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

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1 CANDIDATE I 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! FICEHOLDER NAME MS/MRS/MR FIRST &A A t' NICKNAME LAST SUFFIX A MI FICE E us E ONLY Received 4 CANDIDATE! FICEHOLDER MAILING ADDRESS / P BOX; APT / SUITE #; CITY; STATE; ZIP CODE ADDRESS Ce - a1 bv [T Change of Address AREA CODE PHONE NUMBER EXTENSION 5 CANDIDATE! FICEHOLDER 5- b Hand-delivered or Postmarked PHONE ( ), 6 CAMPAIGN MS / MRS I MR FIRST MI Receipt # Amount TREASURER.. NAME Processed. NICKNAME LA ST SUFFIX _L Im )c'ce 7 CAMPAIGN STREET ADDRESS (NO P BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE TREASURER A ADDRESS (Resence or Business) UJAGV v& I 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 9 REPORT TYPE [T January 15 fj 3th day before election Runoff 15th day after campaign treasurer appointment (Officeholder Only) [T July 15 8th day before election [II] Exceeded 5 limit Final Report (Attach C/OH - FR) 1 PERIOD Month Day Year Month Day Year COVERED / LD\ _1z THROUGH /- -7 /2 L ELECTION ELECTION DATE ELECTION TYPE Month Day Year LII Primary / Runoff \ /' b j1b General Special [II] Other 12 FICE FICE HELD (if any) 13 FICE SOUGHT (if known) U,a4eV c.ct V~ cad GO TO PAGE 2 Forms provided by Texas Ethics Commission www,ethics.state.tx,us Revised 918!215

2 CANDIDATE / FICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAME r~e)~a &k av, 15 Filer ID (Ethics Commission Filers) 16 NOTICE FROM THIS BOX IS FOR NOTICE POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL S MADE BY POLITICAL COMMITTEES TO POLITICAL SUPPORT THE CANDIDATE / FICEHOLDER. THESE S MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR FICEHOLDER'S COMMITTEE(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 SPECIFIC COMMITTEE ADDRESS COMMITTEE CAMPAIGN TREASURER NAME Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS 5 OR LESS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES LOANS), UNLESS ITEMIZED 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS) 3. TOTAL POLITICAL S 1 OR LESS, TOTALS, f\j,, UNLESS ITEMIZED / kl.1" 4. TOTAL POLITICAL S s-zd. 36 CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS THE LAST DAY II 'p REPORTING PERIOD OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT ALL OUTSTANDING LOANS AS THE LOAN TOTALS LAST DAY THE REPORTING PERIOD 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 me under Title 15, Election Code. -i xm."~ Signature randidate or Officeholder AFFIX NOTARY STAMP / SEALABOVE Sworn to and subscribed before me by the said (_ Z this the day of ', 2_, to certify which, witness my hand and seal of office. - / Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission Nevlsea MIGru I 3

3 SUBTOTALS C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 2 Filer ID (Ethics Commission Filers) 21 SCHEDULE SUBTOTALS NAME SCHEDULE 1. LII SCHEDULEA1: MONETARY POLITICAL CONTRIBUTIONS SUBTOTAL AMOUNT 2. SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS 3. SCHEDULE B: PLEDGED CONTRIBUTIONS 4. El SCHEDULE E: LOANS Q 5. SCHEDULE Fl: POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS 6r 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS O 7. SCHEDULE F3: PURCHASE INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS Q 8. SCHEDULE F4: S MADE BY CREDIT CARD 1_ct Q 9 SCHEDULE G: POLITICAL S MADE FROM PERSONAL FUNDS 1. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS C/OH 11. El SCHEDULE I: NON-POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS 12 SCHEDULE K: INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNEDTO FILER Q Forms provided by Texas Ethics Commission Revised 9/8/215

4 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 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 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 \ct-j1 3 Filer ID (Ethics Commission Filers) 6 Amount () 7 Payee address; City; State; Zip Code V\' ci~ 2t1 ' flc 16 8 (a) (b) 1eW4 tywa ThheckdAurdn, T) officeholder living expense 4P o 9 R lid Amount () Payee address; City; State; Zip Code CU/' Pc 1\I 166 It(A/ t) Vtf,v Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate! Officeholder name Office sought Office held k&\' Amount () Payee address; City; State; Zip Code em/ Check if travel outside of Texas, Complete Schedule T. Check 1 Austin, TX, officeholder living expense \/t ATTACH ADDITIONAL COPIES THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission wwwethicsstatetxus Revised 918/215

5 S MADE BY CREDIT CARD SCHEDULE F4 CATEGORIES FOR BOX 1(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 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) 1 Total pages Schedule F4: 2 FILER NAME t The Instruction Guide explains how to complete this form. &b 4 TOTAL UNITEMIZED S CHARGED TO A CREDIT CARD 3 Filer ID (Ethics Commission Filers) 5 2iO 6 \Oi it\ Nt, 7 Amount (s) 8 Payee address; State; Zip Code &o' Aoi -1q5i -q TYPE [J Political El Non-Political 1 (a) (b) OCheckiftravel outside of Texas. Complete Schedule T. LiCheck if Austin, TX, officeholder living expense i*;uw1 41V W&t ; 11 Complete ONLY it direct Candidate / Officeholder name Office sought Office held Amount () Payee address; City; State; Zip Code TYPE El Political El Non-Political Check it travel outside of Texas. Complete ScheduleT. Check it Austin, TX, officeholder living expense ATTACH ADDITIONAL COPIES THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission wwwethics.stateixus Revised 9/8/215

6 POLITICAL S MADE FROM PERSONAL FUNDS SCHEDULE G 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 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 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 wli2u 5 en -z, Qi D, 6 Amount ) 7 Payee address; City; State; Zip Code 8 mbu'rsementfrom political contributions intended r u JD'j bz (a) Category (See Categories listed at the lop at this schedule) t P JL~X ' '( 3 Filer ID (Ethics Commission Filers) Coo\ i"t2 i7 (b),. Checkiftrav ideexaiptstesc m Eli ulet Check it Austin, TX, officeholder living expense 9 12 " NA Amount () Payee address; City; State; Zip Code Reimbursement from political contributions intended Category (See Categories listed at the lop of this schedule) (b) LII Check it Austin, TX, officeholder living expense Amount () Payee address; City; State; Zip Code Reimbursement from political contributions intended (b) Eli Check it Austin, TX, officeholder living expense ATTACH ADDITIONAL COPIES THIS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission wwwethicsstatetxus Revised 9/8/215

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