HomeMy WebLinkAboutDavid Rippel 01152014FOI M JC/O
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Joy nner c.w,paign
pcin1menl.
(oli~deronfy)
[] Special
le(s:;, Et~lics Commission P.O. Box 12070 Austin, Texas 787'11-2070 (2E) 463--5-8;.:-:.:O.:.O__.(.;T~D:.:O~1-,;;.B.;;.a;;,.-..:..73.;;.5-:....;;.29;;,.8:.:9:.;)1--'--",
UDICIAL rCANDII)ATE I OFFICEI 0 ER
"AMPAIGN FINANCE REP() ORIGINAL C "ER:
-==--r1 ACCOUNT #
"rho JCIOH Instruction Guide explains how to complate thiS~,_(E_thi_::S_Co_m_m_lss_'o_nFilerS)
I ":I CANDIDATE I MS/MR FIRST MI
O=FICEHOLDER
I I~AME . . . . . .D RV ro c>
NICKNAME lAST SUFFIX
1< \PPE-L
~ NDIDATE I ADORESS I PO BOX; APT I SUITE #; CHY; STATE; ZJP,:;OOE
FFICEHOLDER 1<6 2 ~ (2.'AS~ '" c... Da-r Plo..N 0 ( I ~AILING
l\DDRESS IX -rS-07s_~L~nge of address t AREA CODE PHONE NUMBER EXTENSION.5 C NDIDATEI
O\it6 Promssed o FICEHOLDER (l14)PHONE 4000
M IMR FIRST MI Date irr,ag3df CAMPAIGN
TI'~EASURER ,l.auQ.~ ,C-ArvlE
NICKNAME LAST Sl'FF'X
La.~4i 0
r-~'-~;;:~PAI~N STREETADDRESS (NO PO BOX PLEASE:, APT I S'JITE #; CITY; STATE;
I T!~cASUHER 111 Z. S" fl.v. So t.~ DYLADDRESS
(residence or business)t
~.._-----+--_.
," ':Ah~PAIGN AREA CODE PHONE NUMBER EXTENSION
TF(~:::ASURER (t1-.,,)
P-lONE '11 L-
L------.---+---r--------IF. R ':OPORT TYPE ~anUar'l15 ·,~ln30th day before el,action RunoffD D D trcm urer GI
I JUly 15 8th day before election Exceeded $50-) D D D I'm it
I
;-'---------j----------------------------------------
j 1 PERIOD Year Yea'I COVERED THROUGH7/1/20r~ 1'2./3 \/20 I~I
------f------------,-------------.---------.----.--------l
ELECTION TYPE Ei_ECTION ELECTION DATE
Mordh ~ Y.....
Primay [J R..ncff Cl Ge""JI3/Li /}t.} ~
'
1~ FFICE
GO TO PAGE 2
l.--- ~ ._
VIWW. ethics .stale.t>:,us Revised 04/1 (J12013
_l1_ex_a_s_E_th_ics_C_o_m_m_is_s_io_n P.;.,.o....;.,..B_o.;.,x_12_0.;.7_0~ A...;;ustin, Texas 78711-2070 (§12) 46' 5800 _.......;l:.;.I_0..;,.D_1_-8_0;.,.0-_7_3_5-_2_9_8_9.,)
I J DICIAL CAN I ATE I OFFICEHOLDER EP T: FOR JC/OH
I__U PORT & TOTALS SHE T PG 2IGINAlOVE
I 'r ACCO'JNTIt :Ethics Commission Filers)
[14 ClO-H NAM_E__-.-,
16 NOTICE lHlS BOX IS FOR NOTICE OF POLITlCAL CONTRI.SUTION8 ACCEPTW OR POUT CAL EXPE~DITIJRES MADE BY poun ;t,L COM:~lnEESTO SUPPORT lHE
C,~OM
CANDIDATE 10FFICEHC.LDER. THESE EXPENDITURES MAY HAV/; BEEN MADE NlTHOUT THE CANDJD.4TI"$ eli' JFclCEHOLDER'S KNOWLEDGE oa
POLITICAL CONSENT. CAWDATESAND OFFICEHOlDERS ARE REQUIRED TO REI'1RYTJ-lS INF(}RM~.nONQIIIL¥ IF THl:1' I~CEIV: .~OT!CE OF SUCii EU'EJ'DITURES.
