CANIATE I OFFICEHOLER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer I (Ethics Comm1ss1on Filers) 2 Total pages filed: 10 3 CANIATE/ MS I MRS I MR FIRST Ml OFFICEHOLER NAME awn NICKNAME LAST SUFFIX ate Received OFFICE USE ONLY RECEIVE Champagne 4 CANIATE/ ARESS I PO BOX, APT I SUITE #, CITY. STATE : ZIP COE APR 26 2018 OFFICEHOLER MAILING ARESS 21410 Sand Bunker Circle Katy TX 77450 Legal epartment Change of Add ress /.'o()~ 5 CANIATE/ AREA COE PHONE NUMBER EXTENSION OFFICEHOLER PHONE ( 832 ) 549-2059 ate Hand-delivered or ate Postmarked 6 CAMPAIGN MS I MRS I MR FIRST Ml Receipt # TREASURER NAME Sharon L ate Processed NICKNAME LAST SUFFIX Mitchell ate Imaged I Amount $ 7 CAMPAIGN STREET ARESS (NO PO BOX PLEASE), APT I SUITE #. CITY, STATE; ZIP COE TREASURER ARESS 19826 Partridge Run r. Houston TX 77094 (R esidence o r Bus iness ) 8 CAMPAIGN AREA COE PHONE NUMBER EXTENSION TREASURER PHONE ( 832 ) 620-1696 9 REPORT TYPE 3th day before election Runoff 15th day after January 15 campaign treasurer appointment (Officeholder Only} July 15 G 8th day before election Exceeded $500 hmfl Final Report (Attach C/OH FR) 10 PERIO Month ay Year Month ay Year COVERE 04 / 01 / 20 18 THROUGH 04 / 25 / 2018 11 ELECTION ELECTI ON ATE ELECTION TYPE Month ay Year 05 / 05/ 18 O Prtmary Runoff Other Q General Special escnpt1on 12 OFFICE OFFICE HEL (if any) 13 OFFICE SOUGHT (1! known) KIS Board of Trustees Position 7 GO TO PAGE 2 Forms provided by Texas Ethics Commission www. ethics.state.tx. us Re vised 9/8/2015
CANIATE I OFFICEHOLER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 2 14 C/OH NAME 15 Filer I (Ethics Commission Filers) avvn Champagre 16 NOTICE FROM POLITICAL COMMITTEE(S) THIS BOX IS FOR NOTICE OF POLITICAL CONTRIBUTIONS ACCEPTE OR POLITICAL S MAE BY POLITICAL COMMITTEES TO SUPPORT THE CANIATE/ OFFICEHOLER. THESE EXPENrTURES MAY HAVE BEEN MAE WITHOUT THE CANIATE'S R OFFICEHOLER'S KNOWLEGE R CONSENT. CANIATES AN OFFICEHOLERS ARE REQUIRE TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTICE OF SUCH S. COMMITTEE TYPE COMMITTEE NAME ~ GENERAL Friends of spec1f1c COMMITTEE ARESS 1410 Sand Bunker Circle Katy, TX 77450 COMMITTEE CAMPAIGN TREASURER NAME O Additional Pages Sharon Mitchell COMMITTEE CAMPAIGN TREASURER ARESS 21410 Sand Bunker Circle Katy, TX 77450 17 CONTRIBUTION TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN PLEGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZE $ 131.00 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEGE S, LOANS, OR GUARANTEES OF LOANS) $ 746.00 TOTALS 3. TOTAL POLITICAL S OF $100 OR LESS, UNLESS ITEMIZE $ itemized 4. TOTAL POLITICAL S $ 947.90 CONTRIBUTION BALANCE 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINE AS OF THE LAST AY OF REPORTING PERIO $ 184.37 OUTSTANING LOAN TOTALS 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANING LOANS AS OF THE LAST AY OF THE REPORTING PERIO $ 1000 18 AFFIAVIT,,,,,~,,,,,, NANCY L MCMILLAN.:-~~t-!'.. ~u~.,~. ~ f(~ r~i Notary Public, State of Texas ~~';.:_~.;;~ Comm. Expires 01-27-2022 ~~"'- ~:~~ "1,,R\\,,,," Notary 10 128162806 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. ~~ Signature of Candidate or Officeho lder AFFIX N OTARY STAMP I SEALABOVE Sworn to and subscribed before me, by the said ~ ~ this the-( t.j.-t!l day of ~)N j. 20 / J.. to certify which, witness my hand and seal of office. ministering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
