HomeMy WebLinkAbout141027 - Campaign Finance Report - Julie SchultzTexas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-6800 (TDD 1-800-735-29139)
CANDIDATE / OFFICEHOLDER FORM C/OH
CAMPAIGN FINANCE REPORT COVER SHEET PG 1
1 ACCOUNT# 2 Total pages filed:
The C/OH Instruction Guide explains how to complete this form. (Ethics Go umbseiohFilers)
3 CANDIDATE / MS/MRSIMR FIRST MI
rO
l
NAME
OFFICEHOLDER .
ul--«/ N-1 YIGC 1' LT. .
r Date Received
NICKNAME LAST SUFFIX
ICA r
4 CANDIDATE / ADDRESS/POBOY; APT/SUITE#; CITY; STATE; ZIPCODE m
OFFICEHOLDER` _
Date Hand-dellvered or Postmarkedtmedced
ADDRESS
change of address, . L , Receipt 0 Amount
6 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER
Date Processed
PHONE
6 CAMPAIGN MS/MRS/MR FIRST Mi Date Imaged
TREASURER 1
NICKNAME LAST SUFFIX
7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIPCODE
TREASURER 1 1
ADDRESS
residence or business)
CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE (CM) OZ21
9 REPORT TYPE January 15 El 30th day before election Runoff El 15th day after campaign
treasurer appointment
oficeholderonly)
July 15 8th day before election ® Exceeded $500 Final report (Attach C/OH - FR)
limit
10 PERIOD MonthDay Year Month Day Year
COVERED /, THROUGH Icy /:'l /
11 ELECTION ELECTION DATE
ELECTIONTYPE
PrimaryMomDayYear ® ®
Runoff General El Special
12 OFFICE ...__.._... OFFICE HEt.D (It any) . 13 OFFICESOUGHT (Ifknown)
t
www.ethics.state.tx.us
Revised 07/28/2014
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-7: 5-2989)
CANDIDATE / OFFICEHOLDER REPORT, FORM C/OH
SUPPORT & TOTALS COVER SHEET PG 2
wW. ..... _._...._..m, .
Ethics Comm14C/01-1NAM E 15 ACCOUNT # ( fission Filers)
16 NOTICE FROM THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
POLITICAL CANDIDATE / OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE HRTHOUT THE CANDIDATE'S OR OFFICEHOLDER'S 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
GENERAL _
COMMITTEE ADDRESS
SPECIFIC
COMMITTEE CAMPAIGN TREASURER NAME _.._._ ... _.....
m
E] additional pages
COMMITTEE CAMPAIGN TREASURER ADDRESS
17 CONTRIBUTION 1 , TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN
TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
2. TOTAL POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) 119 w
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, UNLESS ITEMIZED
m
4. TOTAL POLITICAL EXPENDITURES
f
CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY Q
BALANCE OF REPORTING PERIOD
r
OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE //
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD W •„.
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
JASON Nq
JNd
me under l'itle 15, Election Code.
Notary Public, State of Texas/Z”,My Commission E ires
JUNE 04, 202
Signature Of .ndl afate or Officeholder c ,.
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said
aU.
IG Ulll• SLw'C _„_, this the
1H
day of 20 I to certify which, witness my hand and seal of office.
natu of officer administering oath Printed name of officer`administering oath Title of officerr adrrami
g .
run oath
www. ethics. state.tx.us Revised 07/28/2014
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 512) 463-5800 ("i OD 1-800-735-2980)
POLITICAL CONTRIBUTIONS
SCHEDULE
OTHER
Guide how to complete this form.
7 Total pages Schedule A: -....
me
The Instruction explains
2 FILER NAME o ®
II
3 ACCOUNT # (Ethics Commission Filers)
4Date .._. .. ....... gyst rf... (t... _ _... 4Date 5 Full name of contribat or tate PAC s .-_..
w.._( ......__...,..,....,. .,.,......
3 7 Amount of g In-kind contribution
contribution $ description (if applicable)
r add're'ss'; s City; State; ZipCoe N,
M
mmm
If travel outside of Texas, complete Schedule T)
9 PrinciPal occupation r (See Instructions)
PAC(IDJkDateFullnameofcontributor out -of -state_ mount -..kind -.._._ribAmountofIIn-kind contribution
contribution ($)
I
description (if applicable)
Contributor address; City; State; Zip Code
1
lI
I
Ifw4ravel outside of Texas complete Schedule T
Principal occupation / Job title See Instructions Employer See Instructions) p Y (
Date Full name of contributor Elout-of-stetePAC(IM 1 Amount of In-kind contribution
contribution ($) I description (if applicable)
Contributor -address; City; State; Zip Code A
If travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Date Full name of contributor out-of-statePAC (ID#. t Amount of In-kind contribution
contribution ($) II description (if applicable)
Contributor address; City; State; Zip Code
I p
If trBV
wwl
outside of Texas complete Schedule T)—
loccu at.i-o.- n / Job title Instructions) Employer(see
w.w...._
P._rin..c.-.t .a ._...
