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HomeMy WebLinkAboutWeldon Copeland - January 2022 JUDICIAL CANDIDATE / OFFI��}}7; R CAMPAIGN FINANCE REPORN FORM JC/OH IVA L COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers) 2 Total es file The JC/OH Instruction Guide explains how to complete this form. 1 „- ( , 3 CANDIDATE/ MS/MRS/MR FIRST MI (�/t� OFFICEHOLDER COOFFICE ug&ONLY NAME W E L- to 4� S . ,.�atu t „n.,t, NICKNAME Date R�\` ..Vn..4.SL/,,' LAST SUFFIX `��K` T C. o P E. I., A N t> �K . Q/k, " - 4 CANDIDATE/ ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE Z `/ OFFICEHOLDER Q O _�\ `0 MAILING t 3 ( 9 CAM 1 N 0 \� E AL- 'w :'� ADDRESS ^ ; El Change of Address F /ic , R N3 1 w 1 SO 65 %,.I�'....•................6 ,, „ivrioo 5 CANDIDATE/ AREA CODE PHONE NUMBER Q EXTENSION _ PHONE OFFICEHOLDER ( J J 2 ) S L 0 S 3 U Q•�4O i�a• o�d Date . k•, O` i MS/MRS/MR FIRST Receipt # Amount ,. 6 CAMPAIGN MI TREASURER S TE P 0 f,J L , Date Processed NAME 01r /B. d-l/.O .a -----\-ia",-(._, NICKNAME LAST SUFFIX Date Imaged a (,Jat_ KE 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE ft; CITY: STATE; ZIP CODE TREASURER ADDRESS (� (Residence or Business) t t.t 00 G A 1 1..E S (o w a 1 }(PC A NJ K 7 S 07___S 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE (2 72_ ) S 6 7 - 0 C6 3 9 REPORT TYPE January 15 n 30th day before election n Runoff I Iafter c l treasurer15thday a appoi entment ampaign (Officeholder Only) July 15 I I 8th day before election n Exceeded$500 limit I Final Report(Attach C/OH-FR) 10 PERIOD Month Day Year Month Day Year COVERED q O 7/ 0 (/20 2, 1 THROUGH 1 2 /J( /2 a 2 ( A ro ar IN., .. C.—,. 11 ELECTION ELECTION ELECTION TYPE Zj DATE Month Day Year Primary El Runoff 0 Other D3/0 It/ci.2 DescriptionCO— ri] General 11 Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) Q �� 1...l. IfJ K N�1 l V2O1rhTE N 1 —ID C O . R t -!$ t .....1 GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 I CANDIDATE / OFFICEHOLDER FORM JC/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 JC/OH NAME 15 Filer ID (Ethics Commission Filers) (� ELpo ^..) S . CDPet_ A ,-.1P 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 (AGENERAL 1 0 F COMMITTEE ADDRESS SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME f I Additional Pages NI( \//\ COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ O 2. TOTAL POLITICAL CONTRIBUTIONS $ (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) Q EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, TOTALS UNLESS ITEMIZED $ 40 4. TOTAL POLITICAL EXPENDITURES $ Q CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY BALANCE OF REPORTING PERIOD $ O OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE Q , LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 5 ( v S 0 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 under Title 15,Election Code. .4°`SPY�`•��i's CONNIE EVANS a,. ic My Notary ID#10022209 `''F' Fo +:: Expires August 18,2024 63...1.0 CLA. S: 6 1 1"4.4.."9. Signature of Candidate or Officeholder AFFIX NOTARY STAMP/SEAL ABOVE i W Sworn to and subscribed before me, by the said E d 04 Cd(�6lA j ��• , this the l of4 A''''"‘44 3 ,20 Z 2- ,to certify which,witness my hand and seal of office. IPP\K.K.X.Ht3J\ C...z n G `C15 100` c L{ 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 a SUBTOTALS - JC/OH FORM JC/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID(Ethics Commission Filers) 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. I l SCHEDULE A(J)1: MONETARY POLITICAL CONTRIBUTIONS(JUDICIAL) $ Q 2. I I SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3. SCHEDULE B(J): PLEDGED CONTRIBUTIONS(JUDICIAL) $ O 4. SCHEDULE E(J): LOANS(JUDICIAL) $ Q 5. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 6. I I SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ O 7. I I SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 0 8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ O 9. SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 0 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ Q 11. SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12. I I TO SCHEDULEK: INTEREST,CREDITS,GAINS.REFUNDS,AND CONTRIBUTIONS RETURNED $ Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS (JUDICIAL) SCHEDULE A(J)1 1 Total pages Schedule A(J)1: The Instruction Guide explains how to complete this form. 2 FILER NAME 3 Filer ID (Ethics Commission Filers) GiC "60 ,4 S . C Vtr era a . 