HomeMy WebLinkAbout161028 - Campaign Finance Report - Jerome Horace RektorikI CANDIDATE I OFFICEHOLDER I FORM C/OH
CA�PAIGN FINANCE REPORT COVER SHEET PG 1
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1 Filer ID (Ethics Conimlsslon Fliers) 2 Total pages liled: The C/01 Instruction Gulde explains how to complete this form. z.1-
3 CANDl'oATE I OFFICEHOLDER NAME !
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4 CANDlbATE/ OFFICEHOLDER MAILl�G ADDRESS
0 Chanda ol Address I --5 CANDl'oATE/ OFFIC�HOLDER PHONE I 6 I CAMPAIGN TREAS URER NAME� I !
I 7 CAMPAIGN TREASURER ADDRl::SS
(Residenci or Business) I I I
8 CAMP�IGN TREA, URER PHON,E
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9 REPdRT TYPE ;
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10 PERlcDD COVERED
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11 ELEOTION I
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.12 OFF18E I I
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MS I MRS I MR
1111
NICKNAME
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ADDRESS I PO BOX;
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� FIRST I of<.A ct::-Ji Ml E: fa. t�; 111 /£
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LAST SUFFIX T{e K rc11l; k -
APT I SUITE �; CITY; DA�;·/ ZIP CODE
c A; 11110 e; J+, 1J \,t<..-
c ,1 11 {J j f ,)' t t\ h Wf)
PHONE NUMBER J �5118/0
AREA CODE EXTENSION
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CITY; STREET ADDRESS (NO PO BOX PLEASE); APT I SUITE �;
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SUFFIX
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STATE;
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OFFICE USE ONLY
Dale Received
HAND
OCT 2 0 2015
DELIVERE
Dale Hand-deliverod or Date Pos1ma1ked
Receipt # I Amou111 S
Dato Procossod
Date lmagod
ZIP CODE
C' o )\ :J t .S�11 �) tvn1 It� AS l i&l/5 --
AREA CODE PHONE NUMBER EXTENSION
( 9?1) 22'/-� Lf-Y.1J-
0 30th day boloro election D January 15 D Ru no fl D 15th day alter campaign
lraasurer appointment � 811> <lay before election
(Oflicoholde1 Only)
0 Jl!lyt5 D Exceoded $500 li111it 0 Final Report (Attach CIOH
Monlh Day Year Mon1h Ony Yeaf
@d / /) / Z1JJ? THROUGH tfJC/i: /.JJ // J,,-tJ/�
ELECTION DATE
Monlh Day Yoar
)Jr,l{/ g /,J.� 10
OFFICE HELD (ii any)
Nt1Nl3�
D Primary D �General D
ELECTION TYPE
Runoll D 011'"'
Ocsc11p1ion
Spcctal
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GO TO PAGE 2
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Forms proyided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
D
i CJ}NDIDATE I OFFICEHOLDER FORM C/OH
COVER SHEET PG 2 CJ}-MPAIGN FINANCE REPORT
" C/( 1" NAME !-/_ C>f_L_--;_�f__ ;f;/2 tJ fYI L� � /l 1 /}It_ i _J�t "'" "__''. ""� ''"'"'""'" """'
16 NO ICE FROM THIS uox 1s FOH 11or1ce OF POLlllCAL co11rn1uu·11011s ACCEPIEO on POLlllCAL EXPe11011unes MADE av POllllCAl COMMITIEEs ro POlLITICAL SUPPOlll HIE C/INOIOAlE I OFFICEllOLDER. Tl/ESE EXPEND/TUnES f.IAY HAVE BEE// MAOli WtrllOVT TllE CANOIOATG0S on OFFICEHOLOE/1°5 CO�MITTEE(S) Kf/OVIL/iOGE on COliSEllT. CAl/O!OAfES Alli) OFFICEllOLDCAS ARE REOUll•EU TO REPO/ll llllS 111roAM/ITIOll ONLY IF TllEY RECEIVE IWllCE
OF SUCH EXPENOJTUOE9.
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17 CO�TRIBUTION TOTALS I
. I .. EXf?ENDITUf1E TO ALS
COINTRIBUTION BA ANGE
l OUTSTANDING
r.o�;�:::n',::E C O MMITr �-----·11 1 ---
C OMMl�REs-s--�---1¥-f--·-----------OsPE.c11:1c
COMMITTEE CAMl'AIGN TAEASUflER NAME
·----------···--·----
COMMITTEE 01\MPAIGN Tl1EASUJ1ER ADDRESS
I. TOTAL POLITICAL CONTAlllUTIONS OF $50 OR LESS (OTHER THAN
PLEOOES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
JOTHER THAN PLEDGES. LOANS, OR GUARANTEES OF LOANS)
. -----------------------·--------·--
3. TOTAL POLITICAL EXPENDITURES OF $100 on LESS,
UNLESS ITEMIZED
4 • TOTAL POLITICAL EXPENDITURES
$
$
$
$
. --�---.-------------------------.. ------------------
5. TOTAL POLITICAL CONTRIBUTIONS MAINT1\INED AS OF THE LAST DAY
OF REPORTING PERIOD $
-------------------------------·-------------1
6. TOTAL PRINCIPAL AMOUNT OF All OUTSTANDING LOANS AS OF THE
LAST DAY OF illE RCPOATINO PERIOD $ LOtN TOTALS ====i=======�======:::::::===-=-::::.=-=-=----=--==--�======:;;:;:; 18 AFflO/\VIT
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,Jrr-1x NO fAAY STAMP I !!E/l�/\fjQVE
Sw lrn to and subscribed before me, by the saldc:.2_-!.r.om.t_��fofi K---·-' this the -��.:!b__ d a �f2..c,� _, 20 \ (p , to cerllfy which, witness 111y hand and seal of office.
