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HomeMy WebLinkAbout151218 - Campaign Finance Final Report - Julie SchultzCANDIDATE I OFFI CEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (Ethics Commission Fiiefs) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. 3 CANDIDATE / OFFICEHOLDER NAME 4 CANDIDATE/ OFFICEHOLDER MAILING ADDRESS 0 Change of Address 5 CANDIDATE/ OFFICEHOLDER PHONE 6 CAMPAIGN TREASURER NAME 7 CAMPAIGN TREASURER ADDRESS (Residence or Business) 8 CAMPAIGN TREASURER PHONE 9 REPORT TYPE 10 PERIOD COVERED 1,.-0(< 11 ELECTION t-1 (Pr- 12 OFFICE llASlllARSIMR lU..s. . . . . . ... NICKNAME ADDRESS I PO BOX; FIRST Ml JtJ.LtE- . ...... . ME?� �'f·\�. . . LAST � �'-.!\"Z- APT I SUITE #; CITY; SUFFIX STATE; ZIP CODE �7...c::>e l ..i..J. cs Q;.�t'_.. c. \ 12...c::..-t..-e::- OFFICE USE ONLY Date Received HAND DEC 1 B 2015 �� .S\"".,b.."'t"'\o.!. \'1i. -y1e�\ I D ELIVERED AREA CODE PHONE NUMBER EXTENSION ( ) MS/MRS/MR FIRST Ml ...--:--:> . . . . . . ... .. ll ,t...,... . .. .......... . . . . . NICKNAME LAST SUFFIX Ja .. lEa STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE #; CITY; STATE; "3�1'2-�JA-'l� �"\� \A;L. Date Hand-delivered or Date Postmarked Receipl # I Amount$ Date Processed Date Imaged ZIP CODE to� �,A--TtO� � � 111>4-S-- AREA CODE PHONE NUMBER EXTENSION ( ,,°>) 2-""2-Gl) -9 lo h 3 O January 15 D 30th day before election D Runoff D 15th day alter campaign lreasurer appointment· (Officeholder Orily) o Jury1s D 8th day before election D Exceeded $500 limit � Final Report {Attach CIOH ·FR) Month Day Year Month Day Year / / THROUGH / / ELECTION DATE ELECTION TYPE Month Day Year 0 Primary D Runoff D Olher Descrlptlon / / 0 General D Special OFFICE HELD (� any) 13 OFFICE SOUGHT (It known) (!JJ� �tt?..l. £.l:-'\ C::.-CILl' ... ....L< l L- \'�5 �r� GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/B/2015 CANDIDATE I OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPOR T COVER SHEET PG 2 14 C/OH NAMEj l.A.l.-\E, ME.tl-44 i::::, ta. L-f.J s: � L-"T'"'t.- 115 Flier ID (Ethics Commission Filers) 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL COHTRl8UTIOHS ACCEPTEO OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE f OFFICEHOLDER. THESE EXPENOfTURES MAY HAl/E BEEN MADE WTTHOUT THE CANDIDATE'S OR OFFICEHOLDER'S COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFACEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIV£ NOTICE OF SUCH EXPENDITURES. COMMITTEE TYPE COMMITTEE NAME ._( (1--0GENERAL COMMITTEE ADDRESS O sPECIFIC COMMITTEE CAMPAIGN TREASURER NAME D Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN . . . . . . TOTALS .......... EXPENDITURE TOTALS .......... CONTRIBUTION BALANCE .......... OUTSTANDING LOAN TOTALS 2. 3. 4. 5. 6. PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ (/ TOTAL POLITICAL CONTRIBUTIONS $ (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) D TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED $ 0 TOTAL POLITICAL EXPENDITURES $ 2c...1 . \Y- TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD $ v TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD $ 0 18 AFFIDAVIT - SHERRY MASHBURN r ��' 1168633·0 ): Notary Public, State of Texas ,, ........... .,.�..., My Commission Expires -€..Qf. .. ' July 26, 2019 � AFFIX NOTARY STAMP I SEALABOVE 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 c·�aFiL '}, 0) :1.1. n� / Signature of Candfciate or dfflcehold;r - Sworn to and subscribed before me, by the said j t\.-I j ( 0 CJk,I +z_... , this the t�� day of fu�b er. 20 l 5' to certify which, witness my hand and seal of office. �X�.� Forms provided by Texas Ethics Commission 5 hUh( �sb loll\.fr\ Printed name of officer administering oath www.ethics.state.tx.us � { zj 5�v-t-fuy Title of officer administering oath Revised 918/2015 ._ SUBTOTALS .. C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID (Ethics Commission Filers) Ju. ...... lE.-��(E.LO ��.