HomeMy WebLinkAbout110411 - Campaign Finance Report - Karl P. Mooneyrg-REPO-R-T-TY~P-E-'-
lo' PERIODLCOVERED
; 11 "ELECTION
14 NOTICE
OF DIRECT
CAMPAIGN
EXPENDITURE
BY OTHER
INDIVIDUALS
~~~....--~...--~....--~-~-
Jaruary 15
July 15
N@me
,.B
o o
--~------
Runoff
Exceeded $5GO ti~il
[]
o
15th <fay aioc c3mp;ru';1 lreasurer
ilPPO nl-renl (offJCehc dar only)
FIt~l'll report jAltach C:OH • FR)
Yea,
Texas Ethics Commission PO. Box 12070 Austin, Texas 76711-2070 (512) 463-5800 (TOO 1·800·735-2989)
CANDIDATE I OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
===....--~-... --~-.. ---~-~----=...=--=====I
1 ACCQUNT# 2 Tota!pag/eSfil~I',
(ElhicsCCI"I'l'iS'>Ion Filers) .;;;The C/OH Instruction Guide explains how to complete this form.
; 6 CAMPAIGN
[
REASURER
NAME
7 CAMPAIGN
; TREASURER
ADDRESS
Date
~~~....-~
MI
SUFFIX
IS-CAMPAIGN--
; TREASURER
. PHONE
AREA CODE EXTENSION
eli1)
j----..---:-;-C""'..
I PO EXn Api ! Swle P. City, Stale lip CQce
D al'ditlonal pages
GOTOPAGE2
www.ethics.statc_tx.us Revised 04f21/2010
Texas Ethics Commission P,O. Box 12070 Austin. Texas 78711-2070 (512) 463-5800 (TDD 1-<l()Q..735-2989)
CANDIDATE I OFFICEHOLDER REPORT:
SUPPORT & TOTALS
FORM C/OH
COVER SHEET PG 2
15 CIOH NAME
===c;==--=--=.=.=====i
16 ACCOUNT /I (Eth'C5 Commission Filers)
17 NOTI C E lHIS BOX IS FOR NOnCEOI' to meAL CONTRIBunmlS ACCEPT£Cl O~POU1ICAL EXPEkPlfUk£$ MADE. &Y POLmCAI. CUMM1HEE:$1O SUPPORT THE
FRO M CAM}!OA TE I OFfiCEHOLDER. ThESE EXPENDITURES MAY HAYF BEEN MAOE wmlOUT THE CAND!IJATE'S OR OFFICEHOLDER'S KNOWLEOGE OR
PO L! T r CAL CONSENT. CAttt.OATES f<NO OFFICEHOLOEkS ARE REQIjIfIED TO RFpORT THIS INfORMAllON ON!.Y IF THEY RE:CEIVE. NOTICE OF SUCH EXPFNDlTURE$,
COMMITTEE(S) f---
[J additional pages
COMMITTEE NAMi:
COMMITTEE TYPE
[J GENERAL -------...
COMMITTEE ADDRESS
SPECIFIC
! COMM!11Ef. CAMPA1GN1REA$URE:R NAME
COMMITTee CAMPAIGN lREASURER ADDRESS
TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER '7HAN
PLEDGES, lOANS, OR GUARANTEES OF LOAI\S), UNLESS ITEMIZED
TOTAL POLITICAL CONTRIBUTIONS
(OTHER THA~ PLEDGES, LOANS. OR GUARANTEES OF LOANS)
$
$
TOTAt. POLITICAL EXPENDITURES OF $50 OR LESS. UNLESS lTEMIZED $
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN TOTALS
19 AFFIDAVIT
4.
o.
6.
TOTAL POLITICAL EXPENDITURES
TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
TOTAL PRINCIPAL AMOUNT OF ALL OUTSTA\!DING LOANS AS OF THE
REPORTING PERiOD
$
$
$
I swear, or artirrn. under penalty of perjury, that the accompanying report
is true and correct and includes all information required to be reported by
SUSNI YVIlNtI! ILTON
MY OOMIoiISSiOti EXI'IRES
Illy rr. 2012
AFfiX NorARY S7AMP f SE.A,LABOVE
Sworn subscribed before me, by the said
44I[..I!'d+--' 20 ,II
me under Tille 15, Etection Code.
holder
____, this the
hand and seal of office.
