CANIATE I OFFICEHOLER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer I (Ethics Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form. 1 ~~ R :s~ea2-t~ 3 CANIATE/ MS/MRS/MR Ml OFFICEHOLER NAME......................... NICKNl\ME SUFFIX ate Received OFFICE USE ONLY r PASAENA ISO 4 CANIATE/ ARESS : PO BOX; ~; PT I SUITE #; ~ CITY: STATE; ZIP COE OFFICEHOLER APR - 3 2017 MAILING ARESS Change of Address 'ft!r7 J~/: ~~:;_s~ 175,P.5 5 CANIATE/ AREA COE PHONE NUMBER EXTENSION OFFICEHOLER PHONE ( 713 ) Uc; 4~7q 6 CAMPAIGN MS/MRS/MR FIRST Ml Receipt # TREASURER.K~~. NAME....................... ate Processed NICKNAME LAST SUFFIX <~. 7-~r L ACCOUNTABILITY & COMPLIANCE ate Hand-delivered or ate Postmarked ate Imaged 1 tj I / JiZ.e..:s--r-J>, 454[)~ r:; 175~~ 7 CAMPAIGN 14 STREET ARESS (NO PO BOX PLEASE); APT I SUITE #; CITY; STATE; ZIP COE TREASURER ARESS (Residence or Business) 8 CAMPAIGN AREA COE PHONE NUMBER EXTENSION TREASURER PHONE ( Zl/ ) f71- lt!j1/ I Amount 9 REPORT TYPE January 15 ~ h day before election Runoff o Ju1v1s 8th day before election Exceeded 500 limit 15th day after campaign treasurer appointment (Olliceholder Only) Final Report (Attach C/OH FR) 10 PERIO Month ay Year Month ay Year COVERE t?/ / 1Z / ;u>17 THROUGH tj f / tj? / z. t'j 17 11 ELECTION ELECTION ATE ELECTION TYPE 12 OFFICE - - Month ay Year Primary p~ / 6J?/ 2~ll ~ al Special ot:j any~f- /;"~ne~ Runoff Other escription 13 OFFICE SOUGHT (if known) ~~ e;4- ffe5rep frjs I ~:5tJf)"~ sj!j &~ I fas a/)~ ~h /J GO TO PAGE 2
CANIATE I OFFICEHOLER CAMPAIGN FINANCE REPORT 14 C/OH NAME FORM C/OH COVER SHEET PG 2 115 Filer I (Ethics Commission Filers) 16 NOTICE FROM POLITICAL COMMITTEE(S) THIS BOX IS FOR NOTICE OF POLmCAL CONTRIBUTIONS ACCEPTE OR POLITICAL EXPENITURES MAE BY POLITICAL COMMITTEES TO SUPPORT THE CANIATE/ OFFICEHOLER. THESE EXPENfTURES MAY HAVE BEEN MAE WITHOUT THE CANIATE'S OR OFRCEHOLER'S KNOWLEGE OR CONSENT. CANIATES AN OFFICEHOLERS ARE REQUIRE TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENtnJRES. COMMITTEE TYPE COMMITTEE NAME 0GENERAL OsPECIFIC COMMITTEE ARESS COMMITTEE CAMPAIGN TREASURER NAME 0 Additional Pages COMMITTEE CAMPAIGN TREASURER 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) EXPENITURE TOTALS 3. TOTAL POLITICAL EXPENITURES OF 100 OR LESS, UNLESS ITEMIZE 4. TOTAL POLITICAL EXPENITURES CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINE AS OF THE LAST AY OF REPORTING PERIO 2~,t;- O OUTSTANING LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANING LOANS AS OF THE LAST AY OF THE REPORTING PERIO 18 AFFIAVIT - - - - - - - - -..._.. -- 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.. ( Signature of Candidate or Officeholder AFFIX NOTARY STAMP I SEALABOVE Sworn to and subscribed before me, by the said.fi'--'(1'---"'e_""'-j""'---~ko_...r...j/;""---=e'-'-y1,,f--'s"'----' day of Bpflt' / 'f~frl_na, 20/'7 7.oJi.k l~a, to certify which, witness my hand and seal of office. this the _3=._,,_ J Signalre of officer administering oath Printed n!me of officer administering oath Title of officer adm'1stering oath
SUBTOTALS - C/OH FORM C/OH COVER. SHEET PG 3 19 FILER NAME 20 Filer I (Ethics Commission Filers) 21 SCHEULE SUBTOTALS SUBTOTAL NAME OF SCHEULE AMOUNT 1. ~ SCHEULE A 1: MONETARY POLITICAL CONTRIBUTIONS 2. SCHEULEA2: NON-MONETARY (IN-KIN) POLITICAL CONTRIBUTIONS 2.1,~ 0 3. SCHEULE B: PLEGE CONTRIBUTIONS 4. SCHEULE E: LOANS 5. 6. SCHEULE F1: POLITICAL EXPENITURES MAE FROM POLITICAL CONTRIBUTIONS SCHEULE F2: UNPAI INCURRE OBLIGATIONS 7. SCHEULE F3: PURCHASE OF INVESTMENTS MAE FROM POLITICAL CONTRIBUTIONS 8. 9. 10. 11. SCHEULE F4: EXPENITURES MAE BY CREIT CAR SCHEULE G : POLITICAL EXPENITURES MAE FROM PERSONAL FUNS SCHEULE H: PAYMENT MAE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH SCHEULE I: NON-POLITICAL EXPENITURES MAE FROM POLITICAL CONTRIBUTIONS 12. SCHEULE K: INTEREST, CREITS, GAINS, REFUNS, AN CONTRIBUTIONS RETURNE TO FILER
