HomeMy WebLinkAbout160811 - Campaign Finance Report - Karl P. Mooney1
CANDIDATE I OFFICEHOLDER
CAMPAIGN FINANCE REPORT
FORM C/OH
COVER SHEET PG 1
c;:.:· ....... --=·-:;::-= .. -==-=-==== .. ::-:: .. --:::=:::.::::··-----
1 Filer ID (Ethics Commission Filers)
The C/OH Instruction Guide explains how to complete this form •
3 CANDIDATE/
OFFICEHOLDER
NAME
4 CANDIDATE IOFFICEHOLDERMAILINGADDRESS
0 Change of Address
ft«-;/ ___ --. _. p-_ . "°'"' •• Al ····S U FFIX -
IlJJ/ JJ.J;:/i;/ecf.;Ji¢d5/i)h;:' rooe
Dale Hand-delivered or Dale Poslmarked
6 :R MS I MRS-& ;,,ST Ml Receipl'it -r Amount$
NAME ?? A-'/, Dale Processed -----------•·-N 1-c K_':"' ..
ljl;;.' w// . . . . . . . . '"""
7 CAMPAIGN
TREASURER
ADDRESS (
Residence or Business) ;;,;kle ;;k;;$
l --------·-·-1---------------------·------------------·-- .. ---·--
8 CAMPAIGN AREA CODE P/q M-B:;r? CJ --i u_R_E_R __ +_(_, ?_Zj__) __ --=&._,__;_v / v / v
EXTENSION
9 REPORT TYPE O January 15 D 30lh day before eleclion D Runoll 5lhday after campaign
treasurer appointment
Olliceholdar Only)
o Ju1y1s 0 Blh day belore election D Exceeded $500 limi D Final Report (AllachC/OH -FR)
10 PERIODCOVERE D
l
nlh/ 5 / / b
THROUGH
W&lh.·
f J ;/ iG !---------...-·-·-··-JI------·--···-·------··-------.------·------------- ............ .._ .. --11 ELECTION ELECTION DATE
Month Day Year
8,./1
D Primary
eneral D
D
Runoff
Special
ELECTION TYPE
D OlherOescriplio
l-1-2_0 _F_F_IC_E ... ------·-· ·--1 -0-F_F_IC-E-HE_L_D_(_lf )----··------·-·r -13·--0 F_F_IC_E _S_OU_O_H_T -{il -kn -o,,.-·n -) _________ ........ _ .. ___ _
tJt1,11tld=· 1;===='=1=---==!=--'/--=---= ===I
GO TO PAGE 2
Forms provided by Texas Ethics Commission WW\"l.ethics.state.tx.us Revised 9/8/2015
CANDIDATE I OFFICEHOLDER
CAMPAIGN FINANCE REPORT
FORM C/OH
COVER SHEET PG 2
14 CIOH N AMEiff; I z 'eL --15 ''''' '" (m• Corn'"'"'"" ::_ -
16 NOTICE FRO THIS BOX IS FOR NOTICE OF POLITICAL CO RIBUTIONS ACCEPTED OR POLITICAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO
POLITICAL SUPPORT THE CANDIDATE / OFFICEHOLDER THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT TNE CANDIDATE'S OR OFFICEHOLDER'S
COMMITTEE(S) KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE
OF SUCH EXPENDITURES.
0 Additional Pages
17 CONTRIBUTION
TOTALS
EXPENDITURE
TOTALS
CONTRIBUTION
BALANCE
OUTSTANDING
LOAN TOTALS
18 AFFIDAVIT
COMMITTEE TYPE co&;E dL . -d; )
jtJ:tf),
1.
2.
3.
fe
COM"rnB.7:.! ',:, .
TOTACPO UT<O.
PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED
Uti2IpP
TOTAL POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)
TOTAL POLITICAL EXPENDITURES OF $100 OR LESS, $ 1J pe.I' u
N_
L
E _ss_
1 T
E_
M_1zED
JY._ !j_ 4.
6.
TOTAL POLITICAL EXPENDITURES
TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
OF REPORTING PERIOD
TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LAST DAY OF THE REPORTING PERIOD
1fJ,/?I
J, p $
TANYA McNUTT
i'l6S2789·S
I swear, or affirm, under penalty of perjury, that lhe accompanying report is
true and correct and includes all information required to be reported by me
NotacyPublic, State ofTel(8s
My Commission EKpires
Fet:>ruarv14, 201e·
15, E 'oo<O_,_
AFFIX NOTARY STAMP I SEAL/\BOVE
Sworntoandsubsc1ibedbeforeme,bythesaid /(Cl.J=/ P frl.{)O ()e-·-·thisthe _j__ /_
day of f2MguSf , 2o_flp_, to certify which, witnessmy handand seal of office.
b,11\.A d..<,a_Lg :f.Cf!:m'f!:rr:!:fj:., }}pT&,'/;.,g, , ..
