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HomeMy WebLinkAboutWeldon Copeland Jr 070220159 Texas Elhl cs Com m ISS!on PO Box 12070 Austin.Texas 78711 120:70 (TOO 1-800-735-2989) JUDICIAL CANDIDATE I OFFICEHOLDER CAIVIPAIGN FINANCE REPORT I, 1 ACCOUNT # (BhicsComrns90n Filers)The JCIOH Instruction Guide explains how to complete this form. 3 CANDIDATE I OFFICEHOLDER NAME 4 CANDIDATE I OFFICEHOLDER MAILING ADDRESS .1 change or address MS IMRS I MR FIRST NICKNA.ME LAST ADDRESS I PC BOX; APT I SUITE'; CITY:R\3t.3 ~ A iA-I tJc. ~A) f .A I Ii<. -rE:-c<'+ ')u l f v-...) MI :5. SUFFIX ~12.., STATE; liP CODE L.­ 7 SOh j ------.--...-..------+---'-----------..1.'----------------1 Receipt # 5 CAND IDATEI AREA. CODE PHONE NUMBER EXTENSION Date Processed OFF IC EHO LD ER PHONE ---------t-------------­ MSIMRS/MR FIRST III I Date inaQed6 CAMPAIGN TREASU RER NAME -_ 7 CAMPAIGN TREASURER ADDRESS (residence or business) 8 CAMPAIGN TREASURER PHONE FORM JC/OH COVER SHEET PG 1 - ArroUf1 REPORT TYPE 151h day afler campai nJanuary 15 )Olh day before election Runoff00 U o treasurer appOlnlm8 (omr;ehQlderonl~ MJu,y 15 '-I 8th day uelore election I J Exceeded $500 [J Final report (Attach C/~. FR) limit N CD S"T0? l-\ Eo 0 NICKNA~E LA.:3T SUFFIX WALK eR +-----_._--------------------------_._-----j STREET ADDRESS (NO PO BOX PLEASE). APT/SUITE'; CIT'( STATE, ZIP CODE lS07S ---­.•_ -_.__ _--_., , _ . AREA. CODE ( Q7Z) ,J PHONE NUMBER <6 b "7­ EXTENSION 0663 U1 I ,d 10 PERIOD Morth Day Year MOIlh COVERED THROUGH 0\ eJ \ 2.D 1.5 06 3 -_....,._--_...._._...._,--_........__.__._-,.__..._----_.._.-... _-------­ 11 ELECTION ELECTION DA.TE ELECTIONTYPE Morth Day 'IIlar -I Pnrrnry o SpedalL."': Runoll ~neral II 120FFICE OF FICE HELD (II any) C C{)lA .....--t, Yf)..Qt'3 +-r(bL l.. ,"-' Cll,-,~-t .ttl --_._----------------,--------_._­- GOTOPAGE2 vvww ethlcS.Slale.tx US ReVIsed 04/19f2013 CANDIDATE I OFFICEHOLDER FORM JC/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 JC/OH NAME 15 Filer 10 (Ethics Commission Filers)s. 16 NOTICE FROM nilS BOX IS FOR NOTICE OF POLITICAL CONTRIBunONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT niE CANDIDATE 1 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 nilS INFORMAnON ONLY IF niEY RECEIVE NonCE OF SUCH EXPENDITURES. DSPECIFIC DGENERAL COMMITTEE TYPE COMMITTEE ADDRESS COMMITTEE NAME A COMMITTEE CAMPAIGN TREASURER NAME D Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN $TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED 2. TOTAL POLITICAL CONTRIBUTIONS $(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) EXPENDITURE TOTALS 3 TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED $ 4. TOTAL POLITICAL EXPENDITURES $ CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD $ OUTSTANDING LOAN TOTALS 6 TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LAST DAY OF THE REPORTING PERIOD LOANS AS OF THE $ 18 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 itle 15, Election Code. Lc?L« AFFIX NOTARY STAM P