FORM C/ OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID( Ethics Commission Filers) 2 Total pages filed:

Transcription

1 v SCANNED CANDIDATE / FICEHOLDER FORM C/ OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/ OH Instruction Guide explains how to complete this form. 1 Filer ID( Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE/ MS I MRS/ MR FIRST MI FICEHOLDER '/ /( n / NAME V 7 e NICKNAME LAST SUFFIX FlCE USE ONLY T l Received Filed ' U// L,// ig 4 CANDIDATE/ ADDRESS / PO BOX; APT! SURE 8: CITY; STATE; ZIP CODE FICEHOLDER ] f I- _ 7P I, DDRESS l 2O 1 p t A._0 1 D C / i/ / O I ( Rebecca Huerta Li Change of Address City Secretary 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION FICEHOLDER 60 1 Q PHONE S( 0I ) SLR o- 6 i1/ Hand-delivered or Postmarked 6 CAMPAIGN MSL MRS/ MR FIRST. MI Receipt 8 Amount$ TREASURER NAME Di r t< Processed NICKNAME LAST SUFFIX r-r-a-a-- Imaged 7 CAMPAIGN STREET ADDRESS ( NO PO BO PLEASE); APT/ SUITE A; CITY; STATE; ZIP CODE TREASURER ADDRESS Residence or Business) cd5 c 7 7f9ll// J7 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER S& 1 4 ft 02"" PHONE 1 J 3 ff 9 REPORT TYPE n January 15 1/ 30th day before election n Runoff 15th day after campaign treasurer appointment Officeholder Only) n July 15 I 8th day before election n Exceeded$ 500 limit I I Final Report( Attach C/OH- FR) 10 PERIOD Month Day Year Month Day Year COVERED 7 // 5- //& THROUGH 0/ 6 // t 11 ELECTION ELECTION DATE ELECTION Month Day Year Primary Runoff EI Other Description II / 6 / / S eneral Special 12 FICE FICE HELD ( if any) 13 FICE SOUGHT ( if known) Ci C t< < A TYPE Q 6..., A d- 6,,,,,,,,,, ( e GO TO PAGE 2 Forms provided by Texas Ethics Commission www. ethimtate. tx. us Revised 9/ 8/ 2015

2 .. A CANDIDATE / FICEHOLDER FORM C/ OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/ OH NAME 15 Filer ID ( Ethics Commission Filers) 16 NOTICE FROM POLITICAL COMMITTEE( S) THIS BOX IS FOR NOTICE POLmCAL CONTRIBUTIONS ACCEPTED OR POLmCAL S MADE BY POLITICAL COMMITTEES TO SUPPORT THE CANDIDATE/ FICEHOLDER. THESE S MAY HAVE BEEN MADE WITHOUT THE CANDIDATE' S OR FICEHOLDER' S KNOWLEDGE OR CONSENT. CANDIDATES AND FICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE SUCH S. COMMITTEE TYPE COMMITTEE NAME GENERAL COMMITTEE ADDRESS SPECIFIC COMMITTEE CAMPAIGN TREASURER NAME Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS $ 50 OR LESS ( OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS), UNLESS ITEMIZED $ 41O' TOTAL POLITICAL CONTRIBUTIONS 1Q OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS) 30 Q( I ex3 302 ` 131- " TOTALS 3. TOTAL POLITICAL S $ 100 OR LESS, UNLESS ITEMIZED BALANCE 4. TOTAL POLITICAL S 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS THE LAST DAY $ REPORTING PERIOD 25r5-76.) f5r5-7v,' 4" 1 OUTSTANDING LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT ALL OUTSTANDING LOANS AS THE LAST DAY THE REPORTING PERIOD 18 AFFIDAVIT 1 4; I swear, or affirm. under penalty of perjury, that the accompanying report is u...- Q A true and correct and includes all information required to be reported by me 74'; ALYSHA SARA BERLANGA > under Title 15, Election Code. t t ID# dr/ Notary Public E TEXAS 73' ; i1:,;;;., MyExp, Comm i Sig' atur- of Can. i. ate or Officeholder AFFIX NOTARY STAMP/ SEALABOVE 1, E Sworn to and subscribed before me, by the saidt. this the day of 0 13, to certify which, witness my hand and seal of office. A1. AI v 4 A, I ẇ l 1 ''! G G. I u Signat re of officer administering oath Printed n. me of officer dministering oath Title of officer administering oath Forms provided by Texas Ethics Commission www. ethiq, 3tate. tx. us Revised 9/ 8/ 2015

3 SUBTOTALS - C/ OH FORM C/ OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID( Ethics Commission Filers) 21 SCHEDULE SUBTOTALS NAME SCHEDULE SUBTOTAL AMOUNT 1. I SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS 3 t9) 9U0 / ctr 2. I SCHEDULE A2: NON- MONETARY( IN- KIND) POLITICAL CONTRIBUTIONS 3_ l I SCHEDULE B: PLEDGED CONTRIBUTIONS 4. I SCHEDULE E: LOANS 5. I SCHEDULE F1: POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS CV 6. I SCHEDULE F2: UNPAID INCURRED OBLIGATIONS 7. I SCHEDULE F3: PURCHASE INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS 8. I SCHEDULE F4: S MADE BY CREDIT CARD 9. I SCHEDULE G: POLITICAL S MADE FROM PERSONAL FUNDS 10. I SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS C/ OH $ 11. SCHEDULE I: NON- POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS 12. I I SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER Forms provided by Texas Ethics Commission www. ethimtate. tx. us Revised 9/ 8/ 2015

