1 Filer ID (Ethics Commission Filers) 2 Tota1es filed: VIA) 5q_. -rxl 9-S-DS-/

Transcription

1 CANATE/ FCEHOLER FORM C/OH CAMPAGN FNANCE REPORT COVER SHEET PG 1 The C/OH nstruction Guide explains how to complete this form. _;VV(' ccu: 1 A 1 Filer (Ethics Commission Filers) 2 Tota1es filed: 3 CANATE/ MS/ MRS/ MR FRST Ml FCEHOLER NAME ',' NCKNAME SUFFX VA) 5q_,0 )_ A-v v, 6-r pre;\ J 11'e_ 4 CANATE/ ARESS / PO BOX; APT / SUTE #; CTY; STATE; ZP COE FCEHOLER MALNG ARESS Change of Address -rxl 9-S-S-/ ate Received FCE USE ONLY ffp,i )J:J f@ O.' t;-lfn,,._ 5 CANATE/ AREA COE PHONE NUMBER EXTENSON FCEHOLER ate Hand-delivered or ate Postmarked ( 1 fj.) Lyq q-,z PHONE 6 CAMPAGN MS/ MRS/ MR FRST Ml Receipt# Amount$ TREASURER c1vv r.. A. NAME ate Processed NCKNAME LAST SUFFX..- St7\1U)f ate maged 1-::::.-- )r;_,u {As 7 CAMPAGN STREET ARESS (NO PO BOX PLEASE); APT / SUTE #; CTY; STATE; ZP COE TREASURER ARESS (Residence or Business) /}bov _Abº O-ri1L ecs ve: s 8 CAMPAGN AREA COE PHONE NUMBER EXTENSON TREASURER ( ) PHONE 9 REPORT TYPE 30th day before election January 15 Runoff Ju1y15 8th day before election Exceeded $500 limit 15th day after campaign treasurer appointment (Officeholder Only) Final Report (Attach C/OH - FR) 10 PERO Month ay Year Month ay Year COVERE 03 / 2 >:/-/? THROUGH Ol/ :2/ 2a/'fy 11 ELECTON ELECTON ATE 12 FCE FCE HEL (if any) Month ay Year Primary ON TYPE + Runoff er scrlption OS/ 1 /)o/1) ;OlY General Special Boa,,{ d t)/ fl/c:-1 13 FC5s u (otn) Sck!ffe-J - < <: GO TO PAGE 2 8 Cv/ d t> i's-+ ó,c:-í

2 CANATE/ FCEHOLER CAMPAGN FNANCE REPORT FORM C/OH COVER SHEET PG 2 14 C/OH NAME 15 Filer (Ethics Commission Filers) 16 NOTCE FROM POLTCAL COMMTTEE(S) THS BOX S FOR NOTCE POLTCAL CONTRBUTONS ACCEPTE OR POLTCAL S MAE BY POLmCAL COMMTTEES TO SUPPORT THE CANATE/ FCEHOLER. THESE EXPENTU RES MA Y HAVE BEEN MAE WTH OUT THE CANO/ATE'S OR FCEHO.OER's KN OWLEG E OR CONS ENT. CANATES AN FCEHOLERS ARE REQURE TO REPORT THS NFORMATON ONLY F THEY RECBVE NOTCE SUCH S. COMMTTEE TYPE COMMTTEE NAME ºGENERAL OsPECFlc COMMTTEE ARESS COMMTTEE CAMPAGN TREASURER NAME Additional Pages COMMTTEE CAMPAGN TREASURER ARESS 17 CONTRBUTON 1. TOTAL POLTCAL CONTRBUTONS $50 OR LESS (OTHER THAN TOTALS PLEGES, LOANS, OR GUARANTEES LOANS}, UNLESS TEMZE $ 2. TOTAL POLTCAL CONTRBUTONS (OTHER THAN PLEGES, LOANS, OR GUARANTEES LOANS) TOTALS 3. TOTAL POLTCAL S $100 OR LESS, UNLESS TEMZE 4. TOTAL POLTCAL S CONTRBUTON BALANCE OUTSTANNG LOAN TOTALS 5. TOTAL POLTCAL CONTRBUTONS MANTANE AS THE LAST AY REPORTNG PERO 6. TOTAL PRNCPAL AMOUNT ALL OUTSTANNG LOANS AS THE LAST AY THE REPORTNG PERO 18 AFFAVT \ EBBE TORRES \ My Notary # Expires November 14, 2021 swear, or affirm, under penalty of perjury, that the accompanying report is d includes all informa rt equired to be reported by me AFFX NOTARY STAMP/ SEALABOVE Signature of officer administering oath Printed name of officer administering oath Title of office administering oath

