HomeMy WebLinkAboutSusan Fletcher 05192014Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
FORM'CtOHlJORIGINAL COVER SHEET PG 1
CANDIDATE t OFFICEHOLDER
CAMPAIGN FINANCE REPORT
The e/OH Instruction Guide explains how to complete this form.
MSIMRSIMR FIRST
OFFICEHOLDER
NAME
3 CANDIDATE I
MRS. StLSAN... ,..
NICKNAME LAST
14A~--rcH1:3R
ADDRESS I PO BOX; APT I SUITE #;
OFFICEHOLDER
MAILING
4 CANDIDATE I
Il~16 Forz4E J)R
ADDRESS
o change of address f12J S CO ) LX-1!S035
AREA CODE PHONE NUMBER
OFFICEHOLDER
PHONE
5 CANDIDATEI
t/)T2J all ---3f304
MSIMRS/MR FIRST
TREASURER
6 CAMPAIGN
MfL. SCOTTNAME , . ...
NICKNAME LAST
Sf/llnJ-
STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE #:
TREASURER
ADDRESS
(residence or business)
7 CAMPAIGN
ra10 ~~1J~
AREA CODE PHONE NUMBER
TREASURER
PHONE
8 CAMPAIGN
<912J ~6 3-9CJ ~O
9 REPORT TYPE January 15 30th day before electionD D
\
July 15 8th day befora electionD D
10 PERIOD Mooth Day Year
COVERED
THROUGH2-/2.3/ /4
ELECTION TYPE ELECTION DATE
MOIlth Day Ye..
11 ELECTION
D Primary
5/27/14
OFFICE HELD (~any)12 OFFICE
GOTOPAGE2
\
1 ACCOUNT # 2 Total pages filed:
(Ethics Cammissloo Filers)
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SUFFIX .f~~ /0" , ':",: _. >~'~..'\.'
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~Ul" i::CITY; STATE; ZIP CODE , ~,.:W-~:\ \.... . ............... j
",'"~"" cl ..... ,;..• j $'
D ~.; ~f)j).""" -......-~ .""'lIIl1illl","t1 £",
Receipl # IMnrrt
EXTENSION
Dat?:;~, /1
Dale Imaged
~-/'1' JLj,,. . , ~l
SUFFIX
CITY; STATE: ZIP CODE
NAY) MC~JNNe< )IX 7f1J7fJ
EXTENSION
...... 't~'" 15th day after campaiQt:Runoff~ D treasurer appointment .. II" [
;(offioeholderonly) :0
Exceeded $500 Final report (Attach CIOH ~)D D i-I-limit -
\..0 ~
;p-i 1 1Mooth Day Year :x5/ 17/ 14 --..
c:> ( lJ ........
Spedal~ Runoff D GenernI D
13 OFFICESOUGKT (if known)
COLLIN CtJUNtry l1JM fJlf SS I DNt;1(
PRECiNCT oriE
www.ethics.state.tx.us Revised 04/19/2013
CANDIDATE I OFFICEHOLDER REPORT:
SUPPORT & TOTALS
FORM C/OH
COVER SHEET PG 2
14 CIOH NA~ uS
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
15 ACCOUNT # (Ethics Commission Filers)
1HIS BOX IS FOR NOTlCE OF POLIT1CAL CONlRIBUTlONS ACCEPTED OR POLIllCAL EXPENDll\JRES MADE BY POLITlCAL COMMITTEES TO SUPPORT THE
CANDIDATE 1OFFICEHOLDER. THESE EXPENDfTURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
CONSENT. CANDIlJATES AIIID OFFICEHOLDERS ARE REQUIRED TO REPORT 1HIS INFORMAllON ONLY IF 1HEY RECEIVE NOTlCE OF SUCH EXPENDllURES.
COMMITTEE NAME
COMMITIEE TYPE
~ GENERAL
o SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
o additional pages 8TU LXRx l-A:N£
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
TOTALS
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ -0-
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS. UNLESS ITEMIZED $ 112.7
4. TOTAL POLITICAL EXPENDITURES
CONTRIBUTION
BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD $ 31 110 I 'rO
DEBORAH JOYPINA
NotIry NIIic
STA'm Of TEXAS
Mye-.Ellp. """"1,2016
c:::>
C)
$
I swear, or affirm, under penalty of perjury, that the accompan~ ref'Sll;-':q:.
is true and correct and includes all information required to be relWrte'dIit'fF""""'·
me under e 15, Election Code. U>
TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
6.OUTSTANDING
LOAN TOTALS
18 AFFIDAVIT
5'""':....JUI£l...-Io.6~4 _"'l.ri"L~-g;,-J----'-'~"'-'-h.-"'lJ~.....£I)"'-t-_, this the
AFFIX NOTARY STAMP I SEAL ABOVE
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
by the said -_-\:L.......
