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CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE/
OFFICEHOLDER
NAME
4 CANDIDATE/
OFFICEHOLDER
MAILING
ADDRESS
❑ Change of Address
5 CANDIDATE/
OFFICEHOLDER
PHONE
6 CAMPAIGN
TREASURER
NAME
7 CAMPAIGN
TREASURER
ADDRESS
(Residence or Business)
6 CAMPAIGN
TREASURER
PHONE
MS INRY2W
FIRST
COVER SHEET PG I
NICKNAME
Sve Na. "
LAST
/ d gid-
ADDRESS I PO BOX; APT / SUITE X; CI
aC)�
D2�oti ,erg
6�ec°�TL,cv� y�
AREA CODE
PHONE NUMBER
(� i9-)
�3 - C :S -Su
r
TY':
3
FORM C/OH
COVER SHEET PG I
1 1`11 r ID (Ellice
2 Total pages filed:
7=w-lers)
- �!J 61"-7-
OFFICE t1SE ONLY
• -
Dale Received
SUFFIX
RECEIVE Q
STATE; LP CODE
APR 2 9 201
7� �3
City S L cre r
EXTENSION
Dele Harts delnered ar DAro Postmarked
MSi�AR
FIRST MI
NICKNAME
LAST - - SUFFIX
4 .N/f !
- �!J 61"-7-
STREET ADDRESS (NO PO BOX PLEASE); APT / SURE d: CITY; STATE;
o!O5� DMCiu 2.D
AREA CODE PHONE NUMBER EXTENSION
Q — z :�gj 5
msuipt g Amoum S
mute Pr�eed
DAla Imaged
ZIP CODE
9 REPORTTYPE - —
❑ January15 ❑ 30th day before election ❑ RunoK ❑ 15th day aaor Gmpr<ggn
treasurer -;r*" dmerd
(Offlosholder Only)
❑ July 15 Blh day before oloclion ❑ Eooad d S500krnit ❑ Final Repon (Anach GUH - FR)
10 PERIOD Month Day Year
COVERED
rf
11 ELECTION ELECTION DATE
Month Day Year ❑ Primary
r/# General
12 OFFICE OFICE HELD fa myj 4e,vge�,
Month Day Year
THROUGH
ELECTION TYPE ✓
❑ Runoff ❑ Omer
❑Description
Special
13 OFFICE SOUGHT
Grvr /s.v.aa
GO TO PAGE 2
www.ethics.staleAx.us
I ) a
Ilo,1+13-id 9/8/2015
CANDIDATE / OFFICEHOLDER
CAMPAIGN FINANCE REPORT FORM C/OH
COVER SHEET PG 2
14 C/OH NAME — —
��,r./J/� 15 Filer ID (Ethics Commission Filers)
16 NOTICE FROM TWs sox FOR NOHCP oP RouncaL CONTRIBUTIONS acrmlEo OR rouncAL EXPENDITURES MADE By PouncaL COrumTEEs To
POLITICAL SUPPORT THE CANDIDATE l' 'EHOLDER. THESE EXPENWENrES MAy HAVE BEEN MADE
COMMITTEE(S) XAbWLEWE ON CONSENT. CANDIDATES AND OFRCEHgAERS ARE REOUIRED TO REPORT THIS INFORMAWMfOUr TION TION ONLY IF THEY RE CANDIDATES OR ECEIVE NOTICE
OF SUCH EXPENDrruREs.
COMMITTEE TYPE CGA1 R5[i TES NAME — ..-..- —
0 n
GENERAL
SPECIFIC COMMITTEE ADDRESS
❑
Addllional Pages
COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 TOTALSCONTRIBUTION
T TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES. $
LOANS. OR GUARANTEES OF LOANS) �' L1�. ✓�
EXPENDITURE
�—
TOTALS
3. POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS $
�TOTAL
I I FMri:� U
— — —
4. TOTAL POLITICAL EXPENDITURES $ / 7 ( 7,9 7
/
/ !�
CONTRIBUTION
—
BALANCE
5. TOTAL FOLI I ICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERM $
OUTSTANDING
LOAN TOTALS
S, TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD $
18 AFFIDAVIT
']t.
