Loading...
191028 - Campaign Finance Report - Karl P. Mooney CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 i 1 Filer ID(Ethics Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. 1 /7 . 3 CANDIDATE/ MS/MRS MR -• OFFICEHOLDER _p OFFICE USE ONLY NAME /112/2 DateR R ECEIVED eceived NICKNAME „AST SUFFIX 4 CANDIDATE/ ADDRESS /PO BiffeaP -S ITE si; CITY: STATE: ZIP CODE OCT 2 8 2019 OFFICEHOLDER �/D/ J�//l � [ /eCJ7 � U(�� MAILING ` iT/uG ADDRESS /�,}/� // q/�� BY: 6#-.2----,-• Change of Address f � !744- 5 CANDIDATE/ AREA CODE PHONE NUMBER 2 EXTENSION OFFICEHOLDER (7]� ) �j J XII/ Date Hand-delivered or Dale Postmarked PHONE (/ �v%/ 6 CAMPAIGN MS/MRS i R ! ST MI Receipt S Amount$ TREASURER /�� �._ NAME Date Processed NICKNAME LAST SUFFIX t��' /�G,' Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE): AP ,SUITE II; CITY; STATE; ZIP CODE TREASURER 5.3 `6 '/4, , ,)f (�C�`� y3 —7 `i- ADDRESS V/) (//�jl� G/J / ��//� �� (Residence or Business) /;G� 8 CAMPAIGN AREA CODE PHONE NUMBER ✓ EXTENSION l TREASURER t A/f) 7` 9�_ j PHONE / V ` 9 REPORT TYPE January 15 I r�''� 30th day before election n Runoff I ; 15th day after campaign Treasurer appointment (Officeholder Only) I I July 15 I I 5th day before election I t Exceeded$500 limit I I Final Report(Attach CIOH-FR) 10 PERIOD Month Day Year Month Day Year COVERED / J J� /0 �T // THROUGH / .17L5;72‘1 11 ELECTION ELECTION DATE l� ELECTION TYPE Month Day Year L Primary ID Runoff 0 Other Description l _ /7 ®General 0 Special 12 OFFICE OFFICE HELD (if any) — 113 OFFICE SOUGHT (I known) /114Cyllar / er V4 ) 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 14 C/OH NAME 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/OFFICEHOLDER. 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 NAME �`,}{ /q GENERAL ✓�/ 1Z ► 7V131/1 41,6k:7 COMMITTEE ADDRESS ////*3/ /�SPECIFICl.G' ,g0 I/ . 7 74) pig. COMMITTEE CAMPAIGN TREASURER NAME Additional Pages :-7 ,e, � 1 j/ v COMMITTEE CAMPAIGN T ASURER ADDRESS ! /, /,1VI 11/14/7/77#0/i r .-x-g-e 17 CONTRIBUTION 1. TOTAL POLITICAL CONTIRIBUTIONS OF$50 OR LESS(OTHE HAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS I MIZED $ /j}2. TOTAL POLITICAL CONTRIBUTIONSTr,-L G/ (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) Si$/ ,r EXPENDITURE 3 TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, � TOTALS tit) 0 UNLESS ITEMIZED I_ 4. TOTAL POLITICAL EXPENDITURES $ "ei. CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY �# BALANCE OF REPORTING PERIOD $ L ? (V� v, �w 111 (((///rrr��� OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $ es--s LOAN TOTALS LAST DAY OF THE REPORTING PERIOD 18 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the accompanying report is s;". % IAN WHITTENTON j true and correct and includes all information required to be reported by me I 12946552-2 under Title 15,Election Cod . I* j\ *` Notary Public,State of Texas i�� My Commission Expires t/y i+ June 20,2021 I /71% `7 /nature of Candidat or Offi olde AFFIX NOTARY STAMP/SEALABOVE (�/ Sworn to and subscribed before me, by the said kf.A.c"1 .P. 1 eICY"-1/y , his the L73 Ar� day of p[,� Cl'Ober- ,20 I— ,to certify which,witness my hand and seal of office. C---- ----- ---------- T a+.. (13kr 4)4,-. Uv\ �Jo{l a CA'I 5 . 1.4 Signature of officer administering oath Printed name of officer administering oath Title of officer administering oat 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. Total pages Schedule A 2 FILER NAME -- A--/ -�17 1 3 Filer ID (Ethics Commission Filers) 7 43 /a, / (Y./iye-:i 4 Date Full name of contributor ❑ou of-state PAC (IC#: ) , Amount of contribution ($) ff-Z71/ 7 '' ;',94".1ei' 71' , corgi 64 • 6 Contributor address; , City; State; Zip Code ///t/i 66,1*e .'(1.01-jb X ia,,IC 8 Principal occ patiop/Job title (See Instructions) g Em toy a (Sp Instructions) ' WI.,iff '417;;/1/',r2, 14)fl&-- / el r f Date Fulpartig of contributor ❑out-of-state PAC (IDS: 1 Amount of contribution ($) .— ilY .- ' ' /0471) t;7e: 1-14)--/.93./ Cron utor address; City; Sta Zip Code 210/ ' / PO 4 tfil‘21 77"Me'1°'-4 r C14 A a ZI./ - Princal pccupat ,b 'tl ' ee'Instructions) E to e See Instructions)e M ,.•t--77, ) ,,,ze. Date Full name of contributor ❑out-of-state PAC (IDS: ) A ount of contribution ($) V;4 li I / 1. ,e *--: /PP( 1 ;; f' 1 ' / / Contributor address; City; State: Zip Code r J/l f // y Yi (�/= //�l�/may.--"' i Afit% Jj L qfV is� /4/ ,'!!'/ e e�l�^!/, 6 ( I`Iti t 111 Princip I occupation/Job title (See lnstructions Em to eifee Instructions) si;Oef---, - -/C-: • Date Fu name/�of contribu r ❑out-of-state PAC(IDS: 1 Amount of contribution ($) Q/ if lam. L G' ..-" 'f, �f 7.,t'/'�lB Contributor address; City; State: Zip Code / if /17" ol7(f,.- -C441. ---, ' T --,i /64, - • 7 - 121:( , . 7 ' Principal occupation job e (See Instructions) Employer (See Instructions) P P � 172? Ay,/ 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 1 The Instruction Guide explains how to complete this form. Total pages Schedule Al l7 2 FILER NAME 3 Filer ID (Ethics Commission Filers) - � / viy. 4 Date i 5 Full nam, of contri for (IC#: 7 Amount of contribution $ out-of-state PAC ) ( ) :47er z- 6-7-'-- itg: liaq 6 Contributor address; City; State; Zip Code / gel) ,/,,, / "79— '.