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191007 - Campaign Finance Report - John L. Crompton 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/ I MS/MRS/MR FIRST MI OFFICEHOLDER i Dr. John OFFICE USE ONLY L NAME Date Received i NICKNAME LAST SUFFIX -_ - RECEIVED Crompton 4 CANDIDATE/ ADDRESS /PO BOX; APT I SUITE#; CITY; STATE; ZIP CODE ClC I l J v I OFFICEHOLDER College Station, TX 411 Io,i9 cr.� MAILING 1515 Foxfire ADDRESS 77845 BY:...ay.. .. II Change of Address 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER Date Hand-delivered or Date Postmarked PHONE (979 ) 696-0825 6 CAMPAIGN I MS/MRS/MR FIRST MI Receipt# I Amount$ TREASURER I Mr. Steven NAME - Date Processed NICKNAME LAST 4, SUFFIX Beachy Date Imaged 7 CAMPAIGN 1 STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY, STATE; ZIP CODE TREASURER ADDRESS 1101 Neal Pickett Dr College Station, TX 77840 (Residence or Business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER ( 979 ) 693-5147 PHONE 9 REPORT TYPE I January 15 fVf 30th day before election Runoff I I 15th day after campaign treasurer appointment (Officeholder Only) I I July 15 I i 8th day before election I Exceeded$500 limit I I Final Report(Attach C/OH-FR) 10 PERIOD Month Day Year Month Day Year • COVERED 09/ 01 /2019 10/ 04 / 2019 THROUGH 11 ELECTION i ELECTION DATE IELECTION TYPE Month Day Year I i I Primary n Runoff I I Other Description 11 / 05/ 2019 ' General I I Special 1 12 OFFICE ` OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) None Place 2 City of College Station City Council GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/26/2019 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAME John L. Crompton 15 Filer ID (Ethics Commission Filers) 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S COMM ITTEE(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 Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN TOTALS PLEDGES,LOANS,OR GUARANTEES OF LOANS, OR $425 CONTRIBUTIONS MADE ELECTRONICALLY), UNLESS ITEMIZED 2. TOTAL POLITICAL CONTRIBUTIONS $ 11 I 0 2 5 (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) TOTALS ENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $ 0 UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES $ 4,610.88 CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $6,464.12 BALANCE OF REPORTING PERIOD OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 0 18 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the accompanying report is I Y IAN WHITTENTON true and correct and includes all information required to be reported by me I :°) �� 12946552-2 1 under Title 15,Electio de. i Notary Public,State of Texas My Commission Expires `�.• June 20,2021 Signature of Candidate or Officeholder AFFIX NOTARY STAMP/SEALABOVE 44 Sworn ttoand subscribed before me, by the said \J o h r1 L . Cn rO fc4v r, ,this the I -� of �1,+.)11, r r ,20 i 'I ,to certify which,witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering ath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/26/2019 \ « §� !> � . „ : \ \l \\ } ^ } \ /• }`\ �>: ^ SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID(Ethics Commission Filers) John L. Crompton 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. i SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS $ 11, 025 2. SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULE E: LOANS $ 5. l SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $4,620.88 6. I SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. I 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. I SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12. SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS RETURNED $ TO FILER Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/26/2019 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al 1 Total pages Schedule Al: The Instruction Guide explains how to complete this form. 2 FILER NAME 3 Filer ID (Ethics Filers) Commission John L. Crompton 4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: ) 7 Amount of contribution ($) Paul Greer $100 9/29/19 6 Contributor address; City; State; Zip Code 9100 Waterford Rd CS TX 77845 8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#. 1 Amount of contribution ($) Joe Guerra 9/29/19 Contributor address; City; State; Zip Code $100 2079 Ravenstone Loop CS TX 77845 Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) Cecelia Hawkins 9/10/19 $100 Contributor address; City; State; Zip Code 1306 Todd Trl CS TX 77840 Principal occupation/Job title(See Instructions) Employer(See Instructions) I Date Full name of contributor El out-of-state PAC(ID#: ) I Amount of contribution ($) Patsy Johnson 9/1/19 $100 Contributor address; City; State; Zip Code 1215 Marsteller CS TX 77840 Principal occupation/Job title(See Instructions) Employer(See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC,please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/26/2019 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. Total