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Home My WebLink About171010 - Campaign Finance Report - Dallas Shipp CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT 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. 2 0 3 CANDIDATE/ MS/MRS/MR FIRST MI OFFICEHOLDER NAME m OC OFFICE USE ONLY 1 Date Received NICKNAME LAST SUFFIX 4 CANDIDATE/ ADDRESS /PO BOX; APT/p�f SUITE#; CITY; STATE; ZIP CODE MAILING OFFICEHOLDER 04 p 4 O C T 1 0 2011 ADDRESS _fin Change of Address// 3i1A40,,,InjaAl7?3 la— -BY: ---- e 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER Date Hand-delivered or Date Postmarked PHONE ( 9�� > day- 9'ID s— , 6 CAMPAIGN MS!MRS/MR FIRST MI Receipt# 1 Amount$ TREASURER i I sgels GGlt Date Processed NAME NICKNAME LAST SUFFIX Date Imaged a 0 ;, 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE 8; CITY; STATE; ZIP CODE ADDRESSER yIO(I £/C1f4I (Residence or Business) ,Se ii // . / 77 O f 8 CAMPAIGN AREA CODE PHONE NUMBER 7 EXTENSION TREASURER PHONE (9 79 /` 7,7 ,7.4 S—Pf 9 REPORT TYPE �/� I January 15 I yl� 30th day before election I I Runoff I I 15th day after campaign y'� treasurer appointment (Officeholder Only) July 15 n 8th day before election n Exceeded$500 limit Final Report(Attach C/OH-FR) 10 PERIOD Month Day Year Month m Da Day Year ^� COVERED V'Q/O// 9../7 THROUGH /o/z / /zc/ / 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ElL_1 Primary Runoff ❑ Other Description Ii /07/at 7 /"eneral u Special 12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known) �,,� 64 S7 G Gw�— I%ct 3 GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAME ^ _tf4/, ��"n I 15 Filer ID (Ethics Commission Filers) 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICA_CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S COMM ITTEE(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 El GENERAL COMMITTEE ADDRESS SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME n Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ ) sv . O J 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) 0 O . Do EXPENDITURE 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, TOTALS $ UNLESS ITEMIZED , 4. TOTAL POLITICAL EXPENDITURES $ / /l( 5-3 CONTRIBUTION /7 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY �] BALANCE OF REPORTING PERIOD $ / 3 3 OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ 18 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the accompanying report is true and correct and includes all information required to be reported by me ,.. USA McCRACKEN under 15,Election Code. �'' ''� 1310922041 ) * -)N * Notary Public,State of Texas ) '�'lr N. My Commission Expires F April 17,2021 ignature o andi a AM-trader AFFIX NOTARY STAMP/SEALABOVE C Sworn to and subscribed before me, by the sai \c c�k this the `" , day of ,20 l-.1 ,to certify which,witness my hand and seal of office. duck No ('''tokiinsu t tsa MOT'kl‘t 0 ',P Jr\ kDA-Cis-L\cA),)\11e, Signature of officer administering oath Printed name of officer administering oath Title of officdministering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME /1,� SR20 Filer ID(Ethics Commission Filers) /� Qom, ' pie 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS $ 71 o o, % 2. I I SCHEDULE A2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3. I I SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULE E: LOANS $ .---'-"' 5. I I SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ #7/ I (, .S3 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ ...-..---• 7. SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ ...." � 8. SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9• I I SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ /"-. 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ i� 11. SCHEDULE I: NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 12 SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS,AND CONTRIBUTIONS $ RETURNED TO FILER Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. y Total pages Schedule Al: 2 FILER NAME 4 /i ., Q • 3 Filer ID (Ethics Commission Filers) cxeot/ 4 Date 5 Full name of contributor D out-of-state PAC(ID#: ) 7 Amount of contribution ($) !° �� Jawl:,v� /flier it 0 . Jo 7 6 Contributor address; City; State; Zip Code y/.I �y 4 Sa Zco S -2-)8y 8 Principal occulppaati�on//Job titleti (See Instructions) g Employer- (See_ Instructions) Lial G�S77�-� /o,- hA�-.r '...2c./'�-� Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) Er is W yl'..e. q //// 7 Contributor address; City; State; Zip Code Iel 0 3 ?is a t,,(‘itL- Ci C % J& �X Principal occupation/Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) V/l n Contributor address; City; State; Zip Code J Z)D /3 7ae). AL.,L/4.A,„. 