HomeMy WebLinkAboutLance Baxter 01152014Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
FORM JC/OH
COVER SHEET PG 1 { ~
JUDICIAL CANDIDATE I OFFICEHOLDER
CAMPAIGN FINANCE REPORT
1 ACCOUNT #
The JC/OH Instruction Guide explains how to complete this form. (EthicS Commission Filers)
3 CANDIDATE I MS I MRS I MR FIRST
OFFICEHOLDER
NAME Lance Baxter
NICKNAME LAST
4 CANDIDATE I ADDRESS I PO BOX: APT I SUITE #: CITY: STATE,
OFFICEHOLDER P.O. Box 3146 MAILING
ADDRESS McKinney, Texas 75070o change of address
5 CANDIDATEI AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
PHONE ( 972 ) 529-4765
6 CAMPAIGN MS/MRS/MR FIRST
TREASURER Donnie Brandon Epperson NAME
NICKNAME LAST
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE), APT I SUITE #: CITY:
TREASURER
ADDRESS 2301 Virginia Parkway, McKinney, Texas
(residence or business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER ( )PHONE
9 REPORT TYPE [X] January 15 0 30th day before election D Runoff
0 July 15 0 8th day before election 0 Exceeded $500
limit
10 PERIOD Mootl1 Day Year Month
COVERED / / THROUGH
7 1 / 2013
11 ELECTION ELECTION TYPE ELECTION DArE
Month Day Year [X] Pnmary o Runoff
3/ 4 //14
13 OFFICE SOUGHT 12 OFFICE OFFICE HELD (If any)
Judge, Collin County Court at Law ~ o. 3
GOTOPAGE2
2 Total pages filed' .. 5
~
: ... .:oi
MI ~ '0~LY 'S;
Dale~~."·-· •••••~ e~~ ', ..SUFFIX §ll/ l ...... ~~ft ~)g)ZIP CODE "--, ....··.r'" .~*j'. .... .... ~
hmectQrp.o~"0313 "",J 'JII / \\\\\'\
["..y , "
Receipt # lAmount
Date Processed
1-B-/4
MI Date Imaged
{-g 1t1
SUFFIX
STATE. ZIP CODE
75071
0 15th day after campaign
treasurer appointment
(officeholder only)
0 Final report (Allach C/OH -FR)
Day Year
12/31 /2013 ......... ...~~ ~ .....-
~
~I ......
D~alf~o General
CO •
'J ;;-r .
(if known)
., i ~
N ..
same N -_J0
www.ethics.state.tx.us Revised 09/28/2011
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
JUDICIAL CANDIDATE I OFFICEHOLDER REPORT: FORM JC/OH
SUPPORT & TOTALS COVER SHEET PG 2 L1
14 C/OH NAME 15 ACCOUNT # (Ethics Commission Filers) o ::a-16 NOTICE THIS BOX IS FOR NOTlCE OF POLlTlCAL CONTRJBUTlONS ACCEPTED OR POUTlCAL EXPENDITURES MADE BY POLlTlCAL COMMITTlEES TO SUPPORT THE Cl
FROM CANDIDATE 1OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
POLITICAL CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATlON ONLY IF THEY RECEIVE NOTlCE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE NAME
COMMITTEE TYPE
N/A
D GENERAL COMMITTEE ADDRESS
D SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
D additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 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 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY BALANCE OF THE REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THELOAN TOTALS LAST DAY OF THE REPORTING PERIOD
18 AFFIDAVIT
$ $8,450.00
$
$ $2,239.23
$ $6,416.03
$ (
I swear, or affirm, under penalty of perjury, that the accompanying report is
true and correct and includes all informatio required to be reported by me
I
under Title Elec . ode.
MINDY QUINT
MY COMMISSION EXPIRES
August 1U. 2014
AFFIX NOTARY STAMP I SEAL ABOVE
Sworn to and subscribed before me, by the said '\G. 11 (i \ this the
day of --'=i..........................,"-"-''''-t
to-
20 ---'/L...CV~-, to certify which, witness my hand and seal of office.
Print name of offiJ.r administering oath
Revised 09/28/2011www.ethics.state.tx.us
---
0
2
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS bSCHEDULE A (J)OTHER THAN PLEDGES OR LOANS (JUDICIAL)
The Instruction Guide explains how to complete this form.
FILER NAME
Lance Baxter
4 Date 5 Full name of contributor LPut.ot-state PAC (tOO.
8/15/13 Robert Hultkrantz
6 Contributor address; City; State; Zip Code
2824 Mayfair, McKinney, Texas
9 Contributor's principal occupation
attorney
11 Contributor's employer/law firm
same
13 If contributor is a child, law firm of parent(s) (if any)
Date Full name of contributor LPut-ot-state PAC (tOO:
_Rich~r~ A~er.n~thy _9/20/13 Contributor address; City; State; Zip Code
Contributor's principal occupation
attorney
Contributor's employerllaw firm
Abernathv Roeder
If contributor is a child, law firm of parent(s) (if any)
Date Full name of contributor LPut-ot-state PAC (tOlt
Tom and Saundra O'Connell 9/20/13 Contributor address; City; State; Zip Code
Contributor's principal occupation
attornev
Contributor's employerllaw firm
same
If contributor is a child, law firm of parent(s) (if any)
1
75071
n/a
1
1700 Redbud. Suite 300, McKinney 75069
427 Sunrise Drive, Allen, Texas 75002
XI
1 Total pages Schedule A(J): Clc; -23 ACCOUNT # (Ethics Commission Filers)
l>
I
7 Amountof 18 In-kind contribution
contribution ($) description(if applicable)
I
I$300
I
I
(If travel outside of Texas, complete Schedule n
10 Contributor's job title
attorney
12 Law firm of contributor's spouse (if any)
Amountof I In-kind contribution
contribution ($) description(if applicable)
$1,000 I
I
I
I
(If travel outside of Texas, complete Schedule T)
Contributor's job title
attorney
Law firm of contributor's spouse (if any)
n/a
1 Amountof I In-kind contribution
contribution ($)
$50 I description(if applicable)
I
I ..... I'l:<-.r 1,
I L..