, to certify which, Jvitness my hand and seal of office.~~"",=-_, 20 P/ I
i
www.ethics.state.tx.us Revised 04/19/2013
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 SCHEDULE A
The Instruction Guide explains how to complete this form. 1 Total pages Sch dule A:
I ~ t
8 In-kind contribution
description (if applicable)
In-kind contributionI description (if applicable)
\00 ~~D:
I
Amount of In-kind contribution
contribution ($) I description (if applicable)
[((0.00 :
I
(If travel outside of Texas, complete Schedule T)
Amount of I I n-kind contribution
=ntribution ($) I description (if applicable)
I
I
I
If travel outside of Texas
3 ACCOUNT # (Ethics Commission Filers)
7 Amount of
contribution ($) I
. ~ILtv. I
I
(If travel outside of Texas, complete Schedule T)
Employer (See Instructions)
Employer (See nstructions)
I
Zip Code
RI:Dqc
~50/O
o out-of-state PAC (10#:. -,
o out-of-state PAC(ID#: ~
o ou~o~stalePAC~D#:. .J
ROlSE
FUll name of =ntributor
Full name of contributor
Full name of contributor
Full name of =ntributor
MONA-
Contributor address; City; state;
'J-b 1Jl FAI RWN{
(KIN~~
5
Date
Date
Date
2 FILER NAME
MQ~
9
4 Date
4/1J!t4
If travel outside of Texas
Amount of
=ntributlon ($)
Employer (See ilnstructions)
-') IFull name of contributor 0 oul-of-stalePAC{ID#:Date
$OPt--\ {A .. l-h\RV~V ..
Contributor address; City; state; zb Code
'80 BO)L -lDWOSti
1
. 5 '10
I
ATIACH ADDITIONAL COPIES OF THIS SCHEDUL~ AS NEEDED
" ooo"lbo'o' I, 0",-0'4"" PAC, pi.... , •• los"o,"'oo ,old. 'O"dr"IOOSI ,"portio, requirements.
www.ethics.state.tx.us Revised 04/19/2013
9
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
loyer (See jlnstructionS)
C 1
If contributor is
Employer (See
10
La .f2J E:. 10\EJ)l.t'JA
Contributor address; City; State; Zip Code
t31'2~ lEf)A:NcN RD,
pation I Job title (See Instructions)
Full name of contributor
E
Date
I
ATIACH ADDITIONAL COPIES OF THIS SCHEDUL, AS NEEDED
out-of-state PAC, please see instruction guide forad:ditional reporting requirements.
POLITICAL CONTRIBUTIONS
SCHEDULE AOTHER THAN PLEDGES OR LOANS
leA:
The Instruction Guide explains how to complete this form. 1
3 ACCOUNT # (Ethics Commission Fliers) 2 FILER NAMEMRS) 8U8~
7 Amount of 8 In-kind contribution
contribution ($) I description (if applicable)
5 Full name of contributor o out-of-state PAC(ID#:~ -,4 Date
. DlX'NA BON~ I lCO.~14/2/1461~hr"dRNJ&-r~~USt DR
I
(If travel outside of Texas, complete Schedule T) FA( R-'/I ~ W 50b
Employer (See Instructions)
Amount of In-kind contribution
contribution ($) description (if applicable)
If travel outside of Texas, com
nstructions)
C'
Amount of In-kind contribution
contribution ($) I description (if applicable)
\bo~ I
I
IRlSCO '160'M (If travel outside of Texas, complete Schedule T)
Principal occupation I Job title (See Instructions) Employer (See i,nstructionS)
Full name of contributor o out-of-state PAC (ID#: -' Amount of In-kind contributionIDate
contribution ($) I description (if applicable)TJM NelSoN 1D412:r aRLOstl~ity; State; Zip Code bW. It!>
I
IS!l3! f4
I'rRlS-LO \ 7'f-"1'0006 If travel outside of Texas
Principal occupation Job title (See Instructions) ctions)
C--U f5f'l'T . E
Full name of contributor o out-of-state PAC (ID#:. ~ --,Date
TOMMY J< ~Se-N<-S. I
Contributor address; City; State; Zip Code I5/q(/4W,t:)f) I'f!J5tj ts PE:BBL£B<f4JO ~
If1<.[sco{50~S If travel outside of Texas
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS
SCHEDULE AOTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form.
3 ACCOUNT # (Ethics Commission Filers)
4 Date 5 Full name of contributor 0 oUI-of-slate PAC (10#:. -') i 7 Amount of I 8 In-kind contribution
~AtJD'1 N D£) LE : contribution ($) description (if applicable)I
BII2/146i;rI"3adds'ff\!C&Lb~ : 150,'" :
~lANo '"TY. I '002,'":3 (If travel outside ~f Texas, complete Schedule T)
9 Principal occupation / Job title (See Irlstructi6ns) , 10 Employer (See !lnstrUctiOns)
Date FuJI name of contributor o out-of-slatePAC(IO#:. -'l Amount of I In-kind contributionMAACU&fVlCCRAJ;<j .. ($) 'Icontribution description (if applicable)
Contributor address; City; state; Zip Code t bD4 W(XD+tAV~N 'DR. 2/50,00 I
Me..kl N~ 1 '1)( 76'0-,0 ~ (If travel outside If Texas, complete Schedule T)
Principal occupation / Job title (See Instructions) Employer (See IlnstrUCtions)I
FuJI name of contributor o oUI-of-slate PAC (10#:. -') II Amount of I In-kind contributionDate 9A/Yl ROACH contribution ($) I description (if applicable)
Contributor address; City; state; Zip Code loco. "!!
