HomeMy WebLinkAbout200715 - Campaign Finance Final Report - Karl P. MooneyCANDIDATE I OFFICEHOLDER
CAMPAIGN FINANCE REPORT
FORM C/OH
COVER SHEET PG 1
----------------·-·-------·-··--·-----------·--·--···------··------·-·-----·---··---·----·-------·-1 ----·-·-·----·---·-----·-·----·-·--·--
1 Filer ID (Eth ics Commis si on Fil ers) 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
3 CANDIDATE I
OFFICEHOLDER
NAME
4 CANDIDATE I
OFFICEHOLDER
MAILING
ADDRESS
NICKNAME
ADDRESS I PO BOX ; STAT E;
SUFFIX
ZIP CODE
OFFICE USE ONLY
Da te Rece ived
RECEIVED
JUL 1 5 2020
BY: J.~ ..... J.9.:~.J .. ~~ ..
D Change of Address ..,/ ...........-/
5 CANDIDATE/
OFFICEHOLDER
PHONE
Date Hand·de livered or Date Postmarked
l---------- ---------1 --·-·-·-·-------------·---
6 CAMPAIGN
TREASURER
NAME
7 CAMPAIGN
TREASURER
ADDRESS
(Residence or Business)
8 CAMPAIGN
TREASURER
PHONE
9 REPORT TYPE D January 15
D Ju1y1s
Forms provided by Texas Ethics Commission
PHONE NUMBER
D 30th day before election D
D 8th day before election D
www.ethics. state . tx . us
Ml
F~unoff
Exceeded Modifi ed
Reporting Limit
Rec eipt # Amount $
STATE. ZIP CODE
D 15th day after carnpaign
treas urer appointment
_ 7 11old er Onl y)
V"Final Report (Attach C/OH -FR)
Revised 1 /1 /2020
CANDIDATE I OFFICEHOLDER
CAMPAIGN FINANCE REPORT
FORM C /OH
COVER SHEET PG 2
16 NOTICE FROM
POLITICAL
CO M M ITTEE(S)
0 Additiona l Pages
17 CON TR IBUTION
TOTALS
EXPEND ITURE
TOTALS
CON TR IB UTI O N
BALAN CE
OUTSTAN D ING
LOAN TOTALS
18 AFF I DAV IT
15 Fi ler ID (Ethics Commission Filers)
ED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
SUPPORT THE CANDIDATE f OFF ICEHOLDER. THESE EXPEN URES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR OFFICEHOLDER'S
KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOL RS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECE IVE NOTICE
OF SUCH EXPENDITURES .
COMM ITTEE TYPE
DGE NER A L
OsPEC1F1c
1. TOTAL UNITEM IZED POLITICAL CONTR I BUTIONS (OTHER THAN
PLEDGES, LOANS , OR GUARANTEES OF LOANS, OR
_____________ C:ONTR~!ONS MADE ELECTR_O_N _IC_A_L_L_Y~)------------t·
2.
3.
4 .
5.
TOTAL POLITI CAL CONTR I BUTIO NS
(OTHER THAN PLEDGES , LOANS , OR GUARANTEES OF LOANS)
TOTAL UN ITEMIZED PO LI T I CAL EXPENDITURE.
TOTAL PO LI TICAL EXPEN DI TURES
TOTAL POLIT I CAL CONTRIBUT I ONS MAINTAINED AS OF THE LAS T UAY
OF REPORT I NG PERIOD $Z>r ,.-
f----------------------------------1--·--·-·------------·--··--·--·-----
6. TOTAL PR I NC I PAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PER I OD $g ~
Torre
twet37·7
Notary Public:. Slate of Texas
My Commission Expires
Au ual21,2020
,,,
I swea r, or affirm, under pena lty of perjury, that the accompanying re port is
true and correct and includes all information required to be re por ted by me
under Titl e 15, El clion Code.