(If travel outside of Texas, complete SCbedul~.rj
Contributor's job title , ',~ ~
attornev 00
Law firm of contributor's spouse (if any) ~ n/a --'-"=r '1
N I
--aDa
~, ."-II
t
-
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
W'.vw.elhicsslate.tx.us Revised 09/28/2011
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL CON RIBUTIONS
OTHER THAN PLEDGES OR LOANS (JUDICIAL)
The Instruction Guide explains how to complete this form.
2 FILER NAME
4 Date 5 Full name of =ntributor []out-of-state PAC (IDII'
9/20/2013 Deric King VValpole
6 Contributor address; City; State; Zip Code
2432 Aberdeen Avenue, McKinney, Texas 750
9 Contributor's principal occupation 10
attorney
11 Contributor's employer/law firm 12
same
13 If contributor is a child, law firm of parent(s) (if any)
Date Full name of contributor []out-of-state PAC (IDII,
Glenn Adams
9/20/13 Contributor address; City; State; Zip Code
2802 Record Park, McKinney, Texas
Contributor's principal occupation
Contributor's employer/law firm
c:~rn(:>
If contributor is a child, law firm of parent(s) (if any)
Date Full name of contributor []out-of-state PAC (IDII:
Maria Tu.
9/20/13 Contributor address; City; State; Zip Code
672 Oakdale Drive, Plano, Texas 75025
Contributor's principal occupation
attorney
Contributor's employer/law firm
<:.~mp
If contributor is a child, law firm of parent(s) (if any)
(j
o
SCHEDULE A (J)
1 Total pages Schedule A(J)'
3 ACCOUNT # (Ethics Commission Filers)
l 7 Amountof /s In-kind contribution
contribution ($) description(if applicable)I$100 I
I
0 I
(If travel outside of Texas, complete Schedule T)
Law firm of contributor's spouse (if any)
I Amountof I In-kind contribution
contribution ($) description(if applicable)
I$100
I
I
I
(If travel outside of Texas, complete Schedule T)
Law firm of contributor's spouse (if any)
) Amountof I In-kind contribution
contribution ($) description(if applicable)I $200 I
I
I
(If travel outside of Texas, complete Schedule T)
Contributor's job title
attorney
Law firm of contributor's spouse (if any) .;:-~
L 1
:.!:.
I I-
.,
-U TTl:c
'>! "--'
::J]-G)-2
•l>
Contributor's job title
attorney
75070
Contributor's job title
n/a
N-t . ,)ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
www.ethics.stale.tx.us Revised 09/28/2011
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
SCHEDULE A (J)
1 Total pages Schedule A(J):
3 ACCOUNT # (Ethics Commission Filers)
':.J) 7 Amountof Is In-kind contribution
contribution ($) description(if applicable) Gl
I -
I$250.00
I
I
(If travel outside of Texas. complete Schedule T)
Contributor's job title
Law firm of contributor's spouse (if any)
Amountof I In-kind contribution
contribution ($) description(if applicable)
)
I
I
$250.00 I
I
(If travel outside of Texas, complete Schedule T)
Contributor's job title
Law firm of contributor's spouse (if any)
n/a
Amountof I In-kind contribution
contribution ($) description(if applicable)
)
I
I
$250.00 I
75071 I --0.
(If travel outside of Texas, complElP'>-Schettute' JP"'t
Contributor's job trtle l-• II I'-
:.. . ~.""'"'-....,Law firm of contributor's spouse (if any) I
co
-0
::£~=n-.'! -
f') .-.J
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting req uirements.
POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS (JUDICIAL)
The Instruction Guide explains how to complete this form.
2 FILER NAME
4 Date 5 Full name of contributor []out-at-state PAC (ID#:
Spencer Greeves.9/20/2013
6 Contributor address; City; State; Zip Code
4303 N. Central Expressway, Dallas, TX 75205
9 Contributor's principal occupation 10
attorney attorney
11 Contributor's employer/law firm 12
same
13 If contributor is a child, law firm of parentis) (if any)
Date Full name of contributor []out-at-state PAC (ID#:
. p~t:lrw. ry1c;:Q~n.i~1 .9/20/13 Contributor address; City; State; Zip Code
2490 W. White Avenue, McKinney, TX 75071
Contributor's principal occupation
Contributor's employer/law firm
S~mp.
If contributor is a child, law firm of parentis) (if any)
Date Full name of contributor []out-at-state PAC (10#:
.B,ral1 d.o [l E'pp~rs9t:l .
Contributor address; City; State; Zip Code9/20/13
2301 Virginia Parkway, McKinney, TX
Contributor's principal occupation
attorney attorney
Contributor's employer/law firm
same
If contributor is a child, law firm of parent(s) (if any)
www.ethics.slale.lx.us Revised 09/28/2011
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form.