I
I'F>. 0-tt>DX 413')
I (If travel outside If Texas, complete Schedule T) Fr<-lS co J IX
Principal occupation / Job title (See Instructions) Employer (See ilnstructions)
I I
FuJI name of contributor o out-ol-stale PAC 00#:. -') I Amount of I In-kind contributionWR./Zy VOC-U:: '-: ~AN.6 ! contribution ($) I description (if applicable)
Date
"0/7/14 ~:;O~add~~; { ND;{NG Zip mcK RD. 1 l 00 .~ : : '"1~
P~D£ ,p ~:::R... ilL "1 '5"0 "1 e I (If travel outside If Texas, comPlete~hed IZ=~""
Principal occupation / Job title (See Instructions) Employer (See ilnstructions) '::I 9
Date FuJI name of contributor Dout-of-st8lePACOD#: II Amount of I In-kind ~bu,tn I ILA+J J ($)Icontribution description (~ppllcable)A: .... ( blfN5DN. I fl _ Jc:>
Contributor address; City; state; Zip Code c:> ~3/tt/14 :2-4-C9 P MUi TP£:B WJ, 2-00· ~I P L..4NC') 'I)(... t 9D 14-(If travel outside If Texas, complete Schedule n
Principal occupation / Job title (See In,,(ructions) Employer (See Instructions)I
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements.
www.ethics.state.tx.us Revised 04/19/2013
Employer (See Instructions)
Employer (See Instructions)
In-kind contribution
description (if applicable)
I ;p-
If travel outside of Texas, com letrtche\t e
Amount of I
contribution ($) I
~(pl
UL..J, I
Lao ~ ~ :
I
(If travel outside of Texas, complete Schedule T)
Amount of
contribution ($) I
I
2,CXC0 1
I
Full name of contributor
Contributor address; City; State; Zip Code
Date
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 SCHEDULE A
In-kind contribution
description (if applicable)
8 In-kind contribution
description (if applicable)
2S I LOO.
Amount of
contribution ($)
3 ACCOUNT # (Ethics Commission Filers)
7 Amount of
contribution ($) I
I,COOI~
I
(If travel outside of Texas, complete Schedule T)
Zip Code RD,
~6?-O5
o out-of-state PAC ~oo,' -l
o out-of-state PAC (ID#: --'Full name of contributor
BY 1<0 f\l B4RLo Nt
Contributor address; City; State; Zip Code
352.1 MA:-SoN. W .
1-025
5 Full name of contributor
The Instruction Guide explains how to complete this form.
2 FILER NAME
Date
9
4 Date
Full name of contributor 0 out-of-state PAC (100,. -' Amount of In-kind contribution
contribution ($) I description (if applicable)
Date
CJAf!12.-0LL qRM/£S
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements.
www.ethics.state.tx.u5 Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
( I
POLITICAL CONTRIBUTIONS
SCHEDULE AOTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form.
3 ACCOUNT # (Ethics Commission Filers)
2 FILER NAME
vi SAt-j f:-l-S C
7 Amount of 8 In-kind contribution
contribution ($) description (if applicable)
4 Date 5 Full name of contributor 0 out-or-state PAC QUff. _
bM[lD QUlCk 7J~/IAr 6~~O'~·'W: ~R-ON;l5z. ~tWy.
(If travel outside of Texas, complete Schedule T)
Employer (See Instructions)
'lCb
Date Full name of contributor o out-of-slale PAC (ID#: -! Amount of I In-kind contribution
contribution ($) I description (if applicable)Mtk-E
5ro.~:
I
Amount of In-kind contribution
contribution ($) I description (if applicable)
SCO,GlJ I
I
I
(If travel outside of Texas, complete Schedule T)
Employer (See Instructions)
Amountof
contribution ($)
ATIACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide foradditional reporting reqUirements.
www.ethics.state.tx.us Revised 04/19/2013
2
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS
SCHEDULE AOTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form.
FILER NAME
(If travel outside of Texas, complete Schedule T)
8 In-kind contribution
description (if applicable)
4 Date o out-of-slale PAC (ID#: --'
P-llD.I .
6 Contributor address; City; State; Zip Code
V2l £Xo k tf\JNE:~
~(SW ~5033
7 Amount of
contribution ($) I
lw.1
I
9 Principal occupation I Job title (See Instructions) 10 Employer (See Instructions)
In-kind contribution
description (if applicable)
In-kind contribution
description (if applicable)
I
loo.eo :
I
If travel outside of Texas
Amount of
contribution ($)
Amount of I In-kind contribution
contribution ($) I description (if applicable)
I 2Q).~1
I
If travel outside of Texas
Amount of
contribution ($)
Employer (See Instructions)
Employer (See Instructions)
o out-of-state PAC (IDIt --'
o out-of-stale PAC (100: --'
o out-of-state PAC (IDIt --'Full name of contributor
Full name of contributor
Full name of contributor 0 out-of-state PAC (ID11: ..J
.~tJ}2-A-. {)QN·~.l-+«~.
Contributor address; City; State; Zip Code&of ~B6L1R-,'{ CA~,
L . • lSbl
Date
Date
Date
Principal occupation I Job title (See Instructions)
/ I .A:l-MJ. J O-ttN£D.f\J.5 {p {4 Contributor address; City; State; Zip Code
''2-401J p£:;Aa-J-\fr<-~ LrtJ,
o 150
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements.
www.ethics.state.tx.us Revised 04/19/2013
p.o.BOIc 12010 Ausa1"Texas 78711-2010 (512)463-5800 (TD01-arJO...735-29mJl)
POUTICAL CONTAIBUn s
SCH LEAOTHER THAN PLE ES OR LOANS
In-Icind~
-(if .........)
Pol name 01 . ~ _RJ!C~IDII.; )
CllJfIldJUlian ($)! desu..... (if
.. PAUk-.. Jf{)~.q .__.. .._.