I SEALABOVE Sworn to and subscribed before me, by the said day of .J lA( ~ ,20 IS , to certify which, witness my hand and seal of office. Printed name of officer administering oath Title'of officer administering oath Revised 04/15/2015Forms provided by Texas Ethics Commission www.ethics.state.tx.us --- 1 t Texas Ethics Comm Ission POBox 12070 Austin Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989) POLITICAL CONTRIBUTIONS SCHEDULE A (J)OTHER THAN PLEDGES OR LOANS (JUDICIAL) 1 Total pages StiledLlleA(J).The Instruction Guide explains how to complete this form. 2 FILER NAME W~"~"'1W S. CDP~ \. .J~ .flo. .....A,...... t 4 Date 5 Full name ofcontributor lout-or-51 aI e PAC (0#: ) ~o,J E 6 Contnbutoraddress; City; Slate; ZiP CodeJJ{A 3 ACCOUNT # (EthiCS Commission Filers) 7 Amountof i 8 In-kind conlnbutlon contribution ($) descripti on(lfapp Ilcable) (r Iravel oulSide or Texas, complete Schedule T) : ~Olllt~~~orS prin_c~:::~~'~r~:ti~~ ~_L~_________~o=~:m:~o:. .~J~ ....-. __1 _ :: ~~:.:,:~::';:'~~~o".~~)M---jJ1i!:::m"'"~o" ''-o~".''_:~ ~-0 ~_~~ Date Full name ofcontributor ::::Jo<A-or-51a1ePAC(D#:' ) Amount of I In-kind contnbutlon contnbutlon ($) description(rfapplicable) Contributor address , State; Zip Code -, (r travel outside ~ Texas, _~plete Sclledule T), Contnbutor's prinCipal occupation Contributor'sJob title 1--------------------------111------------:-:----------_.. Contributor's ernployerllawnrm Lawfirm of contributor's spouse (rfany) _______________1 .__ , _ Ifcontrlbutor IS a child, law firm ofparent(s) ~fany) Date Full narne ofcontributor ]out-cHlale P~,C(D#:_-==~ _ Amount of i In-klwj contribution contnbution ($) I descrlption~fapplicable) Contn butor address; ity: Stale; Zip Code I I I -, ".." -.­--,-­_ ..,­--c­__ .. !­,. ,,~!tr!.:',~_~LJ!.:'de r:t~~xas, ~~Ple~e~r:1tJI~..T '_. " Contributor's prrncipal occupation Con tnbutor's Jo b ti tie <­,-­-------------------+---------------j=:;..-......_-1-.p. Contributor's employerllawfirm Lawfirm ofcontributor's spouse ~fany) l~"-,;, , Ifcontributor is a child, law firm ofparent(s) ~fany) ~ LJ '-r-I I-i ,. ~ .r­.. .J-. N I'en "~1" ATIACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC. please see instruction guide for additional reporting requirements. 'c!'r·....-/\'i ethiCS st8te,t><,us Revised 04/1912013 /---_ _----_ _---_.__ __~_,_ State; Zip Code Oout.or.Sat.f¥o.C(I~Full name ofpledgorDate Pledgors prinCI Pledgor address; U; (' travel outside of Texas, complel~necJJle T) , _ _.__._. N CO L Texas EthicS Comm Isslon PO. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) PLEDGED CONTRIBUTIONS (JUDICIAL) SCHEDULE B (J) I 1 Total pages Schedule B(J): The Instruction Guide explains how to complete this form. I 2 FILER NAME 3 ACCOUN T # (EthiC, Commission Filers) I WE"'bO~ 4 TOTAL OF UNITEMIZED PLEDGES: 5 Date 8 Amount of pledge ($) 6 Full name ofpledgor [ ...J out·of·Slale PAC(D#: ~ f;j 0 t-J~ Pledgor's employerJlawfirm ~ D ,..) E-13 Law firm ofpledgors spouse ~fany) ;.J iJ 7 Pledgor address; City; State; Zip Code 10 12 14 Ifpledgor'is a child, lawfinn ofparent(s) Qfany) )0o,JE Date Amount of h-klnd description pledge ($) (Ifappllcable) Full name ofpledgor Cl out·of·Sale F1\C(I~=;:::;:==:-~ Zip Code (r travel outside of Texas, complete Scnedule T) ..................