HomeMy WebLinkAboutChristopher Hill 07112016 . 'AT"
CANDIDATE / OFFICEHOLDER ,;.,j ORIGINAL FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID(Ethics Commission Filers) 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form. 11
3 CANDIDATE/ MS/MRS/MR FIRST MI
OFFICEHOLDER 9.766 5� ��:
NAME Mr. Christopher T. _(
Date Retitle. ....191-k°
NICKNAME LAST SUFFIX .i CZ)1'
Chris Hill -.3Z i
4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE 1-......0. ice)
t�Z
OFFICEHOLDER r
MAILING 5100 Eldorado ParkwaySuite 102#508, McKinney,Texas 75070 '���'�S �ya �
❑ADDR9 of Address Y ,,' '' gnn l �, ,
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER Dateand- livered or ate Postmarks
PHONE ( 214 ) 444-3064 1/1'f/(
6 CAMPAIGN MS/MRS/MR FIRST MI Receipt# Amount$
TREASURER Dr.James Robert
NAME Date!Processed
4 NICKNAME LAST SUFFIX +ll�
Bob Collins Date Ignaged
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER
ADDRESS 5100 Eldorado Parkway Suite 102#508, McKinney,Texas 75070
(Residence or Business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE ( 972 ) 784-7371
9 REPORT TYPE
❑ January 15 n 30th day before election Ti Runoff r7 15th day after campaign
treasurer appointment
(Officeholder Only)
n July 15 ❑ 8th day before election n Exceeded$500 limit n Final Report(Attach C/OH-FR)
10 PERIOD Month Day Year Month Day Year
COVERED
02 / 21 / 16 THROUGH 06, 30 / 16
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year ❑ Primary ❑ Runoff ElOther ""3
Description '---T
/ / ❑ General ❑ Special -
12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
County Commissioner Precinct 3
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 02/27/2015
210
CANDIDATE / OFFICEHOLDER ORIGINA1 FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME 15 Filer ID (Ethics Commission Filers)
Chris Hill
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 CANDIDATES OR OFFICEHOLDER'S
COM M ITTEE(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
El GENERAL
COMMITTEE ADDRESS
SPECIFIC - *
1
COMMITTEE CAMPAIGN TREASURER NAME
n Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS C..)
17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ 70.73
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ 7,270.73
EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
TOTALS UNLESS ITEMIZED $ 621.90
4. TOTAL POLITICAL EXPENDITURES $ 3,564.97
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $ 22,115.48
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 0.00
18 AFFIDAVIT
I swear,or affirm,under penalty of perjury,that the accompanying report is
JOSHUA M WEBB true and correct and includes all information required to be reported by me
NOTARY PUBLIC under Title 15,Election Code.
STATEI COLORADONOTARY 5629 � �
MY COMMISSION EXPIRES 04/25/2020 tl1=11l' I
Signature of Can• •-te or Officeh•der
AFFIX NOTARY STAMP I SEALABOVE /� p '
Sworn to and subscribed before me, by the said C� '`F��S r1`
,this the X44-Ns•
day of ✓() ") ,20 Ye; ,to certify which,witness my hand and seal of office.
�CDSh tk Vie 3 Na t fir•
Signature of officer administering oath Printed name of officer administering oath Title of officer a ministering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 02/27/2015
l‘‘
SUBTOTALS - COH ORIGINAL FORM C/OH
COVER SHEET PG 3
19 FILER NAME 20 Filer ID(Ethics Commission Filers)
Chris Hill
21 SCHEDULE SUBTOTALS SUBTOTAL
NAME OF SCHEDULE AMOUNT
1. I( SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS $ 7,270.73
2. I I SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 0.00
3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 0.00
4. SCHEDULE E: LOANS $ 0.00
5. ✓ SCHEDULE F1: POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS $ 3,564.97
6. 0 SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 0.00
7. I I SCHEDULE F3: PURCHASE OF INVESTMENTS FROM POLITICAL CONTRIBUTIONS $ 0,00
$' SCHEDULE G: POLITICAL EXPENDITURES FROM PERSONAL FUNDS $ 0.00
9. SCHEDULE H: PAYMENT FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 0.00
10. SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 0.00
11. n SCHEDULE K: INNTER ST,CREDITS,GAINS,REFUNDS,AND CONTRIBUTIONS 0.00
R )
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 02/27/2015
h
ORIGINAL N i‘
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Af:
3
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Chris Hill
4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: ) 7 Amount of contribution ($)
02/24/16 CH2M Hill Texas PAC 750.00
6 Contributor address; City; State; Zip Code
12750 Merit Drive, Suite 1100, Dallas, Texas 75251
8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($)
02/24/16 David&Shahnaz Hosseiny 100.00
Contributor address; City; State; Zip Code
6010 Prestonshire Lane, Dallas, Texas 75225
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor 0 out-of-state PAC(ID#: ) Amount of contribution ($)
02/24/16 Ayub&Cynthia Sandhu 100.00
Contributor address; City; State; Zip Code
1452 Mosslake, Desoto, Texas 75115
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor 0 out-of-state PAC(ID#: ) Amount of contribution ($)
02/24/16 Michael &Dina Schaeffer 100.00
Contributor address; City; State; Zip Code
1910 Bordeaux Court,Allen,Texas 75002
Principal occupation/Job title(See Instructions) Employer(See Instructions)
