HomeMy WebLinkAboutDavid Smith - January 2022 CANDIDATE I OFFICEHOLDER ORIGINALFORM CIOH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID 2 Totalspages ��' s'',,
The C/OH Instruction Guide explains how to complete this form. .`iY- i, '''
3 CANDIDATE/ MS/MRS/MR FIRST MI =. RICER.i.•NLYt-6OFFICEHOLDER U =
NAME David Date R etvedt - r'v
,
•NICKNAME LAST SUFFIX '',,`U>- •'•• .,
Smith n ` •`
4 CANDIDATE/ ADDRESS/PO BOX; APT I SUITE#; CITY; ZIP CODE Date Hand-delivered odA(g Post
OFFICEHOLDER 101 E. Park Blvd.,Suite 600 p(, I'i. a 0O2'
MAILING
Receipt# Amount
ADDRESS
❑Change of Address Plano,TX 75074
Date Processed
01. (al. oOc
Date Imaged
5 CAMPAIGN MS I MRS I MR FIRST MI
TREASURER
NAME 3U J.‘4 1A
NICKNAME LAST SUFFIX
/6 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE); APT I SUITE#; CITY; STATE; ZIP CODE
TREASURER /� p (( ^-� r
ADDRESS a7D� si ttia1a Tru t I, t Q vt \ 0_x4S ---I.5 623
(Residence or Business)
7 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
8 REPORT
TYPE [] January 15 0 30th day before election El Runoff Ej 15th day after campaign treasurer
appointment(officeholder only)
El July 15 El 8th day before election El Exceeded modified 0 Final Report(Attach C/OH-FR)
reporting limit
9 PERIOD Month Day Year Month Day Year
COVERED 11/01/2021 THROUGH 12/31/2021
to r.S
10 ELECTION ELECTION DATE ELECTION TYPE C7 Co ro
Month Day Year Primary 0 Runoff El Other rV
L.
03/01/2022 0 General special 2..
fV
11 OFFICE OFFICE HELD(if any) 12 OFFICE SOUGHT(if known)
Statutory County Judge DC
DC
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GO TO PAGE 2
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CANDIDATE I OFFICEHOLDER REPORT:OR/ 1Na FORM CIOH
SUPPORT & TOTALS L COVER SHEET PG 2
2 of 12
13 C/OH NAME Smith,David 14 Filer ID
15 NOTICE This box is for notice of political contributions accepted or political expenditures made by political committees to support the
FROM candidate/officeholder.These expenditures may have been made without the candidate's or officeholder's knowledge or
POLITICAL consent.Candidates and officeholders are required to report this information only if they receive notice of such expenditures.
COMMITTEE(S)
❑Additional Pages COMMITTEE TYPE COMMITTEE NAME
GENERAL Collin County Young Democrats
COMMITTEE ADDRESS
SPECIFIC P.O. Box 1281
Anna,TX 75409
COMMITTEE CAMPAIGN TREASURER NAME
Beland, Brant
COMMITTEE CAMPAIGN TREASURER ADDRESS
1108 Foxtrail Drive
Anna,TX 75409
16 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS(OTHER THAN PLEDGES,LOANS,
TOTALS OR GUARANTEES OF LOANS,OR CONTRIBUTIONS MADE ELECTRONICALLY) $ 330.00
2. TOTAL POLITICAL CONTRIBUTIONS $ 5,237.93
(OTHER THAN PLEDGES,LOANS,OR GUARANTEES OF LOANS)
EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURES $ 347.16
TOTALS
4. TOTAL POLITICAL EXPENDITURES $ 9,941.81
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF THE $ 1,061.24
BALANCE REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY $ 920.00
LOAN TOTALS OF THE REPORTING PERIOD
17 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.
°''e MALIK M AHMED
LNota #126179552
�rF0_t0' July 13, 2023 JlitiK
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/SEAL ABOVE
�{ � /VJr
Sworn to and subscribed before me,by the said a� � ,V ' �� C tt,j l ,this the �" !'r day
of 51) )1 ,20 L. ,to certify which,witness my hand and seal of office.
