HomeMy WebLinkAbout110506 - Campaign Finance Report - Karl P. MooneyTexas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
CANDIDATE I OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
ACCOUNT# 2 TotBliied:(Ethics Commission filers)The C/OH Instruction Guide explains how to complete this form_Ii
I
MSIMRSlM!U MI3 CANDIDATE! OFFICE USE ONLY OFFICEHOLDER ~rl Po
L
NAME . . . . . ... . . . . . . . .. . . . . " .'" Date ReceivR ANDNICKNAME LAST SUFFIX
ID-_'oA'"/Y!tPJlley
I, MAY 0 6 2011
4 CANDIDATE!
OFFICEHOLDER
$Oil&
Change of Address I
AREA CODE PHONE NUMBER EXTENSION5 CANDIDATE! ~t# IAmount
PHONE
OFFICEHOLDER (?11 ) J/(
Processed
6 MS I MRS It!!) FIRST MI
Date Imaged
CAMPAIGN
TREASURER
".. f4.ll'1Y· . . " " . .NAME NICKNAME LAST SUFFIX
8-f,-j!J/'" 1
7 CAMPAIGN
TREASURER
;;;;;;"~J'X:iJ//~'J!,'tJ,I/'F ~Pn.-if71'~t'.:1
ADDRESS
(Residence or business)
AREA CODE PHONE NUMBER EXTENSION8 CAMPAIGN
TREASURER
PHONE
(In) 777-,;?-y,rLJ ".
9 REPORT TYPE
15th day after campaign treasurer January 15 30th day before election RunoftD D appointment (officeholder only)
July 15 8th day before election Exceeded $500 limit Final report (Attach CIOH -FR)D
Month Day Year Month Day Year10 PERIOD
THROUGHCOVERED ~ //! /£<7// .5 6 //;('O/J
ELECTION DATE ELECTION TYPEI11 ELECTION
Month . ~ Year .
Primary D Runoff ~neral SpeCial5' / I //r:1tJll:
OFFICE HELD (if any)12 OFFICE {!f;t;Sa;;;;dl/1LL ~
14 NOTICE
Direcl campaign expenditures are campaign expenditures mate by others without the candidate's prior consent or approval.OF DIRECT "
Candidates are required to disclose this information only if they receive notification of the direct campaign expenditure. ..CAMPAIGN IEXPENDITURE
NameBY OTHER
INDIVIDUALS
Address I PO Box; Apt. I SUIte#; City; State: Zip Code
o additional pages
GOTO PAGE 2
Revised 0910112007
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
CANDIDATE t OFFICEHOLDER REPORT: FORM CtOH
SUPPORT & TOTALS COVER SHEET PG 2
COMMITTEE ADDRESS
SPECIFIC
COMMmEE CAMPAIGN TREASURER NAMEo additional pages
I swear, or affirm, under penalty of perjury, that the accompanying report
is true and correct and includes all information required to be reported by
··~t Notary Public, State of TaKas
AMANDA M, CONSTANCIO
me under Title 15, Election Code.
\~. .1:-1 My Commission EKpires
"'~~{.;'!j$"" July 08, 2014
AFFIX NOTARY STAMP I SEAL ABOVE
~. t::ft
Sworn to and subs«ibed belo", me, by the said k'ax , E mlU1 D~ , this the _ ...L""'O'--__ day
15 C/OH NAME
17 NOTICE
FROM
POLITICAL
COMMITTEE(S)
16 ACCOUNT # IEtIllcaCommllllllonAiers)
•• This box is for notice of political expenditures by political committees to support the candidate I officeholder. These expenditures
may have been made without the candidate's orofflceholder's knowledge or consent Candidates and officeholders are required to report
this information only if they receive notice of such expenditures. ••
COMMITTEE NAME
COMMITTEE TYPE
GENERAL
COMMITTEE CAMPAIGN TREASURER ADDRESS
18 CONTRIBUTION
TOTALS
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN TOTALS
19 AFFIDAVIT
1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
PLEDGES, LOANS. OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED
$
4. TOTAL POLITICAL EXPENDITURES
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD $
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD $ a.oo
of ,20 /1 ,to certify which, witness my hand and seal of ffiee.
Signature of officer administering oath
Revi'ed 0910112007
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
POLITICAL CONTRIBUTIONS SCHEDULE A
OTHER THAN PLEDGES OR LOANS
1 Total pages Schedule A:The Instruction Guide explains how to complete this form. :A
3 ACCOUNT # (Ethics Commission filers) 2 FILER NAMY(d.r/ 1?'/ih"Il~
7 Amount of Is In-kind contribution
contribution ($) I description (if applicable)d.~nhe .e:d'pj~ . . ..