6,r. ADs7t.n, 7Ar 1706 9 Principal occupation/Job title (See Instructions) Employer (See Instructions) 0/ / d bias w/cc.' -1, n V/fA /�c,4rni,�e., Date Full name of contributor 0 out-of-state PAC(ID#: ) Amount of contribution ($) Te.i ,"...(... /,..//-, Contributor /address; City; State; Zip Code S-00' V— ivio eock geeti Or G4s14d77 1C Principal occupation/Job title (See Instructions) Employer(See Instructions) e_...i.e.‘.- eoe f 4 S lig 0e4vi s.;.41....e . /1/14%-^ i d' 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 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME CkJ��-w—+ O 3 Filer ID (Ethics Commission Filers) �/ill\, 1aa 4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: ) 7 Amount of contribution ($) 8 1 1/7 i 6 Contributor address; City; State; Zip Code 0250. 6-9 30203 /nn:b OOh e,r. &Ay . , 77 z'z:v.s' 8 Principal occupation/Job title(See Instructions) g Employer(See Instructions) J Date Full name of contributor Elout-of-sstatttee PAC(ID#: ) Amount of contribution ($) tc. Y 3/ /7 Contributor address; City; State; Zip Code Z 0 0 .s� 185139 /AA s4z► Vote Qr 4I4 7 7,Py - Principal occupation/Job title(See Instructions) Employer (See Instructions) .t.,,1 d>,-- �S �..*� 6,24,,,.. 1 4,,,..., Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) 6 3/ / Contributor address; 3C`it State; Zip Code OD. ab- 324)/ ()Q; till: 4 Y /JJ 13r y apt , 7" 7 7 rat Principal occupation/Job title(See Instructions) 0 Employer (See Instructions) 0 0L IV(' Mark— EX-e; Q Date Full name of contributor ❑out-of-state PAC(ID#: 1 Amount of contribution ($) n0);(fr 6crkJ-e-4 /3 (/fl Contributor address; City; State; Zip Code /D') a* 861 S, IP try Th `7) 802- Principal occupation/Job title(See Instructions) nn Employer(See Instructions) ill GS f/'r e n C c �o�v� 40 ) l s..... /nswt.a... 0R 6. -ko p 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 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. Total pages Schedule Al: 2 FILER NAME �� /�„ 3 Filer ID (Ethics Commission Filers) OJ�fE�/ c 4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: ) 7 Amount of contribution ($) AirtA1014 i/o.e.Wr4. 9/Z'/7 6 Contributor address; City; State; Zip Code c726 VD _ sell 11cti t ik)c (2.2 SA -7)S91 8 Principal occupation/Job title(See Instructions) 9 Employer (See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) 6 elyok..e r/- 4/001/-44%., go., f_ 9/D/7 Contributor address; City; State; Zip Code /D 'fr/z Sth•S 6gek Qc- at JA. 7 770.r Principal occupation/ Job title(See Instructions) Employer (See Instructions) /n 4.— S _ � _ 1 'a rY'y zi Y N)i e ,/,' G.. Date /Ful_l name of contributorYIIM.vti ❑out-of-state PAC(ID#:i 1 Amount of contribution ($) (�,,rl Lill;/lam• /�1 L4 Z47 Contributor address; City;(kJ.. Zip Code /OD 0 '---. Po 80( 1/77 9 Gl/ S.744 TX 7I8't z Principal occupation/Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: 1 Amount of contribution ($) Z.E._oy:10-r I_ 4 Aim."e...-2 e.r-,rit. Contributor address; City; State; Zip Code /c) D . Z�h7 07o2— Caiwi £ r ay 7' 77pyo Principal occupation/Job title(See Instructions) Employer(See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC,please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME D 3 Filer ID (Ethics Commission Filers) (:::<4 .6 /V 4 Date 5 Full name of contributorut _❑out-of-state PAC(ID#: ) 7 Amount of contribution ($) /31Jh '°'r I` 1`n.s t//om- tsv 6 Contributor address; City; State; Zip Code ("b a 770o ff Qc;4 id c/rd* ' %� -77 4ys J v 8 Principal occupation/Job title (See Instructions) 9 Employer (See Instructions) Date Full name of contributor 0 out-of-state PAC(ID#: 1 Amount of contribution ($) f4 iece.. 4 &b4 Qo m; fh g7 r 17 Contributor address; City; Staff; Zip Code it/De q/C la-.J 6/l1 s4& 7X ?,t ys Principal occupation/Job title(See Instructions) Employer (See Instructions) /a,r c, 01.r"it ' - t?lq iu pjI.. / )e ✓4'«.�12 As - G f 0 v Date Full name of contributor ❑out-of-state PAC(ID#: 1 Amount of contribution ($) r; hLe q //s-I 7 Contributoddress; City; State; Zip Code �('J dy/f ci 411W 4 - ?s' s rx17d!7 Principal occupation/Job title (See Instructions) Employer (See Instructions) Z-4444 eC..e- 3 1-'7e1H'V.-d Date Full name of contributor �p ❑out-of-state PAC(ID#: 1 Amount of contribution ($) T 46111 k I4�, Q,,,.f- Pc t r�Contributor address; City; State; Zip Code s D.. /1 gyf 7.