HomeMy WebLinkAbout161011 - Campaign Finance Report - Karl P. MooneyCANDIDATE I OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPOR T 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/
OFFICEHOLDER
NAME
4 CANDIDATE/
OFFICEHOLDER
MAILING
ADDRESS
D 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
11 ELEC TION
12 OFFICE
,...,
MS/MRS �
. .
NICKNAME
..
ADDRESS I PO BOX:
FIRST efvl
/Jfi��lf/
APT I SUITE #; I
Ml
?
. .......
CITY; STATE;
. .
SUFFIX
ZIP CODE
AREA CODE
(
·�JI EXTENSION
,,,,
1/d;x; 0JidJ/41
. .......
Ml
SUFFIX
OFFICE USE ONLY
Date Received
RECEI,TED
OCT 11 2016
�
Date Hand-delivered or Date Postmarked
Receipt # I Amount $
Date Processed
Date Imaged
;;�'Tr�g,;;;J �a1J;11l)J�·Yx 7fi?:r
AREA CODE PHONE NUMBER EXTENSION (flf) 6/i>�i?f;l
[H'" 30th day before election D January 15 D Runoff D 15th day after campaign
treasurer appointment
(Officeholder Only)
o Ju1y15 D 8th day before election D Exceeded $500 limit D Final Report (Attach C/OH -FR)
Month Day Year Month Day Year 8 /I///{;; THROUGH //) //!) /;?t?I�
ELECTION DATE ELECTION TYPE
Month Day Year 0 Primary D Runoff D Other !/ /8 //b �eneral
Description
D Special
OFFICE HELD (if any) 13 OFFICE SOUGHT (if known)
(b 4/ 1) t ;/ft! ft71 �9'pr
GO TO PAGE 2
CANDIDATE I OFFICEHOLDER
CAMPAIGN FINANCE REPOR T
OCT 11 201f tY FORM C/OH
COVER SHEET PG 2
14 C/OH NAME
16 NOTICE FROM
POLITICAL
COMMITTEE(S)
0 Additional Pages
17 CONTRIBUTION
TOTALS
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN TOTALS
18 AFFIDAVIT
15 Filer ID (Ethics Commission Filers)
THIS BOX IS FOR NOTICE OF POLITIC L CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
SUPPORT THE CANDIDATE/ OFFICE LDER. 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 TYPE COMMITTEE NAME
['.0'GENERAL /J1dtJ1tt
COMMITTEE ADDR SS O sPECIFIC 5 :7 J 6 Vi'/ !zr;f/Ji &Jfl,#,, 'tJ/;;17>{7,Jff /7
COMMITTEE CAMPAIGN TREASURER NAME
�7}7}' Jh/;)'
COMMITTEE CAMPAIGN TREASURER ADDRE
f,Jt?6�i)i. i/?r!JJJ!l;-!l� ��JX?z#?
1.
2.
3.
4.
5.
6.
TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
TOTAL POLITICAL EXPENDITURES OF $100 OR LESS,
UNLESS ITEMIZED
TOTAL POLITICAL EXPENDITURES
TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
$
$ 9 JIJ!,�8
TANYA McNUTT
.. 1652789·5
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
Notary Public, State of Teitas
My Commission Expires
Fel;>ruary 14,2018r ..
under Title �lection Code .