Forms provided by Texas Ethics Commission www.elhics.state.tx.us Revised 9/8/2015
CA NDIDATE I OFFICEHOLDER FORM C/OH-UC
COVER SHEET PG 1REPORTOFUNEXPENDEDCONTRIBUTIONS
1 Filer ID (Ethics Commission Fliers)
The C/OH-UC Instruction Guide explains how to complete this form.
2 CANDIDATE I
OFFICEHOLDER
NAME
3 CANDIDATE/
OFFICEHOLDER
ADDRESS
0 change of address
rflI! . '
MS/MRS/MR
NICKNAME
l1t ;/
SUFFIX
_____ Rec elpt A moun-1 $ ----<
Date Processed
D Annual D Final Disposition
4 REPORT
TYPE
5 PERIOD
COVERED
6 TOTALS
1. TOTAL AMOUNT OF UNEXPENDED POLITICAL CONTRIBUTIONS AS OF
DECEMBER 31 OF THE PREVIOUS YEAR.
2. TOTAL AMOUNT OF INTEREST AND OTHER INCOME EARNED ON
UN PENDED POLITICALCONTRIBUTIONS DURING THE PREVIOUS YEAR.
Date Imaged
7 AFFIDAVIT
TANYA McNUTT
11652789·5
Notafy Public, State ofTelUls
My Commission Expires
Februa 14, 2018'
AFFIX NOTARY STAMP I SEAL ABOVE
rovided by Texas Ethics Commission
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 me under Title 15, Election Code.
r--c._"-"'AH__,_+-----• this the
seal of office.
L--
Titl e o-f
u
oMHi"'-:::,o
www.ethics.state.tx.us Revised 11/3/2015
C/OH REPORT OF UNEXPENDED CONTRIBUTIONS FORM C/OH-UC
EXPENDITURES PG2
8 C/OH NAME lirl7; 9 "'"'""·-·-"'"'
10 Date 11 fjfJ.yeename
12 Payee address; City; State; Zip Code
14 Purpose of expenditure (See instructions regarding type of information required.)
D Check if travel outside of Texas. Complete Schedule T.
Date Payee name
Payee address; City; State; Zip Code
Purpose of expenditure (See instructions rega ding type of information required.)
D Check if travel ou tside of Texas. Complete Schedule T.
Pay€!enarne
P3yee address; -City - State; -ZipCode----·---
I
Purpose of expenditure (See instructio ns regarding type of Information required.)
D Check if travel outside of Texas. Complete Sch€!duteT.
Date Payee name
Pay€!eaddress; City; State; Zip Code
Purpose of expenditure (See Instructions regarding type of information required.) I
D Check if travel outside of Texas. Complete Schedule T.
15
13 Amount
Is expenditure a contribution
to a oancliclate, officeholder, or
polltical committee?
D
D
Amount
Is expenditure a contribution Dtoacandidate, officeholder, or
political committee? D
I Amount
I ·
l
Yes
No
Yes
No
4 ------------
Is expenditure a contribution
to a candidate, officeholder, or D
political committee? D
Amount
Is expenditure a contribution Dtoacandidate, officeholder, or
political committee? D
Yes
No
Yes
No
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ATfACH ADDITIONAL COP!ES OF TM!S FORM AS MEEDED
Forms·provided b1r Te)(as Ethics Commission
J
www.ethics.state.tx.us Revised i1/3/2G15
1.
2.
3.
4.
5.
6.
SUBTOTALS -C/OH
CHEDULE A 1: MONETARY POLITICAL CONTRIBUTIONS
FORM C/OH
COVER SHEET PG 3
20 Filer ID (Ethics Commission Filers)
T sl1 68 L --··
I $f%2-ptr·-
Q/ SCHEDUL ::-MONETAR Y (IN-KIND) P LITl_C_A_L_C_---T--1_B-_u-_ T_l_O_N_'S _____ -11f---$$
J'-
SCHEDULE B: PLEDGED CONTRIBUTIONS _ --L__ ----
r;?· SCH U LE E: LOANS
SCHEDULE F1: POLITICAL EXPENDITURES MADE FROM POLITICAL CONTRIBUTIONS $
2( SCHEDULE F2: UNPAID INCURRED OBLIGATIONS $
1--7 -. --G:r7scHEDULE F3: PURCHASE OF INVESTMENTS MAD::-OLITICAL CONTRIBUTIONS $
8.
9.
