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CANDIDATE I OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID (Ethics Commission Filers) 2 Total pages f~: The C/OH Instruction Guide explains how to complete this form.
- 1.5 3 CANDIDATE/ MS/ MRS/ MR FIRST Ml
OFFICE USE ONLY OFFICEHOLDER
.. rrtfl-. .JA:~~- -r NAME Date Received . . . . . . . . . . . . . . ... . NICKNAME LAST SUFFIX
BA:i:L~Y PASADENA ISO 4 CANDIDATE/ ADDRESS I PO BOX; APT I SUITE #; CITY; STATE; ZIP CODE
OFFICEHOLDER MAR 31 2017 MAILING N . '?AU'Y\ & 't=ASA-r>WA!'>' 11 r oz. ADDRESS Z..lOcg
D Change of Address ACCOUNTABILITY & COMPLIANCE
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER ( 113) Giol,- 2.585 Date Hand-delivered or Date Postmarked
PHONE
6 CAMPAIGN MS/MRS/MR FIRST Ml Receipt#
I Amount S
TREASURER . m~. .. (A:n-t:Y L NAME . . . . . .. . . . ... . . . . . . . Date Processed
NICKNAME LAST SUFFIX
'"BA~ Date Imaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); -APT I SUITE #; CITY; STATE; ZIP CODE
TREASURER ADDRESS
Z..,\og ~.?ALM Cr 'PA-SAD~~ /15C>l...--(Residence or Business) I
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER (1f~) q OCe> - 2-. <f-<g f PHONE
9 REPORT TYPE ~Oth day before election O January 15 D Runoff D 15th day after campaign treasurer appointment (Officeholder Only)
o Ju1y1s D Bth day before election D Exceeded $500 limit D Final Report (Attach C/OH • FR)
10 PERIOD Month Day Year Month Day Year COVERED t / t S / 11 4 / (o / Z.Dll THROUGH
11 ELECTION ELECTION DATE ~TIONTYPE
Month Day Year 0 Primary D Runoff ther Description
5 / fe:. /zor1 0 General D Special ~b'..lf\ I~ ~ut.ooL- ~ 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
~SAb4JA TSU ~AiU> of M~Ab'1-lA r:.~n BoA-Q> OF-i.-,--
l<l.«AS~ ~4- I tt.tA.s;ru .. s v~:i:"l""IW 4 GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
CANDIDATE I OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OHNAME~ ~
.fSA.;rLEV 115 Filer ID (Ethics Commission Filers)
~Ac..t<- ( . 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLmCAL CONTRIBUTIONS ACCEPTED OR POLmCAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE f 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 l_F THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
COMMITTEE TYPE COMMITTEE NAME
QGENERAL
COMMITTEE ADDRESS OsPec1F1c
COMMITTEE CAMPAIGN TREASURER NAME
D Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN M TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS) , UNLESS ITEMIZED $ D -2. TOTAL POLITICAL CONTRIBUTIONS $ GA)
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) 5,7~5. --. . . ........ .
EXPENDITURE 3 . TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, TOTALS
UNLESS ITEMIZED $ 0.
(/}V
4. TOTAL POLITICAL EXPENDITURES $ S,28Co.35 . . .. . ... .... CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY 07 BALANCE OF REPORTING PERIOD $ 5, loS". --. . . . ... ... .
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
o.~ LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $
18 AFFIDAVIT
- - - - - I swear, or affirm, under penalty of perjury, that the accompanying report is - - - - -~,·~"V'P'/J;;,,,,. HOPE PERKINS I t~rrea aod ;"ci""" rul ITTk>m>atio" '""";'""to be rnported by me
I
~~v~ Notary Public u ~Trt~ >~ED."~ ~ f • (.( >) I
I STATE OF TEXAS \"'"· .·4'_1 My Comm. Exp. 09/1112019 {f,~!i-·o~~t"~ ,,,,,.. .. , , \\\\ -- - - - - ' Sig~ature of Candidate or/Officeholder - -- - -
AFFIX NOTARY STAMP I SEAL ABOVE
Swom to '"d subscribed befom me, by the sa;d &t I. "Bo..: I e 'I day of lV{a fle.,h , 20 / 7 , to certify which, witness my hand and seal of office.