SUBTOTALS - C/OH FORM C/OH COVER SHEET PG 3 19 FILER NAME 20 Filer I (Ethics Commission Filers) 21 SCH EU-LE SUBTOTALS SUBTOTAL NAME OF SCHEULE AMOUNT 1. 0 SCHEULEA1 : MONETARY POLITICAL CONTRIBUTIONS $ 200.00 2. 0 SCHEULEA2: NON-MONETARY (IN-KIN) POLITICAL CONTRIBUTIONS $ 415.00 3. SCHEULE B: PLEGE CONTRIBUTIONS $0 4. SCHEULE E: LOANS $0 5. SCHEULE F1: POLITICAL S MAE FROM POLITICAL CONTRIBUTIONS $0 ~ 6. SCHEULE F2 : UNPAI INCURRE OBLIGATIONS $0 7. SCHEULE F3: PURCHASE OF INVESTMENTS MAE FROM POLITICAL CONTRIBUTIONS $0 8. SCHEU LE F4: S MAE BY CREIT CAR $0 9. SCHEULE G: POLITICAL S MAE FROM PERSONAL FUNS $0 10. SCHEULE H: PAYMENT MAE FROM POLITICAL CONTRIBUTIONS TO A BUSINESS OF C/OH $0 11. n n SCHEULE I: NON-POLITICAL S MAE FROM POLITICAL CONTRIBUTIO N S $0 12. SCHEULE K: INTEREST, CREITS, GAINS, REFUNS, AN CONTRIBUTIONS $0 RETURNE TO FILER Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
MONETARY POLITICAL CONTRIBUTIONS SCHEULE A1 The Instruction Guide explains how to complete this form. 1 Total pages Sch edule A1 : 1 2 FILER NAME 3 Filer I (Et hics Commission Filers) 4 a te 5 Full name of c ontributor out-of-state PAC (I# ) 7 Amo unt of contribution ($ ) 4/3/2018 ouglas & Elizabeth Ollre 6 Contributo r address; C ity; State; Zip Code 20807 Winlock Trace Katy, TX 77450 $100.00 8 Principal o ccupation I Job title (See Instructions) 9 Emplo ye r (See Instructions ) ate Full name of c ontributor out-of-state PAC (I# ) Amount of contribution ($) 4-11-2018 Katina White Contributo r address ; C ity; State; Zip C ode $100.00 cash 20510 Arrow Field Lane Katy, TX 77450 Principal occupation I Job title (See Ins tructio ns) Emplo ye r (Se e Ins truc tio ns ) ate Full name of c ontributor out-of-state PAC (I# ) Amount of contributio n ($) Contri buto r addre ss; C ity ; State; Zip C ode Prin c ipal occupation I Job title (See Instructions) Employer (See Ins truc tio ns ) ate Full name of c ontributor out-of-state PAC (I# ) Amount of contribution ($ ) Contributor addre ss; C ity; State; Zip C ode Principal occupation I Job title (See Instructio ns) Employe r (See Instruc tions) If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Eth ics Commission www.ethics.state.tx.us Revised 9/8/2015
NON-MONETARY (IN-KIN) POLITICAL CONTRIBUTIONS SCHEULE A2 The Instruction Guide explains how to complete this form. 1 Total pages Schedule A2: 4 2 F ILER NAME 3 Filer I (Ethics Commission Filers) 4 TOTAL OF UNITEMIZE IN-KIN POLITICAL CONTRIBUTIONS $ 415.00 5 ate 6 Full name of contributor O out-of-state PAC (I#: ) 8 Amount of 9 In-kind contribution Contribution $ description Sharon Mitchell 4-2-2018 $3 0.00 Campaign buttons 7 Contributor address; C ity; State; Zip Code 19826 Partridge Run r. Houston, TX 77094 O Check if travel outside of Texas. Complete Schedule T. 10 Principal occupation I Job title (FOR N O N-JUIC IAL) (See Instructions) 11 Employer (FOR NON-JUICIAL)(See Instructions) 12 Contributor's principal occupation (FOR JUICIAL) 13 Contributor's job title (FOR JUICIAL) (See Instructions) 14 Contributor's employ e r/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 out-of-state PAC (I#: ) Amount of In-kind contribution Contributi o n $ description Liza White 0 4-6-18 $50.00 Meet & Greet Contributor address; City; State; Zip Code 5010 Barlow Bend Katy, TX 77450 Check if travel outside of Texas. Complete Schedule T..