SCHEDULE F4: EXPENDITURES MADE BY CREDIT CARD
ia'7' SCHEDULE G: POLITICAL EXPENDITURES :ADE FROM PERSONAL FUNDS
zx·e>z::;-
c:C
SCHEDULE H: ---,:;:,ENTMADE FROM POLITI: CONTRIBUTIONS TO A BUSINESS OF C/OH
1-1 -1 .--0.HEDULE I: NON-POLITICAL :;PENDITURES MADE FROM PO:mCAL co-BUTIONS
o;:irr--lSCHEDULEK: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS 5'J_-
10.
12. RETURNED TO FILER
Forms provided by Texas Ethics Commission wll'm.ethics.state.tx.us Revised 9/812015
l ONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1
The Instruction Guide explains how to complete this form.
2-"RC FiNAME A:4
I ?
Ip;;-::··--·
r-/ · ,112&/tJL
4 Date 1 s Full nam of contributor O out-ol-statfc (ID#: .....
7 . 2 9 ( l . . YV:\ V' c:--_QC'.:t<__ . . . . . . . . . . 6 Contribu tor address; City; State; Zip Code
3 Filer ID (Ethics Commission Filers)
I l 7 Amount of contribution ($)
1·004 Puf\{ Qc:V"'1 H,-e_5;lx. clSY6
8 Pri ncipal occupation I Job title (See Ins tructions)
72_.e_,,fud I 9 Empl-o-ye-r-(S_e_e_l n-s-tr-uc t_i _o_n_s _) _
Date Full name of on!ributor D :ut-ol-state PAC (lDll: _ ___) r-Amount of contribution ($)
N<>cvc'-ccl{()Ct"'- . . . . . . ............ f
5;· ··; o.s' s::'AJ:;13·
Principal oc upation f Job ti!le (Se e lnstr n-
s) 1--E-mm-J/-/' .-e_0-r .-(S_'_,--ln-s-tru __ . c-lio_n_s-A-.-. -----C{---.-_
i/,' , ' f/t?lf/ /£/ -ul!_ /t r. ---
Date Full name of contributor
Co11Lributor address;
Principal occ upation I Job title (See Instructi ons)
Date Full name of contributor
Contributor address;
Principal occupation I Job title (See Instructions)
0 out-o1-state PAC (ID'I: , . --. -. -_----=-· • > I A"°' 0::0,.,fu,Uoo ($)
City; State; Zip Code 1
Employer (See Instructions)
0 out-o!-slate PAC (ID"'------· __ . .)
City; State; Zip Code
Employer (See Instructions)
Amount of contribution ($)
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If 1;:on!ributor isout-of-state P1!\C, please see instruction guide foraddi!ional reporting requirements.
Forms provided by Te xas Ethics Commission V'tww.ethics.state.tx.us Revised 9/8/2015
NON-MONETARY (IN-KIND) POLITICAL
CONTRIBUTIONS SCHEDULE A2
l============-=:: .. ==-·==·=-·=-=·-=···=·===-============:::==.=--=--=·-·---=--=-=--·-y··==----0 =··--=----=---·=··-=-·=··-=--·=·========-=-1
1 Total pages Schedule A2: The Instruction Guide explains how to complete this form. /
2;;R NAM E 7 .·;J/7;,-····-
J/
3 "''"' (B•;rn Comm;;,,"''"' --·---
OTALOF 6N <TEMl;I N-,;-l C ONTRIBU T ION S $ 7f; tl/t), .... -··· ····--i---··-·-·----·--,---
i
5 Date
ti
6 Full name of co ntributor D cul-of-state PAC (IDH: ________ J 8 Amount of , ,.
r"i) . ·u. Contribution $
2: i"'I (_ \( o\\ () l ('
7 Contributor address; '2,1000
9 In-kind contribution
description
lt'Ztt fn,Y'V'6l0)tI
LU 5·1-l-'"<-
clc f \\'\.L
0 Check if travel outside ol Texas. Complete Schedule T.
10 Principal occupation I Job title {FPR NON-JUDICIAL) (See Instructions) 11 Employer (FOR NON-JUDlCIAL)(See Instructions)
W Q.. b 5 r .\-'Q... <::i '<..IJQ..Jo ::......:c::...:_ __ --J-_S_' _-Q._\ -(2-'-'--'.Q...._JV\.:....::.D+.--\c::,-4,\j -==-=-----I12Contributor's principal occupation (FOR JUD ICIAL) 13 Contributor's job title (rdR 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 oul-ol-slate PAC (ID#: ________ l IDate
Contributor address; City; State; Zip Code
Amount of
Contribution $
In-kind contribution
description
0 Check if travel outside of Texas. Complete Schedule T. t---------------------------·----·------"--------------------J
f'rincipl'I! Qccupation /_Jo_gJ[tl_(F_OF!_ l\jQl\J:,Jl:!Dl.PlA[..)_(Se_e_ ln§tr\!9\!_qnEL _____ l;:mployeL(i=QR._N.ON:-J.UDlClAL).(See.lnstructions) ______ .