, this the 3J~
~.--P~·~ Ho¥e Perk1\1s Alofayiv_ Signature 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
SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3
19 FILER NAME 20 Filer ID (Ethics Commission Filers)
:JAllL T. l<A11 ~v 21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1. D SCHEDULE A 1: MONETARY POLITICAL CONTRIBUTIONS $ 57ZS: 9J_) ' o .~ 2 . D SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $
3. D SCHEDULE B: PLEDGED CONTRIBUTIONS $ () . ~ 4. D SCHEDULE E: LOANS $ o. ~ 5 . D SCHEDULE F1 : POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ &.B. 13 6 . D SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 0 av ..... _
7. D SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ o. ~ 8 . D SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ ~3G,, ~ 9 . D SCHEDULE G : POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $5,811 · ~~
10. D SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ o.~ 11 . D SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
f)J.) o. -:.. 12. D SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS $ V.~ RETURNED TO FILER
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
The Instruction Guide explains how to complete this form. 1 Total pages Siedu~ ~: 4
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
::S-A-c-fc_ T. f3A:t..~ 4 Date 5 Full name of contributor 0 out-of-state PAC (ID#: l 7 Amount of contribution ($)
~/z..g/ 17 so~ Wlr:~ ~WJ~ "# ~ . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .
l, tnro . 6 Contributor address; City; State; Zip Code -goq m~~ LhJL ~oo'J>11X 11SW
8 Principal occupation I Job title (See Instructions) 9 Employer (See Instructions)
Date Full name of contributor 0 out-of-state PAC (ID#: l Amount of contribution ($)
Wt:.~ e_. ~o fl.I.__
z{u/ rr .............. . . . . . . . . . . . . . . . . . . . . . . ..
1f, I, tnm Contributor address; City; State; Zip Code
~
P.o. 8cH.. ?,4-aZ.4- ~~~,Th. 112.34 -=:... . Principal occupation I Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor 0 out-of-state PAC (ID#: \ Amount of contribution ($)
S/ I 0/17 ~ nJL-ti< lL.i'S
$ . . . ........ .. . . . . . . . . . . . . . . . . . . . . . . . CV Contributor address; City; State; Zip Code 500.~
5 I 19 lt.Li'W0 8£.U-'( ~SA~ 1Tx. 11sos Principal occupation I Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor 0 out-of-stale PAC (ID#: \ Amount of contribution ($)
:J°OHAl ~t.LPS #'500.~ .............. . . . .. . ... . ..... . ..... . .
3/ 10/ 1; Contributor address; City; State; Zip Code
~ Z01 H>.-~c>J"T ~SAbWA,°Tic 1/5o<I-Principal occupation I Job title (See Instructions) Employer (See Instructions)
AlTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
·-MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
The Instruction Guide explains how to complete this form. 1 Total pages..;:.he~~ A 1: 4
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
-:fACJL-T. BA:i:~ 4 Date 5 Full name of contributor 0 out-of-stale PAC (ID#: \ 7 Amount of contribution ($)
~/10/11 _1(€~~~- ~f.:~ .. .. .... . . ..... .. . ~ 500. l?J,l 6 Contributor address; City; State; Zip Code
~1 ~o~I ?ASA'D~;t)< / lJ°O'/---
8 Principal occupation I Job title (See Instructions) 9 Employer (See Instructions)
Date Full name of contributor 0 out-of-state PAC (ID#: ) Amount of contribution ($)
rr'\Aftt.- hi.e.Nc.:Jd ~ ~11/ 17
...... ... ....... . . . . . . . . . . . . . . . . . . . .. '2--V Contributor address; City; State; Zip Code
~So. f!.oe.K-; Tort'l~U... ;n< "'"" 1£11ZLOT /1315
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor 0 out-of-state PAC (ID#: \ Amount of contribution ($)
~/11/r1 _rn~~~. KE..vu ~C.JL_ # ~ ... ... ....... . . . . . . . . . . . .
