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Home My WebLink AboutLynne Finley 02012016 • CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT ,; „9iNA I L COVER SHEET PG 1 1,t 1 Filer ID(Ethics Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. 1 3 CANDIDATE/ MS/MRS/MR FIRST MI OFFICEHOLDER OFFICE USE ONLY NAME /Lf i 5 k..V iv v1-= ( F/L'P/ Date Received y NICKNAME LAST SUFFIX `,`�, 1NI-1bM/N/��Ili % 4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE �L OFFICEHOLDER 1 / MAILING / 'I h/ I TL tif'c /) L'—' _ `: c ADDRESS c __ _' / .� ❑ Change of Address f`J -1 1 J i� S 'h—', //Y 76 L•o-' c ••�� P 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION i YY %•f ��` OFFICEHOLDER �/ Ef a'11'.r a P•_ r arked PHONE ( c)7a T !i"m 9 3 C' qinNt` �� 6 CAMPAIGN MS/MRS/MR FIRST MI Receipt# 4 •mounnttd$--,r"..._ TREASURER Al KS (' /( lit kJA NAME Date Processed A / /.6 NICKNAME LAST SUFFIX ��(`' Date Imaged Fl/4 ke 12 E L L -- 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE TREASURER ADDRESS ,3 �' C' bL` .' .� �r ii - /�` �.1 C/�,3k�J)SUrs/1 � i 5 L` Q (Residence or Business) 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER ( t ) !F C/ J 3 7 S C PHONE `rt CO I 9 REPORT TYPE ��ff —CI I I January 15 ig 30th day before election n Runoff I I 15th day after camp treasurer appointment (Officeholder Only) IV I1 July 15 I I 8th day before election I I Exceeded$500 limit 7 Final Report(AttachGfl-I-FR) IV 10 PERIOD Month Day Year Month Day Year COVERED c� i / I / I / / /Ct / 1 b THROUGH y 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year NI Primary ❑ Runoff ❑ Other Description 3 // /i (n ❑ General ❑ Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) 001.L_/ti C1L,Ai p_y piS-1--.t "6: 12 GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 1 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAME 15 Filer ID (Ethics Commission Filers) y/N E C b t. 'P i AJ L L y 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 REQUIRED to REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE TYPE COMMITTEE NAME GENERAL COMMITTEE ADDRESS ❑SPECIFIC C7"3 rl rrt COMMITTEE CAMPAIGN TREASURER NAME n Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS N r ) 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) <pd'p� . C-"() TOTA S ENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $ UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES $ 53 g C_ 0 ;- CONTRIBUTION CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY r } /�j BALANCE OF REPORTING PERIOD $ 0) - e C/ / I OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ / L71) (AUL (1� 18 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the accompanying report is true and correct and includes all information required to be reported by me 't. DEBORAHJOY PINA { under Title 15,Election Code. Notify Public ♦i STATE OF TEXASmy If/14- Caw Exp.� �V �� Signature of aA'(404e-- h te or Officeholder AFFIX NOTARY STAMP/SEAL ABOVE Sworn to and subscribed befor- me,by the said j `J�� /�' I ,this the / day o _ ,20 I i ,to cehich, itness my hand and seal o office. /14 ure officer administe' • oat Printed name of officer administering oath Title of officer adm' istering oath Forms provided by Texas Ethics C.I mis ' n 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) ry A.L. C ,q(' Ft fv L L y 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS $ "J 70 2. [E.---SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ / �, " 3. I I SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULE E: LOANS $ C GO C7 5. SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 6) 75. a l 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7' I I SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8' I I SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ t 9. I SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ / C 7 5 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12 SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS $ RETURNED TO FILER 'C7 N Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule At: 1 2 FILER NAME 3 Filer ID (Ethics Commission Filers) �Vtv''l,'L. ( 1:--1 L.40FIS 4.6 Y 4 Date 5 Full name of contributor D out-of-state PAC(ID#: ) 7 Amount of contribution ($) 1/5 /t4, tov' i i tri ►V1 1-4"k ie v y 6 Contributor address; City; State; Zip Code I -7C k&ssC Y c" ire, ,ICICN-` ttbs( ,'TA 756:1 J 8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions) Date Full name of contributor 0 out-of-state PAC(ID#: Amount of contribution ($) )r-i4wov 111C(A-Selt__c. y. (/ 7/I 00Contributor address; City; State; Zip Code (--C; >t T (JONA( Yt-- C e. SCIV11-1LAK-L,.