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irx;ts Ethics Commission P.O.

Box 12070 Austin Texas 78711-2070 (5 12) 463-5800 (TDD 1 t3OO-735-2t49)

CANDIDATE I OFFICEHOLDER FORM C/OH


CAMPMGN FINANCE REPORT CovER SHEET PG 1

I ACCOUNT ? 2 To/al pages tiOd


The CIOH Instruction Guide explains how to complete this form. iEIhicTLorninisiUoirFiICrC/

/2
3 CANDIDATE! MS/MRS/MR YIRST
(IF F IC EHOLDER OFFCEUSEONLY
NAME
NICKNAME
Da
e
t EJVD
LAST SUFFIX

4 CANDIDATE I
CF F ICEHOLDER
(DURESS /PO DCX P1 / SLIITE CITY: STATE. CIP CODE APR 1 4 2011
MAILING /2,”2 74’L.—e 7’ /J 7Z5 Dale HanddeIeered or Date RosIrnaied
ADDRESS /
Change of Address
L ( OMMUNICATIONS
5 CANDIDATE! AREA CODE PRONE NUMBER EXTENSION Receipt X
OFFICEHOLDER
(2// ) 7O7 7 Data Processed

6 CAMPAIGN MS/MRS/MR FIRST Mi


TREASURER ,d. Date Imaged

NICKNAME LAST SUFFIX

/Yec
7 CAMPAIGN STREET ADDRESS (NO P0 BOX PLEASE); APT / SUITE #: CITY, STATE; ZIP CODE
TREASURER
ADDRESS 373 ,

3ô,w4 4-) ? -z-- 7S7S
Residence or Business)

1
8 CAMPAIGN ,rREA CODE PHONE NUMBER EXTENSION HI 55p
TREASURER
( 97) 79
9 REPORT TYPE
.anuary 15 Oth day belore election Runoff ‘5th day after campaign :reasrrar
appointment oiflcenolder onlyi

July 15 8th day before election Esceeded $500 limit Final report Attach C/OH - FRI

10 PERIOD Month Day Year Month Cay Year


COVERED / THROUGH ,
3 ,/ // //
,
//
11 ELECTION ELECTION DATE ELECTtDN TYPE
Mortih Day cear

,/
,‘ .--‘ /,/ Primary Runoft General Special

OFFICE HELD
12 OFFICE /11 any) 113 OFFICE SOUGHT (if known)

?zs $
14 NOTICE
DiRECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS WITHOUT THE CANDIDATE S PRIOR CONSENT
0 F DIR ECT OR APPROVAL.
CANDIDATES ARE REQUIRED TO DISCLOSE THIS INFORMATION ONLY IF THEY RECEIVE NOTIFICATION OF THE DIRECT CAMPAIGN EXPENDITURE.
CAMPAIGN
EXPENDITURE
Name
BY OTHER
i N Dlvi DUALS

Radress / P0 Box. Apt / Suite #; Cily; Slate, Zip Code

El additional pages

GO TO PAGE 2

;;ww.e)hICs.state.tx.us
Revtsed 04(21/2010
i.XUS hIhICS Colnmlssion P0. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2089)

CANDIDATE I OFFICEHOLDER REPORT: FORMC/OH


SUPPORT & TOTALS CovER SHEET PG 2

15 C/OH NAME 16 ACCOUNT ft (Ethics Commission FilArsi

1C-_
17 NOTICE THIS BOX IS FOR NO11CE OF POLCAL CONTRIBU11ONS ACCEPTED OR POLCAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SIJPPORT THE
FROM CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATES OR OFFICEHOLDER’S KNOWLEDGE OR
POll TI s s CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATiON ONLY IF THEY RECEIVE NOTICE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE NAME
COMMITTEE TYPE

tO I i1 GENERAL

COMMITTEE ADDRESS

SPECIFIC

COMMITTEE CAMPAIGN TREASURER NAME

{j additional pages

COMMITTEE CAMPAIGN TREASURER ADDRESS

18 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF S50 OR LESS (OTHER THAN


TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS)

EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS. UNLESS ITEMIZED $
4. TOTAL POLITICAL EXPENDITURES $ /,_y’. 67

CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $
OUTSTANDING
6. TOTAL PRINCIPALAMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD

19 AFFIDAVIT
I swear, or affirm, under penalty of perjury, that the accompanying report

KAY SAMSGN% is true and all information required to be reported by


Code.
No’&i, PUblG, State otTcx.aS
me

, ccimIission EWires

!1i2O11
Sign re of andr,9fficehoIder

AFFIX NOTARY STAMP / SEAL ABOVE

Sworn to and Subscribed before me, by the said’0fl , this the


i4i day of () , 20 I , to Certify whic , itness my hand and seal of office.