�-
fficeholder
AFFIX NOTARY STAMP I SEALABOVE
Printed na e of officer administering oath
SUBTOTALS -C/OH FORM C/OH
COVER SHEET PG 3
19 FILER NAM� � , tlr/ ;?, ·· 't' tJ Y!l!L} 20 Filer ID (Ethics Commission Filers)
21 SCHEDULE SUBTOTALS ( SUBTOTAL
NAME OF SCHEDULE AMOUNT
1. WscHEDULE A 1: MONETARY POLITICAL CONTRIBUTIONS $:3,l:X�. II'
�SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS
I �"6 2. $;J,lJ&J�
3. ill SCHEDULE B: PLEDGED CONTRIBUTIONS $ !J� tM
4. W SCHEDULE E: LOANS $/�!f/,d(8
5. [B"" SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ / £ {!(J, ,:ti
6. � SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $/(J,;f�d8
7. ctr SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ tJ, tl)
8. [11" SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ (},M
9. W SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 15>17
10. � SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ tl" /,e
11. � SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ !J� ,!%
12. �SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS $ o� tJtJ RETURNED TO FILER
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
The Instruction Guide explains how to complete this form. 1 Totalbs Schedule A1:
2 FILER NAME �) r. /fp1JJJl9 3 Filer ID (Ethics Commission Filers)
4 Date
l!J-11/p 5f$7;[;w;Jf 6 out-of-state PAC (ID#:
8.h�i ¥�1k,d1e /
. . . . . . . . . . - . .
City; State; Zip Code �!&J4 Jtz 8JJ1·-
� .. � �
l 7 Amount of contribution
?/J. c;
8 Principal occupation I Job title (See Instructions) 9 Employer (See Instructions)
Date
/!)·/r/6
Full name of contributor D out-of-state PAC (ID#:
. . ..
Contributor address; City; State; Zip Code
)
. .. 'JleyJ;/ ""JJltMJ��.
I If l� 71;/#£_ tk --�e,�11!&1;,711� v �
Principal occupation I Job title (See Instructions) { Employ�r (See Instructions)
Amount of contribution
/�&?� />CJ
($)
($)
Date Full name of contributor D out-of-state PAC (ID#: f41Js)tt" /f1UJI! 'fl;'
\ Amount of contribution ($)
f>J?,)(p Contributor address; City;
...
State;
. ....
Zip Code
. .
1i1 / ·;;g f ;Jf/;;z 7/i;I; a&t)e.J/;;1k 1llff
Principal occupation I Job title {See Instructions) / Employer (See Instructions)
Date Full name of contributor D out-of-state PAC (ID#: . �UP!. . k rr t7ri . . . -....
)
. . . . . . . . . . fJIJ0 gZJ7f°jJ;Jj#i;;; 7JJ;'JM�-g;5
Principal occupation I Job title (See Instructions) ' Employer (see Instructions)
�:J()� ,?JP
Amount of contribution {$)
�c;;�
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
The Instruction Guide explains how to complete this form. 1 Tot?es Schedule A 1:
3 Filer ID (Ethics Commission Filers)
1 7 Amount of contribution {$)
_,/' r • Al 8 Principal oc:�up r;;· n I Job title (See lnstructiefns)
. '/Pt7
Date �me of contributor
.... �/Ii .�?}t; ..
Contributor ad ¢es�;
5JR7Jf/Jud·ct/-;
Principal occupation I Job title (See Instructions)
r 9 Employer {See Instructions)
D out-of-state PAC (ID#:. ________ )
City; State; Zip Code
�/);�It; k�x;f?
Employer (See Instructions)
Date Full name of contr�r 0 out-of-state PAC (ID#: _______ �,
1 'JiJrJ(p . fr;�i;tUt/.l(dtt/{ ............... .
( ""-v'J, 7 ( 1 Contributor address; City; State; Zip Code
1i1¥Ji7�ar;t,;!}��Jo/1k-7lt/tJ
Principal occupation I Job titfe (See Instructions) I Employer (See Instructions)
0 out-of-state PAC (ID#:. ________ )
Principal occupation I Job title {See lfistructions) I 'Employer (See Instructions)
Amount of contribution ($)
Amount of contribution ($)
Amount of contribution ($)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor ls out·of·state PAC, please see instruction guide for additional reporting requirements.
MONETARY POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form.