,::OMMfTIEE(S) --------r------------------------------------------I
COMMITTEE NAME
COMMITIEE TYPE
D
--"
. I----------------.---------.----."J:~>---~-_,_l
GENERAL COMMITIEE ADDRESS :.C-
o SPECIFIC
r-----,-------------------·-----------~~-__i
COMMITTEE CAMPAIGN TREASURER NAME o additional pages -0 :xi
I COMMITTEE CAMPAIGN TREASURER ADDRESS w
I
U1
___________0"'-=-__-1
',17 CONTRIBUTIONI
I
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN I $
TOTALS I P_L_E_D_G_E_S_,_L_O_A_N_S_,_O_R_G_U_A_R_A_N_T_E_E_S_O_F_LO_A_N_S_l_'_U_N_L_E_SS_IT_E_M_I_Z_E_D_. I~
2. TOTAL POLITICAL CONTRIBUTIONS l $
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) I (/)
I
E>(PENDiTURE [--3-.--T-O-T-A-L-PO-LI-T-'C-A-L-E-X-p-E-N-m'URES 0'.",OR CESS, U",'33 '''M'ZE~--;----------/ T::>TALS
I 4, TOTAL POLITICAL EXPENOI"U'.' 1-;-'s;-00
1---,---T-O-T-A-l.-P-O-L·-'T-I-C-A-L-C-O-N-T-R-'-B-U-T-jO-N-S-M-A-IN--TA-I-N-E-')-A-S--O-F-T-H-E-LAST DA~l S /i) ------~
5NTRIBUTION
BALANCE OF THE REPORTING PERIOD ~~
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THELOAN TOTALS LAST DAY OF THE REPORTING PERIOD c:p
DARLA J. WRIGHT
Notary Public
I
I'lS .A.i=FIDAVIT
I swear, or affirm, under penCllty of perjury, Ih ,.t 'lhe acconpanylng report is
lrue alld correct a s all Information r;;quired to be reported by me
under Title 15 lection Cod .
,
I
Signature of Can{lidate 01 OfficeholderI
I
I AFFIX NOTARY STAMP I SEAL ABOVE
II SVlOrn to and subscribed before this the
I __L3__ day """'"'7f,.4L.L."'" , to certify which, witness m'l hand a ld sea! of office.
I1--&cu1tL
j
www.et~dcs.stale.lx.us evised 04i1912013
__
--
1 Total ",ages Sc!1edule A(J):
r--;:Ccc:UN'Til~;~;;'miSSior,FlierS)
~ 7 Amount of : f" In-kind contribution
GOntributlon ($) description(if applicable)
(II travel outside of Texa~, com~lete SChedule T)
10 Ccntributor's job title
12 Law tirrr, of contrii:luto,'s spouse (if allJ)
-
_.
) Amount of , 1i1-kind contribution
C'.ontributton ($) description(if applicable)
:
I
i
(It travel olilsitie of Texas, comple;.e Schedule T)
Contributor's job title
Law firm of contributors spcu"e (if any)
) AmO\Ii1:of r--Il1-kinJ c.::>ntribution
contribution ($) I descriptionlif applicable)
I
I
I
I I
I I
(If travsl outside of Texas, com::,~;e Schedule T)
Contributor's job title
........ ... H II Law firm of contributor's spouse (if any) <J> ..
""-,~
._---C;e,) J
l) rr ~--.
W.. ..... ~U1
0' '-"',
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
ntributor Is out-of-state PAC, please see Instruction guide for a1d;lional reportlng requiremitnts.
._--------
Texas Ethics.~C~o~m:;;m~is~s~io~n~ !P::.09.:...~B~o~x.!1.~2~O?.70~ __.!.A~u~s~ti~n~,1i~e~.x~a::S~7Z:8~:7~1~1~-23.~~.~OU~l1:a£i1tl~JI;.L..-C('~ro~D~~~,.~909:o-~7~3~5-~2~9~8~9~)
-~L1TICALCONTRIBUTIONS .=1 NA O:j(.;HEDULE A (J)ITER THAN PLEDGES OR LOANS (J DICIAL)
F=======:;::r======--=J
The Instruction Guide explains how to complete this form.
r-'
~ FILER NAME
f--.
,(.