Signature of o cer administering Printed name of officer administering Title of officer'administering oath
norms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.ab979f02
SUBTOTALS - CIOH OR/GINA
I FORM CIOH
COVER SHEET PG 3
3 of 12
18 FILER NAME 19 Filer ID
Smith,David
20 SCHEDULE SUBTOTALS
NAME OF SCHEDULE SUBTOTAL AMOUNT
1. 0 SCHEDULE Al: MONETARY POLITICAL CONTRIBUTIONS $ 1,738.40
2. pX SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3,499.53
3. E SCHEDULE B: PLEDGED CONTRIBUTIONS $ 2,400.00
4. ❑X SCHEDULE E: LOANS $ 920.00
5. El SCHEDULE Fl: POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS $ 1,597.16
6. a SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7,000.00
7. 0 SCHEDULE F3: PURCHASE OF INVESTMENTS FROM POLITICAL CONTRIBUTIONS $
8. 0 SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $
9. a SCHEDULE G: POLITICAL EXPENDITURES FROM PERSONAL FUNDS $ 1,344.65
10. SCHEDULE H: PAYMENT FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $
11. 0 SCHEDULE I:NON-POLITICAL EXPENDITURES FROM POLITICAL CONTRIBUTIONS $
❑ SCHEDULE K:INTEREST,CREDITS,GAINS,REFUNDS,AND CONTRIBUTIONS RETURNED
12. TO FILER $
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.ab979f02
MONETARY POLITICAL CONTRIBUTIONSQ D I(�
Y L.
V f ti SCHEDULE Al
I
1 Total pages Schedule Al:
The Instruction Guide explains how to complete this form. Sch: 1/2 Rpt:4/12
2 FILER NAME 3 Filer ID
Smith,David
4 Date 5 Full name of contributor El out-of-state PAC(ID#: ) 7 Amount of Contribution($)
12/01/2021 Coleman,Scott $100.00
6 Contributor address; City;State;Zip Code
P.O. Box 221
940 FM 544
Wylie,TX 75098
8 Principal occupation/Job title(See Instructions) 9 Employer(See Instructions)
Date Full name of contributor 0 out-of-state PAC(ID#: ) Amount of Contribution($)
11/07/2021 Cornwallis,Alex $100.00
Contributor address; City;State;Zip Code
1901 Sweetwater Lane
Prosper,TX 75078
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor El out-of-state PAC(ID#: ) Amount of Contribution($)
11101/2021 David M. Smith City Council Campaign $8.40
Contributor address; City;State;Zip Code
101 E.Park Blvd., Suite 600
Plano,TX 75074
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor 0 out-of-state PAC(ID#: ) Amount of Contribution($)
11/07/2021 Dishong,Judy $100.00
Contributor address; City;State;Zip Code
6709 Ishnala Trail
Plano,TX 75023
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor El out-of-state PAC(ID#: ) Amount of Contribution($)
11/10/2021 Hyatt, Deborah $150.00
Contributor address; City;State;Zip Code
3116 Stonehenge Drive
Richardson,TX 75082
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.ab979f02
MONETARY POLITICAL CONTRIBUTIONS Q r i
G �'YJA J /
LSCHEDULE Al
I
1 Total pages Schedule Al:
The Instruction Guide explains how to complete this form. Sch:2/2 Rpt: 5/12
2 FILER NAME 3 Filer ID
Smith, David
4 Date 5 Full name of contributor out-of-state PAC(ID#: ) 7 Amount of Contribution($)
12/10/2021 Hyatt,Deborah $150.00
6 Contributor address; City;State;Zip Code
3116 Stonehenge Drive
Richardson,TX 75082
8 Principal occupation I Job title(See Instructions) 9 Employer(See Instructions)
Date Full name of contributor out-of-state PAC(ID#: ) Amount of Contribution($)
11/29/2021 Khan,Amanullah(Dr.) $200.00
Contributor address: City;State;Zip Code
6717 Talmadge Lane
Dallas,TX 75230
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor out-of-state PAC(ID#: ) Amount of Contribution($)
12131/2021 Lemons,Jeanie $500.00
Contributor address; City;State;Zip Code