Contributor address; City; State; Zip Code l e-D -c..
qi.wi:, S#-JAu,J ~. ~Df.,JA,Th 11soc/-.
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor 0 out-of-state PAC (ID#: l Amount of contribution ($)
3/ 1 op'7 wc.f3~J ec. ...... .. .. . . . . . .. ... . . ... .... . . ... . . .
~, cru-D.~ Contributor address; City; State; Zip Code
fo.~238 Fau.JJt>S c.JDOD Th 115'1-'1 I I
Principal occupation I Job title (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
The Instruction Guide explains how to complete this form. 1 Total pages Schedule A 1:
~ (),.f- 4-2 FILE~
T. iSA:t-U/( 3 Filer ID (Ethics Commission Filers)
:)Al.IL 4 Date 5 Full name of contributor 0 out-of-state PAC (ID#: l 7 Amount of contribution ($)
sJz.~/rr uo(;.~ ~ A<!:£,..Je...y
#zt;o. OU .... ......... ..... . . . . . . . . . . .. . . . .. .. . 6 Contributor address; City; State; Zip Code -
C/oo<6 Jt:srn fl>. e..&lol mA~Tu11SO~ I
8 Principal occupation I Job title (See Instructions) 9 Employer (See Instructions)
Date Full name of contributor 0 out-of-state PAC (ID#: l Amount of contribution ($)
!3/zo/17 .f-!~.ll?~~~~~ . . .... ... ...... . . # CD Contributor address; City; State; Zip Code 5o. M~xs ~,Ms~ ,TX -
6so.:S 775o5
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor 0 out-of-state PAC (ID#: l Amount of contribution ($)
~uY wi:-LLZ-Ams #z_oo. f?? ?>/~, /11
...... . ...... . .... . . . ... .. ...... . .... . Contributor address; City; State; Zip Code
4.ro<o J.lAm~ &r: 115Ab£,JA ,~ 17!504--Principal occupation I Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor 0 out-of-state PAC (ID#: l Amount of contribution ($)
8>/zo/11 ~~~~l?~~ . . . . ... . . ... - .. ...
~ /25. ~ Contributor address; City; State; Zip Code
S'kJh 13r-z:rsA~T.'.UJE.& Y~ t &ASCxrr ~ 775q:, Principal occupation I Job title (See Instructions) Employer (See Instructions)
ATIACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor Is out-of-state PAC, please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
--
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
The Instruction Guide explains how to complete this form. 1 Total pagLtSch;;;;: A 1: 4
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
:JAc.tL-T. BAx.-L£,,~ 4 Date 5 Full name of con;i:ibutor O out-of-state PAC (ID#: l 7 Amount of contribution ($)
~1~/11 -,-t'l.AVZ. s JAG c; U..S
l ..
/So.~ 6 Contributor address; City; State; Zip Code
504--I'D<-£.Wooi:> &.) ~~-;rx 17S"'-8 Principal occupation I Job title (See Instructions) 9 Employer (See Instructions)
Date Full name of contributor 0 out-of-state PAC (ID#: l Amount of contribution {$)
SJA/11 . e'?~-~-~~. . . t ~
Contributor address; City; State; Zip Code fan. ,.:::;.
tzof N.-0=uc;UAC!:u..,'P~"L> ,lk 1158 /
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor 0 out-of-state PAC (ID#: l Amount of contribution {$)
Contributor address; City; State; Zip Code
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor D out-of-state PAC (ID#: l Amount of contribution ($)
. . Contributor address; City; State; Zip Code
Principal occupation I Job title (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
Jf-8 p~4
POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation!Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment& Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gilt/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal services Salaries/Wages/Contract Labor Other (enter a category not listed above) Credit Card Payment
The Instruction Gulde explains how to complete this form.
1 Total !)ages Schedule F1:
1 Of.f 2 Fl~AME
;.JAr _y T. BAJ:u.,f 13 Filer ID (Ethics Commission Filers)
4 Da;1~s111 5 Payee name
o~ /.JOIYIE. 6 Amount($) 7 Payee address; City; State; Zip Code
~ lPs.<13 S'i-!'l fut.mo...J/ ~S4n~, n: 11ro.r 8 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE 0 Check if travel oulside of Texas. Complete Schedule T.
