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HomeMy WebLinkAbout110715 - Campaign Finance Final Report - Karl P. MooneyTexas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) CANDIDATE 1 OFFICEHOLDER FORM CIOH CAMPAIGN FINANCE REPORT COVER SHEET PG 'I 1 ACCOUNT # 2 Total pages filed: The C10H Instruction Guide explains how to complete this form. (Ethics commisatonFilers) 3 CANDIDATE I MS r MRS J FIRST OFFICE USE ONLY OFFICEHOLDER NAME Date Recei NICKNAME LAST SUFFIX � "Cl�iev JELL 1 5 2011 4 CANDIDATE / ADDRESS ! PO BOX; APT! SUITE CITYSTATE; ZIP CODE OFFICEHOLDER MAILING lC// q � -delivered or Postmarked ADDRESS ❑ change of address Receipt # Amount 5 CANDIDATEI OFFICEHOLDER PHONE AREA CODE PHONE NUMBER EXTENSION I ' /�D MS 1 MRS �1rAR f FIRST MI Date Imaged TREASURER �/ itn NAME NICKNAME L4SUFFEX 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE)' APTlSUITE#; CITY; STATE; ZIP CODE TREASURER ADDRESS (residence or business) 8 CAMPAIGN TREASURER AREA aCODE PHONE NUMBER EXTENSION / G%�%� -Ir PHONE 9 REPORT TYPE treasurer January 15 30th day before election Runoff 15th day entaft(officeholder appointment (officeholder only) July 15 ❑ 81h day before election Exceeded $500 limit Ej;KFinal report (Attach CIOH - FIR) 10 PERIOD COVERED Month Day Year Month Day Year ' /1A} /WdIl THROUGH 11 ELECTION ELECTION DATE ELECTION TYPE Month op.. Year / /�/V16`1 Primary Runoff �eneral Special 12 OFFICE Or .CE HELD (ir ar ) 13 FFICE SOUG (if known) 14 NOTICE OTHERS WITHOUT THE CANDIDATE'S PRIOR CONSENT OR APPROVAL. O]RE CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE eY1 OF DIRECT CAMPAIGN CANDIDATES ARE REQUIRED TO DISCLOSE THIS INFORMATION ONLY IF THEY RECEIVE NOTIFICATION OF THE DIRECT CAMPAIGN EXPENDITURE. EXPENDITURE BY OTHER Name INDIVIDUALS Address ! PO Box; Apt. ! Suite #; City; State; Zip Code additional pages GO TO PAGE 2 www.ethics.state.tx.us Revised 04/21/2010 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506 CANDIDATE I OFFICEHOLDER REPORT: FORM CIOH - FR DESIGNATION OF FINAL REPORT The Instruction Guide explains how to complete this form. •• Complete only if "Report Type" on page 1 is marked "Final Report" •• 7 CIOH NAME 2 ACCOUNT# (Ethics Commission filers) ;,,0,/ 3 SIGNATURE do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designating a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign contributions or make any campaign expenditures without a campaign treasurer appointment on file. Signature of Can ida e I Offlceh d 4 FILER WHO IS NOT AN OFFICEHOLDER •- Complete A & S below only if you are not an officeholder. •- A. CAMPAIGN FUNDS Check only one: I do not have unexpended contributions or unexpended interest or income earned from political contributions. I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I may not convert unexpended political contributions or unexpended interest or income earned on political contributions to personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain unexpended contributions or unexpended interest or income earned on political contributions longer than six years after filing this final report. Further, I understand that I must dispose of unexpended political contributions and unexpended interest or income earned on political contributions in accordance with the requirements of Election Code, § 254.204. B. ASSETS Check only one: 0 I do not retain assets purchased with political contributions or interest or other income from political contributions. C] I do retain assets purchased with political contributions or interest or other income from political contributions. understand that i may not convert assets purchased with political contributions or interest or other income from political contributions to personal use. I also understand that t must dispose of assets purchased with political contributions in accordance with the requirements of Election Code, § 254,204. Signature of Candidate 5 OFFICEHOLDER •• Complete this Section only if you are an officeholder •- Tr I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on file. I am also aware that I will be required to file reports of unexpended contributions if, at the time I cease holding office, I retain assets purchased with political contributions or interest or ther income from political contributions. / 0/ Signature of OfF5aKbld r Revised 0910712007 Texas Ethics Commission PO. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) CANDIDATE 1 OFFICEHOLDER REPORT: FORM C/OH SUPPORT & TOTALS COVER SHEET PG 2 15 C/OH NAME fj/ 16 ACCOUNT # (Ethics Commission Filers) J' I'1/(f -�+/(i 17 NOTICE THIS BOX 1S FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORTTHE FROM CANDIDATE 1 OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S KNOWLEDGE OR POLITICAL CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORTTHIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE(S) - COMMITTEE NAME COMMITTEE TYPE GENERAL COMMITTEE ADDRESS = SPECIFIC ❑ additional pages COMMITTEE CAMPAIGN TREASURER NAME COMMITTEE CAMPAIGN TREASURER ADDRESS 18 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN /� Al' TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED iy 2. TOTAL POLITICAL CONTRIBUTIONS / 4D gy (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) (( EXPENDITURE LESS, UNLESS ITEMIZED $ TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $50 OR 4. TOTAL POLITICAL EXPENDITURES $ CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ good BALANCE OF REPORTING PERIOD OUTSTANDING 6, TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $ Q' LOAN TOTALS LAST DAY OF THE REPORTING PERIOD 19 AFFIDAVIT SARAH GERONIME^ * t Notary Public, State of Texas r My commission Expires ) JUNE 22, 24 y r — r— AFFIX NOTARY STAMP I SEAL ABOVE 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 under Title 15, Election Cade. w I i Signature ofCandidat/.rOfficehol Sworn to and subscribed before me, by the said �1�` �� `�tJ'1+ 1 �� , this the 15�A day of tA[-d\�,_, 20 11 , to certify which, witness my hand and seal of office. %�'.� �% � �_1� l��,t��l �� 0 t(l: t�l l►rVl£ ��P���-�At�� na re ofofficer administering oath Printed name of officer administering oath Title of officer administering oath www.elhics.state.tx.us Revised 04/21/2010 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-500-325-8506 POLITICAL CONTRIBUTIONS SCHEDULE A OTHER THAN PLEDGES OR LOANS The Instruction Guide explains how to complete this form. 1 Total pages Schedule A: 2 FILER NAME1�f % f✓ D� yf��/ 3 ACCOUNT# (Ethics Comirissiorifilers) 4 Date 5 Full name of contributor �L❑`lousaf-slatePAC (01: i 7 Amountof g In -kind contribution contribution ($j I description (if applicable) 1 a j1 6Contributor address; City; State; Zip Cod ! (If travel outside of Texas, complete Schedule T) g Principal occupation / Job title (See Instructions) 110 Employer (See Instructions) Date Full name of contributor ❑ aut-0f-ststePAC (DIP. I Amount of f In -kind contribution // contribution ($) 4 description (if applicable) Cont utor ad Tess; City; S te; 7�ip Code ! Le 10 � I ' Jif tf vel outside of Texas, complete Schedule Tl Principal occupation 1 Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ art ePAC(Vt. ) Amount of ! in -kind contribution YVA contribution ($) ! description (if applicable) �t Contributor address; outside of Texas, complete Schedule T) Principal occupation / Job title See Instructions) l 'p p ( ons) I Employer (See instructions) _I Date Fu name of contribu r ❑ out-O-statePAC (IM.,, I Amount of ! In -kind contribution contribution ($) ! description (if applicable) Contributor address; l ity; State; Zip ! rPat! (If travel outside of Texas, complete Schedule TI Principal occupation 1 Job title (See Instructions) ( Employer (See Instructions) Date F"me of contributor ❑ oul-&statepAc (io#: ) Amount of C In -kind contribution contribution ($) ` description (it applicable) Contributor address; ` City; State; Zip Code 7� ! (If travel outsidq of Tq s, nolete ScheVe TL_ Principal occupation / Job tWe (See Instructions) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements. Revised 091012007 Texas Ethics Commission P.O. Sox 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. 