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HomeMy WebLinkAbout201005 - Campaign Finance Report - John Nichols CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID(Ethics Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. 117 3 CANDIDATE/ MS/MRS I MR FIRST MI OFFICEHOLDER '! 1 ) /J OFFICE USE ONLY NAME �'[ �\( (/ Date Received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NICKNAME LAST SUFFIX RECEIVED q CANDIDATE/ ADDRESS /PO BOX; APT/SUITE M CITY; STATE; ZIP CODE ` 102C OFFICEHOLDER MAILING � ADDRESS ❑ Change of Address 5 CANDIDATE/ AREA CODE PHONE NUMBER _ EXTENSION OFFI EHOLDER / / Date Hand-delivered or Dale Postmarked PHO 6 CAMPAIGN MS/MRS/MR FIRST MI Receipt# I Amount$ -f� ` e_TREASURER 6. NAME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date Processed NICKNAME LAST SUFFIX Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE TREASURER / �/ /� 7f ADDRESS l / ( Y Cab 1 / i I��' (Residence or Business) C D 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION PHONEURER t� p / G 3 L) L,7 9 REPORT TYPE January 15 30th day before election Runoff 15th day after campaign treasurer appointment (Officeholder Only) July 15 8th day before election ❑ Exceeded Modified Final Report(Attach C/OH-FR) Reporting Limit 10 PERIOD Month Day Year Month Day Year COVERED 0'7 / 01 100" O THROUGH �0 / 3 /ram 0'�`0 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year ❑ Primary ❑ Runoff ❑ Other J ��^ Description I RI General ❑ Special 12 OFFICE OFFICE HELD (if any) !� 13 OFFICE SOUGHT (if known) GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020 CANDIDATE / OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAME 115 Filer ID (Ethics Commission Filers) 16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE/OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDERS COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES. COMMITTEE TYPE COMMITTEE NAME ❑GENERAL COMMITTEE ADDRESS ❑SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME ❑ Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION 1. TOTAL UNITEMIZED POLITICAL CONTRIBUTIONS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS, OR $ CONTRIBUTIONS MADE ELECTRONICALLY) / 2. TOTAL POLITICAL CONTRIBUTIONS i �) /, (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ I /� v v® EXPENDITURE 3. TOTAL UNITEMIZED POLITICAL EXPENDITURE. TOTALS $ 4. TOTAL POLITICAL EXPENDITURES $ BALANCE CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY $ OF REPORTING PERIOD g/ 7 f 7 S" OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $ I 'i 5cJ 18 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the accompanying report is AYVETTE DELA TORRE true and correct and includes all information required to be reported by me Notary Public-State Of Texas underTitl 5,Election Code. I D# 12E*res 6- My Comm an Expires 08-21.2024 Signature of Candidate or Officeholder AFFIX NOTARY STAMP/SEALABOVE ff / �.```,^ Sworn to and subscribed before me, by the said J okh P IV�UIUD this the 5+k day of C+019f—t' ,20 AD to certify which,witness my hand and seal of office. VRtUWA 4CA/4 Uvt?-�I-e. Olt la Torn �'OPLc� l.t-w ptc ;stv-w Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020 SUBTOTALS - C/OH FORM C/OH COVER HT PG 3 19 FILER NAME 20 Filer ID(Ethics Commission Filers) 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1 (� SCHEDULEAI: MONETARY POLITICAL CONTRIBUTIONS $ 2. SCHEDULEA2: NON-MONETARY(IN-KIND)POLITICAL CONTRIBUTIONS $ 3. 0 SCHEDULE B: PLEDGED CONTRIBUTIONS $ 4. SCHEDULE E: LOANS $ 5. SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $ 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $ 7. C� SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS $ 3. E SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD $ 9. El SCHEDULE G: POLITICAL EXPENDITURES MADE FROM PERSONAL FUNDS $ 10. � SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $ 11. Ll SCHEDULE 1: 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.state.tx.us Revised 1/1/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAMEZ'6�/� 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: I 7 Amount of contribution ($) 6 Contributor address; City;ev State; Zip Code �.