2 FILER NAME
4 Date 5 Full name of contributor
9/20/2013 Sharon Curtis
6 Contributor address; Crty; State;
1\" 'lP\/ T)( ....
9 Contributor's principal occupation J
attorney
11 Contributor's employer/law firm
same
13 If contributor is a child, law finn of parent(s) (if any)
Date Full name of contributor
9/20/13 ' Jon. Sta!1l~y .
Contributor address; Crty; State;
Contributor's principal occupation
I Jdinn
Contributor's employer/law firm
n/~
If contributor is a child, law firm of parent(;;) (if any)
Date Full name of contributor
.T.o!1Y Yi.t:z;
9/20/13 Contributor address; City; State;
Contributor's principal occupation
attorney
Contributor's employer/law firm
same
If contributor is a child, law finn of parent(s) (if any)
SCHEDULE A (J)OTHER THAN PLEDGES OR LOANS (JUDICIAL)
1 Total pages Schedule A(J)
3 ACCOUNT # (Ethics Commission Filers)
7 Amount of 18 In-kind contribution
contribution ($) description(if applicable)
[put-aI-slate PAC (10# )
I
I$300.00
I
1216 N. Central Expressway, Suite 205,
Zip Code
I
(If travel outside of Texas, complete Schedule T)
10 Contributor's job title
attorney
12 Law firm of contributor's spouse (if any)
Amountof I In-kind contribution
contribution ($) description(if applicable)
[put-aI-state PAC (10#: )
I
I
,
Zip Code
$300.00 600 Lusk Street, Bonham, Texas 75418
I
(If travel outside of Texas, complete Schedule T)
Contributor's job title
Law firm of contributor's spouse (if any)
n/a
Amountof I In-kind contribution
contribution ($) description(if applicable)
[JJut-of-slale PAC (10#: )
I
IZip Code
$500.00 I
1413 Harround Avenue, McKinney, TX 75069 I
(If travel outside of Texas, complete Schedule T)
Contributor's job title
attorney ,:.II _,
Law finn of contributor's spouse (if any) ,f~ .f
....; ~
i[j
o
D
Gl
-
Z
l> r-
l ...
I ...... "
~ t
-0
::J':
":'1 rr
"-> t=;:-ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
www.ethics.state.tx.us Revised 09/28/2011
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS (JUDICIAL)
The Instruction Guide explains how to complete this form.
2 FILER NAME
4 Date 5 Full name of contributor [}>ut-of-state PAC (10#.
9/20/2013 J. Matthew Goeller
6 Contributor address; City; State; Zip Code
130-B N. Kentucky, McKinney, TX 75069
9 Contributors principal o=upation 10
attorney attorney
11 Contributor's employer/law firm 12
same
13 If contributor is a child, law firm of parent(s) (if any)
Date Full name of contributor [}>ut-of-state PAC (10#
9/20/13 . VV'y'n~ p'ill.ard.
Contributor address; City; State; Zip Code
1502 W. University, Suite 101, McKinney, TX
Contributor's principal occupation
h~il owner
Contributor's employer/law finn
n/::l n/a
If contributor is a child, law firm of parent(s) (if any)
Date Full name of contributor [}>ut-of-state PAC (10#'
Michael Curran
9/20/13
.........
Contributor address; City; State; Zip Code
2035 Central Circle, Suite 210, McKinney, TX 7
Contributor's principal occupation
attorney attorney
Contributor's employer/law firm
same
Ifcontributorisa child, law firm ofparent(s) (ifany)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see
SCHEDULE A (J)
1 Total pages Schedule A(J):
3 ACCOUNT # (Ethics Commission Filers)
) 7 Amountof 18 In-kind contribution
contribution ($) description(if applicable)
I
I$500.00
I
I
(If travel outside of Texas, complete Schedule T)
Contributor's job title
Law finn of contributors spouse (if any)
Amount of I In-kind contribution
contribution ($) description(if applicable)
I
)
I
I06~500.007~
I
(If travel outside of Texas, complete Schedule T)
Contributor's job trtle
Law firm of contributor's spouse (if any)
Amountof I In-kind contribution
contribution ($) description(if applicable)
)
I
I
$500.00 I
069
I
(If travel outside of Texas, complete Schedule T)
Contributor's job trtle
---" ---,~
Law finn of contributor's spouse (if any) ~ <-
c'EI
co
~-0
3: ~ a
N .,~
N ~
.:~J-
instruction guide for additional reporting requirements.
www.ethics.state.tx.us Revised 09/28/2011
.-0
C
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS
SCHEDULE A (J~JOTHER THAN PLEDGES OR LOANS (JUDICIAL)
1 Total pages Schedule A(J): .:J:
The Instruction Guide explains how to complete this form. Gi-2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers) ~
4 Date 5 Full name of contributor []out-of-state PAC (10#: ) 7 Amountof Is In-kind contribution r
9/20/2013
6
Ross Wells
Contributor address; City; State; Zip Code
contribution ($)
$500.00
I
I
description(if applicable)
I
1217 Canyon Creek, McKinney, TX 75070 I
(If travel outside of Texas, complete Schedule T)
9 Contributor's principal occupation Contributor's job title10
attorney attorney
11 Contributor's employer/law firm 12 Law firm of contributor's spouse (if any)
same
13 If contributor is a child, law firm of parent(s) (if any)
Dale Amountof I In-kind contribution
contribution ($) description(if applicable)
Full name of contributor []out-of-state PAC (JOlt )
I K~I)y, p~v.is I9/20/13 Contributor address; City; State; Zip Code
$100.00 I1515 Heritage Drive, Suite 210
McKinney, Texas 75069 I
(If travel outside of Texas, complete Schedule T)
Contributor's principal occupation Contributor's job title
realtor
Contributor's employer/law firm Law firm of contributor's spouse (if any)
n/~ n/a
If contributor is a child, law firm of parent(s) (if any)
Date Amountof I In-kind contribution
contribution ($) description(if applicable)
Full name of contributor []out-of-state PAC (10#: )
IL?rJa Ralstop IContributor address; City; State; Zip Code9/20/13
$250.00 I
2600 N. Central Expressway, Suite 550 I -~ .......
(If travel outside of Texas, complete Sct~dule T)To' '<1e>,
Contributor's principal occupation Contributor's job title 1. ,-~ f"nurse practitioner nurse -..... """.