I swear, oraffirm, under penalty of perjury, that the accompanying report is
fluaaod correct and incudes all information required to be reported by me
un" Title 15, ElecttiioonnLCedda.
f
Signature of Candidate or Officeholder
AFFIX NOTARY STAMP/
SEAL ABOVE
Sworn to and subscribed before me, by the said this the
day of _ . 20 , to certify which, witness my hand and seal of office.
Signature of officer administering oath
Forms Provided by Texas Ethics Commission
Printed name of officer administering oath
www.ethics.state.tx.us
Title of officer administering oath
Revised 9/8/2015
SUBTOTALS - C/OH
FORM C/OH
COVER
SHEET PG 3
19
FILER NAME
�2e Filer ID (Ethics Commission Fliers)
6>��
21
SCHEDULE SUBTOTALS yAr f J� /�
NAME OF SCHSCHEDULE / /
SUBTOTAL
AMOUNT
1.
19
SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS
$f
2•
SCHEDULE A2: NON -MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
$
3.
SCHEDULE B: PLEDGED CONTRIBUTIONS
$
4_
❑
SCHEDULE E: LOANS
$
5•
n
SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$/ 7?7
6•
SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
$
' •
SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
$
3-
nJ
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
9.
SCHEDULE G: POLITICAL EXPENDITURES MADE- FROM PERSONAL FUNDS
$
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: NTECREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS
RETURNED ERREST,
$
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; ;:11�as chey� A1:
2 FILER NAME
Q ,
3 Filer 10 (Ethics Commission Filers)
4 Data 5 Ful; namo of contributor ❑^
vul•o/l�•ota/fp Ppm t
6 Contributor7address; `J City; Sia lap Code
t�W J j-" I A
7 Amount 01 contribution ($)
�a
�l�r
8 Principal occupation / Job 1111. (See Ins[rul;f tansy 9 Employer (See Instructions)
Dale
Full name o1 contributor ❑ out -of -slate PAC (1131: _J
Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupallon / Job time (See Instructions)
Employer (See Instructions)
Dale Fuq name of contributor ❑ out-ol-state PAC (1131: ) Amount of contribution ($)
Contributor address; City; Slate; Zip Code
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor ❑ out -of -stale PAC p131� J
Amount of contribution ($)
Contributor address; City; Stale; Zip Code
I
Principal occupation / Job title (See Instructions)
Employer (See Inslruclions)
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.slate.tx-us Revised 9/8/2015
�f / I�
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The instruction Guide explains how to complete this form. I T.