5116 Sea Pines Drive
Dallas,TX 75287
Principal occupation/Job title(See Instructions) Employer(See Instructions)
Date Full name of contributor out-of-state PAC(ID#: ) Amount of Contribution($)
12/19/2021 Warner, Charles $100.00
Contributor address; City;State;Zip Code
800 Rainbow Drive
Richardson,TX 75081-4417
Principal occupation/Job title(See Instructions) Employer(See Instructions)
rorms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.ab9'/9f02
NON-MONETARY (IN-KIND) POLITICAL OR/G/NAL SCHEDULE A2
CONTRIBUTIONS
1 Total pages Schedule A2:
The Instruction Guide explains how to complete this form. Sch: 1/1 Rpt: 6/12
Schedule
2 FILER NAME 3 Filer ID
Smith, David
4 TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $
5 Date 6 Full name of contributor ❑out-of-state PAC(lD#: ) 8 Amount of 9 In-kind contribution
11/01/2021 David M. Smith City Council Campaign contribution($)1 description
$516.681 voter file
7 Contributor address; City;State;Zip Code
101 E.Park Blvd.,Suite 600
Plano,TX 75074 ❑Check if travel outside of Texas. Complete Schedule T.
10 Principal occupation/Job title(FOR NON-JUDICIAL) (See instructions) 11 Employer(FOR NON-JUDICIAL) (See instructions)
12 Contributor's principal occupation(FOR JUDICIAL) 13 Contributor's job title(FOR JUDICIAL) (See instructions)
14 Contributor's employer/law firm(FOR JUDICIAL) 15 Law firm of contributor's spouse(if any)(FOR JUDICIAL)
16 If contributor is a child,law firm of parent(s)(if any)(FOR JUDICIAL)
Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of In-kind contribution
11/28/2021 Numerick,Kevin contribution($)1 description
$2,500.001 campaign management
Contributor address; City;State;Zip Code 'services for the month of
7801 Elk Mountain Trail i November 2021
McKinney,TX 75070 ❑Check d travel outside of Texas. Complete Schedule T.
Principal occupation/Job title(FOR NON-JUDICIAL) (See instructions) Employer(FOR NON-JUDICIAL) (See instructions)
Contributor's principal occupation(FOR JUDICIAL) Contributor's job title(FOR JUDICIAL) (See instructions)
Contributor's employer/law firm(FOR JUDICIAL) Law firm of contributor's spouse(if any)(FOR JUDICIAL)
If contributor is a child,law firm of parent(s)(if any)(FOR JUDICIAL)
Date Full name of contributor ❑out-of-state PAC(1Dif: ) Amount of In-kind contribution
11/01/2021 Smith,David contribution($)1 description
$482.851 internet domains
Contributor address; City;State;Zip Code I
101 E.Park Blvd.,Suite 600
Plano,TX 75074 ❑Check 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)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.ab979f0�
PLEDGED CONTRIBUTIONS QOR/G
INA
L SCHEDULE B
1 Total pages Schedule B:
The Instruction Guide explains how to complete this form.
Sch:1/1 Rpt: 7/12
2 FILER NAME 3 Filer ID
Smith,David
4 TOTAL OF UNITEMIZED PLEDGES $ 0.00
5 Date 6 Full name of pledgor 0 out-of-state PAC(ID#: ) 8 Amount of 19 In-kind description
Ash,Ray pledge ($) 1 (If applicable)
7 Pledgor Address; City; State; Zip Code $600.00 I T-posts for road signs
I
12/07/2021 118 Edgemere Court I
I
I
Murphy,TX 75094 0Check if travel outside of Texas.Complete Schedule T.
10 Principal occupation/Job title(See Instructions) 11 Employer(See Instructions)
5 Date 6 Full name of pledgor El out-of-state PAC(ID#: ) 8 Amount of 1 9 In-kind description
Hyatt, Deborah pledge ($) I (If applicable)
7 Pledgor Address; City; State; Zip Code $1'800.00 I
I
12/10/2021 3116 Stonehenge Drive I
I
I
Richardson,TX 75082 0 Check if travel outside of Texas.Complete Schedule T.