COIlIIritdoraIdress,; Cily;; SIalie; Zip Code '"'2..5 en> ~ J ,-[I422. RIDG IIJCX>D
RlL~A:R..Dsv1J . -1~00
An-aol
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ATTACHADDIJIDIIAL OF AS IEElDED
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Texas . Ca.w.Jissiui, P.O. BcDe 12070 AuSIin., Texas 78711-2070
PO A O~BunONS
SCHEDULE AOTHER THAN PLEDGES OR LOANS
I
Principal ..............,.. 1.Job IIiIIe (See .) ~(See i)
9 ..
(See Insbudions)
In-kind c:onIribuIion
descripIion (if ""."......)
_. ·CS.state.ocus ReIIised 0411912013
Texas EB1ics p.o. Box 12070 ~TSlaS 78111-2010 (512)-163-6600 (1DO 1-8«»-735-2989)
POunCAL CONlRaB~ S
SCHEDULEOTHE THAN PLE ES 0 LOANS
ATlN:HADDIIIOIIAl... OFTNSiSCllEDULEAS WSED
If .......iIMtor is oat ..iIIsIn~
_. .cs.slate.ocus
Texas Ethics Commission p..o. Texas 78711-2070
2
POLmCAL CONTRI U N
OTHER THAN PLEDGES 0 LO S SCHI~.6LA;; A
FUOR M R5-. SUS P
9 -
canIribUIiDn ($) il desa..... (if ...........)
750,00 ~
~
(If IRMlII 0Iil5iIIe Ollf-. DllIqIII!Ie ~Tj)
A'TTACHADIJIlJONALCUi'ESOFlHSiSQIEDULEAS WflED _ .
.-l-GlJ.6_ PACo pie.1IIstI'8diI_ ..... fanIIIldBiDI... IWI~'. _...._in·_!IIts..IIs-:: ..,--.:,t
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Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512)463-5800 (TOO 1-800-735-2989)
POLITICAL CONTRIBUTIONS I SCHEDULE AOTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form. 1 I ymxgetIt-hedule A:
2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)
MR~< SUSA-rJ .t=LETCl+e-Q
4 Date 5 Full name of contributor o o",-of-state PAC (10#: ) 7 Amount of Is In-kind contribution
PAU+e-c.o J(l)Ct-\ P.A-C ~
contribution ($) I description (if applicable)
4-11/14 I6 Contributor address; City; Siate; Zip Code 6CfJF G'D€DbSo 1'L Q;::MtRAL ~)(<f>Y" I
I:¥\LLAS) TY. I 52-DCa I
(If travel outside of Texas, complete Schedule T)
9 Principal occupation / Job title (See Instructions) 10 Employer (See Instructions)
I
Date Full name of contributor o O~I-or-slate PAC 00#: ) Amount of I In-kind contribution
HALfP-ASSO~-STATE PAC.
contribution ($) I description (if applicable)
4/3/ J4 I~2Dror~r:eBO~SaR Zip Code 500.cnRD. I
RlffiAl2-DSDN Ii IX 'SOB { I
(If travel outside of Texas, comolete Schedule n
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor o qUI-of-state PAC (10#: ) Amount of I In-kind contribution
eli 2-f/l l-t I LL;rll::XA S
contribution ($) I description (if applicable)
.PAC4/2/14 1175BresMm~.Jiate; D~~e ry50~ oo!
I
bM-LAS 1"1Y. 1525 I I
(If travel outside of Texas, complele Schedule T)
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor o qut-of-slale PAC (10#: ) Amount of I In-kind contribution
FRl2.~SE \ "-1.1 C~DLv .PAC contribution ($) I description (If applicable)
blot/If Contributor address; City; ~te; Zip Code 2S0,ev:4055 l Nff5RNArlONAL PLA-v
!NoRTH-+r-x lb I DC; I ..........\ ·Y.... fTi .;:.'
(If travel outside of Texas, comolele Sohedule n :
Principal occupation / Job title (See Instructionsf Employer (See Instructions) ;r:p
"-<1 l:r
Dale Full name of contributor o clut-of-state PAC 00#: ) Amount of I In-kind conYributio'it
l~VJ PAC contribution ($) I description (If ~plic .~ 1 I::s: '
4lro/f4 loOpeD: -Contributor address; City; ~ate; Zip Code -.. ~~r~b /2D S. 'bAl R..Y ASHroQ]) Sf c:> -
t-+()( J.$ "TCfJ. rY 1107?I
(If travel outside of Texas, comnlele Schedule n
Principal occupation / Job title (See Instructions) Employer (See Instructions)
ATIACH ADDITldNAL COPIES OF THIS SCHEDULE AS NEEDED
I
If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements.
www.ethics.state.tx.us Revised 04/19/2013
9
Contributor address; City; State;
'l too5 S~ '(l)ER
Principal occupation I Job title (See Instructions) 10 Employer (See Instructions)
Date Full name of contributor 0 6lJl-ol-slate PAC (IDIt. _ Amount of In-kind contribution
contribution ($) description (if applicable)ANll+0Nl( . BAS5t\-K .
2-0l t
?;torOt{); M~'~A~ 1<D
4/11/4
Full name of contributor 0 but-ol-slalePAC(IDII:.. ---'
_?mt-t
Date
MCk/~!'Jt J ,5"0,0
IpU~t1 r;=st--\
Contributor address; City; ~te; Zip Code I2.S-o,~ I .s\O~ BAN1)~4\~
I ':C ls.l-~'-r '/50 l3 (If travel outside of Texas, complete"S'llhedu
Employer (See Instructions) w ~
Full name of contributor o put-ol-state PAC QDIt.Date
0YM n-+--l A-. SAtNj) WU.