4 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME 4 4/ LJ i. /i/ J- Ț 5 Full name of contributor 3 Filer ID( ECommission Filers) 0 out- of- state PAC( IDs: 7 g 022 Fes c U Ig 6 Contributor address; 3Y2 J - Āve ( C 7; A G 8 Principal occupation/ Job title( See Instructions) 9 Employer( See Instructions) Full name of contributor 0 out- of- state PAC( ID# Q Ur / y Contribut 5e_v, address; Mer Si 700d L i occupation/ Job title( See Instructions) Employer( See Instructions) Full name of contributor out- of- state PAC( IDs: fz/i gvit.,y"gl Y - C/ y o / Y 6 / X 7e6( V/ Principal occupation/ Job title ( See Instructions) Employer( See Instructions) 6v Full name of contributor ou[ of- state PAC( MC U Contt utor address; 55A ost 43) ( V/ 732Vd9 Principal occupation/ Job title( See Instructions) Employer ( See Instructions) Z/ GO 7 cr If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www. ethiq 9tate. tx. us Revised 9/ 8/ 2015

5 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME 4 A X 5 Full nam off Co j./titix tor out- of- state PAC( ID#- 7 Amount of ribulrz 3 e6-1/ a- ty. State Zip Code 500 ' 6 Contributor address; City; 7 ial a 7x 7 qo/ 8 Principal occupation/ Job title( See Instructions) g Employer( See Instructions) c Full name of contributor 0 out- of- state PAC( ID#: C, _ 2* Contributor address; o Principal occupation/ Job title( See Instructions) Employer( See Instructions) Full name of contributor 0 out- of- state PAC( IDu: D Val i Contributor addres 7/J sl- t D rx 721/ 4 Ll Principal occupation/ Job title( See Instructions) Employer( See Instructions) U, O Full name of contributor g // Contributor k0/, 0 a,-6 Q out- of- state PAC( ID#: addre City; State; Zip C 7 G Principal occupation/ Job title( See Instructions) Employer( See Instructions) gg'. rt0 If contributor is out- of- state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www. ethiq 9tate. tx. us Revised 9/ 8/ 2015

6 if/ MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAMEil 4 i 1, 7, q, , 4 5 Full name of contributor out- of- state PAC( IDs /( icd fir.1,e, -`, - Contributor address; 7 r PA L 6-7:X 70/2 SC/ 8 Principal occupation/ Job title( See Instructions) 9 Employer( See Instructions) 7/ Full namepf contr" butor out- of- state PAC( IDs: 2 / 1 Contributor 7// ' address; pi )- ' Lb 6Aft gil 6 --ā 7S ii i 2 4k- 6 Principal occupation/ Job title( See Instructions Employer( See Instructions) L--) Full name of contributor 0 out- of- state PAC( IDs: Contributor address; Principal occupation/ Job title( See Instructions) Employer( See Instructions) Full name of contributor out- of- state PAC( IDs: Contributor address; Principal occupation/ Job title( See Instructions) Employer ( See Instructions) 9/ tgii If contributor is out- of- state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www. ethiq 9tate. tx. us Revised 9/ 8/ 2015

7 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME fl' L ice f f,, i/ 4 Da 6//d 5 Xname of contributor 13,,,,,,,,,_. El out- of- state PAC( ID# 7 6 Contribut address; J gjc( < <- - BOZ 8 Principal occupation/ Job title( See Instructions) 7-x Employer( See Instructions) Full name of contributor El out- of- state PAC( ID#: A hr.p. A. I 6241A44 fri-- syt?"ii- J! 7 I 1 2 / Contributor address; pity; State; Zip Code 506' 6;`(_D Principal occupation/ Job title( See Instructions) Employer( See Instructions) Full name of contributor 16,11& s& Gs! iw1 out- of- state PAC( ID#: Contributor address; J PO t 3 Ce- - V/ 76 11(. 3 Principal occupation/ Job title( See Instructions) Employer( See Instructions) Full, name of contributor El out- of- state PAC( Mt Amount of contribution ( 5) J/ Contributor 1 address; 2Y N ql a-- Principal occupation/ Job title( See Instructions) 8 y Employer( See Instructions) If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission tx. us Revised 9/ 8/ 2015

8 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME 4. gfr 2 ) 4a til 5 Full name of contributor 0 out- of- state PAC( Mt 7 iv, Ar... e.,&.. 4C-- 6 Contributor ddress; o 0 ' Q?Lian G L TJX 769 f 8 Principal occupation/ Job title( See Instru ons) 9 Employer( See Instructions) Full name of contri utor out- of- state PAC( ID#. ii/td. t. 0ni)4ei. D1, Contributor address; 9 Principal occupation/ Job title( See Instructions) Employer( See Instructions) Full name of contributor out- ot- state PAC( ID#: 1 V f v A 2-1' Contributor address; 6 7 " 0) 0 6 Ṡ4,,- _ c774- A 7SM-/ Principal occupation/ Job title ( See Instructions) Employer( See Instructions) R-)/, 272 Full name of contributor 6 Contributor address; - R7f, 4 9,- NS ( / 464v4 (--( T/t 731// 2- D out- of- state PAC( ID#: 56,0. ),.., Principal occupation/ Job title( See Instructions) Employer( See Instructions) 15 f 7' B` If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www. ethif9tate. tx. us Revised 9/ 8/ 2015