� 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. rr SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS $ 0 2. IT SCHEDULEA2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $ 0 3. 0' SCHEDULE B: PLEDGED CONTRIBUTIONS $ D 4. �SCHEDULE E: LOANS $ 0 5. WscHEDULE F1; POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 1Jo <.rt/- 6. ff SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 0 7. G"' SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ D 8. �SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 0 9. C2r SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ {) 10. ca' SCHEDULE H: PA YMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ D 11. ff SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 0 12. B SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS $ 0 RETURNED TO FILER Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1 The Instruction Guide explains how to complete this form. 1 Total pages Schedule A 1 : I 2 FILER NAMEJU.L..\6 �\ K c::::..LO 3 Filer ID (Ethics Commission Filers) ..2.a..\. ut-'"\Z.-- 4 Date 5 Full name of contributor 0 OUl•Of•state PAC (ID#: ) 7 Amount of contribution ($) --� �- 6 c .;..;.� � .... :_.;c,.;, ..• �,. Zip Code J.o ...l.6 8 Principal occupation I Job title'-..;,.,,.,, S) 19 Employer (See Instructions) Date Full name of contributor 0 out-of-state PAC (ID#: \ Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation I Job title (See Instructions) I Employer (See Instructions) Date Full name of contributor 0 out·of·state PAC (ID#: \ Amount of contribution ($) Contributor address; City; State; Zip Code ---- Principal occupation I Job title (See Instructions) I Employer (See Instructions) Date Full name of contributor 0 out-of-state PAC (ID#: \ Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation I Job title (See Instructions) I 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 NON-MONETARY {IN-KIND) POLITICAL A2 CONTRIBUTIONS SCHEDULE The Instruction Guide explains how to complete this form. 1 Total pages Schedule A2: ' 2 3 Filer ID {Ethics Com m ission Filers) FILER NAME J LLL\b ��\1:::1 9 54lu.vt""'l..- 4 TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $ 5 Date 6 Full name of contributor D out-of-state PAC (10#: ,c;"n�:, te; . . Zip Code 10 Principal occupation }...inb titl0 • �..,,....-NON-..JUDICIAL) (See Instructions) 12 Contributor's principal occupation (FOR JUDICIAL) 14 Contributor's employer/law firm (FOR JUDICIAL) 16 If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL) Date Full name of contributor D out-of-state PAC (ID#: 11 13 15 Contributor address; City; State; Zip Code Principal occupation I Job title (FOR NON-JUDICIAL) (See Instructions) ---· Contributor's principal occupation (FOR JUDICIAL) Contributor's employer/law firm (FOR JUDICIAL) If contributor is a child, law fi rm of parent(s) (if any) (FOR JUDICIAL) I 8 Amount of 9 In-kind contribution Contribution $ description .. O check if travel outside of Texas. Complete Schedule T. Employer (FOR NON-JUDICIAL)(See Instructions) Contributor's job title (FOR JUDICIAL) (See Instructions) Law firm of contributor's spouse (if any) (FOR JUDICIAL) I Amount of In-kind contribution Contribution $ description .... 0 Check if travel outside of Texas. Compl ete Schedule T. Employer (FOR NON-JUDICIAL)(See Instructions) Contributor's job title (FOR JUDICIAL) (See Instructions) Law firm of contributor's spouse (if any) (FOR JUDICIAL) ATIACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor ls 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 PLEDGED CONTRIBUTIONS SCHEDULE B The Instruction Guide explains how to complete this form. 1 Total pages Schedule B: \ 2 FILER NAME 3 Filer ID (Ethic s Commission Filers) JuL\E... �RE.l.J� v.\, •<-"\z.- 4 TOTAL OF UNITEMIZED PLEDGES $ 5 Date 6 Full name of p ledgo r 0 out-of-state PAC (ID#: ' 8 Amount .9 In-kind contribution of Pledge$ description 7 ��·zipc;d.