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CANDIDATE / OFFICEHOLDER FORM C /OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 Filer ID ( Ethics Commission Filers) 2 Total pages filed:
The C/011- 1 Instruction Guide explains how to complete this form.
3 CANDIDATE / ME I MRS! MR FIRST MI
OFFICEHOLDER OFFICE USE ONLY
NAN/ E
uj TTIP pA ; Date Receivedcj,. c. l
NICKNAME LAST SUFFIX
RECEIVED
AI; IC. s( gq CANDIDATE/ ADDRESS ' PO BOX: APT / SUITE %: CITY; STATE; ZIP CODE[`]
OFFICEHOLDER APR F,6 3 $. ES E
MAILING
ADDRESS
oI2 SCliA1 T_Y 5 +. % X IS6Z +r
J
j!fY SECRETARYChange of Address
5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
J 6 i 27N
Date Hand delivered or Data Postmark ed
PHONE
6 CAMPAIGN MS, MRS/ MR FIRST MI Receipt N Amount S
TREASURER
Q1. Date ProcessedNAME
NICKNAME LAST SUFFIX
Date Imaged
i
Cis. M1n`1E 1
7 CAMPAIGN STREET ADDRESS ( NO PO BOX PLEASE); APT I SUITE k: CITY; STATE; ZIP CODE
TREASURER
ADDRESS
j
e
A
2ozI mL.Izi&A -cj! Ave. i J 7
gJt
C6cot y 0c4,` t6_s TM1. ` 12vI
Residence or Business)
J
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
9 REPORT TYPE
January 15 30th day before electon Runoff 15th day after campaign
treasurerOholder Only)Officeholder Only)
July 15 8th day before election Exceeded $500 limit Final Report lAttach C /OH - FR)
10 PERIOD Month Day Year Month Day Year
COVERED
VL / O`V
THROUGH I1 n3
q
11 ELECTION ELECTION DATE ELECTION TYPE
Month Day Year Primary LJ Runoff Other
0 ! r±
T IV t
General
Description
Special
12 OFFICE OFFICE HELD ( if any) 13 OFIRCE SOUGHT ( it known)
kit : L}
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state. tx. us Revised 9/ 8/ 2015
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 EXPEND ? URES MAY HAVE BEEN MADE WrdHOUT THE CANOIOATES OR OFFICEHOLDERS
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
L7 Additional Pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION
TOTALS
1, TOTAL POLITICAL CONTRIBUTIONS OF $ 50 OR LESS ( OTHER THAN
C, 0
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
J r / yit;
2. TOTAL POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) S r4
EXPENDITURE
TOTALS
3. TOTAL POLITICAL EXPENDITURES OF $ 100 OR LESS,
UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES 25"
y y.
CONTRIBUTION
S. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
7
S S L
OUTSTANDING
LOAN TOTALS
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
J CCU.• il
1S AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report is
w+ v SANDRA HART true and correct and includes all information required to be reported by me
N Publio
under Title 15, Electiop,Cod
iS
STATE OF TEXAS
My CDInm. EXp January l& 1019 L_----- -
Si atuf of Candidate or Officeholder
AFFIX NOTARY STAMP / SEALABOVE
Sworn 6to and subscribed before me, by the said , this the
day of , 20 / , to certify which, witness my hand and seal of office.
f
Sign ure of officer administering oath Printed name of officer administering oath Title officer admi stering oath
Forms provided by Texas Ethics Commission www.ethics. state. tx. us Revised 918/ 2015
M
Forms provided by Texas Ethics Commission w . ethics. state. tx. us Revised 9/ 8/ 2015
SUBTOTALS C /OH FORM C /OH
COVER SHEET PG 3
19 FILER NAME
pp
1J
20 Filer ID ( Ethics Commission Filers)
21 SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
1.
SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS D
2.
SCHEDULEA2: NON- MONETARY lIN -KIND) POLITICAL CONTRIBUTIONS
3. SCHEDULE B: PLEDGED CONTRIBUTIONS
4. SCHEDULE E: LOANS
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 43 /• cK
8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
9.
a 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
i
12. SCHEDULE K:
RETURNED TO INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONSFILER
I
Forms provided by Texas Ethics Commission w . ethics. state. tx. us Revised 9/ 8/ 2015
MONETARY POLITICAL CONTRIBUTIONS AlSCHEDULE
The Instruction Guide explains how to complete this form.
