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HomeMy WebLinkAboutMatt Shaheen 01152015Texas Ethics Commission P a Box 12070 Austin Texas 78711-2070 3 CANDIDATE / OFFICEHOLDER NAME 4 CANDIDATE / OFFICEHOLDER MAILING ADDRESS D Change of Address 5 CAMPAIGN TREASURER NAME 6 CAMPAIGN TREASURER ADDRESS (Residence or business) 7 CAMPAIGN TREASURER PHONE 8 REPORT TYPE 9 PERIOD COVERED 10 ELECTION 11 OFFICE CANDIDATE I OFFICEHOLDER CAMPAIGN FINANCE REPORT The C/OH INSTRUCTION GUIDE explains how to complete this form. 1 ACCOUNT # (Ethics Commission filers) 00069726 MIMS/MRS/MR FIRST Matt F. . . . . .. . ........... ................... . . . NICKNAME LAST SUFFIX Shaheen ADDRESS I PO BOX; 3917 Malton Dr.' Plano, TX 75025 APT I SUITE #; MS/MRS/MR Mr. FIRST Arthur L. . . . . ... . . .. . . ... . NICKNAME LAST Young STREET ADDRESS (NO PO BOX PLEASE); 1732 Cathedral Dr. Plano, TX 75023 AREA CODE PHONE NUMBER (972) 578-9768 [8] January 15 D July 15 D D Month Day Year 07/16/2014 ELECTION DATE Month Day Year OFFICE HELD (if any) "01 :Z ~d 9, 1;;" CITY; STATE; ZIP CODE MI ................ . . . . . . SUFFIX APT I SUITE #; CITY; STATE; EXTENSION 30th day before election RunoffD 8th day before election Exceeded $500 limit D Month Day THROUGH 12/31/2014 ELECTION TYPE D Primary D Runoff D General D Special Sl 12 OFFICE SOUGHT (if known) State Representative District 66 .~, GO TO PAGE 2 -~1· r~ ! ;, ...,.) (512)463-5800 TOO 1-800-735-2989 FORM C/OH COVER SHEET PG 1 2 PAGE # 1 of 15 111.···,"·,.,1l '~~iF'::~~,~... ·tiSE· ". ";'~'" Dat~Wed \\~ '%. S~ ;~:.~-§:<I \~~ ~~\. /~i'-'.,,;' .,C?~ ~ (p.... ......~~ ~ ........ ......~(S~ "" 110 ..············· ~'\ ","",,/, ~ Vl:l i S\ \\\\",".­ Date Hand-<Jeiiver~r]J.ate Postm~ ) i/'s//S -See:> AmountReceipt # Date Processed II} 6 'IS Date Imaged II J( ,/ c.. ZIP CODE D 15th day after campaign treasurer appointment (officeholder only) D Final report (Attach C/OH -FR) Year Web Filing Version 1.6 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989 CANDIDATE I OFFICEHOLDER REPORT: SUPPORT & TOTALS CoVER SHEET PG 2 13 C/OH NAME Shaheen, Matt F. 15 NOTICE .. This box is for notice of political expenditures by politicai committees to support the candidate I officeholder. These expenditures may have been made without the candidate's or officeholder's knowledge or consent. Candidates and officeholders are required to report this FROM information only if they receive notice of such expenditures. •• POLITICAL COMMITTEE NAME COMMITTEE(S) COMMITTEE TYPE D GENERAL COMMITTEE.ADDRESS o SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME 0 additional pages COMMITTEE CAMPAIGN TREASURER ADDRESS 16 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) .. . . . . . . . . . . .. EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED TOTALS 4. TOTAL POLITICAL EXPENDITURES . . . .... CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THEBALANCE LAST DAY OF THE REPORTING PERIOD . . . . . . . . . .. OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD 17 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the accompanying report is true and correct and includes all information required to be reported by me under Title 15, Election Code. Signature of Candidate or Officeholder AFFIX NOTARY STAMP I SEAL ABOVE Sworn to and subscribed before me, by the said of ,20 , to certify which, witness my hand and seal of office. Signature of officer administering oath Print name of officer administering oath a ..... $ 0.00 $ 36,165.48 $ 0.00 $ 250.00 $ 327,422.00 $ 450,000.00 ,this the day Title of officer administering oath 14 ACCOUNT # 00069726 FORM C/OH (Ethics Commission filers) - C­.. ... ==-=­-. .-­-'1 -0 ..... ...,-.11~, J III {'.) ~t=~- Web FIling VersIon 1.6 Texas Ethics Commission P.O.Box 12070 Austin Texas 78711-2070 (512)463-5800 TOO 1-800-735-2989 POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS 2 4 FILER NAME Date 12/06/2014 9 Date 12/12/2014 Date 08/22/2014 Date 12/08/2014 Retired Date 09/23/2014 Public Relations The INSTRUCTION GUIDE explains how to complete this fonn. Shaheen, Matt F. 5 Full name of contributor o out-of-state PAC (10# ) Amaral, Carlos ....................................................... 