� -W ___________ .. _ S lgnaturo ot olllr.er ad 11111 taring oolh Titlo of ofllo<>r administering ooth
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Forms p�ovlded by Texas Ethics ��m rnis�l<;'1 �-.----www.elhlcs.slale.tx.us
#-1� �rJ� 6t.f�1, 7-()J b
Flevlsed 9/U/2015
RANEY WHITWELL 13032029-J Notary Public, State of Texas
My Commission Expires
Au ust4.2019
SUBTOTALS -C/OH FORM C/OH
COVER SHEET PG 3 . ::""NAME
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21 SCHEDULE SUBTOTALS
NAME OF SCHEDULE
SUBTOTAL
AMOUNT
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0 SCHEDULE A2: NON-MONETARY (IN-l<IND) POLITICAL CONTRIBUTIONS $ --c)-•· 2.
----------------------·-------------------------------------···-------·--·--· -----------D SCHEDULE B: PLEDGED CONTRIBUTIONS $ ---�).. . .,, 3.
-4--. --[�=--]-
SCHEDULE E: LOANS
·------------···----··--------------------------------�-�-·--=u�----
5. [�f: Fl: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS
[] 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS -�---
[] 7 SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS
8. 0 -----
--------------
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SCHEDULE F4: EXPENOITURES MADE BY Cf�EDIT CARD $ ---fJ--
··--·--------· ........ ·-·-··-··------
· .. �---------------------·---------------�---------�-----------'-----� [-1 fl. _J SCHEDULE G: POL.ITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ · ·· -_,
.-----------···------
-
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--·--··-··---�---------------------------------------
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11. D
12. []
--·-·-
SCHEDULE H: PA YMENT MADE FFlOM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ -�c.,,
SCHEDULE I: NON-POLITICAL EXPENDITURES MADE
-
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· ---�-----=11 =-,, ...
SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS. /\ND CONTRIBUTIONS
RETUFlNED TO FILER
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--------------�----·---·-----------·--··--···-----�--··-,.
Forms provided by Texas Etilics Commission www.ethics.state.tx.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
The lnslructlon Gulde explains how to comploto this form. ·101�d pages Schedule t\ 1:
J'tiJ'( � ,7-1}/� Contrihulor nddrons; City; Stato; 7,ip Code
{; , --/;) 0 l't
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___________________ ! .5_! __ � 1!1 �1ul�� ___ !_IL (1 /l_�j( .1. Y!F�_Zf:_!_�f(�-______________________ -----· - _
Prnwipal oc:cupallon I ,Job tltlo (Soc lnst .lctions) I/ Employer (S"e Instructions)
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Dato Full narne of contl"ibutor Amount of contribution {$)
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-·•-•···••--···"''""-'"�-··-·---"-"""··---•·•-•---•·• ••••-'n•"" •····-·---,.•···-·--··-···•··-·•-· •• ......... ,, ____
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Da!<.l Full nnrnn of contributo1 I I ocd-ol "'"'" PM.: \ti)t:: Amount ol contribution ($) ·f"t 11-1 19, i71:/1t,1,,t-i\) e1· rJ J1r2 >d I· . ¥ )1/J ? I� 00/'"'"""0 �;z·��l.( 11 cit' "'[ vrl":jc'Sl°;,"f-; "'' I
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ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor Is out-of·slalo PAC, please see lnslrucllon guide for addlllonal reporting requirements.
Forms provided by Toms Ethics Commission 1w1V1.clt1ics.state.tx.us Revised 9/8/2015
MONETARY POLITICAL CONTRl.BUTIONS SCHEDULE A1
iho lnslructfon Gulde explal11s how lo r,omplQIO this lorm.
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fun nun!u f}co1'i.Ploutor \�fj ff) . /' lil/J(SilY'
Con\ribvtor "tdtl>t)i�:i; (7'11'/:
1 &1 v-1n:�1�i=1�10y12,
hJll nnmn ol �ontrit>utr..�r
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7 /\fllOunt of contribuUon t$) I
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Arn1>11111 of c<>11t1ib<Jlion ($)
Ainounl of CiHl(nbuUon ($)
Z!p en(" '} �j\ � ··'
j!11n t1�/� __ 1· iL ___ .
F>nph.<iyor (See ln$tn;c!lonr-.}
v..-.---'?
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
It cootribu1or ts out-of-stnta PAC, plea so soe !n�tructhm guido lor odollional reporting requlremonts,
MONETARY POLITICAL CONTRIBUTIONS
4ij J,1)1
2(1/k;
Tho lnslrucllon Guide oxplulns how lo r.omplllto this lorm.
Full 1111mv uf z:ontr1ou1ut
)h; Kl cJ {)y k fi\l!f)
Co11lrft.•J.J!G' d.1..klro�,:;.::
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SCHEDULE A1
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Etnpl yer {Sew Ins�.�,��}
4.711 s4tu � v;ut ..... L JJ1.t:l11 ... f�!ndpr�I oe:cupolioA / Job tiHo (S<�e !notrunHon.s}
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I C1npioy�•.·1 f�:i��o ln£.\�1,1d><Jf';!.<'J
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Arno.in! cl contr1b11lion ($)
A.mount or ct:mlrib\stlon f,$)
ATIACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor Is oul·ol·slnte PAC, ple�90 seo i11s1Jucllo11 guldo fur addlllonal reporting rnqulrnm�111s.
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MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
The lnslrncllon Gulde e•plalns how to complelu this lorm.