�k 7(0661 Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor D out-of-state PAC(ID#: I Amount of contribution ($) I y l Contributor address; City; State; Zip Code Lt414 LiV( L Y Cfr.) .DA((''S ;TX 7S 3 C Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) etar;lt_ ivt 5,n11i t ' t 1,/_G Contributor address; City; State; Zip Code 1# C' l 3 I I 1�'`4Iv0 H Aivi Lam, (Z Niri; 71.is Principal occupation/Job title(See Instructions) Employer(See Instructions) _ -'1 *-r„f V 4,,---S::... C./1 .1 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 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. Total pages Schedule Al: •) 2 FILER NAME 3 Filer ID (Ethics Commission Filers) r-1 ur>69r- 4 Date 5 Full name of contributor 0 out-of-state PAC(ID#: ) 7 Amount of contribution ($) .J Il VC: L 6 Contributor address; City; State; Zip Code It-; S G 7(c/;,moo 8 Principal occupation/Job title(See Instructions) 9 Employer (See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation/Job title(See Instructions) Employer(See Instructions) Full name of contributor out-of-statePACID Date ❑ ( # ) Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation/Job title(See Instructions) Employer (See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation/Job title(See Instructions) Employer (See Instructions) C -n - y,� N) U1 (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 t J NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS SCHEDULE A2 1 Total pages Schedule A2: / The Instruction Guide explains how to complete this form. 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $ 5 Date 6 Full name of contributor ❑out-of-state PAC(ID#: ) 8 Amount of 9 In-kind contribution ,r� Contribution $ . description R. iCrL- /�(�tZtj �' ° two/ /a 7 Contributor address; City; State; Zip Code LILI S I, %-/J u(,ri -A z %17 L` /4 !v� y /)( Check if travel outside of Texas.Complete Schedule T. 10 Principal occupation/Job title(FOR NON-JUDICIAL)(See Instructions) 11 Employer (FOR NON-JUDICIAL)(See 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 ❑out-of-state PAC(ID#: ) Amount of . In-kind contribution Contribution $ . description Contributor address; City; State; Zip Code nCheck if 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) 0') rte) CTt N .. • 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 LOANS SCHEDULE E 1 Total pages Schedule E: The Instruction Guide explains how to complete this form. / 2 FILER NAME 3 Filer ID (Ethics Commission Filers) CHC F- /we (7- 4 TOTAL OF UNITEMIZED LOANS $ • 5 pate of loan 7 Name of lender 0 out-of-state PAC(ID#: ) 9 Loan Amount($) `/aL' //u' L E f:: F/N C. (J >'1 6 Is lender 8 Lender address; City; State; Zip Code 10 Interest rate a financial Institution? ( rs/y IV/4 /C'K `_ C+2/, 1 1L /c Y 11 Maturity date RI CN-�k v sv,� 'TX , 7 5c :s c)- / / /-;?c,2L) 12 Principal occupation /Job title (See Instructions) 13 Employer (See Instructions) 14 Description of Collateral 15 Check if personal funds were deposited into political account (See Instructions) ❑ none ❑ 16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed($) 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 ❑out-of-state PAC(ID#: ) Loan Amount($) Is lender Lender address; City; State; Zip Code Interest rate a financial Institution? Maturity date Y N Principal occupation /Job title (See Instructions) Employer (See Instructions) Description of Collateral Check if personal funds were deposited into political account (See Instructions) ❑ none ❑ `' rs- GUARANTOR Name of guarantor Amount Guaranteed($)r1 INFORMATION Lc) _ i Guarantor address; City; State; Zip Code _± ❑ not applicable Principal Occupation (See Instructions) Employer (See Instructions) N c- l r 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 Expense Event Expense Loan RepaymenVReimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By GifVAwards/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) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule Fl: 2 FILER NAME / 3 Filer ID (Ethics Commission Filers) I I- -‘/N ttr t_ ( !-1 1.'°Y;)1.'°Y;) /0\i t C\T 4 DateI 5 Payee name i/ h"/; t,5 tirl-T-1vui3c A fFt. t= 4ssc>ci4-T1 r i 6 Amount ($) 7 Payee address; City; State; Zip Code #- c„ // Li 0 bvt4 Pc c S wt►c L-, 6 j Fi4W2 rii-JC, vA- , a c. 3 c; 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE / I )1 Check if travel outside of Texas.Complete Schedule T. l�C)&i, ?l O n. / 6t: ( s, OF I I Check if Austin,TX,officeholder living expense EXPENDITURE 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name , I ijl 4- 1-4) S e e A kt:tek ,Zj. idC i!c f 9 wCM E 4 Amount ($) Payee address; City; State; Zip Code Yr75 �� 7 5 C1 4- ��csf s<r-t ,.—t - p L AAr, , t 2i L&,Jx r7sc, 2, L} Category (See Categories listed at the top of this schedule) Description PURPOSE7 Check if travel outside of Texas.Complete Schedule T. OF +-D tF. Elfn . /c ii, i)/ 0A-Tc.