HomeMy WebLinkAboutCFR-10.04.2019-Fuller, AlexisCANDIDATE / 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.
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3 CANDIDATE /
MS / MRS MR FIRST MI
OFFICE USE ONLY
OFFICEHOLDER
NAME
A. lal
Date Received
NICKNAME LAST SUFFIX
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4 CANDIDATE /
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
/
D/
OFFICEHOLDER
/
ADDRESS
j � w Y\ F � � �
• l
Ej Change of Address
F �r 'X,
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5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
/ /
Date Hand -delivered or Dete Past�nar Ad
PHONE
6 CAMPAIGN
MS�I,i s MR FIs;SI- MI
LJ
Receipt # Amount $
TREASURER
e
NAME
Date ProCa ed
NICKNAME t.AST SUFFIX
!mot
r
Date mn ed
7 CAMPAIGN
TREASURER
STREET ADDRESS (NO PO BOX PLEASE); API ) SUITE N: GfTY; STATE;
zip CODE
✓ � 6 ��
ADDRESS
�
(Residence or Business)
8 CAMPAIGN
TREASURER
AREA CODE PHONE NUMBER EXTENSION
PHONE
`
9 REPORT TYPE
El January 15 301h day before election ❑ Runoff
❑ 15th day after campaign
treasurer appointment
(Officeholder Only)
El July 15 El eth day before election Exceeded $500limit
❑ Final Report (Attach C/OH - FR)
10 PERIOD
Month Day Year Month
Day Year
COVERED
q
D / f I 2- 2-'01+
� ^
THROUGH
11 ELECTION
ELECTION DATE
ELECTION TYPE
Month Day Year
❑ Primary ❑ Runoff ❑ Other
Description
General ❑ Special
12 OFFICE
OFFICE HELD (if any) 13 OFFICESOUGHT (ifknown) n
i ✓_� a u nu�
C�epf e 7Dwh
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
4
CANDIDATE / OFFICEHOLDER
FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
14 C/OH NAME
�-
15 Filer ID (Ethics Commission Filers)
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 CANDIDATES 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
❑ GENERAL
❑ SPECIFIC
COMMITTEE ADDRESS
COMMITTEE CAMPAIGN TREASURER NAME
Additional Pages
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
2. TOTAL POLITICAL CONTRIBUTIONS
$ U
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
TOTALSEXPENDITURE
3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS ITEMIZED
$
-7 ZZ r I
4. TOTAL POLITICAL EXPENDITURES
$ / I
/ O
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAYBALANC
OF REPORTING PERIOD
CONTRIBUTION
-------------
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
/
$
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
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.
Sig lure of Candidate or Officeholder
AFFIX NOTARY STAMP
/ SEALABOVE
Sworn t an s s
ibed before me, by the said this the
day of
20, to certify which witn hand and seal of office.
Irsmy
J ature of officer administering oath Printed name of officer a
ministering oath
r
LiNi}A aurH WHITE
Forms provided by Texas Ethics Commission www.ethics.state. 8x • My NOgry IV IF 1E4b3o IL.I Revised 9/8/2015
'':.'. Expires May 24, 2020
19
SUBTOTALS - C/OH FORM C/OH
COVER SHEET PG 3
FILER NAME 20 Filer ID (Ethics Commission Filers)
21
SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1-
SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS
$ /
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,
El
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: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS
RETURNED TO FILER
$
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 Total pages Schedule Al:
3 Filer ID (Ethics Commission Filers)
2 FILER NAME
or
4 Date
5 Full name of contributor ❑ out-ot-state PAC (toil: )
/Qom L r,✓��h c e
7 Amount of contribution ($)
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$ Contributor addr ss; ! City; State; Zip Code ��I
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$ Principal occupation / Job title (See Instructions)
9 Employer (See Instructions)
Date
Full name of contributor out-of-stato PAC (109:
/ 1 C iCfW'e. ck_'c
Amount of contribution ($)
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Contributor address: city; State; Zip Cade
oa s A(A s-h ki A ve- Ila��'3
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Principal occupation / Job title oe Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ nut -of -state PAC (top:
0,X4s-e, S��f
Amount of contribution ($)
�11v7/9
Ci State; Zip Code
Contributor addrf s
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Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date Full name of contributor ❑ oul-of-state PAC (100- I Amount of contribution ($)
69�3�f eu11n(n9 Liamf ivr►cAei $
Contributor address; City; State; Zip Code
93, w�16er91 /C 296-73
Principal occupation / Job title (See Instructions) Employer (See Instructions)
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
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form.
1 Total pages Schedule Al:
2 FILER NAME
/ /e�
f /� ✓`�
3 Filer ID (Ethics Commission Filers)
V, /
✓�
4 Date
5 Full ame of ontributor ❑ out-of-state PAC (ID#: i
7 Amount of contribution ($)
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6 Contributor a dresss, City; _State; Zip Code
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�jrmployer
8 Principal occupation / Job ti (See Instructions)
(See Instructions)
Dalc
Full name of Contributor ❑ ❑ut-al;stato PAC (10
Amount of contribution ($)
Contributor add rpp� City; 5 te; Zip Code
+� /4 D f Y41�l den
IV P"/:� r,C -7k ep
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of CgGtrib utar �El out-ct-sjata PAC poll: 1
Amount of contribution ($)
Contributor City; State; Zip Code
J `�
re"'.
I-C'( "VZ
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Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (to#: ) Amount of contribution ($)
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U�'�7�
. �uPe.. n (A✓`J
Contributor address; City; State; Zip Code
rq� G ��
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Principal occupation / Job title (See Instruc' ns) Employer (See Instructions)
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
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
The Instruction Guide explains how to complete this form.