9 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al 2 FILER NAME 4 The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: A4, p it/ F IIII name of contributor AAA/ j ID out- of- state PAC( ID# 7 Bew, ga.ii,,, L 6 Contributor address; g 7te_ AGC a 7d //- 2-8 Principal occupation/ Job title( See Instructions) 9 Employer( See Instructions) 6 ', 0 Full name of contributor D out- of- state PAC( ID# tr / 2 G/ / E/ Contributor address; U4 Principal occupation/ Job title( See Instructions) Employer( See Instructions) Full name of con ibutor out- of- state PAC( ID#. Principal occupation/ 4q ) 1, Contributor address; a g,,,,,,,( Job title ( See Instructions) S L g 7g/ Employer( See Instructions) D to Full name of cont' butor A idte out- of- state PAC( IN: A address; 2y 7)01 pi, 1( zy7 / l2 Principal occupation/ Job title ( See Instructions) Employer ( See Instructions) J/2 t/ If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www. ethi9tate. tx. us Revised 9/ 8/ 2015

10 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME 11 letin- 1\ r--kmjce,,/ 4 5 Full name of contributor out- of- state PAC( ID# 7 0 r v ' g.. t44,,, i, 7 / Y-, fitiett 1/ 11, S 6 Contributor address; a, c, 8 Principal occupation/ Job title( See Instructions) 9 Employer( See Instructions) i' 1 A Aziol S Dete Full name of contributor 0 out- of- state PAC( ID# Cl " P 8/ ki ck. Contributor address; v 7tA''J r& It( t, 5T / 1l tl C.( T 7gqO( Principal occupation/ Job title( See Instructions) Employer( See Instructions) Full name of contributor out- of- state PAC( ID#. 4 4 yp V, s 1" Contributor address; hurvfrae Sf. - 1vd ( c % X 7g bf Principal occupation/ Job title( See Instructions) Employer( See Instructions) Fullnameof contributor t' C BIAC( C1e- Contributor EP. address; vi 0 out- of- state PAC( ID# y// 561 ' Principal occupation/ Job title( See Instructions) Employer ( See Instructions) If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www. ethiy 9tate. tx. us Revised 9/ 8/ 2015

11 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAE )A4Akr 4 5 II name of contributor 0 out- of- state PAC( ID#: 7 7/; S 9 6 Contributor address; 4 Aft; It s' xi`(( 7gll 8 Principal occupation/ Job title( See Instructions) 9 Employer( See Instructions) Full name of contributor 0 out- of-state PAC( ID#: 1 Contributor address; 6, 12 VJVe/ t, t.żvk Or Cc to ( 0`// Principal occupation/ Job title( See Instructions) Employer( See Instructions) Full name of contributor out- of- state PAC( ID#: 8, Contributor address; L 7 7q/ Principal occupation/ Job title ( See Instructions) Employer( See Instructions) ull name of contributor out- of- state PAC( ID#: aa^ e.. ktl. ms. a if Contributor address; 256' Pe bc 2; A. 3:W77 rx 7gq0 2. Principal occupation/ Job title( See Instructions) Employer ( See Instructions) If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www. ethiy 9tate. tx. us Revised 9/ 8/ 2015

12 i6 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME j/i/t I` / 4 d 5 Full name of contributor 0 out- of- state PAC( ID# I 7 V 9/ 1/ art 6 Contributor addr' s; 42-r 5e5-0 lsa `2 e A/ 4r ( C 7X7 l/( 8 Principal occupation/ Job title( See Instructions) 9 Employer( See Instructions) 014:"_, R, ri/cir&a Dat Full name of contributor 0 out- of- state PAC( ID# v / % Contributor address; a5ceyce // L z2, T 78'1/ 101 Principal occupation/ Job title( See Instructions) Employer( See Instructions) Full name of contributor 0 out- of- state PAC( ID#: 1 A, r/4,...1.rek s4,11.4.,, t,a4,- v ozt gcontributor address; i5d Principal occupation/ Job title( See Instructions) Employer( See Instructions) Full name of contributor out- of- state PAC( ID#: t Amount of contribution SL-7 77 Contributor address; 51-0 p resele.,- dr Principal occupation/ Job title( See Instructions) Employer( See Instructions) fog. If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission tx. us Revised 9/ 8/ 2015

13 p7> - MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME 4 f" 1161 Pliel--- 5 Full name of contributor out- of- state PAC( ID#: 7 V. 1/ ti/ I ` 4r- fr4 e-1 6 Contributor addresos; City;' State; Zip Code 06) 8 Principal occupation/ Job title( See Instructions) 9 Employer( See Instructions) Fullnameof contributor out- or- state PAC( ID#- 1 g.172hg i.mt" cc/4/ma Contributor add ess 6,,- b- A y; ( Crf-( i) Zip Code l 7ḵ 1( 57t/ Principal occupation/ Job title( See Instructions) Employer( See Instructions) Full name of contributor out- of- state PAC( ID#: I HI/ M-14/A Cr Contribaddress; Ta9 7 f7 i Cc // p; 1 Principal occupation/ Job title( See Instructions) Employer( See Instructions) I Full name of contributor i c. /. 8/ / 1 Contributor address; City; out- of- state PAC ID# : I Amount of contribution State7.1 ; Zip Code Principal occupation/ Job title( See Instructions) Employer( See Instructions) G Q If contributor is out- of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www. ethi9tate. tx. us Revised 9/ 8/ 2015

14 ii? MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME 4 5 Full na e contrib tor 0 out- of- state PAC( IDs 7 gbh? 6 Contributor address; L ( C x c. Ale. L% t r 7J` C I Z C' v 8 Principal occupation/ Job title( See Instructions) 9 Employer( See Instructions) Full name of contributor 0 out- of- state PAC( ID#: 4,----, 1674 Contributor address; Ste ( 24Y-G ( P 7 ' fld Principal occupation/ Job title( See Instructions) Employer( See Instructions) Full name of contributor 0 out- of- state PAC( ID#: j 3// t/s ii r i Ob( I C Contributor address; L6-') I / A,% ilal, td Ovi_ Z L TV PI 7f10( Principal occupation/ Job title ( See Instructions) Employer( See Instructions) w Full name of contributor s( j 6) I& 1/ 1;, t Arift ctnt6 9-0 Contributor address; out- of- state PACID#: City; StaTte; Zip Code C i' S b Principal occupation/ Job title ( See Instructions) Employer ( See Instructions) g 9" 15 0 ATTACH ADDITIONAL COPIES 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 tx. us Revised 9/ 8/ 2015

