~ CANATE/ FCEHOLER FORM C/OH CAMPAGN FNANCE REPORT COVER SHEET PG 1 The C/OH nstruction Gulde explains how to complete this form. 1 Filer (Ethics Commission Filers) 2 Total pages filed: 3 CANATE/ MS / MRS / MR FRST Ml FCEHOLER NAME Jost-h.JA.................................. NCKNAME LAST SUFFX ~ 4 CANATE/ ARESS / PO BOX; APT / SUTE #; CTY; STATE; ZP CO[ FCEHOLER MALNG l {2Sl Soc_o~ ~ ARESS Change of Address s. o.d 1t-r"J L FCE USE ONLY ate Recbll,. t-' A ~ U C :>MMUNTY COLLEG -... JA N 1 3 2017 Oco {Yb,TB}(ftS q 9 (6 ~ RECEVE 1,1:n=~1nFNT'S FC... 5 CANATE/ AREA COE PHONE NUMBER EXTENSON '"' FCEHOLER PHONE (Cil~ <Jot-- 4::fl l, ~.,..., - -- -.mar.ea... 6 CAMPAGN MS / MRS / MR FRST Ml Receipt# TREASURER <JS ttv A NAME............................... ate Processed NCKNAME LAST SUFFX ate maged c.j\ibtt2-7 CAMPAGN STREET ARESS (NO PO BOX PLEASE) ; APT / SUTE #; CTY; STATE ; ZP COE TREASURER ARESS (Residence or Business) ' ( 2,q/ SOLOrYV fla-d. if-'7lf o co rf'o) TeKA-~ qqq--iq- 8 CAMPAGN AREA COE PHONE NUMBER EXTENSON TREASURER (qjs ) iu, -- ~3ctl, PHONE Amount $ 9 REPORT TYPE ~ January 15 30th day before election Runoff Ju1y1s 8th day before election Exceeded $500 limit 15th day after campaign treasurer appointment (Officeholder Only) Final Report (Attach C/OH - FR) 10 PERO Month ay Year Month ay Year COVERE o, / llo / lo THROUGH 0\ /S/ l'l 11 ELECTON ELECTON ATE ELECTON TYPE Month ay Year Primary 05" /0fo/,ry ~General Runoff Other escription Special 12 FCE FCE HEL (tt any) 13 FCE SOUGHT (tt known) tj / A 0)CL GoN2-0 OT' -w«strtts 1),st'. q- GO TO PAGE 2
CANATE/ FCEHOLER FORM C/OH CAMPAGN FNANCE REPORT COVER SHEET PG 2 14 C/OH NAME 0 OS t\va ~ 115 Filer (Ethics Commission Filers) 16 NOTCE FROM THS BOX S FOR NOTCE POLTCAL CONTRBUTONS ACCEPTE OR POLTCAL S MAE BY POLTCAL COMMTTEES TO POLTCAL SUPPORT THE CANATE/ RCEHOLER. THESE EXPEN/rURES MAY HAVE BEEN AE wrthout THE CANATE'S OR RCEHOLER'S COMMTTEE(S) KNOWLEGE OR CONSENT. CANATES AN RCEHOLERS ARE REQURE TO REPORT THS NFORMATON ONLY F THEY RECEVE NOTCE SUCH S. COMMTTEE TYPE COMMTTEE NAME 0GENERAL OsPECFC COMMTTEE ARESS Additional Pages COMMTTEE CAMPAGN TREASURER NAME COMMTTEE CAMPAGN TREASURER ARESS 17 CONTRBUTON 1. TOTAL POLTCAL CONTRBUTONS $50 OR LESS (OTHER THAN TOTALS PLEGES, LOANS, OR GUARANTEES LOANS), UNLESS TEMZE $ - ()- 2. TOTAL POLTCAL CONTRBUTONS (OTHER THAN PLEGES, LOANS, OR GUARANTEES LOANS)........ 3. TOTAL POLTCAL S $100 OR LESS, TOTALS $ UNLESS TEMZE - 0- $ ( 1 ro1-~ oo 4. TOTAL POLTCAL S $ } S5. oo 5. TOTAL POLTCAL CONTRBUTONS MANTANE AS THE LAST AY $ REPORTNG PERO lf bs-, 00........ CONTRBUTON BALANCE............. OUTSTANNG 6. TOTAL PRNCPAL AMOUNT ALL OUTSTANNG LOANS AS THE LOAN TOTALS LAST AY THE REPORTNG PERO $-Q 18 AFFAVT swear, or affirm, under penalty of perjury, that the accompanying report is true aad rorroct aod lo:m rr,q,1,ed to be rr,ported by me under Title 15, ~lection Code. ~,,ur,,,,,.,i.w'"" PAMELA L. PAYNE [":" t\ Notary Public, State of Texas ill) \. (~ \ "-\ /:i My Commission Expires ~zi:i:.~~ - January 21, 2017 AFFX NOTARY STAMP / SEAL ABOVE Signature of Candidate or Officeholder \. Sworn to and subscribed before me, by the said Josh u.,a_. C1.r+ex-, this the day of Ja.n Wl...r;i, 20 \7, to certify which, witness my hand and seal of office. P~:t.P~ Pam e,/a.,, L. P a,!1 n e_ 13-+h tjofi.t.r ~ -Pu.bl, c..,, Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.eth1cs.state.tx.us Revised 9/8/2015
SUBTOTALS - C/OH 19 FLER NAME "1-StWA ~ FORM C/OH COVER SHEET PG 3 20 Filer (Ethics Commission Filers) 21 SCHEULE SUBTOTALS SUBTOTAL NAME SCHEULE AMOUNT 1. SCHEULE A1 : MONETARY POLTCAL CONTRBUTONS $ ~ 1 :>10,0C 2. SCHEULE A2: NON-MONETARY (N-KN) POLTCAL CONTRBUTONS ~ $ '2,<;. O 3. SCHEULE B: PLEGE CONTRBUTONS $ 4. SCHEULE E: LOANS $ 5. 6. 7. 8. 9. 10. 11. SCHEULE F1 : POLTCAL S MAE FROM POLTCAL CONTRBUTONS $ SCHEULE F2: UNPA NCURRE OBLGATONS $ SCHEULE F3: PURCHASE NVESTMENTS MAE FROM POLTCAL CONTRBUTONS $ SCHEULE F4: S MAE BY CRET CAR $ SCHEULE G: POLTCAL S MAE FROM PERSONAL FUNS $ SCHEULE H: PAYMENT MAE FROM POLTCAL CONTRBUTONS TO A BUSNESS C/OH $ SCHEULE : NON-POLTCAL S MAE FROM POLTCAL CONTRBUTONS $ 12. SCHEULE K: NTEREST, CRETS, GANS, REFUNS, AN CONTRBUTONS $ RETURNE TO FLER
MONETARY POLTCAL CONTRBUTONS SCHEULE A1 The nstruction Gulde explains how to complete this form. 1 Total pages Schedule A1 : 2 FLER NAME \loshva-~ 3 Filer (Ethics Commission Filers) 4 ate 5 Full name of contributor 0 out-of-state PAC (#: \ 7 Amount of contribution ($) 8 S. r rzt-a-_ e,ou.tr,... 6 Contributor address; C ity; State; Zip Code 4~~ rv'\ 0" t:91-~ Mru1i¼il/\, fl Pt6o/1)c7{'f/~ «~ Pr\Srt~ut5WJtt nstructions) 9 5 2-1:i/J. 00 ate Full name of contributo r 0 out-of-state PAC (#: l Amount of contribution ($) M~~ _ l,{;pt:52-.. qs-'ji SoWfY ed. PA-:}b~-=tqqz,f ~~rtjj tiitle (See nstructions) 2<;, 00 ate Full name of contributor 0 out-of-state PAC (#: l Amount of contribution ($) UNOA ~Ve,S.... City; State; Zip Code ~ oo ib(jro axre~ C(,frJ, T< -Z Cr~ 3 6 s-2s-_ oa Principal occupation / Job title (See nstructions) ate Full name of contributor 0 out-of-state PAC (#: l Amount of contribution ($) Pri\711 ~ E d..-(}uvr. ~.... g;-z.f;, Uc) \0~ P e~'o\e U'eeXt ~vdu 1X ({~ { 0 u~w(vzn 0~ructions) V ATACH ATONAL COPES THS SCHEULE AS NEEE f contributor s out-of-state PAC, please see instruction guide tor additional reporting requirements.
