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1 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/ MRS MR FIRST MI FICEHOLDER NAME M trr iii- y nes FICE Received USE ONLY NICKNAME LAST SUFFIX 4 CANDIDATE/ ADDRESS / PO BOX; APT/ SUITE 8; CITY; STATE; ZIP CODE FICEHOLDER MAILING ADDRESS Change of Address C GO v, 1-3 Gi, a., ' Hi 1 C Filed / q 1 f!, ip/ r/` 1 S PNl 5- Fr', yarebecca Huerta City Secretary 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION FICEHOLDER ( 3o` j( pr C PHONE l ) ( CJ 7 6 CAMPAIGN MS/ MRS 0 FIRST MI TREASURER Jr NAME Oeirb. Q( 7 CAMPAIGN Hand- delivered or Postmarked Receipt # 4- Processed NICKNAME LAST SUFFIX VW) 1.. L) STREET ADDRESS ( NO PO BOX PLEASE); APT/ SUITE#; CITY; STATE; ZIP CODE 3 TREASURER ADDRESS O 11 Residence or Business) Imaged Amount$ 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 1 acro- 13$ 9 REPORT TYPE n January 15 n 30th day before election Runoff 15th day after campaign treasurer appointment Officeholder Only) n July 15 8th day before I I election Exceeded$ 500 limit n Final Report( Attach C/OH- FR) 10 PERIOD Month Day Year Month Day Year COVERED to /' z' /, THROUGH 1 z- / [ V / IZ 11 ELECTION ELECTION DATE ELECTION TYPE Month Day Year Primary IVrel8rnoff Other I. t General Special 1 / \ Description 12 FICE FICE HELD ( if any) 13 FICE SOUGHT ( if known) Iio''t Ca`( COurc ' 1 as-t,,-, ic. A-. 3 GO TO PAGE 2 SCANNED
2 STATE CANDIDATE / FICEHOLDER FORM C/ OH CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/ OH NAME 15 Filer ID ( Ethics Commission Filers) r... r 11 p wpte 3 ( Z 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 El SPECIFIC COMMITTEE ADDRESS COMMITTEE CAMPAIGN TREASURER NAME n Additional Pages COMMITTEE CAMPAIGN TREASURER ADDRESS 17 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS $ 50 OR LESS ( OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES LOANS), UNLESS ITEMIZED $ 2. TOTAL POLITICAL CONTRIBUTIONS10 OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS) y 9 I Z. TOTALS NTRIBUTION CBAOLANCE 3. TOTAL POLITICAL S $ 100 OR LESS, UNLESS ITEMIZED 4. TOTAL POLITICAL S 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS THE LAST DAY $ ` REPORTING PERIOD 1 q, rzo. COO 9"J 10 OUTSTANDING 6. TOTAL PRINCIPAL AMOUNT ALL OUTSTANDING LOANS AS THE LOAN TOTALS LAST DAY THE REPORTING PERIOD SIL 500. DO 18 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the accompanying report is A. A " A A Itrue and correct and includes all information required to be reported by.. A ALYSHA SARA BERLANGA under Title 15, Election Code ID# %,..:,,... i7.4.),;) Notary Public 4 r4 ` TEXAS > rt. F My Comm. Exp > v v w v v v v v v v v S' ature of Candidate or Officeholder AFFIX NOTARY STAMP/ SEALABOVE Swor 61 and subscribed before me, by the said rrv' ` this the ) 10" rv day bor, 20 is țo certify which, witness my hand and seal of office. 44 g ature of officer administering oath Printed na of officer oath administering Itle of officer adminis ering oath