15 Full name of contributor 0 out- of- state PAC( ID#. MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME l n/ A 1\ j j 4 3 v iis 5 Full name of contributor' 0out- of- state PAC( 1D# 7 i',, v,a, /- d_ 6 Contributor address; City; State; is Avion& L k S- ( C A7 c i Zip Code506, 7, 8 Principal occupation/ Job title( See Instructions) g Employer( See Instructions) I Cont utor address 5 3/ /61/ cl 7f,77( Principal occupation/ Job title( See Instructions) Employer( See Instructions) vv Full name of contributor 0 out- of- state PAC( ID#. 4 ' t- fi ' ( l 7 k g Contributor address; A n ( y15 L 7( 7g,// 2v Principal occupation/ Job title( See Instructions) Employer( See Instructions) Full name of contributor out- or- state PAC( IOC C 000 lid 1 tait.t NI.ttALai! ( Y., = z U Contributor address O Nl/ Oz ay, r C. Principal occupation/ Job title( See Instructions) Employer( See Instructions) r If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission tx. us Revised 9/ 8/ 2015

16 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME 4 5 Full name of contributor out- of- state PAC( ID# 7 6 Contributor address; 8 Principal occupation/ Job title( See Instructions) 9 Employer( See Instructions) Full name of contributor 0 out- of- state PAC( ID#: Contributor address; Principal occupation/ Job title( See Instructions) Employer( See Instructions) Full name of contributor 0 out- of- state PAC( ID#: Contributor address; Principal occupation/ Job title ( See Instructions) Employer( See Instructions) Full name of contributor out- of- state PAC 10#: Amount of contribution Contributor address; Principal occupation/ Job title( See Instructions) Employer ( See Instructions) If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission tx.us Revised 9/ 8/ 2015

17 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME 4 5 Full name of contributor out- of- state PAC( ID# 7 6 Contributor address; 8 Principal occupation/ Job title( See Instructions) 9 Employer( See Instructions) Full name of contributor out- of- state PAC( ID#: 1 Contributor address; Principal occupation/ Job title( See Instructions) Employer( See Instructions) Full name of contributor out- of- state PAC( ID#. 1 Contributor address; Principal occupation/ Job title ( See Instructions) Employer( See Instructions) Full name of contributor o out- of- state PAC( ID#: I Amount of contribution Contributor address; Principal occupation/ Job title( See Instructions) Employer( See Instructions) If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www. ethiq 9tate. tx. us Revised 9/ 8/ 2015

18 Full name of contributor 0 out- of- state PAC( ID# MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME 4 5 Full name of contributor out- of- state PAC( ID#: 7 6 Contributor address; 8 Principal occupation/ Job title( See Instructions) 9 Employer( See Instructions) Full name of contributor 0 out- of- state PAC( ID#: Contributor address; Principal occupation/ Job title( See Instructions) Employer( See Instructions) Contributor address; City; State, Zip Code Principal occupation/ Job title( See Instructions) Employer( See Instructions) Full name of contributor 0 out- of- state PAC( ID#: Amount of contribution Contributor address; Principal occupation/ Job title( See Instructions) Employer( See Instructions) If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www. ethiq 9tate. tx. us Revised 9/ 8/ 2015

19 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al The Instruction Guide explains how to complete this form. 1 Total pages Schedule Al: 2 FILER NAME 4 5 Full name of contributor 0 out- of- state PAC( ID# 7 6 Contributor address; 8 Principal occupation/ Job title( See Instructions) 9 Employer( See Instructions) Full name of contributor out- of- state PAC( ID#: Contributor address; Principal occupation/ Job title( See Instructions) Employer( See Instructions) Full name of contributor 0 out- of- state PAC( ID#. Contributor address; Principal occupation/ Job title ( See Instructions) Employer( See Instructions) Full name of contributor out- of- state PAC( ID# Contributor address; Principal occupation/ Job title ( See Instructions) Employer( See Instructions) If contributor is out- of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www. ethiq 9tate. tx. us Revised 9/ 8/ 2015

20 NON- MONETARY ( IN- KIND) POLITICAL CONTRIBUTIONS SCHEDULE A2 The Instruction Guide explains how to complete this form. 1 Total pages Schedule A2: 2 FILER NAME 4 TOTAL UNITEMIZED IN- KIND POLITICAL CONTRIBUTIONS $ 5 6 Full name of contributor out- of- state PAC( ID#: 8 Amount of. g In- kind contribution Contribution $. description 7 Contributor address; Check if travel outside of Texas. Complete Schedule T. 10 Principal occupation/ Job title( FOR NON- JUDICIAL)( See Instructions) 11 Employer( FOR NON- JUDICIAL)( See Instructions) 12 Contributor' s principal occupation( FOR JUDICIAL) 13 Contributor' s job title( FOR JUDICIAL)( See Instructions) 14 Contributor's employer/ law firm( FOR JUDICIAL) 15 Law firm of contributor' s spouse( if any)( FOR JUDICIAL) 16 If contributor is a child, law firm of parent( s)( if any)( FOR JUDICIAL) Full name of contributor out- of- state PAC( ID#: Amount of. In- kind contribution Contribution $. description Contributor address; Check if travel outside of Texas. Complete Schedule T. Principal occupation/ Job title( FOR NON- JUDICIAL)( See Instructions) Employer( FOR NON- JUDICIAL)( See Instructions) Contributor' s principal occupation( FOR JUDICIAL) Contributor's job title( FOR JUDICIAL)( See Instructions) Contributor' s employer/ law firm( FOR JUDICIAL) Law firm of contributor' s spouse( if any) ( FOR JUDICIAL) If contributor is a child, law firm of parent( s) ( if any) ( FOR JUDICIAL) If contributor is out- of- state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www. ethig' tate. tx. us Revised 9/ 8/ 2015

