candidate i off!ceholder form c/oh campaign …...04-28-17 p01:21 in candidate i off!ceholder...
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04-28-17 P01:21 IN
CANDIDATE I OFF!CEHOLDER CAMPAIGN F!NANCE REPORT
! 1 The C/OH Instruction Guide explains how to complete this form . I
3 CAN D IDATE l OFFIC EHOLDE.=l NAME
4 CAI'\ C :OATE I OFFIC t:HOLDE R MAIL:0JG ADDRESS
D Chang e or Add ress
5 CANDIDATE/ OFFI :::t:HOLDER PH01 -J E
6 CAMPAIGN TRE .C..SURER NAME
7 CAI'v~ "" !I.IGN TRE,l\SURER ADC P ESS
(Residen~" or Business)
8 CA!\ ; ., -\IGf\C TRE,: . .:>UF:::O:P. PHC . .: :::
9 REP " RT TYPE
10 PER r'.)D COVe RED
• MS ' '~AS I ~.1R
~ICK)!AME LAST ~UFF '
hDCc ESS , FOE~::: APT I SUITE;: CITY; STATE. ZIP CO'JE
140" u~uee~ }),.._ B~/"\-r}{ 7S"Ot'Q--
PRe:. COD!" PHONE NU~te::; EXTE~SIC:-1
(qo3> ) 8!5 6"~' MS /MRS I MR FIRST ),,
t--{r o;~~ph. A t:I':'<NAME LA Sl SUFF!'<
I Ar~("D~
I STP.EEl ACDRESS i~IO PO BOX PLE/,5Ei: AP' I :;UITE #; CITY; :'1'.\TE
lc.tOb \tJorJtf~l D. e,'c~~ IX I
.\fiE/'. COCE PHONE NUI.:~ER
D January 15 0 3GI:1 day belor" r.leclion D Runo li
0 July 15 'Jil( St:; day bolare e\ec!IOn 0 ExcP..:d c- C: S5'JO iimit
I
Mor.tn Day 'tca1 r,,\ontil
I s ;)J 17 4 THR OUG H
FORM C/OH COVER SHEET PG 1
l
2 Total o2.ges tiled:
Crt=. ~E USE ONLY
Date Rcccivc:J
O;;t e Har.n·r;- l:•:e(C'd or Date Postmarked
I Amount S
Date Proccs: r.d
ZIP C:JC:=
75og;).
D
0
Do
X
15:i1 co'} 211er campaign trc.:surer appointment (O:I~r: -o-h '21det Only)
Fin<'l Rae crt (Attach CIOH • FA)
Yac\1 ,, 11 ELECTION
I ELECTIC.~ [;!.[E ELECT!C~ TYPe
D 0 ,.....,
',1c c· Year P11r ~ .1 ~ Rt ;-, c_j -J :!: I
.Jl{. cp c 01
Do:._ ''"' "
OS 0' ;)1)17 ~ Gt:I~CI,l:
12 OFFi r.E OFFICE HELD (if ooy)
I
Forms pre· ·;ded by Texas Ethics Commissio: : viWW.<=lnics state.tx.us Revised 9/8/2015
04-28-17 P01:21 IN
CANDIDATE I OFFjCEHOLDE~;t CAMPAIGN FcNANCE REPORT
FORM C/OH GOVEn f.-;;HEET PG 2
16 NO 1 ICE FRO;v; PO~ r-ICAL COMMITTEE(S)
0 Additional Page s
17 CONTRIBUTION TOTALS
EXPENDITL.;R~
TOTALS
CONTRIBUTION BALANCE
OUTSTANDING LOAN TOTALS
18 AFFIDAVIT
,:: Filer !C. (::O'if·,ic; Commission Filers) '----- ----1 ,:OTICE OF POLiiiCAL CO.'<o'li9~TIONS ACCEPT:D 0'1 POLITIC.~L 2!!Pc:!~F.TH~S MADE !3'! FLi_!'iiCAL COMMITTEES TO
~L?."JOA1 n::: : .tlD;JATE / .J.-F!C.=~:~.;Lc:=:: T 1'E$E 5XPENDITURES .:iA}· H.1.VE HIEEN i•ACi: ~'1/rt'.:~:- rHF.. ~!... ""W!7'E1S OR OFFICEHOLDER'S
KNOWLEDGE 0!0 CONSENT. CANDIDATES AND OFriCorlOLDERS AR~ F.ECUI!'!!"D TO REcCR'i T~ic !NrO~IMTION C!<LY iF THEY RECEIVE NOTICE
OF SUCH EXPE!~01 fUAES.