Cqnature of oCicer ad Inistering oath


5iic k
Printed name of officer administering oath Title of officer admlrusterlng oath

‘.aww.et(tics.state.tx,us Revised 04)21/2010


F sta 0th cs CommIssIon PO l3ox 12070 Austin, Texas 78711-2070 (512) 463-5800 (FOD I 800T35i4Ci

POLITICAL EXPENDITURES
v1ADE FROM PERSONAL FUNDS
1 SCHEDULE G

EXPENDITURE CATEGORIES FOR BOX 8(a)


tvorssiriq Expense Gift/Awards/Memorials Expense SaiariesiWagesiContract Labor Loan Repayment/Reimrtursement
ccouritinq/Bankinq Legal Services Soticitation/Fundraising Expense Transoortxtiort Eqiuprnent Belated Expsne
.

Consulting Expense Pood/Beverage Expense Travel In District ConfributionsiDonations Made By


Etit Oxpense Polling Expense Travel Out Ot District Corididale/Ofticeholder/Political Cunimiftee
yeas Printing Expense Office Overhead/Rental Expense
0 FHER enter a category tot listed aoovxl
The Instruction Guide explains how to complete this form.

1 rrtal cages Schedule 0. 2 FILER NAME 3 ACCO1JN r Ethics Cornrnisson Fiursi

4 Due 5 Payee name

;D)t Y
6 Amount IS) 7 Payee addres City: State: Zip Code

/‘W 2.2 Ci 7’ 7— 7,
--,fxev roursemerit from
LJ political cofltnbuliOr/S
yenned

8 PURPOSE (a) Category ISue categories listed at toe top of this schedule) (b) 0 escription Ill travel outside at Texas, complete Schedule Ti
OF
EXPENDITURE
t1

Date Payee name

Anstount ($) Payee address: City: State: Zip Code

Reimburseiaenl from

f
political contributions
tended

PURPOSE Category ISee categories listed at the top of this schedule( Description If travel outside of Teeas comBers Scneduie TI
OF
EXPENDITURE

Date Payee name

Amount ($) Payee address: City: State: Zip Code

Reimbursement from
LJ Or,iitiCai COntributions
intended

PURPOSE Category tSee categories listed at he lop of this schedulef Description (if ravel outside of raxas comniete Schedmie Ti
OF
EXPEND ITU RE

Date Payee name

Annotint 151 Payee address: City: State: Zip Code

c—, Rennbursernent trom


LI ulitical contributions
mended

PURPOSE Category See categories listed at the top of this scrmeduiel Description lit travel Outside of Texas oniprete 5cnedule TI
OF
EXPENDITURE

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

vwwrilhics.statelx.us
Revised 04/21/2010
xar Etlucs Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2939)

PAYMENT FROM POLITICAL CONTRIBUTIONS SCHEDULE H


TO A BUSINESS OF C/OH

EXPENDITURE CATEGORIES FOR BOX 8(a)


Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
.\ccouittirq/Bankinq Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
onsultinq Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Evense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Eves Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
i rui pages Schedule H 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)

4 Date 5 Business name

6 Amount 1$) 7 Business address: City; State; Zip Code

8 Pu RPOSE (a) Category See categories listed at the top of this schedule) (b) Description (If travel outside ot Texas, complete Schedule TI
OF
EXPENDITURE

9 Corrplete ç if direct Candidate / Officeholder name Office sought Office held


mpenditure to benefit C/OH

Dote Business name

Amount 1$) Business address; City; State; Zip Code

pu RPOSE Category See categories listed at the top of this schedule) Description lit travel outside of Texas. complete Schedule T)
OF
EXPENDITURE

Corrplete if direct Candidate / Officeholder name Office sought Office held


-vependiture to benefit C/Oh

Date Business name

Amount (5) Business address; City; State; Zip Code

Pu RPOSE Category See categories listed at the top of this schedulel Description lit travel outside of Texas, complete Schedule TI
OF
EXPENDITURE