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/\mount of CQnlrihution {$) J {/ p /{/{J ·.�··
Amount of C{)n!tibutton ($)
ii J/) ,/
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ATTACH AOOITIONAl COPIES OF THIS SCHEDULE AS NEEDED
If uon!JibUl()r Is out·of·slala PAC, ploaso sou lns11ucl1011 guido for uddllionnl rnporllng requireinento.
!W�� Ot:1'3t, uib
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MONETARY POLITICAL CONTRIBUTIONS
0 PflpdpitJ (l(:f,\JPaHon l ,fob tltto (SG� to"&trw�Hon�)
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SCHEDULE A1
1\mt1nnt t>f contrill\11\on ($)
;I ·-·
/ {'/{)
Armiunl ol contrib\l!IQl1 ($)
ATTACH ADDITIONAL COPIES Of THIS SCHEDULE AS NEEOEO
It conlrlbulor Is ovt·of.slate PAC, please soo lnstnmllon guiclo f(lt additional reporting requlrnmer11s.
Fotms provided by 1'"�M Ethics Crnnmi>sh�n
MONETARY POLITICAL CONTRIBUTIONS
Tho lnslluc!lon Ouldo oxplult\$ how to complelo lhls form.
2 I'll ;0�A c. f-., __ /£=:12 (11/!l r
�1 (1"�:, ,..,.,,_,�-1·; l"o�l-f:�:!�:H�;,, <''htl\r1!JV'Ol
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SCHEDULE A1
Amovnl of contrllJo\lon ($)
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Amounl ol 1�t.mlrll.x.1t!on ($)
A TT ACM ADDITIONAL COPIES OF THIS SCHEDULE AS NEEOEO
If contributor ls (tlil·of·slut� PAC, plonse seu instruction guide lor adoillonal reporling rnqulroment�.
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MONETARY POLITICAL CONTRIBUTIONS SCHEDULE
lh<> lnslructlon Gulde explains how lo complolo lhi> lorin .
. · '\
«/{L!f.!.2) 12:!& ....
7 A.ffH)lll\t r,t contrlbut!vn ($)
Amoufll ol contrlb111ion ($)
Amnun\ ot conhibotlon ($)
Contrfhwor nddrnr.'.'t;
ATf ACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
II conltibutor is ouH>l·slula PAC, plaaso soo i11str11ctlon guido !or addiilonol reporl\ng requirements.
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NON�MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS SCHEDULE A2
The Instruction Guido explains how to cornplote this form.
� '":)
Toial pagos Scl.w;jula A2: 'Y (;,
2 FILER NAME /(;!(}ljJ CE ""j1:_:· /2 t./ Ill{ .. I (��-l 1t11l i 1/�-
-------··----�-.--.,· · - ---------�----·
3 Filer ID (Elr11cr; Cummission Hiers)
!{)l/ 4 TOTAL OF UNITEMIZED IN-l<IND POLITICAL CONTRIBUTIONS $
5 D;ite 6 Full nnmo ot conl11butor CJ out-ol-::;1:110 P/\C (HJ/1;
7 Contribulor mJdPJ:GG: City: Stutu; Zip Coda
10 Principal oc:cupatlon I .Job lillt< (FOR NON-,/UOICIAL) (Soc lrn1truclimw)
JUDICIAL)
Contributor's employer/law firm (l'OH JUDICIAL)
If t;onlrlbutor Is a chllc1, l:iw firm of parnnl(s) (ii any) (FOR JUDICIAL)
Date
8 Amount of 9 In-kind conlribulion
ContribL1lion $ description
I ']check ii 1r,wel outside <11 Texas. Gompla:e Schedule T.
11 Employer (FOFl NON-JLJDIGIAL)(Seo Instructions)
···---'"---------�------···-.--····--------�.-·-·--------·-13 Contribulor's job lillo (FOr� JUDICIAL) (Soe Instructions)
15 law fi1rn of contributor's spouse (if any) (FOR JUDICIAL)
.J Amount of
Contribution ·'ii In-kind contrlbtllion
description
Contdbl1tor acJdro�;s; City; Stalo; Zip Godo
Principal occupullon I Job tltlo (FOR NON-JUDICIAL) (Soo Instructions)
Contributor's etnpluyorliaw firm (r'Oli JUDICIAL)
·� "" •••••--·�·�-.-···------•·-�··.--·-----· • • • ·• •�•"•-•w""••' •+•.-•••••···-"•-• • •• ... �•-• •-••••.-•••••••··•·••
If cont ributor is a child, luw film ol pMont(s) (ii any) (FOR .JUDICIAL)
ii travel outside ol TQxas. Complete Schedule T.
Employet (FOR NON-.JLJDICIAL)(Soe lnslnJGlions)
�-·•-• -._. � •·· ·•·• ·•· �·-••"'·--� ""••·---�o•-• -·-••·--··-
Contribulor' s job \Hie (FOFi JUDICIAL) (See Instructions)
Law firm ol contributor's spouse (if any) (FOi� JUDICIAi)
.. -------------------------·-·-----·----"---
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor Is out·ol·state PAC, please soc Instruction guide lor addlllonal reporting roquiromonts.
WW\V. ethics. state .1x. U!t 918/2015 Forn1s proviclod by Texas E,tt1ics Commission �if�
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PLEDGED CONTRIBUTIONS SCHEDULE 8
5 Dato
Date
Date
-�,.--- v·-·--• -•-•·•-·•�·�·--- ., -'
. -··· -·"·--·-----· ··-"-•'-"" ___ _, ---·.-.... ' .,
The Instruction GuidCl explnins how 10 complete this form,
3 filer ID (Flhics Comrnissi<>n FilCHS)
6 Full nurno of plod(Jor [1 out-ol-$1?.le PAC {1011:
7 Pleduor address; C<ty; Stute; Zip Code
occupation I • .lob title (Seo Instructions) 11 Employer (See lrn;tructions)
..... ,.-.-·---�-------
·-···-------·-------------
Pleidgor address;
0 oul ·of ·Bl<"i.le. PAC (!Olf: ..