1--------------·-···-------------------+------------------·-·----·-··---------1
Contributor's principal occupation (FOR JUDICIAL) Contributor's job title (FOR JUDICIAL) (See Instructions)
K-·---------i-------------------------
Contrlbutor'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)
ATIACl-IADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
P-L _
E
D_
G E
D
C
O
N -T _
R
l_
B U T
l_O_N_
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s-c-
H E D U L E B
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I=====-=····=--=·-·--.========-"-=-·-=========-=--=··-============--===========----==·==···-=·===========···-=--=--··-·=---._-_-_-_-_
1--1'-ol-al page. s Schedule BJ
The Instruction Gulde explains how to complete this form.
I
2 flCER ;_/;;-I m w-
3 "'"' m I''°'" Comm''""'""''"(
TOTAL--ZEDPLEDGE? Mt_----------$ (/-174·---·------·-
5 Date j s Full name of pledger D out-of-stale PAC ;;;,,, ___ . ______ .) 8 Amoun1ofPledge$ . 9 In-kind contributiondescription
7 Pledgor address; City; State; ZipCode
0 Check if travel outside of Texas. Complete Schedule T. 1--------'-----------------------------
111 Employer (See Instructions) 1 O Principal occupation I Job title (See Instructions)
Date Full name of pledger 0 out-of-slele PAC (ID#: _______ .. ____ )
Pledger address; City; St ate; Zip Code
AmountofPledge$ In-kind contributiondescription
0 Check if travel outside of Texas. Complete Schedule T.
1--::::P:r -i=n:c:i=·;.i::o:c:c:u:p
1:
a:tio:n:.::J:o:b:t:it:le::(S:e:e::ln:s:t:ru:c:f:1 o::s:)::::::::::::::1 .. -_E:m:p l=oy-=e-r-=(-S:=e-=--:l.:..-.::.s -tr.::. .. -:c:t=i-o:n:s:)=._=_=_=---=--=··-=-=_=_=_=_=_=_=_:;_::_::: __ :::J_-;_ Date Full name of pledger D out-cl-state PAC (ID#: .......... --------J Amount of In-kind contributionPledge $ descriptionPledgeraddress; City; St ate; Zip Qode
0 Check If travel outside o! Texas. Complete Schedule T. Principal occ upation I Job title (See Instructions) l==-=·=======::;::===:::::::::=======::::::::::=====:::':l===E==-=lo=y=e=r=(=S=e=e l=n::st=r =u=cu=·o=n=-=)=========::::=======1DateFullnameofpledgor
Pledgor address;
0 out-or-stale PAC (ID:;:_ .. ____ .. ________ !
City; State; Zip Code
Amount ofPledge$ In-kind contributiondescription
O check if travel outside of Texas. Complete Schedule T. -----·-··---------------------------' Employer {See Instructions)
c-:.::::-·=· =====·=---::====1
Principal occupation I Job title (See Inst ructions)
ATIACH ADDITIONAL COPIES OF TMIS 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.elhics.state.tx.us Revised 9/8/2015
LOANS SCHEDULE E
I =====-=-=--::::: .... ::: .... ::::-.. :===========;==::::::::..=======:::;:::======::::::::::::--·-----···-··
The Instruction Guide explains how to complete this form.
Tolal pages Schedule I:'
2 Fl RNAME .-------------1--Fl-mm---::-
4 TOTAL OF UNITEMIZED LOANS I CJ. ,:!R'J
5 Date of loan 7 Name of lender
6 Is lender 1·8· Lender address;
a financial
Institution?
y N
12 Principal occupation I Job title (See lnstruetions)
14 Description of Collateral
D none
16 GUARANTOR
INFORMATION
D not applicable
17 Nameofguarantor
18 Guarantor address;
20 Prinr.ipai Occupation (See Instructions)
0 out-of-state PAC (IDtt: ..•. -... .... ) 9 LoanAmount ($)
City;
City;
State; Zip Code , ···-; O 1iteres1 rate
11 Maturity date
13 Employer (See Instructions)
15 Check if personal funds were deposited into political
account (See Instructions)
0
19 Amount Guaranteed ($)
Stale; Zip Code
Employer (See Instructions)
Name.al lender ·· --Goui ot-state.PAC o-,;::::__::: . ...:... ____ .. : ...... l -Loan Amount($)
t
Is lender
a financial
Institution?
y N
Lender address;
Principal occupation I Job title (See Instructions)
City; State; Zip Code Interest rate
Maturi!' date
Employer (See Instructions)
1
Description of Collateral
D none
GUARAN TOR
INFORMATION
D not applicable
Name of guarantor
Guarantor address; City;
Check if personal funds were deposited into poli\ical
account (See Instructions)
D r-·---·-· .......... -·---·----..
