OFFICEHOLDER. 1 ACCOUNT 2 Total pages filed NICKNAME LAST SUFFIX. Nn change of address Receipt a a0 7 5 CANDIDATE AREACODEJ PHONENUMBER EXTENSION
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1 Texas Ethics Commissio PO Austi Texas JUDCAL CANDDATE CAMPAGN FNANCE REPORT FCEHOLDER TDD 80Q FORM JC OH COVER SHEET PG The JC OH structio Guide explais how to complete this form EmicscommissioFiers ACCOUNT 2 Total pages filed 3 CANDDATE MS ters MR FRST Mi FCEHOLDER NAME DateReceived FCE USE ONLY NCKNAME LAST SUFFX rr C m 4 CANDDATE ADDRESS POBOX FCEHOLDER MALNG AODRESS APT SUTE CTV STAiE ZPCODE XCD r o 7 Tl i OateHatl deliveredorpo erkee N chage of address Receipt a a0 7 5 CANDDATE AREACODEJ PHONENUMBER EXTENSON FCEHOLDER Q g 9 a oateprocessea 6 CAMPAGN R T M Datelmaged MS MRS V vc NAME v 0 NCKNAME LAST SUFFX 7 CAMPAGN SO EEfADDRESS NO OXiPLEASE ADORESS t 3 9 residece or busiess fgv j er APT CiY 5TAlE 2PCODE a 8 CAMPAGN AREA CODE PHONE NUMBER EXTENSON PHONE h i 3 L 9 REPORT TYPE 5th da after cam ai treasurer jauary 5 E 30th day betore electio Ruoff Y P 9 appoilmet ofticeholder oty D July 5 El Bth day betore electio F Exceedetl 500 limit Flal report AHach COH FR 0 PEROD WMh oay rear Niorm oav year COVERED THROUGH ELECTON ELECT0NDA7E ELEC70NNPE MorNi Day Year 5 f Mr RLmoff Geerm spe ai 2 FCE O CE LD if2 ay d lcc QT 0 LCeY FCESOUGHT dkrm 4 VOTCE DRECT CAMPAGN EPENDTURES ARE GAMPAGN EPENDTURES MADE BV OTHERS WTHOUT THE CANDDATES PROR CONSENT OR APPROVAL D RECT CANODA7E5 ARE REQURED TO DSCLOSE 7HS NFORMA7ON ONLV F TNEY RECENE NOTFCATON 7HE DRECT CAMPAGN ESPENDTURE CAM PA G N EXPENDTURE Name BY OTHER NDVDUALS AtlOress POBoX Apt SUite Ciry Stae ZipCotle additioal pages GO TO PAGE 2 wwve ethics state tx us Revised
2 TexasEthicsCommissio POBv 2070 Austi Texas tz TDD 80Q JUDCAL CANDDATE FCEHOLDER REPORT FoR JC OH SUPPORT TOTALS COVER SHEET PG 2 5 COH NAME 6 ACCOUNT Ethics Commissio Filers 7 NOTCE 7HSB0 SGORNO7CE POL7CaLCANiReUilONSACGEPEDORPoLfiCALEXPENDTURESMADEBYPOLTCALCOMMTfEESTOSUPPORTTE FROM CANDDA7E FCEHOLDER TNESE EXPENORURES MAY HAVE BEEN MADE WTHOUT THE GANDDA7ES OR FCEMOLDER 3 KNOWLEDGE OR POLTCAL COMMTTEE S CONSENT ANODA7E5 AND FlC60LDQ2S ARE REOURED TO REPORT TS NFORMA70N ONLV F 7XEY FffCENE NOTCE SUCH EXPENDRVRE COMMTTEE TVPE COMMTTEE NAME Fj GENERAL COMMTTEEADDRESS F SPECFC COMMTTEE CAMPAGN NAME F additioal pages COMMTTEE CAMPAGN ADDRESS 8 CONTRBUTON TOTALS TOTAL POLTCAL CONTRBUTONS 50 OR LESS OTHER THAN PLEDGES LOANS OR GUARANTEES LOANS UNESS TEMZED 2 TOTAL POLTCAL CONTRBUTONS OTHER THAN PLEDGES LOANS OR GUARANTEES LOANS EXPENDTURE TOTALS 3 TOTAL POLTCAL EXPENDTURES 50 OR LESS UNESS TEMZED too 4 TOTAL POLTCAL EXPENDTURES CONTRBUTON BALANCE OUTSTANDNG LOAN TOTALS 5 TOTAL POLTCAL CONTRBUTONS MANTANED AS THE LAST DAY THE REPORTNG PEROD 6 TOTAL PRNCPAL AMOUNT ALL OUTSTANDNG LOANS AS THE LAST DAY THE REPORTNG PEROD a a5 65 v 9 AFFDAVT O LORAANPJ WASCEK Nota r Public Staie of Texas Commissio Expires swear or affirm uder pealty of perjury that the accompayig report is true ad correct ad igu es all iformatio required to be reported by me ud Ti 5 Electio Cod AFFX NOTARV STAMP SEAL ABOVE U Sigat e fcadidateorofficeholder Swom to ad subscribed before me by the said TU A Ck Fi this the T day of 20 to certify which witess my had ad seal of office L a4 GJVF 9r a osce Sigature ofofficera miisterigoath Pritameofoffceradmiisterigoath TiUeofofficeradyllterigoath www ethics state tx us Revised