Cl!y; Stato; Zip Codu
oc..,upation I .Job title (Seo lnslnJctions)
Full name of plednor 0 out ol-s;alo PAC {IOJL
Pledgor address; City; Stnto; Zip Code
;r I
Arnount
of r01edgn $ ln·kind r;ontrlbutlon
description
[�] Chech ii lravol O\Jlr;l<ie o� Toxas. Cornpleio Schedule T.
Arnount of
Plc1dgo $ In-kind contribution
dcwcriplioll
[] Clwek d travel oulsido of Toxas. Complete Schodulo T
·-r-·----·--··---------'-------
occ1..1pallon I Job titl e (See lnst111Gt!ons)
full namo of plt;aJuw
Pleduor ndd1 ess:
Employer (Sou hu;truclions)
.. J
City; Stnte; Zip Codo
Amount of
Plo<Jgo $
tn·ki11c1 con1rlbutlo11
description
[�Jcnack !f travol outsido of Tr:xas. Cornplete Schedulo T,
Prindpul occupation ! Job tillu (Sno Instructions)
ATIACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
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www.elhics.statA.IX.US Revised 918/2015 Forms provldod by Texas Ethics Con1misr;ion !� .. ,:;:l/i)J
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LOANS SCHEDULE E
The Instruction Gulde explains how to completn this form.
4 TOTAL OF UNITEMIZED LOANS
5
6
Dqtn of loan
Is londer
a financial
lnslit1Jtlon?
Y-N
7 Nmno of lomJer
0 LondHr address;
·····�-··---····-· 12 P1;incipal occupation I Job titlfl (Soo ln!;\rtJC:ions)
14 Oilscriptlon ot Collateral
[J none
16 GUARANTOR
INFORMATION
17 Narno ol Htiarnntor
18 Guarontor addrenr.;
l".J not applicable
20 Principal Occupnt!on (St:t.) h·;structicin!'i)
Dnto ot loan
1$ loridcr
:\ fmnncinl
ln�;t/tulion?
y N
Lendor o.ddresr.;
F'fincipal occupation / ,Job lillc {Bo1J lnstn.u;!lons)
-.--···-·--�·-·-··--·--Ocs.crlplion of Collaturul
GUAHANTOR
INFORMATION
[] mit applicable
Guarantor addross;
Principol Ocr.upalion (So:n 111:;\runtlons)
City;
City;
City;
Cit)':
Stll:e: Zip Cod�
3 Film !D (f:1tdcs Comff'ission FHors.)
-- - --- ---··1-------·c-··------- -
$ JI j A�-/ v. I
..... - -----------.. ----· ---·------------------9 L oari i\mourit ($}
10 Interest rate
11 Maturlly date
'13 Employor (S<,:u ln�tructi1.H1r;)
Sia to;
Check if pmsonnl fundt"> were deposited into political
nccmJtll (Sen lnstruc1ions)
I]
19 Ainuunt Guara11tci;d ($)
Zip Godo
�1'1 Employer {goo lrrntructlons)
Lo;,n Amount($)
?.Ip Code lnternst rnte
Maturity da\e
r:rnpl()yor (Gee lnstnictlons)
Chod<. ii pornonal It.ind�� were deposited into political
account (Sne lnstructlohs)
[]
Amount t3uL\ronteed {$)
Stato; Zip Corie
l::rnploynt (See inHtn1ctio11s)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBU TIONS SCHEDULE F1
l\tivt'rl1�•ino f: ).Pfin:;o
/\c1;1'.11J•1Ur1,r01JnKlng
C0n:;vlfi11\.) E1po1t�K�
Conlr:buti6f1s1Dona!1or1s r..�2dt1 Gy
EXPENDITURE CATEGORIES FOR BOX 8(a)
EVl)r1l �� '1{)()11'.1{}
F•�>':�f·
Lo;::ui Repayn101rt/H11irnb1.11m,+1n\�11!
Qlfice Overhe:nrJ1n¢nlnl lizpen100
PnWno E :.0:µ1mse
f30\1dtatio111f 1H1\t1al�ing fxp<�11�Ji!
liv..nr.p<m!ll!on Eq>1:prmml 8. Rolciled txp�m!HJ
T1avtJl l11 01t>!nct
ftavf.'il 0111 Ol Olr>!1ic:t
Cand1<i•�l�10ffb:-lwldnr1f)o!i!icc1l C01n111iHr�o Croo;i CaidP���n·!ffi
F(.'1)1l/Bt;;ver�1gu �XIH�11��0
OHt!AvairOs.itv�crnorin!s E:.:p1m5;i,
iJ:un! Servlc��:5
:-1rin!lng Exponr,e
.Su!w1c&1Wan1�!.>/Co11ltw:.;l Labur
The lnslructlon Guido cxplnlns how to complete this form.
01het (n11te1 a cn!u!JrnY no! lPl.\ed Hb(wn)
8
PURPOSE
OF
EXPENDITURE
9 C"rnplete 9Hl"Y 11 direc! expenditure to benofil C10H
PURPOSE
OF
EXflENDITURE
Date . . 41!/"2/z1 ;.!41/ f
..... , •• �·t-< -- • ,,_ • --
PURPQSE
OF
EXPENDITURE
Complo:e �lND'. ii oirecl
t.npomHuro to benehi CfOH
(o) CD.tl..lQOIY (St!Q Ca\ygories !i's!i}d ;)I \ho top of !his schth-:l,1/0)
tlt/ 1/ilt1>t�'5'
l�c-..... k!1�!.: ·(�
Cnndldnto I Otficoholdcr nan1e
% ___ .,..,.,.,,.�--�-'-)
--�--�·
Poyen nnmo
�)ayoB ;1ddress; City; Stato;
'1 I 7 'f·f C/' f1tr/tF (/
ZlpCo<ie
<�(/,''/!