21 PLEDGED CONTRIBUTIONS SCHEDULE B The Instruction Guide explains how to complete this form. 1 Total pages Schedule B: 2 FILER NAME 4 TOTAL UNITEMIZED PLEDGES 5 6 Full name of pledgor out- of- state PAC( ID#: 8 Amount 9 In- kind contribution of Pledge$ description 7 Pledgor address; City; State: Zip Code 10 Principal occupation/ Job title( See Instructions) 11 Employer( See Instructions) I I Check if travel outside of Texas. Complete Schedule T. Full name of pledgor P 9 out- of- state PAC( ID#: Amount In- kind contribution Pledge$ of description Pledgor address; Principal occupation/ Job title( See Instructions) Employer( See Instructions) Check if travel outside of Texas. Complete Schedule T. Full name of pledgor out- of- state PAC( td#: Amount of Pledge$ g In- kind description contribution Pledgor address; Principal occupation/ Job title( See Instructions) Employer( See Instructions) Check if travel outside of Texas. Complete Schedule T. Full name of pledgor 0 out- of- state PAC( ID#: Amount of In- kind contribution Pledge$ description Pledgor address; Principal occupation/ Job title( See Instructions) Employer( See Instructions) Check if travel outside of Texas. Complete Schedule T. If contributor is out- of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission tx. us Revised 9/ 8/ 2015

22 LOANS SCHEDULE E The Instruction Guide explains how to complete this form. 1 Total pages Schedule E: 2 FILER NAME 4 TOTAL UNITEMIZED LOANS 5 of loan 7 Name of lender out- of- state PAC( ID#: 9 Loan Amount($) 6 Is lender a financial 8 Lender address; Institution? Y N 10 Interest rate 11 Maturity date 12 Principal occupation / Job title ( See Instructions) 13 Employer ( See Instructions) 14 Description of Collateral 15 Check if personal funds were deposited into political none account ( See Instructions) 16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed($) INFORMATION 18 Guarantor address; not applicable 20 Principal Occupation ( See Instructions) 21 Employer ( See Instructions) of loan Name of lender out- of- state PAC( ID#: Loan Amount($) Is lender Lender address; a financial Institution? Y N Interest rate Maturity date Principal occupation / Job title ( See Instructions) Employer ( See Instructions) Description of Collateral none GUARANTOR INFORMATION Name of guarantor Check if personal funds were deposited into political account ( See Instructions) CI Amount Guaranteed($) Guarantor address; not applicable Principal Occupation ( See Instructions) Employer ( See Instructions) If lender is out- of- state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www. ethi8`2tate. tx. us Revised 9/ 8/ 2015

23 c2 / POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl CATEGORIES FOR BOX 8( a) Advertising Expense Event Expense Loan Repayment/ Reimbursement Accounting/ Banking Fees Soliicitation/ FundraisingExpense Office Overhead/ Rental Expense Consulting Expense Food/ Beverage Expense Transportation Equipment& Related Expense Polling Expense Contributions/ Donations Made Travel In District By Gift/ Awards/ Memorials Expense Printing Expense Candidate/ Officeholder/ Political Travel Out Of District Committee Legal Services Salaries/ Wages/ Contract Labor Credit Card Payment Other( enter a category not listed above) 1 Total pages Schedule Ft: 2 FILER. 4 Da6// Pale a/me The Instruction Guide explains how to complete this form. G/,- it/ Jul 17-LA VḞ4/11 6 Amount ) 7 Payee address; ex/ o. 7X 7&/-/ 8 a) Categoryaaa ( See Categories listed at the of top this schedule) ( b) I I PURPOSE I J Check ilvaveloutside oftexas. Complete Schedule T. / Check if Austin, TX, officeholder living expense l/&04 9 Complete ONLY if direct Candidate/ rofficeholder name Office sought Office held Payee name S) / is 5A((" u// il - Q4 (. 21/ L1Lr, t Am unt $) Payee address; n0( Category ( See Categories listed at the top of this schedule) Description l ' PURPOSE I I Chock if( ravel outside of Texas. Complete Schedule 1.. d. V Check it Austin, TX. officeholder living expense Complete ONLY if direct Candidate/ Officeholder name Office sought Office held expenditure to benefit C/ OH i Payee name 21g 13,t_c - A4/ Leẹ_.,) tm,( 4-s-si-c, 1A_ Amount ($) Payee address; 0256.' 2 c(_ foi Category ( See Categories listed at the top of this schedule) Description PURPOSE L I ey Ifi 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 Forms provided by Texas Ethics Commission www. ethi& 3tate. tx. us Revised 9/ 8/2015