6 Contributor address; City; State; Zip Code 8200 Weiss Ave Plano, TX 75025 Principal occupation / Job title (See Instructions) Full name of contributor o out-of-state PAC (10# ) Amaral, Carlos ................... . ................................... Contributor address; City; State; Zip Code 8200 Weiss Ave Plano, TX 75025 10 Employer (See Instructions) Principal occupation / Job title (See Instructions) Full name of ccntributor o out-of-state PAC (10# ) Bienek, Timothy ................... . ................................... Contributor address; City; State; Zip Code 5112 Remington Park Dr. Flower Mound, TX 75028 Employer (See Instructions) Principal occupation / Job title (See Instructions) Full name of contributor o out-of-state PAC (10# ) Bienek, Timothy .................. ..................................... Contributor address; City; State; Zip Code 5112 Remington Park Dr. Flower Mound, TX 75028 Employer (See Instructions) SCHEDULE A 1 PAGE # 3 of 15 3 ACCOUNT # (Ethics Commission filers) 00069726 7 Amount of 18 In-kind ccntribution ccntribution ($) I description (if applicable) I $150.00 I I (If travel outside of Texas, complete Schedule T) 0 Amount of I In-kind contribution contribution ($) I description (if applicable) I $125.00 I I (If travel outside of Texas, complete Schedule T) D Amount of I In-kind ccntribution contribution ($) I description (if applicable) I $250.00 I I (If travel outside of Texas, complete Schedule n D Amount of I In-kind ccntribution contribution ($) I description (if applicable) I $500.00 I I (If travel outside of Texas, complete Schedule T) 0 Principal occupation / Job title (See Instructions) Employer (See Instructions) Retired Full name of contributor o out-of-state PAC (10# ) Amount of I In-kind ccntribution contribution ($) description (if applicable) Blocker, Sano I .................. . .................................... I Contributor address; City; State; Zip Code $500.00 I 3509 Derbyshire Ct II :Z WdFlower Mound, TX 75022 II J~ j. r I l --.Ii , N .. (If travel outside of Texas, complete Schedule T) 0 Principal occupation / Job title (See Instructions) r gr~!oyer (See Instructions) ~ ~ergy Future Holdings~:J Web FIling Version 1.6 Texas Ethics Commission P.O.Box 12070 Austin Texas 78711-2070 (512)463-5800 TOO 1-800-735-2989 POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS 2 4 FILER NAME Date 10/30/2014 9 Date 10106/2014 Date 07/21/2014 Date 09/17/2014 Date 12/05/2014 The INSTRUCTION GUIDE explains how to complete this form. Shaheen, Matt F. 5 Full name of contributor o out-of-state PAC (10# ) Dallas Chapter,TSCPA PAC ................... -................................... 6 Contributor address; City; State; Zip Code 12700 Park Central Dr.,STE 1000 Dallas, TX 75251 Principal occupation I Job title (See Instructions) Full name of contributor o out-of-state PAC (10# ) Dallas Eagle Forum ................... ................................... ~ Contributor address; City; State; Zip Code PO Box 600462 Dallas, TX 75360 10 Employer (See Instructions) Principal occupation I Job title (See Instructions) Full name of contributor o out-of-state PAC (10# ) Denbury Resources PAC ....................................................... Contributor address; City; State; Zip Code 5320 Legacy Dr Plano, TX 75024 Employer (See Instructions) Principal occupation I Job title (See Instructions) Full name of contributor o out-of-state PAC (10# ) Empower Texans PAC .................. . .................................... Contributor address; City; State; Zip Code PO Box 200248 Austin, TX 78720 Employer (See Instructions) Principal occupation I Job title (See Instructions) Full name of contributor o out-of-state PAC (10# ) ER Physicians of Texas .................. . .................................... Contributor address; City; State; Zip Code 6501 Preston Rd. Plano, TX 75024 I I :2 Wd !F r Sl -r ............ l. Principal occupation I Job title (See Instructions) -i I~ Employer (See Instructions) SCHEDULE A 1 PAGE # 4 of 15 3 ACCOUNT # (Ethics Commission filers) 00069726 7 Amount of 18 In-kind contribution contribution ($) I description (if applicable) I $500.00 I I (If travel outside of Texas, complete Schedule T) 0 Amount of I In-kind contribution contribution ($) description (if applicable) I I $250.00 I I (If travel outside of Texas, complete Schedule T) 0 Amount of I In-kind contribution contribution ($) I description (if applicable) I $1,500.00 I I (If travel outside of Texas, complete Schedule T) 0 Amount of I In-kind contribution contribution ($) I description (if applicable) I $500.00 I I (If travel outside of Texas, complete Schedule T) 0 Amount of I In-kind contribution contribution ($) I description (if applicable) I $500.00 I I (Iflravel outside of Texas, complete Schedule T) 0 J cr.; .Employer (See Instructions) -. !... Web Flhng Version 1.6 Texas Ethics Commission P.O.Box 12070 Austin Texas 78711-2070 (5121463-5800 TOO 1-800-735-2989 POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS 2 4 FILER NAME Date 09/29/2014 9 Date 11/14/2014 Date 08/11/2014 Date 09/29/2014 Date 10/29/2014 The INSTRUCTION GUIDE explains how to complete this form. Shaheen, Matt F. 5 Full name of contributor o out-of-state PAC (10# ) Erben & Yarbrough ....................................................... 