OF
Auu~& D Check if Austin, TX, officeholder living expense
EXPENDITURE
9 Complete 00!.Y if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE D Check if travel outside of Texas. Complete Schedule T.
OF 0 Check if Austin, TX, officeholder living expense EXPENDITURE
Complete 00!.Y if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE 0 Check tt travel outside of Texas. Complete Schedule T.
OF 0 Check if Austin, TX, officeholder living expense EXPENDITURE
Complele ONLY If direct Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH
ATIACH 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 1 O(a)
Advertising Expense Event Expense Loan RepaymenVReimbursement Solicitation!Fundralsing 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 GifVAwards/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 Totafag~c?le F4: 2 FILER NAME 'B :fA~ T. A..t:-Lt-y
3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD $ 0. ~ 5 0;i 1lzo11
6 Payee name
WA.1 .m ,/J,{f ,,,
7 Amou~t ($) 8 Payee address; City; State; Zip Code
~4-.~ ~zoo FA:ti.moNI 11~wi ThsAt>Gr)A, Tx /1SOZ-
9 TYPE OF U2r' Political D EXPENDITURE Non-Political
10 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE 0 Check if travel oulside of Texas. Complete Schedule T. OF AD \JQ(.LSI~~ Ocheck if Ausli~. TX, officeholder living expense EXPENDITURE
11 Complele ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit CIOH
Dat~j,~ J 1"7 prJ~:~~POI . Amount ($) Payee address; City; State; Zip Code
41. fu 7 54-r.S- ~mo,J'T t1lWi °MsAt>£,.JA , T)( 11so5 TYPE OF G2r' Political 0 Non-Political EXPENDITURE
Category (See Categories listed at the top of this schedule) Description
PURPOSE D Check~ travel outside of Texas. Complete Schedule T.
OF D Check if Austin, TX, officeholder living expense EXPENDITURE
/{DvQ 1T'.CSIN G-Complete ONLY if direct Candidate I 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 918/2015
EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4
EXPENDITURE CATEGORIES FOR BOX 1 O(a)
Advertising Expense Event Expense Loan Repaymen1/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/Pol~ical 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 ~NAME ts A :t.-lL "( 3 Filer ID {Ethics Commission Filers)
2- o~5 ..)AC-t_ T . 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD $ o. C.tJ -5 Date 6 Payee name
g/1<il}11 l-.lomf DE...fbT 7 Amount ($) 8 Payee address; City; State; Zip Code
$1.5.P S45S (p,-'LflWb,.JT ~SAbG,..)A I TX 17505 9 TYPE OF ~oliticai EXPENDITURE D Non-Political
10 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE D Check if travel outside of Texas. Complete Schedule T. OF
A'])u£/lT:Z:sX1J& D Check if Austi~ , TX, officeholder living expense EXPENDITURE
11 Complete ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH
Datg[,<j?J n Payee name
Lo.u.JE..S Amount ($) Payee address; City; State; Zip Code
'?~.~ 54--90 ~o~T Pl(._w "/ t:'A5A'D£,JA T)( /15::':>5 , TYPE OF
0'Political 0 Non-Political EXPENDITURE
Category (See Categories listed at the top of this schedule) Description
PURPOSE 0 Check if travel outside of Texas. Complete Schedule T.
OF At> v £l. n:s:wG- 0 Check if Austin, TX, officeholder living expense EXPENDITURE
Complete ONLY if direct Candidate I 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
EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4
EXPENDITURE CATEGORIES FOR BOX 1 O(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
Gandidate/Officehotder/Polttical 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 ~AME-.