24 POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl CATEGORIES FOR BOX 8( a) Advertising Expense Event Expense Loan Repayment/ Reimbursement Solcitation/ FundraisingExpense Accounting/ Banking Fees Office Overhead/ Rental Fxrx, nse 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 SalariesNVages/ 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 Ft: 2 FILER NAME j 4 5 Payee name 7/ 1, 6t,,,J,,,, vc- i----,- 7/i 7 Lc arew, rz4 ' ' s 6 Am unt $) 7 Payee address; J5O0 c( i syr a) 8 / Category ( See Categories listed at the top of this schedule) ( b) Description IICheck iftravel outside oftexas. Complete Schedule T. PURPOSE l//],, m,, n n,/// I V/ (' l' Li r/ r l I Check it Austin, TX. officeholder living expense 9 Complete ONLY if direct Candidate/ Officeholder name Office sought Office held Y 0274 Payee name 41/ ij A'&1444". 41 ev Amount ( ) Payee address; 0G 7X 7y PURPOSE category See ( Categories listed at the top of this schedule) Description ci, L,, 4711( 16( 14/ 1/ 41t41 e' t V` G F 1 l 1 I Check it travel outside of Texas. Complete Schedule T. I Check if Austin, TX. officeholder living expense Complete ONLY if direct Candidate/ Officeholder name Office sought Office held Payee name g' xc 4S, Amount ($) Payee address; r.9 5, t 1 7-/ Category ( See Categories listed at the top of this schedule) Description AI/ PURPOSE I I Check if travel outside of Texas. Complete Schedule T. INti PI/ Check if Austin. TX, officeholder living expense Complete ONLY if direct Candidate/ Officeholder name Office sought Office held Forms provided by Texas Ethics Commission tx. us Revised 9/ 8/ 2015

25 ' POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl CATEGORIES FOR BOX 8( a) Committee Advertising Expense Event ExpenseLoan Repayment/ Reimbursement suti ng/ Banking Fees Office Overhead/ Rental Ac Expense nexpense g Food/ Beverage Expense Polling Expense Contributions/ Donations Made By Gift/ Awards/ MemoriaLs Expense Printing Expense Candidate/ Officeholder/ Political Legal Services Salaries/ Wages/ Contract Labor Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule Ft: 2 FILER NAME /) / 1 n /...,/.. l` t_ f`!"u' Y/ f..4.44_4_`' li 4 5 Payee na e, s 7/1/kt/ PC 6e44/1-6 6 Amo nt ( ) 7 Payee address; l TX =, l''/ if l Solicitation/Fundraising Expense Transportation Equipment& Related Expense Travel In District Travel Out Of District Other( enter a category not listed above) 8 a) Category ( See Categories listed at the of top this schedule) ( b) Description PURPOSE I7Check iftravel outside oftexas. Complete Schedule T. A 1/ ' J7./ PC', - Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate/ Officeholder name Office sought Office held Payee name Aprekm, Zii720"s tcl A ount $) Payee address:/ ams.4 N' ov GG Category ( See Categories listed at the top x 7&L/Dl of this schedule) I PURPOSE I Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX. officeholder living expense tbeil nn // Complete ONLY if direct Candidate/ Officeholder name Office sought Office held ' Payee name Si 14, J il e A ount ($) Payee address; City; St/ te; Zip Code 1:26 ' Ir'. C 7X PURPOSE Category ( See Categories listed at the top of this schedule) e scription f I I Check if travel outside of Texas. Complete Schedule T. I I Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate/ Officeholder name Office sought Office held Forms provided by Texas Ethics Commission www. ethig3tate. tx. us Revised 9/ 8/ 2015

26 A7 7 POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl CATEGORIES FOR BOX 8( a) Advertising Expense Event Expense Loan Repayment/ Reimbursement Accounting/ Banking Fees Office Overhead/ Rental Expense Consulting Expense Food/ Beverage Expense Polling Expense Contributions/ Donations Made By Gift/ Awards/ Memorials Expense Printing Expense Candidate/ Officeholder/ Political Committee Legal Services Salaries/ Wages/ Contract Labor Credit Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule Fl: 2 FILER NAMEm jj i,, 2,, / 4 Dat 5 Payee name t' sv44,,, J )' 6ou ($) 7 Payee address; y; State; Zip Code 1,,,, / So Fit jar' Solicitation/ Fundraising Expense Transportation Equipment& Related Expense Travel In District Travel Out Of District Other( enter a category not listed above) 8 a) Category ( See Categories listed at the top of this schedule) ( b) Description' I l PURPOSE 1 Check if travel outside of Texas. Complete Schedule T Check if Austin, TX, officeholder living expense - 9 Complete ONLY if direct Candidate/ Officeholder name Office sought Office held Payee name 8',37// g' eit44wc r 0611,44--,-- f /--/-( Amount ($) Payee address; 0 6- v Category ( See Categories listed at the top o this schedule) Description PURPOSE 4/ llli// tit/// lily/ Y Check if travel outside of Texas. Complete Schedule T. C 7 Check it Austin, TX. officeholder living expense Complete ONLY if direct Candidate/ Officeholder name Office sought Office held Payee name A o ($) Payee address; City; State; Zip C r nuve, c( 4- r---, e} tot p.4-, clik, 64, 1, u 275Gr G6, 7X Category ( See Categories listed at the top of this schedule) Description PURPOSE I I Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder livingexpense Complete ONLY if direct Candidate/ Officeholder name Office sought Office held Forms provided by Texas Ethics Commission www. ethig3tate. tx. us Revised 9/ 8/ 2015

27 POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl 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 FoodBeverage Expense Polling Expense Travel In District Contnbutions/ 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 Fl: 2 FILER NAME 4 5 Payee name 6 Amount ($) 7 Payee address; 8 a) Category ( See Categories listed at the top of this schedule) ( b) Description PURPOSE I 1 Check if travel outside oftexas. Complete Schedule T. Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate/ Officeholder name Office sought Office held Payee name Amount ($) Payee address; Category( See Categories listed at the top of this schedule) Description PURPOSE IT 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 Payee name Amount ($) Payee address; I Category ( See Categories listed at the top of this schedule) Description PURPOSE ) 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 Forms provided by Texas Ethics Commission www. ethi83tate. tx. us Revised 9/ 8/ 2015