Amount Guaranteed ($)
State; Zip Code
Principal Occupation (See Instructions) Employer (See Instructions)
1
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.eihics.state.lx.us Revised 9/8/2015
ITU RES MADEPOLITICALEXPEND
FROM POLITICAL CONTRIBUTIONS
EXPENDITURE CATEGORIES FOR BOX 8(a}
entExpense Loan RepaymenVReimbursement
SCHEDULE F1
o--·--·--
Solicitation/Fundraising ExpenseAdvertisingExpense
Accounting/Banking
Consulting Expense
Contributions/Donations Made By
es
E;v
Fe
Fo
Gi
od/Beverage Expense
Office Overhead/Rental Expense Transportation Equipment & RelatedExpense
PollingExpense Travel In District
ft/Awards/Memorials Expense PrinlingExpense Travel Oul Of District
Candidate/Officeholder/PoliticalCommittee L gal Services Salaries/Wages/ContractLabor Other (enter a catego not listed above)
CreJit CardPayment
he Instruction Gulde explains how to complete this form. ,-,;;,;; ;;;,i ,,, •• ,, •• ,, r· FCER NA E -
W&f
r----------.. --
3 Filer ID-:hics Commission Filers)
p fY\q_ c V\
ss; City; State; Zip Code6Amount ($) 7 Payee addre
4 ;;:;{) / ---- 5 Payee ;:;;;
8 (a) Category (Sea Categories listed al lhe top or lhis schedule)
PURPOSE l. OF f' c:L\J<(,i,)("' EXPENDITURE -I t1 s £- I? p42x\S;s;
9 Complete ONLY if direct Candidate f Officeholder name
expenditure to benelil C/OH
ss; City; State; Zip Code
b) Description
D Check H travel outside alTe);aS. Comple\e Schedule T.
D Check If Austin, TX, olficeholder living expense
I
Office sought Office held
l--Categor-\1---{Se
PURPOSE
OF
EXPENDITURE
1 _ _,,,_,,... --
D Checkiftravel outside ofTexas. Complete ScheduleT,
D Check If Austin, TX, officeholder Hving expense
Complete ONLY if direct
expenditure to benelit C/OH
Date
Amount{$)
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure lo beneiit CIOH
Candidate I Officeholder name
Payee name
Payee address; City; State; Zip Code
Category (See Calegories listed at the top ol lhis schedule)
Candidate f Officeholder name
Office sought
Description
Office held
D Checkif !ravel outsideofTexas. Complete Schedule T.
D Check if Austin, TX, officeholder living expense
Office sought Office held
AITAC11 ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission wiw.ethics.state.tx.us Revised 9/8/2015
UNPAID INCURRED OBLIGATIONS
Advertising Expense
Accounting/Banking
Consulting Expense
Contribu!ions/Dona.tlonsMade By
Candidate/Officeholder/Political Co1r1rniltee
EXPENDITURE CATEGORIES FOR BOX i O(a)
Eve.,! Ypense
Fee
F::x_..::: ':--' r>·1;3geExpense
c::;ri / : .... ";i·-:1>-'fv1err.orialsExpense
L'"': ··"·-::es
LoanRepayment/Reimbursement
Office Overhead/RentalExpense
Polling Expense
Printing Expense
Salaries/Wages/Conlract Labar
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 acategorynot listed above)
Tu p NS e-RN=-'
l-----3-F _H_e_r_i_o_t-h__s_c_o_m_m_i_•__n_F__'_aj __
4 TOTAL OF UNITEMIZED UN BLIGATIO;I $ (;/, tXJ
5 Date
7 Amount ($)
9
10
TYPE OF
EXPENDITURE
PURPOSE
OF
EXPENDITURE
6 Payee name
8 Payee address; City; State; Zip Code
D Political D Non-Political
a) Category (See Categories listed at the lop ol this schedule) (b) Description
D Ch eck if !raveloutsideofTexas. CompleteScheduleT.
D Check ii Austin, TX, offi eholder living expense
11 Complete ONLY if direct
expenditure to benefit C/OH
Candidate I Officeholder name Office sought Office held
I=======::::;:::::====..:-:::.:::..================-=-·:::;::::-;·::;:::=:::-::.::·· =====1
IDate Payee name
Amount ($)
i-----------
1 Payee address; City; State; Zip Code
TYPE OF
EXPENDITURE
PURPOSE
OF
EXPENDITURE
I
Complete ONLY it direct
expenditure to benefit CIOH
D Political 0 Non-Political
t
I -
Category (See Calegories !isled al the 1op of this schedule} Description
D Check iflravel outside orTexas. Complete S heduleT.