°BA-r.<-Ll' 3 Filer ID (Ethics Commission Filers)
3 oF5 ::Jf-\c..tL I . 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD $ D.~ 5
Da3/ t<6/r1 6 Payee name
~C?t'Ylf_ J)~ 7 Amount ($) 8 Payee address; City; State; Zip Code
51.10 5<1£S fA-t.£Mo-J1 ~y ~~At)~ T)l ({ .("05 I
9 TYPE OF ff Political 0 Non-Political EXPENDITURE
10 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE D Check if travel outside of Texas. Complete Schedule T. OF
~a~G- D Check if Austin, TX, officeholder living expense EXPENDITURE
11 Complete ONLY if direct Candidate I Officeholder name expenditure to benefit C/OH
Office sought Office held
DatgJ~J ft Paa~ef. DE.ib-r •
Amount ($) Payee address; City; State; Zip Code
M.~ 5tffj ~o~T 't>~'f 'tASA1>4JA ,1"'- /1~05 TYPE OF
~olitical 0 Non-Political EXPENDITURE
Category (See Categories listed at the top of this schedule) Description
PURPOSE D Check if travel outside of Texas. Complete Schedule T.
OF Abv~ns-r.. J& D Check if Austin, TX, officeholder living expense EXPENDITURE
Complete ONLY if direct Candidate I 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
EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4
EXPENDITURE CATEGORIES FOR BOX 1 O(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 GifVAwards/Mernorials EJ!pense 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 Toy:a~c~ule F4: 2 FIL~E
T 'BA-~L~Y 3 Flier ID (Ethics Commission Filers)
:JA" /t 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD $
5
Ds/~~11 6 Payeenam~
H6?mE. - 'oT . 7 Amount ($) 8 Payee address; City; State; Zip Code
43.~ 5465 ~o...);~'? tAsAl>G;.JA. I Th 11.fos 9 TYPE OF
~Political 0 Non-Political EXPENDITURE
10 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE D Check if travel outside of Texas. Complete Schedule T. OF D Check if Austin, TX, officeholder living expense EXPENDITURE
A"DJu:r:r:s:r~ 11 Complete ONLY if direct Candidate I Officeholder name
expenditure to benefit C/OH Office sought Office held
DaBJz'+i ,, Payee name
~Cl Uom~ • Amount ($) Payee address; City; State; Zip Code
32 .l\f ~y.r.( ~ON"( 'f>K..uY, ~~~ ,fll l1roS-TYPE OF
~Political D Non-Political EXPENDITURE
Category (See Categories listed at the top of this schedule) Description
PURPOSE D Check ff travel outside oflexas. Complete Schedule T.
OF AvJ u..nsr-,:x;- D Check if Austin, TX, officeholder living expense EXPENDITURE
Complete ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit CIOH
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 1 O(a)
Advertising Expense Event Expense Loan RepaymenVReimbursement 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/Pol~ical 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 :fA;AME ~ 3 Filer ID (Ethics Commission Filers)
6 of-5 flcX_ 1. 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TOA CREDIT CARD $
a..o o. ---5 Date 6 Payee name
s/1-,/17 J~ ~ b~o1 7 Amount ($) 8 Payee address; City; State; Zip Code
~''-· <op 3oP~~Drc 034nf!il_L Y TX /'gC:, 7b - I
9 TYPE OF g"Political EXPENDITURE D Non-Political
10 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE D Check if travel outside of Texas. Complete Schedule T. OF D Check if Austi~. TX, officeholder living expense EXPENDITURE
tl.WfJJI-~~ 11 Complete ONLY if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
D8g/z~/ n p~~~Oo(. Amount ($) Payee address; City; State; Zip Code
?.-c;."2 1 ilt\t.ULWAY f}'l~LO fAtlL f_A q~zl' '
TYPE OF ~olitical D Non-Political EXPENDITURE
Category (See Categories listed at the top of this schedule) Description
PURPOSE D Check ij travel outside of Texas. Complete Schedule T.
OF D Check if Austin, TX, officeholder living expense EXPENDITURE
A!AJE.JLUSt .JG-Complete ONLY if direct Candidate I 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 SCHEDULE G MADE FROM PERSONAL FUNDS
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 Contrib.Jtions/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 NAME ts I 3 Filer ID (Ethics Commission Filers)
io+-Z, :sA CJ(_ T. AI.U-'r" 4
37~~/ '' 5 Payee name
Am~ f'fl.Om~Tro,Js 6 Amount'(~ 7 Payee address; City; State; Zip Code
41105.~ 5WI t>'lvt-CJlf.L~ HCUA..STW, Ix 11oqz.
