name of person(s) traveling 0 0 Schedule C COH·UC Schedule 0 COH-T Schedule F PAC-C [J Schedule G PAC·E Departure city or name of departure location I Means of transportation Destination city or name of destination location Purpose of travel (including name of conference, seminar, or other event) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.elhics.state.tx.us Revised 04/2112010