CANDDATE / FCEHOLDER FORM C/OH CAMPAGN FNANCE REPORT COVER SHEET PG 1 The e/oh nstruction Guide explains how 10 complete this form. J~.'! r:.~l.. 1 Filer D (Ethics Commission Filers) 2 Total pages f~~: 3 CANDDATE 1 MS/MRS/e,J FRST M FCE USE ONLY FCEHOLDER NAME....................... Date Received f"...) NCKNAME LAST SUFFX =.;r. );>...." V e 11 q J CANDDATE 1 CTY; STATE; ZP CODE ::;~, ::lo 4 ADDRESS / PO BOX; APT / SUTE #; FCEHOLDER MALNG 2/1.(\ ~O,,,, H. fj,.. U1 ::c ADDRESS 1 ~J r_p'ij. u G.., O Change of Address (3..,..4 ~~ P,..tfidc.. /)(,SoS :N: 5 CANDDATE AREA CODE PHONE NUMBER EXTENSON FCEHOLDER ( 2/'1 ) 505~ g~7f PHONE 6 CAMPAGN MS/ MRS/MR FRST M Receipt # TREASURER. ~~~ e... NAME............. Date Processed NCKNAME LAST SUFFX ; dd \t.m OtJ N Z G) Date Handdelivered or ~ Postmarked Date maged 7 CAMPAGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUTE #; CTY; STATE; ZP CODE TREASURER ADDRESS \_to.) (Residence or Business) 134 L f:\ sh ~ roo\'. G~,.J f r4 'rlt.. '7")( 750~L 8 CAMPAGN AREA CODE PHONE NUMBER EXTENSON TREASURER PHONE '3~ ( (69) 07/ Cj Amount $ 9 REPORT TYPE ~~Oth day before election O January 15 Runoff O O July 15 O 8th day before election O Exceeded $500 limit O O 15tll day after campaign treasurer appointment (Officeholder Only) Final Report (Attach C/OH. FR) 10 PEROD Month Day Year Month Day Year COVERED /"L>/ ~ THROUGH c3/2.~/' 11 ELECTON ELECTON DATE ELECTON TYPE Month Day Year O Primary O Runoff O Other, t...;j t:"/ '7/ ~ General O Special 12 FCE FCE HELD (if any) 13 FCE SOUGHT (it known) GO TO PAGE 2 &? \ S 'V ~ Oi" r~ p\ ".,.:..L ij f\'t Lar~L Forms provided by Texas Ethics Commission www.ethlcs.state.tx.us Revised 9/8/2015
CANDDATE / FCEHOLDER CAMPAGN FNANCE REPORT FORM C/OH COVER SHEET PO 2 14 C/OH NAME 115 Filer D (Ethics Commission Filers) 16 NOTCE FROM POLTCAL COMMTTEE(S) THS BOX S FOR NOTCE POUTCAL CONTRBUTONS ACCEPTED OR POLTCAL S MADE BY POLTCAL COMMTTEES TO SUPPORT THE CANDDATE FCEHOLDER. THESE S MAY HAVE BEEN MADE WTHOUT THE CANDDATE'S OR FCEHOLDER'S KNOWLEDGE OR CONSENT. CANDDATES AND FCEHOLDERS ARE REQURED TO REPORT THS NFORMATON ONLY F THEY RECEVE NOTCE SUCH S. C~OM T EE TYPE COMMTTEE NAME.lENERAL.Ó» DSPECFC COMMTTEE ADDRESS ~. COMMTTEE CAMPAGN TREASURER NAME o Additional Pages COMMTTEE CAMPAGN TREASURER ADDRESS 17 CONTRBUTON 1. TOTAL POLTCAL CONTRBUTONS $50 OR LESS (OTHER THAN TOTALS PLEDGES, LOANS, OR GUARANTEES LOANS), UNLESS TEMZED.... TOTALS........... CONTRBUTON BALANCE.......... 2. TOTAL POLTCAL CONTRBUTONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS) 3. TOTAL POLTCAL S $100 OR LESS,.e: UNLESS TEMZED $ z,, '2.., $ 4't'(~ $ 4. TOTAL POLTCAL S $ ~ e C( tc'l ;)'5J,7 5. TOTAL POLTCAL CONTRBUTONS MANTANED AS THE LAST DAY $ Se. REPORTNG PEROD 3J OUTSTANDNG 6. TOTAL PRNCPAL AMOUNT ALL OUTSTANDNG LOANS AS THE LOAN TOTALS LAST DAY THE REPORTNG PEROD $~" 18 AFFDAVT.. ~ ~ PHYLLS BROWER t My Commission Expires December 11, 2018 ~... _ 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. )A;~~ v Signature of Candidate or Officeholder AFFX NOTARY STAMP SEAL ABOVE () Sworn to and su,bscribed before me, by the said "=PU lke 4 kl, day j'~~~ _ ;; :Ject; y Wh C;~:;:: my~:::;al of office Á.J1v, this the v.::. Signature of cfjicer administering oath Printed name of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/20'15