AFFIX NOTARY STAMP I SEA LA BOVE
Sworn to and s u bscri bed before me, by the said ~ P. n1 ()0 1"\. I '5 -\-l"1
day of J1.;,_,\ ~ , 20 C)..,o , t o certify w h ich , witness my hand and seal of office .
ciJ« JfJll!Le Oe:plt!tj LouJ f?t019v-a
Title of officer administe ring oath
Forms prov ided by Texas Et hics Comm iss ion www.et hi cs.sta te.tx.us Revised 1/1/2020
SUBTOTALS -C/OH FORM C/OH
COVER SHEET PG 3
·---------·····--------·~------------------
1. ~HEDULE A 1: MONETARY POLITICAL CONTRIBUTIONS $
2. ~HEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS $
4. ~HEDULE E: LOANS $
5. POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
6. ~EDULE F2: UNPAID INCURRED OBLIGATIONS $
~~~-=~~==-~=-~~-~~~~~-=--OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTION_s __ -+-_$ ________ ,
8. ~EDULE F4:
9.
10.
12.
EXPENDITURES MADE BY CREDIT CARD $
--------------·-··------··--·--··--·------··-·----
POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS
PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH
INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED
TO FILER
$
$
$
$
Forms provided by Texas Ethics Commission www.ethics. state. tx. us Revised 1/1/2020
MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
-----------·--·····-~--------·-----·-· ------------------------
The Instruction Guide explains how to complete this form. ---+-:-Total ~:~1~:-~~u=---------
2 FILER NAME 3 Filer ID (Ethics Commission Filers)
4 Date 7 Amount of contribution ($)
City; State; Zip Code
····----···-·--------•-----------·-·--·-····-·····-··---·-··········································································································-,.································································-·······-······-"·-···-····-·--·----···-----------·-··-···-··········-----·····I
8 Principal occupation I Job title (See Instructions) 9 Employer (See Instructions)
Date Full name of contributor D out-of-state PAC Amount of contribution ($)
Contributor address; City; State; Zip Code
--------···-·--------·-·-----··----··-------------·--------·------··--···-··--····--·-··---·-----··-·······-·········--·--------···-····-'---------------------·-·---·-····---·
Principal occupation I Job title (See Instructions) Employer (See Instructions)
<---------~----------·
Date Full name of contributor D out-of-state PAC (ID#: _______ _ Amount of contribution ($)
Contributor address; City; State; Zip Code
·-------~---------·--·------------~------------~-----------------·
Principal occupation I Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor [] out-of-state PAC (ID# _______ _ Amount of contribution ($)
Contributor address: City; State; Zip Code
Principal occupation I Job title (See Instructions) Employer (See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1 /1 /2020
NON-MONETARY (IN-KIND) POLITICAL
CONTRIBUTIONS
The Instruction Guide explains how to complete this form.
SCHEDULE A2
1 Total pages Sc edule A2:
3 Filer ID (Ethfcs Commission Filers)
$
[] out-of-state PAC (ID# ) 8 Amount of
--------Contribution $
5 Date 9 In-kind contribution
description
City; State; Zip Code
D Check if travel outside of Texas. Complete Schedule T.
10 Principal occupation I Job title (FOR NON-JUDICJAL)(See Instructions) 11 Employer (FOR NON-JUDICIAL)(See Instructions)
12 Contributor's principal occupation (FOR JUDICIAL) 13 Contributor's job title (FOR JUDICIAL) (See Instructions)
14 Contributor's employer/law firm (FOR JUDICIAL) 15 Law firm of contributor's spouse (if any) (FOR JUDICIAL)
16 If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)
Full name of contributor D out-of-state PAC (ID#: _______ _ Amount of
Contribution $
In-kind contribution
description
Contributor address; City; State; Zip Code
D Check if travel outside of Texas. Complete Schedule T.
Principal occupation I Job title (FOR NON-JUDICIAL) (See (FOR NON-JUDICIAL)(See Instructions)
Contributor's principal occupation (FOR JUDICIAL) Contributor's job title (FOR JUDICIAL) (See Instructions)
Contributor's employer/law firm (FOR JUDICIAL) Law firm of contributor's spouse (if any) (FOR JUDICIAL)
If contributor is a child, law firm of parent(s) (if any) (FOR JUDICIAL)
·=====· ··············-------·
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see Instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1 /1 /2020
PLEDGED CONTRIBUTIONS SCHEDULE B
The Instruction Guide explains how to complete this form.