Contributor's employer/law firm Law fimn of contributor's spouse (if any) CO ,
If contributor is a child, law firm of parent(s) (if any) ::r
~N I I
Ii
-.I)N-
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor Is out-of-state PAC, please see instruction guide for additional reporting requirements.
www.ethics.state.tx.us Revised 09/28/2011
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
SCHEDULE A (J) [j
POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form.
2 FILER NAME
4 Date 5 Full name of contributor
10/2/2013 Richard Corbitt
6 Contributor address; Crty; State;
Dallas, Texas 75206
9 Contributor's principal o=upation
attorney
11 Contributor's employerflaw firm
same
13 If contributor is a child, law firm of parent(s) (if any)
Date Full name of contributor
9/26/13 Scot~ W.al.sta.d
Contributor address; Crty; State;
1515 S. McDonald, NO.1 01
McKinney, Texas 75069
Contributor's principal occupation
h~il
Contributor's employer/law firm
n/~
If contributor is a child, law firm of parent(s) (if any)
Date Full name of contributor
.Mir:ni ~9ffey.
10/16/13 Contributor address; Crty; State;
4700 Airport Freeway
Fort Worth, TX 76117
Contributor's principal occupation
attorney
Contributor's employer/law firm
same
If contributor is a child, law firm of parent(s) (if any)
If contributor is out-of-state PAC, please
OTHER THAN PLEDGES OR LOANS (JUDICIAL)
1 Total pages Schedule A(J):
3 ACCOUNT # (Ethics Commission Filers)
7 Amountof 18 In-kind contribution
contribution ($) description(if applicable)
[):>ut-of-state PAC (IDII:
I
I$250.00
6400 N. Central Expressway, Suite 402 I
I
(If travel outside of Texas, complete Schedule T)
)
Zip Code
10 Contributor's job title
attorney
12 Law firm of contributor's spouse (if any)
[):>ut-of-state PAC (IDII:
Zip Code
[):>ut-of-state PAC (IDII.
Zip Code
Amountof I In-kind contribution
contribution ($) description(if applicable)
)
I
I
$500.00 I
I
(If travel outside of Texas, complete Schedule T)
Contributor's job title
bail bondsman
Law firm of contributor's spouse (if any)
n/a
I Amountof I In-kind contribution
contribution ($) I description(if applicable)
I
$250.00 I
I
(If travel outside of Texas, complete Schedule T)
Contributor's job title
attorney -+-
lJ Law firm of contributor's spouse (if any) .-
en
I
:r ',
!
~ ~~
N -~-
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
see instruction guide for additional reporting requirements.
n
~
:i")
~
b -
~
I:
.~
I~ ~
www.ethicsstate.tx.us Revised 09/28/2011
PO Box 12070 Texas Ethics Commission Austin Texas 78711-2070 (512) 4635800 (TDD 1-800-735-2989)
::>
~
'C'lDwa .
~M
POLITICAL CONTRIBUTIONS
SCHEDULE A (J)OTHER THAN PLEDGES OR LOANS (JUDICIAL)
The Instruction Guide explains how to complete this torm. 1 Total pages Schedule A(J):
2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers) ~U
4 Date 5 Full name of contributor []out-of-state PAC (10#. I 7 Amount of Is In-kind contribution
contribution ($) description(if applicable)
I li'l10/16/13 Gregg Gibbs I .-
6 Contributor address; City; State; Zip Code $250.00 -~ 2780 Virginia Parkway, Suite 401 I ">
McKinney, Texas 75071 I i-
(If travel outside of Texas, complete Schedule T)
9 Contributor's principal occupation 10 Contributor's job title
attorney attorney
11 Contributor's employer/law firm 12 Law firm of contributor's spouse (if any)
Gibbs Nolte Rose and Robison
13 If contributor is a child, law firm of parent(s) (if any)
Date Full name of contributor []out-of-state PAC (10# ) Amountof I In-kind contribution
contribution ($) description(if applicable)I
10/16/13 P?I.e.Ro.s~ IContributor address; City; State; Zip Code
2780 Virginia Parkway, Suite 401 $500.00 I
McKinney, Texas 75071 I
(If travel outside of Texas, complete Schedule T)
Contributor's principal occupation Contributor's job title
attorney
Contributor's employer/law firm Law firm of contributor's spouse (if any)
r,ihhc::. Nnltp Rnc::.p ;:Inri ,...... n/a
If contributor is a child, law firm of parent(s) (if any)
Date Full name of contributor []out-of-state PAC (lOll: ) Amount of I In-kind contribution
contribution ($) description(if applicable)I Bo~al~b.u~ I10/14/13 Contributor address; City; State; Zip Code
4500 Eldorado Parkway, Suite 3100 $150.00 I
McKinney, Texas 75070 I
(If travel outside of Texas, complete Schedule T)
Contributor's principal occupation Contributor's job title
attorney attorney -...10
Contributor's employer/law firm Law firm of contributor's spouse (if any) -"-f same ~ -If contributor is a child, law firm of parent(s) (if any) ..