4 Date 15 Full name of contributor []out44atePAC(ID# )
I;~t'-R> I~l-/I I19t9;.g;;;;~~i~;e S~/;.f 1,HI; I
(If travel outside of Texas, complete Schedule T)
9 Principal occupation / Job title (See Instructions) 10 Employer (See Instructions)
1
) Amount of I In-kind contribution
contribution ($) I deSCription (if applicable)
Date Full name of contnbutor 0 out4-s1atePAC (ID#
?u.'t; ..l,~ ~'t. . .. .... II~/J.I/ '5,,1>."" I~;;6 ~;in-:;r;/;{tf,~e~, I~77~1J (If travel outside of Texas, complete Schedule n
Principal occupation / Job title (See Instructions) Employer (See Instructions)
I
Date ) Amount of I In-kind contribution
contribution ($) I description (if applicable)~:0:;0~;1 w,;;r
.. . 11f)·I/ -~c:?~J.":/; ~ (If travel outside of Texas, complete Schedule T)
Principal occupation I Job title (See Instructions) Employer (See Instructions)
I
Date Amount of I In-kind contribution
contribution ($) I description (if applicable)!d;;;·:°/ir.'f;~;-2:; r .....
)
(~7-/1 1;';;~d~~~5~~ /'T:J.~ :
I/X I'/~ IIf travel outside of Texas complete Schedule n
Principal occupation / Job title (See Instructions) Employer (See Instructions)
1
Date Amount of I In-kind contribution
contribution ($) I description (if applicable) .'J,Jt~tt£tt. a'1rt:l1~#r ..
~me of contributor Dout4-statePAC(ID# -.l
Contributor address; City; State; Zip Code ?'jew. ", I
I
.f~ul !18// fAuhIJ/JtJDti; Mre 9dln1/~7-7$# I
I
(If travel outside of Texas complete Schedule T)
Principal occupation I Job title (See Instructions) Employer (See Instructions)
I
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements.
Revised 0910112007
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506
POLITICAL CONTRIBUTIONS SCHEDULE A
OTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form. 1 Total pages Schedule A:
vt..
2 FILER NAME /flr/ P.ftJ/j It el 3 ACCOUNT fI. (Ethics Commission filers)
4 Date
~'J-II
5 Full name of contnbutor D out4-stala PAC {10It ) 7 Amount of I 8 In-kind contribution
.~~¥/~r contribution ($) I description (if applicable)
' . .lip/) • .PIS I ~;;":l/f,12~~I ?~;;;~~~ I
I778 '0 (If travel outside of Texas. complete Schedule n
9 Principal occupation I Job title (See Instructions)
1
10 Employer (See Instructions)
r----I [J out4-state PAC (10It: Amount of IDate Full name of contributor ) In-kind contribution
contribution ($) I description (if applicable)
: IContributor address; City; State; Zip Code
I
I
I
(If travel outside of Texas complete Schedule T)
Principal occupation I Job title (See Instructions)
I
Employer (See Instructions)
Date Full name of contributor [J out4-sta!ePAC(ID#~ ) Amount of I In-kind contribution
contribution ($) I description (if applicable)
Contributor address; City; State; Zip Code I
I ,
I
I (If travel outside of Texas, complete Schedule T)
Principal occupation I Job title (See Instructions)
1
Employer (See Instructions)
Date Full name of contributor D out4-state PAC (ID# ) I Amount of I In-kind contribution
contribution ($) I description (if applicable)
Contributor address; City; State; Zip Code I
I
I
I
(If travel outside of Texas complete Schedule T)
Principal occupation I Job title (See Instructions)
I
Employer (See Instructions)
Date Full name of contributor D out4·state PAC (tOlt ) Amount of I In-kind contribution
contribution ($) I description (if applicable)
Contributor address; City; State; Zip Code I
I
I
i (If travel outside of Texas complete Schedule Tl
PrinCipal occupation I Job title (See Instructions)
1
Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
It contributor is out-ot-state PAC, please see instruction guide foradditional reporting requirements.
R&vised 0910112007
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TOO 1-800-735-2989)
PLEDGED CONTRI BUTIONS SCHEDULE B
!