_=M......,D'l"1J&J
Title of offICer adminiS~
www.ethicS.state.lx.us Revised 04/2112()1 0
Texas Ethics Commission PO Box 12070 Austin Texas 78711·2070 (512)463-5800 (TDD 1·800-735-2969)
POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS
---
The Instruction Guide explains how 'to complete this form.
2
FlLERNAME& I~/ft, ?Y?A';/
....-~--
Ill' ' 'l'tfr'-7
4 Dale ~ 15 F-;:;n~;;'e ofc~~~nbU!Of CJOLtt.~!def'''C,l~_------~
171/ ~,!~~.a~,".C". ~
SCHEDULE A
1 Total pages ,hedUIO A:
3 ACCOUNT # (L!hics CommiSSIon Filors)
~O~~~~i~nOf($l : 8_
'n·kond
(if applicable)
1M""" I
I
, '3th"· 4JN!, tP&. 'e.5¢d~ q ?7t?/t
(If trnV€! cuts:d" of Texas, compie~e SChedule T)! I :
--~~-•!9 Principal occupation I Job title (See !nslruchons) 10 (See Instruc1ions)
1
Date Full name of contributor o oUI-o[-sla!ePt.C(lO# -..........) Amcuntof I
contnbutlon ($} I
w --I n~ii;lnd contnbution
descnptlon {If appliCable}
Contributor address;
Principa' occupation I Job title (See
City; State: Zip Code
0,' (See
!
i
i
fIf ","", ou"~e 0' Texas ,omolo:
.,
1
Full name of contributor D out"o(.stale-PAC(IDIt__, ........_..., Amountof In~kind contribution
contribution ($) description (if applicable)
Dal.
I
!Contributor address; City: Staie; Zip Code
I
i I
(If ""., o",slde 01 Toxa5, complete Schedule T)
Principal occupation I Job title (See II Employer (See Instructions.)I .__ ._.-
.~-----... "",--,", ..-" .,~..
Full name of contributor C ou\~k)la:aPAC(IDtr -.. ----_____........... J
Amount of I In~kind conHlbuhon""I. ! contribution (-$) I description (if applicable)
Contributor address, City. State_ Z,pCode I
I
I
(If travel out§!X!~..Q~..!ei(a$ cO'11plete ScMdule T)
occupalion I Job title (See Instructions) Employer (See lns!ruchons}
I ---.. ,Full name of contnbutor o ouj·cI·slalaPACiIO#Dale CO~::rbOu~~nOI($) ,; de~~~~~n {rt appUCable)
Contributor address; Cily' S1ate; Zip Code !
!
i
: II! ""., ovtsid.l, T.,.s, comole'. "'"",vie n
Principal occupation I Job ut!e (See !t'\s1Iuctions) Err,p!oyer tSee Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out~of*$tate PAC, please see instruction guide foradditional reporting requirements.
www.ethics.state.lx.us Rev!sed 0412112010
Texas Ethics Commission PO Box 12070 Austin Texas 78711·2070 (512)483-5800 (TDD 1-800-735-2989)
PLEDGED CONTRIBUTIONS SCHEDULE B
F======-=-==~~==~=======~~====··~·7·~~==========:~! 1 Tolal pages Sdidule s·The Instruction Guide explains how to complete this form.
2 F'LER 7tt.t'/ j?;JjJ1J~V
4 TOTALOFUNITEMIZEDP DGES
10 Priflclpal occupation j Job Il1le (See Instructions) 111
Dal8 Full name or pledgor
Pledgor address; City. Stale; Zip Code
I
occupation! Job title (See Insiructions) I
Dale Fullllame af pledgor ::J
address: City; Stale; Zip Code
Prmclpal occupation I Job title (See Instructions)
I
Date Full name of pledgor
Pledgor address, City; State, Zip Code
{See Instructions)
··_·····-..-li
. . . . . . . .