7 Total pages Schedule An
2 FILER NAME 3 Filer ID ( Ethics Commission Filers)
DVs4ilJJ M. I' Ei,RSvj
4 Date 5 Full name of contributor G out of state PAC ( iD# 7 7 Amount of contribution ($)
AAA 64?Ar5o1,J........ 0
6 Contributor address; City; State; Zip Code
z27 M- i(4- Pl. ftctua V 7if ) I
6 Principal occupation / Job title ( See Instructions) g Employer ( See Instructions)
C S ( 0 A+4- kcF.ss
Date Full name of contributor out -of -state PAC ( rift 7 Amount of contribution ($)
i
Contributor address; City; State; Zip Code
Principal occupation / Job title ( See Instructions) Employer ( See Instructions)
Date Full name of contributor out of -state PAC ( IDn :_ t
Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation / Job title ( See Instructions) Employer ( See Instructions)
Date Full name of contributor
EI out -of -state PAC ( Iutt: ) Amount of contribution ($)
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.ethCs.stateJx. us Revised 9/812015
LOANS SCHEDULE E
The Instruction Guide explains how to complete this form.
1 Total pages Schedule E.
2 FILER NAME 3 Filer ID ( Ethics Commission Filers)
05kFi7J
4 TOTAL OF UNITEMIZED LOANS
r 5 L)1) r
il-
5 Date of loan 7 Nameoflender out-of- state PAC ) 9 Loan Amount($)
2 13
o ) y f.. urr -• .........................
8 Lender address; City; State; Zip Code
l S" a W
6 Is lend/ 10 Interestrate
a financialInstitution?
11
Maturityy /,
y/
C t . 1i Rf'M.i /
VWlr /
pZ
12 Principal occupation / Job title ( See Instructions) 13 Employer ( See Instructions)
Pro r•.v IL
n . w. ctl,
14 Description of Collateral 15 Check if perso al funds were deposited into political
7unt (See Instructions)
Lnone
16 GUARANTOR - 17 Name of guarantor 19 Amount Guaranteed S)
INFORMATION
18 Guarantor address; City; State; Zip Code
5/ not applicable
20 Principal Occupation ( See Instructions) 21 Employer ( See Instructions)
Date of loan Name of lender I] out-of -state PAC non: _ I
Lender address; City; State; Zip Code
Loan Amount ($)
Is lender
Interestrate
a financialinstitution?
Maturity date
Y N
Principal occupation / Job title ( See Instructions) Employer ( See Instructions)
Description of Collateral Check if personal funds were deposited into political
account ( See Instructions)
none
GUARANTOR Name of guarantor Amount Guaranteed ($)
INFORMATION
Guarantor address; City; State; Zip Code
not applicable
Principal Occupation ( See Instructions) Employer ( See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender 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 Saticlarlic- Pundraising Expense
Accounting /Banking Fees Office Ovene acaused Expense Transportation Equipment& Related Expense
Consulting Expense Ford/Beverage Expense Polling Expense Travel In District
Oontnbutions,Donations Made By Gm Awards/ Merr ials Expense Printing Expense Travel Out Of District
Candidate /Officeholder /Political Committee Legal Seances SalanesM/agessConeact Labor
Other (enter a category not listed above)
Cre rl Carl 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' E'
4 Date
2 2i 1' 7
5 Payee name
1/ r57--4 PrivP
b Amount ( li 7 Payee address; City; State; Zip Code
5 2 ViS{ t ^ w} at44{ L S QF3cR $( 28Si bv5Y0A, 0. f32ZY' t- 2$
g a) Category ( See Categories listed at the top of mis schedule) b) Description
Checkihavel outside of Texas. Complete Schedule T.
PURPOSEOF
EXPENDITURE
j .
I , LX t i'VVV C
Check l Austin, TX, offlcehaider living expense
t
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C /OH
Date
X12 -2 / 1?
Payee name
Ikekc,14 s.ykss' 2_r
Amount ( S) Payee address; City; Stale; Zip Code
Category ( See Categories listed at the top of this schedule) Description
PURPOSE
Check if travel outside of Texas. Complete Schedule T.
CheckOF
EXPENDITURE
Vtrf9 SL,,.-5 p.l ll"'
L 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
2 -27/ I? Ai bL- ICnii+ S°PP`Y
Amount lot Payee address; City; State; Zip Code
Z( q . ° /, L 10 v ww, l , l • Sv,-,( D Pewr
Category ( See Categories lsted atthe top of this schedule) Description
PURPOSEOF
EXPENDITURE jL ek-pis
Check if travel outside of Texas. Complete Schedule T.