4 Date 5 Full n=• of rontnbuIDt � ""'_,,_,.,., e.c '"" . -�nj;_' . /lfttl/7_�. _l)!f>P. . ......... .
6 Contributor address(,_ /k t;; State; Zip Code �7�:r)/l?L.!l-;ti��Jk/;�-;;( ?lt/1'/
l
SCHEDULE A1
1 Total page;,. Schedule A 1:
//;)
3 Filer ID (Ethics Commission Filers)
7 Amount of contribution {$)
8 Principal occupation I Job title (See Instructions) 9 Employer (See Instructions)
Date Full name of contributor D out-of-state PAC (ID#:. ________ ,) �ti? /lfJt/lJ/Jl}.//t/l�.r ......... .
Contributor address; / . City; State; Zip Code
�/tl!Jl, �$-//J15. 6��r»ll;Y71!/?
Amount of contribution ($)
Principal occupation I Job title {See Instructions) / E rfi'ployer (See Instructions)
Date
fl/6
Full name of contributor D out-of-state PAC (ID#: l
f»A?J at
-��;"JJ;;z/���&-?;'���� $;-77
Amount of contribution ($)
Principal occupation I Job title (See Instructions) Employer {See Instructions)
Date
•· Contributor address; City; Sta te; Zip Cpde ·� 3'4-tJ/J ,<JZ· . Ir � 'IA -4Jt?od�n7� f 7// /J7f1f!t' {b/tt../r?efJ/l/t./� ]/,/j;;?;;Pj�.;l.
Amount of contribution ($)
Principal occupation I Job title {See Instructions} ( Employer (See Instructions}
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
The Instruction Guide explains how to complete this form. 1 Total pa.Zs Schedule A 1:
2 FILER NAM� I ;P � 3 Filer ID (Ethics Commission Filers)
. /l,l"'t -, �tJJtt!!..L . .. 7
4 Date 5 -j;;;;z·�� Do"'"''"" �o '"' \ 7 Amount of contribution
8
r;/;f;t ........ :>. ........ . . . . . . . . . . . . . . ... 6 Contributor address; City; State; Zip Code �j J /JJ;;r!dflt/ 4 d��Jl;, I� 77$P
Principal occupation I Job title (See Instructions) I' 9 efmployer (See Instructions)
Date Full name of contributor D out-of-state PAC (ID#: )
!!V6��
Amount of contribution
8/;;);6 ;&�tr.!-$1!1�. .. . . . .. Contributor address; City; State; Zip Code �lt¥LA!IJYtki:ll-JT; t1>�t1>m;u;1515 /()!J, �
Principal occupation I Job title (See Instructions)
Date Full name of contributor 0 out-of-state PAC (ID#:
Employer (See Instructions)
\ Amount of contribution
5/:?t�/JP . �'£!5i*'1ict
Contrib or address; City;
. . .
State; ..........
Zip Code .;f 8jtJ �)f)) /c17¢??;t1f&c1 .fin ,)< 7$�? 77�
Principal occupation I Job title (See Instructions)
Date Full name of contributor .. tli1l lby;tr
Contributor addres ;
Employer (See Instructions)
0 out-of-state PAC (ID#:
. . . City;
. . . . . . . . . . State; Zip Code
)
. . . . . . . f/!!/J; ?C/iff; ft>//tf�l?�111 A�!;..
Principal occupation I Job title (See Instructions) Employer (See Instructions)
..
Amount of contribution
/t!tJ, tJI
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
($)
($)
($)
($)
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
The Instruction Guide explains how to complete this form. 1 Total page�edule A 1:
4 Date
3 Filer ID (Ethics Commission Filers)
IV (
5 AJj;JJtt� .. D oM<•"" eAC (<D< • • •
.
• . . ' 7 A ;�o�
1
on:u<ion ($)
6 Con:;;zo; address; City; State; Zip Code / (/l/,
� 1f!:i :?Je/A � £J;{ti#!�fla)k?�I> 8 Principal occupation I Job title (See Instructions)/. ' fg Employer (See Instructions)
Date D out-of-slate PAC (ID#:. _________ ) Full name of contributor -�7�� fl!//;; Contributor address; City; State; Zip Code
t70�d)/;'tb&dia1�d/f';i;:;7X7�?
