HomeMy WebLinkAbout141006 - Campaign Finance Report - Julie SchultzTexas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
I ACCOUNT# 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form.
Ethics Commission Fliers)
3 CANDIDATE / MS/MRS/MR FIRST MI OFFiC( U I EON (i
OFFICEHOLDER ti i,.• -
NAME IT5. .SU..LlIs 1 cI DateRecelved ( 6(
NICKNAME LAST SUFFIXIlk 0
A II.....rZ
4 CANDIDATE / ADDRESS/PO BOX; APT/SUITE#; CITY, STATE; ZIP CODE
i°'m°
OFFICEHOLDER .
3205
u m "" 1 00 1.1
MAILING S Date Hand-delivered or Postmarked
ADDRESS
Receipt M - Amountchangeofaddress __
m^ _....
EXTENSION
l4 7',rsT't
5 CANDIDATE/AREA CODE PHONE NUMBER
OFFICEHOLDER
Date Processed
r
PHONE l
6 CAMPAIGN MS/MRS/MR FIRST MI Date Imaged
TREASURER l-ri _
NAME
NICKNAME LAST SUFFIX
i
7 CAMPAIGN STREET ADDRESS(NO PO BOX PLEASE); APT/SUITE#;CITY; STATE; ZIP CODE
TREASURER —1(4,... \.J L LOOtiJ L_OofADDRESS
residence or business)
L-. S7.1:%7c`Oal t C -1-1 6 c_L_S---
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE L• 11 /(91') 221 - qG, '
9 REPORT TYPE D January 15 I30th day before election Runoff 1 15th day after campaign
treasurer appointment
officeholderonly)
El July 15 El 8th day before election n Exceeded$500 ri Final report(Attach C/OH-FR)
limit
10 PERIOD Month Day Year Month Day Year
COVERED 1 / / 14-
THROUGH 1 / 4.. / m t.
11 ELECTION ELECTION DATE
ELECTION TYPE
Month Dry Year Primary 0 Runoff General El Spedal
1l / 14 / 1
12 OFFICE OFFICE HELD(If any) 13 OFFICE SOUGHT (If known)
1-,0..1.
GOTO PAGE 2
www.ethics.state.tx.us
Revised 07/28/2014
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070- (512)463-5800 (TDD 1-800-735-2089)
CANDIDATE / OFFICEHOLDER REPORT
SUPPORT & TOTALS COVER SHEET PG 2
m
1614C/OH
cm
NAMEACCOUNOUNT# (Ethics Commission Filers
uolA i' p Q—LIlbe
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POUTICAL CONTRIBUTIONS ACCEPTED OR POUTICAL EXPENDITURES MADE BY POUTICAL COMMITTEES TO SUPPORT THE
POLITICAL CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE IMTHOUT THE CANDIDATE'S OR OFFICEHOLDERS KNOWLEDGE OR
COMMITTEE(S) CONSENT.CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE NAME
COMMITTEE TYPE
n GENERAL
COMMITTEE ADDRESS
n SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME
additional pages
COMMITTEE CAM
mm,.._,
PAIGN TREASURER ADDRESS
17
TOTALS PLEDGES,
CONTRIBUTION 1 OTAL LITICAL CONTRIBUTIONS OF
LOANS,OR GUARANTEES 0$
LO
OR LESS
CINLESSETHAN
R
ITEMIZED $98,11j
2. TOTAL POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES,LOANS,OR GUARANTEES OF LOANS) aSt ,.
EXPENDITURE 1
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF$100 OR LESS,UNLESS ITEMIZED
4. TOTAL POLITICAL EXPENDITURES
CONTRIBUTION 5 TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE $
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD 343W
m 61
18 AFFIDAVIT
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
Oynk,, ,cw,r,Ir h Fie n yafJ ,rr r » r, me uppdd(r title 15, Election Code.
CORNELIUS ,,,i1
1I Not Public, ate of Texas i
Lit 1 !' My Commission Expires is ' i!'
i Ii i ,
Signature of tceh¢Vder
AFFIX NOTARY STAMP/SEAL ABOVE
r
Sworn tLok.o and subscribed before me, by the said t twVIrt "DC-AN-u-1 " this the
t-day of :, 20 Ilk , to certify which, witness my hand and seal of office.
g_ .._._.._.... Sign officer administering oath_ _....,P ted name of officer
admini
sterin oath Title of officer d
vl/„fi
e _. a
ailgn arrt of
adrrlancsts;ri oath
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL CONTRIBUTIONS SCHEDULE A
OTHER THAN PLEDGES OR LOANS
The Instruction Guide explains how to complete this form.