Cheek if Austin, TX, officeholder living expense
1j/ / t
L.(
nameComplete ONLY if direct Candidate / Officeholder Office sought Office held
expenditure to benefit GOH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics. stattiAx. us Revised 91
0
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Event Expense Loan Repaymer•.VReimbursement Solicitation /Fundraising Expense
Accounting /6anorg Fees Office Ovemead/ Rertal Expense Transportation Eguipment& Related Expense
Consulting Expense Food/ Beverage Expense Posing Expense Travel In District
ContributionvEornations Made By rdlft/Awards /Memorials Expense
Printing Expense Travel Out Of District
Candidate /Officeholder /Political Committee Legal Services SalariesMages/Contract Labor Other (enter a category not listed above)
Credit Card Payment
The Instruction Guide explains haw to complete this form.
1 Total pages Schedule F1: 2 FILER NAME
PeFrsor
3 Filer ID ( Ethics Commission Filers)
4 Da[ 5 Payee name
Z tl (? k '%r ut Cl, rko G
6 Amount ( ) 7 Payee address; City; State; Zip Code
S' 9. 55' Z^ C+ frn /' k S ? Bis6
8 a) Category (See Categories listed at the %, of the ssmdule) b) Description
Check if travel outside of Texas. Camnete Schedule?
PURPOSE
CheckOF
EXPENDITURE
jJµ
it 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 ($) Payee address; City; State; Zip Code
Category ( See Categories listed at the top of this schedule) Description
PURPOSE
r Check hravel outside ofTexas.Complete Schedule?
OF Check If Austin, Tx, officeholder living expense
EXPENDITURE
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C /OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
Category ( See Categories listed at the top of this schedule) Description
Check if travel outside of Texas. Complete Schedule T.
PURPOSEOF El Check if Austin, TX, officeholder living expenseEXPENDITURE
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
INTEREST, CREDITS, GAINS, REFUNDS, AND
CONTRIBUTIONS RETURNED TO FILER SCHEDULE K
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 Name of person from whom amount is received a Amount ($)
i
00
0
6 Address of person from whom amount is received; City; State; Zip Code
311 s
l
I.-f $—S— 44 6-ko/ K ill fu AA4% -- 71 % g 2 $_(
7 Purpose fo
rr
which amount is received Check if political contribution returned to filer
Date Name of person from whom amount is received
i
Amount ($)
Address of person from whom amount is received; City; State; Zip Code
I
Purpose for which amount is received Check if political contribution returned to filer
Date Name of person from whom amount is received Amount I$)
Address of person from whom amount is received; City; State; Zip Code
Purpose for which amount is received Check if political contribution returned to filer
Date Name of person from whom amount is received Amount ($)
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 SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics. state.tx. us Revised 9/1

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2017 04-06 dusttin pearson campaign finance report

  • 1. CANDIDATE / OFFICEHOLDER FORM C /OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID ( Ethics Commission Filers) 2 Total pages filed: The C/011- 1 Instruction Guide explains how to complete this form. 3 CANDIDATE / ME I MRS! MR FIRST MI OFFICEHOLDER OFFICE USE ONLY NAN/ E uj TTIP pA ; Date Receivedcj,. c. l NICKNAME LAST SUFFIX RECEIVED AI; IC. s( gq CANDIDATE/ ADDRESS ' PO BOX: APT / SUITE %: CITY; STATE; ZIP CODE[`] OFFICEHOLDER APR F,6 3 $. ES E MAILING ADDRESS oI2 SCliA1 T_Y 5 +. % X IS6Z +r J j!fY SECRETARYChange of Address 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER J 6 i 27N Date Hand delivered or Data Postmark ed PHONE 6 CAMPAIGN MS, MRS/ MR FIRST MI Receipt N Amount S TREASURER Q1. Date ProcessedNAME NICKNAME LAST SUFFIX Date Imaged i Cis. M1n`1E 1 7 CAMPAIGN STREET ADDRESS ( NO PO BOX PLEASE); APT I SUITE k: CITY; STATE; ZIP CODE TREASURER ADDRESS j e A 2ozI mL.Izi&A -cj! Ave. i J 7 gJt C6cot y 0c4,` t6_s TM1. ` 12vI Residence or Business) J 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 9 REPORT TYPE January 15 30th day before electon Runoff 15th day after campaign treasurerOholder Only)Officeholder Only) July 15 8th day before election Exceeded $500 limit Final Report lAttach C /OH - FR) 10 PERIOD Month Day Year Month Day Year COVERED VL / O`V THROUGH I1 n3 q 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year Primary LJ Runoff Other 0 ! r± T IV t General Description Special 12 OFFICE OFFICE HELD ( if any) 13 OFIRCE SOUGHT ( it known) kit : L} GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state. tx. us Revised 9/ 8/ 2015