Amount of
pledge ($)
I
I
I
I
I
In-kind descriplian
Of applicable)
(If trallel cotshje or Texas. complete Schedule T)
Employer (See Instructions)
Employe. (See II
Amountaf
pledge {$)
I
I
I
I
In-kind description
(if applicable)
I,f Il'avel outside of Texas, complete Schedule T)
Amount of
pledge ($)
In,kind description
(il applicable)
(If travel outside of Te)(8S. complele SchedUle 1'1
f=c.::;;;,=:=:=p=a=,=c:_··;·cc:··=::::=u~=,O=nb=am=,,=:e=o=',S=p'·::,se=,,=,'9='·~=··;=:::=:::D:==O::O='.Q='=-E="="=PAC=I='[)o::::::..=:I~~.~=.~="=".=.='='.=,..=...=(s=e::e=)._:;ln:_'S:::"=U=~=~=O:=~=:=I=O=f=:::li===,=n=.k=-;=~=d=d=-;;=S=C=,;=Pt::.o=n===I
pledge ($), (if applicable):
Pledgor address; City. Stale, Zip Code
!
(If travel o.;lside of Texas., complete Schedule T)
Principal occupation I Job IIlIe (See Instructions) Employer (See II'S!'l.Ictions)
AnACH ADDInONAL COPIES OF THIS SCHEDULEAS NEEDED
If contributor is Qut-of~state PAC. please see instruction guide for additional reporting requirements.
WNW, ethics. state Jx .us Revised 04/2112010
r".::ex",as=.;E::;I:;.;h;.:iCS.::;.:C;.;0c.mc;ITlI=S.:;;Sic;o;.:n__...:.p.;.O;;;.;;.:;BOX 12070 Austin Texas 78711-2070 (512)463-5800 (TOD 1-8()(). 735-2989)
LOANS SCHEDULE E
: 1 rotal pages Schedule E:
The Instruction Guide explains now to complete this form. t
! 3 ACCOUNr 11 rE!r1fc,:; CommiSSIOn Fliers)
TOTAL OF UN ITEMIZED LOANS
5 Date of loon
7 Name of lender
10 interest fale
a financial
lI'!stitutro(1?
8 Lendef adt:hess, eiiy State ZIP Code6 Is'enoor
11 Maturity dale
Y N
12 Principal occupation I Job title {See Instructions} 13 Employer (See Instructions)
r-:-: ......--...---....--i
14 DesC(lption of Collateral
o nanG
15 GUARANTOR
! 16 Nameofguarantor 11 S AmounlGua,anteed (S)
INFORMATION
i' 17 Guarantor addresS; City; Zip Coda i ~c~__m_,a...p.:p.~<ca_b_"_~!_____._______.____________. __.T2?Cn~~"~;~~':;~.'~~~;~"-----.~-----------....--
19 Prirlcipal Occupation (See Instructionsl __ (See lnstn.lCllons)
Date o(loan Name of lender
i
o out-of~stale PAC ilO#:, --------....--.--.-' !i----...---.... ----'-($)------,
Leroder address; Cily. Slate: ZIP Code Interest race
a financial
Institution?
ISJ0f'!der
Y N
-----.....-r"--'------.....--'-------.....---------......-----
Principal occupation I Job trtJe {See Instructions) Employer {Soo Instructions}
._--...... ,!._ ..•.. -_._--_... . ....-:
Description of Collateral
o none
-.....
---_._._------, --_...._--,-
Nameofguaranlor Amount Gueranteed ($)
INFORMATION
GUARANTOR
Guarantor address; CIty; State; Zip Code !