28 UNPAID INCURRED OBLIGATIONS SCHEDULE F2 CATEGORIES FOR BOX 10( a) Advertising Expense Event Expense Loan Repayment/ Reimbursement Accounting/ Banking Fees Office Overhead/ Rental Expense Solicitation/ Fundraising Expense Equipment& Related Expense Consulting Expense Food/ Beverage Expense Travel In District Contributions/ Donations Made By Gift/ Awards/ Memorials Expense Printing Expense Travel Out Of District Other( enter a category not listed above) Candidate/ Officeholder/ Political Committee Legal Services Salaries/ Wages/ Contract Labor The Instruction Guide explains how to complete this form. 1 Total pages Schedule F2: 2 FILER NAME 4 TOTAL UNITEMIZED UNPAID INCURRED OBLIGATIONS 5 6 Payee name 7 Amount ($) 8 Payee address; 9 TYPE Political Non- Political 10 a) Category ( See Categories listed at the top of this schedule) b) Description I PURPOSE n Check if travel outside of Texas. Complete Schedule T. I- Check if Austin, TX. officeholder living expense 11 Complete ONLY if direct Candidate/ Officeholder name Office sought Office held Payee name Amount ($) Payee address; TYPE Political Non- Political Category ( See Categories listed at the top of this schedule) Description PURPOSE L I Check if travel outside of Texas. Complete Schedule T. I ' Check if Austin. TX. officeholder living expense Complete ONLY if direct Candidate/ Officeholder name Office sought Office held Forms provided by Texas Ethics Commission www. ethi&4tate. tx. us Revised 9/ 8/ 2015

29 PURCHASE INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F3 The Instruction Guide explains how to complete this form. 1 Total pages Schedule F3: 2 FILER NAME 4 5 Name of person from whom investment is purchased 6 Address of person from whom investment is purchased: 7 Description of investment 8 Amount of investment($) Name of person from whom investment is purchased Address of person from whom investment is purchased; Description of investment Amount of investment($) Forms provided by Texas Ethics Commission www. ethi& 5tate. tx. us Revised 9/ 8/ 2015

30 S MADE BY CREDIT CARD SCHEDULE F4 CATEGORIES FOR BOX 10( a) Advertising Expense Event Expense Loan RePayment/ Reimbursemerrt 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 SalariesNVages/ Contract Labor Other( enter a category not listed above) The Instruction Guide explains how to complete this form. 1 Total pages Schedule F4: 2 FILER NAME 4 TOTAL UNITEMIZED S CHARGED TO A CREDIT CARD $ 5 6 Payee name 7 Amount ($) 8 Payee address; 9 TYPE Political Non- Political 10 a) Category ( See Categories listed at the of top this schedule) b) Description PURPOSE I Check if travel outside of Texas. Complete Schedule T. F ICheck if Austin. TX, officeholder living expense 11 Complete ONLY if direct Candidate/ Officeholder name Office sought Office held Payee name Amount ($) Payee address; TYPE Political Non- Political Category ( See Categories listed at the of top this schedule) Description PURPOSE n Check if travel outside of Texas. Complete Schedule T. 1 Check if Austin. TX, officeholder living expense Complete ONLY if direct Candidate/ Officeholder name Office sought Office held Forms provided by Texas Ethics Commission tx. us Revised 9/ 8/ 2015

31 POLITICAL S MADE FROM PERSONAL FUNDS SCHEDULE G CATEGORIES FOR BOX 8( a) Advertising Expense Event Expense Loan Repayment/ Reimbursement Solicitation/ Fundraising Expense Fees Office Overhead/ Rental Expense Consulting Expense Food/ Transportation Equipment& Related Expense Beverage Expense Polling Expense Contributions/ Donations Travel In District 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 G: 2 FILER NAME 4 5 Payee name 6 Amount ($) 7 Payee address; City; State: Zip Code Reimbursement from political contributions intended 8 a). Category( See Categories listed at the of top this schedule) ( b) Description PURPOSE I I Check if travel outside of Texas. Complete Schedule T. I I Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate/ Officeholder name Office sought Office held Payee name Amount ($) Payee address: Reimbursement from political contributions intended PURPOSE Category ( See Categories listed at the of top this schedule) ( b) Description I I I Check if travel outside of Texas. Complete Schedule T. I Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate/ Officeholder name Office sought Office held Payee name Amount ($) Payee address; Reimbursement from political contributions intended Category ( See Categories listed at the top of this schedule) ( b) Description I I PURPOSE I Check if travel outside of Texas. Complete Schedule T. I Check if Austin. TX, officeholder living expense Complete ONLY if direct Candidate/ Officeholder name Office sought Office held Forms provided by Texas Ethics Commission 3tate. tx. us Revised 9/ 8/ 2015

32 PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS C/ OH SCHEDULE H CATEGORIES FOR BOX 8( a) Advertising Expense Event Expense Loan Repayment/ Reimbursement SolicitatiorvFundraising 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 SalariesWages/ 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 H: 2 FILER NAME 4 5 Business name 6 Amount ($) 7 Business address; 8 a) Category ( See Categories listed at the top of this schedule) ( b) Description I PURPOSE n Check if travel outside of Texas. Complete Schedule T. I Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate/ Officeholder name Office sought Office held Business name Amount ($) Business address; Category ( See Categories listed at the top of this schedule) Description I PURPOSE I Check if travel outside of Texas. Complete Schedule T. I Check if Austin. TX, officeholder living expense Complete ONLY if direct Candidate/ Officeholder name Office sought Office held Business name Amount ($) Business address; Category ( See Categories listed at the top of this schedule) Description f PURPOSE l I Check if Iravel Outside of Texas. Complete Schedule 1. I I Check if Austin. TX. officeholder living expense Complete ONLY if direct Candidate/ Officeholder name Office sought Office held Forms provided by Texas Ethics Commission www. ethi88tate. tx. us Revised 9/ 8/ 2015