4 Date 5 Full name of contributor ❑out-of-state PAC ID#: l 7 Amount of contribution ($) {, ( pc` 6 Contributor address; City; State; Zip Code D 14 8 Contributor's principal occupation /A g Contributor's job title 10 Contributor's employer/law firm / 11 Law firm of contributor's spouse (if any) N 'y1l 12 If contributor is a child, law firm of parent(s) (if any) Date Amount of contribution Full name of contributor ❑out-of-state PAC ID#: ($) Contributor add City; State; Zip Code Contributor's principal occupation Contributor's job title Contributor's employer/law firm Law firm of contributor's spouse (if any) If contributor is a child, law firm of parent(s) (if any) Date Full name of contributor ❑out-of-state PAC ID#: - ) Amount of contribution ($) Contributor addres City; State: Zip Code Contributor's principal occupation Contributor's job title Contributor's employer/law firm Law firm of contributor's spouse (if any) If contributor is a child, law firm of parent(s) (if any) 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) WEB** ohi S, C ?E L-4t-)-(3 Jst. 4 TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $ ' ` N� F 5 Date 6 Full name of contributor ❑out-of-state P C(IDS: _ ) 8 Amount of . 9 In-kind contribution d �� a A Contribution $ description N � E 7 Contributor address; City; ate; Zip Code 0 e P/A ti` K v Ni l "' t 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 J AL)(See Instructions) 14 Contributor's employer/law firm (FO DICIAL) 15 Law firm of ributor's spouse (if any) (FOR JUDICIAL) 16 If contributor is a d, law firm of parent(s) (if any) (FOR JUDICIAL) Date Full name of contributor ❑out-of-state PAC(IDS: I Amount of In-kind contri • n Contribution $ . de n Contributor addr , City; State; Zip Code Check if travel outside of Texas.Complete Schedule T. Principal occupation/Job title (FOR NON-JUDICIAL)(See Instructions) Employer (FOR NON-JUDICIAL)(S nstructions) Contributor's principal occupation (FOR JUDICIAL) Contributor's job title R JUDICIAL)(See Instructions) Contributor's employer/law firm (FOR J IAL) Law firm contributor's any)spouse if p (FOR JUDICIAL) If contributor is a chit w firm of parent(s) (if any) (FOR JUDICIAL) 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 (JUDICIAL) SCHEDULE B(J) 1 Total pages Schedule B(J): The Instruction Guide explains how to complete this form. 2 FILER NAME 3 Filer ID (Ethics Commission Filers) �6 C) S. C 3(*) t_ ,.J A ,( � . 4 TOTAL OF UNITEMIZED PLEDGES $ , ` E ti 64 5 Date 6 Full name of pledgor ❑ out-of-state PAC ID#: .) 8 Amount 9 In-kind contribution of Pledge$ description 0 %.) c d !`J A A , 7 Pledgor address; City; State- Zip Code pop r� E N/A J k � Check if travel outside of Texas. Complete Schedule T. 10 Pledgor's principal occupation 11 Pledgor's job title 12 Pledgor's employer/law firm 13 Law firm of pledgor' pouse (if any) 14 If pledgor is a c , law firm of parent(s) (if any) Date Full name of pledgor ❑out-of-state PAC(ID#: Amount In-kind c ribution of Pledge$ iption Pledgor address; City; State; Zip Code Check if travel outside of Texas. Complete Schedule T. Pledgor's principa cupation Pledgor's job title Pledgor's employer/law firm Law firm of pled s spouse (if any) If pledgor is a chili .w firm of parent(s) (if any) Date Full name of pledgor ❑out-of-state PAC(ID#: Amount - ' . contribution of Pledge$ description Pledgor ress; City; State; Zip Code Check if travel outside of Texas. Complete Schedule T. Pledg s principal occupation Pledgor's job title Pledgor's employer/law firm Law firm of pledgor' spouse (if any) If pledgor is a chit , aw firm of parent(s) (if any) 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 (JUDICIAL) SCHEDULE E(J) 1 Total pages Schedule E(J): The Instruction Guide explains how to complete this form. 2 FILER NAME 3 Filer ID (Ethics Commission Filers) GJ Lb. o ,.