Date 6 Full name ofcontributor Dout-<ll-state PAC ~DI:
6 Contributor address; City; State; Zip Code
-
9 Contributor's principal occupation
f----.
1 Contributor's employer/l-aw firm
F
If contribut-:>r is a child, law firm ofparent(s) (ifany)
Date Full name of contributor C]out-<lf.sIllte PAC (I [)I:
Contributor address; City; State; ZipCod<3
I
Contributor's principal occupation
C'mtributor's employer!lawfirm
~ ,
I
L-
If contributor is a child, law firm 0;parent(s)(if any)
Date Full name of contributor Dout-<ll-sIllte PAC (10#:
r-
Contributor address; City; State; Zip Code ~ ContributOl's principal occupation
...
Contributor's employerl1aw finm
If contributor is a child, law firm of parent(s) (if any)
I If c
.I -
www.elt..ics.state.lX.us Revised 04/19/2013
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (51:l?JGIN Akoo 1-80Q-735-2989}
PLEDGED CONTRIBUTIONS (JUDICIA ) NA SCHED E B (J)
f:::-,-
The Instruction Guide explains how to complete this form.
1 Total 08gt.S Scr,e<1Ule B(J):
? FILER NAME 3 ACCOUNT # ('::th,es Commission Fil~rs)
f-----
4 TOTAL OF UNITEMiZED PLEDGES: 0::> 0::> t::> 0::> c) ¢ J$
5 Date 6 Full name of pledgor o oUI-<Jf·slala PAC (10#: ---l 8 Amountof In-kind description19 pledge ($) (If applicable)
1
7 Pledgor address; City; State; Zip Code 1
1
1
(If travel outsid.e <f.Iexas, complete Schedule n
10 Pledgor's principal occupation 11 Pl<3dgo/'s job title
12 Pledgor's employerllsw firm 13 Law finn of pledgor's »pause (if any)
:14 Ifpledgor is a child, law finn ofparent(s) (if any)
IAmouT1\of
•.
Date Full name of pledgor o out-of-state PAC (10#: 1 in-kine. description
plE;dge ($) (if applicable)
1
PI~gor~ddn;;~; 'city;' Siale; Zip Code 1 ..
I
I
(If travel c,utslde cl: Texas, complete Schedule T)
~-_..
Fledgor's principal occupation Pledgor's job titl(.
f---._-------
Pledgor's employerllaw finn Lawfiml of pledgor's spouse :ifany)
I I~piadgor is a child, law firm ofparent(s) (if any)
-1-'
Amount of 1 In-kind descriptionDate Full name of pledgor o out-<Jf·state PACOO#: )
pledge ($) (if applicable)I
PkxJgor ~dd~si; ·city;· State; Zip Code I
1
, I -_. (If traVE.l cutsld~ of Toxas. complet~eduta n
Pledgor's principal oc:upation Pledgor's job titl., c.... Ir
_. ...;. ~~.
Pledgor's employerllaw firm Lawfim1 of pledgor's spouse (if any) -~--.....
W .1
If pledgor Is a child, law firm of parent(s) (if any) \:)
3: H-r1
':';> C:Jc.n
0\
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor Is out-of-state PAC, please see instruction guide for additional reporting raqulremfIOts.
L ---' , ,--J
"
www.elhics.slale.lx.us Revised 04/1912013
---
LOANS (JUDICIAL)
-~-
The Instruction Guide expl,lins how to complete this form.
f---.
:2 FILER NAME
.:i
TOTAI_ OF UNITEMIZED LOANS:
12 Lender's Principal Occupation
, 14 Lender's EmployerlLaw Firm,
Texas Ethics Commission PO Box12070 Austin Texas 78711-2070 (512) 463-58CO (TOO 1-800-735-2989)
NA
l -
11
Ir3 ACCOUNT #
l
¢c:::> c:::> c:::> c:::> ~
6 Date of loan 7 Name of lender o out·of-statePAC
f--
6 Is lender
a financial
Irsirtution?
8 Lender address; City; State; Zip Code
(IDIt.
y N
)
13 Lender's Job Title
16 Law Firm of lender's spouse (if any)
D
'1
State; Zip Code
24 Guarantor's Job Tille
I26 Law Fin11 of guarantor's spouse (if 311'11)
,-L
I..
.
