HomeMy WebLinkAboutCampaign Finance Report - Jonathan Dade 04.19.2023CANDIDATE / 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 /
MS / MRS / MR FIRST MI
OFFICEHOLDER
Mr. Jonathan
OFFICE USE ONLY
NAME....
......................................................
Date Received
NICKNAME LAST SUFFIX
Dade
ai�'✓IRECEI � ED
Mi
19 2019-3
4 CANDIDATE /
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
OFFICEHOLDER
PO BOX 877, Georgetown TX 78627-0877
�r B�
MAILING
ADDRESS
City Secretary
Change of Address
5 CANDIDATE/
AREA CODE PHONE NUMBER EXTENSION
Date Hand -delivered or Date Postmarked
OFFICEHOLDER
512 525.0736
PHONE
— —
Receipt # Amount $
6 CAMPAIGN
MS / MRS / MR FIRST MI
TREASURER
Mr. Dale
Date Processed
NAME.......................................
......................................
NICKNAME LAST SUFFIX
Date Imaged
Jacobson
7 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY;
STATE; ZIP CODE
TREASURER
500 West 2nd Street, Suite 1900, Austin TX 78701
ADDRESS
(Residence or Business)
AREA CODE PHONE NUMBER EXTENSION
8 CAMPAIGN
TREASURER
PHONE
(512 906.9124
9 REPORT TYPE
January 15 n 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 - FIR)
Reporting Limit
Month Day Year Month
Day Year
10 PERIOD
COVERED
02 / 17 / 20 THROUGH 04 % 19 20
`/
11 ELECTION
ELECTION DATE
ELECTION TYPES
Month Day Year
Primary Runoff Other
Description
/�
05 / 0.6 / 23
General Special
12 OFFICE
OFFICE HELD (if any)
13 OFFICE SOUGHT (if known)
Mayor
14 NOTICE FROM
THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT
POLITICAL
THE CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR
CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE TYPE COMMITTEE NAME
GENERAL COMMITTEE ADDRESS
Additional Pages
SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME
COMMITTEE CAMPAIGN TREASURER ADDRESS
GO TO PAGE 2
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Revised 8/17/2020
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 2
15 C/OH NAME 16 Filer ID (Ethics Commission Filers)
Jonathan Dade
17 CONTRIBUTION
TOTALS
1.
TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR
CONTRIBUTIONS MADE ELECTRONICALLY)
$
$Q
2.
TOTAL POLITICAL CONTRIBUTIONS
$
$O
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS
1
TOTAL UNITEMIZED POLITICAL EXPENDITURE.
$
$Q
$
$0
4. TOTAL POLITICAL EXPENDITURES
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $ $18.57
OUTSTANDING 6 TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ $Q
18 SIGNATURE I swear, or affirm, under penalty of perjury, that the accompanying report is d correct and includes all information
required to be reported by me under Title 15, Election Code.
Signature of Candidate ar ceholder
Please complete either option below:
e **Y �Vd� RO=15722026
ORE
i N56
(1) Affidavit "* +t Mres
'F OF t�
NOTARY STAMP/SEAL ,1� 4
Sworn to and subscribed before me by JAY\rU �k this the day of 1 V—'l
T-y 2f to cArtify whi,lLwitness my hand and seal of office.
ofo cer administering oath Printed
(2) Unsworn Declaration
My name is _
My address is
Executed in
Forms provided by Texas Ethics
(street)
County, State of
1-0&;-Jlove
officer administering oath
officer ad
and my date of birth is
(city) (state) (zip code) (country)
on the day of ,20
(month} (year)
Signature of Candidate/Officeholder (Declarant)
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SUBTOTALS
- C/OH FORM C/OH
COVER SHEET PG 3
19
FILER NAME
20 Filer ID (Ethics Commission Filers)
Jonathan Dade
21
SCHEDULE SUBTOTALS
SUBTOTAL
NAME OF SCHEDULE
AMOUNT
SCHEDULEAI:
MONETARY POLITICAL CONTRIBUTIONS
$
$0
2.