10 Principal occupation/Job title(See Instructions) 11 Employer(See Instructions)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.ab979f02
LOANS URIC/NA L
SCHEDULE E
1 Total pages Schedule E:
The Instruction Guide explains how to complete this form. Sch: 1/1 Rpt: 8/12
2 FILER NAME 3 Filer ID
Smith, David
4
TOTAL OF UNITEMIZED LOANS $
5 Date of loan 7 Name of lender out-of-state PAC(ID#: ) 9 Loan Amount($)
11/07/2021 Smith,David $300.00
6 Is lender a 8 Lender address; City; State; Zip Code 10 Interest Rate
financial 101 E.Park Blvd., Suite 600
institution?
No 11 Maturity Date
Plano,TX 75074
12 Principal occupation/Job title(See Instructions) 13 Employer(See Instructions)
political consultant self
14 Description of Collateral 15 Check if personal funds were deposited into political account
❑X None (See Instructions)
16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed($)
INFORMATION
El not applicable 18 Guarantor address; City; State; Zip Code
20 Principal occupation 21 Employer(See Instructions)
Date of loan Name of lender El out-of-state PAC(ID#: ) Loan Amount($)
11/12/2021 Smith,David $620.00
Is lender a Lender address; City; State; Zip Code Interest Rate
financial 101 E.Park Blvd.,Suite 600
institution?
No Maturity Date
Plano,TX 75074
Principal occupation/Job title(See Instructions) Employer(See Instructions)
political consultant self
Description of Collateral Check if personal funds were deposited into political account
❑X None (See Instructions)
GUARANTOR Name of guarantor Amount Guaranteed($)
INFORMATION
El not applicable Guarantor address; City; State; Zip Code
Principal occupation Employer(See Instructions)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.ab979f02
POLITICAL EXPENDITURES FROM POLITICAL° SCHEDULE Fl
CONTRIBUTIONS RIG/NA
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation
Consulting Expense Food/Beverage Expense Polling Expense Travel in District Equipment&Related Expense
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
Sch: 1/1 Rpt: 9/12 Smith,David
4 Date 5 Payee name
11/13/2021 Democratic Party of Collin County-Primary Fund
6 Amount($) 7 Payee address; City; State; Zip Code
$1,250.00 1915 N.Central Expressway
Suite 150
Piano,TX 75075
8 PURPOSE (a)Category (See Categories listed at the top of this schedule) (b) Description
OF Fees Check if travel outside of Texas.Complete Schedule T.
EXPENDITURE
Check if Austin,TX,officeholder living expense
Filing fee for a place on the primary election ballot
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.ab979f01�
UNPAID INCURRED OBLIGATIONS RIG/NA
SCHEDULE FZ
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 F2: 2 FILER NAME 3 Filer ID
Sch: 1/1 Rpt: 10/12 Smith,David
4 TOTAL OF UNITEMIZED UNPAID INCURRED OBLIGATIONS $
5 Date 6 Payee name
11/28/2021 Nerio Strata
7 Amount($) 8 Payee address; City; State; Zip Code
$3,500.00 7801 Elk Mountain Trail
McKinney,TX 75070
9 TYPE OF
❑X
EXPENDITURE Political Non-Political
10 PURPOSE (a)Category (See Categories listed at the top of this schedule) (b)Description
OF Check if travel outside of Texas.Complete Schedule T.
EXPENDITURE Consulting Expense ❑
❑Check if Austin,TX,officeholder living expense
campaign management services for the month of
December 2021
11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
12/26/2021 Nerio Strata
Amount($) Payee address; City; State; Zip Code
$3,500.00 7801 Elk Mountain Trail
McKinney,TX 75070
TYPE OF 1] Political ❑ Non-Political
EXPENDITURE
PURPOSE (a)Category (See Categories listed at the top of this schedule) (b)Description
OF Consulting Expense ElCheck ittravel outside of Texas.Complete Schedule T.