__.__.,--___ _ , ..:.. _.._ _ _ _--_ ­ Pledgor'sJob title . __ _ _--- Pledgors employerllawfi,m Lawfirm ofpledgors spouse (Ifany) ................._.._ ..._----- Ifpledgor is a Child, law Jrrn ofparent(s) (I fany) .. _ Amount of In-kind description pledge ($) (Ifapplicable) I . IJPf.~dgo-r-s-jo·b-~·tle··_····_·w_. .·.·_ --..-..--.-..-.~. __.__.-----..-..-~ _ _ ._._------+--------_._--_..-_.._ _._--_.__..__. Pledgor's "rnployerllaw firm Law firm ofpled go r's spouse (I fa ny) -.---.-----------------------'------------------;;1;; Ifpledgor is a child, Idwfirrn ofparenl(s) ~ fany) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-ot-state PAC. please see instruction guide tor additional reporting requirements. \NWW ethiCS. state tx.u s ReVised 04119/2013 Texas Ethics Comrn ission PO Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989) LOANS (JUDICIAL) I I L SCHEDULE E (J) The Instruction Guide explains how to complete this torm_ Tolal pages Scliedule E(J) 3 ACCOU NT # (Ethics Commission Filers) 2 FILER NAIvIE (,J(\.obO"; ~. CO?,"\,A,..JO i~. -­-_.---.----.--------­--.--.----.-.------J.-..--:----.­.---.........-.--......-_.­ 4 9 Loan Amount ($) 1­1 -O -ln-tblt ~e DQ~ ....... 0 __...... '11 Maturity date }..)C,J-l; ---_..__.....__....... ~~4~ 75(;)69 ---'-----'--­ $ Zip Code o out·of·9atePAC(0I. ~ state;City:Lender address: 7 Narn e oflender (;)6l".~ 0'; 8 TOTAL OF UtHrErv1IZED LOANS: IS lender a finanCial Institution? 5 Datoa ofloan 6 25 Guarantor's Employerllaw Firm .­. -­-­---­.__...._.-----_._-...,....-._----.---_........_--_. 23 Guarantor's Principal Occupation J..1 24 Guaranto~s Job Title p c> ~ -E -J) 0 _.~ IJ () JE ~;...._____-= ---L ... EnY) ...-I~'_''___'__ 27 If guarantor IS child. law nrrn of parentis) Of anY) oJe: ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED It lender is out-ot-state PAC. please see instruction guide tor additional reporting requirements_ 'Nv"wethICS.state.tx.us Revised 04/19/2013 TexasElhlcs Commission PO Box 12070 Austin. Texas 78711-2070 (512)463-5800 (TOO 1-800-735-2989) POLITICAL EXPENDITURES I l ( ..t, L SCHEDULE F Advertising Expense All Junting/Banklng Consull111g Expense [vent r:'pense Fees EXPENDITURE CATEGORIES FOR BOX 8(a) Girt/Awards/Memorials Expense SalaneslWages/Contract Labor Loan RepaymenliReimbursement Legal Services Solicilallon/Fundraising Expense Transportation EqUipment & Related Expen,e Food/Beverage Expense Travel In Dislrict ContrlbutionsJDonaliDns Made By Polling Expense Travel Oul Of DI31rici Candidate/Officellotder/Poillicat Comrnltlee Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above) Th~ Instruction Guid~ ~xpl~ins how to compl~t~ this form. 1 Tolal pages SChedule F. 3 ACCOUNT # (EthiCS Commission Filers) PURPOSE OF EXPENDITURE 8 9 Complete ONLY If direct expenditure to IJenent C/OH N CO Oflfce~ C.r­__-,---' 'V Omce held ------_._-_._.