1Check if Austin, TX, officeholder living expense
Candidate I Officeholder name Office sought Office held
ATTACH ADDITIONAL COPIES OF HHS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission www.ethics.state.ix.us Revised 9/8/2015
iPuRCHASE OF INVESTMENT;-AD
j FROM POLITICAL CONTRIBUTIONS SCHEDULE F3
c--------------· ·-·--=:======c-:::::=========--:=====-'--·-c::=-----------The Instruction Guide explains how to complete this form. Total pages S h-e-u-le_f-:
Li}!? 4!)7); 1 / ·------3 E t i c s -Co_m_m-is s-io -i l _e_r-s ) ____ ,
4 Date 5 Name of person 1rorr. \\1:om:::::sed
6 Address of person from whom investment is purchased; Cily; State: Zip Code
7 Description of Investment
8 Amount of investment ($)
c:_----==============·:;;;==========I
Date Name of person from whom investment is purchased
Address of person from whom investment is purchased; City; State; Zip Code
Description of investment
Amount ot investment ($)
ATTACH !4DDIT!ONAL COPIES OF TH3S SCHEDULE AS NEEDED .J
Forms provided by Texas Etliics Commission VN./W.eihics.state.tx.us Revised 9/8/2015
EXPENDITURES l\JIADE BY CREDIT CARD
SCHEDULE F4
J:===============--==-=--=--==--::::---; =-=--=--=-=--·-=-=-=--=-=--=-======================::-::::·
Advertising Expense
Accounllng/Banking
ConsultingExpense
Contrlbutions/Donatlons Made By
EXPENDITURE CATEGORIES FOR BOX 10(a)
Event Expense
Fees
Loan RepaymenVReimbursement
Office Overhead/Rental Expense
Polling Expense
Solicitalion/Furidrai ing Expense
Transportaiior fcui.prncnt8 RelatedExpense
Travel In Di tri::::
Travel Out 01 D·.c;;11oc1
Candidate/Ofticeholder/Political Committee
Foodl8everage Expens?.
GlfVAv.Jards/MemorialsExpense
Legal Services
Prinling Expense
Salaries/Wages/Contract Labor Other {onlor a cuicg.::rynot listed above)
The Instruction Guide explains how to complete this form.
Total pages Schedule F4: 2 3 Filer ID (Ethics Commission Filers)
4 TOTAL OF UNITEMIZED EXPEN
5 Da1e 6 Payee name
M-----... ................ ="---------------1
7 Amount ($)
9
10
TYPE OF
EXPENDITURE
PURPOSE
OF
EXPENDITURE
8 Payee address; City; State; Zip Code
Political
0 Non-Political
a) Category (See Categories listed at the lop ol lhis schedule) (b) Description
J:J: Checkiftravel outside ofTexas. Cornple\eSchedule T.
L._J Check if Auslin, TX, officeholder living expense
11 Complete ONLY ii direct
expenditure lo benefit CiOH
Date
Amount ($)
Candida1e I Officeholder name Officesought Office held
Payee name
Payee address; City; State; Zip Code
E_x fl
E
1 0
i P_o _li_tic _a_l _______ --LJ ·--::Po;i-a -I _____________________ __,
PURPOSE
OF
EXPENDITURE
Complele ONLY if direct
expenditure lo benefit C/OH
c •• ,, "" """ '"' • '"• '"" "'''j B_
e_s_:_:_:_::_k'.o-li:_:_v"e _t -:_.ts _;_:_.o _:_l c -x:_:_-d o_e:__::_::_:__x:_d·_"_:_·
1
Candidate J Officeholder name Oflice sought Office held
t----=·-:::::··::::·-:::·-=-=======--=-=-=--=--:::-:---:::----:-=-::::=--==-··-=-=--=================··-=---·=··--=--=---·-----
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission wv.rw.ethlcs.state,\x,us Revised 9/8/2015
POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS
Advertising Expense
Accounting/Banking
Consulting Expense
Contributions/DonationsMade By
Candidale/Officeholder/Political Committee
CreditCard Payment
Total pages Schedule G: 2
EXPENDITURE CATEGORIES FOR BOX 8(a)
Event Expense
Fees
Food/Beverage Expense
Glf1/Awards/Memorials Expense
Legal Services
Loan RepaymenVReimbursernent
Office Overhead/Rental Expense
Polling Expense
Prinling Expense
Salaries/WagesfContractLabor
The Instruction Guide explains how to complete this form.
SCHEDULE G
Solicitanon/FundraiG::;gEY.pense
Transportation Equip'7V:!r. & Rela:ed Expense
Travel In District
Travel Qui Of Dis11ict
Other (enter a catr.:JQ-, 1 >.:J: 1 s1ed .J.:Jove)
ID (Ethics Commission Filers)
d_J{?,a;z --.-(
b )
D -e _
s _c -r i-p -ti _o _n · 8
PURPOSE
OF
EXPENDITURE
D Check ii travel outsideofTexas. Complete Schedle T.