--, Principal occupation I Job title (FOR NON-J UIC IAL) (See Instructions) Employe~OR NON-JUICIAL)(See Instructions) Contributor's principal occupation (FOR JUICIAL) Contributor's job title (FOR JUICIAL) (See Instructions) Contributor's employer/law firm (FOR J UICIAL) Law firm of contributor's spouse (if any) (FOR JUIC IAL) If contributor is a child, law firm of parent(s) (if a ny) (FOR JUICIAL) If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
NON-MONETARY (IN-KIN) POLITICAL CONTRIBUTIONS SCHEULE A2 The Instruction Guide explains how to complete this form. 1 Total pages Schedule A2 : 4 2 F ILER NAME 3 Filer I (Ethics Commission Filers} 4 TOTAL OF UNITEMIZE IN-KIN POLITICAL CONTRIBUTIONS $ 415.00 5 ate 6 Full name of contributor out-of-state PAC (I#: ) 8 Amount of 9 In-kind contribution Contributio n $ description Lynn Marsack - Host 4-10-2018 $50.00 Meet & Greet 7 Contributor add ress; City; State ; Zip Code 22522 Arbor Stream r. Katy, TX 77450 n Check if travel outside of Texas. Complete Schedule T. 10 Principal occupation I Job title (FOR N O N -JUICIA L}(See Instructi o n s} 11 Employer (FOR NON -J U ICIAL}(See Instructions} 12 Contributor's principa l occupation (FOR JU IC IAL) 13 Cont ri b utor's job title (FOR JUICIAL) (See Instructio n s).. - - - - "' -- -.,.._.,..- -.7 - /,.,..,..-. 111 1 11 \f" '-', v -LJ...,r-\L ) 1:1 Law 11 rm 01 conmouwrs spouse \ IT anyj v-uk J u u 1., 1ALJ 16 If contributor is a child, law firm of parent(s) (if a ny) (F O R J UICIAL) ate Full name of contributor O out-of-state PAC (I#: ) Amount of In-kind contribution Con tribution $ description 4-17-18 Mandy Miller Contributor address; City; State ; Zip Code $60.00 Meet & Greet 2010 Gable Hollow Katy, TX 77450 o c heck if travel outside of Texas. Complete Schedule T. Principal occupation I Job title (FOR N O N-JUICIA L) (See Instruction s) Employer (FOR NON-JU ICIAL}(See Instructions) Contributor's principal occupa tio n (F O R J U ICIA L) Contributor's job title (F OR JUIC IAL} (See Instructio ns) Contributor's emplo ye r/law firm (F OR JU ICIAL) Law fi rm of contributor's spouse (if any) (FOR JUICIAL) If contributor is a c h ild, law firm of pa re nt(s) (if a ny) (FOR J U ICIAL} If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provid ed by Texas Ethics Commission www.ethics.state.tx. us Revised 9/8/2015
NON-MON ETARY (IN-KIN) POLITICAL CONTRIBUTIONS SCHEULE A2 The Instruction Guide explains how to complete this form. 1 Total pages Schedule A2: 4 2 FILER NAME 3 Filer I (Ethics Commission Filers) 4 TOTAL OF UNITEMIZE IN- KIN POLITICAL CONTRIBUTIONS $ 415.00 5 ate 6 Full name of contributor O out-of-state PAC (I# ) 8 Amount of 9 In-kind contribution Contribution $ description Sue Smith 4-18-2018 $50.00 Meet & Greet 7 Contributor address; City ; State; Zip Code 4 706 Cedar Field Road Katy, TX 77494 Check if travel outside of Texas. Complete Schedule T. 10 Principal occupation I Job title (FOR N