5 Date
10 Principal occupation I Job title (See Instructions)
---+---··--------~---·····-··---···--·-····---·----!
8 Amount
of Pledge$
9 In-kind contribution
description
D Check if travel outside of Texas. Complete Schedule T.
11 Employer (See Instructions)
1------... --.·----=---:===========================================================================================================1
Date Full name of pledger
Pledger address;
Principal occupation I Job title (See
Date Full name of pledger
Pledger address;
Principal occupation I Job title (See
Date Full name of pledger
Pledger address;
0 out-of-state PAC
City; State; Zip Code
Amount
of Pledge$
In-kind contribution
description
Check if travel outside of Texas. Complete Schedule T.
0 out-of-state PAC (ID#: ________ _ Amount of
Pledge$
In-kind contribution
description
City;
0 out-of-slate PAC
City;
State; Zip Code
[~J Check if travel outside of Texas. Complete Schedule T.
(See Instructions)
State; Lip Code
of
$
In-kind contribution
description
if travel outside of Texas. Complete Schedule T.
Employer (Sec 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 1/1/2020
LOANS SCHEDULE E
---------·-~--------------------·-------
1 Total pages s1edule E The Instruction Guide explains how to complete this form. {
~ER NAM-E ~~~-___ :_ -~:r ID (Ethics Comm1s-~~n~~l~~~~--
4 TOTAL OF~t~ZED LOANS $
/
5 Date of loan I 7"1 N~e of lender
---·-··-··-------;"\v#ffC: . 6 Is lender
a financial
Institution?
y N
8 Lender address:
-------··-------·---·--·---+------
0 out-of-state PAC (ID#: _________ _ 9 Loan Amount ($)
. ~--------··-·---------!
City: State: Zip Code 10 Interest rate
11 Maturity date
~-----·------------------------------
12 Principal occupation I Job title (See Instructions)
14 Description of Collateral
0 none
16 GUARANTOR
INFORMATION
0 not applicable
Date of loan
Is lender
a financial
Institution?
y N
17 Name of guarantor
18 Guarantor address:
Name of lender
Lender address:
City:
13 Employer (See Instructions)
15
D Check if personal funds were deposited into political
account (See Instructions)
19 Amount Guaranteed ($)
State: Zip Code
0 out-of-state PAC (ID#: _________ _ Loan Amount($)
City: State: Zip Code Interest rate
Maturity date
!·-··-··-··--··---·-·············-······-··········-·-········-··'·········-···-···-·--···-··--·-·---·--·-----·--··--···-··-····-···--····-·----··-·-·---··,--------------···-·-····-.. -···-····· ·························-· .. ·-·------
Principal occupation I Job title (See Instructions)
Description of Collateral
[] none
GUARANTOR
INFORMATION
Cl not applicable
Name of guarantor
Guarantor address:
Principal Occupation (See Instructions)
City:
Employer (See Instructions)
D Check if personal funds were deposited into political
account (See Instructions)
Amount Guaranteed($)
State: Zip Code
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 1 /1 /2020
POLITICAL EXPENDITURES MADE
FROM POLITICAL CONTRIBUTIONS SCHEDULE F1
Advertising Expense
Accounting/Banking
Consulting Expense
Contributions/Donations Made 8y
EXPENDITURE CATEGORIES FOR BOX B(a)
Event Expense
Fees
Loan Repayment/Reimbursement
Office Overhead/Rental Expense
Polling Expense
Solicitation/Funclraising Expense
Transportation Equipment & Related Expense
Travel In District
Travel Out Of District
Candidate/Officeholder/Political Committee
Credit Cord l'uymcnt
Food/Beverage Expense
Gift/Awards/Memorials Expense
Legal Services
Printing Expense
SalariesNVages/Contract Labor Other (ei1ter a category not listed above)
1 ro:ru:_~_e_:z_edu1e
4 Date
F1:
---------------+
6 Amount ($)
8
PURPOSE
OF
EXPENDITURE
3 Filer ID (Ethics Commission Filers)
---------···-·---------··-------------···-·--------·---------
City; State; Zip Code
(a) Category (See Categories
(c) D Check if travel outside of Texas. Complete Schedule T. D Cl1eck if Austin, TX, officeholder living expense
---------------~------------···----------·---·-·--··---·-----··-------·-··----·-···-·-----·--··-··-·-
9 Complete QNLY if direct
expenditure to benefit C/OH
Date
Amount ($)
Candidate I Officeholder name
Payee name
Payee address;
Office sought Office held
City; State; Zip Code
·------··--·--···----·--·---·--··--------t-----------·-----····-·-·--····--·---·----··--·-----------···--------·-r--···-·-----·-·-·----·------·---·--··-·-···-··········-···-··--····--··-·-·--·--··--·----·····----·-···-·--l
