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Home My WebLink AboutCheryl Williams 01192016 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID(Ethics Commission Fiefs) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. 3 CANDIDATE/ Ms /MR FIRST MI OFFICEHOLDER OFFICE USE ONLY NAME Date Recei� pp NICKNAME LAST SUFFIX `x`144#*�' " .r�r�i��,/'''''' VII (---L-1 AM.S `, ^./.fir 4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE ft; CITY; STATE; ZIP CODE OFFICEHOLDER Z t /•� MAILING �P 1—C7� �S t �l�e��tc l��, "'�" ADDRESS 'N'' / ❑ Change �-(' C �-4' (4S o NJ t 7 7SU fb c� ��;` of Address '�, ��• 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION °'......................... ....""'' ...... • Wall OFFICEPHONE HOLDER � n 14` 1, 3 - 77 { D.� ► '�� ", or ate Postmarked G / �J ,/_ to - 6 CAMPAIGN MS/MRS/MR FIRST MI Receipt If Amount$ TREASURER NAME L Date Processed/) /� / NICKNAME LAS SUFFIX " /�! "/CO � ' l__.� Imaged /�,/ �t""t S Date20)I lD 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE If; CITY; STATE; ZIP CODE TREASURER ..,...t ADDRESS ' c (Residence or Business) t ij litit' - + 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION s-4. TREASURER __ PHONE 9 REPORT TYPE January 15 ❑ 30th day before election ❑ Runoff ❑ 15th1r5day rer after campaign ment (Officeholder Orly) ❑ July 15 ❑ ath day before election ❑ Exceeded$500 limit ❑ Final Report(Attach C/OH-FR) 10 PERIOD Month Day Year Month Day Year COVERED ,/ /� q / ...i.... / Zoi s THROUGH „�1 / gj/ z 0.1.... --- 11 1..'- 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary ❑ Runoff ❑ Other Description / / ❑ General ❑ Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (d known) COL 469-0Airy eo- 4 i s 5/ol: L. C c. i. 2- GO Z..GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAME 15 Filer ID (Ethics Commission Filers) CML b . Wi t...L.4 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REOIARED TO REPORT THS INFORMATION ONLY F THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE TYPE COMMITTEE NAME D GENERAL COMMITTEE ADDRESS EISPECIFIC COMMITTEE CAMPAIGN TREASURER NAMELa 7 El Additional Pages _, COMMITTEE CAMPAIGN TREASURER ADDRESS '- n 17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN TOTALS PLEDGES,LOANS,OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ 2560. EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, �I TOTALS UNLESS ITEMIZED $ 51 4. TOTAL POLITICAL EXPENDITURES $ 7i /, 7 3 CONTRIBUTION 5TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY Q 2,._, .BALANCE OF REPORTING PERIOD $ V W, OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 18 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the accompanying report is 41 °j Atrue and rrect and includes all irformation required to be reported by me 1 LETICIA A. SAUCEDO under 1 ,Election Co . I lf6TiMy ature of Candidate or Officeholder AFFIX NOTARY STAMP/SEAL ABOVE Sworn to and subscribed before me,by the said Cke y I b. (.A..), ( I or-y-%. S ,this the day of Jcy.vcr- ,201____,to certify which,witness my hand and seal of office. • Cam �^ • a , rT % Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Solicitation/ undraisingExpense Acoounbngearkdng Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense FoodBeverage Expense Polling Expense Travel In District Cantrbuhons/Donatiors Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Offioeholder/Potitical Committee Legal Services Salaries/VHages/Contract Labor Other(enter a category not listed above) CrethCad Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule Fl: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4a 5 Payee name 16rt 1 �s� a01/4t.� cCO2-76 ct-P.te 6 Amount ( ) 7 Payee address; Ci ; State; Zip Code /40:73 . 7sb7 I 8 (a) Category(See Categories listed at the top of this schedule) (b)Description PURPOSE t MA-1— �1 ,� Z_ ❑Mean travel oumdeofTexas.Complete Schedule T. OF ❑Check if Austin,TX,officeholder living expense EXPENDITURE OW 1 f- 1 L . .-t—S 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category(See Categories listed at the top of this schedule) Description PURPOSE 1:::1Check if travel outside of Texas.Complete SdiedileT OF ❑Check if Austin,TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name ar Amount ($) Payee address; City; State; Zip Code Category(See Categories listed at the top of this schedule) Description . PURPOSE ❑Check"f travel outside of Texas.Complete ScheckieT. OF EXPENDITURE ElCheck if Austin,TX,officeholder living expense CO Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 UNPAID INCURRED OBLIGATIONS SCHEDULE F2 EXPENDITURE CATEGORIES FOR BOX 10(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense FoodBeverage Expense Polfirg Expense Travel in District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above) The Instruction Guide explains how to complete this form. 1 Total pages Schedule F2: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED UNPAID INCURRED OBLIGATIONS $ 5 Date 6 Payee name 7 Amount ($) 8 Payee address; City; State; Zip Code 9 TYPE OF EXPENDITURE n Political n Non-Political 10 (a) Category(See Categories listed at the top of this schedule) (b) Description PURPOSE nCheckrftravel outside ofTexas.Complete Schedule T. OF EXPENDITURE n Check if Austin,TX,officeholder living expense 11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code TYPE OF EXPENDITURE n Political n Non-Political Category(See Categories listed at the top of this schedule) Description I PURPOSE ❑Chedc f travel outside of Texas.Complete SchedieT OF El EXPENDITURE Check ifAustin,TX,officeholder living expense Oa Complete ONLY if direct Candidate/Officeholder name Office sought Office held C--- expenditure to benefit C/OH -...1: 3 CO ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID(Ethics Commission Filers) 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. n SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS $ 2. n SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3_ 0 SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. I:I SCHEDULE E: LOANS $ 5. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ /2.01.04. 6. El SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. LI SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9• El SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. Li SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. El SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12 0 SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS $ RETURNED TO FILER CO Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al 1 The Instruction Guide explains how to complete this form. Total pages Schedule Al: 2 FILER NA E3 Filer ID (Ethics Commission Filers) 4 Date 5 Full `name of contributor T l 0 out-of-state PAC(ID#: 7 [Amount of contribution ($) // / / Rl" s� /�/�� 6 Contributor address; City; State; Zip Code Z SP a. cam72 ?o. L 224 4tismJ , 1T)C 78708-z2 , 8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions) .�0-l---Io�f r�?--c ` r10/\) Date Full name of contributor 0 out-of-state PAC(1D#: ) Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor 0 out-of-state PAC(°Dff: ) Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor 0 out-of-state PAC(ID#: ) Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation/Job title(See Instructions) Employer(See Instructions) (xi ) -- 1. , J ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC,please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS SCHEDULE A2 The Instruction Guide explains how to complete this form. 1 Total pages Schedule A2: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $ 5 Date 6 Full name of contributor 0 out-of-state PAC(1D#: ) 8 Amount of . g In-kind contribution Contribution $ . description 7 Contributor address; City; State; Zip Code • Check if travel outside of Texas.Complete Schedule T. 10 Principal occupation/Job title(FOR NON-JUDICIAL)(See Instructions) 11 Employer(FOR NON-JUDICIAL)(Sea Instructions) 12 Contributor's principal occupation(FOR JUDICIAL) 13 Contributor's job title(FOR JUDICIAL)(See Instructions) 14 Contributor's employer/law firm(FOR JUDICIAL) 15 Law firm of contributor's spouse(if any) (FOR JUDICIAL) 16 If contributor is a child,law firm of parent(s)(if any)(FOR JUDICIAL) Date Full name of contributor 0 out-of-state PAC(ID#: I Amount of In-kind contribution Contribution $ . description Contributor address; City; State; Zip Code • Check 1 travel outside of Texas.Complete Schedule T. Principal occupation/Job title(FOR NON-JUDICIAL)(See Instructions) Employer(FOR NON-JUDICIAL)(See Instructions) Contributor's principal occupation(FOR JUDICIAL) Contributor's job title(FOR JUDICIAL)(See Instructions) Contributor's employer/law firm(FOR JUDICIAL) Law firm of contributor's spouse(if any) (FOR JUDICIAL) If contributor is a child,law firm of parent(s)(if any)(FOR JUDICIAL) v) r— CO ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 PLEDGED CONTRIBUTIONS SCHEDULE B 1 Total pages Schedule B: The Instruction Guide explains how to complete this form. 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED PLEDGES $ 5 Date 6 Full name of pledgor 0 out-of-state PAC(ID#: ) 8 Amount . 9 In-kind contribution of Pledge$ description 7 Pledgor address; City; State; Zip Code ❑Check if travel outside of Texas.Complete Schedule T. 10 Principal occupation/Job title(See Instructions) 11 Employer(See Instructions) Date Full name of pledgor 0 out-of-state PAC(DC ) Amount • In-kind contribution of Pledge$ - description Pledgor address; City; State; Zip Code • Check if travel outside of Texas.Complete Schedule T. Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of pledgor ❑out-of-state PAC(ID#: ) Amount of • In-kind contribution Pledge$ description Pledgor address; City; State; Zip Code Elif travel outside of Texas.Complete Schedule T. Principal occupation I Job title(See Instructions) Employer(See Instructions) Date Full name of pledgor 0 out-of-state PAC(IDC: ) Amount of _ In-kind contribution Pledge$ description Pledgor address; City; State; Zip Code Check if travel outside of Texas.Complete Schedule T. Principal occupation/Job title(See Instructions) Employer(See Instructions) t 3 ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.00 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 LOANS SCHEDULE E The Instruction Guide explains how to complete this form. 1 Total pages Schedule E: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED LOANS $ 5 Date of loan 7 Name of lender El out-of-state PAC(ID#: ) 9 Loan Amount($) 6 Is lender 8 Lender address; City; State; Zip Code 10 interest rate a financial Institution? 11 Maturity date Y N 12 Principal occupation /Job title (See Instructions) 13 Employer (See Instructions) 14 Description of Collateral 15 Check if personal funds were deposited into political account (See Instructions) ❑ none 0 16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed($) INFORMATION 18 Guarantor address; City; State; Zip Code ❑ not applicable 20 Principal Occupation (See Instructions) 21 Employer (See Instructions) Date of loan Name of lender 0 out-of-state PAC(11)B: ) Loan Amount($) Is lender Lender address; City; State; Zip Code Interest rate a financial Institution? Maturity date Y N Principal occupation /Job title (See Instructions) Employer (See Instructions) Description of Collateral Check if personal funds were deposited into political account (See Instructions) 0 none ❑ GUARANTOR Name of guarantor Amount Guaranteed($) INFORMATION Guarantor address; City; State; Zip Code J) ❑ not applicable Principal Occupation (See Instructions) Employer (See Instructions) 3 ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If lender is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising ense EventExpense Loan Solicitation/FundraisingEhpense Al FeesOffice Overhead/Rental ExpenseTransportation Equipment&Related Expense Consulting Expense Feed Beve Contributions/Donations Made By Gift/Awards/MemorialsPollingin Expense Travel Out District Expense Printing Expense Travel Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above) Cre itCard Payment The Instruction Guide explains how to complete this form. 1 Total pag�Schedule Fl: 2 FILER NAME l J 3 Filer ID (Ethics Commission Filers) 4 Date 5 Payee name /0''-/4 -101 5. 13 Ac4 G 14-1 )I((!17- 6 Amount ($) 7 Payee address; -Ciity; State; Zip Code �' 0 rrvkV(i '��- 1 kE 8 (a) Category(See Categories listed at the top of this schedule) (b) Description PURPOSE . \ O2Acl.1 �-V _JCJ e6 ❑ krctrav�outsideoirexas.Complete SdredrteT. OF /V r ❑Check if Austin,TX,officeholder living expense EXPENDITURE 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 81/7/ 1AIII-, 671-1- CO141LN\ele-C-0-7 - Amount ($) Payee address; City; State; Zip Code 4 X30.�,�, So 1 , / �.. u a h-✓= Cat (See Categories listed at the top of this schedule) Description PURPOSE C- /cal 7--5\ v_ c�n t[ Check rftrav�ouisideotTexas.Complete Sdt eT. OF V!V`7�J�►+?Cl� El Check if Austin,TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name el31Z0e,-" 6-207),66,r,fKate.. Amount ($) Payee address; City; State; Zip Code 4.�� 1. — 5co / t ii‘ - _. Category(See Categories listed at the top of this schedule) Description PURPOSEPURPOSE I 1 1ChedcrctravdousideofTexas.CompleteSdheckieT - r OF lit 1 " - PDMS C_ ❑ EXPENDITURE l►rr"`{{' f�1G Check if Austin,TX,officeholder living expense -' OD K t Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F3 1 Total pages Schedule F3: The Instruction Guide explains how to complete this form. 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Name of person from whom investment is purchased 6 Address of person from whom investment is purchased; City; State; Zip Code 7 Description of investment 8 Amount of investment($) Date Name of person from whom investment is purchased Address of person from whom investment is purchased; City; State; Zip Code Description of investment Amount of investment($) 4 J t ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4 EXPENDITURE CATEGORIES FOR BOX 10(a) Advertising Expense Event Expense Loan T a u ExpenseAccounting/Banking Fees Office Overhead/RentalE Transportation Equipmertd Related ed ExpenseseConsulting Expense Food/Beverage Expense Polling Expense9 Travel In District C Made By Gin/Awards/Memo PTraveOut Of District Candidate/Officeholder/Political Committee Legal Services Printing Labor Other(enter a category not listed above) The Instruction Guide explains how to complete this form. 1 Total pages Schedule F4: I 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UN ITEM IZED EXPENDITURES CHARGED TO A CREDIT CARD $ 5 Date 6 Payee name 7 Amount ($) 8 Payee address; City; State; Zip Code 9 TYPE OF n EXPENDITURE Political