SUBTOTALS e/oh,~, ~ url[t. ~) 19 FLER NAME FORM C/OH COVER SHEET PG 3 " Filer D (Ethics Commission Filers) 21 SCHEDULE SUBTOTALS SUBTOTAL NAME SCHEDULE AMOUNT 1. O SCHEDULEA1: MONETARY POLTCAL CONTRBUTONS $ /.{(,(,... 2. O SCHEDULE A2: NONMONETARY (NKND) POLTCAL CONTRBUTONS $ 300 3. O SCHEDULE B: PLEDGED CONTRBUTONS $ «, 4. O SCHEDULE E: LOANS $.e: 5. O SCHEDULE F1: POLTCAL S MADE FROM POLTCAL CONTRBUTONS $j':lg 55'. s: S, ir 6. O SCHEDULE F2: UNPAD NCURRED OBLGATONS $ J2J' 7. O SCHEDULE F3: PURCHASE NVESTMENTS MADE FROM POLTCAL CONTRBUTONS $.ro 8. O SCHEDULE F4: S MADE BY CREDT CARD $.e: 9. O SCHEDULE G: POLTCAL S MADE FROM PERSONAL FUNDS $.e: 10. O SCHEDULE H: PAYMENT MADE FROM POLTCAL CONTRBUTONS TO A BUSNESS C/OH $ KJ 11. O SCHEDULE : NONPOLTCAL S MADE FROM POLTCAL CONTRBUTONS $ ~ 12. O SCHEDULE K: NTEREST, CREDTS, GANS, REFUNDS, AND CONTRBUTONS $ RETURNED TO FLER.es:
MONETARY POLTCAL CONTRBUTONS SCHEDULE A1 1 Total pages Schedule Al: 2 FLER NAME 3 Filer D (Ethics Commission Filers) 4 Date 5 Full name of contributor O outofstate PAC (D#:_._.... ~~) 7 Amount of contribution ($) "l/ sit' Ll}vd ''\ :r"",, J A"Jal~ "2 00 6 Contributor address; Cily; Slate; Zip Code 8 Principal occupation / Job title (See nstructions) 9 Employer (See nstructions) Date Full name of contributor O outorstate PAC (O#: ~._.. _~J Amount of contribution ($) 31 ~ ii Q.~.~ t ~e::~.":\ H'1H Contributor address; City; State; Zip Code i SOO Principal occupation / Job title (See nstructions) Employer (See nstructions) Dale Full name of contributor O outofstate PAC (10#:_... _._... _... _...... _J Amount of contribution ($) Contributor address; City; Slate; Zip Code Principal occupation / Job title (See nstructions) Employer (See nstructions) Date Full name of contributor O outotstate PAC (O#:_... _. J Amount of contribution ($) Contributor address; City; State; Zip Code Principal occupation / Job title (See nstructions) Employer (See nstructions) ATTACH ADDTONAL COPES THS SCHEDULE AS NEEDED f contributor is outofstate PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethlcs.state.tx.us Revised 9/8/2015
~ NONMONETARY (NKND) POLTCAL CONTRBUTONS 2 FLER NAME ~ o r: \(..{_ \~ a' \ 1 Total pages Scfledule A2: SCHEDULE 3 Filer D (Ethics Commission Filers) 4 TOTAL UNTEMZED NKND POLTCAL CONTRBUTONS $ 300 A2 5 Date 6 Full name of contributor D outatstate PAC (D#: j 8 Amount of 9 nkind contribution Contribution $ description ~~1" r:'~ ~ ~ : ~ r ~e_~. ~?f J\ &OM~j f,. i ufg.j 7 Contributor address; City; State; Zip Code 200 p/s,",,4 rj.... J e_,c e 0.r 5 o JJ $:1.. 'G.P y,/ D Check if travel outside of Te,,,,. 'Complete Schedule T. lo Principal occupation / Job title (FOR NONJUDCAL) (See nstructions) 11 Employer (FOR NONJUDCAL)(See nstructions) 12 Contributor's principal occupation (FOR JUDCAL) 13 Contributor's job title (FOR JUDCAL) (See nstructions) f\ja 14 Contributor's employer/law firm (FOR JUDCAL) 15 Law firm of contributor's spouse (if any) (FOR JUDCAL) \'~ 16 f contributor is a child, law firm of parentis) (if any) (FOR.JUDCAL) ~{\ Date Full name of contributor D outatstate PAC (10#: 1 Amount of nkind contribution Contribution $ dps;~p~o~~ N~ /VA. 3/17(/6 55.~.~* ~~C ~~$.~.. ~ loo 6. r Contributor address; City; State; Zip Code \JJ~l~ L:st 'X' DCheck if travel outside of Texas. Complete Schedule T. Principal occupation / Job title (FOR NONJUDCAL) (See nstructions) Employer (FOR NONJUDCAL)(See nstructions) Contributor's principal occupation (FOR JUDCAL) Contributor's job title (FOR JUDCAL) (See nstructions) kl~ Contributor's employer/law firm (FOR JUDCAL) N!\ N~ JA. f contributor is a child, law firm of parenus) (if any) (FOR JUDCAL) }JA Law firm of contributor's spouse (if any) (FOR JUDCAL) ATTACH ADDTONAL COPES THS SCHEDULE AS NEEDED t contributor is outofstate PAC, please see instruction guide tor additional reporting requirements.