  • 2. 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 EXPEND ? URES MAY HAVE BEEN MADE WrdHOUT THE CANOIOATES OR OFFICEHOLDERS 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 L7 Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION TOTALS 1, TOTAL POLITICAL CONTRIBUTIONS OF $ 50 OR LESS ( OTHER THAN C, 0 PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED J r / yit; 2. TOTAL POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) S r4 EXPENDITURE TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $ 100 OR LESS, UNLESS ITEMIZED 4. TOTAL POLITICAL EXPENDITURES 25" y y. CONTRIBUTION S. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD 7 S S L OUTSTANDING LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD J CCU.• il 1S AFFIDAVIT I swear, or affirm, under penalty of perjury, that the accompanying report is w+ v SANDRA HART true and correct and includes all information required to be reported by me N Publio under Title 15, Electiop,Cod iS STATE OF TEXAS My CDInm. EXp January l& 1019 L_----- - Si atuf of Candidate or Officeholder AFFIX NOTARY STAMP / SEALABOVE Sworn 6to and subscribed before me, by the said , this the day of , 20 / , to certify which, witness my hand and seal of office. f Sign ure of officer administering oath Printed name of officer administering oath Title officer admi stering oath Forms provided by Texas Ethics Commission www.ethics. state. tx. us Revised 918/ 2015 M
  • 3. Forms provided by Texas Ethics Commission w . ethics. state. tx. us Revised 9/ 8/ 2015 SUBTOTALS C /OH FORM C /OH COVER SHEET PG 3 19 FILER NAME pp 1J 20 Filer ID ( Ethics Commission Filers) 21 SCHEDULE SUBTOTALS NAME OF SCHEDULE SUBTOTAL AMOUNT 1. SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS D 2. SCHEDULEA2: NON- MONETARY lIN -KIND) POLITICAL CONTRIBUTIONS 3. SCHEDULE B: PLEDGED CONTRIBUTIONS 4. SCHEDULE E: LOANS 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 43 /• cK 8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD 9. a 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 i 12. SCHEDULE K: RETURNED TO INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONSFILER I Forms provided by Texas Ethics Commission w . ethics. state. tx. us Revised 9/ 8/ 2015
  • 4. MONETARY POLITICAL CONTRIBUTIONS AlSCHEDULE The Instruction Guide explains how to complete this form. 7 Total pages Schedule An 2 FILER NAME 3 Filer ID ( Ethics Commission Filers) DVs4ilJJ M. I' Ei,RSvj 4 Date 5 Full name of contributor G out of state PAC ( iD# 7 7 Amount of contribution ($) AAA 64?Ar5o1,J........ 0 6 Contributor address; City; State; Zip Code z27 M- i(4- Pl. ftctua V 7if ) I 6 Principal occupation / Job title ( See Instructions) g Employer ( See Instructions) C S ( 0 A+4- kcF.ss Date Full name of contributor out -of -state PAC ( rift 7 Amount of contribution ($) i Contributor address; City; State; Zip Code Principal occupation / Job title ( See Instructions) Employer ( See Instructions) Date Full name of contributor out of -state PAC ( IDn :_ t Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation / Job title ( See Instructions) Employer ( See Instructions) Date Full name of contributor EI out -of -state PAC ( Iutt: ) Amount of contribution ($) 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.ethCs.stateJx. us Revised 9/812015
  • 5. LOANS SCHEDULE E The Instruction Guide explains how to complete this form. 1 Total pages Schedule E. 2 FILER NAME 3 Filer ID ( Ethics Commission Filers) 05kFi7J 4 TOTAL OF UNITEMIZED LOANS r 5 L)1) r il- 5 Date of loan 7 Nameoflender out-of- state PAC ) 9 Loan Amount($) 2 13 o ) y f.. urr -• ......................... 8 Lender address; City; State; Zip Code l S" a W 6 Is lend/ 10 Interestrate a financialInstitution? 11 Maturityy /, y/ C t . 1i Rf'M.i / VWlr / pZ 12 Principal occupation / Job title ( See Instructions) 13 Employer ( See Instructions) Pro r•.v IL n . w. ctl, 14 Description of Collateral 15 Check if perso al funds were deposited into political 7unt (See Instructions) Lnone 16 GUARANTOR - 17 Name of guarantor 19 Amount Guaranteed S) INFORMATION 18 Guarantor address; City; State; Zip Code 5/ not applicable 20 Principal Occupation ( See Instructions) 21 Employer ( See Instructions) Date of loan Name of lender I] out-of -state PAC non: _ I Lender address; City; State; Zip Code Loan Amount ($) Is lender Interestrate a financialinstitution? Maturity date Y N Principal occupation / Job title ( See Instructions) Employer ( See Instructions) Description of Collateral Check if personal funds were deposited into political account ( See Instructions) none GUARANTOR Name of guarantor Amount Guaranteed ($) INFORMATION Guarantor address; City; State; Zip Code not applicable Principal Occupation ( See Instructions) Employer ( See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If lender 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