I
~
"U :z .(-rl
I);>
N ~ -:~-ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
It contributor is out-ot-state PAC, please see instruction guide tor additional reporting requirements.
www.ethics.state.tx.us Revised 09/28/2011
1
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
SCHEDULE A (J)
Total pages Schedule A(J}:
ACCOUNT # (Ethics Commission Filers)
Amountof 18 In-kind contribution
contribution ($) I description(if applicable}
I$150.00
I
I
(If travel outside of Texas, complete Schedule T)
10 Contributor's job title
attorney
12 Law firm of contributor's spouse (if any)
) Amountof I In-kind contribution
contribution ($) I description(if applicable)
I
$500.00 I
I
(If travel outside of Texas, complete Schedule T)
Contributor's job title
attorney
Law firm of contributor's spouse (if any)
n/a
) Amountof I In-kind contribution
contribution ($) I description(if applicable)
I
I
I
(If travel outside of Texas, complete Schedule T)
Contributor's job title
Law firm of contributor's spouse (if any)
---' -..: .t~
r_ ~ t.-,
.t.~_
1
CO ..
-U rTl:z
N SJATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED '"
It contributor is out-ot-state PAC, please see instruction guide tor additional reporting requirement's.
www.ethics.state.tx.us Revised 09/28/2011
POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS (JUDICIAL)
The Instruction Guide explains how to complete this torm.
2 FILER NAME
4 Date 5 Full name of contributor [)Jut-of-state PAC (ID#'
10/23/13 Derk.Wadas
6 Contributor address; City; State; Zip Code
4500 Eldorado Parkway, Suite 3100
McKinney, Texas 75070
9 Contributor's principal occupation
attorney
11 Contributor's employer/law fimn
same
13 If contributor is a child, law firm of parentis) (if any)
Date Full name of contributor [)Jut-of-state PAC (ID#
11/22/13 R?t:lqa.II.I~en.b~~g,
Contributor address; City; State; Zip Code
4303 N, Central Expressway
Dallas Texas 75205
Contributor's principal occupation
Contributor's employer/law firm
<:.::lmp
If contributor is a child, law fimn of parent(s) (if any)
Date Full name of contributor [)Jut-of-stale PAC (ID#:
Contributor address; City; State; Zip Code
Contributor's principal occupation
Contributor's employer/law fimn
If contributor is a child, law firm of parent(s} (if any)
1
3
7)
)
j
.
')-
.r>
r
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
PLEDGED CONTRIBUTIONS (JUDICIAL) ~(Ir-SCHEDULE B (J)
1 Tolal pages Schedule B(J)
The Instruction Guide explains how to complete this form. L~
3 ACCOUNT # (Ethics Commission Filers) 2 FILER NAME i5 ::
4 TOTAL OF UNITEMIZED PLEDGES: ¢ ¢ ¢ ¢ ¢¢ ~1$ N/A 2
Amounlof In-kind description
pledge ($) (if applicable)
5 Date 6 Full name of pledgor o out-at-state PAC (IDII: ) 8 19 ~~ I
7 Pledgor address; City; State; Zip Code I
I
I
(If lravel outside of Texas, complete Schedule T)
10 Pledgor's principal occupation 11 Pledgor's job title
12 Pledgor's employer/law firm 13 Law fimn of pledgor's spouse (if any)
14 If pledgor is a child, law firm of parent(s) (If any)
Date Amount of I In-kind description
pledge ($) (if applicable)
Full name of pledgor o out-of-state PAC(lDII: )
I
IPledgor address; City; State; Zip Code
I
I
(If travel outside of Texas, complete Schedule T)
Pledgor's principal occupation Pledgor's job title
Pledgor's employer/law firm Law firm of pledgor's spouse (if any)
If pledgor is a child, law firm of parent(s) (if any)
Date Amount of 1 In-kind description
pledge ($) (if applicable)
Full name of pledgor o out-of-state PAC(IDII )
1
,
Pledgor address; City; State; Zip Code
I
I ~.,
(If travel outside of Texas, compl~chedule ~) '.
-, -
.,Pledgor's principal occupation Pledgor's job litle '-
.' .-....
Pledgor's employer/law firm Law fimn of pledgor's spouse (if any) .
If pledgor is a child, law firm ofparent(s) (if any) -0
:::t= }T'i
.-:"
-
-:-:,N
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
It contri butor is out-ot-state PAC, please see instruction guide tor additional reporting requirements.
www.ethics.state.tx.us Revised 09/28/2011
Texas Ethics Commission PO Box 12070 Austin Texas 78711 -2070 (512) 463-5800 (TDD 1-800-735-2989)
LOANS (JUDICIAL) SCHEDULE E (J)rJ(~
1 Total pages Schedule E(J):
The Instruction Guide explains how to complete this form.
2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)
~ :J
4
TOTAL OF UNITEMIZED LOANS: Q Q Q Q Q Q
$ ~ N/A -= Name of lender5 Date of loan 9 Loan Amount ($)7 o out-<lf-state PAC (10#: ) ~
-~
Is lender 10 Interest rate
a financial
Institution?