COW!.ITTEE TYPE COMMITTEE !>Ar.:E
, __ /SPECIFIC
1 .
2.
J
.,.
5
'
COMtd iTTEE CAft1 PA:.3 1\! .i RE.:.:. suREF\ ASORFSS
TOTl1L :·~i)LIT ICAL :-::c i.,l·: s !C LF--i:::Ji .:.:; or- ss D (")P ~ :::E: .s ro-o1::R TH/. 1
PLEC:GE'S, LOANS , CR (iUA::':f.i•!TC::':S ClF I 0:1i'S). I~I ·' LE~S ,-'EH I'ZED
TOH.I. i·1 0LITICAL C;Ci\ITRiSIJT;O!JS IOTHO:;~ THAN PLEDGES L::i\1 S OR <, u M;I'.~'i'l' E S ::J F L(;,c,;:,; ;
To·:- ·:JLITIC/.L ~-->·.~cl,[, 1 _;I:.~;~~ CF ~;i'lO () \ !_ ·=: ~.:2,
UN; :".' ; !TEMI ZE D
TOT -.:. :)OLIT IGA L CC :'.' ·:·r.!r:; "i iOrJ S ':V AI.'.JI!./I! f: C.~[' ·)r: 1 ~-t=-: ~. r .ST) \': OF ,-;f'F<J RTI NG PE,0,;();J
TOT\c ?I~ INCIPI.L ,,_;,;ounr : ;:: ·, l!. our sr ,\:. :<~w> Lc •1\N s ,<·: .::: ,c ·-,-.f.:: L;.E : .:J:t OF TI< E i1<~p,,: :-:· ·: :--L.:-.;L;['
c' ,._;
! ;.:.N:·ar, o: ~i: n . n. u: 1 ~: o r ::·.;,:: ii ~' c:: . ;u ry. ;hai <he: <tCSJmpanying report is
·:r~ l 8 J.11U ccn,·.~ - i :nw i: : : !~_; ;:: :; :: .:1: . li lh ;-, ~ -~ ·;ic ;l ; E ;~~ Liil.::c. ~o be reported by me
AFFIX NOTARY STAMP I SEAL ABOVE
Sworn to and suoscribe::l before m::. :~y the said
.: :.1
fAen-v,~ (Y)G
Revised 9/8/2015
04-28-17 P01:21 IN
SUBTOTALS - C/OH FORM C/OH COVE~\I SHEET PG 3
19 ?.<J File• IIJ (Ethb; C;;:nmission Filers)
21 SCHEDULE SU3TO<-ALS NAME OF SCHEDULE
1 . D SCHEDULE A 1: MONETP, R ~' POLITICAL CONT~:: ! 6 ~ !T!Oi\!S
2 . D scH~DULE A2: NON-MOc'ETARY (IN-KI ''>JD) Po~_!T'CF.L coNTRi f' UTiON S
3 . D SCHEDULE B: PLEDGED CONTRIBUTIONS
4. D SChEDULE E: LOANS
s. 0 sci-lt::DULE t= ,: POLITIG,\~. EXPENDITURES i'vi!\C.:: FRGivl PC.L1 r IC,\L CONT·~;su-r ;c.'ls
s. 0 scHEDULE F2: UNPAID :c.: ~: :JRRED OBL1G/-1TIC~~ s
7. D scHEDULE F3: PURCH"SE OF INVESTrVIENl :; i·h DE FRCL-1 F' .::; !.IT! C,\L. c u NTRISUTIONS
e . D scHED ULE F-'. EXPENDiTUREs MADE E:: ': c ;=:t:c,, ·:- cARD
~--------------------------------------------- -----------------------------------9.
10.
11 .
12.