6 Contributor address; City; State; Zip Code 807 Brazos SI.,#402 Austin, TX 78701 Principal occupation I Job title (See Instructions) Full name of contributor o out-of-state PAC (10# ) Friends of UTO ....................................................... Contributor address; City; State; Zip Code 411 Belle Grove Dr. Richardson, TX 75080 10 Employer (See Instructions) Principal occupation I ,lob title (See Instructions) Full name of contributor o out-of-state PAC (10# ) Golden Corridor Republican Women PAC ....................................................... Contributor address; City; State; Zip Code 400 Murray Rd. Fairview, TX 75069 Employer (See Instructions) Principal occupation I Job title (See Instructions) Full name of contributor o out-of-state PAC (10# ) Haggerty, Patrick ....................................................... Contributor address; City; State; Zip Code 3313 Paquita Ct EI Paso, TX 79904 Employer (See Instructions) Principal occupation I Job title (See Instructions) Full name of contributor o out-of-state PAC (10# ) HBA of Greater Dallas HOMEPAC ....................................................... Contributor address; City; State; Zip Code 5816 W. Plano Pkwy Plano, TX 75093 I I :2 Wd 9 .~ ~ ; Principal occupation I Job title (See Instructions) Employer (See Instructions) SCHEDULE A 1 PAGE # 5 of 15 3 ACCOUNT # (Ethics Commission filers) 00069726 7 Amount of 18 In-kind contribution contribution ($) I description (if applicable) I $250.00 I I (If travel outside of Texas, complete Schedule T) D Amount of I In-kind contribution contribution ($) description (if applicable) I I $200.00 I I (If travel outside of Texas, complete Schedule T) D Amount of I In-kind contribution contribution ($) description (if applicable) I I $500.00 I I (If travel outside of Texas, complete Schedule T) D Amount of I In-kind contribution contribution ($) I description (if applicable) I $100.00 I I (If travel outside of Texas, complete Schedule T) D Amount of I In-kind contribution contribution ($) I description (if applicable) I $500.00 I I (If travel outside of Texas, complete Schedule T) D I EI'{lPfyer (~!!e Instructions) . _._~.J -= ..Web Flhng Version 1.6 T exas Eth'ICS C ommlSSlon P.O.Box 12070 Austin Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989 2 4 9 POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS The INSTRUCTION GUIDE explains how to complete this fonn. FILER NAME Shaheen, Matt F. Date 5 Full name of contributor l8J out-of-state PAC (10# C00199711 ) Health Care Service Corporation Employees' PAC .................... .................................. . 10/29/2014 6 Contributor address; City; State; Zip Code 300 East Randolph St Chicago,IL 60601 SCHEDULE A 1 PAGE # 6 of 15 3 ACCOUNT # (Ethics Commission filers) 00069726 7 Amount of 18 In-kind contribution contribution ($) I description (if applicable) I $500.00 I I (If travel outside of Texas, complete Schedule T) 0 Principal occupation I Job tille (See Instructions) 10 Employer (See Instructions) Date Full name of contributor HeartPlace PAC o out-of-state PAC (10# ) ....................................................... 10/10/2014 Contributor address; City; 16980 Dallas Parkway,STE 200 Dallas, TX 75248 State; Zip Code Amount of I In-kind contribution contribution ($) description (if applicable) I I $1,000.00 I I (Iftravel outside of Texas, complete Schedule T) 0 Principal occupation I Job tille (See Instructions) Employer (See Instructions) Date Full name of contributor Hillco PAC o out-of-state PAC (10# ) 09/29/2014 ....................................................... Contributor address; City; State; Zip Code 823 Congress Ave.,#900 Austin, TX 78701 Amount of I In-kind contribution contribution ($) I description (if applicable) I $1,000.00 I I (If travel outside of Texas, complete Schedule T) 0 Principal occupation I Job title (See Instructions) Employer (See Instructions) Date Full name of contributor o out-of-state PAC (10# Independent Bankers Association of TX PAC ) ....................................................... 08/25/2014 Contributor address; City; 1700 Rio Grande Sl.,STE 100 Austin, TX 78701 State; Zip Code Amount of I In-kind contribution contribution ($) I description (if applicable) I $1,500.00 I I (If travel outside of Texas, complete Schedule T) 0 Employer (See Instructions) Principal occupation I Job title (See Instructions) Date Full name of contributor o out-of-state PAC (10# ) Linebarger,Goggan,Blair & Sampson,LLP ....................................................... 