SCHEDULEA2:
NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS
$
$0
3
SCHEDULE B:
PLEDGED CONTRIBUTIONS
$
$0
4
SCHEDULE E:
LOANS
$
$
$
$
$0
$0
$0
$0
5. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
6• SCHEDULE F2: UNPAID INCURRED OBLIGATIONS
7 SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
6
$0
SCHEDULE F4:
EXPENDITURES MADE BY CREDIT CARD
$
$
$0
9• SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
10•
SCHEDULE H:
PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
$
$0
11
SCHEDULE I: NON
-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
$
$0
12.
SCHEDULE K:
INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED _T
$
$0
TO FILER
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MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form. 1 Total pages Schedule At
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
4 Date 5 Full name of contributor out-of-state PAC (ID#: ) 7 Amount of contribution ($)
6 Contributor address; City. State; Zip Code
8 Principal occupation / Job title (See Instructions) g Employer (See Instructions)
Date Full name of contributor out-of-state PAC (ID#:! > Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date Full name of contributor out-of-state PAC (ID#: ) Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor out-of-state PAC (10,11 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 Comn Resat Farm s. sl Reset Page 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 pages Schedule A2
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED IN -KIND POLITICAL CONTRIBUTIONS $
5 Date 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
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)
Full name of contributor ❑ out-of-state PAC (ID#: ) I
Date of In -kind
Contribution $ I descriptAmount
on
ion
I
...... ............ ................... I .................. ....
Contributor address; City; State; Zip Code
I
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)
Law firm of contributor's spouse (if any) (FOR JUDICIAL)
Contributor's employer/law firm (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.
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PLEDGED CONTRIBUTIONS
SCHEDULE B
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form. r 1 Total pages Schedule B:
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED PLEDGES
$
5 Date 6 Full name of pledgor ❑ out-of-state PAC (ID#:
) 8 Amount ) 9 In -kind contribution
of Pledge $ 1 description
I
.................................................................-......
7 Pledgor address; City; State;
f
Zip Code i
I
I
Check if travel outside of Texas. Complete Schedule T.
10 Principal occupation / Job title (See Instructions) F
Employer (See Instructions)
Date Full name of pledgor ❑ out-of-state PAC (ID#:
,) Amount i In -kind contribution
of Pledge $ 1 description
I
.......................... I..................
Pledgor address; City: State;
Zip Code I
I
I
Check if travel outside of Texas Complete Schedule T.
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date
Full name of pledgor ❑ out-of-state PAC (ID#:
)
Amount of In -kind contribution
Pledge $ description
I
Pledgor address -city, State;
Zip Code
i
I
I
Check if travel outside of Texas. Complete Schedule T.
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
Date Full name of pledgor ❑ out-of-state PAC (ID#:
) Amount of i In -kind contribution
Pledge $ 1 description
Pledgor address; City; State;
Zip Code
I
I
Check if travel outside of Texas Complete Schedule T.
Principal occupation / Job title (See Instructions)
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements -
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LOANS SCHEDULE E
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 Schedule E:
2 FILER NAME
3 Filer to (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED LOANS $
5 Date of loan 7 Name of lender ❑ out-of-state PAC (ID#: ) 9 Loan Amount ($)
6 Is lender 8 Lender address; City; State; Zip Code ! _ Interest rate
a financial
Institution?
Y N
12 Principal occupation / Job title (See Instructions)
14 Description of Collateral
none
11 Maturity date
13 Employer (See Instructions)
Check if personal funds were deposited into political
account (See Instructions)
16 GUARANTOR 17 Name ofguarantor 19 Amount Guaranteed ($)
INFORMATION
18 Guarantor address; City; State; Zip Code
not applicable j
20 Principal Occupation (See Instructions)
Date of loan Name of lender
21 Employer (See Instructions)
❑ out-of-state PAC
,) 1 Loan Amount($)
Is lender Lender address; City; State; Zip Code
a financial
Institution?
Y N _I
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Interest rate
Maturity date
Description of Collateral
Check if personal funds were deposited into political
none account (See Instructions)
GUARANTOR Name of guarantor
INFORMATION
... ... .... ... .
Guarantor address; City; State; Zip Code
not applicable
Principal Occupation (See Instructions) 1 Employer (See Instructions)
Amount Guaranteed ($)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender is out-of-state PAC, please see Instruction guide for additional reporting requirements.