Date Full name of contributor out-of-statePAC(IDM
w-,.. W....m._. _--...-.
t Amount of - In-kind contribution
contribution ($) description (if applicable)
Contributor address; City; State; Zip Code
L,
If travel outside of Texas com lets 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 foraddltlonal reporting requirements.
www.ethics.state.tx.us Revised 07/28/2014
Jullie Merrifield Schultz
College Station City Council Place 5
Schedule A ( supplemental)
Total for 10/27/14 report $2,350.00
Contribution
Date Contributor Address Clit Ocu ati n Amount
10/24/14 !James Murr 4207 Camber Ct CS 77845 individual 100.00
10/24/14 Richard Robertson 3209 Innsbruck Cir CS 77845 individual 250.00
10/24/14 Fadi Kalaouze 4206 Serrano Ct B an 77802 individual 500.00
10/24/14 Sharon Brown 1825 Brothers CS 77845 individual 150.00
10/24/14 Brandi Cooper P.O. Box 9444 CS 77842 individual 250.00
10/24/14 Lar Hodges 5301 Woodall CS 77845 individual 250.00
10/24/14 David Scamardo P.O. Box 4508 Bryan 77805 individual 250.00
10/24/14 John Clark 3828 S Colle e Bryan 77801 individual 100.00
10/24/14 Heath Phillips I P.O. Box 262 Wellborn 77881 individual 500.00
Total for 10/27/14 report $2,350.00
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 512.) 463-5800 (TDD 1-800-735-2989)
PLEDGED CONTRIBUTIONS
1 Total pages Schedule B -
The Instruction Guide explains how to complete this form.
2 FILER NAME
1ie l' !'C.kia
3 ACCOUNT # (Ethics Commission Filers)
eU _ -
4 GES b b w bTOTALOFUNITEMIZEDNE® b b $
5 Date 6 Full name of pledgor o u4-of-state PAC (IDn: t ® Amoun4 of g In-kind description
pledge ($) (if applicable)
pledgor address City; Sf#te """'Z4) Code
s.. If travel outside of Texas complete Schedule T)
1p Principal occupation / Job title (See Instructions) 11 Employer (See Instructions)
Full name of pledgorDateP9 out-of-state P age t(of ._ In-kind1nd description
applicable)
Pledgor address; City; State; Zip Code
1
If travel outside of Texas, complete Schedule T)
Principal occupation Jobtitle (See In
structionsmm -
mm..
Em to er See In-uctions)
Date Full name of pledgor El out-of-stateof-stele PAC(I n1AmountofIIn-kind description
pledge ($) (if applicable)
Pledgor address; City; State; Zip Code
if travel outside of Texas, complete Schedule T)
Principal occupation / Job title (See Instructions) Employer (See Instructions)
DatemmIT ._..
It name of pledgor out-of-state PAC(OP 1 Amount of In-kind description . --
pledge ($) (if applicable)
Pledgor address; City; State; Zip Code
If travel outside of Texas, complete Schedule T)
SsTm..
lo InstructionsptitleEmployerSeeY ( ) Princi al occupation /Job 4t41e(ee Instructions)
mmmmITmmm
Date Full name of pledgor out-of-state PAC (I 1 Amount of In-kind description
pledge ($) (if applicable)
Pledgor address; City; State; Zip^Cod e
g1I
I
If travel outside of Texas, complete Schedule T)
Principal occupation /mmJob 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 (TDO 1-800-735-2088)
LOANS SCHEDULEE
ww. mm.._.. . _. .
11111111
1 Total pages Schedule E:
The Instruction Guide explains how to complete this form.
2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)
TOTAL OF LINITEMIZED LOANS: b b b b $
6 Date of loan of lender
mITmm
7 Name er out-of-state PAC (Ioi6:)9 Loan Amoun4 ($)
JLL(Sikw I
6 Is lender 8 Lender address; City; State; Zip Code 10 Interest rate
e financialInstitutiont' w . _.._ .._.
t 11 Maturity date
Y N I . _
t
12 Principal occupation7/ Job title (See Instructions) 13 Employer (See Instructions)
14 Description of Collateral 15 Check If personal funds were deposited into political account
none
16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed (S)
INFORMATION
18 Guarantor address; City; State; Zip Code
not applicable
20 Principal Occupation (See Instructions) 21 Employer (See Instructions)
Date of loan Name of lender out-of-state PAC (IDM: Loan Amount ($)
Is lender _._...._..._ r aLende ., . . . . , . _.___..............._ ................_ ddress; City; State; Zip Code Interest rate
a financial
Institution?