Contributor address; City; i'>tate; Zip Code
1462-tv\ OSg LA--KE
In-kind contribution
description (if applicable)
Amount of In-kind co'!!ltbuti
contribution ($) description (I~pli
~_u
-'
_
re.-So·ro 15 ll5
Principal occupation I Job title (See Instructions)
I
Full name of contributor Dlout-ol-slatePAC(ID#:Date
~l2-IANt¢I~.HARlJT
Zip Code
DR .
. iCJ03-rD
ATTACH ADDITI()NAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, ~Iease see instruction guide foradditional reporting requirements.
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070
POLITICAL CONTRIBUTI(l)NS
OTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form.
2 FILER NAME
NlRS1 SU~
4 Date 5 Full name of contributor o out-aI-state PAC (IDI/:. -'
'l-AN -PAC
6 Contributor address; City; State; Zip Code
2.925 BR-IAWA-RK
.J-i us N ' 1/04'2..
(512) 463-5800 (TOO 1-800-735-2989)
SCHEDULE A
1
3 ACCOUNT # (Ethics Commission Filers)
7 Amountof 8 In-kind contribution
contribution ($) I description (if applicable)
I
2E)oJt~ I
I
(If tmvel outside of Texas. complete Schedule T)
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
POLITICAL CONTRIBUTIcl>NS
OTHER THAN PLEDGES ¢>R LOANS
:
SCHEDULE A
6>
In-kind contribution
description (if applicable)
In-kind contribution
description (if applicable)
I
I
tOO"00 I
I
If travel oU1side of Te><as
I
I 10()f~ I
I
(If travel ou1side of Te><8s, complete Schedule T)
(If travel oU1side of Te><as, complete Schedule T)
3 ACCOUNT # (Ethics Commission Filers)
7 Amount of 8 In-kind contribution
contribution ($) description (if applicable)
1
Employer (See Instructions)
Employer See~lnstructionS)
D but-of-state PAC (ID#:. -.!
D oot-of-state PAC (ID#: -"
(SUSAN
Full name of contributor
6 Contributor address; City; State; Zip Code
2..05 MkfI\S .~TI
QDL-lf; V tU-e-I
5 Full name of contributor
The Instruction Guide explains how to complete this form.
Date
Date
Principal occupation I Job title (See Instructions)
t:~al o=upat~n I Job tiUe (See Instructions)
.~lc~atlon 1 Job title (See Instructions)
4110 II
2 FILER NAME
tMQSJ
Date
Date
4 Date
9
4/4-!l4
4-/10/1+
ATIACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements.
www.ethics.state.tx.US Revised 04/19/2013
The Instruction Guide explains how to complete this form.
(TOO 1-800-735-2989)
SCHEDULE A
In-kind contribution
description (if applicable)
Texas Ethics Commission P.O. Box 12070 Austin Texas 78711-2070 (512) 463-5800
POLITICAL CONTRIBU-rlONS
OTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this torm. 1 l~ pa~ sn~le A:
2 FILEf\JiAME R"S.~ SUS~ ~lJ;:TcH8<
3 ACCOUNT # (Ethics Commission Filers)
4 Date 5 Full name of contributor o out-at-slate P~C(IO#: '-) 7 Amount of Is
Schedule T)
'6)16/'4
.. Pi\tlU Nt:~ .. l:;:fvL. lCJt ..........
6 33ri~addsp~ty; S7M irE51J HAY
PLANO, n "15020
contribution ($) I
I
% I~
- t
I
(If travel outside of Texas, complete
9 Principal occupation I Job title (See (nstrucUons) 10 Employer (See Instructions)
1
Date Full name of contributor o out-at-state PAC(ID#: ) Amount of I In-kind contribution
contribution ($) I description (if applicable)
Contributor address; City; State; Zip Code I
I
I
(If travel outside of Texas, comolete Schedule n
Principal occupation I Job title (See Instructions) Employer (See Instructions)
I
Full name of contributor o out-at-state PAC (10#: ) Amount of I In-kind contribution
contribution ($) I description (if applicable)
Date
Contributor address; City; State; Zip Code I
I
I
(If travel outside of Texas, complete Schedule T)
Principal occupation I Job title (See Instructions) Employer (See Instructions)
I
Amount of I In-kind contribution
contribution ($) description (if applicable)
Full name of contributor o aut-at-slale PAC(IO#: )Date
I
Contributor address; City; State; Zip Code I
I
I
(If travel outside of Texas complete Schedule Tl
Principal occupation I Job title (See Instructions) Employer (See Instructions) ...~--
I ::&:
Amount of I In-kind c<5nii-ibuti
contribution ($) description (if-'l!lPPIi~ble)I •..£)
Full name of contributor o out-at-state PAC (10#: )Date
Contributor address; City; State; Zip Code I
I
I (If travel outside of Texas, complete Qedul
Principal occupation I Job title (See Instructions) Employer (See Instructions)
I
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
It contributor is out-ot-state PAC, please see instruction guide toradditional reporting requirements.
Texas Ethics Commission PO Box 12070 Austin Texas 78711 2070 , -(512) 463-5800 (TDD 1 800-735-2989) -
LOANS SCHEDULE E
1 To!<ll pages Schedule E: The Instruction Guide explains how to complete this form. I ~ 2
2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)
4
fVtQ5 L SU-SAN FU?rCHsi<
TOTAL OF UN ITEMIZED LOANS: c:> c:> c:> c:> c:> c:> $ ff
5 Date of loan 9 Loan Amount ($)7 Name of lender o out-ol-state PAC (Iott. )
Bf2-lAN .Pl-tl0efZ2/24/ 4 2;000. . . ... . . ... .