09/29/2014 Contributor address; City; State; Zip Code 2700 Via Fortuna Dr.,#400 Austin, TX 78746 I I :2 Wd I r l Amount of I In-kind contribution contribution ($) I description (if applicable) I $500.00 I I (If travel outside of Texas, complete Schedule T) 0 Principal occupation I Job title (See Instructions) 1~~ 'o-}l'Emplo'#lr (Se~ Instructions) Web FIling VersIon 1.6 Texas Ethics Commission P.O.Box 12070 Austin Texas 78711-2070 (512\463-5800 TOO 1-800-735-2989 POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS 2 4 FILER NAME Date 09/29/2014 9 Lawyer Date 10/29/2014 Lawyer Date 10/10/2014 Date 09/29/2014 Date 10/31/2014 The INSTRUCTION GUIDE explains how to complete this tonn. Shaheen, Matt F. 5 Full name of contributor o out-of-state PAC (ID# ) Massingill, Gavin ....................................................... 6 Contributor address; City; State; Zip Code PO Box 1583 Austin, TX 78767 Principal occupation / Job title (See Instructions) Self Employed Full name of contributor o out-of-state PAC (ID# ) McCall, David ....................................................... Contributor address; City; State; Zip Code 777 E. 15th St Plano, TX 75074 10 Employer (See Instructions) Principal occupation / Job title (See Instructions) Self Employed Full name of contributor m out-ot-state PAC (ID# C00225342 ) McGuire Woods Federal PAC Fund ....................................................... Contributor address; City; State; Zip Code 901 East Cary St. Richmond, VA 23219 Employer (See Instructions) Principal occupation / Job title (See Instructions) Full name of contributor I&l out-of-state PAC (ID# C00101105 ) NFIB ....................................................... Contributor address; City; State; Zip Code 1201 F. Street,NW.,STE 200 Washington, DC 20004 Employer (See Instructions) Principal occupation / Job title (See Instructions) Full name of contributor I8l out-of-state PAC (10# COO101105 ) NFIB ....................................................... Contributor address; City; State; Zip Code 1201 F. Street,NW.,STE 200 Employer (See Instructions) SCHEDULE A 1 PAGE # 7 of 15 3 ACCOUNT # (Ethics Commission filers) 00069726 7 Amount of 18 In-kind contribution contribution ($) I description (if applicable) I $500.00 I I (If travel outside of Texas, complete Schedule T) 0 Amount of I In-kind contribution contribution ($) description (if applicable) I I $500.00 I I (lr travel outside of Texas, complete Schedule T) D Amount of I In-kind contribution contribution ($) description (if applicable) I I $250.00 I I (If travel outside of Texas, complete Schedule T) 0 Amount of I In-kind contribution contribution ($) I description (if applicable) I $500.00 I I (If travel outside of Texas, complete Schedule T) 0 Amount of I In-kind contribution contribution ($) I description (if applicable) Mailer I $40.48 I Washington, DC 20004 I I :2 Wd 9\ {1r c \. I ~. , (If travel outside or Texas, complete Schedule T) "=,,PIOY1 (i ee Instructions) __ ~ I .......-;. 0 Principal occupation / Job title (See Instructions) Web FIling VersIon 1.6 Texas E h'tiCS Commission P.O.Box 12070 Austin Texas 78711-2070 POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS The INSTRUCTION GUIDE explains how to complete this form. 2 4 9 FILER NAME Date 11/14/2014 Date 11/14/2014 Date 12/07/2014 Date 12/11/2014 Date 09/29/2014 Shaheen, Matt F. 5 Full name of contributor o out-of-state PAC (10# ) ON COR Texas State PAC ....................................................... 6 Contributor address; City; Slate; Zip Code 1616 Woodall Rodgers Freeway Dallas, TX 75202 Principal occupation I Job tille (See Instructions) Full name ot contributor o out-ot-state PAC (10# ) ONCOR Texas Stale PAC ....................................................... Contributor address; City; State; Zip Code 1616 Woodall Rodgers Freeway Dallas, TX 75202 Principal occupation I Job title (See Instructions) Full name ot contributor o out-ot-state PAC (10# ) Ostrander, Peggy ....................................................... Contributor address; City; Slate; Zip Code 617 E 16Th St Plano, TX 75074 Principal occupation I Job title (See Instructions) Full name ot contributor o out-ot-slate PAC (10# ) PAC of the Independenllnsurance Agents of Texas IMPACT ....................................................... Contributor address; City; State; Zip Code PO Box 684487 Austin, TX 78768 Principal occupation I Job title (See Instructions) (512)463-5800 1 PAGE # 8 of 15 3 ACCOUNT # 00069726 TOO 1-800-735-2989 SCHEDULE A (Ethics Commission filers) 7 Amount of Is In-kind contribution contribution ($) I description (if applicable) I $500.00 I I (If travel outside of Texas, complete Schedule T) 0 10 Employer (See Instructions) Full name ot contributor o out-at-state PAC (10# ) PAC of TIIA of TX ....................................................... Contributor address; City; Slate; Zip Code 1115 San Jacinto.,STE 100 Austin, TX 78768 I I :z ~d 91 T.