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191001 - Campaign Finance Report - Karl P. Mooney CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. // 3 CANDIDATE/ MS!MRS/ R FIRST MI t OFFICEHOLDER / OFFICE USE ONLY NAME / Date Received NICKNAME LAST SUFFIX RECEIVED .-4Mitle/ ,-,r T 7' -, — - 4 CANDIDATE/ ADDRESS !PO BOX: APT/SUITE;k / CITY; STATE; ZIP CODE OFFICEHOLDER i/ -e ,/ C..7"� to lr_ .� MAILING G' f �` BY: "F� ADDRESS ` ` %� �r'/ ✓ �i�t Change of Address �` [ti �tl��- / ZU/ 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER Date Hand-delivered or Date Postmarked PHONE /L� /1> XY,/ 6 CAMPAIGN 'Nils/MRS /R ,) FIRST MI Receipt# Amount$ TREASURER NAME `�` f 4 71 V Date Processed NICKNAME LAST /^ SUFFIX i � Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE): T/SUITE C: CITY: STATE; ZIP CODE TREASURER ADDRESS ��-! �� —� / (Residence or Business) 6 ��C�l, „4:43 ____--• (;:// 1 07 a7,,47-- 8 CAMPAIGN AREA CODE PHONE NUMBE / EXTENSION TREASURER //77 /` p' �..J-31PHONE 9 REPORT TYPE I January 15 30th day before election 1 1 Runoff I 15th day after campaign treasurer appointment (Officeholder Only) I I July 15 I 8th day before election I I Exceeded$500 limit Final Report(Attach C/OH-FR) 10 PERIOD Month Day Year Month Day Year COVERED 5., //7 / .9 /C / ! //7- THROUGH 1111 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year I I Primary I I Runoff I I Other Description j c.:- / General Special /17 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) /1/ Vrr ‘76...)///,?ir'' GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 7 14 C/OH NAME !J 15 Filer ID (Ethics Commission Filers) i'l -7--7/ --/ / 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL C TRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLD. . THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE TYPE COMMITTEE NAME77 GENERAL / • yf COMMITTEE 4ADDRESS ❑SPECIFIC >f'/ /141 /1)AV 0--: ti':#(14- 4-- COMMITTEE CAMPAIGN TREASURER NAME ' l%/f5 ` I 1 Additional Pages / ''1 J % :2!,i�9Ef ITTEE CC�AMPAIGN RjEAS�RER ADD —— 5- 2.54 - d7)--/-tr // .0:' J ' ik 17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN $ •✓ "6 TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED 2. TOTAL POLITICAL CONTRIBUTIONS +� d� (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ /,✓ >= EXPENDITURE 3 TOTAL POLITICAL EXPENDITURES OF $100 OR LESS. $ /, C TOTALS UNLESS ITEMIZED C � 4. TOTAL POLITICAL EXPENDITURES $(9 et) BACONTRIBUTION 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $/ 4 �� OF REPORTING PERIOD f OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OJTSTANDING LOANS AS OF THE l e-0 LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 18 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the accompanying report is �G�G -Weld)DekTorro I true and correct and includes all information required to be reported by me R •Y 1 r� '� 1 7.? t under Title 15,Election Code.* Notary Public,State of Texas /,, . My Commission Expires ) '` r 1 '' August2i,2020 -,,/ / �,Z)7 _ _ � r ,,� .. _ 7 Signature of Candidate or,.0ifice older AFFIX NOTARY STAMP I SEALABOVE 1/_ / Sworn to and subscribed before me, by the said NAB' P. bDn{y\ ,this the 154 day of 0C1UWtK ,20 ICI ,to certify which,witness my hand and seal of office. tm disk 40m, guov, W Cc.70rrt LocaA -15-f akr nature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al ..: The Instruction Guide explains how to complete this form. i Total pages Schedule Al 2 FILER NAME '-i--77-12/4/ 3 Filer ID (Ethics Commission Filers) 4 Date Full name of contributor E]ou-of-state PAC(ID#: ,7 Amount of contribution ($) "Z? /t/7 ' /1' i.,7.ti 6 Contributor address; City; State; Zip Code // 47,,,Axpy-/›- 8 Principal°pc.pation/Job title (See4nstructions) g En-51o7(Seg Instructions) . 41A,./" -cil,'''t::kiier .„ / L. / Date Fujinairrig of contributor III out-of-state PAC(ID#: ) Amount of contribution ($) '. e--7: '- itfie,9 Aoit4g71/) 0,.....: p.orp147utor address; City; Sta ; Zip Code , e•--.',t y..,/, _ , ,..„ • . i Principal pccup_a42.iair ee,Inycitructiors) t twplo er/See Instructions) et u —i,/id //e 44 Date Full Full name of con‘utor 0 out-of-state PAC(ID#: ) A ount of contribution ($) --epeti- C.----1. , €-. D . ‘//,./ :),://q' y;i / Contributor address; City; State; Zip Code Princill occupation/Job title (See 19structiuis / Delo erib, ee Instructions) 7/1i;C‘9.6 i /Lki'llal- ---1 -a/b Date Fu name of contributor E out-of-state PAC (10#: 1 1.i. Amount of contribution ($) c•i/ --7-9,,7 f,,, „.....