6 Is lender 8 Lender address; City; Slate; Zip Code 10 Interest rate
a financial -Inslilution? IIett16 ·rvQb~ Dt2-,
11 Maturity date
y h2JSC{)t ~ £'5035~) -
12 Principal occupation I Job title (See Instructions) 13 Employer (See Instructions)
E-MC CO{LP,SAL-8S
14 Zion of Collateral 15 7fpersonal funds were deposited into political account
19 Amount Guaranteed ($)
INFORMATION
17 Name of guarantor16 GUARANTOR
18 Guarantor address; City; State; Zip Code
~applicable
21 Employer (See Instructions)20 Principal Occupation (See Instructions)
w/A N/A-
Loan Amount ($)Name of lender o out-ol-state PAC (10#: )0D~~7n/4 'J-{CCO5.RtAN ..~wrOf~JZ.
Interest rate
a financial
Lender address; City; Slate; Zip CodeIs lender
~\\O,6" P-O~it~ D~~Institution?
Maturity date
<:0.--y N fRlSC() J --rx-150"35
Principal o=upation I Job title (See Instructions) Employer (See Instructions)
E1v{c CeJrzp8A~
Check if personal funds were deposited into political a~nt ''''"1l
none
~ion of Collateral
~~
Amount Guatanteed.1$\'Name of guarantor
INFORMATION
GUARANTOR -
o..D ~
;r.. ~ I ~ Guarantor address; City; State; Zip Code :Jt:~applicable --.. i:1 ~
'--' .~prW4Occupation (See Instructions) ~l4:Yer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender is out-of-state PAC, please see instruction gUide for additional reporting reqUirements.
www.ethics.state.tx.us Revised 04/19/2013
---
Texas Ethics Commission P.O. Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
LOANS SCHEDULE E
1 Total pages Schedule E:
The Instruction Guide explains how to complete this torm. 1-d-2.
3 ACCOUNT # (Ethics Commission Filers) 2 FILER NAME
MQS SUSAN F=LETaIER
4
TOTAL OF UN ITEMIZED LOANS: c;> c;> c;> c;> c;> c;> $
9 Loan Amount ($)5 67;?nf{
7 Name of lender o out-of-state PAC ~O#: )
2.,OrDOe.r<J.~N f,!ET0F=.~.
6 Is lender 10 Interest rate
a financial
Institution?
8 Lender address; City; State; Zip Code
/ (0('5 FOt<6~ DR-.
11 Maturity date
y N -1=-Rl S ClC\ IX-1003'5
13 Employer (See Instructions)12 Principal occupation I Job title (See Instructions) eNC CDR-PoSA--I-E::S
14 Description of Collateral 15 Check if personal funds were deposited into political account
~nore ~
19 Amount Guaranteed ($)17 Name of guarantor16 GUARANTOR
INFORMATION
18 Guarantor address; City; Slate; Zip Codeokapplicable
21 Employer (See Instructions)20 prinlVi.4-ccupation (See Instructions)
N/Ir:
Loan Amount ($)Date of loan Name of lender o out-of-state PAC (10#: )
I nterest rateLender address; City; Slate; Zip CodeIs lender
a financial
Institution?
Maturity date
y N
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Check if personal funds were deposited into political a.coount ,isDescription of Collateral .
none ~0 0 ::x
Amount GttsrantFName of guarantorGUARANTOR
INFORMATION -~ ~ 11
Guarantor address; City; State; Zip Code :PI'
:::J: fllo not applicable --.. I
Principal Occupation (See Instructions) Employer (See Instructions) 0 -,~'
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
It lender is out-at-state PAC, please see Instruction guide tor additional reporting reqUirements.
www.elhics.slale.lx.us Revised 04/19/2013
(512).<t63-58OO (TOO 1-800-735-2989)
PO CAL EXPEN TURES SCHEDULEF
1e1-~
-
EXPENDITURE CATEGORIES FOR ~8(.)
GiftlJ....Isl·.., __iBlslilsBqlense ~l.aIlNJr
!..egII Senkes - Expense
F~Expense T.-f
Alelg&pe:lSe TnNIlI
. iEIpmse 0IIice o-bIlBdlllmnilllll iElrpelIse OTHER «......a af/eglII'J nol !listed m-)
The ~I1ICtiDn Guide eJIIII-a-Ibis foIwL.
~ElqJense
AanuI....*iDg
e-.'iIIg EqIense
E Expense
Fees
4 Ill*!
2.. 21
8 PURPOSE
OF
l4rrr;M~f)wAt? f{b: bTE
1\1
ML b
Texas BhicsCo••"issiun p.o. Sax 12070 AusOO, Texas 78711-2070
14131 MlDW/W RD. ~rE. IICJ
150 _ DO
~ ~_.lIIoeqo<ilf __~ Oescripiul. @ll--~"""'-Sd!leoIlIlllelT))PURPOSE
OF
EXlStIlITURE 'PRINTl 1'.JG, M1\-{~K
Payee ~ CIly; StIIIko; Zip Code
u:>
_ ~
~~
~
t I~
J 0 I
CaIegory (5eec r_zt•.e_'IIlf_-"';l Desulpioil ~ ..........