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Date
Principal occupation I Job title (See Instruction's) 'Employer (See Instructions)
Principal occupation I Job title {See Instructions) (. Employer (See Instructions)
Amount of contribution ($)
Amount of contribution ($}
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
The Instruction Guide explains how to complete this form. 1 Total ies Schedule A 1:
2 FILER NAM tfir/?. �dl{tji 3 Filer ID (Ethics Commission Filers)
4 Date l 7 Amount of contribution ($}
It ?Jlf
5 &ime of oo"tributo' ' / D oo<-oi-•'"" ''° ""'' -_:ttkt!�---' -'''' ' -' --'''' '
6 Contributor address; City; State; Zip Code
/J6/)/)tf;t/i)�{b/)(#Jkz.;7Y1�1,--�5b, l/'t'
8 Principal occupation I Job title (See Instructions) I 9 'Employer (See Instructions)
Date Full name of contributor D out-of-state PAC (ID#: ) Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor 0 out-of-state PAC (ID#: l Amount of contribution ($)
Contributor address; City; State; Zip Code
Principal occupation I Job title (See Instructions) 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) 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.
NON-MONETARY (IN-KIND) POLITICA L
CONTRIBUTIONS
The Instruction Guide explains how to complete this form.
2 FILER NAME
4 TOTAL OF UNITEMIZED IN-KIND POLIT AL CONTRIBUTIONS
SCHEDULE A2
1 Total pages Schedule A2: /
3 Filer ID (Ethics Commission Filers)
8 Amount of g In-kind contribution
Contribution $ description : /t#�J'47t #/J/d�f-ik/.
• /JMl';k
D Check if travel outside of Texas. Complete Schedule T.
R JUDICIAL) (See Instructions)
14 Contributor's employer/law firm (FOR JUDICIAL) 15 Law firm of contributor's spouse (if any) (FOR JUDICIAL)
16 If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)
Date Full name of contributor D out-of-state PAC (ID#:. _______ __, Amount of
Contribution $
In-kind contribution
description
Contributor address; City; State; Zip Code
D check if travel outside of Texas. Complete Schedule T.
Principal occupation I Job title (FOR NON-JUDICIAL) (See Instructions) Employer (FOR NON-JUDICIAL)(See Instructions)
Contributor's principal occupation (FOR JUDICIAL) Contributor's job title (FOR JUDICIAL) (See Instructions)
Contributor's employer/law firm (FOR JUDICIAL) Law firm of contributor's spouse (if any) (FOR JUDICIAL)
If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)
ATIACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
2
4
5
PLEDGED CONTRIBUTIONS
The Instruction Guide explains how to complete this form.
FILER NAM1?v) ?.' �_N!z/
I o
TOTAL OF UNITEMIZED PLEDGES I
Date 6 Full name of pledgor D out-of-state PAC (ID#:
7 Pledgor address; City; State; Zip Code
SCHEDULE B
1 Total pages Schedule f
3 Filer ID (Ethics Commission Filers)
$� �
\ 8 Amount 9 In-kind contribution
of Pledge$ description
D Check if travel outside of Texas. Complete Schedule T. 10 Principal occupation I Job title (See Instructions) 111 Employer (See Instructions)
Date Full name of pledgor D out-of-state PAC (ID#: 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 D out-of-state PAC (ID#: ) Amount of In-kind contribution
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 D out-of-state PAC (ID#: ) Amount of In-kind contribution
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)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
LOANS SCHEDULE E
The Instruction Guide explains how to complete this form. 1 Total page /chedule E:
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED LOANS
5 Date .of loa ., 7 9 Loan Amount ($) Name of lender �-o:-state PAC (ID#:
.dfr.//?, ... �P.'//Z:�.
8 Lender address; City; fut�;
. . . . . . . . t------>6"'--Jf<i{_f;�,�-�----!