(b) l)crncrlptlon
r �] Ctmc:i. ii lmvcl <h..1\sU� o! 1ox:i�. C0irip�1le S.Ct\00•.tl� T
[.J Check if llo�;tin, TX, cf!1c·otwtdc1 livlno oxpf>r.:;:e
Oflico sought Office t\Hld
Dosr:riptlon l=] Oll•ffa, ti \l>LVt�! fJO'.s::je ril 1e"(i;f, cc.��HiJ1fll�! Sch1,.>!}t�� l
r·.--_] ::;hock it f•.1,nlm, i X, o!!:u�hnldur !"1ir,fl o.•.�)f1ll5fl
OlflCt' SOU!.]l1t Office hol<J
ATIACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
UNPAID INCURRED OBLIGATIONS SCHEDULE f 2
'-----·---·---------·==-===:====·=--==========:==--=-====-=-=======-===--==!
Advertising f:xpenso
Atx:o1111ting$anking
Consulting Expense
Contribt11io11S!Oonations Ma<IB By
EXPENDITURE CATEGORIES FOR BOX 1 O(a)
Event Expensn
Fm�s
Loan nepaymenVRoimbursornon1
Olfice Overhead/Rental Expense
Polling Exponso
Sollcitation/fundralslng Expense
Transportation Equipment & Related Expense
Travel In District
Travel Out Of District
CandidatctOfliceholder/Polil!cal Committee
Food/Beverage Expense
G1fVAwnrds/Momorials Exponso
Legal Services
Printing E>:pense
Salaries1Wages/Conlract Labor Other (enler a category not listed abovo)
9 TYPE OF EXPENDITURE 0 Political [] Non-Political
------·-------·--··-·--··-··-··--· ·--···-··--··--·-------··--·--·-···-·--------··-·----·--··-·····-····-·-·-····--····-·1c·-·····-·-----···--·--·----····----·-------·--··--,
.
············-· .. ·------i 10 (a) Cakl\JOry (Seo C1t1ogories lisiod al 1t1e top ol 111is schedule) Description PUFIPOS E OF EXPENDITURE [�Check ii !lave! ou1sida ol Texas. Complete Schedule T.
Oc1ic:cK II Austi11, TX, ollico h older living exponsc
f------·--�---·---··---_.1-··------··-----·-·-------------------·-·--'---··-·-----··-------------·--------·I 11 Complet� QNLY ii direct
oxpendiluro lo benefit CIOH Candidate I Officeholder name Office sought Office held
=-====·=-=·========-=--=======-==========-==========-·=·-=======-=====··==========================::1 Date Payoo narne
·-----�---·--�----·----+--------------···--------------·-------------·--------·------------!
Amount ($) Payoo address: City; Stato; Zip Godo
---------------�··--·--------·-------- --------------------------·----------TYPE OF EXPENDITURE 0 Political 0 Non-Political
----------------··-·-�-·----·----
----E-�
._
:
_
u
_
ER-���
-
-1.TSUER E
-
---
-
Catego--ry (Soc
Ca1ogorios
_
·
_
1>
_
s
.
_
t
_
e
_
d
_
a1
_
1;·,·o-· lop o_•._11,,.�;
-
h
-
�J .
.
ulo)]
-Description
0 ChiJck ii t1avul otllsilJe ol Texas. Cornpluto Schedule T.
0 Ctwck ii Austin, TX, ofl1ceholder living oxponso
------------------------------
Complete Q.U�X ii direct
expenditure to benefil CtOH
Candidate I Officeholder name Office souyl1t Office held
-----==-====-=-==-=-=-=--=·-=-=· ========---==·=--::::::····-=·-=· -=====-=--=========1·-
�Wt-/{,. ATTACH ADDITION AL COPIES OF THIS SCHEDULE AS NEEDED , 1oi 1+ 3 I -Z.-1.1 k
Forms provid0d by Texas Ethics Comm1ssion www.eti11cs.state.1x.us Revised 9/8/201 5
PURCHASE OF INVESTMENTS MADE
FROM POLITICAL CONTRIBUTIONS
The Instruction Guido explains how to complete this form.