Complete c if direct Candidate / Officeholder name Office sought Office held


.vxperlditure to benefit C/Cl—I

Luxte Business name

‘mount (5) Business address: City: State: Zip Code

.riJl.lp(JSE category See categories listed at the top of this scnedulel ‘ Description lit travel outside of Texas, complete Schedule Ti
OF
EXPENDITURE
I

i;(-vj iy if direct Candidate / Officeholder name Office sought Office held


‘uirrliture to benefit CJC)I—l

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

www.ethics.state.tx US Revised 04/21/2010


Texas Ethics Commission RO. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1 -800-735-2989)

CANDIDATE / OFFICEHOLDER FORM C/OH


CAMPAIGN FINANCE REPORT CovER SHEET PG 1

I I ACCOUNT 4 i 2 Total pages filed:


The C/OH Instruction Guide explains how to complete this form. I UhicsCommissonFIersl

3 CANDIDATE! MS/MRS/MR FIRST MI


OFFICEHOLDER OFFICE USE ONLY
NAME .
Date Received
RECEIVED
NICKNAME LAST SUFFIX

4 CANDIDATE / ADDRESS /PO BOX: PT /SUITE a. CITY: STATS, ZIP CODE


APR 14 2011
OFFICEHOLDER
MAILING ly 7Zfl-.
Date Hand-delivered or Dole Postmarked
ADDRESS
Change of Address OMMUNICATIQNS
5 CANDIDATE! AREA CODE PHONE NUMBER FXTENSION Receipt B ,vmcunt
OFFICEHOLDER
PHONE ( Z9 ) 473 ‘& Date Pocessed

6 CAMPAIGN MS/MRS/MR FIRST Mi


TREASURER Date Imaged
NAME .............

NICKNAME LAST SUFFIX

7 CAM PA I G N STREET ADDRESS INC P0 BOX PLEASEI; APT / SUITE B: CITY; STATE: ZIP CODE AP
TREASURER
ADDRESS
iResidence or Business)
‘1Z2 esik ‘flC 7cc:
8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE (9i 1— ,IZ3
9 REPORTTYPE
January /5 30th day before election Runoff 11 1 5th day after campaign treesirer
L___t appointment iotficenoider oniy

July 15 8th day before election Exceeded $500 limit Final report (Attach C/OH - FR)

10 PERIOD Month Oay Year Month Day Year


COVERED
/
/
/ THROUGH
q /
3 //
zci

II ELECTION ELECTIONDATE ELECTIONTYPE


Month Day Year

ç / j4 /‘ j Primary Runoff General Special

12 OFFICE OFFICE HELD if arty) 13 OFFICE SOUGHT (if known)

f.Jov P4( J.
00
(3
14 NOT) CE
DIRECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS WITHOUT THE CANDIDATES PRIOR CONSENT OR APPROVAL.
OF DIRECT
CANDIDATES ARE REQUIRED TO DISCLOSE THIS INFORMATION ONLY IF THEY RECEIVE NOTIFICATION OF THE DIRECT CAMPAIGN EXPENDiTURE.
CAMPAIGN
EXPENDITURE
Name
BY OTHER
INDIVIDUALS

Address / PC Bos. Apt / Suite 8, City; State ZiD Code

additional pages .5 . .‘

-.5 ‘ 5.

GOTOPAGE2

www.ethics.state.tx.us Revised 04/21/2010


Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)

CANDIDATE! OFFICEHOLDER REPORT: FORM C/OH


SUPPORT & TOTALS COVER SHEET PG 2

15 C/OH NAME 16 ACCOUNT 4 (Ethics Commission Filers)


JCJ’. . +L\
17 N 0T C F THIS BOX IS FOR NOTICE OF POLCAL CONTRIBUTiONS ACCEPTED OR POLCAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
FROM .. CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE’S OR OFFICEHOLDER’S KNOWLEDGE OR
DO TI CAL . . CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REOUINED TO REPORT THIS INFORMATION ONLY IF THEY RECEIVE NOTiCE OF SUCH EXPENDITURES.
COMMITTEE(S)
COMMITTEE NAME
COMMITTEE TYPE

ti’1e
fIIJ.Z
if
V I
GENERAL
COMMITTEE ADDRESS
,‘.‘C)r,,
-

SPECIFIC -

.-. ‘.-,... .,,


,—e. • -

N .. .1

COMMITTEE CAMPAIGN TREASURER NAME

additional pages

COMMITTEE CAMPAIGN TREASURER ADDRESS

18 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN


TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ ic i

2. TOTAL POLITICAL CONTRIBUTIONS


(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) 4)
i o7 c
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED $
4. TOTALPOIJTICALEXPENDITURES $ 2, E
Z
t 5’