(x 8 Principal occupation/Job title (See Instructions) 9 Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($) Q�(J Contributor address; City; State; Zip Code 80/ 1 Principal occupation /Job title(See Instructions) I Employer(See Instructions) Date ,,lull name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($) Contributor address; . . . . State; Zip Code . . . Principal occupation/Job title(See Instructions) Employer (See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: 1 Amount of contribution ($) lee Contributor ddress; City; State; Zip Code ��r l t / Principal occupation /Job title(See Instructions) Employer(See Instructions) ATTACH ADDITIONAL COPIES OF THIS SCHEDULEAS 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 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: 7 Amount of contribution ($) /r�r� �► . . . . . . . .�. . . . . . . . . . . . . . . . . . . . . . . 6 Contributor ddress; City; State; Zip Code 8 Principal occupation/Job title(See Instructions) g Employer (See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: t Amount of contribution ($) I,�rail .' . . . . . . . '. . . . . . . . . . . . . . Contributor ddress; Cit State; Zip Code A, C) / 1 -X. Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($) h 6 t10 Contributor address; City State; Zip Code Principal occupation /Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) I j / Contributor dresq, City, State; Zip Code �6 lGl 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 1/1/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule All: 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC(ID#: 1 7 Amount of contribution ($) r 9/17I � 6 Contributor address; Cit ; State; Zip Code (/� j 5_0A 8 Principal occupation/Job title (See Instructions) I g Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($) q//7/r/`6 Contributof address; City; State; Zip Code _ CJ` 69c) XWV 7 5 rv3G r ��� J Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($) Contributor dress; City; State; Zip Code Principal occupation /Job title(See Instructions) I Employer(See Instructions) Date 1 Full name of contributor ❑out-of-state PAC(ID#: 1 Amount of contribution ($) . . . . . . . . . . . . . . . Contributor address; City; State; Z'p Code 7.5�E� �-T � Principal occupation/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 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: f� 2 FILER NAME /v ' ��—Tl 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contrib for ❑out-of-state PAC(ID#: ) 7 Amount of contribution ($) 6 Contribu or address; Cit State; Zip Code /W� �z 8 Principal occupation/Job title(See Instructions) g Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($) � %(� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . / /J Contribut r address; City, State; Zip Code Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor out-of-state PAC(ID#: I Amount of contribution ($) q/l �I Contributor address; it State; Zip Code �. Principal occupation /Job title(See Instructions) Employer(See Instructions) Date Full name of contributor out-of-state PAC(ID#: 1 Amount of contribution ($) `TJ 7 ,C) x .'. /. . . . . . . . Contributor address; City; Zip Code Principal occupation /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 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 12 2 FILER NAME 3 Filer ID (Ethics Commission Filers) 1 4 Date 5 Full name of contributor ❑out-of-state PAC (ID#: 7 Amount of contribution ($) �` 6 Contributor address; Cit State; Zip Code at&4C& '/r 8 Principal occupation/Job title (See Instructions) g Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($) I411 �?. ... . . . . . . . . . . . . . . . " Contributor address; City- State; Zip Code W- ;r Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution. . . . . . . . . . . . . . . . . ($) Contributor address; City• State; Zip Code 1,7 14AW Principal occupation/Job titlegSee Instructions) Employer(See Instructions) Date Full name of contributor out-of-state PAC(ID#: 1 Amount of contribution ($) Contrib r address; City; State; Zip Code L/,?0 L'C) 1,4 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 1/1/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: /1�z 2 FILER NAME /f�.