1 Total pages Schedule 8:The Instruction Guide explains how to complete this form. (
2
FILER ~"I ;P~;lJ~V 3 ACCOUNT # (Ethics Commission Filers)
4 TOTAL OF UN ITEMIZED Pt..,iDGES: ¢ ¢ ¢ ¢ ¢ ¢ I $'Pt)· ~
5 Date
1'...~tJ-11
6 Full na~e of ~or 0 aut·al-state PAC (10#: )
.t:!a·ft ..1Pltdle.
7 Pledg address, ~Ity; State, ZIP ?!,de __ ~~6..,-/~I!"r~,.eJ,/)?e' f~T.t/.>(
7'7&j,Lt)
8 Amount of 19pledge ($)
I
5to··~I
I
I
In-kind description
(if applicable)
(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 o out-aI-state PAC (ID#: )
. ,
Pledgor address; City; State; Zip Code
Amount of
pledge ($)
I
I
In-kind description
(If applicable)
I
I
I
(If travel outside of Texas, complete Schedule T)
Principal occupation I Job title (See Instructions) Employer (See InstrUctions)I
Date Full name of pledgor o out-aI-state PAC (10#: Amount of I In-kind description
1,1 pledge ($) (if applicable)I . . ..
Pledgor address; City; State; Zip Code
I
I
I
(If travel outside of Texas, complete Schedule T)
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Date Amount of I In-kind description
pledge ($) (if applicable)
Full name of pledgor o Qut-ot-state PAC (ID#: )
I
I
I
I
Pledgor address; City; State; Zip Code
(If travel outside of Texas, complete Schedule T)
Principal occupation I Job title (See Instructions) Employer (See Instructions)
I
Date Full name of pledgor o out-ol-state PAC (10#: ) Amount of I In-kind description
pledge ($) I, (if applicable)
Pledgor address; City; State; Zip Code I
I
I
I (If travel outside of Texas, complete Schedule T)
PrinCipal occupation I Job title (See Instructions) Employer (See Instructions)
I
ATIACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
If contributor Is out·of·state PAC, please see Instruction guide for additional reporting requirements.
www.ethics.state.tx.us Revised 04/2112010
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TOO 1 -600-735-2989),
LOANS SCHEDULE E
1 Tolal pages Schedule E:
The Instruction Guide explains how to complete this form. I
2
mER NA?1if/ j?IJ/pP71ej 3 ACCOUNT # (Elhics Commission Filers)
4
TOTAL OF UNITEMIZED LOANS: ¢ ¢ ¢ ¢ ¢ ¢ $O,d'
5 Dale of loan 7 Name of lender o out-of-state PAC (10#: ) 9 LoanAmount ($)
6 Is lender 8 Lender address; City; Stale; Zip Code 10 Interest rate
a financial
Institution?
11 Maturity date
y N
12 Principal occupation I Job title (See Instructions)
1
13 Employer (See Instructions)
14 Description of Collateral
none
15 GUARANTOR 16 Name of guarantor 18 Amount Guaranteed (S)
INFORMATION
17 Guarantor address; City; State; Zip Code
D not applicable
19 Principal Occupation (See Instructions) 20 Employer (See Instructions)
Date of loan Name of lender o out-of-state PAC (10#: )1
Loan Amount (S)
Is lender Lender address; City; State; Zip Code Interest rate
a financial
Institution?
Maturity date
y N
Principal occupation I Job title (See Instructions) Employer (See Instructions)
..--~-...-.
Description of Collateral
D none
GUARANTOR Name ofguarantor
I
Amount Guaranteed ($)
INFORMATION
.:
Guarantor address; City; State; Zip Code
not applicable
Principal Occupation (See InstructionS) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
It lender is out-at-state PAC, please see instruction guide tor additional reporting requirements.
www.elhics.slale.tx.us Revised 04/21/2010
Texas Ethics Commission PO Box 12070 Austin , Texas 78711-2070 (512) 463-5800
POLITICAL EXPENDITURES SCHEDULE F
The Instruction Guide explains how to complete this form. 1 Total pages Schedule F:
I
2 FILER NAME ~/ ? ~~Jf:eY 3 ACCOUNT # (Ethics Commission fliers)
4 Date
r:11!
5 ";If/!A(-~tf/l1!M/t4J'iy~: .
7 Amount
($)
~!1;?D. d
Qj;1J/IPf ~ft S~Y::~M~~/k"
17e~?