ON-JUICIAL)(See Instructions) 11 Employer (FOR NON-JUICIAL)(See Instructions) 12 Contributor's principa l occupation (FOR JUICIAL) 13 Contributor's job title (FOR JUICIAL) (See Instructions) 14 Contributor's employer/law firm (FOR JUICIAL) 15 Law firm of contributor's spouse (if any) (FOR JUIC IAL) 16 If contributor is a child, law firm of parent(s) (if any) (FOR JUICIAL) ate 4-18-2018 Full name of contributo r Synthia Chan out-of-state PAC (I# ) Amount of In-kind contribution Contribution $ description Contributor address; City; State; Zip Code $50.00 Meet & Greet 1933 5 Greenwind Chase r. Houston, TX 77094 OCheck if travel outside of Texas. Complete Schedule T. Principal occupation I Job title (FOR N ON-JUICIAL) (See Instructions) Employer (FOR NON-JUICIAL)(See Instructions) Contributor's principal occupation (FOR JUIC IAL) Contributor's job title (FOR JUIC IAL)(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) If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
NON-MONETARY (IN-KIN) POLITICAL CONTRIBUTIONS SCHEULE A2 The Instruction Guide explains how to complete this form. 1 Total pages Schedule A2: 4 2 F ILER NAME 3 Filer I (Ethics Commission Filers) 4 TOTAL OF UNITEMIZE IN- KIN POLITICAL C ONTRIBUTIONS $ 415.00 5 ate 6 Full name of contributor O out-of-state PAC (I#: ) 8 Amount of 9 In-kind contribution Contribution $ description Eve Schaefer 4-20-2018 $50.00 Meet & Greet 7 Contributor address; City; State; Zip Code 4119 Garden Branch Ct. Katy, TX 77450 n Check if travel outside of Texas. Complete Schedule T. 10 Princ ipal occupation I Job title (FOR N ON-JUICIA L)(See Instructions) 11 Employer (FOR NON-JUICIAL)(See Instructions) 12 Contributor's principa l occupation (FOR JU ICIAL) 13 Contributor's job title (FOR JUICIAL) (See Instructions).. --- - - -,.., '""'""'"'-'..J._, r - ~.... 111111 \ -..., _...,.. - ""LJ 1:1 Law nrm 01 conmoucors spouse lll anyj tr-uk Juu 1.., 1ALJ 16 If contributor is a child, law firm of parent(s) (if a n y) (FOR J U ICIAL) ate Full name of contributor O out-of-state PAC (I#: ) Amount of In-kind contribution Contribution $ description 4-25-18 Melinda Robinson Contributor address; City; State; Zip Code $75.00 Meet & Greet Check if travel outside of Texas. Complete Schedule T. 255 11 Autumnwind Katy, TX 77494 Principal occupation I Job title (FOR NON-JU ICIAL) (See Instructions) Employer (FOR NON-JUICIAL)(See Instructions) Contributor's principal occupatio n (FOR J U ICIAL) Contributor's job title (FOR JUICIAL) (See Instructions) Contributor's employer/law firm (FOR JUICIAL) Law firm of contributor's spouse (if any) (FOR JUICIA L) If contributor is a child, law firm of parent(s) (if any) (FOR J U ICIAL) If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements. Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 9/8/2015