• S . CP ti.f••e) JQ-_. — 4 TOTAL OF UNITEMIZED LOANS ► 1 1 6 �( /A $ ' `ano�e (l, Jr/ 5 Date of loan 7 Name of lender ❑ out-of-state PAC(ID# /y( 9 Loan Amount ($) N J E N(A N Co - //'% /• P 6 Is lender 8 Lender address: City; State; Zip Code 10 Interest rate a financial NA Institution? N� h� C Y N N u %As 11 Maturity date NOaE- ef-)(t 12 Lender's Principal Occupation 13 Lender's Job Title 14 Lender's Employer/Law Firm 15 Law Firm of lender's spous any) 16 If lender is a c ' , law firm of parent(s) (if any) 17 Description of Collateral - 8 Check if personal funds were deposited into political account (See Instructions) ❑ none I I 19 GUARANTOR 23 Name of guarantor 22 Amount Guara $) INFORMATION 21 Gu for address; City; State; Zip Cod of applicable 23 Guarantor's Principal Occupation 24 Guarantor's Job Title 25 Guarantor's Employer/Law Firm 26 Law Firm of guar •r's spouse (if any) 27 If guarantor is ild, law firm of parent(s) (if any) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If lender is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule Fl: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) I t,34*r a o ,.1 .S . Car L..,`...P J R 4 Date 5 Payee name 11/45oJE 1J N0t N(A 6 Amount ($) 7 Payee address; City; State; Zip Code/Pk Not) ( [JA N0o F N 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 A- I I Check if Austin,TX,officeholder living ex ense EXPENDITURE l _ ^V C o /' A. N.) /J rc e 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address: City; State; Z ode Category (See Categories . ted at the top of this schedule) Description PURPOSE I I Check if tr.,-1 outside of Texas.Complete Scheduler OF EXPENDITURE Ch-- if Austin,TX,officeholder living expense Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State ip Code Category (See Cate es listed at the top of this schedule) Descriptio PURPOSE I Che- if travel outside of Texas.Complete Schedule T. OF EXPENDITURE heck 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 I 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 Exp ense 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 F2: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) L364-63A) S. CbPf L,%P r./ ..(2 . 4 TOTAL OF UNITEMIZED UNPAID INCURRED OBLIGATIONS $ , `c.5k) A j/� 5 Date 6 Payee name NV p te ok N/A NOaF N A 7 Amount ($) 8 Payee address; City; State; Zip Code Ni/k tO(A I1/4) C) 4 0 /A 9 TYPE OF EXPENDITURE Political A \J to L Non-Political p J /J ,E 10 (a) Category (See Categories listed at the top of this schedule) (b) Description ` , D 4 /' a I A PURPOSE Check if travel outside of Texas.Complete Schedule T. OF EXPENDITURE `) J , 1 G .4 I Check if Austin,TX, officeholder living expense 11 Complete ONLY if direct Candidate /Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code TYPE OF EXPENDITURE Political Non-Political Category (See Categories listed at the top. s schedule) Description PURPOSE 17 Check if travel outside of Tex. -.mpleteScheduleT. OF EXPENDITURE ICheck if Aus'-, X. officeholder living expense Complete ONLY if direct C. didate/ Officeholder name Offic- _ought 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 Total pages Schedule F3: The Instruction Guide explains how to complete this form. 2 FILER NAME 3 Filer ID (Ethics Commission Filers) W� VDO d c� � (./tfJ O ,6 . 4 Date 5 Name of person from whom investment is purchased 6 Address of person from whom investment is purchased; City; State; Zip Code p 6 p /A 7 Description of investment 8 Amount of investment ($) 6 /1/4J (A Date Name of person from whom investment is purchased Address of person from wh.- investment is purchased; City; State; Zip Code Description of investment Amount of investme. .) 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 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 F4: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 1 (pi EL1>JNI Ca PiL.iI/-1O 4 TOTALOF UNITEMIZED EXPENDITURES CHARGED TO ACREDIT CARD $ (00 E (v 4 5 Date 6 Payee name p 7 Amount ($) 8 Payee address; City; State; Zip Code Not6 1...4 p o 0 NA 9 TYPE OF p , t„) ,� rEXPENDITURE Political 1 �� 1 L Non-Political (r. ft /// 10 (a) Category (See Categories listed at the top of this schedule) (b) Description () 1 c A d PURPOSE Check if travel outside of Texas.Complete hhedule T. OF EXPENDITURE t D 0 F .._)(A. 1 I Check if Austin,TX,officeholder living expense 11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH 1.) 