8 Purpose of payment (See instructions regarding type of information
required.) /ltI~i/
(If travel outside of TeXIS, comple:~ule T)
9 •• Complete if direct expenditure to benefit C/OH ••
Candidate I Officeholder name O1Iios sought O1Iios held
'(ttr!P.~bJt-t1 tJ7~':/~
Date Payee name Amount
($)
Payee address; City; State; Zip Code
j
Purpose of payment (See instructions regarding type of information
required.)
(If travel outside of Texas, complete Schedule 1)
.. Complete if direct expenditure to benefit C/OH ••
Candidate I Officeholder name OffiCI> sought Offios held
Date Payee name
. . ..
Payee address; City; State; Zip Code
Amount
($)
Purpose of payment (See instructions regarding type of information
required.)
(If travel outside of Texas, complete Schedule T)
•• Complete if direct expenditure to benefit C/OH ..
Candidate I Officeholder name Office sought Office held
Date Payee name
Payee address; City; State; Zip Code
Amount
($)
Purpose of payment (See instructions regarding type of information
required.)
(If travel outside of Texas, complete Schedule T)
.. Complete if direct expenditure to benefit CIOH ..
Candidate I Officeholder name omos sought Office held
ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED
Revised 0910112007
Texas Ethics Commission P.O. Box 12070 Austin Texas 78711-2070. (512) 463-5800 (TOO 1-800-735-2989)
POLITICAL EXPENDITURES
SCHEDULE GMADE FROM PERSONAL FUNDS
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense GiftJAwardslMemorials Expense SalarieslWages/Contract labor Loan RepaymenUReimbursement
AccounllnglBanking Legal Services Solicitation/Fundraising Expense
Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District ContribUtions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 F~AME 13 ACCOUNT # (Ethics Commission Filers) ~ '4,1 j? Mii71el/
5 Payee name I
~-~t,. .. //
4 Date Go ,Yp~/v: Cppt
/~?;;eN #~~~~5~;?/~~D??je:lJy42;.gS;<c:.6~~($). .f!
lIim emenltrom
political conllibutions
intended
(a) Category (Se" categories listed at the lop of this schedul,,) (b) Description (If Irayel outslae ofTexas. complete Schedule n
OF
EXPENDITURE
8 PURPOSE
/!/;,rer/tJjo/ 6~7Jj-e u)e/~jl'k afi'e?l<.ev/
Date PaYE'l? name
J-Y-I/ d~~~p~l--.
~Y~a;r::ft,~ ~;~~~:o~Ald.I<.,fA-~ ;'1k~6~~~~~~ B' Reimbursement rrom
pOlitical contribution.
intended
Category (See categories listed at the top of Ihis schedule) Description (If trave! outside of Texas. complete Schedule n
OF
EXPENDITURE
PURPOSE
)jk£?rJ.;./~/ $; JL;e ?a~"'~f/ C~
Date 7;Z~~11 7J1;;~/v~4J1 5$r~
~~;;;~r~itY~State; .Zi:::',~":.)~ IS"
8IReimbursemeni from
poliUcal contributions '?PPZ £ ~ari4eI tl;:ar.5"J1tJj~ :I.JV ~7j3tJintended
Category (See eategoriesfisled at the top oflhisschedule) Description (If Iravel outside of Texas, complele Schedule nPURPOSE
OF
EXPENOnuRE
Ib'ver--z1j/~ LkjPlL:7 t' &~/d/f~ f'L ltj
Date
;.!t!!:"7·:7'0-// ~e ~~I-it7;.t ($) /6h:;t::;jk6;?~;;:OdAi~~~#A/2~MY~ ,f3'
B'·Reimbursement from
political contributions
intended
Category (See categories listed at the top of this schedule) Description (I!ltavel outside ofTexas. complete Schedule T)PURPOSE
OF
EXPENDITURE
g/(J(..ef/ Cd.n/;lJ£erA~i~ &/dYJ7(
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethlcs.state.tx.us Revised 0412112010
Texas Ethics Commission P.o. Box 12070 Aus1in Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989)
POLITICAL EXPENDITURES
SCHEDULE GMADE FROM PERSONAL FUNDS
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials E"pense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense
Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel I n District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office OverheadlRental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 13 ACCOUNT # (Ethics Commission Filers) F~ME?~'5 'I. '/J J' nell
4 Dste I P-~~II ~~~~~
6 Amount ($)
?l)r ';77 7#J#~jq,d;;o/~7h~1n!1 -:z;; 77.&2'0
~imbUlSement from
political conbibutions
intended
(a) Category (See categories listed "tthe top of this schedule) (b) Description (If travel outside of ~.s.comple!e ScIledUle n