~imbursementfrom political contributions intended
8 (a) Category (See Categories listed at the top of this schedule} (b) Description PURPOSE D Chee!<~ !ravel outside of Texas. Complete Schedule T.
OF
Abv~ EXPENDITURE D Check If Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH
eel t '1--/ 11 Payee name
A-W\ e_ :P.unno i-.w?>-)S Amount ($) Payee address; City; State; Zip Code
~3.S£ 5tfot W\:cTUl £u...DALE:- +lou.s.TDtJ I h 11oqz_
~eimbursementfrom political contributions intended
Category (See Categories listed at the top of this schedule} (b) Description PURPOSE D Check if travel outside of Texas. Complete Schedule T. OF
ADJ€-{CT-r~ EXPENDITURE D Check if Austin, TX, officeholder living expense
Complete ONLY if ditect Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH
~e/3 /J ( Payee name
MSA0.6:-JA ISb Amount ($) Payee address; City; State; Zip Code
IZ .C?:e 1515 ~f>(U){)K- t=A.sAo~,lY- /1So2-~eimbursementfrom
political contributions intended
Category (See Categories listed at the top of this schedule) (b) Description PURPOSE D Check if travel outside of Texas. Complete Schedule T. OF F£c EXPENDITURE D Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate I 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 SCHEDULE G MADE FROM PERSONAL FUNDS
EXPENDITURE CATEGORIES FOR BOX S(a)
Advertising Expense Event Expense Loan Repayment/Reirrbursement 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 GifVAwardslMemorlals 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 Caro Payment
The Instruction Gulde explains how to complete this form.
1 Total pages Schedule G: 2 FIL~ME
T f3Ar-~ I 3 Fifer ID {Ethics Commission Fifers)
z. (U. 2 Aq:_ 4
Dg/z._1 111 5 Payee name
~E-~f-6 Amount ($j 7 Payee address; City; State; Zip Code
&,3fo.~ ?Allll- A0c.. N~u.J J ~~ B'!eimbursementfrom '(_lo L~ tevn political contributions
intended
8 {a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE D Check if travel outside of Texas. Complete Schedule T.
OF
CLtLJLT ~.PA-Ym~ EXPENDITURE D Check II Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH
Date Payee name
Amount($) Payee address; City; State; Zip Code
D Reimbursementfrom political contributions intended
Category (See Categories listed at the top of this schedule) {b) Description PURPOSE D Check if travel outside of Texas. Complete Schedule T.
OF EXPENDITURE D Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH
Date Payee name
Amount($) Payee address; City; State; Zip Code
D Relmbursementfrom political contributions intended
Category (See Categories listed at the top of this schedule) (b) Description PURPOSE 0 Check if travel outside of Texas. Complete Schedule T. OF
EXPENDITURE D Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH
AITA CH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx .us Revised 9/8/2015
--··--· ··--- - ·- ---- - ------------------------------------,
CORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/OFFlCEHOLDER FORM COR-C/OH
r~ ·- ..... ..,, : 2 Tcl~I pages fil~
OFFICE USE ONLY
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APR 1 0 2017 -----------------------~
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----- ----ACCOUNTABILITY &
COMPLIANCE
l swear. or affirm, under penalty of perjury, tllat th is corrt!cle::d report is true and correct.
Check O NLY 1f applicable:
Sem iannual reports: I swear, or affirm , that the original report was made in good fai th and w ithout an intent to m islead or to m isrepresent the information contained in the report .
~Other reports: I swear, o r a ffirm, that I am filing this con-ected _I ... _ report not later than the 14th business day after U1e date I learned
that the report as originally filed 1s inaccurate or incomplete. I swe ar , or affirm , that any error or omission in the report as origimilly filed
~ .
,,,,''"~·~::1,,,, CYNTHIA ANN WILSON ~ ~~·· · · ~c.~ . i !(...Jb";"", i Notary Public. State of Texas
;">.·· •. ~/ .,i Comm. Expires 04-20-2020 "'•::.:.·::d;.~ ,, , ~'oi&~v 1or-n 9/'728-,
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·J··· \ I !C c::•'"! :f}' ~·;hh-t· wi tr,;.i s~. my hand ~qd seat of office .