'I Total pages Schedule A: Z 2 FILER NAME 3 ACCOUNT# (Ethics Commission filers) 4 Date 5 Full name of contributor E)oui-d-staiaPAC (IO#: } 7 Amountof $ In -kind contribution contribution ($} I description (if applicable) ✓ 6 Contributof address City; State; Zi Coded a Ive (If travel outside of Texas, complete Schedule T) g Principal occupation / Job title (See Instructions) 110 Employer (See Instructions) Date Full name of contributor ©out-0f-VtatePAC (i[)#' + 1 Amount of � In -kind contribution /f� t contribution ($} I description (if applicable) Contributor address; City; State; Zip Code age (JT/ (if travel outside of Texas, complete Schedule TI Principal occupation /.lob title (See Instructions) � Employer (See Instructions) Date Full name of contributor ©ouL-a-statePAC (IC4P. I Contributor ad ess; City; State; Zip Code __.7_ Amountof I In -kind contribution contributlon {$) 1 description (if applicable) eov / (If travel outside If Texas, complete Schedule T) Principal occupation / Job title (See Instructions) I Employer (See instructions) Date Full name of contributor F]otA4-setePAC (M. I Amountof In -kind contribution contribution ($) k description (if applicable) Contributor address; City; State; Zip Code i (if travel outside of Texas, complete Schedule T) Principal occupation /.lob title (See instructions) I Employer (See Instructions) Date Full name of contributor [] 00-d-s+atePAC(UP. Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) } Amount of In -kind contribution contribution ($) I description (if applicable; �q I (If travel outside of Texas, comolete Schedule T) Employer (See Instructions) ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED If contributor is out-of-state PAC, please see instruction guide foradditionai reporting requirements. Revised 0910112007 Texas Ethics Commission P.Q. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) PLEDGED CONTRIBUTIONS SCHEDULE B The instruction Guide explains haw to complete this form- 1 Total pages Schedule{ $: 2 FILER fdA ME�� 3 ACCOUNT it (Ethics Commission Filers) 4 TOTAL OFUNITEMIZEDPL/DGES: b a b b b I �hyy 5 Date 6 Full name of pled or out-of-state PACp[zs 19 In -kind description I 8 Aeme t ` da pledge t ) (if applicable) J� Pledg GadcJress; 7 Cify; State; Zip Code 1 (If travel outside of Texas, complete Schedule T) 10 Principal occupation / Job title (See Instructions) it 11 Employer (See Instructions) Date Full name of pledgor ©M i-0t-state s'aG(Ipf 1 Amount of In -kind description pledge ($} I (if applicable) P ledgor address; City; State; Zip Code r� i 1 (If travet outside of Texas, complete Schedule T) Principal occupation f Job title (See Instructions) Employer (See instructions) — Date Full name of pledgor ❑ aut-of-state PAC(IDtk. I Amount of 1 In -kind description pledge ($) I (if applicable) Pledgor address; City; State; Zip Code (If travel outside of Texas, complete Schedule T) Principal occupation I Job title (See Instructions) Employer (See Instructions) Date Full name of pledgor ❑ out-of-statePAC(IOP i Amount of I. -kind description pledge ($) II (if applicable) Pledgor address; City; State; Zip Code i (If travel outside of Texas, complete Schedule T) Principal occupation / Job title (See Instructions) I Employer (See Instructions) Date Full name of pledgor Amount of 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 ! Job title (See Instructions) Employer (See Instructions) y ATTACK 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 04/21/2010 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-207G (512) 463-58d0 (TDD 1-800-73-5-2989) LOANS SCHEDULE E 1 Total pages Schedule E: The instruction Guide explains haw to complete this form. 2 FILER NAME h 3 ACCOUNT # (Ethics Commission Filers) 4 TOTAL OF UNITEMIZED LOANS: � b � � b b ey $ !�/ a 5 Date of loan 7 Name of lender E] out -of --state PAC(109: 1 9 LoanAmoum ($) 6 Is lender 8 Lender address; City; State; Zip Code 10 Interest rate a financial Institution? i1 Maturitydate Y N 12 Principal occupation / Job title (See Instructions) 113 11 Employer (See Instructions) 14 Description of Collateral ❑ none 15 GUARANTOR 16 Nameofguarantor 18 Amount Guaranteed {g} INFORMATION 17 Guarantor address; City; State; Zip Code not applicable 19 Principal Occupation (See Instructions) ! 