11 Maturity date
8 Lender address; City; State; Zip Code6
y N
12 Lender's Principal Occupation
13 Lender's Job Title
14 Lender's Employer/Law Firm 15 Law Firm of lender's spouse (if any)
16 If lender is child, law firm of parent(s) (if any)
18 Check if personal funds were deposited into political account17 Description of Collateral
D none D
19 GUARANTOR 22 Amount Guaranteed ($)
INFORMATION
20 Name of guarantor
21 Guarantor address; City; State; Zip Code
D not applicable
23 Guarantor's Principal Occupation 24 Guarantor's Job Title
25 Guarantor's Employer/Law Firm 26 Law Firm of guarantor's spouse (if any)
27 If guarantor is child, law firm of parent(s) (if any) --' I'....-+~ .~
~ "-I--''r,....I
CO ::7 1-0
3: ~. I~ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
N
If lender is out-of-state PAC, please see instruction guide for additional reporting requirements .•• '''"""-:
N ~ --•.$
www.ethics.state.tx.us Revised 09/28/2011
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense GifUAwards/Memorials Expense Salaries/Wages/Contract Labor Loan RepaymenUReimbursement
Accounting/Ban~ng Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pag~dUle F: 2 FILER NAME 13 ACCOUNT # (Ethics Commission Filers)
Lance Baxter
4 Date 5 Payee name
9/23/13 Office Depot
6 Amount ($) 7 Payee address; City; State; Zip Code
$54.11 1751 N. Central Expressway, Building H, McKinney, Texas 75070
8 PURPOSE (a) Category (See categones listed at the lop of this schedule) (b) Description (If travel outSide of Texas. complete Schedule T)
OF
EXPENDITURE Office expense office supplies
9 Complete Q.!:!.!J:: if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
9/23/13 U.S. Postal Service
Amount ($) Payee address; City; State; Zip Code
$53.36 McKinney MPO, McKinney, Texas 750709998
PURPOSE Category (See categories listed at the top of thiS schedule) Description (If travel outSide ofTexas. complete Schedule T)
OF office supplies postageEXPENDITURE
Complete Q..tiI.X if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
9/23/13 Michael Curran
Amount ($) Payee address; City; State; Zip Code
$481.76 2035 Central Circle, Suite 210, McKinney, Texas 75069
--'" "'"
PURPOSE Category (See categones listed at the top of this schedule) Descriptio n (If travel outside of Texas, comptete ~dule T) li I
OF Event Expense food and beverages for k~c -auEXPENDITURE ·u -,
Candidate / Officeholder name Office sought Officetleld .
Complete ONLY if direct
expenditure to benefit C/OH c:> 1 -..
Date Payee name :x , ~ t.i
10/8/13 Sheriff Box Shoot-out N c'......
;
Amount ($) Payee address; City; State; Zip Code N ~ ~' -
$130
PURPOSE Category (See categones listed allhe lOp of this schedule) Description (If travel oulside of Texas, complete Schedule T)
OF Event Expense Tournament contribution EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 09/28/2011
J
)
J
I
Texas Ethics Commission PO Box 12070 Austin Texas 78711 -2070 (512) 463-5800 (TDD 1-800-735-2989)
SCHEDULE FPOLITICAL EXPENDITURES
Advertising Expense GifUAwards/Memorials Expense
Accou nting/Ban king Legal Services
Consulting Expense Food/Beverage Expense
Event Expense Polling Expense
Fees Printing Expense
1 Total pages Schedule F: 2 FILER NAME
Lance Baxter
4 Date 5 Payee name
10/8/13 Sheriff Box Shoot-out
6 Amount ($) 7 Payee address; City;
$20.00
8 PURPOSE (a) Category (See categories listed at the top of this schedule)
OF
EXPENDITURE Event expense
9 Complete Q.liI..1: if direct Candidate / Officeholder name
expenditure to benefit C/OH
Date Payee name
11/13/13 Collin County Republican Party
Amount ($) Payee address; City;
$1500.00
PURPOSE Category (See categories listed at the top of this schedule)
OF FeesEXPENDITURE
Complete 001Y. if direct Candidate / Officeholder name
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City;
PURPOSE Category (See categories listed at the top of this sChedule)
OF
EXPENDITURE
Candidate / Officeholder nameComplete ONLY if direct
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City;
PURPOSE Category (See categories listed at Ihe top of this schedule)
OF
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name
expenditure to benefit C/OH
EXPENDITURE CATEGORIES FOR BOX 8(a)
Salaries/Wages/Contract Labor Loan RepaymenUReimbursement
Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Travel In District Contributions/Donations Made By
Travel Out Of District Can d idate/Officeh older/Pol itical Com m i!tee
Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
13 ACCOUNT # (Ethics Commission Filers)
Cl-
State; Zip Code »z..
State;
(b) Description (If travel outside of Texas, complete Schedule T)
donation
Office sought Office held
Zip Code
8416 Stacy Road, Suite 100, McKinney, Texas 75070
Description (If travel outside of Texas, complete Schedule T)
filing fee
State;
Office sought Office held
Zip Code
Description (If travel outside of Texas, complete SChedule T)
--0. ....-....
';:Office sought Office held -._,.
~-."
UJ 1
ID:.
