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HomeMy WebLinkAboutKeith Self 07132016 CANDIDATE / OFFICEHOLDER 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. /V 3 CANDIDATE/ MS/MRS/� FIRST -_ / MI OFFICE USE ONLY OFFICEHOLDER OOG//� J ) ) //! ,q NAME / //,T /�j'/ Date R 0001Nrnngtirirr/' NICKNAME LAST SUFFIX s '''iI, )---e /� *° 4 CANDIDATE/ ADDRESS /PO BOX; APT/SU #; CITY; STATE; ZIP CODE s' ;�, .,_ a OFFICEHOLDER /� / area ^� -/ MAILING /� // / c� �/�/N > J ADDRESS / ❑ Change of Address 7jL 2. 0 / �'� .*.d% ali, �` 5 CANDIDATE/ AREA CODE PHONE NUMBER /` EXTENSION ___44,1486111$100 PHONE OFFICEHOLDER ( ),/ D Hand-deliver to o arked Lf.��f-- 6,7 . _� 6 CAMPAIGN MS/MRS e::.-) � FIRST MI Receipt# Amount$ TREASURER �1J rt//9'f2 ,Oc c j j NAME C� w Date Processed ('� NICKNAME LAST SUFFIX -)/3 j6:,Li 2 n y Date Imaged/1 /i / cp 7 CAMPAIGN STREET ADDRESS (NO PO BOX Pte ;'AnPTT I SUITE#; CITY; � STATE; ZIP CODE TREASURER 5305Y-0��/ i kt,?Q `i !� /'/ G � i / ADDRESS y (Residence or Business) �x .-7 -7. A 8 CAMPAIGN ARF.AACODE PHONE NUMBER EXTENSION TRTREASURER ( I/6/) 42.' ^/�g7 _.,,_ r. ONE -r-a 9 REPORT TYPE n January 15 ' ( 30th day before election n Runoff [] 15th day after treasurer appoi (Officeholder Only) Luly 15 8th day before election ( I Exceeded$500 Emit f Final Report(Attach C/OH-FR) 10 PERIOD Month Day Year Month Day Year COVERED /� © / V // /6 THROUGH O 6/,-F0740/‘ 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary Iii Runoff 1Desc:1 Other / / n General ❑ Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) &51 tei /1) fy T:6,49e_ 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 D ORIGINAL COVER SHEET PG 2 14 C/OH NAME , 15 Filer ID (Ethics Commission Filers) Kei -/ I 5C / 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLmCAL CONTRIBImONS ACCEPTED OR POLmCAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CAIODATE I OFFICEHOLDER. THESE EXPEiNI7URES MAY HAVE BEEN MADE wrrHOUr THE G/MMHDATE S OR OFFICEHOLDER'S COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY F THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE TYPE COMMITTEE NAME SGENERAL Yc .� , Q1 Kr//-31, / / COMMITTEE�AD(DR�ESSIV . .7 SPECIFIC . 0/ /9-142-mor c 6 7 dle,Awe JJ Tic 7.�0 7/ I COMMITTEE CAMPAIGN TREASURER NAME 1..1.37 ' 4 O , n Additional Pages ' ' a) • COMMITTEE CAMPAIGN TREASUADDRESS • .5'3 0 oc i, t ) & ricl -J1 , /mj 1</II//ile/, X 7a7 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) //1V TOTALS EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS, $ `. UNLESS ITEMIZED '// 4. TOTAL POLITICAL EXPENDITURES $ ' /27I 3 BALANCE CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY 40,5 OF REPORTING PERIOD �/0 J�0 7 OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE O� LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ ��/ 18 AFFIDAVIT V'(� I swear,or affirm,under pen- of perjury,that the accompanying report is true and correct and i •-. :.1 in ation • ; to be reported by me �F;'ryDEBORAH NA under Title 1 I•''n ��_ ///�, �� I� •4a NOM PibliC (-� / a Tt STATE OF Toms 4j a'� IryCasa Elp {1{.3016 Ijljl. - i --_L_______-- Signature of Candldat, or Officeholder AFFIX NOTARY STAMP/SEALABOVE Sworn to and subscribed before me,by the said e f / 1--- 5(0/ ,this the day of _ 20 /f ' ,to certify which,witless my hand and seal of office_ f AA i ... 0 , '4..... .0,/2-,).--4_1,_ '-'?„41.. ,i,),,n __P. - Signature of officer administ- ' • oath •.'nted name of officer administering oath k Title of officer a• ering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 cl-ji 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. SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS $ 2. SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3. I I SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULE E: LOANS $ 5 SCHEDULE Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 6. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ tO3 9. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. n SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12. I I SCHEDULE K: INTEREST,CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS $ RETURNED TO FILER 5 : J cn Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTION ORIGINAL SCHEDULE Fl EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense EventExperse Loan . sing Expense Accounti+9 +g Fees Office Ovehe lExpase Transportation Equipment SRelatedExpense Consulting Expense Foodffileverage Expense hAada By Poling Expense Travel In Distil Gotrxriiiae Expense Printing Expense Travel Out Of District CanctidatefOlticeholdedPolfficalLegal Labor Other(enter anativity nat6soedahove) CledtCeadPayr n The instruction Guide explains how to complete this form. 1 Total pages Schedule Fl: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) :./-7,C ti wrw 4 Date,`/ D/G 5 � ,r /V t �hit,pl t z)F 'C� ;% GKi_ 6 Am nt ($) 7 Payee address; may; code /�..00 �r /5� <ST f/ O 7 7..5079 8 (a)Category(See listed al the top otaisschedule) (b)Description PURPOSE n N/�G�-/ /,%� El Check C7aaveloua3deofTaxaS.t feSd uteT OF ❑Check a Austin,Tx mower bring ewe EXPENDITURE 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit WON Payee name j4 /, C'O///�00(14/ lip ft y Amount ($) Payee address; City; State; Zip Code 300 ( '/6 - )/led,'42tiA/ey, Tis - 7, Category(See Categories fisted at the top of Wills schedule) Description PURPOSE ,// J /G t 7? r LIc3 Chedtravela9sideotTexas.ComptdeScheridT. e OF Y ElCheckit Austin.TX.officeholder living else EXPENDITURE ,,,4iAJC0//1/ 60/9/amwer Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name X7 �� Co�Je,,,,04,L)„,,,,,, Amoun ($) Payee address; City; State; Zip Code Category(See Categories listed at the top of this schedule) Description PURPOSE ❑ChedcatravdeusiasotTexas.CartpiaeScheaiaer OF p ^ ❑Check a Austin.TX, ? EXPEN°1 iliRE v(/, 4x ,O '9 �� Complete ONLY if direct Candidate/Officeholder name Office sought Office held c rt expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ettlics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE •_) ORIGINAL FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Ware napaymentiReirnbursernent Sanitation,(Fundraising Expense Fees OIRoeOverhead(Rental Expense Tran porlahpn equipment&Related Expense Constiling Expense Foodeeverage Expense Poling Expense Travel hi District ABY CRNAwarctsfMemorialsExpense Printing Expense Travel Out Of District CandidatelOfficetioldedPoglical Cam Legal Services SaladeallArageurContract Labor Other(enters category not fisted above) CreditCartIPayment The Instruction Guide explains how to complete this form. 1 Total pages Schedule Fl: 2 FILER NAME - 3 Filer ID (Ethics Commission Filers) Kn, ' c<e�f.- 4 Date 5 Payee �/ �� a �/6 (2D/ , 4 ,� '/ _i. -0c ffablici9-4)5- 6 Amount ) 7 Payee address; - State; Zip Code ‘-5100 = 661 ° .g/did r,4 / Y,$ ,T `42 Z/ /� ,ej�v�v , }x 2L5 8 (a)Cogory(See Categories1akstedd at the tap of this schedule) (b)Description PURPOSE (.. /l//r /t!/0/TThof �d Elc dcetrarelaasideofTexas.CompletesasaaeT. OF ❑Chedc-d Austin,Tx,officeholder Hying expense EXPENDITURE Mt/4'e ky Of 7 C d/ 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name "�` �/� �i9'rr i � rAmou ($) Payee address; City; State; Zip Code .q� 373.2. .6��'lecbu-r( )y049 f2 3 f Category(See Categories fasted at the top of this schedule) Description PURPOSE / �rK'Jwl I[�(� ��J��P CICheckNtravloutskleofTexas.CompletesdsdueT OF W '''-�f Z�'�� V li ❑check if Austin,TX officeholder faring expense EXPENDITURE i� Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Cifirrte CIA-Yr Amount ($) Payee address- City; State; Zip Code a , i4c1p_ 373 &)/7Fe d 9P/LyAm 1M-Je J 1/ 3 -fl ' Category(See Categories fisted at the top of this schedule) Description PURPOSE El Check gravel outside ofTexas.Complete Schedule T i OF �jr��fjf l/� .1971125t-- � �� /-� u't EXPENDITURE `'tom° " ' " " r�� � 1� LLJ + 'Check if Austin,TX officeholder living expense Complete ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF TMS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 1 POLITICAL EXPENDITURES MADE L ORIGINAL FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Solici6etioNFundraisirg Expense Accounting/Banking Fees Office