This document contains forms from the Texas Ethics Commission related to campaign finance reporting for a candidate or officeholder. It includes information about the candidate/officeholder, treasurer, reporting period, election details, totals for contributions and expenditures, and an affidavit signed by the candidate/officeholder certifying the accuracy of the report.

1. Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711- 2070 512) 463-5800 ( TDD 1- 800-735- 2989)
CANDIDATE A OFFICEHOLDER FORM C/ OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT# 2 Total pages filed:
The IC/ OH Instruction Guide explains how to complete this form.
Ethics Commission Filers)
3 CANDIDATE / MS, M MR` FIRST Ml
OFFICE USE ONLY
OFFICEHOLDER
NAME Date i
NICKNAME LAST SUFFIX
1t" g,q J?2 MAY 01 2015
4 CANDIDATE / ADORESSlPOSOX: APT I SUITE k. CITY.. STATE; ZIPCODE
CITY SECRETARYOFFICEHOLDER
MAILING
Dale Hand- delivered or Postmarked
ADDRESS
change of address
Receipt a 7F-F7
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER Date Processed
PHONE 716-,`")
6 CAMPAIGN MSIMRS FIRST MI Date Imaged
TREASURER
NAME
NICKNAME LAST SUFFIX
nq -)"Z. 2-
7 CAMPAIGN STREET ADDRESS( NO PO BOX PLEASE): APTISUITE4. CITY: STATE: ZIPCODE
TREASURER /
193U Ce > pdz 32Pva t2L ( J 4 IC^- W rti(
c j_/ ., a, Q 1. l 2ADDRESS
residence or business)
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER l
PHONE 1 l c '
7/
9 REPORT TYPE
January 15 30th day before election Runoff 15th day after campaign
treasurer appointment
officchdder only)
July 15
0 Sth day before election Exceeded $ 500 Final report( Attach CIOH- FR)
limit
10 PERIOD Month Day Year Month Day Year
COVERED THROUGH
f¢//
s
11 ELECTION ELECTION DATE
ELECTION TYPE
Month Day Year r-- y
u
P—" y Runoff
F Genes Special
12 OFFICE OFFICE HELD( if any) 13 OFFICE-SOUGHT ( ifknown)
GO TO PAGE 2
www. ethics. state. tx. us Revised 07/28/2014

2. Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711- 2070 512) 463-5800 ( TDD 1- 800-735- 2989)
CANDIDATE / OFFICEHOLDER REPORT: FORM C/ OH
SUPPORT & TOTALS COVER SHEET PG 2
14 CfOH NAME r 15 ACCOUNT# ( Ethics Commission Filers)
L1 f U
j-
G75 +
iav '?
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRFSLMONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
POLITICAL CANDIDATE I OFFICEHOLDER. THESE ExpENDrruRES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS KNOWLEDGE OR
COMMITTEE( S) CONSENT CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE NAME
COMMITTEE TYPE
El GENERAL
COMMITTEE ADDRESS
SPECIFIC
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 L./
2. TOTAL POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF$ 100 OR LESS, UNLESS ITEMIZED $
4. TOTAL POLITICAL EXPENDITURES
CONTRIBUTION
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 Q
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD
p
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.
SANDRA RAW
N09my Pudic
STATE OF TEXAS
C F Jy till.gEw Signatu f Candidate or Officeholder
AFFIX NOTARY STAMP 1 SEAL ABOVE
Sworn to a d subscribed before me, by the said ( , f' I{ J t this the
day of 20 to certify which, witness my hand and seal of office.
Signature of officer
administering oath Printed name of officer administering oath I * fi., minmtenng oath
www. ethics. state. tx. us Revised 07/28/2014

3. Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711- 2070 512) 463- 5800 ( TDD 1- 800-735-2989)
CANDIDATE / OFFICEHOLDER REPORT:
FORM C/ OH - FR
DESIGNATION OF FINAL REPORT
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 ACCOUNT# ( Ethics Commission Rers)
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.
f,
J
S IGS Lndid ate/ Officeholder
4 FILER WHO IS NOT AN OFFICEHOLDER
Complete A& B below only It 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.
F--] 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 riot 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 political contributions in accordance with the requirements
of Election Code,§ 254. 204.
Signatu 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
www. ethics. state. tx. us Revised 07/28/ 2014