0 o (- t..)(A Date Payee name Amount ($) Payee address; C. , State; Zip Code TYPE OF EXPENDITURE Political Non-Political Category (See Categories listed at the top of this schedul- Description PURPOSE !Check if travel o .-of Texas.Complete Schedule T. OF EXPENDITURE Che Austin, TX. officeholder living expense Complete ONLY if direct andidate/ Officeholder name Offi•- 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) 4 Date 5 Payee name 6 Amount ($) 7 Payee address; City; State; Zip Code PA)F ` 1;Reimburse tfrom 0 0 N N A political contributions inter ekil 8 (a)Category (See Categories listed at the top of this schedule) (b) Description pDt3 A) PURPOSE / — OF A l I Check if travel outside of Texas.Complete Schedu a T. EXPENDITURE N Nme I I Check if Austin.TX,officeholder living expense 9 Complete ONLY if direct Candidate/Officeholder n Office sought Office held expenditure to benefit C/OH A—)C.) (\)7 Date Payee name Amount ($) Payee address; y; State; Zip Code Reimbursement from political contributions intended Category (See Categories listed at the top is schedule) Description PURPOSE OF Check if travel outside of .Complete Schedule T. EXPENDITURE I I Check if Au .TX,officeholder living expense Complete ONLY if direct Cand' to/Officeholder name Office ght Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Reimbursement from political contributions inter xled Category (See Categories listed at the top of this schedule) Description PURPOSE OF I I Check if travel outside xas.Complete Schedule T. EXPENDITURE I Check if A ,TX,officeholder living expense Complete ONLY if direct Can ate/Officeholder name Office so ht 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 I PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH SCHEDULE H 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 Contnbutions/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 H: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 1 WEVO4tJ S • C oPELe,mi / JD. . 4 Date 5 Business name N0a F D(A Nd NI E JJ'if1 6 Amount ($) 7 Business address: City; State; Zip Code 1)o I)6 P(A N o h) /v/j� 8 (a) Category (See Categories listed at the top of this schedule) (b) Description //! , AVA PURPOSE I I Check if travel outside of Texas.Complete Schedule T. OF /// EXPENDITURE A ' D _ \( Ni D❑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 ($) Busines ddress: City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE I Check if travel outside of Texas. plete Schedule T. OF EXPENDITURE l I Check if Austi ,officeholder living expense Complete ONLY if direct Candid /Officeholder name O ' e sought Office held expenditure to benefit C/OH Date Business name Amount ($) Business address; City; ate; Zip Code Category (S-• ategories listed at the top of this schedule) D x_cription PURPOSE I Check if travel outside of Texas.Complete ScheduleT. OF 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 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) W1E � Q � S , P6rL/1.r+ d Jn, 4 Date 5 Payee name N a E i1/4 6 Amount ($) 7 Payee address; City; State; Zip Code No(N)F NC J o� �- ,v(14 8 (a)Category (See instructions for examples of acceptable (b)Description (See instructions regarding type of information PURPOSE categories.) required.) OF EXPENDITURE - ` 0 0 /� /A Date Payee name /`./ /'J Amount ($) Payee address; City; State ip Code PURPOSE Category (Se. structions for examples of acceptable Description - instructions regarding type of information categories.) required.) OF EXPENDITURE Date Payee name Amount ($) Payee address; City; State; ode PURPOSE Category (See tructions for examples of acceptable De ption (See instructions regarding type of information OF categories.) wired.) EXPENDITURE Date Payee name Amount ($) Payee address: City; State ip Code Category (See tructions for examples of acceptable / Ption (See instructions regarding type of information PURPOSEcategories) quired.) OF EXPENDITURE ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.