-elLa w �l4 Q� 64 SA.71 7 Principal occupation/Job title(See Instructions Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC,please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS SCHEDULE A2 The Instruction Guide explains how to complete this form. 1 Total pages Schedule A2: 2 FILER NAME J , 3 Filer ID (Ethics Commission Filers) aget SA fy 4 TOTAL OF UNITEMIZED IN-KIND POLITICAL CONTRIBUTIONS $ 5 Date 6 Full name of contributor ❑out-of-state PAC(ID#: ) 8 Amount of . 9 In-kind contribution Contribution $ . description 7 Contributor address; City; State; Zip Code • Check if travel outside of Texas.Complete Schedule T. 10 Principal occupation/Job title (FOR NON-JUDICIAL)(See Instructions) 11 Employer (FOR NON-JUDICIAL)(See Instructions) 12 Contributor's principal occupation (FOR JUDICIAL) 13 Contributor's job title(FOR 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 0 out-of-state PAC(ID#: Amount of . In-kind contribution Contribution $ . description Contributor address; City; State; Zip Code • (Check if travel outside of Texas.Complete Schedule T. Principal occupation/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) 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 PLEDGED CONTRIBUTIONS SCHEDULE B The Instruction Guide explains how to complete this form. 1 Total pages Schedule B: I 2 FILER NAME �C 4 I% • 3 Filer ID (Ethics Commission Filers) 1 er 4 TOTAL OF UNITEMIZED PLEDGES 5 Date 6 Full name of pledgor ❑out-of-state PAC(ID#: 1 8 Amount . 9 In-kind contribution of Pledge$ . description 7 Pledgor address; City; State; Zip Code Check if travel outside of Texas.Complete Schedule T. 10 Principal occupation/Job title(See Instructions) 11 Employer (See Instructions) Date Full name of pledgor ❑out-of-state PAC(ID#: 1 Amount • In-kind contribution of Pledge$ • description Pledgor address; City; State; Zip Code Check if travel outside of Texas.Complete Schedule T. Principal occupation/Job title(See Instructions) Employer (See Instructions) Date Full name of pledgor El out-of-statePAC(ID#: 1 Amount of • In-kind contribution Pledge$ description Pledgor address; City; State; Zip Code • Check if travel outside of Texas.Complete Schedule T. Principal occupation/Job title(See Instructions) Employer (See Instructions) Date Full name of pledgor ❑out-of-state PAC(ID#: 1 Amount of In-kind contribution Pledge$ description Pledgor address; City; State; Zip Code . Check if travel outside of Texas.Complete Schedule T. Principal occupation/Job title(See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 LOANS SCHEDULE E Total pages Schedule E: The Instruction Guide explains how to complete this form. 1 2 FILER NAME 3 Filer ID (Ethics Commission Filers) ôcQ4 4 TOTAL OF UNITEMIZED LOANS 5 Date of loan 7 Name of lender ❑out-of-state PAC(ID#: ) 9 Loan Amount($) 6 Is lender 8 Lender address; City; State; Zip Code 10 Interest rate a financial Institution? 11 Maturity date Y N 12 Principal occupation /Job title (See Instructions) 13 Employer (See Instructions) 14 Description of Collateral 15 Check if personal funds were deposited into political account (See Instructions) ❑ none ❑ 16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed($) INFORMATION 18 Guarantor address; City; State; Zip Code ❑ not applicable 20 Principal Occupation (See Instructions) 21 Employer (See Instructions) Date of loan Name of lender ❑out-of-state PAC(ID#: ) Loan Amount($) Is lender Lender address; City; State; Zip Code Interest rate a financial Institution? Maturity date Y N Principal occupation /Job title (See Instructions) Employer (See Instructions) Description of Collateral Check if personal funds were deposited into political account (See Instructions) ❑ none ❑ GUARANTOR Name of guarantor Amount Guaranteed($) INFORMATION Guarantor address; City; State; Zip Code ❑ not applicable Principal Occupation (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If lender is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising 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/Officeholder/Political Committee Legal Services Salaries/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 F1: 2 FILER NAME ^ /„ 3 Filer ID (Ethics Commission Filers) 2 p(X/.�n�l_Q c\T�/Y/� t o 4 Date 5 Payee name '4 6 Amount ($) 7 Payee address; City; State; Zip Code a g(o,.r. IN 14/1.