• ~-~
Zip Code ..N -1-"N-1-
Description (If travel outside of Texas, complete Schedule T)
State;
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.elhics.slate.tx.us Revised 09/28/2011
Office sought Office held
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS
Advertising Expense
Accounting/Banking
Consulting Expense
Event Expense
Fees
GifUAwards/Memorials Expense
Legal Services
Food/Beverage Expense
Polling Expense
Printing Expense
1 Total pages Schedule G:
4 Date
6 Amount ($)
D ReImbursement from
politlcsl contributIons
intended
2 FILER NAME
5 Payee name
7 Payee address; City;
8 PURPOSE
OF
EXPENDITURE
Date
Amount ($)
D Reimbursement from
political contributions
intended
Payee name
Payee address; City;
Payee name
Payee address; City;
Payee name
Payee address; City;
PURPOSE
OF
EXPENDITURE
Date
Amount ($)
D Reimbursement from
political contributions
Intended
PURPOSE
OF
EXPENDITURE
Date
Amount ($)
D Reimbursement from
political contributions
Intended
PURPOSE
OF
EXPENDITURE
SCHEDULE Gtil;,
EXPENDITURE CATEGORIES FOR BOX 8(a)
SalarieslWages/Contract Labor Loan RepaymenVReimbursement
Solicitation/Fund raising Expense Transportation Equipment & Related Expense
Travel In District ContributionslDonations Made By
Travel Out Of District C and idate/Officeholde riP 01 itical Co mm ittee ~ ~
Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form. ~
13 ACCOUNT # (Ethics Commission Filers) , ~
;
i"""
Zip Code
(a) Category (See categorres listed at the top of this schedule) (b) Description (If travel outside of Texas, complete Schedule T)
Zip Code
Category (See categorres listed at the top of this schedule) Description (If travel outside of Texas, complete Schedule T)
Zip Code
Category (See categories listed at the top of this schedule) Description (If travel outside of Texas, complete SChedule T)
.......
~
C-.. . ,.....~_ .. ~
I I
CO ~
Zip Code :::Z ~ I ~
N..
N -
Category (See (ategones listed at the top of this schedule) Description (If travel outside of Texas. complete Schedule T)
State;
State;
State;
State;
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.IX.Us Revised 09/28/2011
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
PAYMENT FROM POLITICAL
CONTRIBUTIO S TOA BUSINESS OF C/OH
EXPENDITURE CATEGORIES FOR BOX Sea)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor
Accounting/Banking Legal Services Solicitation/Fundraising Expense
Consulting Expense Food/Beverage Expense Travel In District
Event Expense Polling Expense Travel Out Of District
Fees Printing Expense Office Overhead/Rental Expense
The Instruction Guide explains how to complete this form.
1 Total pages Schedule H: 2 FILER NAME
4 Date 5 Business name
6 Amount ($) 7 Business address; City; State; Zip Code
8 PURPOSE
OF
EXPENDITURE
9 Complete .QNJ.'( if direct
(a) Category (See categories listed allhe lap of thi
Candidate / Officeholder name
s schedule) (b)
Office sought
expenditure to benefit C/OH
Business nameDate
Amount ($) Business address; City; State; Zip Code
Category (See calegories lisled althe lop of thiS schedule)
OF
EXPENDITURE
PURPOSE
Complete Q.ti!.:I if direct Candidate / Officeholder name
expenditure to benefit C/OH
Business nameDate
Amount ($) Business address; City; State; Zip Code
Category (See calegories IIsled at the top of Ihis schedule) PURPOSE
OF
EXPENDITURE
Candidate / Officeholder name
expenditure to benefit C/OH
Complete ONLY if direct
Business nameDate
Amount ($) Business address; City; State; Zip Code
Category (See calegories listed at Ihe top of thiS schedule)PURPOSE
OF
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
tv'1A
Office sought
Office sought
SCHEDULE H
Loan RepaymenUReimbursement
Transportation Equipment & Related Expense
ContributionslDonations Made By
Can d ida te/Officeh old er/Pol itical Committee
OTHER (enter a category not listed above)
13 ACCOUNT # (Ethics Commission Filers)
Description (If Iravel oUlslde of Texas, complete Schedule T)
Office held
Description (If travel oulside of Texas. complele Schedule T)
Office held
Description (Iflravel oulslde of Texas. complele Schedule T)
Offic~ld ~
':.... ~
I ir-
I00 -
-0 f d !~
N.. '(=-~
rv ,
Description (If Ira vet outside of Texas, complele Schedule T)
Office held
(j
o
:tJ-
Gl-
2
~
Office sought
www.elhics.slale.lx.us Revised 09/28/2011
Austin Texas 78711-2070 Texas Ethics Commission PO Box 12070 , (512) 463-5800 (TOO 1-800-735-2989)
1
URES NON-POLITICAL EXPENDIT
Advertising Expense Gift/Awards/Memorials Expense
Accounting/Banking Legal Services
Consulting Expense Food/Beverage Expense
Event Expense Polling Expense
Fees Printing Expense
Total pages Schedule I: 2 FILER NAME
4
6
Date 5 Payee name
Amount ($) 7 Payee address; City;
8 PURPOSE
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City;
PURPOSE
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City;
PURPOSE
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City;
PURPOSE
OF
EXPENDITURE
SalarieslWages/Contract Labor
Solicitation/Fundraising Expense
Travel In District
Travel Out Of District
Office Overhead/Rental Expense
The Instruction Guide explains how to complete this form.
SCHEDULE IMADE FROM POLITICAL CONTRIBUTIONS ,) (h-
EXPENDITURE CATEGORIES FOR BOX 8(a)
Loan Repayment/Reimbursement
Transportation Equipment & Related Expense
Contributions/Donations Made By
Candidate/Officeholder/Pol itical Committee
OTH ER (enter a category not listed above)
13 ACCOUNT # (Ethics Commission Filers)
(a) Category (See calegories listed at the top of this schedule) (b) Description (See instructions regarding type of ,nformation required.)