„,es ( x//y;1 . Contributor address; 1-- City; State; Zip Code 7 ( / , a -- • Principal occupationc Job tit e (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 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains h7 .ow to complete this form. Total pages Schedule Al 2 FILER NAME ,/ten 3 Filer ID (Ethics Commission Filers) 4 Date 1 5 Full nam of contri utor out-of-state PAC(ID#: 7 Amount of contribution ($) "itler 4i'Ve-)7. ,y7)1 a' 6 Contributor address; City; State; Zip Code z. "4 /7iiiirtihrili,,11 ,,' itlf,i)z A ggii.,7 8 Principal occupation,/Job titl (See Inst ctions) `9 Employer (S Instru ns) ii;" 7,17ZOi ff,A774, contributor r - -Date Full name of cont ibuto ❑out-of-state PAC(ID#: Amount of contribution ($) 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#: 1 Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation/Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: 1 Amount of contribution ($) Contributor address: City; State; Zip Code Principal occupation I 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 9/8/2015 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID(Ethics Commission Filers) / z 21 SCHEDULE S BTOTALS / SUBTOTAL NAME OF SCHEDULE ff AMOUNT 1. SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS $/,./Cf: t, 2- r SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3• trl SCHEDULE B: PLEDGED CONTRIBUTIONS $ (/ 4. I 'r1� SCHEDULE E: LOANS $ C 5- ' ' SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 6. I fV'• SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ / `' 7. r),lr SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8. ,lel SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ i 9. a SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. FV SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 6 r-� 11. V SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ )./ SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS 6/ 12 '� RETURNED TO FILER Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS SCHEDULE A2 The Instruction Guide explains how to complete this form. 1 Total pages Schedule A2: 2 -' f f 3 Filer ID FILER NAME ,% � ( ) cCCC 4 TOTAL 0( UNITEMIZED IN-KIND PO IC Ethics Commission Filers CONTRIBUTIONS $ Crd 5 Date 6 Full name of contributor ❑out-of-state PAC(IDff: 8 Amount of . g In-kind contribution Contribution $ . description 7 Contributor address; City; State; Zip Code • Check if travel outside of Texas.Complete Schedule T. 10 Principal occupation/Job title (FOR NON-JUDICIAL)(See Instructions) 11 Employer (FOR NON-JUDICIAL)(See Instructions) 12 Contributor's principal occupation (FOR JUDICIAL) 13 Contributor's job title (FOR JUDICIAL)(See Instructions) 14 Contributor's employer/law firm (FOR JUDICIAL) 15 Law firm of contributor's spouse (if any) (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(IDi: Amount of In-kind contribution Contribution $ description Contributor address; City; State; Zip Code • 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) 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 9/8/2015 PLEDGED CONTRIBUTIONS SCHEDULE B 1 Total pages Schedule B: The Instruction Guide explains how to complete this form. 2 FILER NAME 1 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF bNITEMIZED PLEDGES 5 Date 6 Full name of pledgor ❑ ou of-state PAC(ID#: 8 Amount 9 In-kind contribution of Pledge$ description 7 Pledgor address; City: State; Zip Code II 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#: Amount In-kind contribution of Pledge$ • description Pledgor address; City; State; Zip Code • • Check if travel outside of Texas. Complete Schedule T. Principal occupation/Job title (See Instructions) Employer (See Instructions) Date Full name of pledgor ❑out-of-state PAC (ID#: Amount of In-kind contribution Pledge $ description Pledgor address; City; State; Zip Code II Check if travel outside of Texas.Complete Schedule T. Principal occupation/Job title (See Instructions) Employer (See Instructions) Date Full name of pledgor ❑ out-of-state PAC(ID#: Amount of In-kind contribution Pledge $ description Pledgor address; City; State; Zip Code II Check if travel outside of Texas.Complete Schedule T. • 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 9/8/2015 LOANS SCHEDULE E The Instruction Guide explains how to complete this form. i Total pages Schedule E: 2 FILER NAME 73 Filer ID (Ethics Commission Filers) 7if 4 TOTAL OF`UNITEMIZED LOANS $ 5 Date of loan 7 Name of lender ❑out-of-state PAC(IDtt: ) 9 Loar1,Amoun Z)/ GG' 6 Is lender 8 Lender address; City; State; Zip Code 10 Interest rate a financial Institution? 