- Descnption (rlravel outSide orT""a" complete Schedule T) i)J'C Des cnptlon (Irtravel out SIde ofTexas. complet e Schedule T) Omce sought Omce sought -=,...---:c ..._._.~~ .....~.._~_. __. ....__--::~:..::.:::.:....-= ....__._._._".__. tO~PE ---­ Candidate IOmceholder name Category (See categari es hg e.d at the top oft hi 5 schedule) Payea address; PURPOSE OF EXPENDITURE Date_~~_~paYeename Dv J ,c . A.mount ($) I Payee address; City; Slate; Zip Code I Date Payee name Com plete ot:! LY if direct expendllure to benefit C/OH Amount ($) Complete QNkY if direct expenditure to benefit C/OH PURPOSE OF EXPENDITURE ._--_.._ .._----­ ... _ ..__ - _ _ ====.:..-= Date Payee name Amount ($) Payee address; City; State; Zip Code Description (rtravel outSIde orTexas, complete ScheduleT)PURPOSE OF EXPENDITURE Complete ~y If direct expenditure to benefit C/OH --­----- Omce sought Oflfce held ATrACH ADDI110NAL COPIES OF THIS SCHEDULE AS NEEDED \M'iW.ethlcs state.tx us Revised 04/19/2013 ---------------------------------- Texas Ethics Comm isslon PO Box 12070 Austin, Texas 73711-2070 (512) 463-5800 (TDD 1-300-735-2939) POLITICAL EXPENDITURES SCHEDULE GMADE FROM PERSONAL FUNDS L EXPENDITURE CATEGORIES FOR BOX S(a) Advertising Expense Gift/Aw ards/M em oria Is Expense SalarieslWages/C ant ract Labor Lo an R epa'imentiR ei mburs em e nt Acc ounti ng/Ban "i ng Legal Services Solicitation/Fundraising Expense Transportation Equipment e Related Expense Consulting Expense Food/Beverage Expense Travel In Dlstllct Contnbutions/Donations Made By Event Expense Polling Expense Travel Out Of Disilict Cand,date/Off,cehoider/Polilical Commlltee Fees Printing Expense Office OverheadlRental Expense OTHER (enter a category not listed above) The Instruction Guide explJins how to complete this form. 1~~p:e5~~m~,eG~2~~~~L~E_R~~~N_:~:~E~~~~~~=~~~.~_~~_~~~~~~~~~~J~_~_..~_~~_R~.~~~_3~A_C_C_O_U_N~T_#_(_E_th_,c_s_commissIOOFil e~) 4 Date 5 Payee name J)b ~ ~. IJ () r.)~_{;__ 6 .A.mount ($) !7 P",yee address; City; stat,,; Zip Code RelmtJursemenl (rom political contribU'llons intended , (3j Category (See categones II 9 ed althe top oft hi s sc hedule) (bt Descnption (lflravel outsideofTexas. complete ScheduleT)8 PURPOSE EX PENOrrURE OF I to()~~ o atJ ~ Date Payee name Amount ($) Reimbursement from political contributions intended City: state; ----------------J------es ij sled at t he top oflhl s schedule) ---~----------_.