· D Check If travel outside of Texas. Complete Schedule T. 10 Principal occupation�tle·(See Instructions) 111 Employer (See Instructions) Date Full name of pledgor 0 out-of-state PAC (lD#: \ Amount In-kind contribution of Pledge$ description Pledgor address; City; State; Zip Code D Check if travel outside of Texas. Complete Schedule T. Principal occupation I Job title (See Instructions) I Employer (See Instructions} Date Full name of pledgor 0 out-of-state PAC CID#: \ Amount of In-kind contribution Pledge$ description Pfedgor address; City; State.; Zip Code D Check ii travel outside of Texas. Complete Schedule T. Principal occupation I Job title (See Instructions) I Employer (See Instructions) -- Date Full name of pledgor 0 out-of-state PAC (ID#: ' Amount of In-kind contribution Pledge$ description Pledgor address; City; State; Zip Code D Check If travel outside al Texas. Complete Schedule T. Principal occupation I Job title (See Instructions) I Employer (See Instructions) ATTACH ADDmONAL 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 -· 2 4 5 6 ·12 LOANS - The Instruction Guide explains how to complete this form. FILER NAMEJ ll.\..\t ��el..V �tJ.v...t..\"l-- TOTAL OF UNITEMIZED LOANS Date of loan 7 Name of lender D out-of-state PAC (ID#: ·c:c········��··· Is lender l�fy)""' Zip Code a financial Institution? y N ------ ) . - Principal occupation I Job title (See Instructions) 13 Employer (See Instructions) SCHEDULE E 1 Total pages Schedule E: ' 3 Filer ID (Ethics Commission Filers) $ 9 Loan Amount ($) 1 O Interest rate 11 Maturity date 14 Description of Collateral 15 Check if personal funds were deposited into political account (See Instructions) D none D 16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed ($) INFORMATION 18 Guarantor address; City; State; Zip Code 0 not applicable 20 Principal Occupation (See Instructions) 21 Employer (See Instructions) Date of loan Name of lender D out-of-state PAC (ID#: ) Loan Amount ($) �- Is lender Lender address; City; State; Zip Gode Interest rate a financial Institution? Maturity date y N ---· Principal occupation I Job title (See Instructions) Employer (See Instructions) Description of Collateral Check if personal funds were deposited into political account (See Instructions) D none D ;..-... GUARANTOR Name of guarantor Amount Guaranteed ($) INFORMATION Guarantor address; City; State; Zip Code 0 not applicable Principal Occupation (See I nstructions ) Employer (See Instructions) ATIACH 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) Advertisi ng Expense Event Expense Loan Repayment/Reimbursement SollcitaUon/Fundraislng Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense PoHing Expense Travel In District Contributions/Donations Made By GHt/AwardsiMemor!als Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SalatfaslWages/Contract Labor other (enter a category not listed above) Credit Card Paymen1 1 Total pages Schedule F1: \ ,.... 4 Date / \2..-\4--l \ 6 Amount ($) �'2.L-1. tY.. 8 PURPOSE OF EXPENDITURE 9 Complete ONLY if direct expenditure to benefit C/OH Date Amount($) PURPOSE OF EXPENDITURE Complete ONLY ii direct expenditure to benefit C/OH Date -· Amount ($) PURPOSE OF EXPENDITURE Complete ONLY if direct expenditure to benefit C/OH The Instruction Gulde explains how to complete this form. 2 FILER NAME 13 Filer ID (Ethics Commission Filers) J\1 t .\ E � J. f'.!:",A fu A e.L'.O <:::). I \1 • L.. T"'l. _, 5 Payee name JU..L..\e:. �c..J..u. '-.,.....z...... 7 Payee address; City; State; Zip Code �'2....0t!;> l,.l.J.>S� LtO-c:..-L-6 Le:>• J - --$",-�\,A- --r� 1")�c..