20 Employer (See Instructions) Date of loan Name of lender D out -of --state PAC (169- Loan Amount ($) Is lender Lender address; City; State; Zip Code Interest rate a fi nancial Institution? Maturity date Y N Principal occupation I Job We (See Instructions) I Employer (See Instructions) Description of Collateral [] none GUARANTOR Name ofguarantor Amount Guaranteed ($) INFORMATION Guarantor address; City; State; Zip Code not applicable Principal Occupation (See Instructions) I Employer (See Instructions) ATTACH ADDITIONAL COPIES OFTHIS SCHEDULEAS NEEDED If lender is out-of-state PAC, please see instruction guide for additional reporting requirements. www.ethics.state.tx.us' Revised 04121I2010 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506 POLITICAL EXPENDITURES SCHEDULE F The Instruction Guide explains how to complete this form. 1 Total pages Schedule F: 2 FILER NAME�/3 ACCOUNT # (Ethics Commission filers) .4 Date 5 Payee name 7 Amount ($) Payee Pa add C' State; Zi Code / V7 V L �f s YP 67,47ee Alm, �� 8 Purpose of payment (See instructions regarding type of information 9 -- Complete if direct expenditure to benefit C/OH •• required.) Candidate / Officeholder name Office sough% Office held ,vile, �t ,,�� ? �V FELLL (If travel outside of Texas, complete rhheduie T) Y Date Payee nar a Amount ,' ad Payee address; City; %fateZip p Code WTr1Ddt��rr .� �ir�i �dD1 �l��e r, x Purpose of payment (See instructions regarding type of information required.) (If travel outside of Texas, complete Schedule T) Date Payee name Payee address; City; State; Zip Code Purpose of payment (See instructions regarding type of information required.) (If travel outside of Texas, complete Schedule T) Date Payee name Payeeaddress; City State; Zip Code •- Complete if direct expenditure to benefit C/OH -- Candidate ! Officeholder name Office sought Office held Amount ($) -• Complete if direct expenditure to benefit C/OH -- Candidate I Officeholder name Office sought Office heid Amount Purpose of payment (See instructions regarding type of information .• Complete if direct expenditure to benefit CIOH -- required.) Candidate I Officeholder name Office sought Office held (if travel outside of Texas, complete Schedule T) ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED Revised 0910V2007 78711 2070 (512) 463-5800 (MD 1-800-735-2989) exas [[-tics Commission P.O. Box i2070 Austin, Texas V POLITICAL EXPENDITURE_ S SCHEDULE G MADE FROM PERSONAL FUNDS EXPENDITURE CATEGORIES FOR SOX 8(a) Advertising Expense GWAwardslMemorials Expense SalarlesrWageslContract Labor Loan RepaymentlReimbursement Accounting/Banking Legal Services SokitatiordFundiaising Expense Transportation Equipment S Related Expense Consulting Expense Food/Beverage Expense Travel In District Contributionsloonations Made By Event Expense Palling Expense Travel Out Of District CandidatelOfficeholderlPolitical 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- 4 pate 6* IrnWS etC.nenf frcrn pofdiCa! Contributions Wended S PURPOSE OF EXPENDITURE Date I Reimbursement from L� political contribLojons intended 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers) 16A, v ;F �ep l 5 Payee name 6?o --, cpm 7 Payee address; l City; State- Zip Code (a) Category (See/ecategories fisted at the top of this schedule) (b)DescrlPSon (lf Iravet outside al Texas, complete Scheduler) Payee name Payee address; City; State; Zip Code PURPOSE Category (See categories listed atthe top ofthisschedule) OF 7 EXPENDITURE Date Vrunt �) cpo'; !. Reimbursement from !' 