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1 CANIATE/ FICEHOLER CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 3 CANIATE/ FICEHOLER NAME 4 CANIATE/ FICEHOLER MAILING ARESS Change of Address 5 CANIATE/ FICEHOLER PHONE 6 CAMPAIGN NAME MS/ MRS/ MR FIRST,. ~....~v 1... NICKNAME ~5f;>( Vl,,0 ) v' ARESS / PO BOX; APT / SUITE #; CITY; JtVf~ G if?, 1 Filer I (Ethics Commission Filers) 2 Total paqss,.. d: SUFFIX ~ FICE USE ONLY ate Received ~ e::> co.,, c... e e: ' ::o (") O' :r. > o o» ~ AREA COE PHONE NUMBER EXTENSION ate Handdelivered or ate Postmarked (9f~) 'J1t;: )'6~'v MS/ MRS/ MR FIRST Receipt# I.; 4 k.v.~. Ml.. Amount $ ate Processed. fts NICKNAME SUFFIX ate Imaged C{.I X C') 7 CAMPAIGN ARESS (Residence or Business) STREET ARESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP COE As 8 CAMPAIGN PHONE AREA COE ( ) PHONE NUMBER EXTENSION 9 REPORT TYPE O January 15 30th day before election o o o Runoff ~ o o o 8th day before election Exceeded $500 limit 15th day after campaign treasurer appointment (Officeholder Only) Final Report (Attach C/OH FR) 10 PERIO COVERE Month ay Year o 1/ / 7'fo /#v/~ THROUGH Month ay Year fj(o / 3o/ lv) cl 11 ELECTION ELECTION ATE ELECTION TYPE Month ay Year Primary Other escription / / General Runoff Special 12 FICE FICE HEL {if any) 13 FICE SOUGHT {if known) ~ cj~o I Q o (J4 á T v1,a,1 te.e GO TO PAGE 2 Forms provided by Texas Ethics Commission Revised 9/8/2015

2 CANIATE/ FICEHOLER CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAME 15 Filer I (Ethics Commission Filers) 16 NOTICE FROM POLITICAL COMMITTEE(S) THIS BOX IS FOR NOTICE POLITICAL CONTRIBUTIONS ACCEPTE OR POLITICAL EXPENITURES MAE BY POLITICAL COMMITTEES TO SUPPORT THE CANIATE/ FICEHOLER. THESE EXPENITURES MAY HAVE BEEN MAE WTTHOUT THE CANIATE'S OR FICEHOLER'S KNOWLEGE OR CONSENT. CANIATES AN FICEHOLERS ARE REQUIRE TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE SUCH EXPENITURES. COMMITTEE TYPE COMMITTEE NAME O GENERAL OsPEc1F1c COMMITTEE ARESS COMMITTEE CAMPAIGN NAME O Additional Pages COMMITTEE CAMPAIGN ARESS 17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS $50 OR LESS (OTHER THAN /c9cj TOTALS PLEGES, LOANS, OR GUARANTEES LOANS), UNLESS ITEMIZE $,.... EXPENITURE TOTALS 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEGES, LOANS, OR GUARANTEES LOANS) 3. TOTAL POLITICAL EXPENITURES $100 OR LESS, $ UNLESS ITEMIZE o o $ /o0 8é) 4. TOTAL POLITICAL EXPENITURES $ 1) qq (,, CONTRIBUTION 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINE AS THE LAST AY BALANCE $ ~ REPORTING PERIO... OUTSTANING 6. TOTAL PRINCIPAL AMOUNT ALL OUTSTANING LOANS AS THE LOAN TOTALS LAST AY THE REPORTING PERIO $ 18 AFFIAVIT I swear, or affirm, under penalty of perjury, that the accompanying report is on required to be reported by me AFFIX NOTARY STAMP/ SEAL ABOVE Sworn to and subscribed before me, by the said '~""''""v.c... ~~t&~l... 'f 20 l '11, i'_<j..._'e "'c..s_p_,_l_, llc.=oc $=~ this the _l_lc_+i, to certify which, witness my hand and seal of office. _ Signature of officer administering oath Printed name of officer administering oath Forms provided by Texas Ethics Commission Revised 9/8/2015

