PHONEURER CIMP

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1 T M e Texas Ethcs Commsson Pt3ox Austn Texas L CANDDATE OFFCEHOLDER FORM COH CAMPAGN FNANCE REPORT COVER SHEET PG 1 The COH nstructon Gude explans how to complete ths form Ethcs 1 ACCOUNT 2 Total pages fled Commsson flers 3 CANDDATE MS MRS MR FRST M OFFCEHOLDER Mfg 1g01 et5 NCKNAME LAST SUFFX O 2sf eft 4 CANDDATE ADDRESS PO BOX APT SUTE CTY STATE ZP CODE BY OFFCEHOLDER MALNG c ADDRESS 0oy 35 f1 R f V 164 x Change of Address L 7LfL Date R OFFCE USE ONLY vdd om CHERYL PETERS COUNTY CLERK waercou Date Hand delvered or Date Postmarked 5 CANDDATE AREA CODE PHONE NUMBER EXTENSON OFFCEHOLDER PHONE glcl A 6 CAMPAGN MS MRS FRST M TREASURER NAME 0 P NCKNAME LAST SUFFX W K fjs Recept Date Processed Date maged Amount 7 CAMPAGN STREET ADDRESS NO PO BOX PLEASE APT SUTE CTY STATE ZP CODE TREASURER 7 ADDRESS ZOO Wll AM5 ST Resdence or busness 8 CAMPAGN AREA CODE PHONE NUMBER EXTENSON PHONEURER CMP REPORTTYPE Pa 4telE Vm TX January 15 30th El day before electon Fnal report AttachCOH FR Exceeded 500 lmt E1 EJ F1 July 15 8th day before electon Runoff 15th day after campagn treasurer appontment offceholder only 10 PEROD Month Day Year Month Day Year COVERED 10 ZA Aoo p THROUGH 11 ELECTON ELECTON DATE Month Day Year ELECTON TYPE Prmary F1 Runoff QGeneral Specal 12 OFFCE OFFCE HELD t any 13 OFFCE SOUGHT Rknown WLerz 14 NOTCE OF DRECT CAMPAGN EXPENDTURE BY OTHER NDVDUALS l94 AL b1st121c r AYO Drect campagn expendtures are campagn expendtures made by others wthout the canddate s pror consent or approval Canddates are requred to dsclose ths nformaton only f they receve notfcaton of the drect campagn expendture Name Address PO Box Apt Sute 1r Cty State Zp Code addtonal pages GO TO PAGE 2 Revsed

2 c Texas Ethcs Commsson PBox Austn Texas CANDDATE OFFCEHOLDER REPORT FORM COH SUPPORT TOTALS COVER SHEET PG 2 15COH NAME 16 ACCOUNT EthcsCommsslonFlem 4 17 NOTCE Ths box s for notce of poltcal expendtures by poltcal commttees to support the canddate offceholder These expendtures FROM may have been made wthout the canddate s or offceholder s knowledge or consent Canddates and offceholders are requred to report POLTCAL ths nformaton only f they receve notce of such expendtures COMMTTEE S COMMTTEE NAME COMMTTEE TYPE GENERAL COMMTTEE ADDRESS SPECFC addtonal pages COMMTTEE CAMPAGN TREASURER NAME COMMTTEE CAMPAGNT ASURER ADDRESS 16 CONTRBUTON 1 TOTAL POLTCAL CONTRBUTONS OF 50 OR LESS OTHER THAN TOTALS PLEDGES LOANS OR GUARANTEES OF LOANS UNLESS TEMZED 2 TOTAL POLTCAL CONTRBUTONS OTHER THAN PLEDGES LOANS OR GUARANTEES OF LOANS loo 010 EXPENDTURE 3 TOTAL POLTCAL EXPENDTURES OF 50 OR LESS UNLESS TEMZED TOTALS 4 TOTAL POLTCAL EXPENDTURES t 432 CONTRBUTON 5 TOTAL POLTCAL CONTRBUTONS MANTANED AS OF THE LAST DAY BALANCE OF REPORTNG PEROD 2 2 Q OUTSTANDNG 6 TOTAL PRNCPAL AMOUNT OF ALL OUTSTANDNG LOANS AS OF THE LOAN TOTALS LAST DAY OF THE REPORTNG PEROD p 19 AFFDAVT 1 swear or affrm under penalty of perjury that the accompanyng report s true and correct and ncludes all nformaton requred to be reported by SHELYHA R ALEXANDER of t me Q Notary Publc State of Texas under Ttle le on Code My Commsson Expres 17 6r FAugust Sgnature NOTARY STAMP SEAL ABOVE Sworn of Canddateor OffceholderAFFX to and subscrbed before me by the sadm 7ru5 L E2STr ths the T day of JA20 to certfy whch wtnessmy hand and seal of offce SHf r Sg of offcer admnstersg oath Prnted name offcer admnsterngoath Ttle of offcer admnsterngoath Revsed