1 Total pages Schedule At: 3
2 FILER N AUF�— // ^ /
3 Filer ID (Ethics Commission Filers)
�
i
4 Date
5 Full name of contributor ❑ out -of -stale PAC (ID& i
7 Amount of contribution ($)
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do
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7/2- 1
B Contrlbut address; r ! ^City; State: Zip Cade
r
8 Principal occupation / Job title (See Instructions)
9 Employer (See Instructions)
Date
Full name of contributor ❑ out -of -stale PAC (ID#: )
Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out-of-state PAC (ID#: 1
Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of contributor ❑ out -of -stale PAC (ID#, )
Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions) -
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
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/FundralsingExpense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donalions 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 /to
/ Cj—
// 1
5 Payee na
F+f /� T 5 �� f ✓1 t
6 Amount ($)
7 Payee address; Clly; State; Zip Code
IL
8 (a) Category (See Ca egories listed at the top of this schedule) (b) Description
e❑ Check ittravel outside ofTexas. Complete Schedule T.
PURPOSE I
OF �/) f h..F V, �it �-` ❑ Check If Austin, TX, officeholder living expense
EXPENDITURE(��
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
q li°�� 4/X4 fs
Amount
e
Payee Payee address; y City; Slato; Nr-�ev
L�I
}
��
Category (See Cate lies listed at the top of this schedule)
Description
PURPOSE
OF
r fV �,
❑ Check if travel outside of Texas. Complete Schedule
❑Check if Austin, TX, living
EXPENDITURE
n �„/ yL
officeholder expense
Ir
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
1? //3 q
Payee name
(,) s�,�Ik
Amount ($)
Payee address; City; St e; 2p ade
S
O. a 6
r ? �b7%
ALtvl ,Ce
Category (See Categones listed at the fop of this schedule)
Description
PURPOSE
OF
1 �
i ►�2 C C '`
❑Check iftraveloutside ofTexas.Complete Schedule T.
❑
EXPENDITURE
1 V
Check 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
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 SalariesANages/Contract Labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Sdule F1:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Date �1
D`�
5 Payee Warn
V
I
111 U-/-.�-
6 Amount ($)
7 Payee address; City; State; Zip Code
8
(a) Category (See 9legories listed at the top of this schedule)
(b) Description
PURPOSE
OF
Pr'\ V\ V<� /L k Yr, y�
Check if travel outside of Texas. Complete ScheduleT.
❑ Check it Austin, TX, officeholder living expense
EXPENDITURE
1f
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Payee address; City; State; Zip Code
Amount ($)
Category (See Categories listed at the top of this schedule)
Description
❑ Check if travel outside ofTexas. Complete Schedule T.
PURPOSE
OF
❑ Check if Austin, TX, olliceholder living expense
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
❑ Check if travel outside of Texas. Complete ScheduleT.
PURPOSE
OF
EXPENDITURE
❑ Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment& Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contrlbutlons/Donatlons Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/ConlractLabor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G;
2 FILER N
3 Filer ID (Ethics Commission Filers)
4 Date
5 Payee arne
Oal2�%q
6 Amount ($)
7 Payee address; City; State; Zip Code
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{ (QI Rc'Imtwrsementfrom
polifictil contributions
mended
$
(a) Category (Sea Categories fisted at the top of lhl5 gChudule)
(b) Description
PURPOSE
OF
f_
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❑ Check iltravel outside ofTexasComplete ScheduleT.
EXPENDITURE
aR JnG
[ L
❑ Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct andidate / Officeho der me Office sought Office held
expenditure to benefit C/OH
Date
09L
Payao name
RD b��fs f <<n kt"�
6i
Amount {$)
Payee address; City; State; Zip Code
7 E ,Reirrbursamem
political ntribul[o�iis
6 �I�
intlinded
Category (See Categories listed at the fop of this schedule)
(b) Description
PURPOSE
OF
N /c '/�,, Co
�� �
Check if travel outside of Texas. Complete ScheduleT.
EXPENDITURE
' ` `' „&-1
❑ Check it Austin. TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Q,5 /30/l q
Payee name
H4 r /&,n
Amount ($)
Payee address; City; State; Zip Code
?n ov
.59-DO XorA K4a A-v-k-wacl
�Reimbursementfrom
ecalcontributicns
Intended
Intended
Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
yn/
�'/
Check If travel outside of Texas. Complete ScheduleT.
EXPENDITURE/�'�
nIt
❑ Check 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
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE G
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Soficilation/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 Glft/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services Salarles/Wages/Contract Labor Other (enter acategory not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G:
3 Filer ID (Ethics Commission Filers)
2 FILEH NAME'
cc
r
4 Date
5 Payee name
6 Amount ($)
vv QRUrnursementfro
7 Payee address; City; State; Zip Code
/ O Q s-.
political contributiomns
//
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intended
1
8
(a) Category (See Categories listed at thetop of this schedule)
(b) Description
PURPOSE
OF
v�� e4t ��k��
❑ Check if travel outside olTexas.Complete Schedulal
El
EXPENDITURE
-s11411
C�,,(!/
Check If Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Iq
Payee nam
s 6'q11 k-
, e , �
Amount
Payee address: City; State; Zip Code
r
poiilniwrsementlrom
polplcalcanlributions
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(b) Description
❑
OF
EXPENDITURE
LJ f ^ v ► / T � Kul
C�
Check if travel outside alTexas. Complete Schedule T.
❑ Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / O iceho er name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
❑Reimbursement from
political contributions
intended
Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
❑ Check if travel outside of Texas. Complete ScheduleT.
OF
EXPENDITURE
❑ Check 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