[] no! appllcable
~~c=c--:--:--=·-----'---;::.'-------,-..... ---~-----------------------:~-----------"~
Principal Occupation (See Instructions) Employer (See InstructlQns)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender is out~of-state PAC, please see instruction guide for additions' reporting requirements,
www.ethics.state.tx.us. Revised 04121/2010
.-~... ---------····---1
AmQunt ($) Pa ee address City. Slale' ZIP Code
Revised 0412112010
Texas Ethics Commission __-'-P;.;O:..:..::Box=__1"'2=Q__7Q=-____A;;;.us1=in;'-'Texas 78711-2070 (512) 46;;<;800 (TDD 1-800-735-2989)
SCHEDU":JPOLITICAL EXPENDITURES
AdvertiSlOg Expense
Accountin9iBanking
Consul!ing Expense
Even! Expense
Fees
1 Tolal pagas Sct:edule F"
I
~i~-------------
EXPENDITURE CATEGORIES FOR BOX B(a,
GiftlAwardSfMemonals Expense
Legal Services
Fo:)d!8everaqe Expense
Poiling E.pe'1se
Pnntpg Expense
Sal-3riesIWagesIConl c;)ct Labor
Soh::!la tion/F unoraisiog Expc:>se
Travel In District
Tra.vel CuI 01 Oislricl
Office O"NheedjR~)I)tal Expense
Loan RepaymentlRei'Tlbursernent
Transportation Equipment & Related Expense
ConlribvhonsiDonations Made 8y
CanthdaiefOfficeholdef!Pnlilical CO'llmlltee
OTHER (eme, il calegorv no! listed abovcl)
The Instruction Guide explains how to complete this form,
c;---c-:c----....
6 Amount {$)
+-:::--=------..---...
7 Payee address
...._..-
City; State, Zip Code
Candidate I Officeholder name Office soug h1 Offtce held
Dale Payee name
Amount ($) Payee address City; State, Zip Code
\.,. ii----~___t....~--.....----....------~_c....-----....--..~.___l
:;)o.....c c Category (See caL8goH~$ hsl0d il!llhe lopor [h.s schedvle] Description (If InN!!1 ;;:uiside ofToxi:I$, (Orrpifli)! $cpe<:fJlo T)
_OF 'URE
Qf::!l.Y If direct Candidate I Officeholder name
10 benefit CtOH
F~======r===========~:=========-=-===========~~ Date : Payee name
..-.~~-.-.----.---------.----.~~~--.~---
AmQunt ($) Payee address; C Ily State, ZIP Code
PURPOSE Category {See C-"Lcgaries li~'0d al'he1apofl'n" schedulo} Descr!pHon (Iftrave: otJls:deafTB)lS complele$:;'ledvie TJ
i"-_E_X_PE_:;_;;_ITU__R_.E._~,... _______ ...__ .....~-._._..__..----.... --.--.L--:-c:-...... __ ......_____~~.... _
Comp!ele QtiI.:r: jf direct
expendi(u~e to benelit etOH
Candidate I Offlceholde! name Office sought Office held
f=:...._=.===:.::...~-..-:------......----.....---~.....-==.--=.===·C-.:C== ......~::.-:=
Date Payee name
( .. ......----------.---~
PURPOSE
OF
EXPENDITURE
~...
Complete Qt!1..Y if d,rect
ex:pertdilure to benefit elCH
www.ethics.state.b(.uS
-.~------,. _._-----_.