MONETARY POLTCAL CONTRBUTONS The nstruction Gulde explains how to complete this form. SCHEULE A1 1 Total pages Schedule A 1: 2 FLER NAME JoSH-uA-~ 3 Filer (Ethics Commission Filers) 4 ate 5 Full name of contributor 0 out-of-state PAC (#: l 7 Amount of contribution ($) AAV\;~ ~ 1ol fv\ Cl B ~'-"2-5 _ 6 Contributor addres, City; State; Zip Code O V\O \i q it Paso~1Xt'i10J 8 ~~o(ti~ title (See nstructions) 9 ate Full nf me of contributor out-of-state PAC (#: l Amount of contribution ($) \«\~i M.,o./h \V-'Z.-...... Contributor dress; City; State; Zip Code l4bo l~ Oon'of, u Rt 8 J -r,:t '1trqJ(p p ~ & c~ n / Job title (See nstructions) <. ~Z). Oa ate Full name of contributor 0 out-of-state PAC (#: l Amount of contribution ($) ANJ~8tAt ca ~~~.s..... ~-z s- S\4 ~\rw(.t\\-er Ra~ei5h Mew1\ev 1 rje, l-lcts 4J Principal occupation / Job title (See nstructions).. 0() ate Full name of contributor out-of-state PAC (#: l Amount of contribution ($) Pri~.G.~ BCAJA.. E ( 0 ' Oo l 1-ol{ ~ ftd Cc4er t\ PuSt>J Vt 1qr3~ o~~i\"n~ ~ nstructions) V AT'ACH ATONAL COPES THS SCHEULE AS NEEE f contributor s out-of-state PAC, please see nstruction guide tor additional reporting requirements.
MONETARY POLTCAL CONTRBUTONS SCHEULE A1 The nstruction Gulde explalns how to complete this form. 1 Total pages Schedule A1 : 2 FLER NAME J'os0vA- ~ 4 ate 5 Full name of contributor p~(#: \. Lu4rY'[j 0' Lr¼. 4z~, 3 Filer (Ethics Commission Filers) 7 Amount of contribution ($) 6 00 130ti ~owt1 Ore&?-, ~(a,soj l){"jcr 1 / 8 Principal occupation / Job title (See nstructions) 9 ate Full name of contributor out-of-state PAC (#: \ -~~~ l Oi'L l ~0.;t1 Srw UJ.0........ Princt!ill~ Job title (See nstructions) \JO 1 o~rro 1X ::,qc(2:=, Amount of contribution ($) 5~().oo -00~.T~-z-....... ate Full name of contributor out-of-state PAC (#: \ Amount of contribution ($) \o\\c( Cofffl\ R& Ci1A+,TX 1qi31P Principal occupation / Job title (See nstructions) ~ ioo oo ' ate F~ame,of cor;itri~ ~ out-of-state PAC (#: ) Amount of contribution ($). Vl ~ t.. 'f,... td ( [µ_/ (5jrde,- (31LJt Contributor dress; City; State; Zip Code \\ ioo sevw-\'6s ~ - ~WVY01)6 ~qv; Principal occupation / Job title (See nstructions) $ (OU~ oa ATTACH ATONAL COPES THS SCHEULE AS NEEE f contributor s out-of-state PAC, please see nstruction guide for additional reporting requirements.