Maturity date
Y N
w ........_...._. _...... _ ... .._ _ _ . _.......
Principal occupation / Job title (See Instructions) Employer (See Instructions)
Description of Collateral Check if personal funds were deposited into political account
none
GUARANTOR Name of guarantor Amount Guaranteed ($)
INFORMATION
Guarantor address; City; State; Zip Code
not applicable
Principal Occupation (See Instructions) Employer (See InsfructlonsyIstr
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If lender Is out-of-state PAC, please see Instruction guide for additional reporting requirements.
www.ethics.state.tx.us - Revised 07/28/2014
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICALI
W _ITITIT IT --
EXPENDITURE CATEGORIES FOR BOX 8(a) _ ..._ __.._.
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event_ Expense Polling Expense_ Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule F: 2 FILER NAME
1 -:
73 ACCOUNT # (Ethics Commission Filers)
4 Date 5 Payee name
6 Amount ($) 7 Payee-68dress; City; State; Zip Code
o yam caCeg rias listed st dh kp,of.khksa f VCdta9ej (b) Description (If travel outside of Texas, complete Schedule T) 8 PURPOSE-K-Cat M1n
OF
EXPENDITURE
CheekifAustin, TX, officeholder living expanse
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Chock if Austin, TX, officeholder living expense
Complete ONLY if direct Candidate /Officeholder name Office sought Office held
expenditure to benefit C/OH
n._._. .._ ...._....... _...... _.._.._
Date Payee name
Amount ($) Payee 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 tfAustin,TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date—....
W.._ _. ...._...
Payee name
Amount ($} address; Payee - ... ..__. .
w.._....._..............__ ....._. _.-mm.. ............mm..................... ..._._ _ _
y s; City; State; Zip Code
A.
pPURPOSE... Category (See categories listed at th eto... g p of this schedule) Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE ® Check IfAustln, TX, officeholder living expense
to ONLY if directComplete ....._....... ..._....._... ......._........-.,...
wm.m...__—__..m..,mn.. ._....mm
p Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS
NEEDEDITmITmm
www.ethics.state.tx.us Revised 07/28/2014
f i f `
Invoice Paid
Pa eenumbers
F::::
amount
A niTek HA38464
I'[
259.67 Website 1004
1511 Texas Ave S, CS 77840
DeLucia's Inc 10263 462.88 cam ai n mailing 1 005
1673 Briarcrest Ste 103-A
B an, TX 77802
CC Creations N121727 235.77 Cam ai n T-shirts 1001
1800 Shiloh, B an 77803
CC Creations N122603 108.25 si n stakes 1002
1800 Shiloh,.B an 77803
B an Broadcastin N/A 2,528.00 advertising 1003
2700 Earl Rudder Ste 5000
CS 77845
Total for 10/27/14 Report 3,594.57
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)
POLITICALEXPENDITURES
MADE FROM PERSONAL FUNDS
EXPENDITURE CATEGORIES FOR BOX 8(a)
Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitatlon/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event -Expense - - - Polling Expense- -Travel Out Of District - -Candidata/Officeholder/Political -Committee-
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G: 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)
Il l
4 Date 6 Payee name
6 Amount ($) 7 Payee addrs, - - i?y;-.•.StaCa Zip Code
Reimbursement from
political contributions
intended
8 PURPOSE a) Category (Sed caiagoriaa iistad at qt a top of this schedule) (b) Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Check If Austin, TX, officeholder living expense
Date
mITITmmm
Payee name
Amount ($} Payee address; City; State; Zip Code
fromEReimbursement
political contributions
Intended
PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Check if Austin, TX, officeholderllvingexpense
Date Payee name
AmountPa
m....._ _..._........... ....w w_ W,,. Y„w.w.
yee address; City; State; Zip Code
Reimbursement from
political contributlons
intended
PURPOSE Category (See categories listed at the topofthis schedule) Description (If travel outside of Texas, complete Schedule T)
OF
EXPENDITURE
Check If Austin, TX, officeholder living expense
Date Payee name
Amount ($} Payee address; City; State; Zip Code
Reimbursement from
political contributions
intended
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
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 4"f DD 1-800-73 208•9)
PAYMENT FROM POLITICAL I I
SCHEDULE
BUSINESSTOA /
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 OutOfDistrict -- 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 NAME3 ACCOUNT # (Ethics Commission Filers)
4 Date 5 Business name
6 Amount ($)........._ City; o.-........._-
ww...........__...._
s
w_ ,.,
rare i a CBu..iness S
g SE (ategofy (See categoAes listed at hie igpofthf's ache 9 eta) (b) Description (If travel outside of Texas complete Schedule T)
OF .....ro ...m._.w,.....