Categ~y iSeecalegone!i lisled allhe':(;Q ::fC'lljJ scMculej Description :!1lra1lf'l ol<t~idc nf retas ttlmuleleSchet!u'e n
Candidate f Officeholder name Office sought Office held
....._-----....._------......_------......_-----
ATIACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
8
Texas Ethics Commission PO Boxl2070 Austin,TEO<as 78711-2070 (512) 463-5800 (TOO 1-800-735-2969)
POLITICAL EXPENDITURES SCHEDULE GMADE FROM PERSONAL FUNDS
EXPENDITURE CATEGORIES FOR BOX ala)
Ad ...ertlsing Expense GiflIAwardsJMemOriall> EKpense Salaries/Wages/Contract Labar Loan RepaymenlJReimblJrs"mfltlt
A~counting/aanking Legal Servk:es SolicitaCion/Fundraising Expense Transportatiotl Equ.ipment & Related Expense
Consulting Expense Food/Beverage Expense Tra ...al In Distr;ct ContributiooslDona.tton!) Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/PoI!lical CommiUlffl"
Fees printing Expense Office OverheadlRental Expense OTHER (enler a calegory not fisted .above)
The Instruction GUide explains how 10 complete this form •
1 Tolal pages Schedule G: 2 F~AME ..,____._J3~.~~OUNT' (E!We. Commis.ion FHe ..)~ . '&./'1 /1Y 11 71ef
40ate 5 Payee name
.,k~'--// • .._________(l~ 17~/fI cp;wt __________------c
6~=:=
-
PURPOSE
OF
EXPENDITURE
Dete
J-$'-I/
Amount ($)
/;7;;;"/)/k~~:B!s~ p;(/~;;a,7PJ...I~A~g$::<C.6
ta) Caleg:ory (SosCOlI(l9tJri_lilll.0dallhelOJl oIilUxoodulo) (b) ()eS¢fiption {if Uin'ef Qutslde of T0ilM, cornpIefI!I SmedIAe T}
/I/;/crl?}/ 6r-4je 4Jd ',:i"Yt' aJ'"e?ll.1tI '/
Category (See catsgoriR i:lsted at ltieklp clIDis sct!edule)PURPOSE
OF
EXPENDITURE Mertl"s;n.Jt;fe
Payee name
.........................................~~.. +-~~~~-
Descriplion (tI\fltvel out!;.de of ~a$.eompIeteScMduIe 1)PURPOSE
EXPENDm.JRE
OF &,--/.l./fl't i/ /(.j
Date
PURPOSE
OF
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.st3te.tx.uS Revised 0412112010
TelCaS Ethics Commission PO Box 12070 Austin Texas 78711 -2070 (512)~ (TOO 1-800-73!;-2969)
POLITICAL EXPENDITURES SCHEDULE GMADE FROM PERSONAL FUNDS
EXPENDITURE CATEGORIES FOR BOX 8(a)
Ad ....ertising Expense GifllAward5fMamorials Expense Salarie$lWageli./Ctmtract labor Loan RepaymentiReimbursement
Accouniing/Banking lEl9al Services SolicitalionJF undramng Expense Transportafion Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In Di&lfici Conlfibulions/Donatloos Made By
Event EJCpense PaNing Expense Travel Ovt Of Oislnct Candidate/Oft'lc:ehokterlPalitieal CommlHee
Fees PrintinG Expense Office O",el'flead/Rental ExpenSE! OTHER tamer a category not listed above)
The Instruction Guide explains how to complete this form.
1 Talal pages Schedute G: ~~~!~ 13 ACCOUNT # (Elhks Comm_ f"'''i !:2
4 Dale
J'-:?' 1/
6 Amouot ($)
7 ;;Jil~j q,C;J1;;; m~1nL, q'l'~-'77 7'7157'6
~buI:~f«wn
poIllicaI conlOOl>Iions-.....~L..... ............-..----~-
8 PURPOSE (ill) Categoty (s..w. c:tfo9tlriu jj$lad s:(1he top oflf'lis schltdufflJ (b) DesaiptiOn (IftraY6loulsllHi 01 texas. ~I_Sd!~Tt
OF 1I.1t?erllJio/ 6~"'fe ~7t/Lei.? ~~-r-;/(,.(EXPENDITURE
I .._.... -........_.
Date
,;!-,2,6 -/ / ;yzm~~/'e
AmQunt ($) lY;;;"l7 -""7:~~'l4A~~~~?'?~Pb
~_IrompoIitiqU contribuOOns-PURPOSE Category (Seacalegorlll'$l1lltlild all1\6 lopof INs ~6) Description {tlIUlve4~ot~as.~Sd!~T;
OF /Yl~1 bfjl#JtI e; ~/tk~/P.vk/EXPENDiTURE
-~--
'::;-g-I/ 21""5":'?f~/~1P1~e -Amount ($) ;;;;ri1f~ Ie: c;');:f;;c{;,//o/e.5~tf~/ Z; 71.'J~~8. &:.6
~~fram
political contritIuIicm-PURPOSE Cfiti;;;::~;'~'''_l Oe$Cfiptlon (Iftr<lYeI ootside arTexas, cf)('1'lf'lfete ScI'wIdule n
OF 7~P?EXPENDITURE
.__..... r:::
7-:;'1/ 4J;7~/ -
......... ---..............• ~---
7/11f /;;;;1h~nC8;~ ZiP&'7~ ~~~;1(=;t;;778i?