-!r Amount of contribution ($) I I In-kind contribution description (it applicable) I $1,000.00 I I (If travel outside of Texas, complete Schedule T) 0 Employer (See Instructions) Amount ot In-kind contribution I contribution ($) description (it applicable) I I $50.00 I I (If travel outside of Texas, complete Schedule T) 0 Employer (See Instructions) Amount ot I contribution ($) I I $500.00 I In-kind contribution description (it applicable) I (Iftravel outside of Texas, complete Schedule T) 0 Employer (See Instructions) Amount of I In-kind contribution contribution ($) description (if applicable) I I $1,000.00 I I (If travel outside of Texas, complete Schedule T) 0.'l::l"Il '"' ! . Principal occupation I Job title (See Instructions) E110ye~§ee Instructions)'. .. ,~ =t; .. ~ Web FIling VerSion 1.6 Texas Ethics Commission P.O. Box 12070 Austin Texas 78711-2070 (512)463-5800 TOO 1-800-735-2989 POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS 2 4 FILER NAME Date 12/05/2014 9 Date 09/03/2014 Date 10/29/2014 Date 09/29/2014 Optometrist Date 12/05/2014 The INSTRUCTION GUIDE explains how to complete this form. Shaheen, Matt F. 5 Full name of contributor o out-of-state PAC (10# ) RAC-Good Government PAC ....................................................... 6 Contributor address; City; State; Zip Code 5501 Headquarters Dr. Plano, TX 75024 Principal occupation / Job title (See Instructions) Full name of contributor o out-of-state PAC (10# ) Rural Friends of Electric Cooperatives .................. . .................................... Contributor address; City; State; Zip Code 1122 Colorado St.,Floor 24 Austin, TX 78701 10 Employer (See Instructions) Principal occupation / Job title (See Instructions) Full name of contributor o out-of-state PAC (10# ) Simpson, David ................... . ................................... Contributor address; City; Slate; Zip Code PO Box 5100 Longview, TX 75608 Employer (See Instructions) Principal occupation / Job title (See Instructions) Full name of contributor o out-of-state PAC (10# ) Sorrenson, Laurie ....................................................... Contributor address; City; State; Zip Code 9212 Mystic Oaks Trl Austin, TX 78750 Employer (See Instructions) SCHEDULE A 1 PAGE # 9 of 15 3 ACCOUNT # (Ethics Commission filers) 00069726 7 Amount of 18 In-kind contribution contribution ($) I description (if applicable) I $500.00 I I (If travel outside of Texas, complete Schedule T) 0 Amount of I In-kind contribution contribution ($) I description (if applicable) I $1,000.00 I I (If travel outside of Texas, complete Schedule T) 0 Amount of I In-kind contribution contribution ($) I description (if applicable) I $250.00 I I (If travel outside of Texas, complete Schedule T) 0 Amount of I In-kind contribution contribution ($) I description (if applicable) I $500.00 I I (If travel outside of Texas, complete Schedule T) 0 Principal occupation / Job title (See Instructions) Employer (See Instructions) Self Employed Full na'me of contributor o out-of-state PAC (10# ) Amount of I In-kind contribution contribution ($) description (if applicable) Tex-Pipe PAC I ....................................................... I Principal occupation / Job title (See Instructions) Contributor address; City; State; Zip Code $250.00 I 604 West 14 Street Austin, TX 78701 I I :C Wd 91 N rr Sl I i --.. ') 0-_ ~ ~. (~travel outside of Texas, complete Schedule T) 1 ,~ ..::iIOyer (~ee Instnlctions) Web Filing Version 1.6 0 Texas Ethics Commission P.O.Box 12070 Austin Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989 POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS 2 4 FILER NAME Date 12/02/2014 9 Date 11/14/2014 Date 11/26/2014 Date 12/05/2014 Date 10/10/2014 The INSTRUCTION GUIDE explains how to complete this form. Shaheen, Matt F. 5 Full name of contributor o out-of-state PAC (10# ) Texans for Education Reform PAC ....................................................... 