'polilicalcontnbutiarts irdended PURPOSE OF EXPENDITURE Date Y-145) -// egmount (T) �� Reimbursement tram political mniritxdions Wended Payee name SIN G6� Pa a dress; City State; Zip Code Description (If travel outside otT"asomplete Schedule T) 6co Category (Seecalegarieslisted atthetop ofthisschedule) Description(LftraveloutsideofTexascomplete5chedWeTt Tl1t 11�'TJ�f �1 � �•fG$ � C r�s"'r-1`iE�JC� yl �J��% Payee me Pee 1lf�Payee addrest� � city; �$(arCode PURPOSE Category (Seecalegetieslisted atthe topoithisschedule) Description(Iftraveloutside olTexas,complete SchedulaT) OF EXPENDITURE ATTACH ADDITIONAL COPIES OF THIS SCHEDU LEAS NEEDED www_ethics.state.tx.us Revised 04121/2010 Texas Ethics Comn-fission P O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-73Sr2989) POLITICAL EXPENDITURES SCHEDULE G MADE FROM PERSONAL FUNDS EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Gif (AwardslMemorials Expense SalariesfWagesiContract Labor Loan RepaymentlReimbursemerlt Accounting/Banking Consulting Expense Legal Services SolicitationlFundraising Expense Transportation Equipment& Related Expense Food/Beverage Expense Travel In District Cont'ributionslDonations Made By Event Expense Polling Expense Travel Out Of District CandidatelOfficaholder/Political Committee Fees Printing Expense Office OverheadlRentat Expense OTHER (enter a category not listed above) The instruction Guide explains how to complete this form. 1 Total pag'_ Sr. edufe G; 2 FILER NAME I'l IV le,0 2 ! 3 ACCOUNT # (Ethics Commission Film) 14I 4 Date _ 5 Payee name 6 Amount (g) 7 Payee addjss; City; State; Zi Code rs imbuemanl from poliliral contributions intended 8 PURPOSE (a) Category (See c(atteq�wi��riesss listed at the top oofftWs -schedule) (b)) De-SCAPtion(IltrveJoulside�offTeXas,complete�Srhedulal) OF EXPENDITURE'g, j Date Payee ame Amount ($) Payee address; City; State; Zip Code mbursement from pDGGCet contributions „wry �J Jay 3 `l intended PURPOSE Category (See categories listed at the tap of this schedule) Description (iftravel outside otTexas, complete Schedule T) OF EXPENDITURE 110 y] � -e/ G ev'e Date Payee name �t P // � 1 e�e Amount Payge address; City; State- Zip Code ' //, Ellez,, � 2 � " 7- -7 Z&Yl RReimbursement from _ /j-�-� palticalcontribulions V intended PURPOSE Catego (See categories listed at the top of this schedule) Description (If travel outside o47exas, complete Schedule T) OF EXPENDITURE Date Pay name - �// Amount ($) Payee address: City; State; Zip Code , mIr.,=ent from P.,.,.lcant ibutions uthsrded PURPOSE QCategory (See categories listed attheettopofthis schedule) Description(lfiravOoutsidedTexas.completeSow6deT) OF EXPENDITURE �1 ATfACHADD)TIO�ALCOPIES OF THIS SCHEDULE AS NEEDED www.ethics.state.tx.tls Revised 0412112010 Texas Ethics Commission P_0_ Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) — - -- — POLITICAL EXPENDITURES SCHEDULE G MADE FROM PERSONAL FUNDS i EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Gift/Awards/Memorials Expense SatarieslWageslContrdct Labor Loan RepaymentfReimbursement Accounting[Banking Legal Services SoricitatioWFundraising Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Travet In District Contributions/Donations Made By Event Expense Polling Expense Travel Out OF District Candidate/Officeholder]Poiitical Committee Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above) The Instruction Guide explains how to complete this form. 1 Total }5 s Schedule G: 2 FILER AMEE ry� 3 ACCOUNT # (Ethics Commission Filers) 4 Dat 5 Payee e 6 Ammount ($) 7 Payee addres City StateZip C de embursrmenl from Le political contributions Wended a PURPOSE (a) Category (Se�eycategories rested at the top of this schedule) (b) Description (IftravdoutsideofTexas_campFete ScheduleT) OF EXPeNDITUFtE lrAri L G % �rzzw Date / ( —// Amount (g) jam• Reimbursement arum • t_j polittcalcontributions intended PURPOSE OF EXPENDITURE Date 7� (W Reimbursement from poitical contributions intended PURPOSE OF EXPENDrrURE Date mount ($) e mbursemenI from particalrnnlri 115ans intended PURPOSE OF EXPENDITURE Payee name C¢�Y fret' Payee address; City; State; Zip Code Category (See categories Fisted at the top of this schedule) *"4 Payee name llf Description (I€travelouWdeolTe es.mmplete Schedule';) Payee addr City; State; Zip Code �ei�A�, , was Category (See categories Wed at the top of thisschedure) Description (if aveloutsideotTexas,wmp teScheduler) Payee name/� Payee add City; Sta Zip Cod Category (See categories fisted atthe top of