2 f'ILEll NANIE
.. __ .it (Y?!i_c e
4 [);;(IY 5 Na mo ol pm so11 1rorn w��n ;/'f.'�'lrnnn s purchnsod
........ /.v ... / I .•
6 Address of person frorn whqrn irrJ{;st )Ont is purchased;
7 Description of lnvostrnunl
Dato Nurno of p£.HHOll frorn v.1110in lnves1mont is purchasFJd
Address of pm!:;on fron1 whom Ir.vestment is purchased;
De�..:;cription of 111vuslrnent
Amounl of inve::.tmnnl ($•}
SCHEDULE F3
City: Stato; Zip Code
---------.-�·-·-�----·-_. __ .. -·-----··�""-··-�·····�--�-"""'---------
·---·----------·-�� ... -·-···�---"-,------·--·---�-.-·-�-��·,,,,�-�--------·----·--
City: State; Zip Coda
----�-----·--·---------·-------·--------------·---------·
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Revised 9/8/2015
EXPENDITURES MADE BY CREDIT CARD SCHEDULE F4
1\mitH\lf;i11g Expon�;u
Ac<lm1nting/Bankl1t11
Co1.'.svl!irig E:xpons•)
C-oflUib,1\ton:s!Putl«ittu11�> P...1mhi By
EXPENDITURE CATEGORIES FOR BOX '10(a)
bvon? Expc1fl::.!Y
reo::;
I .ua11r·h.;ipaym1�n\iffr1.'1nbw1;rntnmll
Olfico OvNt1ead1ncnlal Er.p·CO\i<:
Pollinu E'l<pen:..o
S1..>l•t:::ltnlh.vVF\i11d1 (i.i'tlng E;.:f>"Jrt.t><:
T1un�porta1lm1Eq1.Jlp1nm1t8 fleln11�l-:(p,:_i.1�fi.u
Trnve\ In District
Trn·.rel Out 01 {)l5tr!ct
C�u11fa"jatc-/Ollv:11h(>lclot/Po!i1ic;J; Cornr11il\eo
Pro11inu E-.;1Mns.o
Hnlu1!c��/WE;.fJ<':!VConlfnct Labor Ot11or (ontot a cnlogory not Hsled abovo)
Tho Instruction Guido explains how to complete this lorm .
. p�::s_!2:0��·-��-'---�-l-IL[/lir��.� ... ... �CJ£��[fl�!L._./(j' .• LJ;.·::�fs--:>·
·-··
4 TOTAL OF UNITEMIZED EXPENDITURES CHAFIGED TO A CREDIT CAF-{O
5 Dato
7 ,l\mount ($)
9
10
, TYPE OF
flXPENDITURE
PURPOSE
OF
EXPENDITURE
11 Complete Qfil)'. II <Jircct
r.xpilnditwe to benalit CIOH
l)atu
Amount ($)
TYPE OF
!:XPENDITURE
PURPOSE
OF
EXPENDITUBE
t.:ompleto QNLY 11 diroct
Oxpcrndlture to bonelil C/OH
G Pay&o nmno
City; State. Zip Cot1o
[] Political [] Non-Political
(b) Description
f'. :-:J Chea 11,Mol ouvJldo of ·ruxas. Co1l'piG\o $<J,e<lu'• l
[.']check if Avtain, ·rx, CJftite:tioicJot llving e;i.ptmso
Cund.datn ! OffiGHholdor rH.vna Offlco 8ougllt Offico held
C!iy: State: Zip Codn
[ .... , Political [.J Non-Foliilcal
Candlcfnto J Ofllce�1ol:Jer name
D!l>icriptlon
�N-·,�·-•••••-"" ·�'•;'•�<' ' .. -e -
""·-�··-------�··-�--�
0 Ciieck ii travel ouiskh� ot Texas. Corh1�1Jta S<:htidL:\-0 l
[.J Chock ;1 Austin, ·rx, o!!lr;ol1oh�or Hvlng u:<prtps11
Offico held
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
...... ................................. _.�·-------��---------·--�
1Nww.ethlcs.statn.tx.us 9/8/2015 Form$ providod by Texa�: Ell1ics Gom111lssion
f> cf 3 Ir '7&! ft,
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS
/\dvurli:;lno E:o:p<�m�o
1'.\ccovn1iOgtDm�k,ro Cn11:1\1�i1}n f!·,qx:nr�o
Co11hlbtl!l{lr\$1'l)onmi01l!> tAnrJo By
C•'lniJKIM1!/0ll1r.chold01JPoli\lcnl Co1nmilt•JH
C1 (:�l! G;:··� p '�)'!Hflll'.
[·--1 r��i;11h�J1<;erncmt from
·-· p9fillc.31 conlribuUons �n�ended
EXPENDITURE CATEGORIES FOR BOX 8(a)
Ev0.nt Exponse
f(!t)[,
F0tJ:JiH11vc1tsg>.! E:qm11t.��
G1HJA\W1nh\/'Me1n(1ri;il:; [':f.1:rn"�1.J
Lti1JHIS1::t1vlco1;
l.orui l'li�JJ.il)'fl1r:i•1Yfio rnbi1se1nr�r11
OH1ce Ovof11oot:t1f�unlal P..>:r.1m1!.itt
Pollifl}l E,.pan'iiJ
Pr\1\tu10 Eyp1:?ris11
S:�larln<,;;.1V/norn•/Gontt;lci Lnbo·
Tho Instruction Gulde explains how to complete this form.
SCHEDULE G
.E31)!it:i1<tt!onll: �1rid1 ai5il1!J l:xpi:mse
rranspo1\ulion Et1ulparn11t R. f tfil(1tf:td Expf!llSe
T1nv1�l In O!n1tlci
Travel O\JI Of Dlstrk;t
O!hor (enter a cateoorv rml listod above)
3 Film ID (Ell\ics Commission Fil0<s)
e' ,.-, .. --�---··-·--�-·� ... •-••,,
8 l'Uf1POSE
OF
EXPENDITURE
·--· .. ·"-t"·----------·--·-·-·· ... 9 Complete 9-Nb'!:'. ii direct
expolldit<Jre to bonelll GIOH
Amo�Jn! {$)
l. "I f3(ii11_'.l>'-HSNH1i:n1 :�nin
- . n<.)!wca! ccnl11bu11orn;
lt1\nnd<x.t
PURPOSE
OF
EXP.ENDITURE
Comp!eto Qi'Jl�Y. if direct
expeildilure to benelit G/OH
Arnovnt ($)
L�J �i�11:17(��:;1:�;�11:��1�,;��1,�:.
lrnm·dc-d
PURPOSE
• OF
EXPENDITURE
Gonlplotu Q�l�Y ii dirocl
oxpqnditure to benoH CIOH
Candldnte I OHlcnholdo1 nnmo
Pnyoenama
City: S:ato; Zip Godo
Candidate I Olficaholdar narn»
Payee nnmu
Gi!y; S�ut0; Zip Codn
Cnntiidatu / Officcho!dor narno
C!H;c" ii tr.-;vt:l 0111:-i;:fu ol 1t•xfl::i Gomp'.du SchW1 .. He T
c�·] G!1t•t:k H J\qsHn TX, oHicehc)l<Je• !·vinr; oxpenso
Olfice sm19l1t Oftico hold
[:] Chock il \mvol 011bkl1.; n( Tttxu5. r;ompl<l\<1 $i;hedo1n i.