~ ],j
~
ULE E (J)IGINAtcHE
Total pages SGh edulB EtJ):
(Ethics Commission Fliers)
,
$
J
9 Loan Amount ($),
I
I
10 IntereSI rate
, 11 Matur'tj date
I
;
18 Check if pel"Sonel funds were depos.tad inio political account
I
12 Amount Guaranteed ($)
I
I
I
I
........
---c:;:..
(-~
-
~ ::.:;:;
~~e..v -
16 If lender Is child, law firm of parent(s) (if any)
17 Description of Collateral
[J none
19 GUARANTOR 20 Name of guarantor
INFORMATION
21 Guarantor address; City; o not applicable
23 Guarantor's Principal Occupation
26 Guarantor's Employer/l.aw Fim;
'),7 If guarantor is child, law firm of parent(s) (if any)
-
ATTACH ADDITIONAL COPIES OF THIS SCI-lED LEAS NEEDED
If lender Is out-of-state PAC, please see Instruction guide for add;tlollal reporting
c.rr
0"\
l~qul ements.
1~
~~'a..)
l_
--~-_.
"VI"'. E!lhics .state.Deus Revised 04/19/2013
thies Commission P.O. Bo)( 12070 Austin, Texas n,71'1··2070 _1'::,12)46 5800 (TOO 1-800-735-2989)
,LITICAL I:XPENDITURES
-. . INAL .sCHEDULE F
P.dv€ rtising Expense
~cco unting/Banklng
(;on~ ,ulting Expense
E'¥er,t Expense
=ees
1 Tolal p
4 erne
,------
I 1':; ArnOl
a PL
E PI
, F C:mp lete QlliY if direct
&:<pan :!iture to benefit C/OH
Date
AcnoL
?L
EXP
'nt ($}
IRPOSE
OF
:NOITURE
Carnp lela Q,eu.Y If dlrecl
expan ,jiture 10 benefit C/OH
Date
Arnou nt ($)
RPOSE
OF
:NDITURE
PU
El(PE
Conlp lete QlliY If direct
e:men ,jitura to benefit c/ml
Dilte
AmoL
PL
E:.(Pl
nt ($)
IRPOSE
OF
:NDITliRE
Camp lete Q.l\J!.Y if direct
e,:~an ,jilure 10 benefil C/OH
ages Schedule F: 2 FILER NAME
--_.
6 Payee name
7 Payee addre~5;lilt ($}
JRPOSE
OF
:NDITURE
EXPENDITURE CATEGORII;:S FOR BOX 8(a)
GifUAwards/Mernorlals Expense Salarles/Wage,/Contrcc! Labor Loan Repayment/Reimbursement
Legal Services
Food/Beverage Expense Travel In Distr'ct
Polilng Expense
Printing Expense
City; State; Zip Code
(a) Category (See categories listed at tile top of this schedule)
Candidate / Officeholder name
Payee name
Payee address; City; State; Zip Code
Category (See categories listed at the top of tills schedule)
Candidate / Officeholder name
Payee name
Payee addre~s; City; State; Zip Code
-"" .~ t
Category (See categories listed at the top of this schedule) Descrl'~Ii"n (If travel outside cf Texas, cNnplete SClledU~I
L
Candidate / Officeholder name Office Lought
-
Payee name
-
Payee address; City; State; Zip Code
Category (See categories listed attha top of tills schedule) L'kO I'''''~' ".00«~". rom,,,,,,,,-,,"
Candidate / Officeholder name Office sougi't
Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Contributions/Donations Made By
Travel Out Of District Candidate/Officeholder/Political Committee
Ofrlce Overhead/Rental Expense OTHER (enter Cl category not listed above)
Th'3 Instruction Guide explains how to complete this form.-·----------r ACCOUNT # (t::thics Commission Filers) ,
r Descri~~ti"n (If travel ou:siae of Texas, complete Schedule T)
O,'Ice "(lug ,1t Office held
-
r """"<>fin, ,,,,,,'""'00 "'"'" rom,,,,, O~~"""
Office LOUe;!"t Office held
'..-:<JIl ,....Z -t.-
Office held " "'U c=,1-:c
W ..-~ c.n ..f ...... ,
Offie.a held
ATIACH ADDITIONAL COPIES OF nils SCHEDULE AS NEEDED
WVNJ et~lics .state.lx.us f,evised 04/19/2013
l~xas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 __CTDD 1-800-735-2989)
I P LITICAL EXPE OITURES n SCHEOU E G ~ AOE F OM PERSONAL FU OS hi. IGI l
EXPENDITURE CATEGORIES FO~=i BOX 8(Ci)
Advertising Expense Gift/Awards/Memorials Expense Salaries/'Nages/Contract Labor Loan RepaymanllReimbursement
Accounllng/Banking Legal Services Solicitation/Fundraislng Expense Transporta~ion Eq Ipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contrit'utions,D'Jnations Made By
Evant Expense Polling Expense Travel Out Of District Candldate'Officeholder/Po.i·.lcal Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (,mler tl categcry not listed above)
The Instruction Guide explains how to complete this form.