P lNnN~ MM
~Q!'!I.:t if dPtl C ....dilt..te I orrocell(llder name
A-.:lSE
OF
EXluaa.URE
eIlp!:!l:IIIiIIIlrelD ~0l0H
ATnU:HADIJIIlOIIAL COPES OF satEIJII REAS
__ ·cs..state.tx..us
TexasElhcs p.o. Box 12010 Au*I.Texas 78111~O (512)463-5800
POUTICAL ENDITURES
EXPEN RE CATE FOR BOX )
GiIIIAac~ilBEIrpense ~LabIllr ~ Repa;...~o1IurseRIenI
l..eg;IiI Senices -- -Expeose Tla........taIIiU, -& RiI!!lBIed E..
FOodIBewaagt!EIIpense T..-ll DisIIiI:t -Br
EJIpln$e TRIlIlelI 0lIl Of DisIricI. CcmI:aiiIIIee
&peme ORsbeildllReni&llll Expeqse OllER (eIMr a ~IIlIlIl
lIP. IIIIsb uc::tiIM GiIddIl -...Iu this fonD..
De5aiipliicll (Q1f __il!te0lftlr_.~
MAiJ
U"-bz,uLT l N
-
CandidaIIe II
QIIIegoIy ((See'0IIlegmIiiis1l!*d a1_!lllPd __»
C-cNsuLll f-.l.
PURPOSE
OF
EXPEMlIIURE
PURPOSE
OF
PUa'OSE
OF
EXI i3CIiIJURE
1 TaI1!iI
Ii. JtADlJll1ONM.CUPESOFlIESCIEIJIJLEAS
(a) Category (See categories listed at the top of this schedule) (b)
CiX'JSULTt
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TOO 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
3~
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense SalarieslWages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Baverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Ollt 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 pages Schedule F: 3 ACCOUNT # (Ethics Commission Filers)
6 Amount ($) 7
t/5DO
Description (If traval outside of Texes, complete Schedule T)
OF
EXPENDITURE
8 PURPOSE
9 Complete Ql':!bY: if direct Office sought Office held
expenditure to benefit C/OH
Candidate / Officeholder name
Description (If travel outside of Texas. complete Schedule T)
JN Fo PJv1Ar oN
P{<JNT
MV'~nG'
PURPOSE
OF
EXPENDITURE
Amount ($)
Office sought Office heldCandidate / Officeholder nameComplete ONLY if direct
expenditure to benefit C/OH
PURPOSE
OF
EXPENDITURE
Complete .Qt:!bY if direct
expanditure to benefit C/OH
Office~dOffice sought
Description (If travel outside ofTexas, complete SCh.fllile T)
~ NVl 3t: a
Payee name
C
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
expenditure to benefit CIOH
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TOO 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
I-f ~~
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense GitvAwards/Memorials Expense SalarieslWages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking
Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District ContributionslDonations 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.
3 ACCOUNT # (Ethics Commission Filers)
8 PURPOSE (a) Category (See categories listed at the top of this schedUle) (b) Description (If travel outside ofTexas, complete Schedule T)
OF
EXPENDITURE
9 Complete ONLY if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
1 Total pages Schedule F:
6 Amount ($)
LI
Payee address; City; State; Zip Code
oNe W~\,NL klAl{I 6 D. tJt9 ME1VlP~10 'nJ 3 1'2..0
Category (See categories listed at the top of this schedule) Description (If ITavel outside ofTexas. complete Schedule T)PURPOSE
OF
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Candidate I Officeholder name
Category (See cate ories listed
ADVERi18 /N
PURPOSE
OF
EXPENDITURE
Date
b
Complete Qlli.Y if direct
expenditure to benefit C/OH
PURPOSE
OF
EXPENDITURE
Amount ($)
Amount $)
l 5 ~ "3,JI .'
Candidate / Officeholder name Office sought Office heldComplete QNl.X if direct
expenditure to benefit C/OH
ATIACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE F
5~(o
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense GifUAwards/Memorials Expense SalarieslWages/Contract Labor Loan RepaymenUReimbursement
Accounting/Banking Legal Services Sollcitatlon/Fundralsing Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
3 ACCOUNT # (Ethics Commission Filers)
Description (If travel outside ofTexas, complete Schedule T)8 PURPOSE
OF
EXPENDITURE
411 ate
02
1 Total pages Schedule F:
LmrN
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Candidate / Officehol~er name Office sought Office held
Amount ($)
II to .49
PURPOSE
OF
EXPENDITURE
Complete ONLY If direct
expenditure to benefit C/OH
Date
b
Amount ($)
2J5fJ .. t~i1
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
1)EU
Description (It travel outside of Texas, complete Schedule T)
MEtr~~12£E
Office held
expenditure to benefit C/OH
PURPOSE
OF
EXPENDITURE
Payee address; City; State; Zip Code
Office
Description (Iftraval outside ofTexas, complete Sch~e T)
Office sought
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
r
Candidate / Officehol~er name
Category (See categories listed at the top of this schedule)
P<bv-~{tJ6
57lGJ ROf£DALe i4=-5dt
~ lAlOR· . lbll2
Complete ONLY if direct
expenditure to benefit C/OH
www.ethics.state.tx.US Revised 04/19/2013
Texas Ethics Commission (TDD 1 800-735-2989)(512) 463-5800Austin Texas 78711-2070 PO Box 12070 -,
,
POLITICAL EXPENDITURgS
SCHEDULE GMADE FROM PERSONAL FUNDS I d-3
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense GifUAwards/Memorials Expense SalarieslWages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fund raising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District ContributlonslDonations 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 Instructipn Guide explains how to complete this form.