Category (See categories listed at the top of this schedule) Description (See Instructions regarding type of informallon required)
--" -
Category (See calegones listed allhe top of this schedule) Description (See instructions regarding type of Inform~n reqUired.)
--.•'= -
-G1State; Zip Code
2
l>
r-
State; Zip Code
State; Zip Code
l
---.fr
11
State; Zip Code J
Description (See inSlructions regarding lype Of information required.)Category (See categories listed at the top of this schedule)
I
-0-'" -
rr
N-
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
wwwelhics.stale.tx.us Revised 09/28/2011
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
INTEREST EARNED, OTHER CREDITS/GAINS/
SCHEDULE KREFUNDS, AND PURCHASE OF INVESTMENTS
The Instruction Guide explains how to complete this form. 1 Total pages Schedule K:
2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)
4 Date 5 Name of person from whom amount is received 8 Amount
($)
7/13 -12/1 Texas Star Bank
D
6 Address of person from whom amount is received; City; State; Zip Code $2.14
7 Purpose for which amount is received
Date Name of person from whom amount is received Amount
($)
Address of person from whom amount is received; City; State; Zip Code
Purpose for which amount is received
Date Name of person from whom amount is received Amount
($)
Address of person from whom amount is received; City; State; Zip Code
Purpose for which amount is received
.r-
UDate Name of person from whom amount is received A~nt
Z ;;
I I
0:>
~Address of person from whom amount is received; City: State; Zip Code
-U
::J::
~ ")N J
Purpose for which amount is received
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 09/28/2011
u
o
-
D-C)
:2
l> r
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
OUTSTANDING LOANS SCHEDULE LfilA
1 Total pages Schedule L:
The Instruction Guide explains how to complete this form.
3 ACCOUNT # (Ethics Commission Filers) 2 FILER NAME
4 Name of lenderLENDER
INFORMATION ~tJ
5 Lender address; City; State; Zip Code ~
=
.
I
. \.
i5
Name of guarantor6 .;;GUARANTOR
INFORMATION ..~ .r Io not applicable 7 Guarantor address; City; State; Zip Code
Name of lenderLENDER
INFORMATION
Lender address; City; State; Zip Code
Name ofguarantorGUARANTOR
INFORMATION
o not applicable Guarantor address; City; State; Zip Code
Name of lenderLENDER
INFORMATION
Lender address; City; State; Zip Code
Name of guarantorGUARANTOR
INFORMATION
o not applicable Guarantor address; City: State; Zip Code
Name of lenderLENDER ..--. --:.INFORMATION ..
§;:Lender address; City; State; Zip Code
1
CJ:) r
Name of guarantor -0 0:GUARANTOR
INFORMATION
:x . 1 " I'V.. .F~ I'V ,o not applicable Guarantor address; City; State; Zip Code -
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 09/28/2011
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
ASSETS VALUED AT $500 OR MORE SCHEDULE Mtv'1A
1 Total pages Schedule M:
The Instruction Guide explains how to complete this form.
3 ACCOUNT # (Ethics Commission Filers)2 FILER NAME
4 Description of Asset
Description of Asset
Description of Asset
Description of Asset
Description of Asset
Description of Asset
Description of Asset
Description of Asset
Description of Asset
Description of Asset
---' """"0lI'1
Description of Asset ne..
z
I 1,..,.
Description of Asset -0 ,
::J::
N.. ~.~
Description of Asset ~ -
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
u
o
:xl-Cl
2 »
r-
www.ethics.state.tx.us Revised 09/28/2011
IN-KIND CONTRIBUTION OR POLITICAL EXPENDITURE
SCHEDULE TFOR TRAVEL OUTSIDE OF TEXAS
The Instruction Guide explains how to complete this form. 1 Total pages Schedule T:
2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)
4 Name of Contributor I Corporation or Labor Organization I Pledgor I Payee
5 Contribution I Expenditure reported on:
D Schedule A D Schedule B D Schedule C D Schedule 0 D Schedule F D Schedule G
D D D =:J D DSchedule H Schedule N PAC-C PAC-ECOH-UC COH-T
6 Dates of travel 7 Name of person(s) traveling
8 Departure city or name of departure location
9 Destination city or name of destination location
10 Means of transportation 11 Purpose of travel (including name of conference, seminar, or other event)
Name of Contributor I Corporation or Labor Organization I Pledgor I Payee
Contribution I Expenditure reported on:
D D D D D DSchedule A Schedule B Schedule C Schedule 0 Schedule F Schedule G
D Schedule H D Schedule N D COH-UC D COH-T D PAC-C D PAC-E
Dates of travel Name of person(s) traveling
Departure city or name of departure location
Destination city or name of destination location
Means of transportation Purpose of travel (including name of conference, seminar, or other event)
Name of Contributor I Corporation or Labor Organization I Pledgor I Payee
Contribution I Expenditure reported on:
D D D D D DSchedule A Schedule B Schedule C Schedule 0 Schedule F Schedule G
Schedule H Schedule N COH-UC COH-T PAC-CD D D D D D PAC-E
Dates of travel Name of person(s) traveling
Departure city or name of departure location --4 'l-..-
r<-
-~ ._-~Destination city or name of destination location ~ --.!.. .~
Means of transportation Purpose of travel (including name of conference, seminar, or other event) -
\J tn:x -::J
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED N ,
&-
www.ethics.slate.lx.us Revised 09/28/2011
u
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
o
:0-C)-2 ;r:.
r