3 Texas Ethcs Commsson P Box Austn Texas L POLTCAL CONTRBUTONS OTHER THAN PLEDGES OR LOANS SCHEDULE A The nstructon Gude explans how to complete ths form 1 Total pages Schedule A 2 FLER NAME 3 ACCOUNT Ethcs Commsson flers MoQus L O ve sc R 4 Date 5 Full name of contrbutor El out of statepac ofr 1 7 Amount of 6 n knd contrbuton contrbuton C1ARL crs 412 R t no U4CkWt descrpton f applcable 6 J4AL AC3rl J TX 7 07 f travel outsde of Texas complete Schedule T g P ncpal occupaton Job ttle See nstructons 10 Employer See nstructons Date Full name of contrbutor ou dstate PAC QDfk 1 Amount of n knd contrbuton t oo Prncpal occupaton Job ttle See nstructons Employer See nstructons 54L 015M C6 4 l WF ft4y f travel outsde of Texas complete Schedule Date Full name of contrbutor cul dstate PAC Da 1 Amount of n knd contrbuton contrbuton omob CCt 3oyC 27a4 u5rf Prncpal occupaton Job ttle See nstructons Employer See nstructons oo descrpton f applcable f travel outsde of Texas complete Schedule T Date Full name of contrbutor outaf state PAC D 1 Amount of n knd contrbuton Oa0o 4615 Svwr T Fw 10uCS600 R Prncpal occupaton Job ttle See nstructons Employer See nstructons as 7 f travel outsde of Texas complete Schedule Date Full name of contrbutor El out Amount of n knd contrbuton 4aoob W tla am ow 00 dvw Prncpal occupaton Job ttle See nstructons Employer See nstructons ojt f travel outsde of Texas complete Schedule ATTACH ADDTONAL COPES OF THS FORM AS NEEDED f contrbutor s out of state PAC please see nstructon gude foraddtonal reportng requrements Revses