6 Contributor address; City; State; Zip Code PO Box 684606 Austin, TX 78767 Principal occupation I Job title (See Instructions) Full name of contributor o out-of-state PAC (10# ) Texas Architects Committee Political Action Organization .................. ..................................... Contributor address; City; State; Zip Code 500 Chicon St Austin, TX 78702 10 Employer (See Instructions) Principal occupation I Job title (See Instructions) Full name of contributor o out-of-state PAC (10# ) Texas Cornerstone Credit Union Association ....................................................... Contributor address; City; Slate; Zip Code 4455 LBJ Freeway STE 1100 Farmers Branch, TX 75244 Employer (See Instructions) Principal occupation I Job title (See Instructions) Full name of contributor o out-of-state PAC (10# ) Texas Dental Assocation Political Action Committee ....................................................... Contributor address; City; Slate; Zip Code 1946 S IH35,STE 400 Austin, TX 78704 Employer (See Instructions) Principal occupation I Job title (See Instructions) Full name of contributor o out-of-state PAC (10# ) Texas Instruments Incorporated PAC ................... . ................................... Contributor address; City; State; Zip Code PO Box 742496 Employer (See Instructions) SCHEDULE A 1 PAGE # 10 of 15 3 ACCOUNT # (Ethics Commission filers) 00069726 7 Amount of 18 In-kind contribution contribution ($) I description (if applicable) I $2,500.00 I I (If travel outside of Texas, complete Schedule T) 0 Amount of I In-kind contribution contribution ($) I description (if applicable) I $1,000.00 I I (If travel outside of Texas, complete Schedule T) D Amount of I In-kind contribution contribution ($) I description (if applicable) I $1,000.00 I I (If travel outside of Texas, complete Schedule T) D Amount of I In-kind contribution contribution ($) f description (if applicable) I $250.00 I I (If travel outside of Texas, complete Schedule T) 0 Amount of I In-kind contribution contribution ($) description (if applicable) I I $500.00 I Dallas, TX 75374 I I :2 ~d 9 ~~r S. I (If travel outside of Texas, complete Schedule T) 0 - , ~1=" .a-" .\ Principal occupation I Job title (See Instructions) ...~ I ~mPIOyr (Se~lnstructions) Web FIling Version 1.6 Texas Ethics Commission P.D.Box 12070 Austin Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989 POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS 2 4 FILER NAME Date 12/12/2014 9 Date 12/11/2014 Date 08/13/2014 Date 12/05/2014 Date 09/29/2014 The INSTRUCTION GUIDE explains how to complete this form. Shaheen, Matt F. 5 Full name of contributor o out-of-state PAC (10# ) Texas State Farm Agents PAC ............................................ , .......... 6 Contributor address; City; State; Zip Code 1505 W McDermott Dr.,Suite 125 Allen, TX 75013 Principal occupation / Job title (See Instructions) Full name of contributor o out-of-state PAC (ID# ) Texas State Rifle Association PAC ....................................................... Contributor address; City; State; Zip Code 956 Stockade Ranch RD Paige, TX 78659 10 Employer (See Instructions) Principal occupation / Job title (See Instructions) Full name of contributor o out-of-state PAC (ID# ) Texas Strategy Group ....................................................... Contributor address; City; State; Zip Code 1005 Congress Ave.,STE 480 Austin, TX 78701 Employer (See Instructions) Principal occupation / Job title (See Instructions) Full name of contributor o out-of-state PAC (10# ) TSAPAC ....................................................... Contributor address; City; State; Zip Code 401 West 15th St.,Suite 990 Austin, TX 78701 Employer (See Instructions) Principal occupation / Job title (See Instructions) Full name of contributor o out-of-state PAC (ID# ) TX Agriculture Aviation Assoc ....................................................... Contributor address; City; State; Zip Code PO Box 684570 Austin, TX 78768 I I :2 Wd I ' . r '''l .~ -...._.: ..-.0' .. Principal occupation / Job title (See Instructions) Employer (See Instructions) SCHEDULE A 1 PAGE # 11 of 15 3 ACCOUNT # (Ethics Commission filers) 00069726 7 Amount of 18 In-kind contribution contribution ($) I description (if applicable) I $250.00 I I (If travel outside of Texas, complete Schedule T) D Amount of I In-kind contribution contribution ($) I description (if applicable) I $500.00 I I (If travel outside of Texas, complete Schedule n 0 Amount of I In-kind contribution contribution ($) I description (if applicable) I $500.00 I I (If travel outside of Texas, complete Schedule n 0 Amount of I In-kind contribution contribution ($) I description (if applicable) I $1,000.00 I I (If travel outside of Texas, complete Schedule T) D Amount of I In-kind contribution contribution ($) I description (if applicable) I $250.00 I I (If travel outside of Texas, complete Schedule T) D ETlijyeL(See Instructions)Lj~J Web Filing VersIon 1.6 POLITICAL CONTRIBUTIONS The INSTRUCTION GUIDE explains how to complete