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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 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 Schedule F1
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
5 Payee name
4 Date
6 Amount ($)
7 Payee address; City. State; Zip Code
8
(a) Category (See categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
EXPENDITURE
(c) Check if travel outside of Texas Complete Schedule Check if Austin, TX, officeholder living expense
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
Check if travel outside of Texas Complete Schedule 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
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
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 SCHEDULEAS NEEDED
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UNPAID INCURRED OBLIGATIONS SCHEDULE F2
If the requested information is not applicable, DO NOT include this page in the report.
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 SalariesANages/Contract Labor Other (enters category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F2 2 FILERNAME 3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED UNPAID INCURRED OBLIGATIONS $
5 Date 6 Payee name
7 Amount ($) I 8 Payee address;
City;
9 TYPE OF
EXPENDITURE Political Non -Political
10 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE
OF
EXPENDITURE
State; Zip Code
(c) Check dtravel outside ofTexas. Complete Schedule Check if Austin, TX, officeholder living expense
11 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Amount ($)
TYPE OF
EXPENDITURE
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
Payee name
Payee address;
City; State; Zip Code
Political Non -Political
Category (See Categories listed at the top of this schedule) Description
Check if travel outside of Texas. Complete Schedule T Check if Austin, TX, officeholder living expense
Candidate / Officeholder name Office sought Office held
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
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EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4
If the requested information is not applicable, DO NOT include this page in the report.
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 Expe
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)
The Instruction Guide explains
how to complete this form.
1 Total pages Schedule F4: I 2
FILER NAME
3 Filer ID (Ethics Commission Filers)
4 TOTAL OF U N ITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD $
5 Date 1 6 Payee name
7 Amount ($)
9 TYPE OF
EXPENDITURE
10
PURPOSE
OF
EXPENDITURE
11
Complete ONLY if direct
expenditure to benefit C/OH
Date
8 Payee address;
City; State; Zip Code
Political Non -Political
(a) Category (See Categories listed at the top of this schedule) (b) Description
(c) Check if travel outside of Texas Complete Schedule Check if Austin, TX, officeholder living expense
Candidate / Officeholder name Office sought Office held
Payee name
Amount ($) Payee address; City; State;
TYPE OF
EXPENDITURE Political Non -Political
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
Zip Code
Check if travel outside ofTexas Complete Schedule Check if Austin, TX, officeholder living expense
Candidate / Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If 71
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POLITICAL EXPENDITURES MADE FROM
SCHEDULE G
PERSONAL FUNDS
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 pages Schedule G: 2 FILER NAME 3 Filer ID (Ethics Commission Filers)
4 Date 5 Payee name
6 Amount ($) 7 Payee address; City; State; Zip Code
Reimbursement from
political contributions
intended
8
(a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE
OF
EXPENDITURE
(c) Check iftravel outside ofTexas. Complete Schedule T Check if Austin, TX, officeholder living expense
9 Candidate / Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit C/OH
Date
Payee name
Amount ($) Payee address; City; State; Zip Code
Reimbursement from
political contributions
intended
z Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
Check if travel outside of Texas Complete Schedule T Check if Austin, TX, officeholder living expense
Candidate / Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit C/OH
Date
Payee name
Amount ($)
Payee address; City, State; Zip Code
Reimbursement from
political contributions
intended
Category (See Categories listed at the top of this schedule) Description
y
PURPOSE
OF
EXPENDITURE
Check if travel outside of Texas- Complete Schedule T Check if Austin, TX, officeholder living expense
Candidate / Officeholder name Office sought Office held
Complete ONLY if direct
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
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PAYMENT MADE FROM POLITICAL CONTRIBUTIONS
TO A BUSINESS OF C/OH SCHEDULE H
If the requested information is not applicable, DO NOT include this page in the report.
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense
Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Polling Expense Travel In District
Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District
Candidate/Officeholder/Political Committee Legal Services SalariesANages/Contract Labor Other (entera category not listed above)
Credit Card Payment
The Instruction Guide explains how to complete this form.
1 Total pages Schedule H:
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
4 Date
5 Business name
6 Amount ($)
7 Business address; City; State; Zip Code
8
(a) Category (See Categories listed at the top of this schedule)
(b) Description
PURPOSE
OF
EXPENDITURE
(c) Check if travel outside of Texas. Complete Schedule 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
Business name
Amount ($)
Business address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Description
PURPOSE
OF
EXPENDITURE
Check iftravel outsideofTexas. Complete Schedule T Check if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date
Business name
Amount ($)
Business address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
Check if travel outside of Texas. Complete Schedule 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
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NON -POLITICAL EXPENDITURES
MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE I
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 Schedule I:
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
4 Date
5 Payee name
6 Amount ($)
7 Payee address; City State Zip Code
$
(a)Category (See instructions for examples of acceptable
(b) Description (See instructions regarding type of information
PURPOSE
categories.)
required.)