i -j T~tal pages Schedule G: :2 FILER NAME I 3 ACCOLNT # (Ethics Commission Filers)
DA'r4-D;;-------+---.=:.......;:........:~-=-...1><:::::....----~.......~!.........l~-=::z.....-------l---------------I
5 Payee name
----------+ ---------------------y----------------------"'------;
PURPOSE Category (See calegories listed at the top of this schedule) Description (If Iravel oulsld£ at T~y.ss. c=plel2 Sc"e~T)
t~E~6rruRE ~
T)
--,J
Payee nameI Data
Payee address;
-----+------------------------------------------1
"'mount ($)
Reimoursement from
po:mcal contributions
,....1ded
------t-------------------,------------
PURPOSE
OF
EXPENDITURE
Category (See categortes listed at the top of this schedule) Description (1Itra"al ou(si:!~ 0: Te;<a3, complete Sc~edul9
ATTACH ADDITIONAL COPIES OF THiS SCHEDULE AS NEEDED ________________________________.
IaD~"~~"~'~.,-I')
[ Relmbursame.,t from
pc'itlcal contobutlon;
InterdBd
G PURPOSE
OF
, EXPENDITURE
1.__
~~~c: oontributlon;
Co ll.· S.O ~,~ Z;, 00.~bI i ell ~. P1M7 Payee address;
cg L.J 11 0 ~o. C-'" Q. 0 Q... J..-../ ~ \.A \1""e... I
----------------1
._-----------/
Description (If travel oulside O! Texas, cumpiate Schedula T)
.....
W
City; State; Zip Code
Payee name
Payee address;
Date
C) ~ .... I 1 r
t.A ~ I
I Am'""' ,., -
O Reimbursement from
pOllticaloonlnbutions
Intended
PURPOSE
OF
EXPENDITURE
Category (See categortes listed at the top 01 this schedule)
=======;:====================-=-=-=-=_:=-=--======1
Dat·" Payee name
------+-------------------------------------=---=...,.f~_
Amount ($) Payee address; City; State; Zip Code
[I Reimbursement frOM
I ----'
www.ethics.state.tx.us Revised 04/19/2013
....Ti_e_x_"'_s_E_t1_i_cs_C_o_rn_rr_l_iss_io_n P_,0_,_B_o_x_1_2_0_7_0 A_u_s...;,ti_n.:...,Ti_e_x....:a_s_78711-20~_~,_1_2.:...) __(:..T_D_O_~_-8_0_0_-_7_3_5-_2_9_8_9..:,)_4_63-,'5._8_0-'O
P YMENT FROM POLITICAL IGINAL SCH DU E HCONTRIBUTIONS TO A BUSINESS
EXPENDITURE CATEGORIES FOi, BOX 8(~l)
Advertising Expense GiftJAwards/Memorials Expense SalarieslWages/Contract Labor Loan Repayment/Reimbursement.
Accounting/Banking Legal Services Sollc~atlon/FundralsingExpense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contrib.Jtions/Donations Made By
Event Expense Polling Expense Travel Out Of District Canjidale!Ofliceholder/Political Committee
Fees Printing Expen~e Office OverheedlRental Expense OTHER (enter a categc,ry not listed above)
The Instruction Guide explains how to complete this form.
