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Home My WebLink About191028 - Campaign Finance Report - Karl P. MooneyMONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule A 2 FILER NAME A ��3 Filer ID (Ethics Commission Filers) 4 Date Full name of contributor ❑ ou of -state PAC fIC#: Amount of contribution ($) s'a 6 Contributor address; City; State; Zip Code 8 Principal occ ation / Job title (See Instructions) y ( ) p p g Em to ea Sep Instructions Date Full.PaTM of contributor ❑ out-of-state PAC (ID#: Amount of contribution ($) (?onutor address; City; Sta Zip Code1� Princ!pAl pccupati b 'tl ' ee Instructions) EPlo e ee Instructions) Date Full name of contributor ❑ out-of-state PAC (to#: A ount of contribution ($) f lG Contributor address-, City; State: Zip Code fj. 111 Princip I occupation / Job title (See Instructions) Em Io ee Instructions) Date Fu name /�of contribu -r ❑ out-of-state PAC OD#: Amount of contribution ($) lam? L G' 'f Contributor address; City; State: Zip Code Principal occupation Jb tit e ) See Instructions Employer (S�e 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 At l7 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date5 Full n7W, of contri for ( 7 Amount of contribution $ out-of-state PAC IC#: ) ( ) �� : 6 Contributor address; City; State; Zip Codef 8 Principal occupation / Job titl (See Inst ctions) 9 Employer (S Instru ns) - ,fr Date Full name of contributor ❑ out-of-state PAC (ID#: Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Date Full name of contributor . . . . . . . . . . . Contributor address; Employer (See Instructions) ❑ out-of-state PAC ((ID#: . . . . . . . . . . City; State; Zip Code Principal occupation / Job title (See Instructions) Employer (See Instructions) Date Full name of contributor ❑ out-of-state PAC (ID#: . . . . . . . . . . . . . Contributor address; City; State; Zip Code Principal occupation / Job title (See Instructions) Amount of contribution ($) Employer (See Instructions) Amount of contribution ($) Amount of contribution ($) 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 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID (Ethics Commission Filers) 21 SCHEDULE SUBTOTI/ LS SUBTOTAL AMOUNT NAMEOFSCHEDU E 1 SCHEDULEAi: MONETARY POLITICAL CONTRIBUTIONS $// 2. SCHEDULEA2: NON -MONETARY (IN -KIND) POLITICAL CONTRIBUTIONS $ 3. SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4.1-1 SCHEDULE E: LOANS $ 5. SCHEDULE 171: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS 7. El SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 8. SCHEDULE 174: EXPENDITURES MADE BY CREDIT CARD $� 9• SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ �} 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.s`ate.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: Y 2 FILER NAME % !, � 3 Filer ID (Ethics Commission Filers) rf= f ! 4 TOTAL OF UNITEMIZED IN -KIND P ICAL CONTRIBUTIONS $ C 5 Date 6 Full name of contributor ❑ out-of-state PAC (IDff: 8 Amount of g 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) 14 Contributor's employer/law firm (FOR JUDICIAL) 16 If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL) Date Full name of contributor ❑ out-of-state PAC (Vt: 13 Contributor's job title (FOR JUDICIAL) (See Instructions) 15 Law firm of contributor's spouse (if any) (FOR JUDICIAL) I Amount of In -kind contribution Contribution $ description . . . . . . . . . . . . . . . . . . . . . . . . . . . Contributor address; City; State; Zip Code Principal occupation / Job title (FOR NON -JUDICIAL) (See Instructions) Contributor's principal occupation (FOR JUDICIAL) Contributor's employer/law firm (FOR JUDICIAL) If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL) ❑ Check if travel outside of Texas. Complete Schedule T. Employer (FOR NON-JUDICIAL)(See Instructions) Contributor's job title (FOR JUDICIAL) (See Instructions) Law firm of contributor's spouse (if any) (FOR JUDICIAL) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state RAC, 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: 2 FILER NAME l �` 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF 6NITEMIZED PLEDGES 5 Date 6 Full name of pledgor ❑ ou 7of-stateID# 8 Amount 9 In -kind contribution of Pledge $ description . . . . . . . . . . . . . . . . . . . . . . . . . i d 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#: 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 ❑ out-of-state PAC (ID#: 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#: 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) I 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 The Instruction Guide explains how to complete this form. 1 Total pages Schedule E 2 FILER NAME 3 Filer ID (Ethics Commission Filers) v 4 TOTAL OF`UNITEMIZED LOANS 5 Date of loan 7 Name of lender ❑ out-of-state PAC (to#: } 9 Loa Amoui . . . . . . . . . . . . . . . . . 