MONETARY POLTCAL CONTRBUTONS 2 FLER NAME The nstruction Guide explains how to complete this form. Jos~ ~ 4 ate 5 Full name of contributor out-of-state PAC (#: 8 ~rc.ati~~ SCHEULE A1 1 Total pages Schedule A 1: 3 Filer (Ethics Commission Filers) 7 Amount of contribution ($) ' M~ C-i,lJY\-zitlE-Z. 6 S5Z)O. Oo p, 0 CJ)( ~ (!,,{ ' ri +-j TX 7o/63 (p (See nstructions) 9 PrruL GftrZ4A ate Full name of contributor out-of-state PAC (#: ) Amount of contribution ($) j 0uto a~o Lets UV\, ( L ~, \J YY\ iio 6orctdtiop~ 12.. nstructions) Avx{--u;t; State; Zip Code 552) -oo (½-µLt1Gtv-f\vt! ~Lo ate Full name of contributor out-of-state PAC (#: ) Amount of contribution ($) \ \ s On\C{,5 b('.;ri; 11 u, cte>rm 1X 71q7,q. Principa~~~tle (See nstructions) $ S-o uo ate Full name of contributor out-of-state PAC (#: (\\~ [)1Jrl~-c,j ~ ' Amount of contribution ($) ~?-S-- Oo ~q l O H(j,r+ lai,e Ausn~ 1 lx 1<Zl31 Princip~\aA nf;1tle (See nstructions) ATTACH ATONAL COPES THS SCHEULE AS NEEE f contributor s out-of-state PAC, please see nstruction guide for additional reporting requirements.
MONETARY POLTCAL CONTRBUTONS 2 FLER NAME The nstruction Gulde explalns how to complete this form. JoswA = SCHEULE A1 1 Total pages Schedule A1 : 3 Filer (Ethics Commission Filers) 4 ate 5 Full name of contributor out-of-state PAC (#: l 7 Amount of contribution ($) 8 Y!G:ffi~. S.~ _11)~ _s..... l'bu&v\;n,'tlo/0 6 l3b ~ e~b)~ Cfe.ek nstructions) 9!lfo.oo ate Full name of contributor out-of-state PAC (#: l (2oS A.. P0tf!u.. i~-l Cor b, ne e \-\ Q<\"tO~Ci ~ :lx 11Q t6 ~cchie(lpep"fe~i~~v\-{_ Amount of contribution ($) i57j, 00 ate Full name of contributor out-of-state PAC (#: l Amount of contribution ($).... Principal occupation / Job title (See nstructions) ate Full name of contributor out-of-state PAC (#: \ Amount of contribution ($).......... Principal occupation / Job title (See nstructions) ATTACH ATONAL COPES THS SCHEULE AS NEEE f contributor s out-of-state PAC, please see nstruction guide for additional reporting requirements.
NON-MONETARY (N-KN) POLTCAL CONTRBUTONS SCHEULE A2 The nstruction Guide explains how to complete this form. 1 Total pages Schedule A2: 2 FLER NAME 3 Filer (Ethics Commission Filers) 4 TOTAL UNTEMZE N-KN POLTCAL CONTRBUTONS $ $'2Q, OO 5 ate 6 Full name of contributor out-of-state PAC (#:, 8 Amount of 9 n-kind contribution A,~ c;{c,{ fuy- ta.ctol O Contribution$. description _.us......... 1nr:7).0:. ~c;jim+- 7.?--7 V 'CU 1 N.v\,:; t 1'200 SAf'vti 5 c; ~zl s ~(.{!){T " -=(l{tt"2.,,1 Check if travel outside of Texas. Complete Schedule T. 10 Principal occupation/ Job title (FOR NON-JUCAL)(See nstructions) 11 Employer (FOR NON-JUCAL) (See nstructions) 12 Contributor's principal occupation (FOR JUCAL) 13 Contributor's job title (FOR JUCAL) (See nstructions) 14 Contributor's employer/law firm (FOR JUCAL) 15 Law firm of contributor's spouse (if any) (FOR JUCAL) 16 f contributor is a child, law firm of parent(s) (if any) (FOR JUCAL) ate Full name of contributor out-of-state PAC (#: ~ \ Amount of Contribution $ n-kind contribution description Principal occupation / Job title (FOR NON-JUCAL) (See nstructions) Check if travel outside of Texas. Complete Schedule T. Employer (FOR NON-JUCAL)(See nstructions) Contributor's principal occupation (FOR JUCAL) Contributor's job title (FOR JUCAL) (See nstructions) Contributor's employer/law firm (FOR JUCAL) Law firm of contributor's spouse (if any) (FOR JUCAL) f contributor is a child, law firm of parent(s) (if any) (FOR JUCAL) ATTACH ATONAL COPES THS SCHEULE AS NEEE f contributor s out-of-state PAC, please see nstruction guide for additional reporting requirements.