c.D
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 02/27/2015
flORIGIN4L
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al:
3
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Chris Hill
4 Date 5 Full name of contributor 0 out-of-state PAC(ID#: ) 7 Amount of contribution ($)
02/29/16 Brian Newman 250.00
6 Contributor address; City; State; Zip Code
609 Bristlewood Drive, McKinney, Texas 75070
8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: > Amount of contribution ($)
03/09/16 Thomas Ellison 100.00
Contributor address; City; State; Zip Code
19209 County Road 704, Farmersville,Texas 75442
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($)
03/09/16 Weldon&Cynthia Copeland 250.00
Contributor address; City; State; Zip Code
1319 Camino Real Street, Fairview,Texas 75069
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($)
03/09/16 Bob&Claude Ann Collins 100.00
Contributor address; City; State; Zip Code
1150 County Road 610, Farmersville, Texas 75442
Principal occupation/Job title(See Instructions) Employer(See Instructions)
i
..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 02/27/2015
°RIGI
NAL
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al:
3
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
Chris Hill
4 Date 5 Full name of contributor 0 out-of-state PAC(ID#: ) 7 Amount of contribution ($)
03/16/16 Terry Sanner 100.00
6 Contributor address; City; State; Zip Code
361 Farms Road, McKinney, Texas 75071
8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions)
Date Full name of contributor 0 out-of-state PAC(ID#: ) Amount of contribution ($)
03/16/16 Texas Association of Realtors 5,000.00
Contributor address; City; State; Zip Code
PO Box 2246,Austin, Texas 78768
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($)
03/16/16 Thomas Flaherty 100.00
Contributor address; City; State; Zip Code
447 Northwest Highway Apt 2401, Irving, Texas 75039
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($)
03/16/16 Garry Kraus 250.00
Contributor address; City; State; Zip Code
1445 Susan Lane, Carrollton, Texas 75007
Principal occupation/Job title(See Instructions) Employer(See Instructions)
t
C_
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 02/27/2015
POLITICAL EXPENDITURES J QRIG'NIL
FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement SolicitatioNFundraising 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)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
5 Chris Hill
4 Date 5 Payee name
02/29/16 Mailchimp.com
6 Amount ($) 7 Payee address; City; State; Zip Code
$67.50 512 Means Street Suite 404, Atlanta, GA 30318
8 (a)Category(See categories listed at the top of this schedule) (b) I Description
PURPOSE I I Check if travel outside of Texas,complete Schedule T
OF Advertising Expense ❑Check if Austin,TX,officeholder living expense
EXPENDITURE
Email Marketing
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
03/29/16 Mailchimp.com
Amount ($) Payee address; City; State; Zip Code
$67.50 512 Means Street Suite 404, Atlanta, GA 30318
Category(See categories listed at the top of this schedule) Description
PURPOSE n Check if travel outside of Texas,complete Schedule T
OF Advertising Expense ❑Check if Austin,TX,officeholder living expense
EXPENDITURE
Email Marketing
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
04/29/16 Mailchimp.com
Amount ($) Payee address; City; State; Zip Code
$67.50 512 Means Street Suite 404, Atlanta, GA 30318
Category (See categories listed at the topof this schedule)
e9 ry g I�I Description _
PURPOSE I I Check if travel outside of Texas,complete Schede
OF Advertising Expense ❑
EXPENDITURE Check if Austin,TX,officeholder living expense
Email Marketing
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 02/27/2015
g�1
POLITICAL EXPENDITURES ORII ^
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation
Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Fl: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
5 Chris Hill
4 Date 5 Payee name
05/31/16 Mailchimp.com
6 Amount ($) 7 Payee address; City; State; Zip Code
$67.50 512 Means Street Suite 404, Atlanta, GA 30318
8 (a)Category(See categories listed at the top of this schedule) (b) Description
PURPOSE ❑Check if travel outside of Texas,complete Schedule T
OF Advertising Expense ❑Check if Austin,TX,officeholder living expense
EXPENDITURE
Email Marketing
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
06/29/16 Mailchimp.com
Amount ($) Payee address; City; State; Zip Code
$67.50 512 Means Street Suite 404, Atlanta, GA 30318
Category (See categories listed at the top of this schedule) Description
PURPOSE ❑Check if travel outside of Texas,complete Schedule T
OF Advertising Expense ❑Check if Austin,TX,officeholder living expense
EXPENDITURE
Email Marketing
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
05/06/16 Collin County Christian Prayer Breakfast
Amount ($) Payee address; City; State; Zip Code
$300.00 PO Box 262024, Plano, Texas 75026 ;a
-7-,
Category (See categories listed at the top of this schedule) Description —4 -
PURPOSE 17 1 Check if travel outside of Texas,complete Schedu".11 ,
OF Event Expense ❑Check if Austin,TX,officeholder living expense --..