D Check if Austin, TX, of/iceholder living expcrisc
9 Comple\e ONLY if direct
expenditure to benefit C/OH
Office sought Office held
f.L+----1L--+--l'---1--71. I Poyoo oomoeh "M& ./OM_ ±:
Payee address; City; State; f'PCode , ("' \ :
IA yIebursernenttrom1A,.flJA JV 'r'/
fr,':contrlbut1ons p'[ J'{ { /'1 / P{,
PURPOSE
OF
EXPENDITURE
Category (See Categories listed al the top ol lhis schedule)
1?J!Mt-.
b) Desc.ription
D Checkif traveloulside of Texas. Complete Schedule T.
D Check ii Austin1 TY.._ otticeholder living expense
Complete ONLY if direct Candidate I Officeholder·name Office sought Office held
expenditure to benefit C/OH
Date
Amount ($)
D Reimbursement frompolitlcalcontributions
intended
PURPOSE
OF
EXPENDITURE
Payee name
Payee address; City; State; Zip Code
Category (See Categories listed al lhe top ol lhis schedule) (b) Description
D Check II avel outside ofTexas. Complete SoheduleT.
D Check it Austin, TX, officeholder living expense
Complele ONLY if direct
expenditure to benefil C/OH
Candidate I Officeholder name Office sought Office held
I ATTACH AoomoNAL COP!ES oF THIS SCHEDULE AS NEEDED
L__
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
PAYMENT MADE FROM POLITICAL
CONTRIBUTIONS TO A BUSINESS OF C/OH SCHEDULE H
AdvertisingExpense
Accounling/Banking
Consulting Expense
Contrlbutlons/Donations Made By
EXPENDITURE CATEGORIES FOR BOX 8(a)
Event Expense Loan RepaymenVReimbursement Solicllation/Fundraislng Expense
Fees Office Overhead/Rental Expense Trc:mspor1cttionEquipment & Relaled Expense
Food/Beverage Expense Polling Expense Travel In Dist;ict
Gitt/Awardsfiv1emorialsExpense Printing Expense Travel Ou\ Of District
Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a categorynot listed above)
Credit Card Payment
1 Total pages Schedule H: 2
I e Jr/ 5IL
6 Amount ($J 7
r;6
8 (a)
PURPOSE
OF
EXPENDITURE
9 Complete ONLY if direct
expenditure to benefit C/OH
Date
Amount ($)
PURPOSE
OF
EXPENDITURE
Complete ONLY if direct
expenditure to benefit C/OH
Date II ---····---
Amount ($) I
I
PURPOSE
OF
EXPENDITURE
Complete ONLY it direct
expenditure to benefit C/01-1
The Instruction Gulde explains how to complete this form.
FOCEA NA jp-:-7L--·-1·3 -;;;;;;(i0-(c'";;c,;;;T.;i;;;;A;;;;;--
M•na ·
Business address; City ; state; Zip Code
Category (See Calegorles listed at lhe lop of lhls schedule) (b) Description
D Checkif travel oulsidsol Texas. Complete Schedule t
D Check H Austin, TX, olliceholder living expense
Candidate I Officeholder name Office sought Office held
Business name
Business address; City; State; Zip Code
Category {See Calegories listed al the lop of this schedule) Description
B-cnec1rntrave1:outsiae 01iexas, ·corflpJeteSCheCll.lleT. -----·-
D Check H Auslin, TX, officeholder living expense
Candidate I Officeholder name Office sought Office held
h.•
Business name
Business. address; City; State ; Zip Code
Category (See Categories lisled al the lop ol lhis schedule) Description
D Checi if lrave! oulside of Texas. Complete ScheduleT,
D Check it Austin, TX, officeholder living expense
Candidate I Ol'llceholder name Office sought Office held
I 1"TfACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission wvWif.ethics.state.tx.us Revised 9/8/2015
NON-POLITICAL EXPENDITURES
MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE
1
The Instruction Gulde explains how to complete this form.
1 1"'' "'/ 'rn''''' I 2 ,,, i:!':idlZArHH --I3 :'"''" ___ (_E!h--ics-Com mi ssion Filers)
4 Date 5 Pay(;i--;;
J_$_---+--------
6 Amount ($) 7 Payee address; City; State; Zip Code
OrttJ --------------·-
11 (b) Description (Ses instructions regarding type of information8 (<>)Category (See ins!ruc!lons for examples of acceplable
PURPOSE categories.)
OF
EXPENDITURE
required.)