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
4 Date 5 Fun name Of cortrlbrnot G r,�;.�i. stare PAC (h _� 7 Amount of contribution ($)
� 11111 p' r,¢AR
��6 & Zip Catle�
J
8 Principal occupation /Job title (See Instructions) f 9 Employer (See Instructions)
Date Full name of contributor ❑ out-ol-stare PAC (IDU: _ —�J Amount of contribution ($)
�,fl/ 9 --'-ArA*b CA94Z B�Q�r,✓Grc.c. TT
COAtrlbulort addfess; City; Slate; Zip Code � . 10
Ipd. B&C
Principal occupation / Job line (See Instructions)
Employer (See Instructions)
Dale Full name of contributor ❑ out-ol-stale PAC. ! Amount of contribution ($)
d AAT
C"WNAPT address; City; State; Zip Code J -0,0i vv
Principal occupation /,lob title (See Instructions) Employer (See Instructions)
Date Full name of coni t lbutor ❑ our -of -elate PAC (IDU:I Amount of contribution ($)
71I h1406 "V PffL'
Contributor address; City; Stale; 71j5 Code
ZX
!—n W
Principal occupation / Job title (See tmi otlono) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULERS NEEDED
If contributor Is out -of -stale PAC, please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission v '%V-ethics-state-N.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form. — Y Total neva srn dui -
2 FILER NAME C 3 Filer ID (Ethics Commission Filers)
4 Date 5 Full name of contributor out-ol-stale PAC lipr �� 7 Amount of contribution ($)
6 Culor ad. Bras..: City
; State; zip code
oe
� iCr-r�1J✓'j ���
S Principal occupation. Job title (See Instructions) 9 Employer (See instructions)
Date l=ull nartp of oo-nirlbulor O Mit•of PAC (011
Amoumyof�conirlbutlon ($)
Oj
�70/j'iJ�Jbulor s
nudros: 'City,}I 'State,m Zp Code /t I to
Principal occupation / Job title ( e Instructions) Employer (See Instructions)
Date Full—mo of conlri6ulu[ ❑out-of-etaD/[} q5C {lfb Amount of contribution ($)
axoy 4W A90
' h Corkn i L-JjI i, l r ass G11 State; Zip Code S,�i
Principal occupation /Job title (See lrtli 11 liC lin It":{ Employer (See Instructions)
Date F name of corrbuior r-et:ra+0 PPC (Mil
u
� (� ) Amount of contribution ($)
City Ala_ I{p Cotl
RMY.-
Principa
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.N.us Rrvmrn 9/8/2015
EXPENDITURES MADE BY CREDIT CARD
Payee no"
W6115
SCHEDULE F4
Amount ($)
EXPENDITURE CATEGORIES FOR BOX Y 0(a)
Advertising Expense
Aooelxuln%Uaak,mg
i+inWPlifrg ExgttSe
Event Expense LoanfleF� tC.al;pn[rnr,rrrx'•rd
Fees 7Rr ° SrlPliana.irre6Pv.rp Erpgnx
V.n11M.1aHental Expense f—pportAlien
;
EN6a.
Faad�e ireMGrrrn+IG Rol pt[k1E.pi
r{r pons° Tmval In DmLn l
GorrhibuliorrJDonedons Made By Gth'Awards""""ialsFpaha Prinnno Expanse Travel Out Ol District
Cand4SalkC]IfiLaholdar/POlflhal Committee Loyal
servicesc"i.,ree,yr�y�dr Darer (entera category net listed above)
❑ Political
The Instruction Guide explains how to complete this form.
T Total pages Schedule F4:
2 FILER NAME
l�
`xw
3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TOACREDIT CARD
$
6 Payaa name
Amount ($)
8 Payee address; City; Stale; Zip otic
i9oy s s7ti
/� 5' y
,"
9 TYPE OF-----
EXPENDITURE
" '
Political EINon-Political
1D
(al�C].ategory(Sha La'agnno: lam/+y mvlorr pl l[w5 scchhodu'a)
(b) Descriptionu y
PURPOSE
//�,111LIIIAl� /�+ `/ y f,.
Yj/" r—/
j
❑Ch.*dtrvelms'doofTexes CanmWle SchedWeT.
EXPENDITURE
// /�fi�C-
❑Check if Austin, Tx, officeholder living expense
11 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Va
/ 11
Payee no"
W6115
Amount ($)
Payee eddross; City;
State; Zip Code
TYPE OF
EXPENDITURE
❑ Political
F� Non-Pollfical
PURPOSE
OF
Category (Sec Calegerres listed at the
`•�i,/y,✓7��
lop of thls uhodule)
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name
expenditure to benefit C/OH
Description
❑Chec1killrweloutxideof Texas Compkle5chedulaT.
❑Check if Austin, Tx, officeholder Irving expense
Office sought
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us
Office held
Revised 9/8/2015
EXPENDITURES MADE BY CREDIT CARD
Payee name
1; cddress;
Y City- State: p r:nri.•
I P s.