6
12
14
16 GUARANTOR
INFORMATION
�pplicable
17 Nam� gujr pr
2.. (/.. 18 Guarantor address; City; State;
Zip Code 10 lnteres� )¥J
Check if personal funds were deposited into political
account (See Instructions)
D
19 Amount Guaranteed ($)
Zip Code
20 Principal Occupation (See Instructions) 21 Employer (See Instructions)
Name of lender . _ D o�2J'te PAC (ID#:
F---F---'-7"-+-+-----+ · /.d�,rtf( £ /f /)l)M;/ ....
Lender address; City; State, Zip Code
a financial
Institution?
y
�one
GUARANTOR
INFORMATION
� applicable
,�
Name of guarantor
Guarantor address; City; State; Zip Code
Principal Occupation (See Instructions) Employer (See Instructions)
Amount Guaranteed ($)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender is out-of-state PAC, please see instruction guide for additional reporting requirements.
1
POLITICAL EXPENDITURES MADE
FROM PO LITICAL CONTRIBUTIONS
Advertising Expense
Accounting/Banking
Consulting Expense
Contributions/Donations Made By
Candidate/Officeholder/Political Committee
Credit Card Payment
EXPENDITURE CATEGORIES FOR BOX S(a)
Event Expense
Fees
Food/Beverage Expense
Gift/Awards/Memorials Expense
Legal Services
Loan Repayment/Reimbursement
Office Overhead/Rental Expense
Polling Expense
Printing Expense
Salaries/Wages/Contract Labor
The Instruction Guide explains how to complete this form.
SCHEDULE F1
Solicitation/Fundraising Expense
Transportation Equipment & Related Expense
Travel In District
Travel Out Of District
Other (enter a category not listed above)
3 Filer ID (Ethics Commission Filers)
4
8
PURPOSE
OF
EXPENDITURE
9 Complete ONLY if direct
expenditure to benefit C/OH
Amount {$)
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
mount {$)
g�, tJ/)
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
(a) Category (See Categories listed at the top of
Candidate I Officeholder name
Payee name £d/;e_ r:ffv;
Payee address; City; State; Zip Code
Category (See Categories listed at the top
Candidate I Officeholder name
Payee name �&xiii Jt &i;/lt/
Payee address; City; State; Zip Code
(b) Description
D Check if travel outside olTexas. Complete Schedule T.
D Check if Austin, TX, officeholder living expense
Office sought Office held
Description
D Check if travel outside of Texas. Complete Schedule T.
D Check if Austin, TX, officeholder living expense
Office sought Office held
c/5&P6!J1i/:tt;/ij� .P;/J; un,J: tf$!Jt?Z
Category (See Categories listed at the top of this schedule)
Candidate I Officeholder name
Description
D Check if travel outside of Texas. Complete Schedule T.
D Check if Austin, TX, officeholder living expense
Office sought Office held
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
Advertising E x pense
Acco1mtlng/Bankfng
Consulting Expense
Contr·ibutions/Donations Made By
EXPENDITURE CATEGORIES FOR BOX 8(a)
Event Expense
Fees
Loan Ref)<1.yrnenl/Reimbursement
Office Overhead/Rental Expense
Polling Expense
Solicitation/Fur1draising Expense
Transportalion Equipment & Related Expense
Travel Jn District
Travel Oul Of Dislrict
Candidate/Officeholder/Political Committee
Food/Beverage Expense
GitvAwards/Memorials Expense
Legal Services
Printing Expense
Salmies/\Nages/Contract Labor Other (enter et category not listed above)
Credit Card Payment The I nstruc tion Gulde explains how to complete this form. � '� ''"''"'' "• 2 Fm NA� �d4�---�1 3_F-il e_r_ID-(-E t-h -ic _s _C_o _m_m_is-s -io_n._F_lle-r-s )
: �f#�-: Y!iM!l��f;:,!(1371
8 $/), � ��!,�ft!!_�f.:!_,.��q/�.>h/X-?l?�
PURPOSE OF EXPENDITURE
9 Complete ONLY if direct
expenditure to benelit C/OH
J " } D Check ii lrnvel outside o!Texas. Complete Schedule T.