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
Date
/\mount ($)
PURPOSE
OF
EXPENDITURE
Complete QNLY if direct
expendit•ire to benefit \,/OH
r.FltP.gory (SRA CetRgnriRs listRrl et thR top of this schedule) Description
[] Check if travel outside of Texas. Complete Schedule T D Check if Austin, TX, officeholder living expense
Candidate I Officeholder name Office sought Office l1eld
Payee address; City; State; Zip Code
Category (See Categories listed at the top of this schedule) Description
Check if travel outside of Texas. Complete Schedule T. [~~] Check if Austin. TX, officeholder living expense
Candidate I 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 1/1/2020
UNPAID INCURRED OBLIGATIONS
Advertising Expense
Accounting/Banking
Consulting Expense
Contributions/Donations Made By
Candidate/Officeholder/Political Committee
1 Total pa2Schedule F2:
4
EXPENDITURE CATEGORIES FOR BOX 10(a)
Event Expense
Fees
Food/Beverage Expense
GifVAwards/Memorials Expense
Legal Services
Loan Repayment/Reimbursement
Office Overhead/Rental Expense
Polling Expense' , .,
Printing Expense '
Salaries/Wages/Contract Labor
The _Instruction Guide explains how to complete this form.
SCHEDULE F2
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)
$
5 Date -~--~ -------------------------------------------------1
7 Amount ($)
9 TYPE OF
EXPENDITURE D Political
City; State; Zip Code
D Non-Political
!---------------· ---------------------------------------.-------------------------
10 (a) Category (See Categories listed at the lop of this schedule) (b) Description
PURPOSE
OF
EXPENDITURE
(c)
--·-·--··---------------------·------------~
[=:J Check if travel outside of Texas. Complete Schedule T. D Check if Austin, TX, officeholder living expense
--~---·----------·----
11 Complete ONLY if direct
expenditure to benefit C/OH
Candidate I Officeholder name Office sought Office held
·-------------·-------
Date Payee name
-----··-------------·-·--·----·------·-··--······---·-·-····-··-·····--------·-·-·---------·-------------·--·-·-----------------------------1
Amount ($)
TYPE OF
EXPENDITURE
PURPOSE
OF
EXPENDITURE
Payee address; City; State; Zip Code
L_J Political D Non-Political
---------------------~--------------------~~-~---
Category (See Categories listed at the top of this schedule) Description
--··--·--·--------------------~---------------------------1
Complete ONLY if direct
expenditure to benefit C/OH
[=J Check if travel outside ofTexas. Complete Schedule T. [] Check if Austin, TX, officeholder living expense
·--------------------·
Candidate I 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 1/1/2020
PURCHASE OF INVESTMENTS MADE
FROM POLITICAL CONTRIBUTIONS
2 FILERNAME
4 Date
7 Description of investment
-----------------------
8 Amount of investment ($)
Dctle Name of person from whom investment is purchased
Address of person from whom investment is purchased;
SCHEDULE F3
City; State; Zip Code
City; State; Zip Code
1--------··----------···--·-·-···-···-----------------------------------
Description of investment
Amount of investment ($)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forrns provided by Texas Ethics Cornrnission www.ethics.state.tx.us Revised 1/1/2020
EXPENDITURES MADE BY CREDIT CARD
Advertising Expense
A=ounting/Banking
Consulting Expense
Contributions/Donations Made By
Candidate/Officeholder/Political Committee
EXPENDITURE CATEGORIES FOR BOX 10(a)
Event Expense
Fees
Food/Beverage Expense
GifUAwards/Memorials Expense
Legal Services
Loan Repayment/Reimbursement
Office Overhead/Rental Expense
Polling Expense
Printing Expense
Salaries/Wages/Contract Labor
7 Amount ($) City:
9
10
TYPE OF
EXPENDITURE
PURPOSE
OF
EXPENDITURE
D Political D Non-Political
(a) Category (See Categories listed at the top of this schedule) (b) Description
>----------------
SCHEDULE F4
Solicitation/Fundraising Expense
Transportation Equipment & Related Expense
Travel In District
Travel Out Of District
Other (enter a category not listed above)
State: Zip Code
(c) D Check if travel outside ofTexas. Complete Schedule T. D Check if Austin, TX, officeholder living expense
11
Complete ONLY if direct
expenditure to benefit C/OH
Date
----·-.... -·---·----------------
Candidate I Officeholder name Office sought Office held
Payee name
--------·-··-··-----·----------!