Overtread/Rertal Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By GiIVAwmdslMemorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above) CredtCard Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME �r3 Filer ID (Ethics Commission Filers) 'fit /7 / 4 Date 5 Payee name . /� i m C6ro e Carr 6 Amount ($) 7 Payee address; City; State; Zip Code '5oa '�- 373 (y 7 T�y�, 1/ ) ,/ 3z5/ a (a)Category(See Categories listed at the top of this schedule) (b)Description PURPOSE �I El CheckiftravelouLtideofTexas.CompleteScheduleT. OF / `�� ElCheck if Austin,TX,officeholder living expense EXPENDITURE C(/ 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 9 /� a3W a / Ga/vcif-ani�1/e gepa-bi/c m's Amount ($) Payee address; 'City; Stat • Zip Code - �- °G' /& -75 ‘. /eV r-, a 'Key4 ion.ii�-� 01C N,� ° (X Category (See Categories listed at the top of this schedule) (Description PURPOSE �( / //• —�' I I Check if travel outside ofTexas.Complete Sk T. OF /r,) 1 / /eNd O e/ �Check if Austin,TX,officeholder Irving expense EXPENDITURE t,�rJ��,VVV (((/// !,v Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name J /4/ foseo g-re/9 KpabJico-413 ..- Amount ($) Payee address; City;7 Stale; Zip Code C90' 4 6-%-r KoUy e -Liv, 1----i0sc6o, 7 .7. 1.3 / 77 Category(See Categories listed at the top of this schedule) Description �„i PURPOSEA,/ 11 Cited(iftravel outside ofTexas.Complete SchekuleT. EXPENDITUREOF (06/1 rr40i �449- �// ( I Check if Austin,TX,officeholder living expense Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDIl7ONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 • POLITICAL EXPENDITURES MADE F J A FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Consulting Expense Fees Office Overt>ead,Rerval Tanspion/onEquip Expense Food/Beverage'age Expense Polling Expense Transportation Equipment 8 Related Expense Made By Gift/Awards/Memorials Expenseng xpense Travel O Of Dt Candidate/Officeholder/Political Committee Legal Services Otherxpense (enter a District Credt Card Payment Labor Other a category not listed above) The Instruction Guide explains how to complete this form. 1 Total pages Schedule Ft: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) / 4 Date � 5 Pay name / 1 ��� ,,iii ► 0,,,1461 -Dell/.tbi Jc�N 6 Amo t (• 7 Payee address: .City; State; Zip Code C O`er Pyr ,jc9 g/,Pl y Z 7(.9 8 (a)Category(See Categories listed at the top of this schedule) (b)Description�' PURPOSE nb I J Check if travel outside of Texas.Complete Schedule T. OF 00 a, to)J� f I Check if Austin,TX,officeholder living expense EXPENDITUREl/ iV / 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name '&77 /0 ,rric6;qr 6ia4t-tiv/ e9A) u)07/, 11-`—* Amount ($) Payee address; City; State; ip Code 3iaei---T—/ 1Ce Petvy�Csu.�3//- z flnii-e Category(See Categories listed at the top of this schedule) Description PURPOSE Check ifinveloutside ofTexas.Complete Schedule T. OF Cb/2.)-77/Lbtrt/R.VO/2/1/4-400ri Check if Austin,TX,officeholder livin e EXPENDITURE 9 ' nom ia'3 Complete ONLY if direct Candidate/Officeholder name Office sought Office held:'= LL expenditure to benefit C/OH Date Payee name O. 5 / G f iii& Com^( 7 4_:. Amount ($ Payee address; City; State; Zip Code r i 3 yet C Z)/4/4/h0- 3 2-, y Category (See Categories listed at the top of this schedule) lDee iscription PURPOSE l J Chedcittrave1oside of Texas.Complete SdieduleT. OF r�EXPENDITURE // I I Check if Austin,TX,officeholder living expense 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 J ORIGINAL EXPENDITURES MADE BY CREDIT CARD . SCHEDULE F4 EXPENDITURE CATEGORIES FOR BOX 10(a) Advertising Expense Event Expense Loan RepaymenVReimbursement Sokcdation/Fundraising Expense Accounting/Banking Fees Office Overhead/RerAal Expense Transportation Consulting Expense Food/Beverage Expense Polling Travel In District ipment&Related Expense Contributions/Donations Made By Gift/AwardSAUemorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not fisted above) The Instruction Guide explains how to complete this form. 1 Total pages Schedule F4: 2 FILER NAME / 9/2 ,7,c 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD $ 5 Date/7ie./ i 6 Payee name rRci,e 1%()k 7 Amount ($ 8 Pay e address; City; State; Code oa / 60/ ) ///, eon ive v/1091 k gig 94.V62,5' 9 TYPE OF EXPENDITURE Political Non-Political 10 (a) Category(See Categories listed at the top of this schedule) (b) Description PURPOSE �r� -'`R n Check iftravel outside ofTexas.Complete Schedule T. OFW✓��//.7i61??..41.2-. EXPENDITURE / I ICheck if Austin.TX,officeholder living expense 11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date �/6 Payee name /( Amount ($) P�6 7address;i /w r&,/" � 4 ti/ q 4,17/00-5- , TYPE OF EXPENDITURE l/Political Non-Political Category(See Categories listed at the top of this schedule) Description ... PURPOSE ri Check it travel outside of Texas.Complexe Schedule T. OF /// I/��/n/ EXPENDITURE /R1� �r- Y 51 I !Check if Austin,TX,officeholder living wip®se Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH -a Cul ' ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www_ethics.state.tx.us Revised 918/2015 O nGINAL EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4 EXPENDITURE CATEGORIES FOR BOX 10(a) Etent Expense Loan Consulting E e By �F�e1se PP e Bransportation y RE4up�ner�t8 Related Expense ct Expense P r9E�tse Travel OutOFDistrict CancfidatefOfficeholdedPollfical Committee Legal SatariesMageofeontractLabor Of�er(ardorac egorynotfistedabove) The Instruction Guide explains how to complete this form_ 1 Total pages Schedule F4: I 2 FILER NAME I �Yi,- ! 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO//A CREDIT CARD $ 5 Date 6 Payee name /r / �' — f� 7 Amount ($) 0 Payee address; City; State; Code / /6v®/ W/ /IoW �Wi 41r4 c- cJ / it) 1 9 TYPE OF 4y`� �t EXPENDITURE I ✓rPoliticai 1 1 Non-Political 10 ii� (a) Category(See Categories -��— topotat�s ) (b) Description PU- •S Planck EXPENDITURE"`�' rT ' `� //I�q/ ffir, tf�'Cvtravel outside of Texas.Complete T ✓ i iCh it Austin,Tx,officeholder wing expense 11 Complete ONLY if direct expenditure to benefit C/OH Candidate/ ettokler name Office sought Office held Payee name Date / 7.:/:214, /� 'il+- -. Payee ; City; 5".,11— ........ /6 0/ Ai I/low Koil- ostexii;fer , Ce • *i,0 Zg. TYPE ,T EXPENDITURE Pohl D Nen-P1 Category(see Categories tided at the lop of ttds schedule) DOSCription PURPOSE n( CkfftlaveiaNidedTets OF --- SdrerladeT EXPENDITURE �e77 / oche.it Austin IX,officeholder Wing expense Complete ONLY if direct Candidate expenditure to benefit C/OFI Candidate/beholder name Officesought Office Feld W 3 C-' -,P,,,n ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics_state_lx.us Revised 9/8/2015 EXPENDITURES MADE BY CREDIT CAR ORIGINAL SCHEDULE F4 EXPENDITURE CATEGORIES FOR BOX 10(a) ^°mangy Fees Expense Event ExpenSe tnan FooExpense Office Timorr�onEqupment&Related Expense Pollingconsufting Expense Expense TravelDCordributionsfilonalions Made By C Printing Travel Ota Of is tridConenihee Legal SalariesANagesiContract Labor Other(ertteracategory"Wasted above) The Instruction Guide expiates how to complete this form. 1 Total pages Schedule F4: + 2 FILER NAME II � 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TOA CREDIT CARD S 5 Date 6 Payee name 4,204 7 (3) 8 Payee address: City; �,a ; T� o/`v'ilbw �(xX,-" fiej„'/ '� f A,53 ' S TYPE OF EXPENDITURE r�Pttiiti(a1 J I Non-Po6gCa1 '!0 (a) Category(see categories fisted at the top of this schedule) (b) Description PURPOSE OF FiChericifhavelo deof Texas.Complete ScheduleT. EXPENDITURE naiad(if Austin,TX.officeholder Wig expense 11 Complete ONLY it direct Canute/Officeholder expenditure to benefit C/OH name Office sought Office held Date Payee name Amount ($) Payee address; City; State; Zip Code c`.. TYPE OF EXPENDITURE 0 Poll J 1 Non-Poul �- •• r:m Category(See Categories geed at the top of this schedule) Description CrN PURPOSE nCheckitraveloolsideofTeas.CompideSdleduleT OF EXPENDITURE Chedr it Austin,TX.officeholder Using expense Complete ONLY if direct Candidate/Officeholder name expenditure to benefit C/OH Office sought ce held ATTACH ADDmONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www ethics.state.tx.us Revised 9/8/2015