1 Total pages Schedule G: 2 F;(/lKEIW ~~~
13 ACCOUNT # (Ethics Commission Filers)
4 tr/ l (ff 5 Payee name "
fED l?f.
63~ni :$5'0 7 Payee address; City; State; Zip Code
0Z.C)D S'f~1C t-tv-J Y i21
~eimbursementfrom
PPJS'Cf) i ti /5034political contributions
inlended
8 PURPOSE (a) Category (See categories listed at the top of this schedule) (b) 0 escription (II travel outside ofTexas, complete Schedule T)
OF PRINT} N6 LOP{~EXPENDITURE
2t
(23(/4
Payee name i
H-OME D~DT -= "~n
Amount ($) P€fqq6~ ~~oef>l<-wy z -a 1
f)l ~(ro :x:-< -
~elmbursement from -~political contributions ~ l£' C€) I '7)( 7SD?A-...0
Intended -
PURPOSE Category (See categories "S~d althe top of this schedule) Description (If trevel outside of Texas, complete s~ule rU 1 i
OF St{;zN W~L-l~ CONDUl', ~ { -EXPENDITURE J -.. ,
~el3 r 14Payee name
'N-DNe. DepoT
Amount ($) Payee address. City; State; Zip Codeto 1 ~ 0, tQqq5 ~LWMfXJ PKWy
~elmbursement from
political contributions FR[SCO} rrx.-,5034intended
PURPOSE Category (See categories Iist;ed at tile top of this schedule) Description (if travel outside of Texes, complete Schedule T)
OF 8(qN Qv;PPll~ eDNDU/fEXPENDITURE
bJ/ 1/ l4 PF1iT~CD PDST OfF-lCE /USPS
Amount ($) Payee address; City; State; Zip Code
Pl<lI~Y225,40 ~100 grD~t'5ROOK
~lmbursementfrom
t:R it:. CO) I rtY 75Dc ~4politlcal contributions
intended
PURPOSE Category (See catego~les listed althe top of this schedule) Description (If travei outside of Texas, complete Schedule T)
IOF STAMJ~)S g~I\A ....EXPENDITURE nv· r'H\
ATIACH ADDITlbNAL COPIES OF THIS SCHEDULE AS NEEDED
!,
www.ethics.state.tx.us Revised 04/19/2013
8
Texas . AusIin.Texas 78711-2070
I
POUTI AL EXPENDITURES
SCHEDULEGMADE FRO PERSONAIr-F NOS 243
Gillllwadsfllbiib=t~CAn:GORIES FOR=8(01)t.-iRIepaj~Re1IIIIIilIllllSl!8ll!Il!lllII
LegIlII Senille3 SI......olFc:wdi • -qg T~E' &ReIliilIed&pease
eiEJlpeMe Tr8elI c...~IIII8IIl= Of
PaIiIJIJI&pen!;e 1i Of CaN,"' '1[).....!IItIedJPcltiic C..-illee7-7
. &pernse 0IkIe OweIIW!!IWiIIIRaillililt &peInse i01IlHElR (1!IIIIelr a aiIie!PJ' ~
TIte ....10 c -1I'oWe litis
7 Payee ~ Cily; s-; ZipCade& An-.nt (~ to 0ll-r L ((;,00 SroNEI6IZCO« pt<Wy
!~:~~...?..§ms F lSWI ,503
.7 qIIf __
PURPOSE
,,,,,,,,,--1T))III CaIlegoIy r,;e.~~.
OF
au UClI1\JRE
S\jAt4-P$
Dale4/( fJr-
PURPOSE
OF
EX! BdIOIlURE
PURPOSE
OF
auB.-nJRE
_.
P.O-80K 12070 ,
SPS
ADIllfl1ONALCOFES lItIS SCHBJUJLE
I 0esQ..... ~1I1lr.1t,.;iOlllilsiliie~. ~1T}
8 TAM
Payee adIRss;;
3(00
Payee addIess,~ , Cily;; S1ale; Zip COde
16DD PRE&TD~ RD~
, l' I ~ D3S
-.sIafe.bt.us
p.o. Box 12U1O Aus&a" Texas 78711~
pounc EXPEN
MADE FRO
(512)
SCHEDULE G
~3
~Expe!ftse
Acclllllr.&iljli8aniiny
CoB!IuIliag Exp!Ime
~
Fees
EXI~lnn'URECATEGORIE FOR BOX8(a)
GillfjA_.....~~ LalllllT i..DlIIJ !ReplllJ'-iaIlIReimb_1lIIleIIIt
l.ePI s.wees .. EJIpense TAlIIIISpiIltalloo &RebIed ~
FOIIII/Be'll!!nlge e..T~ IlisIIid By
Expen;e TniN'eJ 0IIf Of • • Co JiIIec
~ ~ OwihessidRt:ulail &perase OnER (eiI!Ir ill ~noll is1Ied __»
The lRS1I-,on 6IIIdII .....~dIis __.
EXI ..lURE
PURPOSE
OF
Desc"-·' Clf *anr-..s.........ScI_ITQ
mMRS
SdIedI*G: 2
Amount($)
7-b..<OO
JV. -~--..:I
B PURPOSE
OF
EXPEJClIJURE
1 TatIlII
.. _....
0 ........--.
I~
OF
EJII ENDIlURE
ATTAat~COI!ESOFntlSSCHEDU1LEASIEEDED
I
_. .sIate.bul5