i l Non-Political 10 (a) Category(See Categories listed at the top of this schedule) (b) Description PURPOSE El Ctheckif travel outside of Texas Complete Schedule T. OF EXPENDITURE ❑Check if Austin,TX,officeholder living expense 11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code TYPE OF EXPENDITURE Political Non-Political Category(See Categories listed at the top of this schedule) Description PURPOSE El Check ch Check if travel outside of Texas_Complete Schedule T. OF ElCheck if Austin,TX,officeholder living expense EXPENDITURE C:, Complete ONLY if direct Candidate/Officeholder name Office sought Office held ':.... expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS SCHEDULE G EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Retnbhrsement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Consulting Expense Food/Beverage Expense Poin on Equipment&Related Expense Contrbuttons/Donations Made By Glt/AwardslMemorials Expense PrintingExpense TravelDistrictDiExpense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wlages/Contract Labor Other(enter a category not listed above) GreatCard Payment The Instruction Gudde explains how to complete this tote. 1 Total pages Schedule G: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Payee name 6 Amount ($) 7 Payee address; City; State; Zip Code Reimbuisementfrom political contributions intended 8 (a)Category(See Categories listed at the top of this schedule) (b) Description PURPOSE OF ❑Check ti travda+aideofTexas.CompleteSdheitieT. EXPENDITURE ❑Check if Austin,TX,officeholder living expense 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code ❑ Reimbursement from political contrbutions intended Category(See Categories listed at the top of this schedule) (b) Description PURPOSE ❑Check outside of Texas.Complete SthedteT OF EXPENDITURE ❑Check if Austin,TX,officeholder living expense Complete ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code ❑ Reimbursement from political contributions intended ''$' 'd Category(See Categories listed at the top of this schedule) (b) Description f'z PURPOSE ❑Check if travel outside of Texas.Complete Sched/eT. co EXPENDITURE ❑Check if Austin,TX,officeholder living expense Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 1 PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH SCHEDULE H EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event ExpenseLoan Solicitation/Fundraising Accounting/Bardcing Fees Office Overhead/Rental Expense Transportation Equipment Rimed Expense Consulting Expense Food'Beverage Expense Polling Expense Travel in District Contributions/Donations Made By Git/Awards/Aernorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above) CreatCard Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule H: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Business name 6 Amount ($) 7 Business address; City; State; Zip Code 8 (a) Category(See Categories listed at the top of this schedule) (b) Description PURPOSE fl Check if travel outside of Texas.Complete Schedule T. OF EXPENDITURE ❑Check if Austin,TX,officeholder living expense 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Business name Amount ($) Business address; City; State; Zip Code Category(See Categories listed at the top of this schedule) Description PURPOSE ❑Check if travel outside of Texas.Complete Schediie T. OF EXPENDITURE ❑Check if Austin,TX,officeholder living expense Complete ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH v`) Date Business name ABY Amount ($) Business address; City; State; Zip Code Category(See Categories listed at the top of this schedule) Description CO PURPOSE ❑Check'ftravel outside ofTexas.Complete Scheduler. ElOF Check if Austin,TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE I The Instruction Guide explains how to complete this form. 1 Total pages Schedule I: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Payee name 6 Amount ($) 7 Payee address; City; State; Zip Code 8 (a)Category (See instructions for examples of acceptable (b)Description (See instructions regarding type of information PURPOSE categories.) required.) OF EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Code PURPOSE Category(See instructions for examples of acceptable Description (See instructions regarding type of information OF categories.) required.) EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Code PURPOSE Ca tegory(See instructions for examples of acceptable Description (See instructions regarding type of information OF ° ) required.) EXPENDITURE Date Payee name LO Amount ($) Payee address; City; State; Zip Code - y Cal PURPOSE Category(See instructions for examples of acceptable Description (See instructions regarding type of information categories.) required.) OF EXPENDITURE ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.b.us Revised 9/8/2015 INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER SCHEDULE K The Instruction Guide explains how to complete this form. 1 Total pages Schedule K: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Name of person from whom amount is received 8 Amount($) 6 Address of person from whom amount is received; City; State; Zip Code 7 Purpose for which amount is received n Check if political contribution returned to filer Date Name of person from whom amount is received Amount($) Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received p Check if political contribution returned to filer Date Name of person from whom amount is received Amount($) Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received n Check if political contribution returned to filer Date Name of person from whom amount is received Amount($) r = Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received El Check if political contribution returned to filer- m .:- i ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 IN-KIND CONTRIBUTIONS OR POLITICAL EXPENDITURES FOR TRAVEL OUTSIDE OF TEXAS SCHEDULE T The Instruction Guide explains how to complete this form. 1 Total pages Schedule T: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Name of Contributor/Corporation or Labor Organization/Pledgor/Payee 5 Contribution/Expenditure reported on: ❑Schedule A2 ❑Schedule B 0 Schedule B(J) ❑Schedule C2 0 Schedule D ❑Schedule Fl 0 Schedule F2 ❑ Schedule F4 ❑Schedule G ❑Schedule H ❑Schedule COH-UC 0 Schedule B-SS 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/Corporation or Labor Organization I Pledgor/Payee Contribution/Expenditure reported on: 0 Schedule A2 0 Schedule B 0 Schedule B(J) ❑Schedule C2 0 Schedule D 0 Schedule Fl 0 Schedule F2 ❑ Schedule F4 0 Schedule G ❑Schedule H ❑Schedule COH-UC ❑ Schedule B-SS 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/Corporation or Labor Organization/Pledgor/Payee Contribution/Expenditure reported on: ❑Schedule A2 0 Schedule B 0 Schedule B(J) ❑Schedule C2 ❑ Schedule D ❑Schedule Fl 0 Schedule F2 ❑ Schedule F4 0 Schedule G ❑Schedule H ❑Schedule COH-UC ❑ Schedule B-SS 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) co ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 CANDIDATE / OFFICEHOLDER REPORT: DESIGNATION OF FINAL REPORT FORM C/OH - FR The mon Guide explains how to complete this form. -- Complete only if "Report Type" on page 1 is marked "Final Report" •- 1 C/OH NAME 2 Filer ID (Ethics Commission Filers) 3 SIGNATURE I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designat- ing a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign contributions or make any campaign expenditures without a campaign treasurer appointment on file. Signature of Candidate/Officeholder 4 FILER WHO IS NOT AN OFFICEHOLDER -- Complete A& B below only if you are not an officeholder. -- A. CAMPAIGN FUNDS Check only one: 0 I do not have unexpended contributions or unexpended interest or income earned from political contributions. 0 I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I may not convert unexpended political contributions or unexpended interest or income earned on political contributions to personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain unexpended contributions or unexpended interest or income earned on political contributions longer than six years after filing this final report. Further, I understand that I must dispose of unexpended political contributions and unexpended interest or income earned on political contributions in accordance with the requirements of Election Code,§254.204. B. ASSETS Check only one: 0 I do not retain assets purchased with political contributions or interest or other income from political contributions. r] I do retain assets purchased with political contributions or interest or other income from political contributions. I understand that I may not convert assets purchased with political contributions or interest or other income from political contributions to personal use. I also understand that I must dispose of assets purchased with political contributions in accordance with the requirements of Election Code,§254.204. cii Signature of Candidate 5 OFFICEHOLDER •• Complete this section only if you are an officeholder •• x , 0 I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on file. I am also aware that I will be required to file reports of unexpended contributions if,after filing the last required report as'atf officeholder,I retain political contributions,interest or other income from political contributions,or assets purchased with politi- cal contributions or interest or other income from political contributions. Signature of Officeholder Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 0 . 'O1 a) CD 1 xm ,IMW ter' Waicc Cly sommismimmo co CO CU co cr) rft- m W L"N2t7 V) . co a ¢mcg`» C�7 W x C1 • -)--Rn N. 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