11 Maturity date Y N 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 of guarantor 19 Amount Guaranteed($) INFORMATION 18 Guarantor address; City; State; Zip Code ❑ not applicable 20 Principal Occupation (See Instructions) 21 Employer (See Instructions) Date of loan Name of lender ❑out-of-state PAC(IDfi- ) Loan Amount($) Is lender Lender address; City; State; Zip Code Interest rate a financial Institution? Maturity date Y N Principal occupation / Job title (See Instructions) Employer (See Instructions) Description of Collateral Check if personal funds were deposited into political account (See Instructions) ❑ none ❑ GUARANTOR Name of guarantor Amount Guaranteed($) INFORMATION Guarantor address; City; State; Zip Code ❑ not applicable Principal Occupation (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If lender is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME -''-- 3477/4 3 Filer ID (Ethics Commission Filers) 44 4 Date 5 Payee name 6 Amount ($) 5 7 Payee address; City; State; Zip Code 67.l� 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE Check if travel outside of Texas.Complete Schedule T. OF I Check if Austin,TX, officeholder living expense EXPENDITURE 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE Check if travel outside of Texas.Complete Schedule T. OF Check if Austin.TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE I Check if travel outside of Texas.Corniplele Schedule T. OF I Check if Austin,TX, officeholder living expense EXPENDITURE 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 9/8/2015 UNPAID INCURRED OBLIGATIONS SCHEDULE F2 EXPENDITURE CATEGORIES FOR BOX 10(a) Advertising Expense Event Expense Lean R epayment/ReimbursemenY 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 Salaries'Wages/Contract Labor Other(enter a category not fisted above) The Instruction Guide explains how to complete this form. 1 Total pages Schedule F2: 2 FILE 'ME, ` yilvi 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZE�UNPAID INCURRED ®BLIGAT NS $ / 6 5 Date 6 Payee name 7 Amount ($) 5 Payee address; City: State; Zip Code 9 TYPE OF EXPENDITURE Political Non-Political 10 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE I I Check if travel outside of Texas.Complete Schedule T. OF EXPENDITURE I ICheck if Austin,TX,officeholder living expense 11 Complete ONLY if direct Candidate /Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code TYPE OF EXPENDITURE Political Non-Political Category (See Categories listed at the top of this schedule) Description PURPOSE I I Check if travel outside of Texas.Complete Schedule T. OF E Check if Austin,TX,officeholder living expense EXPENDITURE 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.:x.us Revised 9/8/2015 PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F3 y Total pages Schedule F3: lei The Instruction Guide explains how to complete this form. 2 FILER NAMEAW/// /14- 771z 13 Filer ID (Ethics Commission Filers) V) 7' it 4 Date 5 iame of person from whom investment i urchased 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 9/8/2015 EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4 EXPENDITURE CATEGORIES FOR BOX 10(a) Advertising Expense Event Expense Loan Repaymenl/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 Salaries/Wages/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 NAf 1E- / 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UN ITEMIZED EXPENDITURES CHARGED T CREDIT CARD $ 5 Date 6 Payee name 7 Amount ($) 8 Payee address; City; State; Zip Code 9 TYPE OF EXPENDITURE Political Non-Political 10 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE Check if travel outside of Texas.Complete Schedule T. OF EXPENDITURE Check if Austin,TX,officeholder living expense 11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code TYPE OF EXPENDITURE Political Non-Political Category (See Categories listed at the top of this schedule) Description PURPOSE I Check if travel outside of Texas.Complete Schedule T. OF Check if Austin.TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS SCHEDULE G 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 Salaries/Wages/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 G: 2 FILER NAM '% ) 3 Filer ID (Ethics Commission Filers) 4 Date 5 Payee na t' 6 Amount ($) • 7 Payee address; City; State; Zip Code eft G Reimbursement from political contributions intended 8 (a)Category (See Categories listed at the top of this schedule) (b) Description PURPOSE Check if travel outside of Texas.Complete Schedule T. OF EXPENDITURE I (Check if Austin,TX. officeholder living expense 9 Complete ONLY if direct Candidate /Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Reimbursement from political contributions intended Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF Check if travel outside of Texas.Complete Schedule T. EXPENDITURE Check if Austin,TX, officeholder living expense Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Reimbursement from political contributions intended Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF Check if travel outside of Texas.Complete Schedule T. EXPENDITURE I (Check if Austin,TX,officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH SCHEDULE H EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/VVages/Contract Labor Other(enter a category not listed above) Credit Card Payment The Instruction Guide explains tow to complete this form. 1 Total pages Schedule H: 2 FILER NAME .,'� 3 Filer ID (Ethics Commission Filers) �///fir/i v / i4 Date 5 Business 4aralie 6 Amount ($) 7 Business address; City; State; Zip Code ZC ft.-' 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE I I Check if travel outside of Texas.Complete Schedule T. OF EXPENDITURE I I 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 ($) Business address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE Check if travel outside of Texas.Complete ScheduleT. OF Check if Austin,TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Business name Amount ($) Business address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE I I Check if travel outside of Texas.Complete Schedule T. OF I I Check if Austin,TX. officeholder Irving expense EXPENDITURE 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 9/8/2015 NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE The Instruction Guide explains how to complete this form. et 1 Total pages Schedule I: 2 FILER N Er' f-: l 3 Filer ID (Ethics Commission Filers) /,,,i Ki/ 4 Date 5 Paye ante /7 6 Amount ($) 7 Payee address; City; State; Zip Code 7 ,tf.„,,,, 8 (a)Category (See instructions for examples of acceptable (b)Description (See instructions regarding type of information PURPOSE categories.) required.) OF EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See instructions for examples of acceptable Description (See instructions regarding type of information PURPOSE categories.) required.) OF EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Code PURPOSE Category (See instructions for examples of acceptable Description (See instructions regarding type of information O F categories.) required.) EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See instructions for examples of acceptable Description (See instructions regarding type of information PURPOSE categories.) required.) OF EXPENDITURE ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER SCHEDULE K The Instruction Guide explains how to complete this form. 7 Total pages Schedule K: 2 FILER NAME ., 3 Filer ID (Ethics Commission Filers) 4 Date 5 ame of person from who amount is eceived 8 Amount ($) 6 Address of person from whom amount is received; City; State; Zip Code 7 Purpose for which amount is received Check if political contribution returned to filer Date Name of person from whom amount is received Amount($) 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 ($) Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received I Check if political contribution returned to filer Date Name of person from whom amount is received Amount ($) Address of person from whom amount is received; City: State; Zip Code Purpose for which amount is received I Check if political contribution returned to filer ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 IN-KIND CONTRIBUTIONS OR POLITICAL EXPENDITURES FOR TRAVEL OUTSIDE OF TEXAS SCHEDULE T • The Instruction Guide explains howto complete this form. 1 Total pages Schedule T: Cif 2 FILER NAME tY .7 7/7// 3 Filer ID (Ethics Commission Filers) ive 4.1/41 4 Name of Con rib for/Corporation or Labor Organization/ edgor/Payee 5 Contribution/Expenditure reported on: E.Schedule A2 ❑Schedule B Schedule B(J) ❑Schedule C2 ❑ Schedule D ❑ Schedule F1 ❑Schedule F2 I Schedule F4 _Schedule G Schedule H Schedule COH-UC Schedule B-SS 6 Dates of travel 7 Name of person(s)traveling 8 Departure city or name of departure location 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: Schedule A2 ❑Schedule B Schedule B(J) _ Schedule C2 ❑ Schedule D ❑ Schedule F1 ❑Schedule F2 ❑ Schedule F4 ❑Schedule G ❑Schedule H ❑ 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: ❑Schedule A2 ❑Schedule B ❑ Schedule B(J) ❑Schedule C2 ❑ Schedule D ❑ Schedule F1 ❑Schedule F2 ❑ Schedule F4 ❑Schedule G ❑Schedule H ❑ Schedule COH-UC Li 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) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015