POLTCAL S MADE FROM POLTCAL CONTRBUTONS SCHEDULE F1 ~. CATEGORES FOR BOX Sea) Advertising Expense Event Expense Loan RepayrnenVReimbursement SolicitationiFundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel n District Contríbutions/Donations Made By GífVAwards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SalarieslWages/Contract Labor Other (enter a category not listed above) Credt Card Payment 1 Total pages Schedule Fl: 2 FLER NAME 13 Filer D (Ethics Commission Filers) Lf 4 Date 5 2/ ~ 'll: COS+cO 6 Amount ($) Q'6 7 Payee address; City; State; Zip Code _, qq. ') A r \ ~}J :\.\0..,) 1"')( S {al Category (See Categories listed at the top of this schedule) (bl D Check if travel outside oftexas. Complete Schedule T.,)(f~ \.15 1 D Check if Austin, TX, officeholder living expense t V tj~r'? ~;)~ tjj 9 Complete ONLY if direct Candidate 1 Officeholder name Office sought Oflice held Date L/LO ll: K. r03l,r Amtunt ($) Payee address; City; State; Zip Code ']_s yl4 Category (See Categories listed at the top of this schedule) ~ UN~r(~\"H!J~ G(... 1~J~ fro, ~U r;~ 1)(' D Cheek T travel outside 01 Texas. Complete Schedule T. L x'~~ ~..,'''t,) D Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate 1 Officeholder name Office sought Office held Date '7/,(,({*, ~\J'~~O~). ~... r rodu e.e. Sa \),?'ql! ) " QJ ~ Category (See Categories listed at the top of this schodule) r D Cheek if travel outside of Texas. Complete Schedule T. \"\,J' (.{ D Check if Austin, TX, officeholder living expense!kol) j.~.rj')... ) tj f: )( f'"' Complete ONLY if direct Candidate 1 Officeholder name Office sought Office held ATACH ADDTONAL COPES THS SCHEDULE AS NEEDED
POLTCAL S MADE FROM POLTCAL CONTRBUTONS SCHEDULE F1 CATEGORES FOR BOX 8(a) Advertising Expense Accounting/Banking Consulting Expense Contributions/Donations Made By Candidate/Ofliceholder/Political Committee Credñ Card Payment 1 Total pages Schedule Fl: ti 6 Amount ($) Event Expense Fees Food/Beverage Expense Gift/Awards/Memorials Expense Legal Services Loan Repayment/Reimbursement Office Overhead/Rental Expense Polling Expense Printing Expense SalarieslWages/Contract Labor 2 FLER NAMt "AH ~or Gf\~l) V ~ \Lt. 5 [;. dj le (V'. ~1}.iS f)ba 7 Payee address; City; State; Zip Code Solicitation/Fundraisinq Expense Transportation Equipment & Related Expense Travel n District Travel Out Of District Other (enter a category not listed above) 13 Filer D (Ethics Commission Filers) 8 (al Category (See Categories listed at the top of this schedule) (bl O Cheek T travel outside oftexas. Complete Schedule T. O Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held Category (See Categories listed at the top of this schedule) O Check if travel outside of Texas. Complete Schedule T. D Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate Officeholder name Office sought Office held /'>< Category (See Categories listed at tho top of this schedule) O Cheek if travel outside of Texas. Complete Schedule T. O Check if Austin, TX, officeholder living expense Complete ONLY il direct expenditure to benefit G/OH Candidate Officeholder name Office sought Office held ATACH ADDTONAL COPES THS SCHEDULE AS NEEDED Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