- Payee address; DeSCription (If travel outs de ofTexas, complete SChe~ 1)PURPOSE I OF U1 . __~~:-=I~OITURE __l Date Payee name -= Amount ($) Payee address; City; Sl",te; II RelmblJrsemera from pOlItical CooltibUlions intended N l­...CD·· I Description (If t ravel outgoe o!Texas, complete Schedule 1)PURPOSE OF EXPEl JDITURE I Date Payee nalTle Amount ($) Payee address. C~y; state; o RE'lmbursernent from POWI cal contri butions Inended Description (ltra'v'el outsIde of Texas, complete SCheduleT)PURPOSE OF EX PEHOrrURE ATIACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED WWw eth les state t><.u s ReVIsed 04/19/2013 8 Texas Ethl CS Com m J ssi on PO Box 12070 A ustin Texas 78711-2070 (512) 463-~,800 (TDD 1-800-735-2989) PAYMENT FROM POLITICAL SCHEDULE HCONTRIBUTIONS TO A BUSINESS OF <f/phl EXPENDITURE CATEGORIES FOR BOX S(a) Advertising Expen$e GifllAwards/Memorials Expense Salanes/wages/Conlracl Labor Loan RepayrnentiReimbursernenl ".Cl ounli ng/Ban ki ng Legal Services Solicilalion/Fundraislng Expense Transportatlon Equipment & Relate[f Expense Consulting Expense FOOel/Beverage Expense Travel In Oislricl Conlributions/Oonat/ons Made By Evenl Expense Polling Expense Travel Oul or Oislricl Can[fldale/OrflcehOJder/Political Commiltee Fees PrinlingExpense OfFice OverheaolRenlal Expense OTHER (enter a category nor lisled above) The Instruction Guide explJins how to complete this form. 1 Total pages Schedule H: 2 FILER NAME ...~..~.....~...~..~...~..... 4 Date 5 Busini0nar; ..J 6 Amount ($) 7 Business address; City; State; Zip Code (:>1 C tegory (See categories ~sted atthetop olthisschedule) PURPOSE (hI DeSCription (I!travel oulsde oITe'as. complete Schedul. n OF EXPEI'IDrTURE POrJT 9 COmplete ONLY il [flrec/ Candidate I Officeholder name omce sought expenditure to benefit C/OH ---­ Date Business name Amount ($) I-I Business address; City; State; Zip Code IL'__r-_'___:_-~_~_~_:_~_;_u_ER_E C_-03_-t-:e~g...o~ry_(_se_e_c_~_··~_g_~·_"·_"·_"·_""_~-_d _at_tr~,e~t_o-p_'o_"-!_t-t>_~SS~C_ll_ed_U_le_) _= [)_'~_;_C_r1_P_tl_o_n_(_w_t r_aW_I_out_S_id_e_O_f_Te_x_a_s._c_o'_n_PI_e_S_C_I"e_d_U 1--"e;T~J ~I EX 7 Complete eN.!"'Y II direct ~nd/date I Omceholder name Offlce sought Office hel&'"' expenditure to benefit C/OH L.... c= Date --r--susiness name .....:;.,­,I N , Amount ($) Business address; City~~.:ii fll-State; ZipCode .s::-• •• '""=-...c: -~~-----'--"---'---""-"'---"'--'-"'~' ......---~--.-) EX:~:f;:ERE I cat~~d at Ihelopofthis schedule) Description nil ravel outsde or Tex.s. compl.le Sched~) Complete Q.I\LL,'( " direct --Candidate /0 mceholder name Office sought Office held expend,lure to benefit C/OH - ---=----=,;::::=;:=:.....::-.=-================-=---==-===-:::_:''::''':;--===--::===---=-==-­ Date i i Business narne !­ PURPOSE !zategory(5. egonesl,s1ed atlhelop orthisschedule) Description (If I ravel outside ofT••as. compleleSchedul.T) OF ' EXPEt-JD~U':.:.~_ ' Complete cr'ILYif direct Candidate IOlliceholder name Ollice sought Office held expendllure. 10 benefll ClOH ATTACH ADDI110NAL COPIES OF THIS SCHEDULE AS NEEDED www ethlcs.state.tx us Revised 04/1912013 I (S e8 instructIOns regardi ng type City; State;Payee address; Texas Ethics COlllm ISSlon PO. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) NON-POLITICAL EXPENDITURES I SCHEDULEMADE FROM POLITICAL CONTRIBUTIOt.t~ The Instruction Guide explains how to complete this form. 1 TOlal pages Sa,edule II 2 FILERNAIv1E 3 ACCOUN T # (Ethics Commission FilerS) iPURPOSE (See inst rueti ons regardi ng type of i nformauo 11 OF iEXPENDITURE i i .._._...