3 SUBTOTALS - C/ OH FORM C/ OH COVER SHEET PG 3 19 FILER NAME 20 Filer ID( Ethics Commission Filers) 21 SCHEDULE SUBTOTALS SUBTOTAL NAME CHEDULE AMOUNT 1 SCHEDULE A1: MONETARY POLITICAL CONTRIBUTIONS OOC 2. SCHEDULE A2: NON- MONETARY( IN- KIND) POLITICAL CONTRIBUTIONS 3. SCHEDULE B: PLEDGED CONTRIBUTIONS 4. V SCHEDULE E: LOANS ".4-5. j SCHEDULE F1: POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS ( co 6. SCHEDULE F2: UNPAID INCURRED OBLIGATIONS 7 I I SCHEDULE F3: PURCHASE INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS 8. SCHEDULE F4: S MADE BY CREDIT CARD 9. I I SCHEDULE G: POLITICAL S MADE FROM PERSONAL FUNDS 10. SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS C/ OH $ 11. I I SCHEDULE I: NON- POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS 12 SCHEDULE K: n INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS I I RETURNED TO FILER Forms provided by Texas Ethics Commission www. ethics. state. tx. us Revised 9/ 8/ 2015
4 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al 1 Total pages Schedule Al: 2 FILER NAME 3 Filer ID ( Ethics Commission Filers) Ey-t L - 5-0ye5 Cures 4 5 Full name of contributor i 1 0 out- of- state PAC( ID#: 7 Amount of contribution ($) AP ( it. : o. n 3 6 Contributor address; b aq I CO; Chr` s3i p") coal So. fl.* o5t, t glt: y, I 7X - 7$ y1n 8 Principal occupation/ Job title ( See Instructions) g Employer ( See Instructions) Full name of contributor 0 out- of- state PAC( ID#: Amount of contribution ($) f o l aca la Contributor m4 (, E' n4enr; se5 address; / Pa Fc/ 1- Principal occupation/ Job title( See Instructions) Employer ( See Instructions) 14(0q 3 (:)... c, Full name of contributor out- of- state PAC( ID#: Amount of contribution ($) to I. Contributor address; 3a , L1 i3 41 a 50. O0 41a:" CA 10" Covro 4- Chv; 4.; 7 Full name of contributor 0 out- of- state PAC( 105: Amount of contribution ($) Jun 5 - LLleneocer I o ` Contributor address; S Q CAI Chen- SZZZ Carle 14vrbof 7 - If contributor is out- of- state PAC, please see instruction guide for additional reporting requirements.
5 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al 1 Total pages Schedule Al: 3 2 FILER NAME 3 Filer ID ( Ethics Commission Filers) Ert t 30rV-t3 G041, 4 5 Full name of contributor0 out- of- state PAC( ID#: 7 Amount of contribution ($) O f; f I\ Eric- d- U,' rg, r1r' e"- i, 1, 6 Contributor address; 25D, Ob S33-I -7t4,,he% ie tr 074/ irv3chri 541-, (- 7" i5 8 Principal occupation/ Job title( See Instructions) 9 Employer ( See Instructions) Full name of contributor 0 out- of- state PAC( ID#: Amount of contribution ($) IA) o\ 4' rr 1A5h t. fq C oae_ Contributor address; I1I7'_`/IR 1 5(,,, Hew,` `' ( C0 rv5 C) i C.. tr' r -,,, Principal occupation/ Job title( See Instructions) Employer( See Instructions) 4 COO- b Full name of contributor 0 out- of- state PAC( ID#: Amount of contribution ($) 41 AG fir,-e- errf, s es L\' \ q\ b Contributor address;.( TCS A.- 1-, 90(44 C)I? A) Cy v,.54,', r 41' 2o _ XD Full name of contributor 0 out- of- state PAC( ID#: Amount of contribution ($) C: S? C. n4e% Fs, Lc(- P51 C lair. p, Feil ytt S( X, 1. 11, 111% Contributor address; ezzq LeoTcA s-r- cc z(-1 Oct 4 1, 1OOO 060, - If contributor is out- of- state PAC, please see instruction guide for additional reporting requirements.