(\~~~~~(,l's..-; Remember To Attach Any Part Of The Campaign Finance Report Form
Needed To Report And Explain Corrections
www.ethics .state.l x.us Revised 0~/27i20 :c
~(9.f. 2- 91- 2-
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I CAMPAIGN FINANCE REPORT COVER SHEET PG 1
I 1 Filer 10 tElha Co""m""'" F1'Clnsi I 2 Total pages ft!ed: The C OH Instruction Guide explains how to complete this form. 14
3 CA'·JDIDATE ! 'JS MRS MR
:fA.LJ'-Ml
OFFICEHOLDEH I rY\ ((_ _, OFACE USE ONLY
N .A.:\iF i
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i GO TO PAGE 2
www.ethics.state.tx.us Revised 9 '8.12015
·-·------- ------ - ------------------------------; C .<-\NDHDATE I OFFICEHOLDER Ci:H\11P.nJGN F!NANCE REPORT
FORM C /OH COVER SHEET PG 2
. ' ·~ ~ . t· _ ,-,.
· ·1 l ~ TTE ~ ·~:...
!HIS ec·-: ·~ t=.J~ t~OT~~ OF POLJnC!ol co:ff~16UTIDNS ACCEPTED OR ?OUT?C:.t CXPEucnu;:u:s l.1.\0E BY PCU:TICAt. i::OllWli EES JO
'.3l.i ::;:on:- 7;~ ~ :A::UIOJ\TE i OfriCl3 HOtOER. THESC EXPE11D:T!lR£S l.f:. y 1#.~'E DEE/I M.l.DE Wl iHOUT TUE CAND.'iJ..\TE's o n Off!CEUOU:Et(s
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----------~-----·-----·-- -TO T.'.l L POllTtC.~L CONTRIBUTIONS ':· - ~·~ cr1 TH .. ·~· i·J r :..ECGES :..o .:~ r-JS QR GUARAl'-J T=.:: s. (;~ :...o . .:;.;:-:; !
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SUBTOTALS .. C/OH FORM C/OH COVER SHEET PG 3
- ,, __ ,. - -- -· - - -19 liL;_~ 20 Filer ID cEthics Commission l"tfers)
:JAc.-1L T. fSA:c:U:Y - -
21 SCHEDULE SUBTOTALS SUBTOTAL H'\ .E OF SCHFOULE AMOUNT
--· -·-~··--· ·~·
=:J SCHEDULE!\! M ONETARY POLITICAL CONTRIBUTIONS $ 44--, .r. "'1 - -- _] SCHl::i..IULf= A2 NON-MONETARY i lN-KIND) POLITICAL CONTRIBUTIONS $ ()~
---· - ---·--·-·· : • $ 0.0£ _j SCHFOULE B: PLEDGED CONTRIBUTIONS
---., o.ei ... SCHF'1UI 1- f'- l O/\NS $ - -(98.tfi - -'
:iCHt;'.)ULE F !. POU rlC/\L tXPENDITURES M ADE FROM POLITICAL CONTRIBUTIONS $ MO·--M•-- o.q - _J SCHEDULE F2: UNPAID INCURRED OBLIGATIONS ' $
-O.og - ::J SCHFDIJLE F3: PURCI IASC: OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $
- ·- - -· --, (iS/,. 'IJ - _J SCI ICOULC r: ~· EX PENDi I URES MADE SY CREDIT CARD $
--'.> l SCHEDULE G POl.ITIC/\L EXPENDITURES MADE FROM PERSONAL FUNDS $ s ~17.tf! .__J
' --: 0. =i SCHEDULE H PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF CtOH s {),~ ., -1
__, SCHFDULE I NON· POLITICAL EXPEND ITU RES MADE FROM POLITICAL CONTRIBUTIONS $ o.~ '. - }~CHFOULF K INTEREST. CREDITS. GAINS. REFUNDS. ANO CONTRIBUTIONS (}. "$ $
- 11CTURNCO TO FILER
- .