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 ($) INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Guarantor address; City; State; Zip Code . ❑ not applicable 20 Principal Occupation (See Instructions) 121 Employer (See Instructions) Date of loan Name of tender El out-of-state PAC (fD#i Loan Amount ($) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Accounting/Banking Consulting Expense Contributions/Donations Made By Candidate/Officeholder/Political Committee Credit Card Payment The Instruc ion Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME �3 Filer ID (Ethics Commission Filers) 4 Daate 5 Payee inc 6 Am unt 7 Payee address; City�/ tate; Zip Code 4/ 1 �. $ (a) Category (See Categories listed a he top of this schedule) (b) Description PURPOSE ra, ❑ Check if travel outside of Texas. Complete ScheduleT. OF ❑ Check if Austin. TX, officeholder living expense EXPENDITURE r SCHEDULE FF1 9 Complete ONLY if direct expenditure to benefit C/OH Date Amount ($) PURPOSE OF EXPENDITURE Complete ONLY if direct expenditure to benefit C/OH Date Amount ($) PURPOSE OF EXPENDITURE Complete ONLY if direct expenditure to benefit C/OH Event Expense Loan Repayment/Reimbursement Fees Office Overhead/Rental Expense Food/Beverage Expense Polling Expense Gift/Awards/Memorials Expense Printing Expense Legal Services Salaries/Wages/Contract Labor Candidate / Officeholder name Payee name Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Candidate / Officeholder name Payee name Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Candidate / Officeholder name Office sought Solicitation/Fundraising Expense Transportation Equipment & Related Expense Travel In District Travel Out Of District Other (enter a category not listed above) Office held Description ❑ Check if travel outside of Texas. Complete Schedule T. ❑ Check if Austin, TX, officeholder living expense Office sought Office held Description ❑ Check if travel outside of Texas. Complete Schedule T. ❑ Check if Austin, TX, officeholder living expense Office sought ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Office held Forms provided by Texas Ethics Commission www.ethics.state.N.us Revised 9/8/2015 UNPAID INCURRED OBLIGATIONS EXPENDITURE CATEGORIES FOR BOX 10(a) SCHEDULE F2 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 P-inting 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 F2: 2 FILE s 1VIE 4 3 Filer ID (Ethics Commission Filers) 4 TOTAL OF UNITEMIZEVUNPAID INCURRED OBLIGAT NS $ P 5 Date 6 Payee name 7 Amount ($) 9 TYPE OF EXPENDITURE 10 PURPOSE OF EXPENDITURE �7 Complete ONLY if direct expenditure to benefit C/OH Date Amount ($) TYPE OF EXPENDITURE PURPOSE OF EXPENDITURE Complete ONLY if direct expenditure to benefit C/OH 8 Payee address; City: State; Zip Code Political Non -Political (a) Category (See Categories listed at the top of this schedule) (b) Description Check if travel outside of Texas. Complete Schedule T. ❑Check if Austin, TX, officeholder living expense Candidate / Officeholder name Office sought Office held Payee name Payee address; City; State; Zip Code Political Non -Political Category (See Categories listed at the top of this schedule) Description 1-1 Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Candidate / Officeholder name Office sought Office held 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) 1/ 4 Date 5 , ame of person from whom investme/iurchased . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Address of person from whom investment is purchased; City; State; Zip Code ! 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 EXPENDITURE CATEGORIES FOR BOX 10(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Accounting/Banking Fees Office Overhead/Rental Expense Consulting Expense Food/Beverage Expense Polling Expense Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor The Instruction Guide explains how to complete this form. 1 Total pages Schedule F4: 2 FILER NA E--?RG 4 TOTAL OF UNITEMIZED EXPENDITURES CHED T CREDIT CARD 5 Date 6 Payee name 7 Amount ($) 8 Payee address; City; State; Zip Code SCHEDULE F4 Solicitation/Fundraising Expense Transportation Equipment & Related Expense Travel In District Travel Out Of District Other (enter a category not listed above) 3 Filer ID (Ethics Commission Filers) 9 TYPE OF EXPENDITURE ❑ Political ❑ Non -Political 10 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE ❑ Check if travel outside of Texas. Complete Schedule T. OF EXPENDITURE ❑Check if Austin. TX, officeholder living expense 11 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code TYPE OF ❑ EXPENDITURE ❑ Political Non Political Category (See Categories listed at the top of this schedule) Description PURPOSE ❑ 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 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Accounting/Banking Fees Office Overhead/Rental Expense Consulting Expense Food/Beverage Expense Polling Expense Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule G: 2 FILER NAM _ "� i 4 Date 5 Payee na 6 Amount ($) ❑Reimbursement from political contributions intended 8 7 Payee address; City; State; Zip Code (a)Category(See