POLITICAL S MAE FROM POLITICAL CONTRIBUTIONS SCHEULE F1 CATEGORIES FOR BOX 8(a) Advertising Expense Event Expense Loan RepaymenVReimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consutting Expense Food/Beverage Expense Polling Expense Travel In istrict Contributions/onations Made By Gift/Awards.!Memorials Expense Printing Expense Travel Out Of istrict Candidate/Officeholder/Polrtical Commrttee Legal Services Salaries,Wages/Contract Labor Other (enter a category not listed above) Credrt Card Paymem The Instruction Guide explains how to complete this form. 1 Tota l pages Schedule F1 2 FILER NAM E 2 awn Chamoaane 4 ate 5 Payee name 4-1-2018 NB Graphics 6 Amount ($) 7 Payee address; City; State; Zip Code 13 Filer I (Ethics Commission Filers) $75.78 5502 1st Street Katy, TX 77493 8 (a) Category (See Categones listed at the top of this schedule) (b) escription Check 11 travel outside oftexas Complete Schedule T Check 1f Austin, TX. officeholder llv1ng expense Advertising 9 Complete ONLY if direct Can d idate I Officeholder name Office sought Office held expenditurelolienefit C/OH ate Payee name 4-10-2018 Sunline Products Amount ($) Payee address; Cit y; State; Zip Code $149.84 1454 E Summitry Circle Katy, TX 77449 Category (See Categories listed at the top of this schedule) Advertising escription O Check 1f travel outside oftexas Complete Schedule T O Check 1f Austin TX, off1ceholder living expense Compl ete ONLY if direct Candidate I Officeholder name Office sought Office held expenditurelolienefit C/OH ate 4-2018 Payee name NB Graphics Amount ($) Payee address; City; State; Zip Code $578.60 5502 1 st Street Katy, TX 77493 Category (See Categories listed at the top of this schedule) Advertising escription Check 11 travel outside of Texas Complete Schedule T Check 1f Austin TX, officeholder hvmg expense Complete ONLY if direct Candidate I Officeholder name O ffice sought Office held expenditurelolienefit C/OH Forms pro vided by Texas Ethics Commission www.ethics.state.tx.us
Revised 9/8/2015 POLITICAL S MAE FROM POLITICAL CONTRIBUTIONS SCHEULE F1 CATEGORIES FOR BOX 8(a) Adve rtising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consutting Expense Food/Beverage Expense Polling Expense Travel In istrict Contributions/onations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of istrict Candidate/Officeholder/Pol~icat Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above) Cred~ Card Payment The Instruction Guide explains how to complete this form. 1 Total pages Schedule F1 2 FILER NAME 2 awn Champaqne 4 ate 5 Payee name 4-24-2018 ouble ave's Pizza 6 Amount ($) 7 Payee address; C ity; State; Zip Code 13 Filer I (Ethics Commission Filers) $ 143.68 1650 S Mason Road Katy, TX 77450 8 (a) Category (See Categories listed at the top of this schedule) (b) escription Check 1f travel outside oftexas Complete Schedule T Check 1f Austm, TX, officeholder living expense Food/Beverage Expense 9 Complete ONLY if direct Candidate I Officeholder name Office sought O ffice held expenditure to benefit C/OH ate Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) escription Check,ftravel outside oftexas Complete Schedule T Check if Austin, TX, officeholder Irving expense Complete ONLY if direct Candidate I Officeholder name Office sought O ffice h e ld expenditure to benefit C/OH ate Payee name Amount ($) Payee address; City; State; Zip Code Category (See Categories listed at the top of this schedule) escription Check 1f travel outside of Texas Complete Schedule T Check 1f Austin. TX, officeholder l1v1ng expense Complete ONLY if direct Candidate I Officeholder name Office sought O ffice held expenditure to benefit C/OH