POLTCAL S MAE FROM POLTCAL CONTRBUTONS SCHEULE F1 Advertising Expense Accounting/Banking Consulting Expense Contributions/onations Made By Candidate/Officeholder/Political Committee Credtt Gard Payment 1 Total pages Schedule F1: 2 FLER NAME 4 ate 6 Amount ($) 8 5 Payeename CATEGORES FOR BOX S(a) Event Expense Fees Food/Beverage Expense GifVAwards/Mernorials Expense Legal Services Loan Repayment/Reimbursement Office Overhead/Rental Expense Polling Expense Printing Expense Salaries/Wages/Contract Labor The nstruction Gulde explains how to complete this form. J OS rrv A CA-f2.--TB2... Gloo6le 7 Payee address; City; State; Zip Code { b 00 /t.yvt,ph1tt1ea tre.,, P0-rlc.."0~ WlOU1tta/ n \./,'e,w J LA 9Lf0'-13 (a) ()J.e0 s d-c.. 0 o -tv1 a.,,c' n [)~ Solicitation/Fundraising Expense Transportation Equipment & Related Expense Travel n istrict Travel Out Of istrict Other (enter a category not listed above) Filer (Ethics Commission Filers) (b) escription Check if travel outside oftexas. Complete Schedule T. Check if Austin, TX, officeholder living expense 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held ate Payee name Amount ($) :) _7q Complete ONLY if direct wehs/k Hash~ r9-ftt -e,,, Candidate / Officeholder name escription Check tt travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Office sought Office held ate Payee name Amount ($) L/6 ; 00 Category (See Categories listed at the top of this schedule} worot.p,ess [hern...e escription Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held ATTACH ATONAL COPES THS SCHEULE AS NEEE
POLTCAL S MAE FROM POLTCAL CONTRBUTONS 1/13/17 SCHEULE F1 CATEGORES FOR BOX S(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense _Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Poling Expense Travel n istrict Contributions/onations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of istrict Candidate/Officeholder/Polltical Committee Legal Services Salaries/Wages/Contract Labor Other ( enter a category not listed above) Credit Gard Payment The nstruction Gulde explalns how to complete this form. 1 Total pages Schedule F1 : 2 FLER NAME 13 Filer (Ethics Commission Filers) 4 ate 5 Payeename '-j O..S H-v A c,prrl:r-eyl tfwry (2ey PrSCttE(2-6 Amount ($) 7 Payee address; City; State; Zip Code /;zq_ ZJ i, 0 Elt-ST e an (Lee/o N /tus-fff", TJ< 7<?70~ 8 (a) (b) escription Check if travel outside of Texas. Complete Schedule T. /j)ehst'-1-r: {) ~,~ Check if Austin, TX, officeholder living expense J tu()-ne5( t,jtu1.es / Cort F L.a by' 9 Complete ONLY if direct Candidate Officeholder name Office sought Office held ate Payee name J u_a-n CAfUOs (;,~' A Amount ($) 1~ :J. 06 icobss;r \~~;;~ Zip Code S{,\Jtt,6J1/,qq 3 S~bs /wa<j~s C-0/J~ L,.t,&r escription 0 Check tt travel outside of Texas. Complete Schedule T. 0 Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate Officeholder name Office sought Office held ate Amount ($) (tc;: 00 ~s Payee name J lj fttj s;oatesf1 ~, (Yl~te; Zi~ Pas-o) f'. 6 A-R-Ce' A 7q Ge '3{) S~cs/ wf\-t,c:..s U:JJJT11-A-c;r l.:a:6orl escription Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held ATTACH ATONAL COPES THS SCHEULE AS NEEE