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) b..) leA ^1 S . 4 Date 5 Name of person from whom amount is received 8 Amount ($) 6 Address of person from whom amount is received; City; State; Zip Code to(A N Ni N 4 (°64 7 Purpose for which amount is received I I Check if political contribution returned to filer fJ N Date Name of person from whom amount is received Amount ($) : :::r ::on:iixiii:: eceved; dre pe hn ' ri City; State; Zip Code rpo d Ch if political contribution returned to filer Date Name of person from whom amount is received Amount ($) Address of person from whom amount is recei City; State; Zip Code Purpose for whit mount is received I I C ck if political contribution returned to filer Date Name of person from whom amount is received Amount ($) Address of person from whom amount is rec-' -.; City; State; Zip Code Purpose for whic• .mount is received Che if political contribution returned to filer ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 OUTSTANDING LOANS SCHEDULE L 1 Total pages Schedule L: The Instruction Guide explains how to complete this form. 2 FILER NAME 3 Filer ID (Ethics Commission Filers) LENDER 4 Name of lender INFORMATION iLVA NC� 5 Lender address; City; State; Zip Code N GUARANTOR 6 Name of guarantor INFORMATION%) O • ! A t;�r N ��,/ ❑ not applicable 7 Guarantor address; City; State; Zip Code N LENDER Name of fender INFORMATION Lender address; City; S Zip Code GUARANTOR Name of guarantor INFORMATION ❑ not applicable Gu.':ntor address; City; State; Zip Co LENDER Name of lender INFORMATION Lender address; City; State; -Zip Code GUARANTOR Name of guarantor INFORMATION ❑ not applicable Guaranto ddress; City; State; Zip .de LENDER Name of lender INFORMATION Lender address City; State Zip Code GUARANTOR Name of guarantor INFORMATION ❑ not applicable Gu.,ntor address; City; State; Zip Code ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 i ASSETS VALUED AT $500 OR MORE SCHEDULE M 1 Total pages Schedule M: The Instruction Guide explains how to complete this form. 2 FILER NAME 3 Filer ID (Ethics Commission Filers) OEL,uc.)14 C . CoN 1/4.4A/A J k , 4 Description of Asset Description of Asset Description of Asset Description of Asset Description of Asset Description of Asset _ I Description of Asset Description of Asset Description of Asset Description of Asset Description of Asset ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 1 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) (� E L.°. O AJ S, C 611 t L. h ev-A 4 Name of Contributor/Corporation or Labor Org ization/Pledgor/Payee )000E N/A 5 Contribution/Expenditure reported on: /J o 0 ,[ VA ❑Schedule A2 ❑Schedule B ❑Schedule B(J) ❑Schedule C2 ❑ Schedule D ❑Schedule F1 ❑Schedule F2 ❑ Schedule F4 ❑Schedule G ❑Schedule H ❑ Schedule COH-UC ❑ Schedule B-SS 6 Dates of traveltl 7 Name of person(s)traveling �/A 0- 6N'G 8 Departure city or name of departure location A. tv N9 Destination city or name of destination locati n N0NF (0 10 Means of transportation 11 Purpose of travel (including name of o ference,seminar,or other event) N a cJ (- /l) d 4 IJ Name of Contributor/Corporation or Labor Organization/Pledgor/Payee Contribution/Expenditure reported on: tIe A2 ScheduleC2 ❑ScheF1 ❑ Schedule F4 ❑Schedule G ❑Schedule H chedule COH-UC ❑ Schedule B-SS Dates of travel Name of person(s)traveling Departure cit = ame of departure location Destination city or name of destination location Mea of transportation Purpose of travel (including name of conference, seminar, or other event) Name of Contributor/Corporation or Labor Or ization/Pledgor/Payee Contribution/Expenditur ported on: ❑Schedule ❑Schedule B ❑Schedule B(J) ❑Schedule ❑ Schedule D ❑Schedule F1 ❑S dule F2 ❑ Schedule F4 ❑Schedule G ❑ edule H ❑ Schedule COH-UC ❑ Schedule B-SS Dates of travel Name of person(s)traveling Departu • i y or name of departure location Destination city or name of destination location Mean •f transportation Purpose of travel (includi name of conference, seminar. or other event) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015