3 SUBTOTALS C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer I (Ethics Commission Filers) 21 SCHEULE SUBTOTALS SUBTOTAL NAME SCHEULE AMOUNT SCHEULE A 1: MONETARY POLITICAL CONTRIBUTIONS $ SCHEULE A2: NONMONETARY (INKIN) POLITICAL CONTRIBUTIONS $ SCHEULE B: PLEGE CONTRIBUTIONS $ 4. SCHE~LOANS $! &/Cf 0r, I 5. SCHEULE F1: POLITICAL EXPENITURES MAE FROM POLITICAL CONTRIBUTIONS $ 6. SCHEULE F2: UNPAI INCURRE OBLIGATIONS $ 7. SCHEULE F3: PURCHASE INVESTMENTS MAE FROM POLITICAL CONTRIBUTIONS $ SCHEULE F4: EXPENITURES MAE BY CREIT CAR $ SCHEULE G: POLITICAL EXPENITURES MAE FROM PERSONAL FUNS $ SCHEULE H: PAYMENT MAE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS C/OH $ SCHEULE I: NONPOLITICAL EXPENITURES MAE FROM POLITICAL CONTRIBUTIONS $ 12. SCHEULE K: INTEREST, CREITS, GAINS, REFUNS, AN CONTRIBUTIONS $ RETURNE TO FILER Forms provided by Texas Ethics Commission Revised 9/8/2015

4 MONETARY POLITICAL CONTRIBUTIONS SCHEULE A1 The Instruction Guide explains how to complete this form. 1 Total pages Schedule A 1: 2 FILER NAME 3 Filer I (Ethics Commission Filers) 5 Full name of contributor outofstate PAC (I#: ) 7 Amount of contribution ($) 4 º{/ 0 fíortd 17 (reef~ ~f~~~"" l( o, é) é) 6 Contributor adores s; City; State; Zip Code 8 Principal occupation/ Job title (See Instructions) 9 oq 'a(~ ~,/~5~»«ate Full name of contributor outofstate PAC (I#: ) ~ A5io<:b"U~$)Ó \ Principal occupation/ Job title (See Instructions) ate Full name of contributor outofstate PAC (I#: l Amount of contribution ($) Principal occupation/ Job title (See Instructions) ate Full name of contributor outofstate PAC (I#: ) Amount of contribution ($) Principal occupation I Job title (See Instructions) ATIACH AITIONAL COPIES THIS SCHEULE AS NEEE If contributor is outofstate PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission Revised 9/8/2015

5 POLITICAL EXPENITURES MAE FROM POLITICAL CONTRIBUTIONS SCHEULE F1 EXPENITURE CATEGORIES 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/B everage Expense Polling Expense Travel In istrict Contríbutions/onations Made By GifVAwards/MemoriaJs Expense Printing Expense Travel Out Of istrict Candidate/Off,ceholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above) Credit Card Payment The Instruction Gulde explains how to complete this form. 1 Total pager Schedule Fl: 2 FILER NAME Í)~,l r~p,\vp'6 13 Filer I (Ethics Commission Filers) e' 0 1+."30 OA3351! 4 qj CA9Á 5 Payeename 8 ~4, 7 Payee address; ~ity; State; Zip Code (b) escription 'Fv'~"'"S"~'ª""' O Check if travel outside of Texas. Complete Schedule T. PURPOSE (a) Cateqory EXPENITURE 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held ate 0Lí;1J o~lfc Payee name ~) Amount ($) Payee address; City; State; Zip Code.. I' :1 al" IV.,."' I "" Category (See Categories listed at the top of this schedule) escription PURPOSE EXPENITURE tí,,.e, l ) Luv~é){) ~o ~..l. " 'j,l ~ A 't'y~ ~Wc't' ) fees} O Check if travel outside of Texas. Complete Schedule T. Complete ONLY ii direct Candidate / Officeholder name Office sought Office held ate Payee name c~sg ()~jé) :J ) ~ }'LJI\A_ \/ l (9rtJé}, ao Amount ($) Payee address; City; State; Zip Code I PURPOSE EXPENITURE Category (See Categories listed at the top of this schedule) 4~J~'+\~t~ escription O Check if travel outside of Texas. Complete Schedule T. Complete ONLY if direct Candidate / Officeholder name Office sought Office held ATTACH AITIONAL COPIES THIS SCHEULE AS NEEE Forms provided by Texas Ethics Commission Revised 9/8/2015

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