[] Cho ex ii At1::.\in, t X, cfLi;;1.;hc>\dor ilvlng ctxpen!iQ
Olficc sought Office held
(b) Dr:-)sc;rir.itu;n [��] Ch:•:� :I h<i1.>€:I <n;b\{!•J oi Tthri�::. Com;1:e1'J ::-..o��},'.,!ulu "T,
c:·] ('.n�cl\ ti /W�'\ln, iX, oil\(:(�rm\dttr livinq or.ponso
Offico r;ought Oflico 110Jd
ATIACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
f:-�;�;���·�-�dbyT�:Zis Ett;i;,�-c-;;-r�;;;-;s-;i;;--------:;;;;;;."c;thics�;1<;;;:,�;;:;;;:------------------·-------····---·----Revised 9/6/2015
0 ct �I, ::Z-01 h
PAYMENT MADE FROM POLITICAL
CONTRIBUTIONS TO A BUSINESS OF C/OH SCHEDULE H
EXPENDITURE CATEGORIES FOR BOX 8(a)
r\t�ve11bin�} ['.;.:pensn
hcc.ur\ling/'!.lanldn!)
Con�.uili11f) Ex11en�;u Ccin!rit�ullonr;/()onatto!lg M;tr1a By
CnrK;dri.to!(':'llic:oh0!11n11PoF1i1.;1l(;unm1ilk1.•
l/.t:d·l�)1df'.'l)Tlll't'!
4 Oat�
8
PURPOSE
OF
EXPENDITURE
(a)
Event E/lpon:10
F(Jt}f;
Fthll11H1:vt:t1<ifJ1i" f:..:1if':bo
GHl!f•,\N(.1.ffit�IMcmqitnh; E'A;pu0$('
L!.'iF•! Svrv!t:ns
9 C(lniplote Q!i�Y. ii diroct oxpt�fHliiurn to tm11efit CiOH
Candldate I Offlceh(l!dar nan1e
Dntq
l.lian I l('p;:iy1nent,1:ii:;i!n\�u1sr;q�·�nt
Olfico OvNIW7iif1n,1nlal l'7:•ri•Y)::n
f'o!J;r10 [}lpp�i:>IJ
Pr1nli11g f�xpf!nt;:;e
�_i;f;11lr.n .. "'Naun�:;/Cq� 1!rnct L ail'.H
Oe.scriptio11
S1ll:ci\,)Jirn11Ft11w}Jnimnu � xpr,m�n
nan:1Jl(}fl<-1liv11 Equ1µrm!11\ & Rel.o.!t;J E.i'!µenG{t
rr;w�i In D1shict
Tt;i.w1iOlJI 01 Dif.1t1cl
Olhor (nnte1 a <:a!ogc1y not tls\c(l above)
Ch1.i2�: .j h<Yltil fJ\Ji::>'<io n{ T{�i.:n;., Co1111)!>,h� r:;;t;;,'(Jl,\ft T.
J c1·;n,::1w, 11 ,fl,uo.!iri. 1X 01lico1o!d1..1r hving tn;pense
()Hice souotll Ollice held
,\mount ($) Buslnosr; addross; City; Stnto; Zip Code
,plJflPOSE
, OF IOXPENDITURE
Gorhplete 9.tlb:i If direct
oxp!!ndlluro lo bcrrnlil C/OH
Candidate i Olllceholdor nnmo
-···-··�-'"-·-·----···-·�··--"---�--�-�-----.. ,.-��·--·-
·- ·· "·····--··�·--··-··--
Dalo
Aniocmt ($)
PU RP OSI::
OF
!i.XPENDITURE
Co'mp:ute QN�Y. ii diroc1
otpeo1H1J1e to bClnolil C!O!i
Candidate I Ofllc0l1old0r narno
Description
f �·�]Chick 1' !111·1el.t;<-l..W·idf1d ·r1:1ut�. (;1,;qTfn\11Sow·d\Ao1.
[ __ ] Ciw·Ji_ 1! l'1w.�1inj ! X, nllic�hol<l:ir :;·,.-Intl !JXJHlnSt:
Ollico $ougrll Ofllco hold
Onscrlptio11 [_�J Cht>c".\I t•,w(�l m1h:1fo o! T!1:.:<1•;. ('r.rnp!vl<: SG!H}l.hro l.
[�] Ch(.-d: d /1�:�lin, -r X, uflict?tio!d�., living t•xpe11�n
Olliec r,.olH]hl Office held
-----��'
�cf '3 /, �OJ b ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Tuxas Ethics Commission v!'-.V\v.ethics.};tnte.tx.us 9/8/2015
NON-POLITICAL EXPENDITURES
MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE
The Instruction Gulde explains how to con1pleto this form.