11 Totaa_ . l pages Schedule A.
2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
U L kiev .. „ 7 R.1 II L=rz si/A-
o_.._._n_
i
r
6_..
D# ...... 7oAm
u
Amount
description
cnt.
4 Date 5 Full name of contributor 0 out-of-state PAC(ID#: Amount of 8 In-kindcontribution
c iption (if applicable)
6 Contributor address; City; State; Zip Code
If travel outside of Texas,complete Schedule T)
9 Principal occupation/Job title(See Instructions)
m._..
s) 10 Employer(See Instructions)
aP ...
f contributor..----_
a ___....... ........
Date Full name'ocaEl out-of-state PAC(10# 1 Amount of q In-kind contribution
contribution ($) description (if applicable)
Contributor address; City; State; Zip Code
fravel outside of Texas,com•lete Schedule
Prine p cpaton/Job title(See Instructions) mrnptyer(See Instructions)
DatAmount of 1 In-kind contribution
contribution ($) description (if applicable)
Full namd of-Contributor out-of-state PAC(IDN: 1 it
Contributor address; City; State; Zip Code
ry
If travel outside of Texas,complete Schedule T)
Principal occupation/Job title(See Instructions)Employer(See Instructions)
Date Full name of contributor 0 out-of-state PAC(ID#: Amount of N In-kind contribution
contribution ($) description (if applicable)
Contributor address; Cit C.oCity:. State; Zip de
If Texas,complete Schedule Tj_,
Employer
travel outside of
Principal occupation/Job title(See Instructions) tSeeInstructions)
ibut I
contribution
nfDateFullnameofcontributorout-of-state PAC(IFS
desn-
kiitioncontribution
applicable)
Contributor address; City; State; Zip Code
If travel outside of Texas,complete Schedule T.)•__..
Seeoccupation/Job title (See Instructions)Employer
S
See Instructions)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor Is out-of-state PAC, please see instruction guide foradditional reporting requirements.
www.ethics.state.tx.us Revised 07/28/2014
POLITICAL CONTRIBUTIONS
OTHER THAN L LOANS
Julie Merrifield Schultz
College Station City Council Place 5
Schedule A ( supplemental)
Contribution
Date Contributor Address Cit Occu*ation Amount
8/5/14 W. A. Prewitt III 12302 Scotne CS 77845 individual 500.00
8/5/14 Rand French 4301 Cli•stone CS 77845 individual 1,000.001,
8/5/14 Chuck&Tedi Ellison 2902 Camille ICS 77845 individual 200.00
8/13/14 Hunter Goodwin 1011 L ceum CS 77845 individual 250.00
8/13/14 Casey Oldham 2003 Moses Creek Ct CS 77845 individual 250.00
8/13/14 Don Lewis 1511 South Texas Ave CS 77840 individual 500.00
8/15/14 Mike Holm.reen 5118 Bellevive Bend CS 77845 individual 500.00
9/5/14 Michael Schaefer 18599 Anasazi Bluff CS 77845 individual 500.00
9/5/14 Mark Hum•hre 4406 Re•al Oaks CS 77845 individual 250.00
9/26/14 Wallace & Dawn Phillies 4490 Castle.ate Dr CS 77845 individual 1,000.00
9/26/14 CS Professional Firefi•hters P.O. Box 10882 CS 77842 PAC 1,500.00
for Res•onsible Government
9/26/14 Bill & La ne Ave t 1009 Walton CS 77845 individual 200.00
9/26/14 Steve & Dorinda Arden 311 Cecilia Loo• CS 77845 individual 150.00
9/26/14 Ton Jones 1401 Sebesta Rd CS 77845 individual 200.00
9/26/14 Don Jones 6166 Im•erial Loo• Suite 10 CS 77845 individual 250.00
9/26/14 Bill Lero 4421 Nottin•ham B an 77802 individual 500.00
9/26/14 Kenn Mallard 819 Rosema B an 77802 l individual 100.00
9/26/14 Justin Whitworth 1027 Walton CS 77840 individual 100.00
9/26/14 Paul Mur•h 12633 St Hw 30 ICS 77845 individual 250.001
10/3/14 Joe&Janet Johnson P.O. Box 800 Coleman, TX individual 250.00'
10/3/14 Ivan Olson 3008 Coronado CS 77845 individual 150.00
10/3/14 Sue Ellen Davis 15120 E OSR B an 77808 individual 100.00
10/3/14 James P. Bo Miles 1 P.O. Box 10467 CS 77842 lindividuA 500.00
10/3/14 Rick Hill 5000 Con.sessional CS 77845 indrvidual 100.00
10/3/14 Mark Kirsten 1501 Inde•endence Ave B an 77803 individual 250.00,
ummemommum
Total for 10/6/14 re•ort 9,550.00
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 11-800-735-2989)
PLEDGED CONTRIBUTIONS SCHEDULE B
tion Guide explains how to completeTheInstruction
Schedule .. 1 Total pages B:
p piete this form.