pages Schedule Al: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) John L Crompton 4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: 7 Amount of contribution ($) Bob & Suzanne Drolesky $75 9/10/19 6 Contributor address; City; State; Zip Code 1109 Ashburn Ave E CS TX 77840 8 Principal occupation/Job title(See Instructions) 19 Employer(See Instructions) Date Full name of contributor El out-of-state PAC(ID#: Amount of contribution ($) Anne Hazen $75 9/17/19 Contributor address; City; State; Zip Code 2505 E Villa Maria Byran TX 77802 Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor out-of-state PAC(ID# ) Amount of contribution ($) Jonathon Coopersmith 9/29/19 Contributor address; City; State; Zip Code $100 1811 Shadowwood Dr CS TX 77840 Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: ) I Amount of contribution ($) Mary Elizabeth Dresser 9/17/19 Contributor address; City; State; Zip Code $100 501 Fairview Ave College Station TX 77840 Principal occupation/Job title(See Instructions) Employer(See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC,please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/26/2819 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. ; 1 Total pages Schedule Al: 8 2 FILER NAME John L. Crompton 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor L out-of-state PAC(ID# 7 Amount of contribution ($) Lisa Halperin 9/29/19 $150 6 Contributor address; City; State; Zip Code 1811 Shadowwood Dr CS TX 77840 8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($) Fuller Bazer 9/10/19 Contributor address; City; State; Zip Code $200 1910 Spanish Moss Dr CS TX 77845 Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID# ) Amount of contribution ($) Cindy Giedraitas 9/25/19 $200 Contributor address; City; State; Zip Code 2013 Oakwood Trail CS TX 77845 Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor 0 out-of-state PAC(ID#: ) i Amount of contribution ($) Gregg Stafford 10/3/19 Contributor address; City; State; Zip Code $200 4203 Downton Abbey CS, TX 77845 Principal occupation/Job title(See Instructions) Employer(See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC,please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/26/2019 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 8 2 FILER NAME 3 Filer ID (Ethics Commission Filers) John L. Crompton 4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: ) 7 Amount of contribution ($) Fred Dupriest 9/2/19 $500 6 Contributor address; City; State; Zip Code 400 Fairview Ave CS TX 77840 8 Principal occupation/Job title(See Instructions) g Employer(See Instructions) Date Full name of contributor 0 out-of-state PAC(ID# 1 Amount of contribution ($) Shirley Dupriest $500 9/2/19 Contributor address; City; State; Zip Code 400 Fairview Ave CS TX 77840 Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor 0 out-of-state PAC(ID#: ) Amount of contribution ($) Phil Gibson 9/18/19 Contributor address; City; State; Zip Code $500 1315 Wilshire Court CS TX 77845 Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) Mickey Posey 9/19/19 Contributor address; City; State; Zip Code $500 444 Chimney Hill Drive CS TX 77840 Principal occupation/Job title(See Instructions) Employer(See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC,please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/26/2019 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 8 2 FILER NAME 3 Filer ID (Ethics Commission Filers) John L. Crompton 4 Date 5 Full name of contributor out-of-state PAC(ID# 7 Amount of contribution ($) Margrit and Greg Moores 10/1/19 6 Contributor address; City; State; Zip Code $100 1104 Goode Dr CS TX 77840 8 Principal occupation/Job title(See Instructions) g Employer(See Instructions) Date Full name of contributor out-of-state PAC(ID#: Amount of contribution ($) Matthew Mefferd and Nan Crouse 10/1/19 Contributor address; City; State; Zip Code $100 1107 Ashburn Ave CS TX 77840 Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($) Hugh Stearns $100 9/6/19 Contributor address; City; State; Zip Code 316 Suffolk Ave CS TX 77840 Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor out-of-state PAC(ID#: 1 Amount of contribution ($) Wilf Gardner and Mary Jo Richardson 9/18/19 $100 Contributor address; City; State; Zip Code 6403 Windwood Dr CS TX 77845 Principal occupation/Job title(See Instructions) Employer(See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC,please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/26/201 1 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 8 2 FILER NAME 3 Filer ID (Ethics Commission Filers) John L. Crompton 4 Date 5 Full name of contributor ❑out-of-state PAC(ID# 7 Amount of contribution ($) John L Crompton 9/02/19 6 Contributor address; City; State; Zip Code $5,000 1515 Foxfire College Station, TX 77845 8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions) Date Full name of contributor n out-of-state PAC(ID# Amount of contribution ($) John Junkins Text $1 00 1 0/01/19 Contributor address; City; State; Zip Code 1002 Shady Dr CS TX 77840 Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor out-of-state PAC(ID# Amount of contribution ($) Mike Manson 9/10/19 Contributor address; City; State; Zip Code $1 00 1204 Dominick CS TX 77840 Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor 0 out-of-state PAC(ID# I Amount of contribution ($) David McWhirter 9/30/19 Contributor address; City; State; Zip Code $1 00 1708 Amber Ridge Dr CS TX 77845 Principal occupation/Job title(See Instructions) Employer(See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC,please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/26/201i MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) John L. Crompton 4 Date 5 Full name of contributor O out-of-state PAC(ID#. ) 7 Amount of contribution ($) Hugh Stearns $200 9/27/19 6 Contributor address; City; State; Zip Code 316 Suffolk Avenue CS TX 8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) Rich Woodward Zip $200 9/12/19 Contributor address; City; State; Code 1001 Pershing Avenue CS TX 77840 Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor 0 out-of-state PAC(ID#: ) Amount of contribution ($) Nita and Mike Hoelscher $200 9/20/19 Contributor address; City; State; Zip Code 4710 Scrimshaw Lane CS TX 77845 Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor El out-of-state PAC(ID#: ) Amount of contribution ($) Don Hellreigel 10/2/19 Contributor address; City; State; Zip Code $300 1301 Wilshire CS TX 77845 Principal occupation/Job title(See Instructions) Employer(See Instructions) I I ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC,please see Instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/2612019 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al 8 The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) John L. Crompton 4 Date 5 Full name of contributor out-of-state PAC(ID# 7 Amount of contribution ($) Steve Beachy 9/2/19 6 Contributor address; City; State; Zip Code $500 1101 Neal Pickett Drive CS TX 77840 8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(lD#: I I Amount of contribution ($) 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 ($) Contributor address; City; State; Zip Code Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor Li out-of-state PAC(ID#: 1 Amount of contribution ($) 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 9/26/2019 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 SalariesNVages/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 Ft' 2 FILER NAME ' 3 Filer ID (Ethics Commission Filers) 2 John L Crompton 4 Date 5 Payee name 9/28/19 Copy Corner 6 Amount ($) 7 Payee address; City; State; Zip Code $140.45 2307 Texas Ave College Station TX 77840 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE O Advertising expense Campaign Cards EXPENDITURE (c) I I Check if travel outside of Texas Complete Schedule T. Check if Austin,TX,officeholder living expense 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date I Payee name 9/23/19 I Super Cheap Signs Amount ($) Payee address; City; State; Zip Code $1415.91 9200 Waterford Centre Blvd, STE 100 Austin TX 78758 Category (See Categories listed at the top of this schedule) 1 Description PURPOSE Advertising expense Signs OF EXPENDITURE • Check if travel outside of Texas.Complete ScheduleT I Check if Austin,TX. officeholder living expense Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 10/02/19 Super Cheap Signs •Amount ($) 1 Payee address; City; State; Zip Code $1,554.52 9200 Waterford Centre Blvd, STE 100 Austin TX 78758 Category (See Categories listed at the top of this schedule) I Description PURPOSE Advertisingexpense Signs of • EXPENDITURE • • ICheck if travel outside of Texas Complete Schedule T. 1 I Check if Austin.TX,officeholder living expense • Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED ------------- Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/26/2019 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contnbutions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F I: 2 FILER NAME 13 Filer ID (Ethics Commission Filers) John L. Crompton 4 Date 5 Payee name 10/01/2019 Ms. Darby Thomas 6 Amount ($) 7 Payee address; City; State; Zip Code $1500 5378 Spring Creek Ln Anderson TX 77830 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF Contract Labor IT Assistance EXPENDITURE (c) I Check if travel outside of Texas.Complete Schedule T. I I Check if Austin,TX, officeholder living expense 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE ICheck if travel outside of Texas.Complete ScheduleT. I Check if Austin,TX, officeholder living expense Complete ONLY if direct Candidate/Officeholder name . Office sought Office held expenditure to benefit C/OH Date I Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE ICheck if travel outside of Texas.Complete ScheduleT I 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 w&w.ethics.state.tx.us Revised 9/26/2019