ttiissrhedule) Desescriipptionn ftmveloutsideeoof7exas�,completeScheduleT) Aa el ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www_ethics.state.tx.us Revised 0412'l12 Ili Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) POLITICAL EXPENDITURES SCHEDULE G MADE FROM PERSONAL FUNDS EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense GifUAwafdslMemorials Expense SalarieslWageslContfact Labor Loan RepaymentlReimbursement Accounting/Banking Legal Services SolicitationlFundraising Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee Fees Printing Expense Office OverheadlRental Expense OTHER (enter a category not listed above) The Instruction Guide explains how to complete this form. 1 Total paVchedule G: 4 Date �110 !/ 6 Amo nt M /�r-- 0+5 Reimbursement from political contributions intended 8 PURPOSE OF EXPENDITURE Date 7Azj t ($�1- 1�4Reimbursement from 1political contributions intended PURPOSE OF EXPENDITURE Date Amount ($) Reimbursement from ❑ political contributions intended PURPOSE OF EXPENDITURE Date Amount ($) ❑Reimbursement from political contributions intended PURPOSE OF EXPENDITURE www.ethics.state.tx.us 2 FILER 3 ACCOUNT # (Ethics Commission Filers) �NAM S Payee name 7 Payee address; City; State; Zip Code (a) Category (See categories listed at the top of this schedule) (b) Description (if travel outside efTexas, complete Schedule T) Payee name Payee address; City; State; Zip Code Category (See categories listed at the top of this schedule) /rW Payee name Payee address; City; State; Zip Code Category (See categories listed at the top of this schedule) Payee name Payee address; City; State; Zip Code Category (See categories listed at the top efthis schedule) Description (If travel outside of Texas, complete Schedule T) �&xl �le- P� 'yam Description (If travel outside of Texas, complete Schedule T) Description (if travel outside of Texas, complete Schedule T) ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED Revised 04I2112010 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) PAYMENT FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF CIOH scHEQu�I= H EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense GiftlAwardslMemorials Expense Sala des/Wages/Contract Labor Loan Repayment/Reimbursement Accounting/Banking Legal Services SokcitationlFundraising Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Travel In District ContributionsfDonations Made By Event Expense Polling Expense Travel Out Of district CandidatelOfficeholder!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 H: 2 FILER NAM 3 ACCOUNT # (Ethics Commission Filers) 4 Date 5 Business name 6 Amount {$) 7 Business address; City; State; Zip Code a PURPOSE I (a) Category (see categories listed at the lop of this schedule) l (b) Description (If travel outside of Texas, complete Schedule T) OF EXPENDITURE 9 Complete ONLY if direct Candidate 1 Officeholder name Office sought Office held expenditure to benefit CIOH Date Business name Amount ($} Business address; City; State; Zip Code PURPOSE OF EXPENDITURE Complete ONLY if direct expenditure to benefit CIOH Date Amount {$} Category (See categories tistedatthe top ofthisschetlule) Candidate 1 Officeholder name Business name Business address; City; State; Zip Code Description (If travel outside of Texas, complete Schedule T) Office sought Office held PURPOSE Category (See categories listed at the top,ofthis schedute) Description (If travel outside. of Texas, complete ScheduleT) OF EXPENt]1TURE Complete ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit CIOH Date Business name Amount ($) Business address; City; State; Zip Code PURPOSE _ OF EXPENDITURE Complete ONLY it direct expenditure to benefit C10H www.ethics.state.tx.us Category (See categories Fisted atthe top ofthisschedule) Description (if travel outside of Texas, complete sche(juleT) Candidate 1 Officeholder name Office sought Office held ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS NEEDED Revised 04/21/2010 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) NON -POLITICAL EXPENDITURES SCHEDULE MADE FROM POLITICAL CONTRIBUTIONS EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense GiftlAwardslMemorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement Accounting/Banking Legal Services SoticitationlFundraising Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Travel In District Contribuliom3fDonations Made By Event Expense Polling Expense Travel Out Of District Candidate/OfficeholderlPolifical Committee Fees Printing Expense Office OverheadlRental Expense OTHER (enter a category not listed above) The Instruction Guide exptains how to complete this form. i Total pages Schedule I: 2 FILER NA 3 ACCOUNT # {Ethics Commission Filers) 4 Date 4 f� / Payee 4 5 name 6 Amount (S) 7 Payee address; City; State; Zip Code 8 PURPOSE OF EXPENDITURE Date Amount ($} j PURPOSE jlOF EXPENDITURE Date Amount ($) PURPOSE OF EXPENDITURE Date Amount (�) PURPOSE OF EXPENDITURE (a) Category (See categories listed at the top of this schedule) (b) Description {See instructions regarding type of information required.) Payee name Payee address; City; State; Zip Code Category (See categories listed at the top of this schedule) I Description (See instructions regarding type of information required.) Payee name Payee address; City; State; zip Code Category (See categories listed at the top ofthis schedule) I Description {See instructions regarding type of information required.) Payee name Payee address; City; State; Zip Code Category (See categories listed at the top of"sschedule) I Description (See instructions regarding type of information required.) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethics.state.tx.us Revised 04121/2010 Texas Ethics Commission P O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) CREDITS (optional) SCHEDULE K / I The Instruction Guide explains how to complete this form. i Total pages Schedule K:[ 1 2 FILER NAME 3 ACCOUNT ft (Ethics Commission Filers) 4 Date 5 Payor name $ Amount . . 6 Payor address; City; State; Zip Code 7 Reason for credit Date Payor name E Amount ($) Payor address; City; State; Zip Code Reason for credit i Date Payorname Amount Payor address; City; State; Zip Code Date i Date Reason for credit Payor name Payor address; City; State; Zip Code Reason for credit Payor name Payor address; City; State; Zip Code Reason for credit ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Amount ($) Amount ($) www_ethics.state.tx.us Revised 04121/2010 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 SCHEDULE T FOR TRAVEL OUTSIDE OF TEXAS The Instruction Guide explains how to complete this form. 1 Total pages Schedule T- 0 2 FILER NAME f 3 ACCOUhi7 # {Ethics Commission Filers) 4 Name of Contr'rbut r / Corporation or Labor Organization / P dgor / payee 5 Contribution / Expenditure reported on: ff ❑ Schedule A ❑ Schedule B ❑ Schedule C ❑ Schedule D ❑ Schedule F ❑ Schedule G ❑ Schedule H ❑ Schedule N ❑ COH-UC ❑ COH-T ❑ PAC-C ❑ PAC-E 6 Dates of travel 7 Name of persons) traveling �8 Departure city or name of departure location S Destination city or name of destination location 10 Means of transportation 111 Purpose of travel (including name of conference, seminar, or other event) { Name of Contributor / Corporation or Labor Organization I Pledgor / Payee Contribution / Expenditure reported on: III ❑ Schedule A ❑ Schedule B ❑ Schedule C ❑ Schedule D ❑ Schedule F Q Schedule G ❑ Schedule H ❑ Schedule N ❑ COH-UC ❑ COH-T ❑ PAC-C ❑ PAC-E Dates of travel Name of person(s) traveling Departure city or name of departure location (I Destination city or name of destination location Means of transportation l Purpose of travel (including name of conference, seminar, or other event) Name of Contributor I Corporation or Labor Organization I Pledgor I Payee Contribution / Expenditure reported on: ❑ Schedule A ❑ Schedule B ❑ Schedule C ❑ Schedule D ❑ Schedule F ❑ Schedule G ❑ Schedule H ❑ Schedule N ❑ COt-I-UC ❑ COH-T ❑ PAC-C ❑ PAC-E 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 I Purpose of travel (including name of conference, seminar, or other event) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED www.ethics.state.tx.us Revised 04/21/2010