Amount ($) Payee address;
-------------·->-----------·----······----·---------···
TYPE OF
EXPENDITURE
PURPOSE
OF
EXPENDITURE
[] Political D Non-Political
Category (See Categories listed at the top of this scl1edule)
City; State; Zip Code
Description
D Check if travel outside of Texas. Complete Schedule T. D Check if Austin. TX, officeholder living expense
·---------------~--·-------·-----·-··----------·--·------
Complete ONLY if direct
expenditure to benefit C/OH
Candidate I Officeholder name Office sought
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us
Office held
Revised 1/1/2020
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS
---------------.... ---... -... -.. _-_-_-___ -___ -___ -_-_-·--··-···---····---·-··=.: ................................ ··--·-···--·-···········
Advertising Expense
Accounting/Banking
Consultin~ Expense
Contributions/Donations Made By
Candidate/Officeholder/Political Committee
Credit Card Payment
6 Amount ($)
........
1
Reimbursement from
political contributions
········ intended
EXPENDITURE CATEGORIES FOR BOX 8(a)
Event Expense
Fees
Food/Beverage Expense
GifUAwards/Memorials Expense
Legal Services
Loan RepaymenVReimbursernent
Office Overhead/Rental Expense
Polling Expense
Printing Expense
Salaries!VVages/Contract Labor
City;
SCHEDULE G
Solicitation/Fundraising Expense
Transportation Equipment & Related Expense
Travel In District
Travel Out Of District
Other (enter a category not listed above)
3 Filer ID (Ethics Commission Filers)
State; Zip Code
······--········-···--····---·------l----------------------·-·----------·--·--·-···-········------·····--·--·-··········································---·········---------·-···········-·--·--·--··----····--····-···-1
8
9
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
Date
(a) Category (See Categories I isled at the top of lhis schedule)
(c) D Check if travel oulside of Texas. Complete Scl1edule T.
Candid ate I Officeholder name
Payee name
···············-·········-···················-·····--·--·-----+---------------
Amount($)
D Reimbursement from
political contributions
intended
Payee address;
Category (See Categories listed al the top of lhis schedule)
(b) Description
[] Check ii Austin. TX. officeholder living expense
·----------
Office sought Office held
City; State; Zip Code
Description
PURPOSE
OF
EXPENDITURE l---------------------·---······---···---'----------·-·····--·------------------------1
Complete ONL '( if direct
expenditure to benefit C/OH
D Check if !ravel oulside of Texas. Complete Schedule T
Candidate I Officeholder name
[] Check if Auslin. TX, officeholder living expense
Office sought Office held
·------------------------------------------~--·
Date
Amount ($)
........
1
Reimbursement from
political cDntributions
intended
PURPOSE
OF
EXPENDITURE
r>ayee name
Payee address;
Category (See Caleyu1ie> li>leu at ll1e lup or 11·1is
City; State; Zip Code
Check 1f Austin, TX. offlceholder living expense n Check if travel outside of Texas. Complete Schedule T.