�%� 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: t 7 Amount of contribution ($) 6 Contributor address; City; State; Zip Code l i 8 Principal occupation/Job title(See Instructions) 19 Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-sate PAC(ID#: 1 Amount of contribution ($) /917 �,0 Contributor address; Cit ; SS.tate; Zip Code Principal occupation/Job title (See Instructions) I Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: 1 Amount of contribution ($) 1 /`t �l' �. . . . . . . . . . . . . . . . . . . . . l f Contributor address; ak State; Zip Code (6/1v, 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 1/1/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: . a 2 FILER NAME _ U 3 Filer ID (Ethics Commission Filers) 4 Date 5 Full name of contributor out-of-state PAC(ID#: ) 7 Amount of contribution ($) g Contributor addres • - Cit State; Zip Code ©� 8 Principal occupation/Job title(See Instructions) g Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: t Amount of contribution ($) C/�Ir� ov . . . . . . . . . . . . . . . . / Contributor address, City; State; Zip Code Principal occupation /Job title(See Instructions) I Employer(See Instructions) Date�lr Full name of contributor �out t--of-�state PAC(ID#: t Amount of contribution ($) h�. � \;" �!�c!. . . . . . . . . . . . . . . . ontributor address; City; State; Zip Code Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor out-of-state PAC(ID#: ) Amount of contribution ($) ��� p') � Contributor address; City; State; Zip Code / G�C) 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 1/1/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: r✓ 2 FILER NAME i� 3 Filer ID (Ethics Commission Filers) 4 Date 5 ull name contributor ❑out-of-state PAC (ID#: 7 Amount of contribution ($) � ar IC . . . . . . . . . . . . . . . . . . . . . . . . . . de ( 6 'Contributor add s; Ci State; Zip Code GY�7 61 til 71 4U 8 Principal occupation/Job title (See Instructions) g Employer (See Instructions) Date �jFull name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($) Contribut r address; City; State; Zip Code 6z= a Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: ) Amount of contribution ($) i� �1 . . . . . . . . . . . . . . . . . . . . . . f a I DC Contributor addr ss; City; State; Zip Code w1 Of 7-7 ry ;9 �Az- Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: 1 Amount of contribution ($) a D� L/�l J � Contributor d ss; City; State; Zip Code Principal occupation /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 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME � � 7 3 Filer ID (Ethics Commission Filers) � l f/iLe�y 4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: 7 Amount of contribution ($) tie �I'M)ao b!4A�' . '*)'�- 6)'�' 6 Contributor address; City; State; Zip Code 8 Principal occupation /Job title (See Instructions) 9 Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC (ID#: I Amount of contribution ($) ./>Q- -�- - - 'Oyz�- "'o 1/ Contribu or address; City; State; Zip Code /ell *�pe� 0 Principal occupation /Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: t Amount of contribution ($) . .�rD����. . . . . . . . . . . . . . . D Contributor address; City; State; Zip Code f �D 1� 4� 7-� Principal occupation/Job title(See Instructions) I Employer(See Instructions) Date Full name of contributor out-of-state PAC(ID#: 1 Amount of contribution ($) .f" �. - > Contributor address; City; State; Zip Code 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 1/1/2020 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME �J' 3 Filer ID (Ethics Commission Filers) 4 Date 5 ull name of contribu or ❑out-of-state PAC(ID#: I 7 Amount of contribution ($) q .I )0f f 0 . . . . . . . . . . . . . . . . . . . . . . . Zip . . . . . /Z)O, CSC) 6 Contributor ddress; City; State; Zip Code Tx /�16 8 Principal occupation/Job title (See Instructions) g Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC (ID#: Amount of contribution ($) 1_ �f�) a' t r Contribut address; City; State; Zip Code c7> Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC (ID#: I Amount of contribution ($) . . : . . . . . . . . . . . . . . . . . . . . . . . '�r Contributor address; City. State; Zip Code _ Principal occupation /Job title(See Instructions) Employer (See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($) L7 cl� Contributor address; Cit . State; Zip Code 1711 Principal occupation /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 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME i/ / ' 3 Filer ID (Ethics Commission Filers) fk , 4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: 7 Amount of contribution ($) / g Contributor address; City State; Zip Code `� ' ✓ D ,4©d� 7 '/ley 5� 8 Principal occupation/Job title (See Instructions) g Employer(See Instructions) Date