FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 F ile r ID (Ethics Commission Filers) 2 Total pages filed: ... NICKNAME LAST SUFFIX Mo..
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1 CANDIDATE I OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. s ' CANDIDATE / MS I MRS I MR FIRST Ml OFFICEHOLDER 1 F ile r ID (Ethics Commission Filers) 2 Total pages filed: N)A --:/-- NAME.Mr.. A Date Received NICKNAME LAST SUFFIX Mo..,ti (\ OFFICE USE ONLY RECEIVED 4 CANDIDATE / ADDR ESS I PO BOX ; APT I SUITE #; CITY; STATE; ZIP CODE OFFICEHOLDER APR O r MAILING I!, 2018 ADDRESS D Change of Address J04\q A""" e c l i _; hf L n.., K'c. +'{ -r.t '114,o JBY~ "":t.~1.am, I 5 CANDIDATE/ AREA CODE PHONE NUMBER EXTENSION OFFICEHOLDER PHONE ( 51 l ) (pi~ - (.poq "1 ( Ce 11) 6 CAMPAIGN MS I MRS I MR FIRST Ml Receipt # TREASURER M5~ So..""' t.1."-f ha.. A I NAME Date Processed NICKNAME LAST SUFFIX Md,.r+i ~ Date Hand-del ivered or Date Postmarked Date Imaged 7 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE) ; APT I SUITE #; CITY; STATE; ZIP CODE TREASURER ADDRESS (R esidence or Business) J04,q AM bee h Gtkt- L"' k'"' +v T){ ""1 t '-1 5" D..J., - 8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE ( S'l2 ) to 'J..li, - tc q 34 {cell) I Amount 9 REPORT TYPE D Januar 15 ~ 30th da before election D Runoff D D Jul 15 D 8th da before electi on D Exceeded 500 limit D 15th da after campaign treasurer appointment (Ofticeholder Onl) Final Report (Attach C/OH FR) 10 PERIOD Month Da Year Month Da Year COVERED I / 21/,i 3 / J...& / J<g THROUGH 11 ELECTION ELECTI ON DATE ELECTION TYPE Month Da Year D Primar D Runoff D Other Description ~ 5 / 5 / '~ 12 OFFICE OFFICE HELD (if an) 13 OFFICE SOUGHT (if known) General D Special ()t>s1 ho..-. lr I< v.st-ee) KI.SJ) BolArJ of l<vs+.e..e_s GO TO PAGE 2 Forms provided b Texas Ethics Commission state. tx. us Revised 9/8/2015
2 CANDIDATE I OFFICEHOLDER CAMPAIGN FINANCE REPORT 14 C/OH NAME s: CD 16 NOTICE FROM POLITICAL COMMITTEE(S) FORM C/OH COVER SHEET PG 2 15 Filer ID (Ethics Comm ission Filers) fv,4- THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTED OR POLITICAL S MADE BY POLITICAL COMMITTEES TO SUPPORT THE CANDIDATE/ OFFICEHOLDER. THESE S MAY HAVE BEEN MADE WITHOUT THE CANDIDATE'S OR DFFICEHDLDER'S KNOWLEDGE OR CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS ONLY IF THEY RECEIVE NOTICE OF SUCH S. COMMITTEE TYPE COMMITTEE NAME 0GENERAL OsPEc1F1c COMMITTEE ADDRESS COMMITTEE CAMPA IGN TREASURER NAME D Additional Pages COMMITTEE CAMPAIGN TREASU RER ADDRESS 17 CONTRIBUTION TOTALS TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS OF 50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) 3. TOTAL POLITICAL S OF 100 OR LESS, UNLESS ITEMIZED 4. TOTAL POLITICAL S : ~ q1 49-3J.1:L CONTRIBUTION BALANCE OUTSTANDING LOAN TOTALS TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF REPORTING PERIOD TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOAN S AS OF THE LAST DAY OF THE REPORTING PER IOD 50l,. 4-0 " oo 18 AFFIDAVIT,,,,~ t11,1. ELLEN P. HEBERT '1;~~~ Notar Public, State of Texas ~}}.. ~.ii Comm. Expires :.~r,i'ot«-,~,~ Notar ID '""'' I swear, or affirm, under penalt of perjur, th at the accompaning report is true and correct and includes all information required to be reported b me under Title 15, Election Code. ~,.R~:Q:_ Signature of Candidate or Officeholder AFFIX NOTARY STAMP / SEA L AB OV E d subscribed before me. b the said ~5~t1'-~rlt----~M~~IJ.,_r_.b 1~ n~ this the --'5'""' =---- Signature of officer administering oath Forms provided b Texas Ethics Commission us Revised 9/8/2015