D D D D
SCHEDULE G POLITIC:\L e XPENDITUR E' S H '\ 0 0. FP.o ~·- PEF: ~'O lt\L FUf\!!:: .s
SCHEDULE K INTE R EE·-- CF\EDITE. G J.iN S :·: F.: r~ ·Ji JC;;~ .\ i'<r) "" r-, , ! T~I F.··: i..J"T:C, ~ S
RETURNED T O FILER
SUBTOTAL AMOUNT
$ :;Jso·~
$
$
·' I
:;; 53 . t>L\ $ 1 .i) I
$ ~Lt~ ::> 53.oy s
~
s
------- ------------------------------------~ Forms provided by Texas Ethir.s Commissio:' \'N.c'.\'.?lh:c;:; Sl2.t 8 .TY.L:S Revised 9/8/2015
04-28-17 POl:22 IN
"~,-~, ·'':::DULE A1 '-""'-··'··-
---~---=~=====:::j
2 2 :=.Jer ID (EU·.;c>: Commission Filers)
4 Date -, ;' :.'1cun; c: ::c:>: : :buUon ($)
8 Principal occCJ;:>ation I Job title (S3e l11streJctions)
- . Date Full narn:J of contr1clit(1r
.Lip Cr:::'
Principal occupa!i-::'1 I Job tit!e (SPs In ct·uctions)
Date Ful l n<lm£- of contri--ut:x
Conrribu~or acJdra:: :-:
Principal occu p2tio n I J ob li t i-:o (S 2e lnst: u :.:tions)
Date c c·,"·(IT· ·~:t• t= :; !:Dii;
ContriD'.!tor addre~·- :,
Principal occup<:tion I Job till~ (S ee 11···''· e~ :::t ions)
Forms provided by Te:t.1S E:thics .:omm1ssic:: Revised 9/8/2015
Adverti~ing Exr:e·· '~(~ Acccunt:r:r.'• )ankin£.· Consultinr] E <pensP Contcibutior. >IDonz.·J::r. . .~ ·:-~·,.
Candidate/Officeho:d ,-:r i~.:.~ !. L~;3.1 Cc.-r: ,..,; t:te,; Credit Card Pe~-ment
'·
.. .:tv.··~
9 Complete ONLY i ::' "' '" 1
l==ex=p=e=nd=it=cr=e=to=b=-s_,-. _e·;_,: _c_:c_r_i ~.:::J ~er _Bt ~~ Date
r---------~-Amount ($) ~-'' }'C'-'
Pl.!F;POS::: OF
EXPEI\'DITUC';'=C
Complete ONLY ii rJ 1:act expenditu re to b :n2i i< :> OH
Oat<;
1--- - - - ---1--AmoUI',t ($) ,0 ::•;3e J ::!c! -
?UF:!"OSE O F
E X PE o,! OITU".;E
Complete ONLY i f ,,,,2ct expenditure to b '"" i i i GICH
tl
Forms provided byTe·: s c:t~ .. :;s C: nr:-,1 .7 ~ - ,:
-----
--· DD!T' L...J
04-28-17 P01:22 IN
·~. : 1 ~:: · ~:11 ' F'"~ :c E;..:rense , . "·" ,,,, . .. ,,ont .l. Related Expense ·::.l t. :.' :
• • 1 ·. ' 1 ; ~· ' ; :: ,, ,-: 1 :~:v not listed above)
,; ' te ;
' ., ' .~o11mission Filers)
7)ol5 T
D
[U
,'Jjf, :Cfiicc held
T
Oiiice held
Revtsed 9/8/2015
EXPENDITURES MADE 8\''. C;j:~ED~T (~ABD
Advertis•ng Expc r.Sl; Account. r.g/Ban : ~lr'g
Consuning Expense Contributions/Donations ~J1ade By
Candidate/Officf:!ho!c!C'! r/Politlca! C::mmitcr:n
-=·v t E.xoe:.se ' .
,-nod:'Bevara~e E:.. ""-r sr. G•ft·Awa.rds/Men~.Jrial:. c:::<p":":.)' ~
·QRI Servicr·s
T~e lnstiJcl -,,. ' ._., ·:r c
_,~.::. - :-H..":2·:·nar.~/~;.: ;• ~ "· . ..:;.~:11Co1!
Gi:ic..:; (;v~ :Jd1~\.:H ~ul r.:... l·c·:·~.::
Pcl!•n·:·l E>:.::urse p,-r:ltin~·, tXfJB:'lS€-
.:;:::,.:tr:'"'~'ll.' ~-;~·~s/C:-.;r'~~~t -~~~(."..:
~ r pk ,. t i-:. f ~1.
1 Total pTchedule F4 _ 2 FILEi=:r~Jo~ A'(...,.......~+..(~
4 TOTAL OF UNITEMIZED EXPEr,JD!TURES CH.~r.::. :~EC TC / \Cf-lcDlT C.C>.RD
7 Amount ($)
9
10
\7li .~ TYPE OF
EXPENDITURE.