~rsemef1l Frllnl
pOlij(:~ (:(r11ribuUons-PURPOSE Category (~eatagofilt'S lisled altootop ol1flis scl'ledlJkl) Description (1fItaYel~alTel!.3:I'i,;:;;::;mptete~1)
OF &lJ/erm/~' :::x;;.kEXPENDITURE
ATTACH ADDlTlo¢\LCOPIES OF THIS SCHEDULE AS NEEDED
www.etfliCS.slate.tx.us Revised 0412112010
Texas Ethics Commission PO 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 Gift/Awards/Memorials Expense SalarieslWages/Conlract labor Loan RepaymenllReimbursement
Accounting/Ballking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In Dislrict ContributionslDonations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office OvertJead/Renlal Expense OTHER (emer a category nollisled above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G:
-?
4,:///_/)
~/Z}tf/
8"~rSB'n9f11 fraTI
. ptjiticalcontribulions-8 PURPOSE
OF
EXPENDITURE
2 F4f;ME ? /Jh 13 ACCOUNT. (Elh~' COmm;"K,. F;Ie"1
. '4/'"1. 'I'IJ 1'J.. b/
:?~~~X !
..._--
7';;:;k~r~a?~;z~ ~#~,7Y 77f?~6
-
(a, Category (See categcw-ias bled at1he top of this :schedule) (b) Desaiplion (1/ travel outside ofTelI:as, ~t_SChedule TJ
/I/~t',It;iut 6~J'jf'e -:;:;;iy~~.u;/S;S;k,~'4.
Date Payee name
Amount ($) Payee address; CIty; State; Zip Code
D Reirrb.lrsemenl from
poilical cCllltribubons.......,
PURPOSE
OF
EXPENDITURE
Category (See calegories listed at the lap of !his schedule) Desaiption (If Iravet outside ofTe>:as, complele Schedule T)
Date Payeeneme
Amount ($) Payee address; City; State; Zip Code
D Reimbutsement frem
potitical contributions -
PURPOSE
OF
EXPENDITURE
Category (See categories listed atlhe top of thiS scnMule) Description (Irtravel OUISide ofTe~as, complete Schedule n
Date Payee name
--------_.
Amount ($) Payee address; Cily: Stale: Zip Code
D RE'lmbursemeni from
poIilleal conlribl1lion5.......
PURPOSE
OF
EXPENDITURE
Category (See categories listed althe lOp of !his schedule) Descriplion (If Iravelou1side 01 Te~s.complete Schedule n
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.elhics.state.tx.us Revised 0412112010
Texas Ethics Commission PO Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
PAYMENT FROM POLITICAL CONTRIBUTIONS SCHEDULE HTOA BUSINESS OF CtOH
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense GIft/Awards/Memorials Ex-pense SalariesfWages/Conirac! Labor Loan RepaymenllRelmbursenent
AccountinglBanking Legal Services SolidlaliDnlFurdraisi'>9 EXpel'SB T'arspol1alior Equloment 8. Related E)(pense
ConslJltmg Expense Food/Beverage Expense Travel In DisU;cl ScniribulionslDonaUons Made By
Event Expense 1"olhn9 =xpC:1se Tf3vel 0'1\ Of Qisldct CandldJteIO'licB"olderIPol,1 :::.! Corrfflltlee
Fees Printing Expense Of:isc Ov€'headfRe!',tal Expense 07HE:R (enler a cale90ry not listed above)
The InstrUc.tlOn GUide explains how to complete this form,
1 Tola! pages Scredule H:
t14 Oate
......_...._. ..._...
a Amount ($)
2
5
7
FILER N?6ri~L/1G;),(-el/
1
3 ACCOUNT n (Sth1cs Commission Filers)
Business name {
-------------~ .............................._. ----_..