�.0.a,.,, ,Q< <o/% s ,:,� , .776yo 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE //�� , A I I Check if travel outside of Texas.Complete ScheduleT. OF /.I—s/0e`' 4.4�� e x I I Check if Austin,TX,officeholder living expense EXPENDITURE ��,��I ""�� 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name /Z7/12Z/7 C Amount ($) Payee address; City; State; Zip Code /Z Z 3. a 3 /I1( III-,we 6 -,--0 , 71- 7'J'Ya Category (See Categories listed at the top of this schedule) Description PURPOSE IDea I Check if travel outside of Texas.Complete ScheduleT. _ t� OF ` I Check if Austin,TX,officeholder living expense EXPENDITURE ()''C� t� Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name /O/a 34 7 C _ CNe.o,fr Amount ($) Payee address; City; State; Zip Code " 7 3(0 . " ll q i ( &y J; , '77'y c Category (See Categories listed at the top of this schedule) Description PURPOSE /) •• ` �Check if travel outside of Texas.Complete Schedule T. OF /J ''v."'y,j E` y . I I Check if Austin,TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule Fi: 2 FILER NAME /� ^ /^� 3 Filer ID (Ethics Commission Filers) fir 4 Date 5 Payee name /o/OZ il7 T.cc oas-os 6 Amount ($) 7 Payee address; City; State; Zip Code a3 c , n Po Qtx Tod Cieeer -- v -.,72C ,-7 & qZ 8 (a) Category (See Categories listed at the top of this schedule) (b) Description Check if travel outside of Texas.Complete ScheduleT. PURPOSE OF ' Ell Checkif Austin,TX,officeholder living expense EXPENDITURE aer /✓� 1y� 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name /0 f S/,7 Pa /2 Amount ($) Payed address; City; State; Zip Code S4 , 3 S. Zz 14 N 4. rcr-34 S-,', .<Le•, Taus 64 9 SJ3 / Category (See Categories listed at the top of this schedule) Description PURPOSE Check if travel outside of Texas.Complete ScheduleT. OF ' / I I Check if Austin,TX,officeholder living expense EXPENDITURE A4C Ot .. iG• Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE I I Check if travel outside of Texas.Complete ScheduleT. OF I I Check if Austin,TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 UNPAID INCURRED OBLIGATIONS SCHEDULE F2 EXPENDITURE CATEGORIES FOR BOX 10(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising 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/Officeholder/Political Committee Legal Services Salaries/wages/Contract Labor Other(enter a category not listed above) The Instruction Guide explainsi how to complete this form. 1 Total pages Schedule F2: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED UNPAID INCURRED OBLIGATIONS $ 5 Date 6 Payee name 7 Amount ($) 8 Payee address; City; State; Zip Code 9 TYPE OF EXPENDITURE Political Non-Political 10 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE '-'Check if travel outside of Texas.Complete ScheduleT. OF EXPENDITURE nCheck if Austin,TX,officeholder living expense 11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code TYPE OF EXPENDITURE Political Non-Political Category (See Categories listed at the top of this schedule) Description Check if travel outside of Texas.Complete ScheduleT. PURPOSE OF I 'Check if Austin,TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F3 1 Total pages Schedule F3: The Instruction Guide explains how to complete this form. 2 FILER NAME 3 Filer ID (Ethics Commission Filers) S'A f 4 Date 5 Name of person from whom investment is purchased 6 Address of person from whom investment is purchased; City; State; Zip Code 7 Description of investment 8 Amount of investment($) Date Name of person from whom investment is purchased Address of person from whom investment is purchased; City; State; Zip Code Description of investment Amount of investment($) 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/Fundraising 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/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above) The Instruction Guide explains how to complete this form. 1 Total pages Schedule F4: 2 FILER NAME <�ffff 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED EXPENDITURES CHARGED TO A CREDIT CARD $ 5 Date 6 Payee name 7 Amount ($) 8 Payee address; City; State; Zip Code 9 TYPE OF EXPENDITURE Political Non-Political 10 (a) Category (See Caleguties listed at the top of this schedule) (b) Description PURPOSE I I Check if travel outside of Texas.Complete Schedule T. OF I� EXPENDITURE I (Check if Austin,TX,officeholder living expense 11 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code TYPE OF EXPENDITURE Political Non-Political Category (See Categories listed at the top of this schedule) Description PURPOSE I I Check if travel outside of Texas.Complete Schedule T. OF Check if Austin,TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH 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 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising 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/Officeholder/Political