--- Check if Austin,TX,officeholder living expense EXPENDITURE ir8L-Lf Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 1�/ '/1 4 x /!l{ f s } c►jL` Amount ($) Payee address; City; State; Zip Code i c; li�/3 S ( 0,Z/)(A,4 LA, ; 1%tCeifi„1, cY, "7 7Su 7 C` Lo t Category (See Categories listed at the top of this schedule) Description -- PURPOSE -- Fl Check if travel outside of Texas.Complete Schedule T. -13t a y OF ADV r"XpL_)v S t- I 'w EXPENDITURE Check if Austin,TX,officeholder living expense Iv tV Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 5 LyNiv& C H vi- i3 (_/1"c t y 4 D to5 Payee name q I i (G C K__r1 C c: ll L PL--' T 6 Amount ($) 7 Payee address; City; State; Zip Code / 7 c-`i /V - C t_ dL 7 i7 1-- c_, E X P, , 7 C / '/ ti h N.A. , / .. .7 S (- 7 ' 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE .{, / I I Check if travel outside of Texas.Complete Schedule T. OF 'tom UL L f l‘,3v I.:' - S L._ I I Check it 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 I I I j l,: C'_ CLL./,v C L r..%.i,'TV C-7 C P Amount ($) Payee address; City; State; Zip Code c‘''' 'LH L 5-If / Y2. i) N )L 1 (`+u ill1C e i fvn/c_`/, -7x (..cr-.),S `7 '-5c' 7 C_: Category (See Categories listed at the top of this schedule) Description PURPOSE \' t� I I Check if travel outside of Texas.Complete Schedule T. OF C y i.IU t l_.k 0 L.INS C / I 1 Check if Austin,TX,officeholder living expense EXPENDITURE L-I t-hc cI'L r'. i Y- TD i r4r'u t_ i,(— Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name i1 ► CI )) (-r- I.)L,S ) C,,✓ /1 5N1i2i Amount ($) Payee address; City; State; Zip Code CY> �e1 C7C S ti S(` t T7 -��.E` ti) 7�ft1f�E , ri Z 7-3 t Category (See Categories listed at the top of this schedule) Description --» PURPOSEk--=--` Check if travel outside of Texas.Complete Schedule T. _ OF �1 l y.� I V SC:. II 1 "f7 EXPENDITURE ❑Check if Austin,TX,officeholder living expense = 1 , N) CJi Complete ONLY if direct Candidate/Officeholder name Office sought Office helms '4' 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 J R i G A FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District ', Candidate/Officeholder/Political Committee Legal Services SalariesM/ages/Contract Labor Other(enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule Ft: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Dat 5 Payee name �oZ� I �' IN -.1"1(4 )1&-tIC 4A' ;?EPo(w 4 ty (L-1-6 6 Amount ($) 7 Payee address; City; State; Zip Code c 1.-)Z:: PL 'C) '5 6.c 3` 7) �i �rv�° ATX 7/054 --C .5L,_/ 8 (a)Category (See Categories listed at the top of this schedule) (b) Description PURPOSE I I Check if travel outside of Texas.Complete Schedule T. OF iD CN' `T. _".) /J, V`,• I I Check if Austin,TX,officeholder living expense EXPENDITURE 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name �� 114 t12ST 6zg-3.-)(1iC tC_ . Amount ($) Payee address; City; State; Zip Code CI Cr 4 e V,_ rte, ; �f� LA"-,o, -T)( Category (See Categories listed at the top of this schedule) Description PURPOSE f I I Check if travel outside of Texas.Complete Schedule T. OF 1 1 O a . C u OC:jV ."L I I 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 Amount ($) Payee address; City; State; Zip Code rri Category (See Categories listed at the top of this schedule) Description PURPOSE 17 Check if travel outside of Texas.Complete Schedule T. .-0 OF EXPENDITURE ❑Check if Austin,TX,officeholder living expense ';>• GJI Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS ' SCHEDULE G EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule G: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) �- YN Ar'f_ C F/0910 f /N L C7-1 4 Date 5 Payee name Int I1Ir /A NI ►17C`�:. 6 Amount ($) 7 Payee address; City; State; Zip Code C s � lleimbursementfrom political contributions intended 8 (a)Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF * e_N cct: Check if travel outside of Texas.Complete Schedule T. 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 ($) Payee address; City; State; Zip Code Reimbursement from political contributions intended Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF I I Check if travel outside of Texas.Complete Schedule T. EXPENDITURE I I Check if Austin,TX,officeholder living expense Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Cr) Reimbursementfrom r-71political contributions '-' intended , Category(See Categories listed at the top of this schedule) (b) Description �.-... „ PURPOSE I—1 OFI Check if travel outside of Texas.Complete Schedule T. "'L? EXPENDITURE I-1 Check if Austin,TX,officeholder living expense �� e Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Cl7 iV ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015