EXPENDITURE
co
National Day of Prayer
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 02/27/2015
kk
POLITICAL EXPENDITURES QR, O
NA
FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Fl: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
5 Chris Hill
4 Date 5 Payee name
03/08/16 Collin County Republican Party
6 Amount ($) 7 Payee address; City; State; Zip Code
$120.00 8416 Stacy Road Suite 100, McKinney, Texas 75070
8 (a)Category(See categories listed at the top of this schedule) (b) )Description
PURPOSE
1-1 Check if travel outside of Texas,complete Schedule T
OF Sponsorship ❑Check if Austin,TX,officeholder living expense
EXPENDITURE
Sustaining Member Program
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
03/04/16 Kelly's at the Village
Amount ($) Payee address; City; State; Zip Code
$360.00 190 East Stacy Road Suite 1204, Allen, Texas 75002
Category(See categories listed at the top of this schedule) Description
PURPOSE ❑Check if travel outside of Texas,complete Schedule T
OF Event Expense ❑Check if Austin.TX,officeholder living expense
EXPENDITURE
Victory Party
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name (j)
04/14/16 McKinney Rotary Club
Amount ($) Payee address; City; State; Zip Code `a
$250.00 PO Box 552, McKinney, Texas 75070 z�
Category (See categories listed at the top of this schedule) I Description
PURPOSE I 1 Check if travel outside of Texas,complete Schedule
OF Membership Expense ❑Check if Austin,TX,officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 02/27/2015
1
10 k1
POLITICAL EXPENDITURES 1_ R ,
FROM POLITICAL CONTRIBUTIONS �� � L` SCHEDULE Fl
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
5 Chris Hill
4 Date 5 Payee name
04/27/16 Golden Corridor Republican Women
6 Amount ($) 7 Payee address; City; State; Zip Code
$200.00 1504 First Avenue, McKinney, Texas 75069
8 (a)Category(See categories listed at the top of this schedule) (b) Description
Del
PURPOSE I I Check if travel outside of Texas,complete Schedule T
OF Advertising Expense ❑Check if Austin,TX,officeholder living expense
EXPENDITURE
sponsorship
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
03/15/16 PrintPlace.com
Amount ($) Payee address; City; State; Zip Code
$434.09 1130 Avenue H East, Arlington, Texas 76011
Category (See categories listed at the top of this schedule) IDeescription
PURPOSE i I Check if travel outside of Texas,complete Schedule T
OF Printing Expense ❑Check if Austin,TX,officeholder living expense
EXPENDITURE
office supplies
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
rpt
04/20/16 Salesforce.com
Amount ($) Payee address; City; State; Zip Code --
$831.48 One Market Suite 300, San Francisco, CA 94105
Category (See categories listed at the top of this schedule) l Description f``J
De
PURPOSE IMI Check if travel outside of Texas,complete Schedeta.,T
OF Campaign Database I I Check if Austin,TX,officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 02/27/2015
POLITICAL EXPENDITURES mm ORIGINAL
FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment 8 Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gft/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services SalariesN ages/Contract Labor Other(enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
5 Chris Hill
4 Date 5 Payee name
05/02/16 Republican Party of Texas
6 Amount ($) 7 Payee address; City; State; Zip Code
$110.00 211 East 7th Street Suite 915, Austin, Texas 78701
8 (a)Category(See categories listed at the top of this schedule) (b) Description
PURPOSE
17 I Check if travel outside of Texas,complete Schedule T
OF Event Expense ❑Check if Austin,TX,officeholder living expense
EXPENDITURE
State Convention Registration
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category(See categories listed at the top of this schedule) s
lI
Description
PURPOSE 1 1 Check if travel outside of Texas,complete Schedule T
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
•
Amount ($) Payee address; City; State; Zip Code
Category(See categories listed at the top of this schedule) Description
PURPOSE I I Check if travel outside of Texas,complete Scheilt,T
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
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 02/27/2015