----_..._-----.:....-=-:..~..------_._--._-._-.----,--,---====---=--:'­ I b' Des cnpti on r8 qui re d.) Payee address .. City: stelle; Zip Code ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED 4 Date 6 Amount ($) ~oJf 8 PURPOSE OF EXPENDITURE ,0cJ0 f' Date Amount ($) PURPOSE OF EXPENDITURE Date Amount ($) f , PURPOSE OF EXPENDITURE Date Amount ($) -. ~ i (J E. \... I::. 0 I'oJ S . 5 Payee name 7 Payee address; City; State; Zip Code I'" Categ olY (See Inst rueti ons for ex amples of acceptabl e cal egan es) IbfDescriptlon (See Instructions regardtng type of information co."," , fJ 2>,J -f ._-'-­ Payee name lb'D es crlptl on or information required.) _________-C---' _ --_..- -.. ~..--..-.J.-.-. Ibl Description (See II,struetions regarding type of ~rmaliori City; State. Zip CodePaYee address; -+ ------ - , ""' -------..-. . - required.) Payee name Payee name WV·/W ethtcs. state. tx.u 5 ReVised 0411912013 Texas Ethi cs Com m 1551 on PO Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989) SCHEDULE K ":iI,l""I'w----·­ The Instruction Guide explains how to complete this form. INTEREST EARNED. OTHER CREDITS/GAINSI REFUNDS. AND PURCHASE OF INVESTMENTS 1 ( -.:::.=--=-=J-~ .. 1 Tolal pages Schedule K. 'l--'-­ '1 g Arnount ($) I I-J Cl J-E­ I I 3 ACCOUNT # (Ethics Commission Fliers) 6 .A,ddress of person IYom Wlom arnount IS recerved,Clty;State;Zip Code 2 FILER NAlviE W6 ... ~o,oJ c:;_ C.OP{:-L.A.,JoD ,,~. 1--------,1-----------­-----=.. J . 4 Date I 5 N am e 0 f P ers on IYom Wlom amo unt IS rece ived 7 Purpose for which amount IS received _~=~=..to===,~~=-=------=:::====---.::....-:==:::-----.:......,==-==--=--..__._. Date Name ofperson from '!\hom amount is received Arnount ($) Date Address of person IYorn Wlorn amount is recelved;City;State;Zip Code _... t..n ========-='-=--=--=-=r--=---'-~-- Arnolflt ~) Date ~Jarne ofperson IYorn "",orn arnount is received Arnount ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethlcsstate.lx.us Revised 0"1/1912013 ------- Texas Ethics Cornrn Ission POBox 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-300-735-2989) OUTSTANDING LOANS SCHEDULE L c­ ~ __••••ti. ••••__._••• ••••_ ••••••••_,_••••• 1 Total pages Schedule L.The Instruction Guide explains how to complete this torm. 2 FILER NI-ME 3 ACCOUNT # (EthiCS Commission Fliers) 4 Name oflenderL8'1:::rn r:~FORMATION -.s~LC=--s. 5 Lender address; City; State; Zip Code __ L~L~ L~~p.j o__~~t __ mE~_~~~~_}~~ ()-~ 1~_~ G.t 6 Name ofguarantorGUARANTOR II\FORMATO~I I 7 Guarantor address; City; Stale; ZiJO Code Name oflender NFORMATICN LEl'-ICER ~ I Lender address: City; State; Zip Code GUARAI'HOR -U1IN=ORMATO~I o not applicable I f.Jd Guarantor address; Clt State; Zip Codez I­..======-.-.:.--.