6 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE Al 1 Total pages Schedule Al 2 FILER NAME 3 Filer ID ( Ethics Commission Filers) K c( cgtte 3 CC Full name of contributor out- of- state PAC( IN: 7 Amount of contribution ($) gu 7Z r l(, kre5 5. r 16 ( Zu (` i 6 Contributor address; T 1 7o('-( `( e5t' t-o per CC ---r--, 4.T$ IR 8 Principal occupation/ Job title( See Instructions) g Employer ( See Instructions) Full name of I t contributor12,0041. ret out- of- state PAC( ID#: 0124 f 11 Contributor address; cc -r-/ ( s. earn e& S4. 77vll Amount of contribution ($) cc., 4 /, Principal occupation/ Job title( See Instructions) Employer ( See Instructions) Full name of contributor 0 out- of- state PAC( ID#: Amount of contribution ($) Contributor address; Full name of contributor out- of- state PAC( ID#: Amount of contribution ($) Contributor address; If contributor is out- of- state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission state. tx. us Revised 9/ 8/ 2015
7 POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 CATEGORIES FOR BOX 8( a) Advertising Expense Event Expense Loan Repayment/ Reimbursement Solicitation/ Fundraising Expense Accounting/ Banking Fees Office Overhead/ Rental Expense Transportation Equipment& Related Expense Consulting Expense Food/ Beverage Expense Polling Expense Travel In District Contributions/ Donations Made By Gift/ Awards/ Memorials Expense Printing Expense Travel Out Of District Candidate/ Officeholder/ Political Committee Legal Services Salaries/ Wages/ Contract Labor Other( enter a category not listed above) Credit Card Payment 1 Total pages Schedule F1: 2 FILER NAMEC. L, t l. m ' e Z( Ct 1 a SCI<\- y e.- 1.,- y tyv, J 0.--OL 6 Amount ($) 7 Payee address; 3 Filer ID ( Ethics Commission Filers) A \ 4\. - l10 ka5 sp \ o, Cocpu. ' untcb( - 1- q_ -1' 6 Lk- \ \ I 8 a) Category ( See Categories listed at the top of this schedule) ( b) Description Check if travel outside of Texas. Complete Schedule T. 1 I Check if Austin, TX, officeholder living expense rli)e{- 1-i5( fts 9 expenditure to benefit C/ OH V - 1( % I (% St, ht\\..) ' S- lo(xvlpa.t0o,-. 1bLk to b So t,. Uti. t c\- PA) e, r ct p Thr c 1, t T Category ( See Categories listed at the top of this schedule) Description IT Check if travel outside of Texas. Complete Schedule T. FOC) Z Check if Austin, TX, officeholder living expense t'.. 101: 6 11$ N\ i ẠX- sc3,. ẹ1. 10h* e *._ - P,' e. b\c' () WA ()l.bl k \\' b"bo 1 Gv et Vot.( V 4 WA ) lb{ UnS i0-' t TX 1(} L4\ ( p Category ( See Categories listed at the top of this schedule) Description Check if travel outside of Texas. Complete Schedule T. Foos 0 Check if Austin, TX, officeholder living expense Forms provided by Texas Ethics Commission www. ethics. state. tx. us Revised 9/ 8/ 2015
8 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 Gitt/ 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 1 Total pages piles Schedule F1: 2 FILER NAME 3 Filer ID ( Ethics Commission Filers) 4 5 C Q. awies I\ I a-% >J1 7-bT v 6 Amount ($) 7 Payee address; 60D b Q..'" lo- 641 Cat Pub kt. ta\( 8 a) Category ( See Categories listed at the of top this schedule) ( b) Description I II Check if travel outside of Texas. Complete Schedule T. I 1 Check if Austin, TX, officeholder living expense Uec++'i" t' n 9 expenditure to benefit C/ OH 11 I bz I t$ Q": 11- UAW tel\ d1h3 LD. Oa% 1 t4tre) ' b(&: Avtkikue., Lb( Qkl Q.,\ A' t l- " 1' 64wk Category ( See Categories listed at the of top this schedule) Description I I Check if travel outside of Texas. Complete Schedule T. I Check if Austin, TX, officeholder living expense 14uer-1-, 3015 t21ab tg 1) k \\ y Au.\-oRt&( 5 0,.5$ 1\ 1 5tw e, Vtlk- CbtQuk-- 1/4Mi' b\-, 71, 1$ Lk6 Category ( See Categories listed at the top of this schedule) Description Check if travel outside of Texas. Complete Schedule T. n I jj t),." t sin 5 I Check if Austin, TX, officeholder living expense expenditure to benefit C/ OH