--····-······---------1. ___ :__.:__ ___________________________________________ .==----·------·····--------------·-----j
Complete ONLY if direct
expenditure to benefit C/OH
Candidate I Officeholder name Office sought
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us
Office held
Revised 1/1/2020
1
PAYMENT MADE FROM POLITICAL
CONTRIBUTIONS TO A BUSINESS OF C/OH
Advertising Expense
Accounting/Banking
Consulting Expense
Contributions/Donations Made By
Candidate/Officeholder/Political Committee
Credit Card Payment
Total page/hedule H: 2
EXPENDITURE CATEGORIES FOR BOX 8(a)
Event Expense
Fees
Food/Beverage Expense
GifVAwards/Memorials Expense
Legal Services
Loan Repaymenl/Reimbursement
Office Overhead/Rental Expense
Polling Expense
Printing Expense
Salaries/Wages/Contract Labor
SCHEDULE H
Solicitation/Fundraising Expense
Transportation Equipment & Related Expense
Travel In District
Travel Out Of District
Other (enter a category not listed above)
4 Date
~ 5
Ho ""'"";°" G,;,, ,,,,.;,~om""' <";, fo,m.
mrn ~_;;;v; . -!t~~~~~rL--3_-_F_1_1e_r_1_D __ <_E_th-ic_s_c_o_m_m_i_s_si_o_n_F_i1-e-rs_)_
1 Bus~~~ h'
----·
6 Amount ($) 7
_ ___, _ __,. ~L---=------------
Bus'iness address; City;
8
PURPOSE
OF
EXPENDITURE
(a) Category (See Categories listed at the top of this schedule)
State, Zip Code
(b) Description
!--------·----------------------·------~--
(c) D Check if travel outside of Texas. Con1plete Schedule T D Check if Austin, TX, officeholder living expense
!-----------------· ----·-··-----------------------·--·--··-··-·-------·-···--·-···------------------------!
9 Complete Q.!'lbl'. if direct
expenditure to benefit C/OH
Date
Amount ($)
PURPOSE
OF
EXPENDITURE
Candidate I Officeholder name Office sought Office held
Business narne
-------------···----------------------------<
Business address; City; State; Zip Code
Category (See Categories listed at the top of this
D Check if travel outside of Texas. Complete Scl1edule T. D Check if Austin, TX. officeholder living expense
··----··-······------·-------·----··· ·······--·-···-----·---------------·----·-····-······-----------
Complete ONLY if direct
expenditure to benefit C/OH
Date
Amount ($)
Candidate I Officeholder name
Business name
Business address;
Office sought Office held
City; State; Zip Code
--------·---------······--··-··-·-···------·-----·-----·-·--------------------·····-·--····-·-----·-·-----------------!
PURPOSE
OF
EXPENDITURE
Category (See Categories listed at the lop of this schedule) Description
D Check lf travel outslde of Texas. Complete Scl1edule T. [~_] Ct1eck if Austin, TX, officeholder living expense
·----------··----------~--·-----··--------------------------------···-··--·------------·-·---~------------------
Complete ONLY if direct
expenditure to benefit C/OH
Candidate I Officeholder name Office sought
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us
Office held
Revised 1 /1 /2020
NON-POLITICAL EXPENDITURES
MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE
The Instruction Guide explains how to complete this form.
1 Total pages Schedule I: 2
I
4 Date
6 Amount ($)
8
PURPOSE
OF
EXPENDITURE
Date
Amount ($)
PURPOSE
OF
EXPENDITURE
Date
Amount ($)
PURPOSE
OF
EXPENDITURE
Date
Amount ($)
PURPOSE
OF
EXPENDITURE
5
7 Payee address;
(a) Category (See instructions for examples of acceptable
categories.)
name
address;
Payee name
Payee address;
Category (See instructions for examples of acceptable
categories.)
Payee name
Payee address;
Category (See instructions for examples of acceptable
categories.)
City State Zip Code
Description (See lnstruct1ons regarding type of information
required.)