3 SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FLER NAME 20 Fifer (Ethics Commission Filers) 21 SCHEULE SUBTOTALS SUBTOTAL NAME SCHEULE AMOUNT 1. % SCHEULEA1: MONETARYPOLTCALCONTRBUTONS $ 2 ()&,O, SCHEULE A2: NON-MONETARY (N-KN) POLTCAL CONTRBUTONS $ SCHEULE B: PLEGE CONTRBUTONS $ 4. SCHEULE E: LOANS $ 5. SCHEULE F1: POLTCAL S MAE FROM POLTCAL CONTRBUTONS $1 J ff <i,ftr, j, 6. SCHEULE F2: UNPA NCURRE OBLGATONS $ -... _.,,,,,,... -A'ru-1 V -t:.' $ 7. SCHEULE F3: PURCf1ASE NVESTMENTS MAE FROM POLTCAL CONTRBUTONS SCHEULE F4: S MAE BY CRET CAR $ SCHEULE G: POLTCAL S MAE FROM PERSONAL FUNS $ SCHEULE H: PAYMENT MAE FROM POLTCAL CONTRBUTONS TO A BUSNESS C/OH $ SCHEULE : NON-POLTCAL S MAE FROM POLTCAL CONTRBUTONS $ 12. SCHEULE K: NTEREST, CRETS, GANS, REFUNS, AN CONTRBUTONS $ RETURNE TO FLER Forms provided by Texas Ethics Comrníssíon Revised 9/8/2015

4 MONETARY POLTCAL CONTRBUTONS SCHEULE A1 The nstruction Gulde explains how to complete this form. 1 Total pages Schedule A 1: 2 FLER NAME 3 Filer (Ethics Commission Fliers) y7t/ o<-t!\ T, ate 5 Full name of contj'ibutor J 4J gu;ofr!r Y''. 6 Contributor address; City; state; Zip Code 8 Principal occupation / Job title (See nstructio ns) 9 Employer (See nstructio ns) ate l/lj3{.. Tf?s "i-'yl (V Contributor address; ;;l.f'j) Full neme of PAC {)t.. - Mp... - Principal occupa tion Job title (See nstructions) Employer (See nstructions) \ 7 Amount of contrib ution ($) 1) ()é)é) é) é) Amount of contribution ($) jév' {!)o L /o/ L;nebttrif t:jj:; 1 ( a,n ( Contributor address; t?v)li,t ; e; Code ate Full name of contributor O out-of-state PAC (10.: Amount of contribution ($) di)/ Principal occu pation / Job title (See nstructions) Emplo yer (See nstructio ns) '(;'oé> - e> ate Full name of contributor O out-of-state PAC (: Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupa tion / Job titte (See nstructions) Emplo yer (See nstructio ns) ATTACH AmONAL COPES THS SCHEULE AS NEEE H contributor is out-of-state PAC, please see lnstrucuon guide for addjtlonaj reporting requirements.