OF
EXPENDITURE
8 PURPOSE
J%.,.;;;~f.l ~q.t6 ~;~~/I/~e,...ItJ/o/ 6~4f-e
Date
.;z. ~z.6 -/1 fMm/tPf~
Amount ($)
~t>b'.3< . lY;;;lY ~7:~;;$//~~~~~~~~?"~B':mbursemenl from
. political contributions
intended
Categoty (See categori.... tisled at the lop of this schedule) DeScription (Iftravel outside oITexas. complete ScIledule nPURPOSE
OF
EXPENDITURE
/l1~!bfp#Jtle; ~!eh:?'fiJ~~/
o:::;~ ~-I/
aeref1??~_/~fll/£e
Amount ($)
8:~ Z;ili41e fr~~&.1e>izJt?r,7i711j,~
El Reimbursement from
political conlnllu!ions
intended
Description {If travel outside of Texa", complete ScIledute nPURPOSE
OF
EXPENDITIJRE
C/ili';;:;;~."_' ?~P/
Z5~7fltd(/r;;:7~1/
7/117 /:;;;i~//(flc8;;; lip&'1~ '>-iI$A;~:Z;;-77.81?
~mbursement from
political contributions
intended
Description (If travel outside ofT".as. complete ScheduIenCategory (See categories listed al the top of this schedule)PURPOSE
OF
EXPENDITURE
::::z;;.k~J/-er-/tJ/~,
ATTACH ADDITIO~LCOPIES OF THIS SCHEDULE AS NEEDED
Revised 0412112010 www.ethlcs.state.tx.us
Texas Bhics Commission PO Box12070 Austin Texas 78711-2070 . (512)463-5800 (TOO 1-800-735-2989)
POLITICAL EXPENDITURES
SCHEDULE GMADE FROM PERSONAL FUNDS
Advertising Expense
Accounting/Banking
Consulting Expense
Event Expense
Fees
1 Total pages Schedule G:
-?
4r;./I_/J
~Amount ($) 1!
t /ZJ. '
~imbursetnent !'rom
political contributions
intended
8 PURPOSE
OF
EXPENDITURE
Dale
5--1-/1
1:i?1$Q
8 Reimbursement from
• political contributions
intended
PURPOSE
OF
EXPENDITURE
Date
Amount ($)
Reimbursement 'rom0 political contributions
Intended
PURPOSE
OF
EXPENDITURE
Date
Amount ($)
Reimbursement from0 political contnbulions
Intended
PURPOSE
OF
EXPENDITURE
EXPENDITURE CATEGORIES FOR BOX 8(a)
GiflJAwardslMemorials Expense SalarieslWagesiContract Labor
Loan RepaymenllReimbursement
Legal Services SOlicitation/Fund raising Expense
Transportation Equipment & Related Expense
Food/Beverage Expense Travel In District Contributions/Donations Made By
Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction GUide explains how to complete this form.
ACCOUNT # (Ethics Commission Filers) 2 F/i1;M !3
S ;P fth
' ". '/J" J'Let/
~~~~X I
7~k~~"~~~~,~7~~O
(a) Category (See categories fisted at the top 01 this schedule) (b) Description (II Iravel outside of Texas, complete Schedule T) ~~~k~.s;..::z;;k.. ~~/l/rC!rlliio/ Gr4fe
Payee name
{!"~r c;".fter
Payee address; City; Stale; Zip Code
q$d1 ~$~~.i5.)(J:,~,~ /5I4:ll~/2Y7/B~
Category (See categories listed at the top of this schedule) Description (If travel outside olT""as. complete Schedule T)
F/)er;;/l/ver/Ji/Io/ ..:;-~(~e
Payee name
Payee address; City; State; Zip Code
Category (See categories listed at the lop of this schedule) Description (If travel outside tJI Texas, complete Schedule T)
Payee name
Payee address; City; State; Zip Code
Category (See categories listed althe lop of lhis scbedule) Description (If trave! outside tJI Texas, complete Schedule T)
ATIACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
www.ethics.state.tx.us Revised 04/21/2010
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 , (512) 463-5800 (TOO 1-800-735-2989)
PAYMENT FROM POLITICAL CONTRIBUTIONS
SCHEDULE HTO A BUSINESS OF C/OH
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Tota I pages Schedule H: 2
FILER N?i4 J?~ ~l/ 13 ACCOUNT # (Ethics Commission Filers)
I . r. ; "/~;11.e i
4 lD~te 5 Business name I,
6 Amount ($) 7 Business address; City; State; Zip Code
8 PURPOSE (a) Category (See categories lisled al the top of Ihis schedule) I (b) Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
i
9 Complete Q!::!I.X if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Business name
Amount ($) Business address; City; State; Zip Code
I
PURPOSE Category (See categories listed at the top of this schedule)
I
Description (If travel outside olTexas. complete Schedule T) IOF
EXPENDITURE
Complete .QJiI"t if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Business name
i
Amount ($) Business address; City; State; Zip Code