MONETARY POLITICAL CONTRIBUTIONS SCHEULE A1 2 FILER NAME ;-:::,;_r:2 The Instruction Guide explains how to complete this form. 3 Total pages Schedule A 1: Filer I (Ethics Commission Filers) 4 ate 5 Full name of contributor O out-of-slate PAC (I#: ~ 7 Amount of contribution ().. @1, f.<-.... &.~~~ ~-:e:. 6 Contributor address; City; State; Zip Code 1.~.. Ii~-"~ lt)t'-?7.f4. 8 9 ate Jl n~me of contributor..... 1 1.. -.. -. 0 out-of-state PAC (I#:. ~. IJ4~.?!".~- ~ - --- City; State; Zip Code I~u~ ~?fj- Amount of contribution () - -- /tf}tf)c> it 17 E 'I loyer (See Instructions) ate Full name of contributor Amount of contribution () I<'~--- -... Contributor address; \ ate Amount of contribution () Pri~al occupation I Job title (See Instructions) _L 5 u,,e~e-e - L, -J E~/ 87-nstructions) J75!J ATTACH AITIONAL COPIES OF THIS SCHEULE AS NEEE If contributor Is out-of-state PAC, please see instruction guide for additional reporting requirements.
NON-MONETARY (IN-KIN) POLITICAL CONTRIBUTIONS SCHEULE A2 The Instruction Guide explalns how to complete this form. 1 Total pages Schedule A2 : 3 Flier I (Ethics Commission Fliers) 4 TOTAL OF UNITEMIZE IN-KIN POLITICAL CONTRIBUTIONS 5 ate 6 Full name of contributor 0 o/?/: PAJ{ I # -~ -------'' 8 Amount of 9. 7;;:n~t'u ~-"..... ~I., -//..J Contribution 7 toradd~ 1 ; 'A~...... ~6fy tt~ n.~~. -~ 6t:Jd/, 10 Pri~cupation I Job title (FOR NON-JU~L) (See Instructions) 11 Employer (FOR NON-JUICIAL)(See Instructions) :... --'I/<~~~ - -.~~;;J ~/;L 12 Contributor's principal occupation (FOR JUICIAL) 13 Contributor's job title (FOR JUICIAL) (See Instructions) 7 "- {,/ F "-..,,.,,,,, ra -... T / ltz.f(fh~ if travel oulside of Texas. Complete Schedule T. 14 Contributor's employer/law firm (FOR JUICIAL) 15 Law firm of contributor's spouse (if any) (FOR JUICIAL) 16 If contributor is a child, law firm of parent(s) (if any) (FOR JUICIAL) ate Full name of contributor 0 oul of-stale PAC (I#: _,> Amount of Contribution Contributor address; City; State; Zip Code check if travel outside of Texas. Complete Schedule T. Principal occupation I Job tille (FOR NON-JUICIAL) (See Instructions) Employer (FOR NON-JUICIAL)(See Instructions) Contributor's principal occupation {FOR JUICIAL) Contributor's job title (FOR JUICIAL) (See Instructions) Contributor's employer/law firm (FOR JUICIAL) Law firm of contributor's spouse (if any) (FOR JUICIAL) If contributor is a child, law firm of parent(s) (if any) (FOR JUICIAL) ATTACH AITIONAL COPIES OF THIS SCHEULE AS NEEE If contributor is out of-state PAC, please see instruction guide for additional reporting requirements.
PLEGE CONTRIBUTIONS SCHEULE B The Instruction Guide explains how to complete this form. n_,, 1 Total pages Schedule 8 : 2 FILER NAME,_---. 3 Filer I (Ethics Commission Filers) 4 TOTAL OF UNITEMIZE PLEGES 5 ate Amount ot Pledge. 9 --- 10 111 Employer (See Instructions) ' 71.J', : '4. Check i~li outside ot Texas. Complete Schedule T. ate Full name of pledger 0 out-or-stale PAC {I#:, ) Amount ot Pledge Pledger address; City; State; Zip Code ate I Employer (See Instructions) Full name of pledger 0 out-of-stale PAC (I# :,l Amount of Pledge Check if travel outside of Texas. Complete Schedule T. Pledger address; City; State; Zip Code I Employer (See Instructions) ate Full name of pledger 0 out-of stato PAC (I#: ~l Amount of Pledge Check if travel outside of Texas. Complete Schedule T. Pledgor address; City; State; Zip Code! I Employer (See Instructions) Check ii travel outside of Texas. Complete Schedule T. ATTACH AITIONAL COPIES OF THIS SCHEULE AS NEEE If contributor Is out-of-state PAC, please see instruction guide tor additional reporting requirements.