PURPOSE OF
EXPENDITURE
(a) C :gv
.......... )' .. •f.• 'c•
"o P , ~a!
·';a!t.=. c ( b )
0" .el ;e <"
04-28-17 P01:22 IN
SCdEDULE F4
~ o~ icirat, :-;:1/P unc1 nising Expense T:3r:t.pc:-:.a.t:rm :~;.L::pm9nt & Related Expense
Trave! Cut C;; ;·_: snict Glncr (~;r-~e:' •~ r:'l·,cnorv not listed above)
3 Fiier ID (Ei:•tc3 Commission Filers)
held 11 Complete ON~ 1i direct expenditure to beneli \ C/01-1
Date L/ I';);)-J )7 r--
:ro~pL. P~s-t~ eJSD §)T All!L 3 ~uy
8 APtf4 s~~ + ~~ Amou nt ($)
TYPE OF EXPENDITURE
PURPOSE OF
EXPENDITUR:=
Complete ON'=Y if direGt expenditure t~ benefit C/CH
C'""" ica
Ca.tego~y (See Cntegones li:-.11!~1 nr 1111--: rnr r,; t 'I~ :;--'•f.:c:c~ll~'
Forms provided by Texas Ethi cs Ccm mission
1eld
Revised 9/8/2015
POLITICAL E:X.PE.I\E:WfURES MADE FROM PERSONAL FUNDS
Advertising ::xpenF~ Accour.ting i3ankinu Consulting E:<pense Contribution s/DonaliO ~l :, r, ·;~~ .:.Je f j;, Candidate/Officeholder/PaJ : tic~.l Con1rnittce
Credit Card P<yment
i ··.. • r xpens:-·
-=r ~,.. cveraqe E···T i'l;J"·
--:~t. ~ •. rd:.;/f\1cm ~~~-.~f.,· ~.,_
:_.:=:n:ll Servir:es
!...c-1.n R.:.1~.:..•n .. 'R;: -r· 'l•o. -n. ......... • -~ 0'1-:-· ,, .. J Re~~:;. i,~ '
n,, !..-']f.>" ... '(' ~:Jr:nt .. w l:):p. ·;u S:=.L::i! ''"" -.. '\".!;y· :>•Ccritr__,d L;;b•JI
1 Totalpagr ScheduleG:[ 2 FILER NA~~-~ ~'('~J~
4 4t/14/t7 __ '' P~, ~-· Of-f(~ ~ 6 Amount ($) 7 Pa:,ee 2Cc!r:·:·:~ Cit, '::::1:w: •_;· J~
~:;:~~.:;;;:. 1~1 tJ. VJt&p<~ Ro--l!j1X Is
intended
PURPOSE OF
EXPEN:JITUF:C:
Date
Amouo>i ($)
ReuT.bursem:;nr '~:..::.., political contributions lnter.09d
PURPOSE OF
EXPENDITURE
Complete ONLY 1i ::l;rnct expendit.Jre to b2ne''' C/OH
Date
- · Amount ($)
D Relir.t..ursem.:::nt Jro.11 polit:cal contnbul•:.ns inter.ded
jc ,;;·
J C"ro'
·::.c:'
- _I ~: ..
_] c ,,,,'
·-~ ;$[_) • Ill.
Pa:tee na:11c•
(I.} J>:!SC~ . IC'.
-,
04-28-17 P01:22 IN
>:::·· •''HEDULE G .. _);.,.,.
S::~is i13 l :l ~ :1'F• r . ..::r: ,,~;:n i) Expense ; ':.t·l !;pv r .o • ::: ~ "::q• .. q: .-n ~~nt & Related Expen&e
• I :'"!V ~) IIn C r:··;t or' r r:.: .. Ja r CL\ ( JI t...~ . t· Gt .:·1 ,,; r (cmc~ r .:-r c::~-:~~ ''' y no~ listed above)
8 Filer I;) ( f: t:1;cs Commission Filers)
Office held
,. ~:' .... ·~~~ T
'\' 1 • ':'· ;nse
Olf1ce held
PURPOSE OF
EXPENDITURE
_j ( . ,:, d.~ t CY<13 Co ""':.. ·-tr• -.,
__ ] cr.-:\ . ,).,.rr T: .. (I'll .. ·halc!CI I
OificehorcJe, l:ltnc: Office held
-
Forms provi ded by Te::as Eth1cs Commiss ion Revised 9/8/2015