3 Texas Ethics Commissio C POBci2070 Austi Texas TDD POLTCAL CONTRBUTONS OTHER THAN PLEDGES OR LOANS JUDCAL SCHEDULE AJ The structio Guide explais how to complete this form Total pages Schedule AJ 2 F ER ME 3 ACCOUNT Ethics Commissio Fiiers 4 Date 5 Full ame of cotributor Qoutof statepac D 9 At ibutorjs T l JV 6L 6 Cotributo ddress City State Zip Code qs V3 CALL V p ci pal patio AJ Gotributors emplo rja3w firt 3 f cotributor is a child law firt of paret s if ay 0 CotbutoYSjobGUe 2 Law firt of cotributors spouse if ay 7 Amoutof 8 Mcidcotributio cotributio descriptio ifapplicable f trevel outsidelof Texas complete Schetlule Date Fullameofcotbutor Qou of statepac Dk Amoutof cotributio kidcotributio descriptio ifapplicable Cotributoraddress City Sfate ZipCode Cotbutors pricipal occupatio CofibutoYs employer law firm f cotributor is a child law firm of paret s if ay CotributorsjobtiUe Law firm of cotributors spouse if ay f travel outside of Texas complete Schedule T Date Full ame of cotributor out of state ac ida CoVibutoradd2ss City Sfate ZipCode i Amoutof kidcotributio cotributio descriptio if applicable Cotributor s pricipal occupatio Cotributors job dtle f travel outside of Texas complete Schedule Cotributofs employer law firm Law firt of cotributors spouse rt ay f cotributor is a child aw Tirm of paret s if ay ATTqCH ADDTONAL COPES THS SCHEDULE AS NEEDED f cotributor is out of state PAC please see istructio guide for additioal reportig requiremets www ethics state tx us Revised
4 Texas Ethics Commissio PO B i2070 Austi Texas TDD POLTCAL EXPENDTUEtES SCHEDULE F EXPENDTURE CATEGORES FOR BOX 8a Advertisig Expese GifVAwards Memorials Expese Salaries Wages Cotract Labor Loa Repaymet Reimbursemet Accoutig Bakig Legal Services Solicitatio Fudraisig Expese Trasportatio Equipmet Related Expese Cosultig Expese FoodlBeverage Expese Travel District Cotributios Doatios Made By Evet Expese Pollig Expese Travel Out Of District CadidatelOfficeholder Political Committee Fees Pritig Expese Office Overhead Retal Expese Total pages Schedule R 4Date The structio Guide explais how to complete this form OTHER eter a category ot listed above 2 FLEF3 NAME 3 ACCOUNT Ethics Commissio Fllers ix0 Palee ame J cl S C 6 Amout 7 Payee address City State 2ip Code Olp C id PURPOSE EXPENDTURE 9 Complete ONLY if direct expediture to beefit GOH 9 vl Ca7try Cadidate See categories listetl at the lop of this schetlule b Descriptio Qfiraveloutsitleo 7exas completaschedulet OKce held Date Amout P ee ame U Payee address Ci State Zip Code O icd PURPOSE EXPENDTURE Cry Seecategoeslistetlatthetopofthisschedule J DesCriptio i travel outsitle of Texas complete ScheOUleT Complete ONLY if direct expediture to beefit COH Cadidate Da e yee ame uap GL S Q Amout