4 Texas Ethcs Commsson F Box Austn Texas POLTCAL CONTRBUTONS OTHER THAN PLEDGES OR LOANS SCHEDULE A The nstructon Gude explans how to complete ths form 1 Total pages Schedule A 2 FLER NAME 3 ACCOUNT Ethcs Commsson flers n r pas L 0 vtos rzr 4 Date 5 Full name of contrbutor l C b acoly R L CA4j JlrDwzj co outof statepac Dt 6 Contrbut address Cty State Zp Code 1322 SW t ktcsrof j TX g rncpal occupaton Job ttle See nstructons 10 Employer See nstructons 7 Amount of 8 knd contrbuton o f travel outsde of Texas complete Schedule T Date Full name of contrbutor oun 0f state PAC Dx t Amount of knd contrbuton fl 1l Obao b P M DQ L fs 5 3 t C4 tou nl 140 l 5roa Tc ncpa pll oclcupaton Job ttle See nstructons Employer See nstructons rrq FN q two f travel outsde of Texas complete Schedule Date Full name of contrbutor outat statepac 0t Amount of n knd contrbuton sw QO 1314 Ts Ave 16 cofoo Y W Q a Ppncpal occupaton Job ttle See nstructons Employer See nstructons f travel outsde of Texas complete Schedule T Date Full name of contrbutor out dstate PAC M 1 Amount of n knd contrbuton contrbuton descrpton f applcable Prncpal occupaton Job ttle See nstructons Employer See nstructons f travel outsde of Texas complete Schedule Date Full name of contrbutor flout state PAC D 1 Amountof n knd contrbuton l f travel outsde of Texas complete Schedule Prncpal occupaton Job tde See nstructons Employer See nstructons ATTACH ADDTONAL COPES OF THS FORM AS NEEDED f contrbutor s out of state PAC please see nstructon gude foraddtonal reportng requrements Revsed

5 Texas Ethcs Commsson F sbox Austn Texas POLTCAL EXPENDTURES SCHEDULE F The nstructon Gude explans how to complete ths form 1 Total pages Schedule F 2 FLER NAME 3 ACCOUNT EthmCommsson flers K091 Ls vvegrnrxr 4 Date 5 Payee name 7 Amount 30 10a Pa e Vc A u wttr 46 5ve 6 Payee address Cty State Zp Code V 8 9 Complete f drect expendture to beneftcoh requred Canddate Offceholder name Offce sought Offce held 6 Aue Tc KrS f travel outsde of Texas complete Schedule T Data Payee name Amount nowo krpw b Homy R O Payee address Cty State Zp Code r 2 2q o b 4w y 24o Vv Ar LLegf x l l J requred 1 ZAL RW f travel outsdee of Texas complete Schedule T Complete f drect expendture to beneftcoh Canddate Offceholder name Offce sought Offce held Date Payee name Amount l kvek YeNPLeror Nb Payee address Cty State Zp Code 1224 at ST P57 RD TC 74 S cc Complete f drect expendture to beneft COH requred Canddate Offceholder name Offce sought Offce held CONsu Lrkr rf 66 f travel outsde of Texas complete Schedule T ll Ob Date Payee name Amount G 5 5Mlr C Payee address resm Cty State Zp Code 4oo 7 744G Complete f drect expendture to beneftcoh requred Canddate Offceholder name Offce sought Once held NSuuf 4nr f travel outsde of Texas complete Schedule T ATTACH ADDTONAL COPES OF THS FORM AS NEEDED Revsed

6 Texas Ethcs Commsson F Box Austn Texas POLTCAL EXPENDTURES SCHEDULE F The nstructon Gude explans how to complete ths form 1 Total pages Schedule F 2 FLER NAME 3 ACCOUNT EthcsCommssonflers S L va2 4 Date 5 Payee name 7 Amount o X006 6 payee 07 rlf6 address Cty State Zp Code coo 8 9 Complete f drect expendture to beneftcoh requred Canddate Offceholder name Offce sought Offce held H travel outsde of Texas complete Schedule T Data Payee name Amount ly l f Prf VJ rrat Payee address Cty State Zp Code HW fstsad T 2C OA Complete f drect expendture to beneft COH requred Canddate Offceholder name Offce sought Offce held Cf t1 f travel outsde of Texas complete Schedule T Date Payee name Amount Payee address Cty State Zp Code pp AAA V tpuro1 t oo Complete f drect expendture to beneftcoh requred Canddate Offceholder name Offce sought Offce held OV R151 ul f travel outsde of Texas complete Schedule T Date Payee name Amount Payee address Cty State Zp Code Complete f drect expendture to beneft COH requred Canddate Offceholder name offce sought Once held f travel outsde of Texas complete Schedule T ATTACH ADDTONAL COPES OF THS FORM AS NEEDED Revsed

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