CANIATE/ CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer I (Ethics Commission Filers) 2 Total pages filed : 3 CANIATE/ M~MRS / MR FIRST Ml OFFICE uc:i:: ntj1 v NAME. &1ts ta.. fl ~. ate Rece ive<c L t' /"\~ V NICKNAME SUFFIX 1':0MMUNITY COLLI :GE C, c.,~rll e_ L7?e u..sc. ~tle~vt 4 CANIATE / ARESS / PO BOX; APT / SUITE #; CITY; STATE ; ZIP COE MAILING tc,o ARESS Change of Address 5a1el'te_ FPTx. 777/). MAY 1 6 2017 RECEIVE 5 CANIATE/ AREA COE PHONE NUMBER EXTENSION.,.,nct...lT'~ nff CE ~ivr~!i! " PHONE (915"") ~ d7 :;;._41 o'j 6 CAMPAIGN MS / MRS / MR FIRST Ml Rece ipt # NAME.......... ate Processed ~ '?t _L NICKNAME LAST SUFFIX I oorh Wltt.Vfl.. ate Imaged 7 CAMPAIGN STREET ARESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE ; ZIP COE ARESS C{~, tl..q (Residence or Business) l "J_? I Co.._ {;, e "' ~ 8_ (,) Cl/;] lj {"' 7991?.. 8 CAMPAIGN AREA COE PHONE NUMBER EXTENSION PHONE. (?15 ) 'f? b &, go 3 9 REPORT TYPE January 15 30th day before election Ju1y1s 8th day before election Runoff 15th day after campaign treasurer appointment (Officeholder Only) Exceeded 500 limit ~ inal Report (Attach C/OH FR) or / ;:)_g/ ~()[~ THROUGH 65' /[)(p / 10 PERIO Month ay Year Month ay Year COVERE 11 ELECTION ELECTION ATE ELECTION TYPE Month ay Year Primary j / {p / 17 ~General Runoff Other escription Special 12 OFFICE OFFICE HEL (if any) 13 OFFICE SOUGHT (if known) GO TO PAGE 2 d01? t / P:t > l) {} c, VW. f1l lj.a,1,' f' / CCJ il~v Boa..rJ ef ( n1..s( ~s?..s ;srr,ct L Forms provided by Texas Ethics Commission www.ethtcs.state.tx.us Revised 9/8/2015
CANIATE/ CAMPAIGN FINANCE REPORT COVER SHEET PG 2 14 C/OH NAME Ii) _ 15 Filer I (Ethics Commission Filers) L Ot\S 1 16 NOTICE FROM POLITICAL COMMITTEE(S) THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTE OR POLITICAL EXPENITURES MAE BY POLITICAL COMMITTEES TO SUPPORT THE CANIATE/, THESE EXPENfTURES MAY HAVE BEEN MAE WITHOUT THE CANIATE'S OR S KNOWLEGE OR CONSENT, CANIATES AN S ARE REQUIRE TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENITURES. COMMITTEE TYPE OGENERAL COMMITTEE NAME I OsPECIFIC COMMITTEE ARESS / COMMITT CAM PAIGN NAME Additional Pages _/ / COMMITTEE CAMPAIGN ARESS 17 CONTRIBUTION TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS OF 50 OR LESS (OTHER THAN PLEGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZE 2. TOTAL POLITICAL CONTRIBUTIONS {OTHER THAN PLEGES, LOANS, OR GUARANTEES OF LOANS) ~1 ~ t ~ EXPENITURE TOTALS 3. TOTAL POLITICAL EXPENITURES OF 100 OR LESS, UNLESS ITEMIZE...... CONTRIBUTION BALANCE 4. TOTAL POLITICAL EXPENITURES 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINE AS OF THE LAST AY OF REPORTING PERIO f/cf! OUTSTANING LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANING LOANS AS OF THE LAST AY OF THE REPORTING PERIO ;; &(pt) I t;'";) 18 AFFIAVIT I swear, or affirm, under penalty of perjury, that the accompanying report is PAMELA L PAYNE Notary I #10447812 My Commission Expires Jan 21, 2021 AFFIX NOTARY STAMP / SEALABOVE Sworn to and subscribed before me, by the said ~{1~~n~sbi~~~(!,.,~~i e..u, day of Mt>.\/, 20 \ J, to certify which, w itness my hand and seal of office. p~j.p~ S_C._h_l._u f1_~, this the _/_l,_~ S ignature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