OF
EXPENDITURE
Date
Payee name
Amount ($)
Payee address; City State Zip Code
Category (See instructions for examples of acceptable
Description (See instructions regarding type of information
PURPOSE
categories.)
required.)
OF
EXPENDITURE
Date
Payee name
Amount ($)
Payee address; City State Zip Code
PURPOSE
OF
Category (See instructions for examples of acceptable
categories.)
Description (See instructions regarding type of information
required.)
EXPENDITURE
Date
Payee name
Amount ($)
Payee address; City State Zip Code
Category (See instructions for examples of acceptable
Description (See instructions regarding type of information
PURPOSE
categories.)
required.)
OF
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
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INTEREST, CREDITS, GAINS, REFUNDS, AND
CONTRIBUTIONS RETURNED TO FILER SCHEDULE K
If the requested information is not applicable, DO NOT include this page in the report.
The Instruction Guide explains how to complete this form. 1 Total pages Schedule K:
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
4 Date 5 Name of person from whom amount is received 8 Amount ($)
..............................................
6 Address of person from whom amount is received; City; State; Zip Code
7 Purpose for which amount is received
Check if political contribution returned to filer
Date Name of person from whom amount is received Amount ($)
Address of person from whom amount is received; City: State; Zip Code
Purpose for which amount is received
Check if political contribution returned to filer
Date Name of person from whom amount is received Amount ($)
Address of person from whom amount is received; City; State; Zip Code
Purpose for which amount is received
Check if political contribution returned to filer
Date Name of person from whom amount is received Amount ($)
Address of person from whom amount is received; City, State; Zip Code
Purpose for which amount is received
Check if political contribution returned to filer
ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
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IN -KIND CONTRIBUTIONS OR POLITICAL EXPENDITURES
SCHEDULE
T
FOR TRAVEL OUTSIDE OF TEXAS
If the requested information is not applicable, DO NOT include this page in the report.
1 Total pages Schedule T:
The Instruction Guide explains how to complete this form.
2 FILER NAME
3 Filer ID (Ethics Commission Filers)
4 Name of Contributor / Corporation or Labor Organization / Pledgor / Payee
5 Contribution / Expenditure reported on:
Schedule A2 Schedule B Schedule B(J) Schedule C2 Schedule D
Schedule F1
Schedule F2 Schedule F4 Schedule G Schedule H Schedule COH-UC
Schedule B-SS
6 Dates of travel 7 Name of person(s) traveling
8 Departure city or name of departure location
9 Destination city or name of destination location
10 Means of transportation 11 Purpose of travel (including name of conference, seminar, or other event)
Name of Contributor / Corporation or Labor Organization / Pledgor / Payee
Contribution / Expenditure reported on:
Schedule A2 Schedule B Schedule B(J) Schedule C2 Schedule D
Schedule F1
Schedule F2 Schedule F4 Schedule G Schedule H Schedule COH-UC
Schedule B-SS
Dates of travel Name of person(s) traveling
Departure city or name of departure location
Destination city or name of destination location
Means of transportation Purpose of travel (including name of conference, seminar, or other event)
Name of Contributor / Corporation or Labor Organization / Pledgor / Payee
Contribution / Expenditure reported on:
Schedule A2 Schedule B Schedule B(J) Schedule C2 Schedule D
Schedule F1
Schedule F2 Schedule F4 Schedule G Schedule H Schedule COH-UC
Schedule B-SS
Dates of travel
Name of person(s) traveling
Departure city or name of departure location
Destination city or name of destination location
Means of transportation Purpose of travel (including name of conference, seminar, or other event)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas EthicsCom Reset Form cs.s Reset Page
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 1 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 appointment on file.
Signature of Candidate / Officeholder
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 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:
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 understanc
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 political contributions in accordance with the
requirements of Election Code, § 254.204.
Signature of Candidate
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 Com Reset Farm rs.s Reset Page I Revised 8/17/2020