Date Payee name
Amount ($) Payee address;
PURPOSE categories.)
OF
City; State; Zip Code
Description (Sea. instrucfions regarding type of informalion
required.}
1,---·Category (See instructions for examples of acceptabfe l !.
EXPENDITURE 1
I======::;:: -·=· =========:::-=-==========
Date
Amount ($)
PURPOSE
OF
EXPENDITURE
Payee name
Payee address; City; State; Zip Code
Category (See inslructions lor examples or acceptable
categories.) ----·-··-·--"-=--==-==========::.:::::::.
Date
Amount ($}
PURPOSE
OF
EXPENDITURE
Payee name
Payee address; City; State; Zip Code
Category (See ins!ructions lor examples of acceptable
categories.)
Description {See inslruclions regarding type of inlormation
required.)
Description {See instructions regarding lype of information
required.)
ATT.<'\CI-! ,!l.JJD!TIONi f. COPIES OF THIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission W\W-1.e!hics.state.tx.us Revised 9/8/2015
INTEREST, CREDITS, GAINS, REFUNDS, AND
CONTRIBUTIONS RETURNED TO FILER SCHEDULE K
c:::::;-..:::=:======-...:::.·=· ·=-====I . ... .. ..
r 1 al pages Schedule K: The Instruction Guide explains how to complete this form.
R «AMC (J¥ZYl{P.t2_#d_I}__ 4 Date o Na:e ?erson from whom amount is refd
w --,_FHe D-(CID'° C:.rni,.iooFtte<o)
i 8
Amount($)
Yt?/1! ' ' ............. . 6 Address of person from whom amount is received; City; State; Zip Code
i •II
i
Ii--------------------·,---... -·---.---. ..-..-.-.-- -.,..-.-.-.. ·---······----------------------! 7 Purpose for which amount is received D Che ck if political contribution return ed to filer
l===========::======================--==·:-:=.: .. :.::::: .. :=-==·:::::: .. :-=::-==============;===============I
Date Name of person from who m amount is received Amount($)
Address of person from whom amount is received; City; State; Zip Code
i 1
Purpose for which amount is received D Check if political contribution returned to filer
Date Name of person from whom amount is received Amount($)
Address of person from whom amount is received; City; State; Zip Code
1---·-------. -----·--·---•-J-<--·· .... -.-. ····- , -.-·--··--.··-,-.-__ . .,.,_. --.--.-..-. ..... -., ·------·'-""-----.L..... ___________ ,
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
ATIACM ,ilJJDITIOM/l..L COP!ESOFTHIS SCHEDULE AS NEEDED
r=-••·'--,.--·-------
Forms provided by Texas Ethics Commission vwvw.ethics.state.tx.us Revised 9/8/2015
IN-KIND .. CONTRIBUTIONS OR POLITICAL EXPENDITURES
FOR TRAVEL OUTSIDE OF TEXAS SCHEDULET
5 Contribution i Expenditure reported on:
D Schedule A2 0 Schedule 8
O schedule F2 0 Schedule F4
D Sche dule 8(J)
Dschedule G
D Schedule C2
0 Schedule H
I 1 Total pages Schedule T: I ----·-·-·-·-
3 Filer ID (Ethics Commission Filers)
D Schedule D D Sc hedule Fi
D Schedule GOH-UC 0 Schedule 8-SS
M.-·---·--------------
6 Dates of travel 7 Name of person(s) traveling
8 Depar ture city or n ame of departure location
r----------.-c.-.-......------------------------------
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 repor ted on:
D Schedule A2 0 Schedule B D Schedule D D Schedule Fi
D Schedule F2 0 Schedule F4
D Schedule B(J)
O schedule G
D Schedule C2
D Schedule H D Schedule GOH-UC 0 Schedule 8-SS
Dates of travel Name of person(s) traveling
Departure city or name of departure location
Destination city or name of destination location
Means of transportation 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 rep orted on:
0 Schedule A2
D Schedule F2
O schedule 8
D Schedule F4
D Schedule 8(J)
Dschedule G
D Schedule C2
0 Schedul e H
D Schedule D D Schedule F1
D Schedule GOH-UC 0 Schedule B-SS --------
N_a_m_e-of _p_e_r_s_o_n_(s_)_t _ra_v_e_li_n_g _______
I De parture city or name of departure location
Dates of travel
r· o;;;;;;,;··-o; oomo of d doadoo lo= Hoo
l S f tr portation ----...... r , ..... p;:,-rpose Of travel :including name of COllference, seminar, or oth;;,ent}
A.TIACH f-\DD!T!ONAL COPIES OFTHIS SCHEDULE AS NEEDED
Forms provided by Texas Ethics Commission w1vw.ethics.s1ate.tx.us Revised 9/8/2015