CONTRIBUTION
TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE
OF REPORTING PERIOD $ 4(,oo7.cx

OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD

19 AFFIDAVIT
I perjury, that the accompanying report
swear, or affirm, under penalty of

and correct and includes all information required to be reported by


is true

me under Title 15, Election Code.

Signature of Candidate or Officeholder

AFFIX NOTARY STA1vIP / SEAL ABOVE

Sworn to and subscribed before me, by the said this the


day of 20 7/ , to Certify which, witness my hand and seal of office.

,7L
r
4 4
Signature of offic r administe I oath
£
Printed name of officer administering oath
%‘‘ iiy /e
/’C
6
Title of officer administering oath

www.ethics.state.tx.us Revised 04/21/2010


Texas Ethics Cornrniss(on P.O. Box 12070 Austin Texas 78711-2070 (512)463-5800 (TDD 1 -800-735-2989)

POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS SCHEDULE A

The Instruction Guide explains how to complete this form.


. 1 Total pages Schedule A

2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)

S. She?
4 Dute 5 Full name of contributor out-of-state PAC(lD#:____________________ 7 Amount of 8 In-kind contribution
contribution (5) description (if applicable)

6 Contributor address; City; State; Zip Code


I
p.s. tc tr x. 7c6’-
(If travel outside of Texas. complete Schedule 1)
9 Principal occupation I Job titte (See Instructions) 10 Emptoyer (See nstructions)

D Ste Full name of contribLitor oui-ot-siaie PAC llD# Amount of tn-kind contribution
contribution ($) description (if applicable)

Contributor address; City; State; Zip Code


c%i 1i- frl.9o . Uc4nO #

(If travel outside of Texas, complete Schedule T)


Principal occupation / Job title (See Instructions) Employer (See Instructions)

Date Full name of contributor out-of-state PAC(ID#:______________________ Amount of ( In-kind contribution


z’f frgt1( contribution (5) description (if applicable)

Contributor address; City; State; Zip Code

P,\,c+ob%L (dVi. P4T


(If travel outside of Texas. comolete Schedule T(
Principal occupation / Job title (See Instructions) Employer (See Instructions)

Date Full name of contributor out-of-state PAC(ID#:_______________________ Amount of In-kind contribution


contribution (5)
Shr’j bVb1Vi description (if applicable)

Contributor address; City; State; Zip Code


2SZ’.O
cczc Asf.’ Crte Piw* t 7I3
(If travel outside of Texas, comolete Schedule TI
Principal occupation / Job title (See Instructions) Employer (See Instructions)

Date - Fult name of contributor out-of-state PAC(l:__________________ Amount of In-kind contribution


contribution (5) description (if applicable)

Contributor address; City; State; Zip Code I

(If travel outside of Texas, complete Schedule Ti


Principal occupation / Job title (See Instructions) Employer (See Instructions)

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED


If contributor is out-of-state PAC, please see instruction guide foradditional reporting requirements,

www.ethics.slate.tx.us
Revised 04/212010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)

PLEDGED CONTRIBUTIONS
SCHEDULE B

. . . ‘1 Total pages Schedule B:


The Instruction Guide explains how to complete this form.