BusIness .address City; Stale Zip Code
8 PU~,;'SE (a) "W" I (Se' "Ie,o,,' 1"led ollhe lop ofth,; ocl"do"l .. (b) Description \" ~"ete 0,,,,,,",,, "
" uRE
9 Complete QW.l: if direct Candidate I Officeholder name Office sought Office held
expenditure to benefil CIOH
Date Business name
Amount ($) Business address: City. Sta1e; Zip Code
PURPOSE Category lSbecalaYQHIS lis~ed a( ;h'! 10PO! jhssC\1IHh;le) IIf I'-<I."o! 00(1),;1a ofTe..as ,'-,;",T)
OF
EXPENDITURE
Complete Q.lli.Y: if direct Candidate t Officei10lder name Office sough1 Off,,,,, held
expenditure to benefit CfOH
Date I name
w.~_._
Amount ($) BUsiness address. City; Stale. Zip Code
PURPOSE Calegory {See c~jego<,~s IISI""; ~I F,e lOP oft'lis sc/":,,::Jle; Description {If travel oulsiue d Tay.fls, cD'T\tlI~e SC~O!,j(:IC n
OF ~1 __ ,~~~
-------._-----_...
Complete 0ctL.Y .t dire~t Candida!e I Officeholder name Office sought Office held
expe"oditu#e 10 bMefii C!OH
-....""-" _._.---
Date Business name
----------~ ~------------------------
Arnount (S) Business address; City, Slale: Zip Code
...............--..-~-.
._._._.
PURPOSE Category ISa" ca-legO","$ hsled at lI)e lop of lhls sc~Mclle-1 I Description (1/lra","1 outSide r/ Texas, corneh;.:" Sc~e1j\lle T!
OF
EXPENDITURE
-.--.~~--.~~ ,,~-~
Complefe Q1:tl.:i If diracl Candidale I Officeho~der name Office sought Office held
e~pendilure to benefil crOH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.elhits,s-tate.tx.us Revised 04/21/20 j 0
8
Texas EthJcs Commission P.O. Box 12070 Austin. Tex". 76711-2070 (512) 463-5600 (!DO 1-800-735-2989)
NON-POLITICAL EXPENDITURES
SCHEDUCE I JMADE FROM POLITICAL CONTRIBUTIONS
EXPENDITURE CATEGORIES FOR BOX S{a)
Adll;;:t'tlsing Expense Gif1JAwar.;!s!Memonals b.pense Salanes/Wages/Contract Labor loan Repayn'enUReirnDursernenl
Accounting/8a "K 'n9 Lega: S{:f ....ices SolicitatiCln/Fundraising Expense Transportation Equipment.& Related Expense
C::m5ul!i1g Expense FoociBeverage EX;Jcnse T,avcl In Distrlct ConlributionslOonations Made By
E.'eM =xpense Polhng Expense Trallel Out Of Distnct Ca n d ida Ie 10 (fie e ho Ide riP all llca t Com rn ltlca
Fee.') Pnnting Expense Oflice Overhead/Renlal Expense OTHER (enter a category nollisl.HI above)
The Instruction Guide explains how to comptete this form.
1 Total pages Schedule I 2 Fil ER NIj"-Y / cD /J/L 3 A;:COI..;NT« (Efhics COfTlftlission Filers}
4 Oat. ! ------5 p~y.1J:!rLzJ-'-L!fO/Jflo/-___ ~_.~--,__..._ ..._ .....
-,,---,-~----------~... ,-----.--.'-'-..~-,------,
G Amount ($) P'uyee address; City; State, ZIP Code17
fa) Category {See c3lego:1es liste;; al the top ';)1 It:j" sctJetlUisj (b) Descnption (S<l8 mS\fl1ctiDm; regardmg :ypo tI "lfbtmll~'::n rOOJlrOO,jPURPOSe
OF
EXPENDITURE
.....'---..
Payee nameDate
..~,----~-."._,--_.----
Amount ($)
Payee address: City; Stale: Zip Code
..
-,,
-
Category {See cale;O'les IMec a! !le :op 01 !r,~ SC'1e:.1uleJ Description (See mstrLc!ions r6gardd"19 !ype of mlOl'mallCfl 'eQv!fHl-jPURPOSE
OF
EXPENDITURE
•
.............__.