Amount ($)
I'
SCHEDULE F4
EXPENDITURE CATEGORIES FOR BOX 10(a)
TYPE OF
EXPENDITURE
Accouning/Ba id Fvvni[xncrr••.. gaingovarn Mru•]'irvrpxv r.vrwrd
Accourti n ng rwnel
:rr+mLomTnr rp13 w.
[.17.vrOvmlry�STip4al Fippnco
Consulting Expense L-md,FWvp.aSnr'.Pm•.: fruwrg E+p�,ngp
rem
�1i°rr r7r'� Id Romledf"-. po
ContrbulionsrponationsMode BY GiR�ypre!dA+Anu.uonal5 Expense I�;n
travel to Disarn
Candidate/Officeholder/Pofiiicrl Commutne I.ogal,aww!�F �-fel.lno>:Mlrag4dinotrIId LAdlfd
=4
Travel Out Ol District
Omar (entero
The Instruction Guide explains how to complete this form.
mbgory nor(sled above)
1 Total pages Schadule F4:
1 2 FILER NAME
�r F Il
3 Filer ID (Ethics Commission Filers)
4 TOTALOF UNITEMIZED EXPENDITURES CHARGED TOACREDIT CARD
$
5 Dia
6 Payee name
Amount ($)
8 Payee address; City; State: Zip Code
�
110"�'Ps. G.&Al
9 TYPE OF
EXPENDITURE
Political ❑ Non -Political
--- —
10
(a) Cat"—
egory (sen Calegones (sled at he lop of this schedule) (b) Description
PURPOSE ���
OF D Check it travelas ou5ide of TexCampfele SUedufe T.
EXPENDITURE ❑check a Aasun• Tx• oftah.ld., wing e,pensa
11 Complete ONLY if direct Candidate I Officeholder name Office sought
expenditure to benefit C/OH 9 Office hem
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.stale.tx.ue Revised 9/8/2015
Payee name
1; cddress;
Y City- State: p r:nri.•
I P s.
Amount ($)
I'
TYPE OF
EXPENDITURE
Political F� Non-Polilical
6A lennry (&0 Categories liOW at lin t* al tlw.. r,o uie)
Description
PURPOSE
OF
EXPENDITURE
�y � n /
❑Checkgtravnl outside of Texas r ,npfele Schedule T.
❑ Gheck if Auslin, TX, officeholder fi—
/
g ex pensc
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.stale.tx.ue Revised 9/8/2015
EXPENDITURES MADE BY CREDIT CARD
11 Complete ONLY if direct Candidate / Officeholder name
expenditure [o benefit C/OH Office sought Office held
SCHEDULE F4
EXPENDITURE CATEGORIES FOR BOX 10(a)
Advafeeingexpensa
;;IWn'JTjWyTlonstAndo eventCxpelW� +asnFkrany.*gnluo�axrnslnw.n
Amgmtlnp-a er'nh Eons amrmonrt„no.arclrgE eperrso
Crngiugingr; rppnw rq�, pg�E -� Z1efa}f r]uneWkl3tlHaarEeppnnn irn...rnolwfa. E¢rlpnwrrt h ReLwl dE.Prty
Con[r otrMg E.INn:u 1'.arp]Lf Diyekl
SN GlhfAwwdarMwrwruW: Frpr.rrse pnnp.y [xpvf.se;
ChirlrfaER,4MIrxfhni,Yorlpn�MC81 Committee 1,00111 ^Mr/ricpp TraveltOul 01 District
SWartvyW,r Mrd\l[pwr floe listed above)
The Instruction Guide explains how to complete this loan. Otherenrera®Iagpry
1 Total pages Schedule F4; I 2 FILER NAME — - -
3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD
5 Dale 6 Payee name
'�!!// 9 Tff�SUn//,v�w,t�i9P�,e
7 Amount (S) E Payee address; City; State; Zip Code
�o ti
�� .C�wLl
TYPE OF —
EXPENDITURE � Political ED Non -Political
10 (e) Category (See Categories listed al the lap of lois schedule) (b) Description
PURPOSE 14�%��/1/�'/�� �Cneck ill2vel ou6ioo of Texas.0
OF rG► ! omplele Schedule T.