City State Zip Code
type of information
City State Zip Code
(See instructions regarding type of information
City State Zip Code
(See instructions regarding type of information
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020
INTEREST, CREDITS, GAINS, REFUNDS, AND
CONTRIBUTIONS RETURNED TO FILER SCHEDULE K
-------·---·····---···-·--------------------------·-·-----------··------------···-
i ;,~~~;~""'"';,~~~~-,;,~;,;m_······-···]~~··,;;;;'~~;£::~~--~ ~-~ t_ . _____________ _l ____ ----------------------------···---·-·-·----
• Do'" 't 16/iimwOomomo<m"~. . . . . . . 8 Amooc<($)
6 Address of person from whom amount is received; City; State; Zip Code
!-----------------------------------------------~----
? Purpose for which amount is received D Check if political contribution returned to filer
--------------:==:===:= -=======--=--================.====:.=.::.==:.:.=---
Date Name of person from whom amount is received Amount($)
Address of person from whom amount is received; City; State; Zip Code
Purpose for which amount is received D Check if political contribution returned to filer
Date Name of person from whom amount is received Amount($)
Address of person from whom amount is received; City; State; Zip Code
------------------------------------J---------------~
Purpose for which amount is received D Check if political contribution returned to filer
Date person from whom amount is received Amount($)
of person from whom amount is received; City; State; Zip Code
for which amount is received D 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 1/1/2020
IN-KIND CONTRIBUTIONS OR POLITICAL EXPENDITURES
SCHEDULE T FOR TRAVEL OUTSIDE OF TEXAS
... -·--~ ... . ..... ,, ..... -·-···-"·---------.. ... ..
The Instruction Guide explains how to complete this form. 1 Total pages Schedul,
Fm NAMy;;:;rJ?-7Jrtl;,;i1~//---···-··· 2 3 Filer ID (Ethics Com~ission Filers)
4 Name of ecs'n~~:~o.bor trgo.nizutio~r-/ Po.yea
5 Contribution f" Expenditur~orted on:
D Schedule A2 D Schedule B D Schedule B(J) D Schedule C2 D Schedule D D Schedule F1
D Schedule F2 D Schedule F4 D Schedule G D Schedule H D Schedule COH-UC D Schedule B-SS
6 Dates of travel 7 Name of person(s) traveling
8 Departure city or name of departure location
9 Destination city or name of destination location
10 Means of transportation
111 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:
D Schedule A2 D Schedule B D Schedule B(J) D Schedule C2 D Schedule D D Schedule F1
n Schedule F2 11 Schedule F4 D Schedule G D Schedule H n Schedule COH-UC D Schedule B-SS
Dates of travel Namo of pomon(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 I Corporation or Labor Organization I Pledger I Payee
Contribution I Expenditure reporled on:
D Schedule A2 D Schedule B D Sehedule B(J) D Scl1odulo C2 D Sehedule D D Schedule 11
D Schedule F2 D Schedule F~ LJ Schedule G D Schedule H D Schedule COH·UC D Schedule B-SS
Uates of travel Narne of person(s) traveling
Departure city or name of departure location
Destination city or name of destination location
I
~-------·-
Means of transportation Purpose of travel (including name of conference, seminar, or other event)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1 /1 /2020
CANDIDATE I OFFICEHOLDER REPORT:
DESIGNATION OF FINAL REPORT FORM C/OH -FR
The Instruction Guide explains how to complete this form.
•• Complete only if "Report Type" on page 1 is marked "Final Report" ••
2 Filer ID (Ethics Commission Filers)
I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designat-
ing a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accep
contributions or make any campaign expenditures without a campaign treasurer appointment r.n·
·-------------·-·----·----------
4 FILER WHO IS NOT AN OFFICEHOLDER
Complete A & B below only if you are not an officeholder.
A. CAMPAIGN FUNDS
Che~nly one:
~ I do not have unexpended contributions or unexpended interest or income earned from political contributions.
D 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
Chec~y one:
c?Y' I do not retain assets purchased with political contributions or interest or other income from political contributions.
D I do retain assets purchased with political contributions or interest or other income from political contributions. I understand
that I may not convert assets purchased with political contributions or interest or other income from political contributions to
5 OFFICEHOLDER
•• Complete this section only if you are an officeholder
~m aware that I remain subject to filing requirements applicable to an officeholder who does not have ""-'-~'trcl gn treasurer on
file. I am also aware that I will be required to file reports of unexpended contributions if, after filing the last required report as an
officeholder, I retain political contributions, interest or other income from political contributions, or assets purchased with politi-
cal contributions or interest or other income from political contributions.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us