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Home My WebLink AboutCFR-07.23.2019-Wilson-KirbyCANDIDATE / OFFICEHOLDER 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. 3 CANDIDATE / OFFICEHOLDER MS MRS / MR FIRST MI OFFICE USE ONLY NAME q r ` S LJ Date Received NICKNAME LAST SUFFIX RECEIVED JUL 2 3 2019 4 CANDIDATE / ADDRESS / PO BOX; APT / SUITE #; CITY; ST ZIP CODE OFFICEHOLDER MAILING ADDRESS �� '� City Secretary ' J ❑ Change of Address�Y,1_0_017f I 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION Date Hand -delivered or Date Postmarked OFFICEHOLDER PHONE 6 CAMPAIGN MS / MRS / MR FIRST MI Receipt # Amount $ TREASURER NAME , Date Processed NICKNAME L Si SUFFIX Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE TREASURER ADDRESS (Residence or Business) W 13 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 9 REPORT TYPE January 15 30th day before election El Runoff ID 15th day after campaign treasurer appointment (Officeholder Only) July 15 Bth day before election Exceeded $500limit DQ Final Report (Attach C/OH - FR) 10 PERIOD Month Day Year Month Day Year COVERED ` �' THROUGH / 7 /cZ3 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary ❑ Runoff ❑ Other IGeneral ❑ Description Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) J � Cl covot" ,6 GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT 14 C/OH NAME 16 NOTICE FROM THIS BOX 3S F HpTJCE pF POLITICAL CONTWBUTIONS ACCEPTED OR POLi1 POLITICAL SUPPORT THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE COMM ITTEE(S) KNOWLEDGE OH CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED OF SUCH EXPENDITURES. COMMITTEE TYPE COMMITTEE NAME ❑ GENERAL COMMITTEE ADDRESS SPECIFIC ❑ Additional Pages COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS FORM C/OH COVER SHEET PG 2 15 Filer ID (Ethics Commission Filers) JDITURES MADE BY POLITICAL COMMITTEES TO WITHOUT THE CANDIDATES OR OFFICEHOLDER'S THIS INFORMATION ONLY IFTHEY RECEIVE NOTICE 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) TOTAEXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, LS $ UNLESS ITEMIZED CONTRIBUTION BALANCE OUTSTANDING LOAN TOTALS 118 AFFIDAVIT 4. TOTAL POLITICAL EXPENDITURES 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ OF REPORTING PERIOD 6, TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $ LAST DAY OF THE REPORTING PERIOD ROSYN LOUISE DENSMORE •: W Notary ID # 125657056 ° , a �;, • = E�ires gprU 15, 2= 4 AFFIX NOTARY STAMP / SEALABOVE �a 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 1 ecfion Code. Signature of or Officeholder Sworn land subscribed before We, by the said this theday of%h J LA5�t— 20_0 -to certify which, witness my hand and seal of office. ignature officer administering oath Printed n me of officer administering oath Title J officer administering Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 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. SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS $ Qr 2• SCHEDULEA2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS $ 3• SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULE E: LOANS $ 5• SCHEDULE Fi : POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 6- SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8. 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 $ it. SCHEDULE I: NON -POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12 ❑SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS $ RETURNED TO FILER 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 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 F1: 2 FILER NAME \ 3 Filer ID (Ethics Commission Filers) /� 4 Date 5 Payee name 6 Amount ($) 7 Payee address; City; State; Zip Code �V-1 8 (a) Category (See Categories listed at the top of thi hedule) (b) Descnp n PURPOSE OF {1 � U U r ❑ CheckiftraveloutsideofTexas.CompleteScheduleT. ❑. Check if Austin, TX, officeholder living expense EXPENDITURE 111 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name 1 Ambunt ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of i schedule) Description ❑ Check iftraveloutside ofTexas.Complete ScheduleT. PURPOSE OF � C�e�l �L� � �� IV "�e.7 ❑ Check if Austin, TX, officeholder living expense EXPENDITURE �_ � olc 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 ❑ Check iftravel outside ofTexas. Complete Schedule T. PURPOSE 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 9/8/2015 CANDIDATE / OFFICEHOLDER REPORT: DESIGNATION OF FINAL REPORT FORM C/OH - FR The Instruction Guide explains how to complete this form. -- Complete only if "Report Type" on page 1 is marked "Final Report" •• 1 C/OH NAME 2 Filer ID (Ethics Commission Filers) 3 SIGNATURE , I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designat- ing a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign contributions or make any campaign expenditures without a campaign treasurer appointment on file. r Sifanture of C Hnd�dWlOflic- older 4 FILER WHO IS NOT AN OFFICEHOLDER •• Complete A & B below only if you are not an officeholder. — A. CAMPAIGN FUNDS Check only one: [!�( I do not have unexpended contributions or unexpended interest or income earned from political contributions. I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that may not convert unexpended political contributions or unexpended interest or income earned on political contributions to personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain unexpended contributions or unexpended interest or income earned on political contributions longer than six years after filing this final report. Further, I understand that I must dispose of unexpended political contributions and unexpended interest or income earned on political contributions in accordance with the requirements of Election Code, § 254.204. B. ASSETS Check only one: I do not retain assets purchased with political contributions or interest or other income from political contributions. I do retain assets purchased with political contributions or interest or other income from political contributions. I understand that I may not convert assets purchased with political contributions or interest or other income from political contributions to personal use. I also understand that I must dispose of assets purchased with pq)itical contributions in accord nce with the requirements of Election Code, § 254.204. 's4nalure of Candidate 5 OFFICEHOLDER •• Complete this section only if you are an officeholder t I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on file. I am also aware that I will be required to file reports of unexpended contributio it, after filing the last required repoff as an officeholder, I retain political contributions, interest or other income from political it, or assets purchased with politi- cal contributions or interest or other income from political contributions. Signature of vmc�nulut71 Forms provided by Texas Ethics Commission www.ethics.state.tx.us / Revised 9/8/2015