5 POLTCAL S MAE FROM POLTCAL CONTRBUTONS SCHEULE F1 CATEGORES FOR BOX 8(a) Advertising Expense Event Expense loan Repayment/R eimburse men t Solicitation/Fundraisíng Expense Accounting/Banki ng Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Be verage Expense Polling Expense Travel n istrict Contributio ns/onations Made By Gift/Awards/Memorials Expe nse Printing Expe nse Travel Out Of istrict Candidate/Olficeholder/Polltical Committee Legal Services Salaries/Wages/Contract labo r Other (enter a category not listed above) Credit Card Payment The nstruction Gulde explains how to complete this form. 1 Total pages Schedule F1: 2 FLER NAME 7 4 '3t1J, - L/pl( 5 Payeename Amount ($) 4 Payee address; c?v \)o»j. G;p1»o) A \- ' a Filer (Ethics Commission Filers) 8 (a) Category (See Categories listed at the top of this schedule) (b) escription r(a&1 O Check tt travel outside oftexas. Complete Schedule T. O Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held i1t-t /.?1i Payee name ( L - Amount ($} Payee address; Ci/ State;\:r'Cod6'- J / 41?, 1o Category (See Categories listed at the top of this schedule) escription rool>/15 O Check if travel outside of Texas. Complete Schedule T. O Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate/ Officeholder name Office sought Office held ;"pt-4, ; r í /_ - - A;;,ount ($) Payee address; City; V ºd 1r-,0'ij Category (See Categories listed at the to.!, of this schedule), e escription Trvv5 fcf'..j.ov-h'o ti\. j;; O Check tttravel outside oftexas. Complete Schedule T. op.c-'t@- sr-t \;,e() O Check ii Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held ATTACH ATONAL COPES Of THS SCHEULE AS NEEE

6 POLTCAL S MAE FROM POLTCAL CONTRBUTONS SCHEULE F1 CATEGORES FOR BOX 8(a) Advertising Expense Event Expense Loan RepaymenVReimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel n istrict Contributions/onations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of istrict Candidate/Offlceholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above) Credit Card Payment The nstruction Gulde explains how to complete this form. 1 Total pages Schedule F1: 2 FLER NAME a Filer (Ethics Commission Filers) 4 t>i--/ /J.t(/Jot 5 Payeename l b P\V Mov1) 1óJCA.-1 6 Amount ($) 7 Payee address; City; State; Zip Code g'5.ic c1-vr0+c't ; 8 (a) Category A (See Categories listed al the top of this schedule) (b) escription O Check travel outside oftexas. Complete Schedule T. O Check ii Austin, TX, officeholder living expense ]: X e,ric; e 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held ú?(hgol<i l f d 5 )( PvJ E:flkrP (ises Category (See Categories l_isted at the top of this schedule) escription 4Jy+i;1- O Check iltravel outside oftexas. Complete Schedule T. O Check if Austin, TX, officeholder living expense ()( 5,e. Complete ONLY if direct Candidate / Officeholder name Office sought Office held Ol1!JVJ01 ) 0-wt S Cve-.z_ d0 c9 c) Category (See Categories listed at the top of this schedule) escription +( (bj'.;_e-}- b,( O Check if travel outside oftexas. Complete Schedule T. O Check if Austin, TX, officeholder living expense l:»: <2 Complete ONLY if direct Candidate Officeholder name Office sought Office held ATTACH ATONAL COPES THS SCHEULE AS NEEE

7 POLTCAL S MAE FROM POLTCAL CONTRBUTONS SCHEULE F1 CATEGORES FOR BOX S(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel n istrict Contributions/onations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of istrict Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above) Credit Card Payment The nstruction Gulde explains how to complete this form. 1 Total pages Schedule F1: 2 FLER NAME s Filer ' 4 o{//a bá l 1( A v.,. e Payeename C\... s1> hll > óc_ y V -- K 1 OcJ se 6 Amount ($) 7 Payee address; City; State; Zip Code 8 (a) Category (See Categories listed at the top of this schedule) (b) escription (Ethics Commission Filers) L Otr\,+ ( o:c }- L '-howy 9 Complete ONLY if direct Candidate Officeholder name Office sought Office held Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense ate Category (See Categories listed at the top of this schedule) escription Check if travel outside oflexas. Complete Schedule T. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held ate Category (See Categories listed at the top of this schedule) escription Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Complete ONLY ii direct Candidate / Officeholder name Office sought Office held expenditure to benelit C/OH ATTACH ATONAL COPES THS SCHEULE AS NEEE