EXPENDITURE
❑Check if Austin,TX,officeholder living expense
campaign management services for the month of
January 2022
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.ab979f02
POLITICAL EXPENDITURES FROM PERSONAL (l !Ii)S
Div/A '
GI f SCHEDULE G
_
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Consulting Expense FoodlBeverage Expense Polling Expense Travel in District
Contributions/Donations Made By- Gift/Awards/Memorials Expense Printing Expense Travel Out of District
Candidate/Officeholder/Political Committee Legal Services SalariesiWages/Contract Labor OTHER(enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 FILER NAME 3 Filer ID
Sch: 1/2 Rpt: 11/12 Smith,David
4 Date 5 Payee name
12/28/2021 Common Desk-Granite Park
6 Amount($) 7 Payee address; City; State; Zip Code
$400.00 5830 Granite Parkway
Reimbursement from Suite 100
Elpolitical contributions
intended Plano,TX 75024
8 PURPOSE (a)Category (See Categories listed at the top o1 this schedule) (b) Description Check if travel outside of Texas. Complete Schedule T.
OF Event Expense Check if Austin,TX,officeholder living expense
EXPENDITURE
venue for January 9,2022 campaign launch event
9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit
C/OH
Date Payee name
12/21/2021 Plano Chamber of Commerce
Amount($) Payee address; City; State; Zip Code
$400.00 5400 Independence Parkway
Reimbursement from Suite 200
Elpolitical contributions
intended Plano,TX 75023
PURPOSE Category (See Categories listed at the top of this schedule) Description El Check d travel outside of Texas. Complete Schedule T.
OF Fees Check it Austin,TX,officeholder living expense
EXPENDITURE
annual membership dues
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit
C/OH
Date Payee name
11/28/2021 Texas Democratic Party
Amount($) Payee address; City; State; Zip Code
$129.17 P.O.Box 15707
Reimbursement from
El
political contributions
intended Austin,TX 78761
PURPOSE Category (See Categories listed at the top of this schedule) Description ❑Check if travel outside of Texas. Complete Schedule T.
OF Fees ❑Check if Austin,TX,officeholder living expense
EXPENDITURE
voter file and related services
Complete ONLY if direct Candidate/Officeholder name Office sought Office held
expenditure to benefit
C/OH
•
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.ab979f02
POLITICAL EXPENDITURES FROM PERSONAL FOJ SCHEDULE G
G/N4
t
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan RepaymenUReimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense
Food/Beverage Expense Polling Expense Travel in District
ConsultingtnbtiExpense Travel Out of District
Co Candidate/ thcehold Made By- GLegal Services
Expense Printing/Wagese
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor OTHER(enter a category not listed above)
Credit Card Payment The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 FILER NAME 3 Filer ID
Sch:2/2 Rpt: 12/12 Smith,David
4 Date 5 Payee name
12/28/2021 Texas Democratic Party
6 Amount($) 7 Payee address; City; State; Zip Code
$129.17 P.O.Box 15707
Reimbursement from
political contributions
intended Austin,TX 78761
8 PURPOSE (a)Category (See Categories listed at the top of this schedule) (b) Description 0Check if travel outside of Texas. Complete Schedule T.
OF 0 Check if Austin,TX,officeholder living expense
Fees
EXPENDITURE voter file and related services
9 Complete ONLY if direct Candidate/Officeholder name
Office sought Office held
expenditure to benefit
C/OH
Date Payee name
11110/2021 ZippityPrint.com
Amount($) Payee address; City; State; Zip Code
$286.31 1600 E.23rd Street
Reimbursement from
Qpolitical contributions
intended Cleveland,OH 44114
PURPOSE Category (See Categories listed at the top of this schedule) DeSCrlptiOn 0 Check if travel outside of Texas. Complete Schedule T.
OF 0 Check if Austin,TX.officeholder living expense
EXPENDITURE Printing Expense
push cards and business cards
Complete ONLY if direct Candidate/Officeholder name
Office sought Office held
expenditure to benefit
C/OH
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us Version V1.1.ab979f02
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