µ-� (a) Category (See Categories Hsted at the top of this schedule) (b) Description D Check ff travel outside ofTexas. Complete Schedule T. Lo.btl �'(� D Check if Austin, TX, officeholder living expense Candidate I Officeholder name Office sought Office held Payee name Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description D Check if travel outside ofTexas. Complete 9chedule T. D Check if Austin, TX, officeholder living expense Candidate I Officeholder name Office sought Office held Payee name Paye e address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description D Check If travel outside of Texas. Complete Schedule T. D Check if Austin, TX, officeholder living expense Candidate I Officeholder name Office sought Office held ATIACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED ·- Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 UNPAID INCURRED OBLIGATIONS SCHEDULE F2 EXPENDITURE CATEGORIES FOR BOX 10(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Sollcitatlon/Fundralslng Expense Accountlng/Sanklng Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consu!Hng Expense Food/Beverage Expense Polling Expanse Travel In District Contribullons/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candldate/Offlceholder/PoUUcal Committee Legal Services SalarfesM/ages/Contract Labor Other (enter a category not listed above) The Instruction Gulde explains how to complete this form. 1 Total pages Schedule F2: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) \ }1 .d..-\ c;_. .A A l:"lll ..n ..1 F'1 @'-'. ..t1 &....\.'-'.t.; TZ - 4 TOTAL OF UNITEMIZED UNPAID INCURRED OBLIGATIONS $ 5 Date 6 Payee name -·-- � ----- 7 Amount ($) 8 P•Y�/�r�:�p/ 9 TYPE OF o (Political D Non-Political EXPENDITURE ------- 10 (a) Category (See Categories listed at the top 01 this schedule) (b) Description PURPOSE D Check If travel outside of Texas. Complete Schedule T. OF D Check II Austtn, TX, officeholder living expense EXPENDITURE 11 Complete ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City ; State; Zip Code TYPE OF D EXPENDITURE Political D Non-Political Category (See Categories listed at the top of this schedule) Description PURPOSE D Checi< �travel outside of Texas. Complete Sohedule T. OF Ocheck If Auslin, TX, officeholder living expense EXPENDITURE -- Complete ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH - ATTACH ADDITI ON AL COPIES OF TH IS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 PURCHASE OF INVESTMENTS MADE FROM POLITICA L CONTRIBUTIONS The Instruction Guide explains how to complete this form. 2 FILERNAME Jv.'-\C::. � r\•-=' t ..n 4 Date 5 Name of person from whom investment is purchased 8 Amount of investment ($) Date Name of person from whom investment Is purchased Address of person from whom investment is purchased; Description of investment Amount of investment ($) SCHEDULE F3 1 Total pages Schedule F3: 3 Filer ID (Ethics Commission Filers) City; State; Zip Code City; State ; Zip Code ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www;ethics.state.tx.us Revised 9/8/2015 EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4 EXPENDITURE CATEGORIES FOR BOX 10(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraislng Expense Accountlng/Banl<lng Fees Office Ovemead/Rantal Expense Transportation Equipment & Relaled Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By GifVAwards/Memorlals Expense Printing Expense Travel Out Of District Can<lldate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Olher (enter a category not listed above) The lnstn.1ction Gulde explains how to complete this form. 1 Total pages Schedule F4: 2 FILER NAME 3 Fil er ID (Ethics Commission Filers) \ - \t' LU'=-� l1r-n-'l -1 c:.t r=-J n c::;:.. • \J .1 . L t"7 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD $ 5 Date 6 Payee name - � \ 7 Amount ($) 6 Po��;:t;•7 9 TYPE OF D �1mca1 � 0 Non-Political EXPENDITURE 10 (a) Category (See Categories listed at the' top of this schedule) (b) Description PURPOSE D Chad< if travel outside of Texas. Complete Schedule T. OF D Check If Austin, TX, officeholder living expense EXPENDITURE 11 Complete ONLY If direct expenditure to benefit C/OH Candidate I Officeholder name Office soug ht Office held Date Payee name Amount ($) Payee address; City; state; Zip Code TYPE OF D D Non-Political EXPENDITURE Political Category (See Categories listed at the t op of this schedule) Description PURPOSE D Check ff travel outside ofTexas. Complete Schedule T. OF D Check if Aus tin, TX, officeholder living expanse EXPENDITURE Complete ONLY if direct Candidate I 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 a(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicilation/Fundralslng Expense Accounting/Banl<ing Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District ContrlbullonslDonatlons Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salarles/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) \ Jul.