2 FILER NAME ~CCOUNT# ('::thlcs Commission Filers)
5 Business name
-----------~1
(b) Description (1ltravEI ~utside of Texas. comf'lete Sch..oule T)
City; State; Zip Code
Business name
7 Business address;
(a) Category (See categortes listed althe top 01 tols scMdule)
1
1 'I eta pages Schedule H
<'. Late
~. Amount ($)
I
ta-P RPOSE
L OF
EXPENDITURE
----~---------,--------,-----------I
& Complete .QMl.I: il direct Candidate / Officeholder name Office sought Office held
Re.(POndilure to benelit C/OH
j D~te
I
Zip CodeCity; State;Business address;l A ount ($)
~---p_·U-RP-OS---E----+---C-Bt-e-g-o-ry-(-S-ae-c-al-e-g-o-rte-s-U-st-e-d-at-th-e-t-of"-Ol-th-IS-S-ch-ed-U-Ie-)--"---oe-'s-cn-·-p-ti-o-n-(-il-tr-a'-Je-l-out-S-;d~9-ol-T·-e,-:a-s,-cc-m-PI-et-e--ScI'-a-dU-Ie-'T-)----l
OFI EXPENDITURE ,
I Complate 00J..:r: II direct
I expondilure to benefit C/OH
i==I Daw
Candidate / Officeholder name
Business name
Office sought C ·,ca held
Category (See categories listed at the top 01 this s,,"edule)
Candidate / Officeholder name
r ."mount ($)
f PURPOSE
OF
~ENDITURE
1 Complete ~ il direct k~~~~':1ilure to benelit CIOH
I Date
Business addrelS-S; City; State; Zip Code
Description (II travel cutside ofTexas. ccmplete Scheouie T)
"U
::I:
Office sought
Al":'lOU,1t ($)
PURPOSE
OF
EXPENDITURE
Business name
Business address; City; State; Zip Code
Category (See categortes listed at the tOf' of this scheoule) Description Cltravel ou13id9 01 Te:<as, compl6t~ Schaduls T)
COIT,plele .Q!:iI.J:: If direct Candidate / Officeholder name Office sought Office held
e:<penditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF TliIS SCHEDULE AS NEEDED
'. fwweH,ics .state.!x.U5 Revised 04119/2013
"'
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 453-5800 (TOO 1-800-735-2989)
I N-POLITICAL EXPENDITURES IGINAfCHEDULE ILMAnE FROM POLITICAL CC)NTRIBLJTIONS I
--
The Instruction Guide explains how to complete this form.
1 Total pages Schedule I: 2 FILER NAME rAceou". '''",'' Comm""" ,;;;j
-
Date 5 Payee name
~._-----
;:; Amount ($) 7 Payee address; City; State; Zip Code
.
18 PURPOSE (a)Category (See Instructions for examples of acceptsble (b) Description (See instructicns regarding type of information , OF categories) required.)I EXPENDITURE
rD.'. Payee name
I
\
l\moul1t ($) Payee address; City; State; Zip Code
;...... -
PURPOSE (a) Category (See Instructions for example. of acceptable (b) Description (See instructions regarding type of Infomla:lon
OF categorle.) required.)
EXPENDITURE
-
Date Pllyeel name
I ......... 1--. ~ 1'l
(II
Amount (S) Payee address; City; State; Zip Code .J:ao ·.......-.1-;(1--':"
W
" ... f-.
(b) Desc~Pti"~ (See if,structlon, r093rd;"9 ty~e of i~atlo~r~PURPOSE (a) Category (See Instruction. tor exemples of acceptable
OF categories) reqUireci.) J
EXPENDITURE W
'". .""'"""-'
U1
e-0' ... -
(late Payee name
! Amollnt ($) Payee address: City; State; Zip Code
I
PURPOSE (a) Category (See Instructions for examples of .cc~ptable (b) Description (See jrL8truc~ilin~ ragardi,lg ty:z (..f information
OF categories) required.)
EXPENDITURE
-
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
wv/w.ethics.state.tx.U5 evised 04/19/2013
"
{
~
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I
L
Texas Ethics Commission
EREST EAR ~-FUN
FILER NAME
P. O. Box 12070 ., (512) 41»-58CO (rDO 1-800-735-2989)Austin Texas 78711-2070 -
ED, OTHER CREDITS/GAl 8/-,
S,AND PURCHASE OF INVESTMEN1·S INA1CHEDULE K
11 Tota: pages S(;h',d~le K:The Instruction Guide explains how to complete this form.
I -
3 ACCOUi~T # (E:hics Commission Filers)
1
8 Amount
($)
Date 5 Name of person from whom amount Is received
6 Address of person from whom amount Is received; City; State; Zip Code
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