/-1(.t}J> r D Check if Austin, TX, olficeholder living expense
Candidate I Officeholder name Office sought Offic e held
J13!tf_p _,_pif_¥1 J? /JIJtJpJt.j-
?60. pP
Check if travel outside of Texas. Complete Schedule T. CJ Check if Austin, TX, officeholder living expense
completePNLYildirect �ate
.
'/�1 d,jj/7�� . ii)-· s··k _ A�;t_iilli?1 __ _ ::�;,;;"'�TI�: r. �u;-L . �� 4)), __ _!ffel@Af �!&Code .. --. --;:L /�0, dlJ J-5}71)$ /tfNAAl/te;_&IJ;ti f;t_,L J; 7ft/;_v v_o
__ I Category (See Calegories !isled al the lop of lhis schedule) f
PURPOSE OF EXPENDITURE
Complete ONLY ii direct
expenditure to benefit CIOH
Candidate I Officeholder name
Description D Check if !ravel outside of Texas . Complete Schedule T. 0 Chee!< if Austin, TX, ofliceholdar living expense
Office sought Office held
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Cornmissiur1 www.ethics.state.tx.us Revised 9/8/2015
UNPAID INCURRED OBLIGATIONS SCHEDULE F2
EXPENDITURE CATEGORIES FOR BOX 10(a)
Advertising Expense
Accounting/Banking
Consulting Expense
Contributions/Donations Made By
Candidate/Officeholder/Political Committee
Event Expense
Fees
Food/Beverage Expense
GifVAwards/Memorials Expense
Legal Services
Loan RepaymenVReimbursement
Office Overhead/Rental Expense
Polling Expense
Printing Expense
Salaries/Wages/Contract Labor
Solicitation/Fundraising Expense
Transportation Equipment & Related Expense
Travel In District
Travel Out Of District
Other (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F2: 2
/
4
Date
7 Amount ($)
9 TYPE OF
EXPENDITURE
3 Filer ID (Ethics Commission Filers)
Zip Code
�olitical Non-Political
10 (a} Category (See Categorie s listed at the top of this schedule) (b} Description
PURPOSE
OF
EXPENDITURE
11 Complete ONLY if direct Candidate / Officeholder name
expenditure to benefit C/OH ".�. . "")-<;;/.. 7 na
l }�N /./'{/)()Al!.
TYPE OF
EXPENDITURE �litical
D Check if travel outside ofTexas. Complete Schedule T.
D Check if Austin, TX, officeholder living expense
Office sought
/t(a IJ7"
Office held
�
0 Non-Political
Category (See Categories listed at the top of this schedule) Description
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
D Check if travel out side ofTexas. Complete Schedule T.
D Check if Austin, TX, officeholder living expense
Can idate I Officeholder name Office sought Office held
�17?/JY�t. �� ��p
ATTACH ADDITION AL COPIES OF THIS SCHEDULE AS NEEDED
2
4
PURCHASE OF INVESTME NTS MADE
FROM POLITICA L CONTRIBU TIONS
The Instruction Guide explains how to complete this form.
FILERNAM;;;f_y/? JYl!J/)t{�;l}
Date v_ Name of person from whom investf is purchased 5
t'tilf
6 Address of person from whom investment is purchased;
7 Description of investment
8 Amount of investment ($)
Date N�raoo Imm whom loves<meot ;, pmchMed
... ff ................
Address of person from whom investment is purchased;
Description of investment
Amount of investment ($)
1
3
City;
City;
SCHEDULE
Total Jes Schedule F3:
Filer ID (Ethics Commission Filers)
State;
State;
...
Zip Code
. .