3 SUBTOTALS - C/OH FORM C /OH C OVER SHEET PG FILER NAME 20 Filer ID (Ethics Commission Filers) 21 SCHEDULE SUBTOTALS SUBTOTAL NAME OF SCHEDULE AMOUNT 1. ~ SCHEDULEA1 : MONETARY POLITICAL CONTRIBUTIONS 315, 0 v 2. D SCHEDULE A2: NON-MONETARY (IN-KIND) POLITICAL CONTRIBUTIONS 0 3. D SCHEDULE 8 : PLEDGED CONTRIBUTIONS D 4. ~ SCHEDULE E : LOANS "15~, Do 5. ~ SCHEDULE F1: POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS (p'j..3" 6() 6. D SCHEDULE F2: UNPAID INCURRED OBLIGATIONS 6 7. D SCHEDULE F3: PURCHASE OF INVESTMENTS MADE FROM POLITICAL CONTRIBUTIONS 0 8. D SCHEDULE F4: S MADE BY CREDIT CARD a 9. D SCHEDULE G : POLITICAL S MADE FROM PERSONAL FUNDS D SCHEDULE H: PAYMENT MADE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH D SCHEDULE I: NON-POLITICAL EX PENDITURES MADE FROM POLITICAL CONTRIBUTIONS D 12. D SCHEDULE K : INTEREST, CREDITS, GAINS, REFUNDS, AND CONTRIBUTIONS RETURNED TO FILER () Forms provided b Texas Ethics Commission us Revised 9/8/2015
4 MONETARY POLITICAL CONTRIBUTIONS SCHEDULE A1 1 Total pages Schedule A 1: The Instruction Guide explains how to complete this form. J 2 FILER NAME s 3 Filer ID (Ethics Commission Filers) Cot\- A., J.revJ fv\c.. r ti" N/A 4 Date 5 Full name of contributor D out of state PAC (I D#: ) 7 Amount of contribution () 3/ Mo..c k' P. ~he \\e'i I 'i 6 Contributor address; C it; State; Zip Code ::2 5 D ~1901 Tbuv,\\e G-1 tv\ De. > '(t,.+'i it 11~1 8 9 Date Full name of contributor O out-of-stale PAC (ID#: ) 3/4 }t8 Amount of contribution () A"J..rew g, Gov. \tj.... Contributor address; C it; State; Zip Code \ oo 541""1 rs, os56m st., Ho\4Sfvn, \)' =1=1-001 Date Full name of contributor O out-of-stale PAC (ID#: ) Amount of contribution () Contributor address; C it; State; Zip Code.. Date Full name of contributor O out-of-state PAC (ID#: ) Amount of contribution () Contributor address; Cit; State; Zip Code ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided b Texas Ethics Commission us Revised 9/8/2015
5 LOANS SCHEDULE E The Instruction Guide explains how to complete this form. 1 Total pages Schedule E: ;;L 2 FILER NAME 3 Filer ID (Ethics Commission Filers) Sc_o+t A njft.vj 't-\. u. r +, "' 4 TOTAL OF UNITEMIZED LOANS 0 N/A 5 Date of loan 7 Name of lender D out ol state PAC (ID#: ) 9 Loan Amount () 1 -/, / 19 ~(j.,v'i~ ~*~ ~ A. f"'\. "' r +," "' ' {5rov s-e). 5 6 Is lender 8 Lender address; C it ; State; Zip Code 10 Interest rate N/lt J«1YlC\ AM(,~r \ ijh 1 L "., ~" t..., ),~ ii'-1 ~l> 11 Maturit date ~ tj/ A Description of Collateral 15 Check if personal funds were deposited into political ~none ~ 16 G UARANTOR 17 Name of guarantor 19 Amount Guaranteed () 18 Guarantor address; Cit; State; Zip Code ~ not applicable 20 Principal Occupation (See Instructions) 21 Date of loan Name of lender D out ol state PAC (ID#: ) Loan Amount () d../1~1,~ S~" * A. M.c. r -h"'. (5~ l.f). ;)Sl> Is lender Lender address; Cit; State; Zip Code Interest rate "1/A Maturit date 2.o,q A""&ul,5'-'t Ln )<4f I I)(,-,-L.f 5""{).) tj/a Description of Collateral Check if personal funds were deposited into political Rnone ~ GUARANTOR Name of guarantor Amount Guaranteed () Guarantor address; Cit ; State; Zip Code ~ not applicable Principal Occupation (See Instructions) ATIACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If lender is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided b Texas Ethics Commission Revised 9/8/2015