EXPENDITURE Check it Austin, 7X, Officeholder
Date ) Payee name
Amount ($)I Payee address; City; State; Zip Code
TYPE OF
EXPENDITURE ❑ Political F-1 Non -Political
Category (Seo Calepories listed al the lop or Uris schedule) Description
PURPOSE ❑ CheckH lmvel (x lsme olTexas ComplBte Schedule T.
OF
EXPENDITURE ❑Check it Austin, TX, olliceholder living expense
Complete ONLY if direct
expenditure to benefit ClOH Candidate / Officeholder name Office sought Office held
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics-state.tx.us
Revised 9/8/2015
living ospense
Date ) Payee name
Amount ($)I Payee address; City; State; Zip Code
TYPE OF
EXPENDITURE ❑ Political F-1 Non -Political
Category (Seo Calepories listed al the lop or Uris schedule) Description
PURPOSE ❑ CheckH lmvel (x lsme olTexas ComplBte Schedule T.
OF
EXPENDITURE ❑Check it Austin, TX, olliceholder living expense
Complete ONLY if direct
expenditure to benefit ClOH Candidate / Officeholder name Office sought Office held
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 6(a)
Advu+nchrp Expense [vglh E.j mnpe laanr
rep Orn
Cons+lA ltinng Expense �vrrwa4Unnninl p'rP¢rrd
SabdlWrwtrFarlpryrynp Exr+etae
ag*Cxpqnwgwr/Ryrinfrsmnxrlle
Coneibulio 'vDonaaons Made ey [3:11Nw rh YsdQ1li T:rpenst
u �
TrpWM.%Qe ippni1AiWPgei A rprlpted &P msc
Trnvol In Dl it
Candida"10ffi.h.kJer/P.fdical Committee tepxl$ �Ex� A
Crsdl Card Pay—ni ItfAiT�vrri'aH lflfCx
Travel Out Of District
Other (enteranegory not lisledabove)
The Instruction Guide explains how to complete this form.
Total pages Schedule Fl: 2 FILER NAME
3 Filer ID (Ethics Commission
a, Al
r7
Filers)
4 Dale 5 Payee n`am—e _
ril-
6 Ammoount($) 7 Payees address; City; State; Zip Code
....0/00) IvW /—redo~
8
PURPOSE
OF
EXPENDITURE
9 Complete ONLY it direct
expenditure to benefit CICH
(a) Category (Sea CatagorieshAtedalthetopofthisschadulc) (b) Do,cripBon
❑Che xbawlo,, WeotTeras Completo Sdtodule T.
/^��J .f/ Check it Ausfiry T%, olllceholtler living erpense
Candidate / Officeholder name Olrice sought Office held
Data Payee name
���t/ )l r /� � PtlCity: State: Zip Code
Category (See Colegor,mi sred allh`e Wpat his schedule)
PURPOSE
OF /- Y
EXPENDITURE
Complele ONLY it direct Candidate; Officeholder name
expendilure to benefit C/OH
Date Paye. name
Amount ($) Payee address; City; State; Zip Code
Category (See Calegoiles listed at the lop of this schedule)
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name
expeodilure to benefit CIOH
Description
❑ Checkifpvvl wLsderl Atl'gs.Coniptele SclYpApT.
❑ Check R Austin, TX at ahvldo living emiltMe
Office sought Office held
Description
❑ Chedrit travel- WeWfk cq pletet37xCeN T.
❑ Check if Auslin, TX, 0t5lktl0idet livinp *+Hate
Office sought Office held
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Fors provided by Texas Ethics Commission www.ethies.state.tx.us
Revised 9/8/2075