9 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 1 Total pages Schedule Fl: 2 FILER NAME 3 Filer ID ( Ethics Commission Filers) Fro- a, A., 4 5 ItIIIII 6rroc D uk- 6 Amount ($) 7 Payee address; Cel aft Ṣ Ch""" g a) Category ( See Categories listed at the top of this schedule) ( b) Description 11 Check if travel outside of Texas. Complete Schedule T. I I Check if Austin, TX, officeholder living expense j JQy/'- 1- S S 9 as. ` la- alu Maf3elti t, CmcPu C1i\ f e\- L T '115 Category ( See Categories listed at the top of this schedule) Description 1Check if travel outside of Texas. Complete Schedule T. e/ ct6 I I Check if Austin, TX, officeholder living expense ICA / v tf S18h3 c1, A. ct- RV( n Q.: 12, 0, Se -1 Q-- t), ANC b\- t TX 1% Lk 1 Category ( See Categories listed at the top of this schedule) Description I Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense expenditure to benefit C/ OH
10 POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE Fl CATEGORIES FOR BOX 8( a) Advertising Expense Event Expense Loan RepaymenVReimbursement Solicitation/ Fundraising Expense Accounting/ Banking Fees Office Overhead/ Rental Expense Transportation Equipment& Related Expense Consulting Expense Food/ Beverage Expense Polling Expense Travel In District Contributions/ Donations Made By Gift/ Awards/ Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/ Political Committee Legal Services Salaries/ Wages/ Contract Labor Other( enter a category not listed above) Credit Card Payment 1 Total pages Schedule F1: 2 FILER NAME 3 Filer ID ( Ethics Commission Filers) a- I q I a 13 Zt 3r5-?_, Amount ($) 7 Payee address; 4 4 I. a, to lolo S 5sc \ s, Q- b c L & c «3r- t P' TX `l 6 4 \ 3 8 a) Category ( See Categories listed at the top of this schedule) ( b) Description FI Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Fe: C.) k. 9 Category ( See Categories listed at the top of this schedule) Description I I Check if travel outside of Texas. Complete Schedule T. I I Check if Austin, TX, officeholder living expense Category ( See Categories listed at the top of this schedule) Description n Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense expenditure to benefit C/ OH Forms provided by Texas Ethics Commission state. tx. us Revised 9/ 8/ 2015
11 LOANS SCHEDULE E 1 Total pages Schedule E: 2 FILER NAME 3 Filer ID ( Ethics Commission Filers) EV' cme5 ari.4.., 4 TOTAL UN ITEMIZED LOANS 5 of loan 7 Name of lender 0 out- of- state PAC( IN: 9 Loan Amount($)«' r i i 1? Y /Z. EUrps4l.....), e A s sob. 10 Interest rate -- 6 Is lender 8 Lender address; Q a financial 1010 Institution? a la) Chef, AI f Y Q io, I fiesteo (, 11Maturitydate IY C? N 17P.m ver L 12 Principal occupation / Job title ( See Instructions) 13 Employer ( See Instructions) 14 Description of Collateral 15 Check if personal funds were deposited into political accoynt ( See Instructions) none 16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed($) INFORMATION not applicable LrJ/ Er '' J arskt S a.i1 oc, 5, 01 A 5i s CA 18 Guarantor address; -, To G1, go 1yT1, cc. 4.? U- Ch' Sit; 1 20 Principal Occupation ( See Instructions) 21 Employer ( See Instructions) of loan Name of lender 0 out- of- state PAC( ID#: Loan Amount($) Is lender Lender address; a financial Institution? Interest rate Maturity date Y N Principal occupation / Job title ( See Instructions) Employer ( See Instructions) Description of Collateral Check if personal funds were deposited into political account ( See Instructions) none GUARANTOR Name of guarantor Amount Guaranteed($) INFORMATION 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.
1 Filer ID ( Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE/ MS/ MRS MR FIRST MI OFFICE USE ONLY OFFICEHOLDER 7 S.
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