2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)

4 TOTALOF UNITEMIZED PLEDGES:


$

5 Date 6 Full name of pledgor out-of-state PAC(l: 1 8 Amountof 9 In-kind description


pledge ($) (if applicable)
/:

7 Pledgor address: City: State: Zip Code I

(If travel outside of Texas, complete Schedule T)

10 Princpal occupation I Job title (See Instructions) 11 Employer (See Instructions)

Date Full name of pledgor ,,


out-ct-state pAC(l•______________________ Amount of In-kind description
:- . pledge (if applicable)
I

Pledgor address; City; State: Zip Code

(If travel outside of Texas,_complete Schedule T)

Principal occupation / Job title (See Instructions) Employer (See Instructions)

Date I Full name of pledgor out-of-statePAC(i____________________ Amountof In-kind description


‘ .
pledge ($) (if applicable)

Pledgor address: City: State: Zip Code I

(If travel outside of Texas,_complete Schedule T)


Principal occupation I Job title (See Instructions) Employer (See Instructions)

Date Full name of pledgor out-of-statePAC(I: i Amount of In-kind description


pledge ($) (if applicable)
.
.

Pledgor address; City: State: Zip Code I

,
(f travel outside of Texas, complete Schedule TI
Principal occupation I Job title (See Instructions) Employer (See Instructions)

Date Full name of pledgor out-of-state PACIlO# Amount of


i tn-kind description
pledge ($) (if applicable)

Pledgor address; City: State; Zip Code

(If travel outside of Texas, complete Schedule T)


Principal occupation / Job title (See Instructions) Employer (See Instructions)

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED


If contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.

wwwethics.state.tx.us Revised 04/21/2010


Texas Ethics Commission P.O. Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989)

POLITICAL EXPENDITURES SCHEDULE F

EXPENDITURE CATEGORIES FOR BOX 8(a)


Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
rccouritingfaanicng Legal Services Solicitation/Fundraising Expense ransportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Exoense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
I Total pages Schedule F. 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)
i OG’JcI•- c. k\k€.
4 Date 5 Payee name
? 12$c) (C M tci
6 Amount (5) 7 Payee address; City; State; Zip Code

)T 7SCft,

8 PURPOSE (a) Category (See categories iisted at the top of this schedule) (b) Description (if travel Outside of Texas, compiete Scheduie T(

EXPENCTURE 8
F /ev’sc.

9 Complete X if direct Candidate / Officeholder name Office sought Office held


expenditure to benefit C/C/ri

Date Payee name


iji1t Love
Amount 1$) Payee address; City; State; Zip Code

tq2iô Pv-sv . boIc 7c2c2.


flhtq $2-
PURPOSE Category (See categories listed at the top of this schedule) Description (lf travel outside of Texas. ccmpiete Schedule!)
OF
EXPENDITURE 4 st ?tpW
Complete if direct Candidate / Officeholder name Office sought Office held
expenditUre to benefit C/CA-I

Date Payee name

lzh cwqr SJLLe$


Amnunt (5) Payee address; City; State; Zip Code
22P’ €ovw ci-. ooe( r) 7SO’-O
.13
PURPOSE Category (See categories huted at the top of this scheduiel Description (If travel Outside of Texas, complete Schedule T(
OF
EXPENDITURE

Complete CNX if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/Ct—I

Date Payee name

Amount (5) Payee address; City; State; Zip Code

PURPOSE Category See categories iisted at the top ot this scfreduie( Description (it travel outside of Texas. compiete Sctresvie T)
OF
EXPENDITURE

Complete ONLY if direct Candidate / Officeholder name Office sought Office held
expenditure to Cenefit C/OH

ATTACH ADDiTIONAL COPIES OF THIS SCHEDULE AS NEEDED

‘vww. ethicS.state. tx,us Revised 04/21/2010


cnxas Ethics Cornmiss(on P0. Box 12070 AustinTexas 78711-2070 (512) 463-5800 (TDD 1 -800-735-2989)

LOANS SCHEDULE E

I Total pages Schedule C


The Instruction Guide explains how to complete this form.

2 FILER NAME 3 ACCOUNT If (Ethics Commission Hers)

4
TOTAL OF UNITEMIZED LOANS: ‘
$
5 Date of loan 7 Name of lender out-of-state PAC ti______________________ Loan Amount (5)
9 —

6 slender 8 Lender address: City: State: Zip Code 10 Interest rate


a financial t. ..,

Institution? . -

I Maturity date
Y N

12 Principal occupation / Job title (See instructions) 13 Employer (See instructions)

14 Description of Collateral

Dna

15 GUARANTOR
INFORMATION
1 16 Name of guarantor 18 Amount Guaranteed(S)

17 Guarantor address; City; State; Zip Code


tot applicable

19 Principal Occupation tSee Instructions) 20 Employer (See Instructions)

Date of loan Name of lender Loan Amount (Si


out-of-state PAC (l —

is lender Lender address; City; State; Zip Code Interest rate


a financial
institution?
Maturity date
‘t’ N

Principal occupation I Job title (See Instructions) Employer (See lnstruclions)