this fonn. 2 FILER NAME Shaheen, Matt F. 4 Date 5 Full name of contributor TX Apartment Assoc PAC 08/15/2014 6 Contributor address; City; 1011 San Jacinto Blvd. STE 600 Austin, TX 78701 9 Principal occupation / Job title (See Instructions) Date Full name of contributor TX Assoc. of Builders PAC 09/29/2014 Contributor address; City; 313 E. 12th St.,STE 210 Austin, TX 78701 Principal occupation / Job title (See Instructions) Date Full name of contributor TX Assoc. of Pawn Brokers PAC 09/29/2014 Contributor address; City; 405 W. 14th St Austin, TX 78701 Principal occupation / Job title (See Instructions) Date Full name of contributor TX Dental Assoc PAC .................. . , 09/29/2014 Contributor address; City; 1946 S. IH35,STE 400 Austin, TX 78704 Principal occupation / Job title (See Instructions) Date Full name of contributor 09/29/2014 Contributor address; City; 500 N. Akard Dallas, TX 75201 Principal occupation / Job title (See Instrucltons) Texas Ethics Commission P.O.Box 12070 Austin Texas 78711-2070 (512)463-5800 TOO 1-800-735-2989 SCHEDULE A OTHER THAN PLEDGES OR LOANS 1 PAGE # 12 of 15 3 ACCOUNT # (Ethics Commission filers) 00069726 o out-of-state PAC (10# ) 7 Amount of 18 In-kind contribution contribution ($) description (if applicable) I ....................................................... I State; Zip Code $1,250.00 I I (If travel outside of Texas, complete Schedule T) D 10 Employer (See Instructions) Amount of I In-kind contribution contribution ($) description (if applicable) o out-of-state PAC (10# ) I ....................................................... I State; Zip Code $500.00 I I (If travel outside of Texas, complete Schedule T) 0 Employer (See Instructions) Amount of I In-kind contribution contribution ($) description (if applicable) o out-of-state PAC (10# ) I .................. ..................................... I State; Zip Code $500.00 I I (If travel outside of Texas, complete Schedule n 0 Employer (See Instructions) Amount of I In-kind contribution contribution ($) description (if applicable) o out-of-state PAC (10# ) I ................................... I State; Zip Code $250.00 I I (If travel outside of Texas, complete Schedule T) D Employer (See Instructions) o out-of-state PAC (10# ) TX Employee PAC of Luminant Holding Company ....................................................... State; Zip Code I I :2 ~d 91 r SL ., .,,1" -"-"'.1 -... Amount of I In-kind contribution contribution ($) I description (if applicable) I $500.00 I I (If travel outside of Texas, complete Schedule T) D Ellaye~e:e Instructions) !: .:1~ Web FIling Version 1.6 Texas Ethics Commission P.O.Box 12070 Austin Texas 78711-2070 (512)463-5800 TOO 1-800-735-2989 POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS 2 4 FILER NAME Date 09/29/2014 9 Date 09/29/2014 Date 12/05/2014 Date 12/11/2014 Home Builder Date 11/26/2014 The INSTRUCTION GUIDE explains how to complete this form. Shaheen, Matt F. 5 Full name of contributor o out-of-state PAC (10# ) TX Manufactured Housing Assoc ................... ................................... . 6 Contributor address; City; State; Zip Code 505 W. 14th Sl. Austin, TX 78701 Principal occupation I Job title (See Instructions) Full name of contributor o out-of-state PAC (10# ) TX Restaurant Assoc. PAC ....................................................... Contributor address; City; State; Zip Code PO Box 1429 Austin, TX 78767 10 Employer (See Instructions) Principal occupation I Job title (See Instructions) Full name of contributor o out-of-state PAC (10# ) US Anesthesia Partners of TX,P.A. ....................................................... Contributor address; City; State; Zip Code 13737 Noel Rd.,STE 1400 Dallas, TX 75240 Employer (See Instructions) Principal occupation I Job title (See Instructions) Full name of contributor o out-of-state PAC (10# ) Weekly, Richard ....................................................... Contributor address; City; State; Zip Code 1111 N Post Oak Rd. Houston, TX 77055 Employer (See Instructions) Principal occupation I Job title (See Instructions) Full name of contributor o out-of-state PAC (10# ) Wilks, Farris ....................................................... Contributor address; City; State; Zip Code 2511 CR 169 ICisco, TX 76437 II :2 ~d 91 r ~ ...