Payee s City State Zip Code purppge ex NOrrvRe s Complete ONLY if direct ezpediture to beefit COH L 4 Cy ate g or y S a S tegoes listetl at tpp A V i 2 P t 7i Q m Cadidalte sch ule i SCfi Office sogh tlo f travel outside of Texas wmplete SUiedule Date aye r 4 Amout Payee address City State Zip Code PURPOSE Ca ry SVee categories istea at the top of this schetlwe EXPENDTURE Complete ONLY if direct Cadidate ezpediture to beefit COH www ethics state tx us Descriptio itreveloutsitleottexas complete5chetlulet ATTACH ADDTONAL COPES THS SCHEDULE AS NEEDED Revised
5 Texas Ethics Commissio P Austi Texas bt TDD SOa C CANDDATE FCEHOLDER REPORT DESGNATON FNAL REPORT FoRCOH FR The svuctio Guide explais how to complete this form Complete oly if Report Type o page is marked FialReport COH NAME 2 ACCOUNT Ethics Commissio Filers 3 SGNATURE do ot expect ay further political cotributios or political expeditures i coectio with my cadidacy uderstad that desigatig a report as a fial report termiates my campaig treasurer appoitmet or make ay campaig expeditures without a campaig treasurer appoitmet o file also uderstad that may ot accept ay campaig cotributios Sigature of Cadidate Otficeholder 4 FLER WHO S NOT AN FCEHOLDER Complete A B below oly if you are ot a officeholder A CAMPAGN FUNDS Check oly oe 0 do ot have uexpeded cotributios or uexpeded iterest or icome eamed from political cotributios have uexpeded cotributios or uexpeded iterest or icome eamed from political cotributios uderstad that may ot covert uexpeded political cofibutios or uexpeded iterest or icome eamed o political cotributios to persoal use also uderstad that must file a aual report of uexpeded cotributios ad that may ot retai uexpeded cotributios or uexpeded iterest or icome eared o political cotributios loger tha six years after filig this fial report Further uderstad that must dispose of uexpeded political cotributios ad uexpeded iterest or icome eared o political cotributios i accordace with the requiremets of Electio Code B ASSETS Check oly oe F do ot retai assets purchased with political cotributios or iterest or other icome from political cotributios do retai assets purchased with political cotdbutios or iterest or other icome from political cotributios uderstad that may ot covert assets purchased with political cotributios or iterest or other icome from political cotributios to persoal use also uderstad that must dispose of assets purchased with political cotributios i accordace with the requiremets of Electio Code Sigature of Cadidate 5 pffceholder Complete this sectio oly if you are a officeholder m awa subjectto filig requiremets applipble to a officeholderwho does ot have a paig heasurero file am also aware that will be required to fle reports of uexpeded cotributios if after flig the last r quire re port as a offceholder retai political cotributios iterest or other icome from political cotributios ass ts pure sed wi political iterest or other icome from political cotributios co s or Sig ure Offceholder www ethics state tx us v Revised
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