SUBTOTALS C/OH COVER SHEET PG 3 {12 e.j c ~Q ~ 19 F~NAME 20 Filer I (Ethics Commission Filers) l1 <. {'ct V1 (1 E ~~ Y\ ' 21 SCHEULE SUBTOTALS SUBTOTAL NAME OF SCHEULE ~ ~t AMOUNT Y/~B 1. SCHEULEA1: MONETARY POLITICAL CONTRIBUTIONS 2. SCHEULE A2: NONMONETARY (INKIN) POLITICAL CONTRIBUTIONS 3. SCHEULE B : PLEGE CONTRIBUTIONS ~ 4. SCHEULE E : LOANS 5. SCHEULE F1 : POLITICAL EXPENITURES MAE FROM POLITICAL CONTRIBUTIONS 6. SCHEULE F2: UNPAI INCURRE OBLIGATIONS 7. SCHEULE F3: PURCHASE OF INVESTMENTS MAE FROM POLITICAL CONTRIBUTIONS 8. SCHEULE F4: EXPENITURES MAE BY CREIT CAR 9. SCHEULE G : POLITICAL EXPENITURES MAE FROM PERSONAL FUNS 10. SCHEULE H : PAYMENT MAE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH 11. 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 www.ethics.state.tx.us Revised 9/8/2015
.. CANIATE / REPORT OF UNEXPENE CONTRIBUTIONS UC COVER SHEET PG 1 The C/OHUC Instruction Guide explains how to complete this form. 1 Filer I (Ethics Commission Filers) 2 CANIATE/ NAME 3 CANIATE/ ARESS change of address MS/MRS/MR FIRST Ml... ~ ()_It S ('!'. rt _0 _ ~ C NICKNAME LAST SUFFI Reu sc_ k ( ~; 1' \ ARESS / PO BOX; APT / SUITE #; CITY; STATE; ZIPC E ktj <t te_q_~ tt ct r~ MAY 1 6 2017 E 4 REPORT TYPE Annual ~inal isposition ate Processed 5 PERIO COVERE 6 TOTALS Month ay Year 9' /2c1/ ; THROUGH r/ (p / 11 Month ay Year 1. TOTAL AMOUNT OF UNEXPENE POLITICAL CONTRIBUTIONS AS OF ECEMBER 31 OF THE PREVIOUS YEAR. ate Imaged 2. TOTAL AMOUNT OF INTEREST AN OTHER INCOME EARNE ON UNEXPENE POLITICAL CONTRIBUTIONS URING THE PREVIOUS YEAR. 7 AFFIAVIT PAMELA L PAYNE Notary I #1044781 2 My Commission Expires Jan 21, 2021 I swear, or affirm, under penalty of perjury, that the accompanying report is true and correct and includes all information required to be reported by me under Title 15, Election Code. AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said ll, ~ ~ n_s_ lo. nc.. L ~~~~U~S~C~h~/e~~''I)~, this the day of _M~~'/' 20 '1_7_,, to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11 /3/201 5
'. C/OH REPORT OF UNEXPENE CONTRIBUTIONS EXPENITURES 8 C/OH NAME Ill LV tt,;;. ~f t<...i1. ~ O 10 ate 11 Payee name UC PG2 9 Filer I (Ethics Commission Fliers) 13 () 12 Payee address; City; State; Zip Code 14 npurpose of expenditure (See instructions regarding type of information7equ ed.) Check if travel outside of Texas. Complete Schedule T. 15 Is ex penditure a contribution ate Payee name () Payee address; City; State; pcode Purpose of expenditure (See instructions regarding tyfyz information required.) Check 1f travel outside of Texas. Complete Sc edule T. ate Payee name () Payee address; City; State; Zip Code Purpose of expenditure (See instructiot regarding type of information required.) Check if travel outside of Te/4s. Complete Schedule T. ate Payeet e () Payr a~;ess; City; State; ZipCode Purpose of expenditure (See instructions regarding type of information required.) Check if travel outside of Texas. Complete Schedule T. ATTACH AITIONAL COPIES OF THIS FORM AS NEEE Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11 /3/2015