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HomeMy WebLinkAboutCFR- King - 01.14.2021CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 �1 Filer ID (Ethics Commission Filers) 2 Total pa filed: The C/OH Instruction Guide explains how to complete this form. i 3 CANDIDATE / OFFICEHOLDER MS 1 MRS / MR FIRST MI OFFICE USE ONLY NAME( . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date Received NICKNAME LAST SUFFIX 16 RECEIVED JAN 14 2021 q CANDIDATE / ADDRESS / PO BOX: APT ! SUITE #; CITY; STATE; ZIP CODE OFFICEHOLDER MAILING ADDRESS G.� r� � Z '�'�/ CITY / Y SEC. LJ Change of Address 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEPHONE HOLDER � 15(^ ` LJ J Cw�, r Date Hand -delivered or Date Pot arked 1,11 6 CAMPAIGN MS / MRS / MR FIRST MI Receipt # Amount $ TREASURER ��/ NAME. Date Processed NICKNAME LAST SUFFIX Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOXPLEASE): APT / SUITE #; CITY; STATE; ZIP CODE TREASURER ADDRESS (Residence or Business) 8 CAMPAIGN IREA CODE PHONE N EXTENSION TREASURER PHONE 9 REPORT TYPE January 15 30th day before election Runoff 15th day after campaign treasurer appointment (Officeholder Only) July 15 8th day before election Exceeded Modified Final Report (Attach C/OH - FR) Reporting Limit'` 10 PERIOD Month Day Year Month Day Year COVERED (� Q� DopO THROUGH 11 ELECTION ELECTION DATE —1 ELECTION TYPE Month Day f`C�/��_ ❑ Primary I//�L Runoff ❑� Other Year 777---"'Description r ❑ General ❑ Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) coo GO TO PAGE 2 t-orms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 15 C/OH NAME 116 Filer ID (Ethics Commission Filers) 17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN TOTALS I PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $ I I- CONTRIBUTIONS MADE ELECTRONICALLY) $ ^ D l I6 2. TOTAL POLITICAL CONTRIBUTIONS THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) (OTHER .......... EXPENDITURE i _ 3. TOTALS TOTAL UNITEMIZED POLITICAL EXPENDITURE. $ 4. TOTAL POLITICAL EXPENDITURES $ 6A/� �} .................. i Lw CONTRIBUTION j 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ BALANCE OF REPORTING PERIOD ©'� OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 18 SIGNATURE I swear, or affirm, under penalty of perjury, that the accompanying report is true and corre(DI, includes all information required to be reported by me under Title 15, Election Code. \ (1) Affidavit Ca Please complete either option below: .--... KAREN FROST Notary ID # 1053608-4 N9+F My Commission Expires May 24, 2024 NOTARY STAMP / SEAL Sworn to and subscribed before me by L4 �iL 20 �!p certify whi�.O, witness my hand and seal of Signature df offcer administering oath (2) Unsworn Declaration My name is My address is Executed in Printed name of officer administering oath this the U day of aq &4 5Z. tie of lifficer ad inistering oath and my date of birth is (street) (city) (state) (zip code) (country) County, State of on the day of 20 (month) (year) Signature of Candidate/Officeholder (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID (Ethics Commission Filers) 21 SCHEDULE SUBTOTALS NAME OF SCHEDULE I SUBTOTAL I AMOUNT 1• LP SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS 2. FIP SCHEDULE A2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS $ —r1 -T� 3. SCHEDULE B: PLEDGED CONTRIBUTIONS I $ 4. El 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 $ 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 8/17/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total pages chedule Al: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) I 4 Date 15 Full name of co4ibutor ❑ out-of-state PAC (ID#: } 7 Amount of contribution ($) Zzoo,►.... . '.1)�.. �s........................................... _ 16 Contributor address; City; State; Zip Code �� -TX 8 Principal occupation / Job title (See Instructions) g Employer (See Instructions) Date Full nameof contributorr1 �r❑ out-of-state PAC (iD#: > VawIli(� Amount of contribution...... , `-ay/, ............................... Contributor address: City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: ) F Amount of contribution ($) .................................................................................. 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#: 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. Revised 8/17/2020 NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS SCHEDULE A2 If the requested information is not applicable, DO NOT include this page in the report. The Instruction Guide explains how to complete this form. 1 Total p�ges Schedule A2: 2 FILER ArAE 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED I - IND POLITICAL CONTRIBUTIONS qLA 5 Date i 6 Full name of contributor ❑ out-of-state PAC (ID#: ) 8 Amount of I g In -kind contribution Contribution $ I description I 7 Contributor address; City; State; Zip Code I I [:]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#: ) I I Amount of In -kind contribution Contribution $ I description I ............................................................................ Contributor address; 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)(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) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements. Revised 8/17/2020 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 If the requested information is not applicable, DO NOT include this page in the report. 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 page::i a edule F1: 2 J=IL,,ER NAME 3 Filer ID (Ethics Commission Filers) C0� 4 Date lZ/`12) 20 5 Payee name Th 6 Amount ($) 7 Payee address; City; State; Zip Code Ty- -1(QO l l 8 PUROPOSE (a) Category (See Categories listed at the top of this schedule) ! (b) Description Trs EXPENDITURE�� l (C) Checkiftravel outside ofTexas.Complete Schedule T. Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit CIOH Date Payee name i � I13Igo u59S Amount Payee address; City; State; Code �($) 45. . y /Ziip� Category (See Categories listed at the top of this schedule) Description PURPOSE O F EXPENDITURE ,nf ,) „� IIIJJJ��� r�'v�-( l CCheck if travel outside of Texas. Complete Schedule T. 7 Check if Austin, TX officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date IZiI?dam Payee name wutlno�k Amount ($) Payee address; City; State; Zip Code 15?' ICjPa Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE � f � �I vv`J C 1 ' \a\A C� DCheck if travel outside of Texas.CompleteScheduleT. El Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethics. state.tx. us Revised 8/17/2020 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 If the requested information is not applicable, DO NOT include this page in the report. EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SalariesAn/ages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Tot I pages SQArjule F1: 2 FILER NAME \ lJ\ V 1 3 Filer ID (Ethics Commission Filers) 4 Dat Payee name a ku"t- C-� Qn2" 6 Amount ($) 7 Payee address, City; State; Zip Code 45,� —7— '� 8 (a) Category (See Categories listed at the top of this schedule) (b) Description U OF SE EXPENDITURE �C? � \\Check (C) Check if travel outside of Texas. Complete ScheduleT. if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name t4Zl Amount ($) Payee address; City; State; Zip Code 15(Nn- m Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE ^./ kl j .\ /'I— �( A �WV l� \ Check if travel outside of Texas. Complete Schedule C Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date t7'121 1-1m����� Payee name Amount ($) Payee address; City; State; Zip Code 14Q e- nw'A Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE ` \�� ` `/ Irf�,V��1` Check if travel outside of Texas. Complete ScheduleT. ;� 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 ruffns provluea Dy texas Links uommisslon www.etnics.state.mus Revised 8/17/2020 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 If the requested information is not applicable, DO NOT include this page in the report. 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 SalariesNVages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages SSAqdule F1: 2 FkER NAME \ 3 Filer ID (Ethics Commission Filers) 4 Date Payee name r 1 7— \ 5 \ 6 Amount ($) 7 Payee address; City; State; Zip Code G -/- I � � 8 (a) Category (See Categories listed at the too of thisschedule) (b) Description PURPOSE / Uhl O EXPENDITURE VJ6 (C) Check if travel outside of Texas.CompleteScheduleT. Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date �P/a�y(e�e. name Amount ($) Payee address; City; Code /State: �Zip PURPOSE Category (See Categories listed at the top of this schedule) G %\(-)L 1OF o/o�/]� �J�t ttil�CWI Description �l/1 ��jY�1 lT ��y EXPENDITURE b^ OAl/'�O'v """ �-C EJCheckiftravel outsideofTexas. CompleteSchad uleT. Check 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; Zip Code PURPOSE OF EXPENDITURE Category (See Categories listed at the top of this schedule) Description ElCheck if travel outside of Texas. Complete Schedule T. 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 www.ethics.state.tx.us Revised 8/17/2020 CANDIDATE / OFFICEHOLDER REPORT: DESIGNATION OF FINAL REPORT FORM C/OH - FR The Instruction Guide explains howto 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 designating 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 Dotment on file. Signandi a / Officaolder 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. 0 I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I 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: 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 politic I c ntributions in accordance with the requirements of Election Code, § 254.204. ature of C ndi ate 5 OFFICEHOLDER -• Complete this section only if you are an officeholder •• 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 contributions if, after filing the last required report as an officeholder, I retain political contributions, interest or other income from political contributions, or assets purchased with political contributions or interest or other income from political contributions. Signature of Officeholder Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 8/17/2020