2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
II 1r
it lid. l 6. rik 16 1 U ,.- w V '
4 TOTAL OF UNITEMIZED PLEDGES:b b U
5 Date 6 Full name of pledgor 0 out or•etett PAC(IDS, 1 8 Amount of u 9 In-kind description
pledge ($)
I
if applicable)
5 Pledgor address; City; State; ZtC:ode 1 I
11111
1 1 II
IIIr
11
If travel outside of Texas,complete Schedule T)
10 Prundry al occupation l-..
w...-_._--.--__-_
Job title(See Instructions) Employer(See Instructions)
Date Full name of pledgor 0 out-of-state PAC(D# Amount of In-kind description
pledge ($) if applicable)
Pledgor address; City; State; Zip Code I
l If travel outside of Texas,complete Schedule T)
Principal occupation/Job title((See Instructions) 1 Employer(See Instructions)
Date 1 Full name of pledgor out-of-state PAC(ID# Amount of In-kind description
pledge ($) if applicable)
Pledgor address; City; State; Zip Code Iy
If travel outside of Texas,complete Schedule T)
Principal occupation/Job title(See.._.Instructions) Employer(See Instructions)
mmIT
Date Full name ofout-of-statepledgor PAC(6 Amoun...t of In-kind description
I pledge ($) if applicable)
Pledgor address; City; State; Zip Code
If travel outside of Texas,complete Schedule T)
Princial occupationon/Job title(See Instructions) L Employer See I nstructions)
Date Full name of pledgor out-of-statePAC(IN Amount of In-kind description
pledge ($) if applicable)
1 Pledgor address; City; State; Zip Code
If travel outside of Texas,complete Schedule 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.
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TOD 1-800-735-2989)
LOANS SCHEDULE E
Total pages Schedule E:
The Instruction Guide explains how to complete this form.
E:1
2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
j ,„ Am11 " JfiJ1dIID-. ........_n i
4
TOTAL OF UNITEMIZED LOANS: b b b
5 Date of loan 7 Name of lender 0 out-of-state PAC(ID#:9 oan Amount(5)
6..
uwu i,,t,r
p 10
m......_....
6 Is lender 8 Lender address; City; State; Zi Code 10 Interest rate
a financial
Institution? 1 1.
11 Maturity date
Y N o »»Il e,III If
12 Principal occupation /Job title (See Instructions) II 13 Employer (See Instructions)
I
ifCheckpersonal funds were deposited
a.w.....__._...._........._.,
14 Description of Collateral 15 posited into political account
none
16 GUARANTOR 117 Name of guarantor 19 Amount Guaranteed($)
INFORMATION
18 Guarantor address; City; State; Zip Code
not applicable
20 Principal Occupation (See Instructions) 21 Employer (See Instructions)
m ww.. .._....__ m..._...._.__._.m
out-or-state PAC ID#._...
w-...._.._.
Loan Amount...Date of loan Name of lender
Lender address; Is lender City; State; Zip Code Interest rate
a financial
Institution?
Maturity date
Y N
Principal occupation /Job title (See Instructions) Employer (SeeInstst aructions)
Description..........._.._ __....._._
a....,....m... a ......._.
m.
personalofCollateralCheckif funds were deposited into political account
none
GUARANTOR__....._.. _Name..._..,.,,.^.,
ww..._..._. _....m. ..V..........._.....m. ..m........, .
of guarantor Amount Guaranteed($)
INFORMATION
Guarantor address; City; State; Zip Code
not applicable
Principal Occupation (See Instructions) Employer (
SeeInsttructtr..
ionnss)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender Is out-of-state PAC, please see instruction guide for additional reporting requirements.