-\. CZ. ,h.F=iA J\ �: �� Ll1 4 Date 5 Payee name 6 Amount ($) 7 Pay-(7i;�'·"f�c,me D Relmbursementfrom political contributions Intended a (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE 0 Check �travel outside of Texas. Complele Sdledule T. OF EXPENDITURE 0 Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City ; State ; Zip Code D Reimbursement from polltlcal contributions intended -· Category (See Catagorios listed at the top of this schedule) (b) Description PURPOSE 0 Check If travel outside cl Texas. Complete Schedule T. OF EXPENDITURE D Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit CIOH Date Payee name Amount ($) Payee address; City; State; Zip Code D Reimbursementfrom political contributions intended Category (See Categories listed at the top of this schedule) (b) Description PURPOSE 0 Check tt travel outside of Texas. Complete Schedule T. OF EXPENDITURE 0 Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH AlTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH SCHEDULE H �· EXPENDITURE CATEGORIES FOR BOXS(a) Advertising Expense Event Expense Loan Repayment/Reimbursement SOHcftatlort/Fundraislng Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Offlceholder/Polltical Committee Legal Services SalariesM/ages/Contract Labor Other (enter a cate gory not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule H: 2 FILER NAME 13 Filer ID (Ethics Commission Filers) -, Ju.L..\e:., �Ptr=-J n >r�t.X'L- 4 Date 5 Business name -� - 6 Amount ($) �·��) J �pC-Odo 8 (�ateaorv (See C at the top of this schedule) (b) Description PURPOSE 0 Check if travel outside of Texas. Complete Schedule T. OF 0 Check If Auslin, TX, Officeholder living expense EXPENDITURE 9 Complete ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH >-- Date Business name Amount ($) Business address: City; State; Zip Code Category (5ee Categories listed at the top of this schedule) Description PURPOSE D Check If travel outside of Ta>< as. Complete Schedule T. OF 0 Check if Austin, TX, officeholder living expense EXPENDITURE Complete ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH ........ Date Business name Amount ($) Business address; City; State; Zip Code Category (See Categories listed at the top of this schedule Description PURPOSE 0 Check if travel outside ofTexas. Complete Schedule T. OF D Check if Austin, TX, officeholder living expense EXPENDITURE Complete Q!'.±!:Y if direct Candidate I 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 NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE I The Instruction Guide explains how to complete this fonn. 1 Total pages Schedule I: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) ' Jo_uE,. �H. t.�,l,;1) <Cl.....c.,-r� 4 Date 5 Payee name ·- 6 Amount ($) 7 Pay�,r6sw� 8 (a)Gatkory (See instructl xamples of acceptable (b) Description (See instructions regarding type al information PURPOSE categories.) required.) OF EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Gode PURPOSE Category (See instructions for examples at acceptable Description (See instructions regarding type of Information OF categories.) required.) EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Code PURPOSE Category (See instructions for examples of acceptable Description (See instructions regarding type of Information OF categories.) required.