Zip Code
ATTACH ADDITION AL COPIES OF THIS SCHEDULE AS NEEDED
F3
1
4
5
7
9
EXPENDITURES MADE BY CREDIT CARD
EXPENDITURE CATEGORIES FOR BOX 10(a)
Advertising Expense Event Expense Loan RepaymenVReimbursement
Accounting/Banking Fees Office Overhead/Rental Expense
Consulting Expense Food/Beverage Expense Polling Expense
Contributions/Donations Made By GiWAwards/Memorials Expense Printing Expense
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor
Total pages Schedule F4:
/
The Instruction Guide explains how to complete this form.
2 ;:;;;:1-7? /J5J!Jut1J J
TOTAL OF UNITEMIZE��XPE �DITURES C�ARGEF A CREDIT CARD
Date 6 Payee name
Amount ($) 8 Payee address; City; State; Zip Code
TYPE OF D 0 Non-Political EXPENDITURE Political
SCHEDULE F4
Solicitation/Fundraising Expense
Transportation Equipment & Related Expense
Travel In District
Travel Out Of District
Other (enter a category not listed above)
3 Filer ID (Ethics Commission Filers)
·7)#1 $ 1
10 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE D Check if travel outside of Texas. Complete Schedule T. OF D Check ii Austin, 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 ($) Payee address; City; State; Zip Code
TYPE OF · D D Non-Political EXPENDITURE Political
Category (See Categories listed at the top of this schedule) Description
PURPOSE D Check if travel outside ofTexas. Complete Schedule T. OF D Check if Austin, TX, officeholder living expense EXPENDITURE
Complete ONLY if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTAi"'!.! AnnlTlnl\.IAI l"'nD11::c: ni:: Tl.lie: C:l"'l.li::n111 i::AC:11.1i::i::ni::n
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense
Accounting/Banking
Consulting Expense
Contributions/Donations Made By
Candidate/Officeholder/Political Committee
Credit Card Payment
Event Expense
Fees
Food/Beverage Expense
GifVAwards/Memorials Expense
Legal Services
Loan RepaymenVReimbursement
Office Overhead/Rental Expense
Polling Expense
Printing Expense
Salaries/Wages/Contract Labor
The Instruction Guide explains how to complete this form.
SCHEDULE G
Solicitation /Fundraising Expense
Transportation Equipment & Related Expense
Travel In District
Travel Out Of District
Other (enter a category not listed above)
1 Total pages Schedule G: 2 3 Filer ID (Ethics Commission Filers)
6 �"",'"J/1 7 �bursementfrom ��cal contributions
intended
a (a) Category (See C /egories listed at the top of this schedule) (b) Description
PURPOSE
OF
EXPENDITURE
9 Complete ONLY if direct
expenditure to benefit C/OH
Date
Amount ($)
D Reimbursementfrom
political contributions
intended
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
Date
Amount ($)
D Reimbursementfrom
political contributions
intended
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
._,,,---" • Al �{$/
Payee address; City; State; Zip Code
Category (See Categor ies listed at the top of this schedule)
Candidate I Officeholder name
Payee name
Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule)
Candidate I Officeholder name
D Check if travel outside of Texas. Complete Schedule T.
D Check if Austin, TX, officeholder living expense
(b) Description
D Check if travel outside of Texas. Complete Schedule T.
D Check if Austin, TX, officeholder living expense
Office sought Office held
(b) Description
D Check if travel outside of Texas. Complete Schedule T.
D Check if Austin, TX, officeholder living expense
Office sought Office held
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
1
PAYMENT MADE FROM POLITICAL
CONTRIBUTIONS TO A BUSINESS OF C/OH
EXPENDITURE CATEGORIES FOR BOX 8(a}
Advertising Expense Event Expense Loan RepaymenUReimbursement
Accounting/Banking Fees Office Overhead/Rental Expense
Consulting Expense Food/Beverage Expense Polling Expense
Contributions/Donations Made By GifUAwards/Memorials Expense Printing Expense
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor
Credit Card Payment The Instruction Guide explains how to complete this form.