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising 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 Overhead/Rental Expense OTHER(enter a category not listed above)
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
6 Amount $ 7addressPayee ZipCity;State; ipCode
8 PURPOSE a) Category(See categories listed at the top of this schedule) (b) Description (If travel outsidemmmmT) _.-. .otTexas,complete Schedule T
OF
EXPENDITURE
D Check IfAustin,TX,officeholder living expense
9 Complete ONLY if directCandidate/Officeholder name. .-''•- Office sought Office held
expenditure to benefit C/OH
Date Payee n `e II
II
Pa ee actd ass;City; State; Zip CodeAmount $) Y
m .
r„
w,v,....._..m.......
Category catecategories listed at the top of_._... .,.,..
w•..._. m m........_W..._.._......_.m
PURPOSE 9 ry (See9this schedule) Description (If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE 0 Check if Austin,TX,officeholder living expense1
Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address;City; State; Zip Code
top schedule) Description (If travel outside of Texas,complete ScheduleattheofthissCategory(See categories listed Schedule T)
PURPOSE
OF
EXPENDITURE Check ifAustinTX,officeholder living expense
htholdOfficesought
66_.......... _.__.. ...... _._...._.m,
Complete ONLY if direct Candidate/OfficeOfficeholder nameOffice held
expenditure to benefit C/OH
Date Payee name
Amount ($) . ...... Payee address; ................City; State; Zip
w.. ..._ ....... .. ......_..._.,
Code
Category (See categories listed at the top of this schedule) Description (If travel outside of Texas,complete Schedule T)
PURPOSE
OF
I_..
EXPENDITURE D Checkheck..ifAus.tin TX officeholder living expense
CometONLY if direct Candidate/Officeholder name Office sought
e
Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE_._._.._.._.._
mm_.._. .
DII .
AS NEEDED
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
POLITICAL EXPENDITURES SCHEDULE G
MADE FROM PERSONAL FUNDS
EXPENDITURE CATEGORIESORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services SolicitationlFundralsing Expense Transportation Equipment&Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER(enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 FILER NAME 3 ACCOUNT# (Ethics Commission Filers)
4 Date 5 Payee name
6 Amount 7 Payee address;City; State; Zip Code,--'
Reimbursement from
political contributions 11intended
8 PURPOSE a)Category_._..See categories listed at the top of this sChule)t7) Description(If travgin ide of Texas,complete Schedule T)
OF
EXPENDITURE
Check ifAustin,TX,officeholder living expense
Date Payee name
Amount ($) Payee address;City; State; Zip Code
w w. ..____...
LiReimbursement from
political contributions
Intended
m ._._...— ,,.''_.....m..,
Category(See categories listed at the 1.._.__..
LL _,.. ._.._
PURPOSE g ry op of this schedule) Description (If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE
Check If Austin,TX,officeholder living expense
Date __.... Payee name
Amount ($)Payee address;City; State; Zip Code
Reimbursement from
political contributions
intended
Category(See categories listed at the top of this schedule) Description (If travel outside of Texas,complete_
a......__
Cate.._..._..Schedule T)
PURPOSE
OF
EXPENDITURE
Check ifAustin,TX,officeholder living expense
Date Payee name
Amount ($) Payee address;City; State; Zip Code
Reimbursement from
Li political contributions
intended
Category(See categories listed at the top of this schedule) p Texas,completeDescription (If travel outside of com late Schedule T)
PURPOSE
OF
EXPENDITURE
Check IfAustin,TX,officeholder living expense
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 512)463-5800 (TOD 1-800-735-2989)
PAYMENT FROM POLITICAL CONTRIBUTIONS SCHEDULE H
TO A BUSINESS OF C/OH
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising 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 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 NAME 3 ACCOUNT/1(Ethics Commission Filers)
L ak F Er-j--1)
4 Date 5 Business name
City; Zip6Amount7Businessaddress; State; Code
M\,
categories pD _8.
mITmm
PURPOSE a) Category (See listed at the topof thisole)
L...
Des
s,
comS
h .
s b) es 'uptimn (Ifiraveloutsi¢s^:fTsxas.completeScheduleT)
OF
scu u
EXPENDITURE
Check i(Austin,TX,officeholder living expense
9 Complete ONLY if direct... ._.. Candidate/Officeholder name Office sought Office held
expenditure to benefit C/OH
Date .._......
a...,._......a a m.......__._.._._. w.,......._..