----~~:=-N-am-· ~~n:=d:,:e=~===rJ====~======================= LB'jCER "'FORMATION Lender address; City; Stale, Zip Code GUARANTOR NFORMATON 1:..1 not applicable Zip CodeState; Name. ofguarantor Name oflender NFORIv1ATON LEJ\lCER GUARANTOR INFORMATOI\J o not applicable Name ofguarantor C~y; state; Zip Code ad" ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED , L.­ C r- I WW;N eth ICS state tx us Revised 04/1912013 ---- Texas EthicS Comrn Ission PO Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) ASSETS VALUEDAT$500 OR MORE SCHEDULE M ·_.~.....".._ ...H.,....__...__•••••__••_•• •••••_ •••_••••••••• ~ ••_ ••••_. ••• h ••_ ••••• _ •••__ ====.,,-..-_._ _.__ _ _"._-"-,,..,,-_.._ . I 1 Total pages Schedule M. The Instruction Guide explains how to complete this form. 2 FILER NAME I "\ "3 ACCOUNT # (Ethics Commission Filers) WE t,...O~,.) 4 Description of Asset Description of Asset Description of Asset -=~==-___-=-.::........c__. _ Description of Asset Descrif='tlon of Asset Description of Asset Description or Asset Description or Asset Description of Asset D",scrlption of Asset Description or Asset ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www ethics state.t,x.us Revised 04/19/2013 - - .._===:::..:::._._=.=..=:::':::'=-=-=.:::..=-=-=.:::':::"=-==-=-=,= ------~-=_cl----------.-- ame of conference I 9 Name ofContri Texas Ethics Comm ISSlon PO Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) IN-KIND CONTRIBUTION OR POLITICAL EXPENDITURE SCHEDULE TFOR TRAVEL OUTSIDE OF TEXAS ----========:==J==7=l:*tJ~~ ~ , The Instruction Guide explains how to complete this form. ot~lh~e5 ScllecJule T 2 F IL,E__R_N_A_M_E_--,Q;:. Ii:: .....::.s:.---=6:..;a.J=-__S=-_.__CO_:.--=--'~~~~.::L~A--~.:.:oJ'1)=:....:.lI--.J~--=n.-=---!, ;_3_A_C_C_O_U_N_T_#_(_E_lh_iC_5_c_o_m_m_l_ss_1o_n_F_I_le_rS_) I 4 I~ame 0 fCo,',lrlbutor I Corporation or Labor Organization I Pie dgor I Payee 5 Contribution I E)',pendllure reported on, 'jj"'7A =---·­ Schedule A Schedule' -rU Schedule C c... Schedule 0 Schedule F C Schedule G Schedule H Schedule N n [-J C.l CCOH-UC COH-T PAC·C PAC·E 6 Dates of travel 7 l'lame ofPerSOn(S)travelin~._~A.... / 1 8 Departure city or name of departure locati~n f\ A seminar, or other event) Contribution I Expenditure reported on: Schedule A o Schedule B Schedule C o Schedule G J Schedule H n Schedule N n COH-UC L' PAC·E D3tes a ftravel Name ofperson(s) traveling -"15--" Purpose of travel (induding name of conference, seminar, or other event) ::rr ..c­....._..__ __ _-_._._--.._.._------_._.._-_.._.._.._._--_..=..=.= ..':::':::':::':::':::..=._=.=.=--=..:::=-=-=-=.===========~=::::;===:==::j ~Iame ofContnbutor I Corporation 0 r L3bor Organization I Pledgor I Payee -------------------_......_.._-- Contnbution I Expenditure reported on: .-J Schedule A Schedule B n Schedule C Schedule F Schedule G I I Schedule H _J Schedule N :....J COH-UC PAC-E11 PAC·C _._-----­ Dates of travel Name oTperson(s) travelingIr _."........ ,-;;/'=-----------",-----_ -,._-_._--'­ arture location ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED V'iW"N' et1 1csstate tx .US Revised 04/19/2013