Total pages Schedule H: 2
/
FILER NA� ) ·-p //4
·.· 1 C/� -//JJ).l(�?)
SCHEDULE H
Solicitation /Fundraising Expense
Transportation Equipment & Related Expense
Travel In District
Travel Out Of District
Other (enter a category not listed above)
13 Filer I D (Ethics Commission Filers)
4 Date 5 Business n,{rn�-' 7
6 Amount ($) 7 .
Business address; l/ City; State; Zip Code
8 (a) Category (See Categories listed at the top of this schedule) (b) Description
PURPOSE D Check if1ravel outside ofTexas. Complete Schedule T. OF D Check if Austin, TX, officeholder living expense EXPENDITURE
9 Complete ONLY if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Business name
Amount ($) Business address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE D Check if travel outside ofTexas. Complete Schedule T.
OF D 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 ($) Business address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
PURPOSE D Check if travel outside of Texas. Complete Schedule T.
OF D Check if Austin, TX, officeholder living expense EXPENDITURE
Complete ONLY if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
NON-POLITICAL EXPENDITURES
MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE I
The Instruction Guide explains how to complete this form.
1 Total pages Schedule I: 2 FILERN �
J?�ZJ/(62)
3 Filer ID (Ethics Commission Filers)
/ � 4,?: L·
4 Date
(/ ( 5 Payee na��
v
6 Amount ($) 7 Payee address; City; State; Zip Code
8 (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 ($) Payee address; City; State; Zip Code
PURPOSE Category (See instructions for examples of acceptable Description (See instructions regarding type of information
OF categories.) required.)
EXPENDITURE
Date Payee name
Amount ($) 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
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See instructions for examples of acceptable Description (See instructions regarding type of information
OF categories.) required.)
EXPENDITURE
--·-
AT TACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
INTEREST, CREDITS, GAINS, REFUNDS, AND
CONTRIBUTIONS RETURNED TO FILER SCHEDULE K
4 Date
Date
Date
Date
The Instruction Guide explains how to complete this form. 1 Total pages Schedule K:
/
t · " · ' .. L #Jpe,,oo from whom amooot ;, 7oo;•ed . .
6 Address of person from whom amount is received;
7 Purpose for which amount is received
Name of person from whom amount is received
Address of person from whom amount is received;
Purpose for which amount is received
Name of person from whom amount is received
Address of person from whom amount is received;
Purpose for which amount is received
Name of person from whom amount is received
Address of person from whom amount is received;
Purpose for which amount is received
City; State;
3 Filer ID (Ethics Commission Filers)
8 Amount($)
Zip Code
D Check if political contribution returned to filer
Amount($)
City; State; Zip Code
D Check if political contribution returned to filer
Amount($)
City; State; Zip Code
D Check if political contribution returned to filer
Amount($)
City; State; Zip Code
D Check if political contribution returned to filer
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
IN-KIND CONTRIBUTIONS OR POLITICAL EXPENDITURES
FOR TRAVEL OUTSIDE OF TEXAS SCHEDULET
The Instruction Guide explains how to complete this form. 1 Total pages Schedule T: I ,,
2 FILER NAME �rJ-:J:'/Yl!JJl/C?J) 3 Filer ID (Ethics Commission Filers)
4 Name of Contribu6/ Corporati;n or Labor Organizau�;rledgor 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 COH-UC 0 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 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 F1
0 Schedule F2 0 Schedule F4 O schedule G 0 Schedule H 0 Schedule GOH-UC D 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 I Corporation or Labor Organization I Pledgor I Payee
Contribution I Expenditure reported on:
0 Schedule A2 O schedule B D 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 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 Purpose of travel (including name of conference, seminar, or other event)
ATTA ,..LI A nn.1-r1n1.1 A I """n:�� nc "Tl..Jlt:"." 11:.""'LIC'nl II c AC'!-l.ll::'C'n.C'n.