• .- . 'i . ' WV 11; if ,' i Ta.6)6- 7/,› 7 8 Principal occupation,/Job titl (See Inst 'ctions) 9 Employer (S Instru ns) / (-0/47/7/4/ ayeez5 fr ittizzi Date ` Full name of contributor ❑out-of-state PAC lID#: 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/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) I/ , ''' ' /64//ill r;443-/ 21 SCHEDULE SUBTOT�LS SUBTOTAL NAMEOFSCHEDU E AMOUNT 1. SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS $4,7e0 2. SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 67 4. SCHEDULE E: LOANS $ V 5. I I SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ ' /e 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ ` , 7. I I SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 7.5 8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ (3/ 9. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 1 10. I I SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ (1._.) 11. SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ r� 12 SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS $ (((((( // RETURNED TO FILER Forms provided by Texas Ethics Commission www.ethics.s`ate.tx.us Revised 9/8/2015 NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS SCHEDULE A2 The Instruction Guide explains how to complete this form. rf= 1 Total pages Schedule A2: Y 2 FILER NAME �! !,�� 3 Filer ID (Ethics Commission Filers) rim! 4 TOTAL dF UNITEMIZED IN-KIND P ICAL CONTRIBUTIONS $ c' 5 Date 6 Full name of contributor ❑out-of-state PAC(IDS: ) 8 Amount of . 9 In-kind contribution Contribution $ . description 7 Contributor address; City; State; Zip Code ICheck 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(IDS: 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 l 3 Filer ID (Ethics Commission Filers) 75 ( "�`/ , 4 TOTAL OF INITEMIZED PLEDGES 5 Date 6 Full name of pledgor ❑ ou of-state PAC(ID-it 1 8 Amount . 9 In-kind contribution of Pledge $ description 7 Pledgor address; City; State; Zip Code f 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 (IDt: Amount In-kind contribution of Pledge$ • description Pledgor address; City; State; Zip Code ICheck 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 (IN: Amount of In-kind contribution 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 (IN: Amount of In-kind contribution Pledge $ 1 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) 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 1 Total pages Schedule Ei The Instruction Guide explains how to complete this form. 2 FILER NAME .-- 2 /../77/e/ 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF`UNITEMIZED LOANS $ v 5 Date of loan 7 Name of lender ❑out-of-state PAC(10ff: ) 9 Loa Amours 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($) INFORMATION 18 Guarantor address; City; State; Zip Code ❑ not applicable 20 Principal Occupation (See Instructions) 21 Employer (See Instructions) Date of loan Name of lender 0 out-of-state PAC(toff: ) Loan Amount($) 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($) INFORMATION Guarantor address; City; State; Zip Code ❑ not applicable Principal Occupation (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If lender is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/FundraisingExpense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above) Credit Card Payment The Instruc ion Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME / / 3i 4� 3 Filer ID (Ethics Commission Filers) /4 DJ ate 5 Payee n c L ,. 2i4L � 7 6 Am um ($) e 7 Payee address; //��City; State; Zip Code '- /jsx/ 70, 2ZOY. " $ (a) Category (See Categories listed a he top of this schedule) (b) Description PURPOSE ra, I Check if travel outside of Texas.Complete Scheduler. OF ./yf� I Check if Austin.TX,officeholder living expense EXPENDITURE r 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE I Check if travel outside of Texas.Complete Schedule T. OF I Check if Austin,TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) 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.Complete 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 SOX 10(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 P-inting Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/VVages/Contract Labor Other(enter a category not listed above) The Instruction Guide explains how to complete this form. 1 Total pages Schedule F2: 2 FILE fVIE ///7"Viiii4 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZECUNPAID INCURRED (4BLIGAT NS $ 5 Date 6 Payee name 7 Amount ($) 8 Payee address; City: State; Zip Code 9 TYPE OF EXPENDITURE Political Non-Political - 10 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE I I Check if travel outside of Texas.Complete Schedule T. OF EXPENDITURE Check if Austin,TX,officeholder living expense 11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C'OH Date Payee name Amount ($) 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 I Check if travel outside of Texas.Complete Schedule T. OF I 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 PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F3 Total pages Schedule F3: 141 The Instruction Guide explains how to complete this form. 