Category ~ -". (Iftravel outside ofTexas, complete Schedule T)PURPOSE LJ""'~......,",
OF
EXPENDITURE
Complete .QJiI"t if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Business name
Amount ($) Business address: City: State: Zip Code
PURPOSE Category (See categories listed at the top of thIS schedule) Description (tf travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Complete QMI.Y if direct Candidate I Officeholder name Office sought Office held
expenditure to benefit c/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.stale.tx.us Revised 04/21/2010
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) ,
NON-POLITICAL EXPENDITURES
SCHEDULE IMADE FROM POLITICAL CONTRIBUTIONS
EXPENDITURE CATEGORIES FOR BOX ala)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan RepaymenUReimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Ca ndidate/Office hold er/Political Comm illee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pagiSChedule I: 2
FILE:;t{rl? ~bJ1ev 13 ACCOUNT # (Ethics Commission Filers)
4 Date 5 Payee name (
6 Amount ($) 7 Payee address; City; State; Zip Code
a PURPOSE (a) Category (See categories listed at the top of this schedule) (b) Description (See instructions regarding type of information required.)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description (See inslructions regarding type of information required.)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description (See instructions regarding type of information required.)
OF
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE
OF
EXPENDITURE
Category (See categories listed at the top of this schedule) Description (See instructions regarding type of information required.)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.elhics.slale.\x.us Revised 04/21/2010
Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-73fr2989)
CREDITS (optional) SCHEDULE K
1 Total pages Schedule K: tThe Instruction Guide explains how to complete this form.
'"
3 ACCOUNT # (Ethics Commission Filers) 2 FILERNAM~/ ? /lJolll1el/
5 Payor name4 Date 8 Amount/ ($)
6 Payor address: City; State; Zip Code
7 Reason for credit
Date Payor name Amount
($)
i
Payor address; City; State; Zip Code
I
Reason for credit
I
Payor nameDate Amount
($)I
Payor address; City; State; Zip Code
Payor name Amount
($)
Date
Payor address; City; State; Zip Code
Reason for credit
i
I.
Date Payor name Amount
($)
Payor address; City; State; Zip Code
i
Reason for credit
I
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.lx.us Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin. Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
IN-KIND CONTRIBUTION OR POLITICAL EXPENDITURE
FOR TRAVEL OUTSIDE OF TEXAS SCHEDULET
2
4
5
The Instruction Guide explains how to complete this form. 1 Total pages Schedule T:
FILER NAME 3 ACCOUNT # (Ethics Commission Filers)
Contrlbution { Expenditure reported on:
0 Schedule A 0 Schedule B L Schedule C Schedule 0 Schedule F Schedule G
Schedule H Schedule N PAC-E0 COH-T PAC-C
10 Means of transportation 11 Purpose of travel (including name of conference, seminar, or other event)
COH-UC0 0
7 Name of person(s) traveling
8 Departure city or name of departure location
6 Dates of travel
9 Destination city or name of destination location
Name of Contributor {Corporation or Labor Organization I Pledgor I Payee
Contribution I Expenditure reported on:
Schedule A Schedule B Schedule C Schedule 0 0 Schedule F 0 Schedule G
Schedule H Schedule N COH-UC COH-T PAC-C PAC-E0 0 0 0
Name of person(s) travelingDates of travel
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:
Schedule A 0 Schedule B
Schedule H 0 Schedule N
Dates of travel Name of person(s) traveling
0
0
Schedule C
COH·UC
Schedule 0
COH-T
Schedule F
PAC-C
[J Schedule G
PAC·E
Departure city or name of departure location
I
Means of transportation
Destination city or name of destination location
Purpose of travel (including name of conference, seminar, or other event)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.elhics.state.tx.us Revised 04/2112010