Categories listed atthe top ofthis schedule) (b) Description PURPOSE ❑ Check if travel outside of Texas. Complete Schedule OF EXPENDITURE ❑ Check if Austin, TX. officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH SCHEDULE G Solicitation/Fundraising Expense Transportation Equipment & Related Expense Travel In District Travel Out Of District Other (enter a category not listed above) 3 Filer ID (Ethics Commission Filers) Date Payee name Amount ($) 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 Check if travel outside of Texas. Complete Schedule 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 ($) Payee address; City; State; Zip Code ❑Reimbursement from political contributions intended Category (See Categories listed at the top of this schedule) (b) Description PURPOSE OF ❑ Check if travel outside of Texas. Complete Schedule EXPENDITURE ❑ Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Accounting/Banking Fees Office Overhead/Rental Expense Consulting Expense Food/Beverage Expense Polling Expense contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Candidate/'Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Credit Card Payment The Instruction Guide exp-lains hIow to complete this form. 1 Total pages Schedule H: 2 FILER NAME d 4 Date 5 Business 4a e 6 Amount ($) 7 Business address; City; State; Zip Code SCHEDULE H Solicitation/Fundraising Expense Transportation Equipment & Related Expense Travel In District Travel Out Of District Other (enter a category not listed above) 3 Filer ID (Ethics Commission Filers) O i\ 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 Business name Amount ($) Business address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE ❑ Check if travel outside of Texas. Complete ScheduleT. OF EXPENDITURE Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held expenditure to benefit C/OH Date Business name Amount ($) 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 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. a 1 Total pages Schedule I: 2 FILER N E ! : 3 Filer ID (Ethics Commission Filers) 4 Date 5 Payees ame i 6 Amount ($) 7 Payee address; City; State; Zip Code F PFf 8 (a)Category (See instructions for examples of acceptable (b)Description (See instructions regarding type of information PURPOSE categories.) required.) OF EXPENDITURE Date Payee name Amount ($) Payee address; City; State; Zip Code PURPOSE OF EXPENDITURE Date Amount ($) PURPOSE OF EXPENDITURE Date Amount ($) PURPOSE OF EXPENDITURE Category (See instructions for examples of acceptable categories.) Payee name Payee address; City; State; Zip Code Category (See instructions for examples of acceptable categories.) Payee name Payee address City; State; Zip Code Category (See instructions for examples of acceptable categories.) Description (See instructions regarding type of information required.) Description (See instructions regarding type of information required.) Description (See instructions regarding type of information required.) ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015 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 �- 3 Filer ID (Ethics Commission Filers) 4 Date 5 game of person from who amount isXceived a Amount ($) fj 6 Address of person from whom amount is received; City; State; Zip Code '-1� Date Date Date 7 Purpose for which amount is received Check if political contribution returned to filer Name of person from whom amount is received Amount ($) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 Name of person from whom amount is received Amount ($) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address of person from whom amount is received; City; State; Zip Code Purpose for which amount is received Name of person from whom amount is received Check if political contribution returned to filer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address of person from whom amount is received; City; State; Zip Code Amount ($) Purpose for which amount is received 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 ex-pplains how to complete this form. 2 FILER NAME �.• J '�� 4 Name of ConZib�t.r /Corporation or Labor rganization / edgor i Payee 5 Contribution / Expenditure reported on: ❑ Schedule A2 ❑ Schedule B ❑ Schedule B(J) ❑ Schedule C2 ❑Schedule F2 ❑ Schedule F4 ❑ Schedule G ❑ Schedule H 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 1 Total pages Schedule T: d� 3 Filer ID (Ethics Commission Filers) ❑ Schedule D ❑ Schedule F1 ❑ Schedule COH-UC ❑ Schedule B-SS 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 F1 ❑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 I 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 F2 ❑ Schedule F4 ❑ Schedule G ❑ Schedule H Dates of travel Name of person(s) traveling Departure city or name of departure location Destination city or name of destination location ❑ Schedule D ❑ Schedule F1 ❑ Schedule COH-UC ❑ Schedule B-SS Means of transportation I 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