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 1/ 1/ X))/71.‘7,r7te 4 Date 5 ,ame 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 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) The Instruction Guide explains how to complete this form. 1 Total pages Schedule F4: 2 FILER NAIVE"`/fYJ //J� kb /. 3 Filer ID (Ethics Commission Filers) t77 re) 4 TOTAL OF UNITEMIZED EXPENDITURES CH RGED T CREDIT CARD $ 5 Date 6 Payee name 7 Amount ($) 8 Payee address; City; State; Zip Code 9 TYPE OF EXPENDITURE Political Non-Political 10 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE I I Check if travel outside of Texas.Complete Schedule T. OF EXPENDITURE I ICheck if Austin.TX, officeholder living expense 11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) 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 Check if travel outside of Texas.Complete Schedule T. OF I !Check it 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 " i 3 Filer ID (Ethics Commission Filers) 4 Date 5 Payee na G 6 Amount ($) 7 Payee address; City; State; Zip Code �' rr Reimbursement from political contributions intended 8 (a)Category (See Categories listed at the top of this schedule) (b) Description PURPOSE Check if travel outside of Texas.Complete Schedule T. OF EXPENDITURE Check if Austin,TX.officeholder living expense 9 Complete ONLY if direct Candidate /Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Reimbursementfrom political contributions intended Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF I I 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 ($) Payee address; City; State; Zip Code Reimbursement from political contributions intended Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF Check if travel outside of Texas.Complete Schedule T. EXPENDITURE I 1 Check if Austin,TX.officeholder living expense Complete ONLY if direct Candidate /Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH SCHEDULE H EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above) Credit Card Payment The Instruction Guide exppains Ijow to complete this form. 1 Total pages Schedule H: 2 FILER NAME , 3 Filer ID (Ethics Commission Filers) 4 Date 5 Business fia e 6 Amount ($) 7 Business address; City; State; Zip Code 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 Business name Amount ($) Business address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE I I Check if travel outside of Texas.Complete Schedule T. OF EXPENDITURE Check if Austin,TX,officeholder living expense Complete ONLY if direct Candidate /Officeholder name Office sought Office held expenditure to benefit C/OH Date Business name Amount ($) 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 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 NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE The Instruction Guide explains how to complete this form. 1 Total pages Schedule I: 2 FILER N E !: /,, 3 Filer ID (Ethics Commission Filers) 1/1'K.-- 4 Date 5 PayeeCiame 7 6 Amount ($) 7 Payee address; City; State; Zip Code F 8 (a)Category (See instructions for examples of acceptable (b)Description (See instructions regarding type of information PURPOSE categories.) required.) OF EXPENDITURE Date Payee name Amount ($) 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 ($) Payee address; City; State; Zip Code PURPOSE Category (See instructions for examples of acceptable Description (See instructions regarding type of information OF categories.) required.) EXPENDITURE Date Payee name Amount ($) 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. 1 Total pages Schedule K: 2 FILER NAME /9.-:// 3 Filer ID (Ethics Commission Filers) 4 Date 5 'ame of person from who amount is eceived 8 Amount ($) Al) 6 Address of person from whom amount is received; City; State; Zip Code 1:;?. 7 Purpose for which amount is received Check if political contribution returned to filer Date Name of person from whom amount is received Amount ($) 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($) Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received Check if political contribution returned to filer Date Name of person from whom amount is received Amount($) Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received I 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 how to complete this form. 1 Total pages Schedule T: ( 2 FILER NAME �.• / '� 3 Filer ID (Ethics Commission Filers) e. ' 45/ : -/ I 4 Name of Con rib for/Corporation or Labor rganization/ edgor/Payee 5 Contribution/Expenditure reported on: ❑Schedule A2 ❑Schedule B _ Schedule B(J) ❑Schedule C2 E Schedule D ❑ Schedule F1 ❑Schedule F2 ❑ Schedule F4 _Schedule G F 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 I 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) I-Schedule C2 ❑ Schedule D ❑ Schedule F1 III Schedule F2 ❑ Schedule F4 Schedule G ❑Schedule H ❑ Schedule COH-UC I 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