-_. ,._..:-.; .. Principal occupation I Job title (See Instructions) Oil and Gas Services Employer (See Instructions) Business Owner SCHEDULE A 1 PAGE # 13 of 15 3 ACCOUNT # (Ethics Commission filers) 00069726 7 Amount of I 8 In-kind contribution contribution ($) I description (if applicable) I $500.00 I I (If travel outside of Texas, complete Schedule T) 0 Amount of I In-kind contribution contribution ($) I description (if applicable) I $500.00 I I (If travel outside of Texas, complete Schedule T) 0 Amount of I In-kind contribution contribution ($) I description (if applicable) I $250.00 I I (If travel outside of Texas, complete Schedule T) 0 Amount of I In-kind contribution contribution ($) I description (if applicable) I $1,000.00 I I (If travel outside of Texas, complete Schedule T) 0 Amount of I In-kind contribution contribution ($) I description (if applicable) I $5,000.00 I I (If travel outside of Texas, complete Schedule T) 0 §lT1flloye[ (See Instructions) Self Emprbyed~J .:i Web Flhng Version 1.6 Texas Ethics Commission P.O.Box 12070 Austin Texas 78711-2070 (512)463-5800 TOD 1-800-735-2989 POLITICAL EXPENDITURES EXPENDITURE CATEGORIES Advertising Expense Gifts/Awards/Memorial Expense A=unting/Banking Legal Services Consulting Expense Food/Beverage Expense Travel In District Event Expense Polling Expense Travel Out Of District Fees Printing Expense The INSTRUCTION 1 PAGE # 1 2 FILER NAME 14 of 15 Shaheen, Matt F. 4 Date 5 Payee name 08/07/2014 Mail Chimp 6 Amount ($) 7 Payee address City; State; Zip Code $50.00 512 Means Street Atlanta, GA 30318 8 (a) Category (See Categories listed at the top of this schedule) PURPOSE Advertising Expense OF EXPENDITURE 9 Complete ONLY if Candidate J Officeholder name direct expenditure to benefit C/OH Date Payee name 09/06/2014 Mail Chimp Amount ($) Payee address City; State; Zip Code $50.00 512 Means Street Atlanta, GA 30318 Category (See Categories listed at the top of this schedule) PURPOSE Advertising Expense OF EXPENDITURE Complete ONLY if Candidate J Officeholder name direct expenditure to benefit C/OH Date Payee name 10106/2014 Mail Chimp Amount ($) Payee address City; State; Zip Code $50.00 512 Means Street Atlanta, GA 30318 Category (See Categories listed at the top of this schedule) PURPOSE Advertising Expense OF EXPENDITURE Complete ONLY if Candidate I Officeholder name direct expenditure to benefit C/OH Date Payee name 11/06/2014 Mail Chimp Amount ($) Payee address City; State; Zip Code $50.00 512 Means Street Atlanta, GA 30318 Category (See Categories listed at the top of this schedule) PURPOSE Advertising Expense, ,OF :Z Wd 9 ~ vr SLEXPENDITURE Complete ONLY if Candidate J Officeholdt~afe::, .; f ~direct expenditure to benefit C/OH - SCHEDULE F SalarieslWages/Contract Labor Loan RepaymenVReimbursement Solicitalion/Fundraising Expense Transportation Equipment & Related Expense Contributions/Donations Made By Candidate/Officeholder/Political Committee Office Overhead/Rental Expense OTHER (enter a category not listed above) GUIDE explains how to complete this form. ACCOUNT # (TEC filers)3 1 00069726 (b) Description (If travel outside of Texas, complete Schedule T) 0 Email blasts In Check if Austin TX officeholder Iivino exoense Office sought: Office held: Description (If travel outside of Texas, complete Schedule T) D Email blasts D Check if Austin TX officeholder livina exoense Office sought: Office held: Description (If travel outside of Texas, complete Schedule T) D Email blasts D Check if Austin TX officeholder living exoense Office sought: Office held: Description (If travel outside of Texas, complete Schedule T) 0 Email blasts n r.heck If Austin TX IIvlna exo"ns" Office sought: Office held: -Web FIling Version 1.0 Texas Ethics Commission P.O.Box 12070 Austin Texas 78711-2070 (512)463-5800 TOO 1-800-735-2989 POLITICAL EXPENDITURES SCHEDULE F SalarieslWages/Contract Labor Loan RepaymentJReimbursement Solicitation/Fund raising Expense Transportation Equipment & Related Expense Travel In District ContributionslDonations Made By Travel Out Of District Candidate/Officeholder/Political Committee Office Overhead/Rental Expense OTHER (enter a category not listed above) GUIDE explains how to complete this form. EXPENDITURE CATEGORIES Gifts/Awards/Memorial Expense Legal Services Food/Beverage Expense Polling Expense Printing Expense The INSTRUCTION Advertising Expense Accounting/Banking Consulting Expense Event Expense Fees 1 PAGE # 15 of 15 FILER NAME Shaheen, Matt F. 1 3 ACCOUNT # (TEC filers) 00069726 4 Date 12/06/2014 5 Payee name Mail Chimp 6 Amount ($) $50.00 7 Payee address 512 Means Street Atlanta, GA 30318 City; State; Zip Code 8 PURPOSE OF EXPENDITURE (a) Category (See Categories listed at the top of this schedule) Advertising Expense (b) Description (If travel outside of Texas, complete Schedule T) 0 Email blasts 10 Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct expenditure to benefit C/OH Candidate I Officeholder name Office sought: Office held: I I :2 I~d r Sl Web Filing Version 1.6