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I . I
I i
www.eth1cs.state.tx.us Re\~Sed 918!201 S
-
l MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
~=-·=·=====---=-~-===- ~-==================::;::::=================1 The tnstruclion Gulde explains how to complete this form.
'~~-~ --~~~--~~~~~~~~~~~~~--+-~~~~~~~~~--;
12 r, 1 r :rx~ T. fS4r:-L£'/ 3 Filer 10 i Elllrcs COmm1ss1on FlersJ
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I lD~~j 17 j~~r=A~~~-ip_C_1_';-z..~<./- . Amount of contribution ($)
$I 07J7). ~ I
Empl,1yer (Soe Instructions) -------·-----------~---------'-------------------1
I __ l i Full n~mct 01 -.nnlr butor D our n" state PAC (ID# · _ _ _
i 3TE--JE- Rill.PS I =J 10/,1 I Contribute· .id<1"1ss; City; S:ata ; Zip Code
l I SI 18 ~~ ~S4i)c,JA,T5C /;:::,-00 r-;:-;.L.,>~ I <'<.!c:.;:i;,_,,, '.lvb l.itlO (S•:o Instructions)
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0 "" ' ">l· • lato PAC (IOI:
Am ount of comrib ut1on ($)
Amount of contribution {$ )
Comributor addre"'" ' City: Stale: Zip Code
f:ArbnoJr 11.SA-DEr>li;T~ 11:roi? 4W7 I
Employer (Sao lns lructinn~)
I -- ~---==============--=--~-~-~====:'.====================---==- =========I
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED It contributor Is out-of-state PAC, please see Instruction guide for addftlonal reporting requirements.
cr;r s pr•: .-dec by Tex;is Elhics Ct>111m•ss1on www.elh1cs.state.tx.us Revised 9181'201 5
;' ''. :) ~'.f ~T~,RY POLITICAL CONTRIBUTIONS SCHEDULE A1
-;.;; i~s. ; ... c!io1 Guide explains how to complete this form. 1 Total pages Schedu e A I :
z_~ 3 3 Filer 10 tEthlcs Comm1sst0n hers)
7 Amount ot contnbution ($ )
City: Slate: Zip Code
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C,()'l·'lcu:u ,.,.,,,r,o;;;s; City; State; Zip Code
14 ';:tun-~ ;~s4u.... ,TX 11=s1S" --- ---·--------....-----------'------------... ' Emplnyer (See Instructions)
. ----··-- ··---=----_-.:__ = ============::::::;:::========.:..__ Amount of contribution (5;
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Employer (See lnstruction5)
__ ,j 0 out·ol·st.ll• PAC (ID=··-·
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Employer (See Instructions) v~ , ;)~"·- .Job ,;;;;-;-s_;,.- lr,;,·uc:ions ) I =====================================~==========--i
'
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED ·:contributor is out-of·state PAC, please see instruction guide for additional reporting requirements.
www.elhics.stale.tx.us
-
•
.~:1:\f:ETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
- - J _·::.:-::..._.
-:.>1 !.-s;ruclio,1 Guide e xplains how to complete this form. To1a1 pa~sc~1e5 1
~~~~~~~~~~~~~~~-+-~~~-=-~-'-~~~---1
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e.:r..tL. ?~ (LJ_/t).) v I I x ) llS.81
Employer (See Instruction!>)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED :• cc~~ril:!utor is out-of·state PAC, please see instruct.ion guide for additional reporting requirements.
www.eth1cs.state.tx.us
!
.- .:·LiTICAL EXPENDITURES MADE f :.o\~ POLITICAL CONTRIBUTIONS
,:; • .; . . ,J !:::.:~i;w-.t! :- t..l
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EXPENOJTURE CATEGORIES FOR BOX 8 (a)
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SCHEDULE F1
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E1<~ENOlTU ES MADE BY CREDIT CARD SCHEOUL.E F4
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EXPENDITURE CATEGORIES FOR BOX 1 D(a)
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I SCHEDULE F4 I ~ XPENDITURES MADE BY CREDIT CARD
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