  • 6. POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8( a) Advertising Expense Event Expense Loan Repayment /Reimbursement Saticlarlic- Pundraising Expense Accounting /Banking Fees Office Ovene acaused Expense Transportation Equipment& Related Expense Consulting Expense Ford/Beverage Expense Polling Expense Travel In District Oontnbutions,Donations Made By Gm Awards/ Merr ials Expense Printing Expense Travel Out Of District Candidate /Officeholder /Political Committee Legal Seances SalanesM/agessConeact Labor Other (enter a category not listed above) Cre rl Carl 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' E' 4 Date 2 2i 1' 7 5 Payee name 1/ r57--4 PrivP b Amount ( li 7 Payee address; City; State; Zip Code 5 2 ViS{ t ^ w} at44{ L S QF3cR $( 28Si bv5Y0A, 0. f32ZY' t- 2$ g a) Category ( See Categories listed at the top of mis schedule) b) Description Checkihavel outside of Texas. Complete Schedule T. PURPOSEOF EXPENDITURE j . I , LX t i'VVV C Check l Austin, TX, offlcehaider living expense t 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C /OH Date X12 -2 / 1? Payee name Ikekc,14 s.ykss' 2_r Amount ( S) Payee address; City; Stale; Zip Code Category ( See Categories listed at the top of this schedule) Description PURPOSE Check if travel outside of Texas. Complete Schedule T. CheckOF EXPENDITURE Vtrf9 SL,,.-5 p.l ll"' L 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 2 -27/ I? Ai bL- ICnii+ S°PP`Y Amount lot Payee address; City; State; Zip Code Z( q . ° /, L 10 v ww, l , l • Sv,-,( D Pewr Category ( See Categories lsted atthe top of this schedule) Description PURPOSEOF EXPENDITURE jL ek-pis Check if travel outside of Texas. Complete Schedule T. Cheek if Austin, TX, officeholder living expense 1j/ / t L.( nameComplete ONLY if direct Candidate / Officeholder Office sought Office held expenditure to benefit GOH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics. stattiAx. us Revised 91 0
  • 7. POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repaymer•.VReimbursement Solicitation /Fundraising Expense Accounting /6anorg Fees Office Ovemead/ Rertal Expense Transportation Eguipment& Related Expense Consulting Expense Food/ Beverage Expense Posing Expense Travel In District ContributionvEornations Made By rdlft/Awards /Memorials Expense Printing Expense Travel Out Of District Candidate /Officeholder /Political Committee Legal Services SalariesMages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Guide explains haw to complete this form. 1 Total pages Schedule F1: 2 FILER NAME PeFrsor 3 Filer ID ( Ethics Commission Filers) 4 Da[ 5 Payee name Z tl (? k '%r ut Cl, rko G 6 Amount ( ) 7 Payee address; City; State; Zip Code S' 9. 55' Z^ C+ frn /' k S ? Bis6 8 a) Category (See Categories listed at the %, of the ssmdule) b) Description Check if travel outside of Texas. Camnete Schedule? PURPOSE CheckOF EXPENDITURE jJµ it 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 ($) Payee address; City; State; Zip Code Category ( See Categories listed at the top of this schedule) Description PURPOSE r Check hravel outside ofTexas.Complete Schedule? OF Check If Austin, Tx, officeholder living expense EXPENDITURE Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C /OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category ( See Categories listed at the top of this schedule) Description Check if travel outside of Texas. Complete Schedule T. PURPOSEOF El Check if Austin, TX, officeholder living expenseEXPENDITURE 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
  • 8. INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER SCHEDULE K 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 Name of person from whom amount is received a Amount ($) i 00 0 6 Address of person from whom amount is received; City; State; Zip Code 311 s l I.-f $—S— 44 6-ko/ K ill fu AA4% -- 71 % g 2 $_( 7 Purpose fo rr which amount is received Check if political contribution returned to filer Date Name of person from whom amount is received i Amount ($) Address of person from whom amount is received; City; State; Zip Code I Purpose for which amount is received Check if political contribution returned to filer Date Name of person from whom amount is received Amount I$) Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received Check if political contribution returned to filer Date Name of person from whom amount is received Amount ($) 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 SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics. state.tx. us Revised 9/1