POLTCAL S MAE FROM POLTCAL CONTRBUTONS 1/13/17 SCHEULE F1 CATEGORES FOR BOX S(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense.Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polfing Expense Travel n istrict Contributions/onations Made By Gift/Awards/Memorials Expense Printing Expense Travel Out Of istrict Candidate/Officeholder/Politlcal Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above) Credit Card Payment The nstruction Gulde explalns how to complete this form. 1 Total pages Schedule F1 : 2 FLER NAME 13 Filer (Ethics Commission Filers) 4 ate 5 Payeename '-,; O..S nv A c,a-r;fbl JvA-rJ ckr:uo~ b A:<2-u., A 6 Amount ($) 7 Payee address; City; State; Zip Code l c;o. 00 Joo<g 8 \,m.ot e, 1 Sl~o-'1-, 1Y 0 (~ 0 8 (a) (b) escription s~~> L~oQ, Check tt travel outside o!texas. Complete Schedule T. Check if Austin, TX, officeholder living expense (jp ~ LAf1:>rr 9 Complete ONLY if direct Candidate/ Officeholder name Office sought Office held ate Payee name kmafla.~s M~ Amount ($) Payee address; ~pc.ode /OO ~O 1-'l\ s la 7qq31, S~65/ W~ES Lv~ LAGo, ~pa;:,o;1x escription Check tt travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held ate Payee name lo O, oo Amount {$) ~y~oaddr;; X Mo CHA 1)ESl1JN S City; State; Zip Code \Y~ a\-tj) X 7 (l63ft:; 7mft1bt~5 r w ~> Ct> f'llflal:r ~o (2_ escription Check if travel oulside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held ATTACH ATONAL COPES THS SCHEULE AS NEEE
POLTCAL S MAE FROM POLTCAL CONTRBUTONS 1/13/17 SCHEULE F1 CATEGORES FOR BOX S(a) Advertising Expense Event Expense Loan Repayment/Reimbursement Solicitation/Fundraising Expense _Accounting/Banking Fees Office Overhead/Rental Expense Transportation Equipment & Related Expense Consulting Expense Food/Beverage Expense Polling Expense Travel n istrict Contributions/onations Made By GifVAwards/Memorials Expense Printing Expense Travel Out Of istrict Candidate/Officeholder/Political Committee Legal Services Salaries/Wages/Contract Labor Other (enter a category not listed above) Credtt Card Payment The nstruction Gulde explalns how to complete this form. 1 Total pages Schedule F1 : 2 FLER NAME 13 Filer (Ethics Commission Filers) 4 ate 5 Payeename, )! osnva CA-fl;fBL S ArvlS L-~0 6 Amount ($) 7 Payee address; City; State; Z ip Code l l!i~ O l \ 3b o r e,lllcc{nv) ) U Pu.So_; S q i '5& 8 (a) (b) escription Check tt travel outside oftexas. Complete Schedule T. GV~ Gt(vgJSE Check if Austin, TX, officeholder living expense RJo f ~ev~.. 9 Complete ONLY if direct Candidate / Officeholder name Office sought Office held ate Payee name \)O~L--A-r2- G 'c.,.n ~ Amount ($) Payee address; City; State; Z ip Code L\-0.b O l ll{i-0 Sowrro (¾J. 1 $ C(JY'<1J, 1X ':l-11-v9 B/~P8N$..Q.. escription Check tttravel outside oftexas. Complete Schedule T. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held ate Payeename J Amount ($) l½. 00 l/\.aij [NLM)s ft:(2u',t ffib~esf( ~ \ \~e; 8J~es /wo/.5 u,t;~ Zip Code <ctpa-~e,tu 1eic,1 e escription Check if travel outside of Texas. Complete Schedule T. Check if Austin, TX, officeholder living expense Complete ONLY if direct Candidate / Officeholder name Office sought Office held ATTACH ATONAL COPES THS SCHEULE AS NEEE Forms provided by Texas Ethics Commission www.eth1cs.state.tx.us Revised 9/8/2015