33 NON- POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE The Instruction Guide explains how to complete this form. 1 Total pages Schedule I: 2 FILER NAME 4 5 Payee name 6 Amount ($) 7 Payee address; 8 PURPOSE a) Category ( See categories.) instructions for examples of acceptable b) Description ( required.) See instructions regarding type of information Payee name Amount ($) Payee address; PURPOSE Category ( See instructions for examples of acceptable Description ( See instructions regarding type of information categories.) required.) Payee name Amount ($) Payee address; PURPOSE Category ( See instructions for examples of acceptable categories.) Description ( See instructions regarding type of information required.) Payee name Amount ($) Payee address; PURPOSE Category ( See instructions for examples of acceptable Description ( See instructions regarding type of information categories.) required.) Forms provided by Texas Ethics Commission www. ethi& 9tate. tx. us Revised 9/ 8/ 2015

34 INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER SCHEDULE K The Instruction Guide explains how to complete this form. 1 Total pages Schedule K: 2 FILER NAME 4 5 Name of person from whom amount is received 8 Amount($) 6 Address of person from whom amount is received; 7 Purpose for which amount is received I j Check if political contribution returned to filer - Name of person from whom amount is received Amount($) Address of person from whom amount is received; Purpose for which amount is received n Check if political contribution returned to filer Name of person from whom amount is received Amount($) Address of person from whom amount is received; Purpose for which amount is received I I Check if political contribution returned to filer Name of person from whom amount is received Amount ($) Address of person from whom amount is received; Purpose for which amount is received I I Check if political contribution returned to filer Forms provided by Texas Ethics Commission www. ethi9 tate.tx. us Revised 9/ 8/ 2015

35 IN- KIND CONTRIBUTIONS OR POLITICAL S FOR TRAVEL OUTSIDE TEXAS SCHEDULE T The Instruction Guide explains how to complete this form. 1 Total pages Schedule T: 2 FILER NAME 4 Name of Contributor/ Corporation or Labor Organization/ Pledgor/ Payee 5 Contribution/ Expenditure reported on: Schedule A2 Schedule B Schedule B( J) Schedule C2 Schedule D Schedule Fl Schedule F2 Schedule F4 Schedule G Schedule H Schedule COH- UC Schedule B- SS 6 s of travel 7 Name of person( s) traveling 8 Departure city or name of departure location 9 Destination city or name of destination location 10 Means of transportation 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: Schedule A2 Schedule B Schedule B( J) Schedule C2 Schedule D Schedule Fl Schedule F2 Schedule F4 Schedule G Schedule H Schedule COH- UC Schedule B- SS s 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/ Corporation or Labor Organization/ Pledgor/ Payee Contribution/ Expenditure reported on: Schedule A2 Schedule B Schedule B( J) Schedule C2 Schedule D Schedule Fl Schedule F2 Schedule F4 El Schedule G Schedule H Schedule COH- UC El Schedule B- SS s 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) Forms provided by Texas Ethics Commission tx. us Revised 9/ 8/ 2015

36 CANDIDATE / FICEHOLDER REPORT: DESIGNATION FINAL REPORT FORM C/ OH - FR The Instruction Guide explains how to complete this form. Complete only if " Report Type" on page 1 is marked " Final Report" -- 1 C/ OH NAME 2 Filer ID ( Ethics Commission Filers) 3 SIGNATURE I do not expect any further political contributions or political expenditures in connection with my candidacy. I understand that designating a report as a final report terminates my campaign treasurer appointment. I also understand that I may not accept any campaign contributions or make any campaign expenditures without a campaign treasurer appointment on file. Signature of Candidate/ Officeholder 4 FILER WHO IS NOT AN FICEHOLDER Complete A & B below only if you are not an officeholder. A. CAMPAIGN FUNDS Check only one: I I do not have unexpended contributions or unexpended interest or income earned from political contributions. I I have unexpended contributions or unexpended interest or income earned from political contributions. I understand that I may not convert unexpended political contributions or unexpended interest or income earned on political contributions to personal use. I also understand that I must file an annual report of unexpended contributions and that I may not retain unexpended contributions or unexpended interest or income earned on political contributions longer than six years after filing this final report. Further, I understand that I must dispose of unexpended political contributions and unexpended interest or income earned on political contributions in accordance with the requirements of Election Code, B. ASSETS Check only one: I I do not retain assets purchased with political contributions or interest or other income from political contributions. I do retain assets purchased with political contributions or interest or other income from political contributions. I understand that I may not convert assets purchased with political contributions or interest or other income from political contributions to personal use. I also understand that I must dispose of assets purchased with political contributions in accordance with the requirements of Election Code, Signature of Candidate 5 FICEHOLDER Complete this section only if you are an officeholder I am aware that I remain subject to filing requirements applicable to an officeholder who does not have a campaign treasurer on file. I am also aware that I will be required to file reports of unexpended contributions if, after filing the last required report as an officeholder, I retain political contributions, interest or other income from political contributions, or assets purchased with political contributions or interest or other income from political contributions. Signature of Officeholder Forms provided by Texas Ethics Commission www. ethi92tate. tx. us Revised 9/ 8/ 2015