TotAI p�g0s Schvd,de I:
.f/
4 Date
6 Arrourit ($)
a
PURPOSE
OF
EXPENOITUHE
Datu
Amoun\ ($)
PURPOSE
OF
EXPl':NDITURE
Date
Amow-11 ($)
Pl)RPOSE
OF
EXPENDITURE
Dntc
AmOllnl ($)
PURPOSE
OF
EXPENDITURE
7 Payoe addros,r.; C11y; State; Zip Codn
(a) (.;alofjory {Seo IOS!t;J(:.!;OI�& 1�1f OXil!fl))IB:-: of <lt'C(ipl,'iti:o
c;.,1!fl�)Olll'S.)
City; Stato; Zip Code
Cate9ory \Seo i11W<1Gl1cn1r; for ox'1mplos ol ai:ccolnb!c Gtttugofies.J
Pnyoc namo
Cily; Gtnto: Zip Code
Catogory {Soo in�11uc1:01rn. tor 1namplf;i' of tlCC!!PWt•lo: cn\e(!Otit.H1.)
City: State; Zip Coda
C;\legory (S-&11 ln5\h.1ction� fur o,o.,a'nµlOf. of n1:rnptall!.1 cn1e�1<idus.)
(b) Di:wcription (So(1 01s1ruwon�-rt)g1.�rding 1ypo <JI lnfonmwon requh1.'cf.)
Descriµtion (Set.i lns!n.iclions 1n!_lardi11g lype ol inlcrmnlion required.)
Description (Sel."l lnslniclions 1oua1dln9 lyp(' ol lnlormul!on
rflqt1lftHI,)
DnscdpHon (S�o insiruc\wns rag�\1r!mg lypo ol inlorirrntion roquiruu.)
() i-t3f f 2--CJf ,h ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
INTEREST, CREDITS, GAINS, REFUNDS, AND
CONTRIBUTIONS RETURNED TO FILER SCHEDUl-E K
lo!al paons �lchm1wr: I<:
�·
Tho Instruction Guide explains how to comploto this form. 2 Fll.FH NAME
' N"'"" "' "717" 1f, ""°""' "'"''"�' . . 6 Address of pr:rsnn from \Vhorn ilmnunt is received�
7 PurposH tor whict1 mnount iti received
Name or µer-.> on h urn whurn amount Is rHceivod
Ackflons of persor1 from whorn ;:vnount is received;
Putpo��o fo1 wiiictl amount is rec;elvod
Nnmo of porson tram whom amount ls roccived
/\ddnJz:, of person frorn whom amount is rncoivod;
PurpoH0 for \.Vhich rnnount Is rocoivod
f'Jnme o( person tro111 whom amount iu. reccivod
Address of person f1orn v1hom <.'!mount is n;coivod;
Pwpose for whic.h amoun1 Is received
8 /\mount ($)
City; Stale; Zip Code
LJ Check if pollllcill contribution returned to filer
Amount ($)
City; Slato; Zip Code
[�] Chock it pontlcal contfibution ruturnmJ lo filer
/\mount ($)
City; State; Zip Code
[�] Ghecl< 11 political conl1ibutlon returned to Iller
Arnount ($)
City; Ziµ C·odo
[_j Chee!<. ii politlcal conlribution r eturnod lo lilnr
IN�KIND CONTRIBUTIONS OR POLITICAL EXPENDITURES
FOR TRAVEL OUTSIDE OF TEXAS SCHEDULE T
Tho Instruction Gulde explains how to complote this form.
?) /fot� 12··. /\rk ......... .
4 �ij'��°.:�(;�,,1:•t::'o'.' �:.'�P"'�''o''.''� .. �:�1 'A"' oz•H:'t/"1Pl ndoor1.rayeo
5 Conlribu\i()n I F:qierHJlturn rcp()rtod on: 7l i
[] Sctwdulo A2
c:j Schoclulc F2
6 Datcis ol 1ravol
I] Schedulo 8
[] Sct1odulu FA
0 Schedule l:l(J)
tJ Sditctdulfl G
8 Dc11artwo <..:ity or 11;;mte of doparturu location
Schodulo C2
J !';checJulo H
9 Do!..'1ination city or namn ot dcslinotion lrn:ntlnn
10 Maans of transportation
of Contributor I Corporation or I <.bor Orgnni7-alion I f'lodgor I Pnyc;e
Contribution I Cxpondlturo reported on:
[) Sr:hodule A2
[]sdwdulu F2
[] Sct10duh: B
Schodulo f'<l
[J Schedule 13(J)
[] Schodulo G
Narno o1 porson(s} Ha voling
[J Schedule c2
CJ Sc:lw<lulo H
Departure city or nan1e of dctpartwo !ocMion
Destination city or nn.me of dosti natlon Jccatton
1 Total pages Schedule T: }1
3 Flier ID (Ethics Cornmlasion l'ilors)
0 Schedule D 0 Schedule F1
[J Sct1cdulo COi HJC [J Schodulo O·SS
[) Schedulo D 0 Schedule 1"1
[j schodulc COH-UC [J Schedul e B·SS
Purpose of trnvc·I {lncl11ding namo of conlcronco, somin(lr, or other event)
Nartio of Contributor l Corpo1a!lon or LBbor 01ua11lzalion I r1tHJ!Jor I Puyee
Contribution I Expenditure roported ow
[] Schedule' A2
0 Scllodulo r2
nnt�;f) of travel
Schudulo B
[l Sct1';dulc• f'4
l] Schodulo B(.J)
[] Schc�dulo G
N<-tinc of person{s) traveling
[] Sdiedula c2
rJ SchcdvhJ H
DoparlUtu cHy or •HHTH-? of deparhHn locatk)fl
Do5tination city or name or deslinnt!nn localion
[] Sr,ii<HJulo [) 0 Schodl•le F'I
[] Schodute COH-UG [] Sdrndul" B·SS
Purpo�;l') ol 11avol (lnc:1udlng namo of conferonc1�. $Hminar, or olhor event}
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