EXPENDITURE
Check if Austin, TX, officeholder living expense
m-.... ....
9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Business name
Amount ($} Business address, City; State; Zip Code
PURPOSEmmm
Category (See categories listed at the top of this schedule)
mm mIT
Description (If travel outside of complete ,
Texasm ^-^^
m
Texesmplete Schedule T)
OF
EXPENDITURE
Check ifAustin, TX, officeholder living expense
Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Business name
Amount ($} Business address; City; State, Zip Code
PURPOSE
a
Category See categories listed at the top of this schedule) Description (If travel hed
m mmmmm- m
E g ry ( g p p - outside of Texas, complete Schedule 7)
OF
EXPENDITURE
Check IfAustin, TX, officeholder living expense
Complete 2M if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH
Date Business name
Amount ($) 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
Candidate/Officeholderna _ . .... Complete If direct me 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)
EXPENDITURESSCHEDULE
MADE FROM POLITICAL CONTRIBUTIONS
6......
The Instruction Guide explains how to complete this form.
1 Total pages Schedule LL 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)
Date 5 Payee name
6 Amount ($) 7 Pay-Ac6!1'ress City; StaR; ZipCde
8 PURPOSE (a)Category (See instructions for examples of acceptable (b) Description (See instructions regarding type of Information
OF categories) required.)
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE (a) Category (See Instructions for examples of acceptable (b) Description (See Instructions regarding type of Information
OF categories) required.)
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE (a) Category (See Instructions for examples of acceptable (b) Description (See instructions regarding type of Information
OF categories) required.)
EXPENDITURE
Date Payee name
Amount ($) Payee address; City; State; Zip Code
PURPOSE (a) Category (See instructions for examples of acceptable (b) Description (See Instructions regarding type of information
OF 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 76711-2070 (512) 463-5800 (TDD 1-800-735-2889)
INTEREST EARNED, OTHER CREDITS/GAINS/
SCHEDULEKREFUNDS, AND PURCHASE OF INVESTMENTS
1 Total pages Schedule K:
The Instruction Guide explains how to complete this form.
2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)
4 Date 5 Name of person from whom amount is received 3 Amount
M
6 Address of pe fta fnt4 wlti`omrrr 'punt is received; City; State; Zip Code
7 Purpose for which amount is received
Date Name of person from whom amount is received Amount
M
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
M
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
M
Address of person from whom amount is received; City; State; Zip Code
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 I ION OR POLITICAL EXPENDITURE
TRAVELFOROUTSIDEOFTEXAS
The Instruction Guide explains how to complete this form. 1 Total pages Schedule T:
2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)
w.._ `
l ...1.~.. ..._.... ...
4 Name of Contributor/ Corporation or La or Organization / Pledgor / Payee
5 Contribution / Expenditure reported on:._....
Schedule A ® Schedule B Schedule C Schedule D Schedule F Schedule G
I Schedule N COH-C COH T a PAC-CSehelU
a
PAC-E
person(s) -
u
on( Name of s) t- 6 Dates of travel raveling"
8 Departure city or name of departure locatron
9 Destination city or name of destination loci afar
10 Means of transportation 11 Purposee of travel (including name of conference, seminar, or other event)
m..
ibutor ......_....__ .... ..._._ .__......._ Corporation or Labor Organization / Pledgor / PayeeNameofCo.nV__..-/Corporation
Contribution / Expenditure reported on:
Schedule A Schedule B Schedule C Schedule D Schedule F Schedule G
Schedule H Schedule N COH-UC COH-T PAC-C PAC-E
Dates of travel Name of person(s) travelingDates
Departure city or name of departure location
W...
ationDestinationcityornameofdestinationlocation
m
Means oftransportation 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 A Schedule B Schedule C Schedule D Schedule F Schedule G
Schedule H ® Schedule N COH-UC COH-T PAC-C PAC-E
Dates of travel Name of person(s) traveling
Departure city or name of departure location
Destination city or name of destination location
trans ortatio name of conference, seminar, or other eventMeansofP ...._...-_._. (includingPurposeoftravel (inc ....., 9 }
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
www.ethics,state.tx.us Revised 07/28/2014