Business name
Amount ($) Business address; City; State; Zip Code
W WWn
PURPOSE Category (See categories listed at the top of this schedule)chde ofTe
ascomm-.._
Cate ochedule) Description (If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE
Check if Austin,TX,officeholder living expense
Complete ONLY if direct Candidate/Officeholder name ....._. __.....
m.A.... ._..
Office sought Office held
expenditure to benefit C/OH
Date Business name
Amount ($)Business address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas,complete Schedule T)
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 ($).
m._._
Business address; City; State; Zip Code
Category (See categories listed at the topof this s-_..._
m e..a ........._........ .. ......^.. ..._m.,„ .... _
PUR POSE 9 ry 9chedule) Description (If travel outside of Texas,complete Schedule T)
OF
EXPENDITURE
0 Check if Austin,TX,officeholder living expense
Candidate/OfficeholderCompleteONLYifdirect name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
NON-POLITICAL EXPENDITURES SCHEDULE I
MADE FROM POLITICAL CONTRIBUTIONS
The Instruction Guide explains how to complete this form.
1 Total pages Schedule I: 2 FILER NAME 3 ACCOUNT#(Ethics Commission Filers)
4 Date 5 Payee name
6 Amount ($7 Pay ee address;City; State; Zip Co 1
8 PURPOSESE (a)
categories)
Category (See instructions for pof acceptable Q, scrIpi trLexamplesM+,Ion Safs.instriidions regarding type of information
required.).. .
EXPENDITURE
Date Payee name
Amount ($) Payee address;City; State; Zip Code
PURPOSE a)Category (See Instructions for examples of acceptable b)Description (See instructions regarding type of information
O F categories)required.)
EXPENDITURE
Date Payee name
Amount ($) I Payee address;City; State; Zip Code
PURPOSE a) Category (See instructions for examples of acceptable b)Description (See instructions regarding type of Information
OF categories)required.)
EXPENDITURE
Date Payee name
Amount ($) Payee address;City; State; Zip Code
PURPOSE a)Category (See instructions for examples of acceptable b) Description (See Instructions regarding type of information
O F categories)required.)
EXPENDITURE
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)
INTEREST EARNED, OTHER CREDITS/GAINS/
REFUNDS, AND PURCHASE OF INVESTMENTS SCHEDULE K
The Instruction Guide explains how to complete this form.
1 Total pages Schedule K: 1
2 FILER NAME p 3 ACCOUNT# (Ethics Commission Filers)
4
4 Date 5 Name of person from whom amount is received8 Amount
of pers,orr'rfom whom amount is" ceivr6Address d City;State;Zip Code
for7Purpose amount is receivedwhich
Date Name of person from whom amount is received 11 Amount
I
Address of person from whom amount is received;City;State;Zip Code
Purpose for which amount is received
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
Date Name of person from whom amount is received Amount
Address of person from whom amount is received;City;State;Zip Code I
Purpose for which amount is received
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 07/28/2014
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:
2 FILER NAME 3 ACCOUNT# Ethics Commission Filers)
s.lr ... _ 4LFIL `rob 4104
4 Name of Contributor/Corporation or Labor Organization/Pledgor/Payee
5 Contribution/Expendit ure reported on:
Schedule A IT Schedule B Schedule C Schedule D n Schedule F Schedule G
n Schedule H n Schedule N n COH-UC n COH-T PAC-C PAC-E
6 Dates of travel 7 Name of person(s)traveling
8 Departure city or name of departure ocato+n
9 Destination city or name of destination location "' w
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:
n Schedule A n Schedule B S• chedule C n Schedule D Schedule F Schedule G
ET Schedule H n Schedule N n C• OH-UC COH-T n PAC-C PAC-E
arsonof s _.___.. Dates of travel Name p ( )traveling
Departure city or name of departure location
Destination city or name of destination location
Means of transportation Purpose of travel(including name of conference,seminar,or otherevent)
Name of Contributor/Corporation or Labor Organization/Pledgor/Payee
Contribution/Expenditure
m._... ......_, _. w_.YY...__.._....
ereported on:
n Schedule A n Schedule B n Schedule C n Schedule D Schedule F Schedule G
n Schedule H Schedule N n C• OH-UC COH-T PAC-C n PAC-E
Dates of travel
m._.._. ._..._..
Name of person(s)traveling
Departure city or name of departure location
Destination city or name of destination location
Means of transportation Purpose of travel(including name of conference,seminar,or other event)
II
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics.state.tx.us Revised 07/28/2014