POLTCAL S MADE FROM POLTCAL CONTRBUTONS SCHEDULE F1 CATEGORES FOR BOX Sea) Advertising Expense Event Expense Loan RepaymenVReimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Relaterl Expense Consulting Expense Food/Beverage Expense Polling Expense Travel n District Contributions/Donations Made By GifVAwards/Memorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SalarieslWagesiContract Labor Other (enter a category not listed above) Credt Card Payment 1 Total pa9t/ Schedule F1 : 2 FL~ NAME 13 Filer D (Ethics Commission Filers) uro\( \~ 4\\ c.,"pso (~p4ic\tj 4 5 D1 /~ / ~ LOVe uatjt S' i j\.) ~ 6 Amoúnt ($) 7 Payee address; City; Slate; Zip Code \ 62.)? GrqN~ pr~',d(_ X S (a) Category (See Categories listed at the top of this schedule) (b) O Cheek T travel outside oftexas. Complete Schedule T. t.x f e,.j5 e O Check if Austin, TX, officeholder living expense ~r ~~~~tj~ 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held '3"/!', Payee Amount ($) Payee address; c!ity; State; Zip Code name &rq~ {,.uo\c P ro"""o+lo...l5 l ~ S5 fsedcord 1X Category (See Categories listed at the top of this schedule) O Check if travel outside of Texas. Complete Schedule T. O Check if Austin, TX, officeholder living expense Y '\l~\tol~ S s: e.. f;..xtt.~ Complete ONLY if direct Candidate / Officeholder name Office sought Office held ~ell'//', Ú. W all \ 26'3 ~ 59 Gr4~~ p r ~ lr c. y>( Category (See Categories listed at the top of this schedule) E tt '\'r fv' tj,/ t O Check T travel outside oftexas. Complete Schedule T.,ra,., S'r Q~~OtJ O Check if Austin, TX, officeholder living expense 4"'~ ~ t.) 4+~) [Xf t..., s l. Complete ONLY if direct Candidate / Officeholder name Office sought Office held ATTACH ADDTONAL COPES THS SCHEDULE AS NEEDED
POLTCAL S MADE FROM POLTCAL CONTRBUTONS SCHEDULE F1 CATEGORES FOR BOX 8(a) Advertising Expense Event Expense Loan RepaymenVReimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Ollice Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel n District Conlributions/Donations Made By GifVAwardslMemorials Expense Printing Expense Travel Out Of District Candidate/Officeholder/Political Committee Legal Services SalariesNVages/Contract Labor Other (enter a category not listed above) Cred~ Card Payment 1 Total pages Schedule Fl : 2 FLER NAME 13 Filer D 4 4 0Je/ s ~ t 5 ('tf:tro 6 Amóunt ($) 7 Payee address; City; State; Zip Code c;.o\c f(;jjq L{~7.J3 ~O,..t WorR,/>(./ (Ethics Commission Filers) 8 (a) Category (See Categories listed at the top of this schedule) (b) O Cheek if travel outside oftexas. Complete Schedule T. 1\ v iflv\ t".t í,...q,..s rof"\oft4t O'" O Check if Austin, TX, officeholder living expense 4~~ "t",,+tc) f.,.j( ptjju 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held Date Category (See Categories listed at tho top of this schedule) O Cheek ~ travel outside of Texas. Complete Schedule T. O Check if Austin, rx, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held Date Category (See Categories listed at tho top of this schedule) O Check ~ travel outside of Texas. Complete Schedulo T. O Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held ATTACH ADDTONAL COPES THS SCHEDULE AS NEEDED