Full name of contributor �r y❑out-of-state PAC((IID#: Amount of contribution ($) Cl�XLr)NGI on ibutor dress; City; State; Ziipf/Code G Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($) �1� ! v Contributor address; City- * ity State; Zip Code Principal occupation /Job title (See Instructions) Employer(See Instructions) Date Full name of contri utor ❑oyt-of-state PAC(ID#: 1 Amount of contribution ($) M ��- 0. . . . . . . . . . . . . . . . . . . . . . . j DO. CJontributo addr/e: C'y; State; Z�iip/�Cro�dye��{ yot' 3� -// b Cam'1 Principal occupation /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 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schgd�e Al: 2 FILER NAME (\��� 3 Filer ID (Ethics Commission Filers) i 4 Date 5 Full name of contributor ❑out-of-state PAC(ID#: 7 Amount of contribution ($) �tri�uiorJr� . . . . . . . . . . . . . . . . . . . . . . . . . . ace 6 C ad s.S; City; State; Zip Code or10 �Z 8 Principal occupation/Job title(See Instructions) g Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: Amount of contribution ($) h Al M/-CA (*W..t �e I Contributor dress; City; State; Zip Code /Ov " �� 41 3 t --X 7�,9y�) Principal occupation /Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC (ID#: Amount of contribution ($) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Contributor address; City; State; Zip Code Principal occupation/Job title(See Instructions) Employer(See Instructions) Date Full name of contributor ❑out-of-state PAC(ID#: 1 Amount of contribution ($) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Contributor address; City; State; Zip Code Principal occupation/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 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Acoounting/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 Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SalariesM/ages/Contract Labor Other(enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME '•— 3 Filer ID (Ethics Commission Filers) ®/.//V 4 Date 5 Payee name 13 Z Old U. Y aJ�� S ✓v�� 6 Amount ($) 7 Payee address; City; State; Zip Code 8 (a) Category (See Categories Misted at the top of this schedule) (b) Description OF lli�-1 EXPENDITURE (c) ❑ Check irf travel outside of Texas.Complete Schedule T ❑ Check if Austin,TX, officeholder living expense 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name ;/ Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description !' PURPOSEOF V —( L � EXPENDITURE 1% lau IeAg ❑ Check irf travel outside of Texas.Complete ScheduleT ❑ 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 z-O,y-l© C o0(,1 Amount ($) Payee address � � City;.Lv State; Zip Code v 7 l�.X"r� 'fie _ S 5 1;2-771-2 Category (See Categories listed at al the top of this /schedule) De/sCcrription/ `,q PURPOSE .P ( ��1�/- -/ ' `-I I6'I��v EXPENDITURE czyty/ cee tC Check if travel outside of Texas.Complete Schedule T Check if Austin, TX, officeholder living expense Complete ONLY If direct Candidate /Officeholder name Office sought Office held expenditure to benefit C/OH ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020 POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 EXPENDITURE CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment&Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel In District Contributions/Donations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other(enter a category not listed above) Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1: 2 FILER NAME—t—,,If�_ � ! 13 Filer ID (Ethics Commission Filers) V J 4 Date 5 Payee name �Gfia, °�a G 6 Amount ($) 7 Payee address; City; State, Zip Code � 3� l 18V o rs A",-1/v 1z 14,,, Y _ , "7_-Y -778 U 3 V 8 (a) Category (See Categories listed at the top of this schedule) (b) Description PURPOSE � r G OF ✓2%/ / 'f j �g�/ EXPENDITURE (C) Check if travel outside ofTexas,Complete Schedule T ❑666Check if Austin,TX. officeholder Irving expense 9 Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE Check if travel outside of Texas.Complete Schedule T Check if Austin,TX, officeholder living expense Complete ONLY if direct Candidate/Officeholder name Office sought Office held expenditure to benefit C/OH Date Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) Description PURPOSE OF EXPENDITURE Check if travel outside of Texas.Complete Schedule T. 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 1/1/2020