6 LOANS SCHEDULE E The Instruction Guide explains how to complete this form. 1 Total pages Schedule E: :L 2 FI LER NAME 3 Filer ID (Ethics Commission Filers) Seo-ft AnJ/ew fvtt:<r h 'n 4 TOTAL OF UNITEMIZED LOANS N/,+.:2-J, h?j S c::,ott A. M..c.. r +-;"' ( se.1-f) s-oo 5 Date of loan 7 Name of lender D out-of-state PAC (ID#: ) 9 Loan Amount () 6, Is lender 8 Lender address; C it; State; Zip 2.DL\\~ A"" be r) i'_~ ~ f L. t). ) \(" ~ +, I Interest rate f')c 77Y!>D 11 Maturit date 1v/.14.,.; I It 14 Description of Collateral 15 Check if personal funds were deposited into political [8['none 16 GUARANTOR 17 Name of guarantor 19 Amount Guaranteed () D 18 Guarantor address; Cit; State; Zip Code ~ not applicable 20 Principal Occupation (See Instructions} 21 Date of loan Name of lender D out-ol-s tate PAC (ID#: ) Loan Amount () Is lender Lender address; Cit; State; Zip Code N Interest rate Maturit date Principal occupation I Job title (See Instructions} Description of Collateral O none Check if personal funds were deposited into political GUARANTOR Name of guarantor Amount Guaranteed () D Guarantor address; Cit; State; Zip Code O not applicable Principal Occupation (See Instructions} Emploer (See Instructions} ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED If lender is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided b Texas Ethics Commission Revised 9/8/2015
7 POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE F1 CATEGORIES FOR BOX B(a) Advertising Expense Event Expense Loan RepamenVReimbursernent 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 B GifVAwards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a categor not listed above) Credit Card Pament The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1 : 2 FILER NAME Filer ID (Ethics Commission Filers)..S-c...ot+ A-" 13 J,e LJ M. a,r./,'a tv/l't 4 Date :J. j J. /p /J 'l 5 Paee name N... +~ra-nth Me.~iC\.. Cort, (TI>\?(''."'+. C-otn ) 6 Amount () 7 P aee address; Cit; State; Zip Code ' I.3~ 3. \.) 14 r-s l) ~~ e.ch n11 f 5f) Hov.J T6 lll1 7,x (a} Categor (See Categories listed al the lop of this schedule) (b} D escription PURPOSE D Check if travel outside of Texas. Complete Schedule T. OF ArJ..verh 1,'r.1/ P(L1f\MII!) D Check if Austin. TX, officeholder living expense 'L. ',Cf< YI 5~ - 9 Complete ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH Date J/-;_ 3 /;~ Paee name CN Moor\Wc..lk..s Amount() P aee address; Cit; State; Z ip Code /DS~fJD J IY;) 2 R_ Otlr; "j J1 I ( r ct. ) t~+, TX IL/ 1 Categor (See Categories listed at the top of this schedule) Description PURPOSE D Check if travel outside of Texas. Complete Schedule T. OF fve(\+?."f.f-ense D Check if Austin, TX, officeholder living expense Complete ONLY if d irect Candidate I Officeholder name O ffice sought Office held expenditure to benefit C/OH Date Paee n ame A mount () Paee address; Cit; State; Z ip Code Categor (See Categories listed at the top of this schedule) escription PURPOSE D Check if travel outside of Texas. Complete Schedule T. OF D Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate I Officeholder name Office sought Office held expenditure to benefit C/OH ATIACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED Forms provided b Texas Ethics Commission state. tx.us Revised 9/8/2015
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