Date Payee name
Amount ($) Payee address,
.--~-~--~-.-
City; State:
.~~--
ZIP Code
--_...
.. Description (See ;nstrudion8 regarOI'lg type tli ,McrmatJOJ1 (<)ql_ureC')listed at ttl€ lU\.' ",PURPOSe
OF
E:XPENDITURE
...... _-_.•..
Date Payee name
----~-~ ~---.---.--~--.-..... . -..-.. --_... ---
Amount {$) Payee address; City, Sta:e-ZIP Code
Category (See calego,ies listec allhe hlP of Ihs schedu:e! • DeSCriptIon iSce Jrstructmrs "egmdHlglypeuf nfur'l"'nb<:lfIl(qll.rerj 1 PURPOSE
OF
EXPENDITURE I
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethiGs.state.lx.us Revjsed 04/21/2010
----
I
Texas Ethics Commission PO Box 12070 AuSlin Texas 78711·2070 (512) 463-5800 (TDD 1·8(J(). 735-2989)
CREDITS (optional) SCHEDULE K
-." -".
11 :olal pages Schedule K ( The Instruction Guide explains how to complete this form.
2 : 3 ACCQVN T II (Ethics Conml'!l!lion FilerS)FILER NAME&/
""~~~,-""""""""""""""'" , ....._.9?~/JIl111-""5 Payor name4 Date 8 Amount
($)
6 Payor address; City: State ZIP Code
7 Reason for credit
I
Da1e Payor name Amount
(S)
Payor address. City; State: Zip Code
Reason for credit
................._... .................'.-Payor name
"
Date Amount
1$)
address; City; Stale Zip Code
Reason'
Payor nameDate Amount
($)
Payor address; City: State, Zip Code
------------------_...
Reasor; for credit
Date Payor name Amount
1$)
Payo~ address; City: State, Zip Code
Reason for credit
!
ATTACH ADDITIONAL COPIES OFTHIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 04/21/2010
------
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (fDD 1-800-735-2989)
IN-KIND CONTRIBUTION OR POLITICAL EXPENDITURE SCHEDULE T
FOR TRAVEL OUTSIDE OF TEXAS
1 Tolal pages Schedule T The Instruction Guide explains how to complete this form.
3-ACCOUNT ti (Ethics-Commission Fders)
4
5 Contribution I Expenditure reported on
Schedule A Schedule B D Schedule C L: Schedule 0
::::J Schedule H Schedule N COH·UC C COH-T
Schedule F
PAC~C
Schedule G
PAC>£[J
6 Dates of j'avel 7 Nameofperson(si tr3vetlng
of departure loculion
of destmation location
10 Means of transportallon 11 Purpose of Iravel (includmg name of conference_ seMinar. or other
Name of Contribulof I Corporation or labor Organization I Pledgor I Payee
r--::-~----:-=--------:-----:-------'---'--" .-... Contribution I Expenditure reported on:
o Schedule A Schedule a Schedule C ;~_=]
o Schedu.le H SchedlJle N D COH-UC D
Schedu~ D =] Schedule F SchedLlle G
COH-T D PAC·C
I-------.....--~-----.----........ ---....... .
Name of person(s) traveling
Departure city Of name of departure location
Dales of travel
...................._.
.-.~-.
Destination city or name of des!inatlon location
.................---~--
Purpose of travel (Including name of conference, seminar, Of other even I)Means of transportation
.._. ,>A_._ ._-..-.. . --~~.,. -...................... .~
Name of Contributor I Corporation or labor Organization t Pledgor i Payee
..----~""~... ..
Contribution I Expenditure reported on:
D Schedule A Schedule B Schedule C Schedule 0 .:---I Schedule F Schedule G
0 Schedule H o Schedule N o COH-UC D COH-T 'J PAC-C o PAC·E
Name of peroon(s) travelmgDates of travel
~ ---......................•_----,,-,----...
Departure city Of name Of departure locallon
DesiinatlOn clly or name of desfination localmn
I
Means of transportation Purpose of travel (incillding name 01 conference, seminar, or other event)
ATIACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED
www.ethics.state.tx_us Revised 04121f2010
i