Committee Legal Services Salaries/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) � 171 4 Date 5 Payee name 6 Amount ($) 7 Payee address; City; State; Zip Code Reimbursement from political contributions intended 8 (a)Category (See Categories listed at the top of this schedule) (b) Description PURPOSE Check if travel outside of Texas.Complete Schedule T. OF EXPENDITURE Check if Austin,TX,officeholder living expense 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code ❑ Reimbursement from political contributions intended Category (See Categories listed at the top of this schedule) (b) Description PURPOSE Check if travel outside of Texas.Complete Schedule T. OF EXPENDITURE ❑Check if Austin,TX,officeholder living expense Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Reimbursement from political contributions intended Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF I Check if travel outside of Texas.Complete Scheduler. EXPENDITURE I Check it Austin,TX,officeholder living expense Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH SCHEDULE H EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule H: 2 FILER NAME 1: C 3 Filer ID (Ethics Commission Filers) I piP 4 Date 5 Business name 6 Amount ($) 7 Business address; City; State; Zip Code 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE I Check if travel outside of Texas.Complete ScheduleT. OF EXPENDITURE Check if Austin,TX,officeholder living expense 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Business name Amount ($) Business address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE Check if travel outside of Texas.Complete ScheduleT. OF Check if Austin,TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Business name Amount ($) Business address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE I Check if travel outside of Texas.Complete Schedule T. OF I Check if Austin,TX,officeholder living expense EXPENDITURE Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 NON-POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE The Instruction Guide explains how to complete this form. 1 Total pagesr Schedule I: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) ik..(212eion) 4 Date 5 Payee name 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 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 categories.) required.) OF EXPENDITURE ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 i 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 0 3 Filer ID (Ethics Commission Filers) da26.0 ecr4 ; see 4 Date 5 Name of person from whom amount is received 8 Amount($) 6 Address of person from whom amount is received; City; State; Zip Code 7 Purpose for which amount is received Check if political contribution returned to filer Date Name of person from whom amount is received Amount($) Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received I I Check if political contribution returned to filer Date Name of person from whom amount is received Amount($) Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received Check if political contribution returned to filer Date Name of person from whom amount is received Amount($) Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received I I Check if political contribution returned to filer ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 IN-KIND CONTRIBUTIONS OR POLITICAL EXPENDITURES FOR TRAVEL OUTSIDE OF TEXAS SCHEDULE T The Instruction Guide explains how to complete this form. 1 Total pages Schedule T: 2 FILER NAME n C /►„ g 3 Filer ID (Ethics Commission Filers) 4 Name of Contributor/Corporation or Labor Organization/Pledgor/Payee 5 Contribution/Expenditure reported on: ❑Schedule A2 ❑Schedule B ❑Schedule B(J) ❑Schedule C2 ❑ Schedule D ❑Schedule Fl ❑Schedule F2 ❑ Schedule F4 ❑Schedule G ❑Schedule H ❑Schedule COH-UC ❑ 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/Corporation or Labor Organization/Pledgor/Payee Contribution/Expenditure reported on: ❑Schedule A2 ❑Schedule B ❑Schedule B(J) ❑Schedule C2 ❑ Schedule D ❑ Schedule Fl El Schedule F2 ❑ Schedule F4 ❑Schedule G ❑Schedule H ❑Schedule COH-UC ❑ 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/Corporation or Labor Organization/Pledgor/Payee Contribution/Expenditure reported on: ❑Schedule A2 ❑Schedule B ❑Schedule B(J) ❑Schedule C2 ❑ Schedule D ❑Schedule Fl ❑Schedule F2 ❑ Schedule F4 ❑Schedule G ❑Schedule H ❑ Schedule COH-UC ❑ 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) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015