} EXPENDITURE Date Payee name -· Amount ($) Payee address; City; State; Zip Code PURPOSE Category (See instructions for examples of acceptable Description (See instructions regarding type of information OF categories.) required.) EXPENDITURE - ATTACH ADDITION AL 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 K: \ 2 FILER NAME 3 Filer ID (Ethics Commission Fliers) Jul e:: J1���tFl�D �('�vt� 4 Date 5 Name of person from whom amount Is received 8 Amount($) �7 ����";,,2�;�,. c�, State; Zip Code 7P�fnr ---D 1s received Check if political contribution returned to filer Date Name of person from whom amount is received Amount($) Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received D Check if political contribution returned to filer Date Name of person from whom amount is received Amount($) Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received D Check if political contribution returned to filer Date Name of person from whom amount is received Amount($) Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received 0 Check if political contribution returned to filer - ATTACH ADDITION AL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 INMKIND CONTRIBUTIONS OR POLITICAL EXPENDITURES FOR TRAVEL OUTSIDE OF TEXAS SCHEDULET -- The Instruction Guide explains how to complete this form. 1 Total pages Schedule T: \ 2 FILER NAME Ji. 3 Filer ID (Ethics Commission Filers) ..._\,\F� ,l._11::::-V. n I r-1 r=l n ..Sc.Jue.... \':z.- 4 Name of Contributor I Corporation or Labor Organization I Pledger I Payee 5 Contribution I Expenditure reported on: 0 Schedule A2 O schedule B 0 Schedule B(J) 0 Schedule C2 0 Schedule D 0 Schedule F1 0 Schedule F2 0 Schedule F4 O schedule G 0 Schedule H 0 Schedule GOH-UC 0 Schedule B-SS 6 Dates of+·-··-• 7 Name of person(s) traveling �i � ( reparture city or name of departure 16cation � 9 Destination city or name of destination location 10 Means of transportation 111 Purpos!} of travel (including name of conference, seminar, or other event) Name of Contributor I Corporation or Labor Organization I Pledgor I Payee Contribution I Expenditure reported on: 0 Schedule A2 O schedule B 0 Schedule B(J) 0 Schedule C2 0 Schedule D 0 Schedule Fi 0 Schedule F2 0 Schedule F4 0 Schedule G O schedule H 0 Schedule GOH-UC 0 Schedule B-SS Dates of travel Name of person(s) traveling Departure city or name of departure location Destination cily or name of destination location Means of transportation I Purpose of travel (including name of conference, seminar, or other event) Name of Contributor I Corporation or Labor Organization I Pledger I Payee Contribution I Expenditure reported on: 0 Schedule A2 O schedule B 0 Schedule B(J) 0 Schedule C2 0 Schedule D 0 Schedule Fi 0 Schedule F2 0 Schedule F4 0 ScheduleG O schedule H 0 Schedule COH-UC 0 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 I Purpose of travel (including name of conference, seminar, or other event) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 CANDIDATE I OFFICEHOLDER REPORT: DESIGNATION OF FINAL REPORT FORM C/OH ... FR The Instruction Guide explains how to complete this form. •• Complete only if "ReportType" on page 1 is marked "Final Report" •• 1 C/OH NAME 2 Filer ID (Ethics Commission Filers) Ju.\.A 6 Me.QJU r\ EL...-V ·-.. 3 SIGNATURE I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designat· ing 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 a oin me on file. 4 FILER WHO IS NOT AN OFFICEHOLDER •• Complete A & B below only if you are not an officeholder. A. CAMPAIGN FUNDS Check only one: D I do not have unexpended contributions or unexpended interest or Income earned from political contributions. D 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: D I do not retain assets purchased with political contributions or Interest or other income from political contributions. D 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. Signature of Candidate 5 OFACEHOLDER •• 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 politi­ cal contributions or interest or other income from political contributio . Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015