Description of Collateral

Uno-e

GUARANTOR Name of guarantor Amount Guaranteed IS)


INFORMATION

Guarantor address; City; State: Zip Code


not applicable

Principal Occupation (See Instructions) Employer (See Instructions)

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED


If lender is out-of-state PAC, please see instruction guide for additional reporting requirements.

www.e[hicsstate.txus
Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (51 2) 463-5800 (TDD 1 -800-735-2989)

POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE G

EXPENDITURE CATEGORIES FOR BOX 8(a)


‘dvertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
ccountiitg/Banking Legal Services Solicitatiori/Fundraisirig Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District ContributionsiDonations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Off icehoderPolitical Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER lenter a category dot listed abovel
The Instruction Guide explains how to complete this form.

1 Total pages Schedule G: 2 FILER NAME 3 ACCOUNT # Ethics Commission Flimsi

— ‘jL S. S ——

4 Date 5 Payee name


%1L fvj
6 Amount ($) 7 Payee address: City: State: Zip Code
IOI(P J. 7’3
Rembursement from
‘ uolitical contrbutionS
ntended

8 PURPOSE (a) Category ISee categories listed at the top of this schedulel (b) Description (If travel Outside of Texas. complete Schedule TI

EXPENDITURE d
0
. tö% E.pettc.&

Date Payee name

Li I I ii Lows
Amount ($) Payee address; City; State: Zip Code
# liii. SZ i1O PesIzti 4lOL,11c 7z2
r— Reimbursement from
LX po/tical Contributions
tended

PURPOSE Category ISee categories listed at the top of this schedulel Description (If travel outside of Texas, complete Schedule TI
OF
EXPENDITURE Aov-4; E peLSC

Date Payee name

3tI1I p-- c 5cc


Amount ($) Payee address: City; State: Zip Code
2.t3 r-as
Reimbursement from
za v-v .
-o’tvc,

political Contributions
intended

u RPOSE Category (See categories listed at the top of this schedulel Description (If trasel outside of Texas, compleie Schedule Tl
OF
EXPENDITURE

Date Payee name

Amount IS) Payee address; City: State: Zip Code

Reimbursement from
political contributions
intended

PURPOSE Category (See categories listed at the top of this scheduiel Description :t traxel ouiside of Teoss. coixlete Scneduie F)
OF
EXPENDITURE

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

,vsvw.ethics.state,tx.us
Revised 04/21/2010
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1 -800-735-2989)

PAYMENT FROM POLITICAL CONTRIBUTIONS


SCHEDULE H
TO A BUSINESS OF C/OH

EXPENDITURE CATEGORIES FOR BOX 8(a)


Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accountirg/Banking Legal Services Solicitation/Fundraiaing Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of Diatrict Candidate/Officeholder/Political Committee
Fees Prnting Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
I Total pages Schedule H: 2 FILER NAME 3 ACCOUNT # (Ethics Commission Filers)

4 Date 5 Business name

6 Amount (5) 7 Busineas address; City; State; Zip Code ‘1

.“ —. f’s

g PU RPOSE (a) Category (See categones listed at the top of this schedule) (b) Description (If travel outside ofTesas, complete Schedule T)
OF
EXPENDITURE

9 Corrplete X if direct Candidate / Officeholder name . . Office sought Office held


expenditure to benefit C/Of-i

Date Business name

Amount (5) Buaineaa address; City; State; Zip Code

PU RPOSE Category (See categories listed at the top of this schedule) Description (If travel outbde of Texas. complete Schedule T)
OF
EXPENDITURE

Corrplete Cf\LY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/Of-I

Date Business name

Amount Cs) Business address; City; State; Zip Code

. 1_..

pu RPOSE Category ISee categories listed at the top ot this schedule) Description (If travel oulede of Texas, complete Schedule T)
OF
EXPENDITURE

Dor9nlete CX if direct Candidate / Officeholder name Office sought Office held


expenditure to benefit C/Cf-f

Dnte Business name

Amount 1$) Business address: City; State: Zip Code

PURPOSE , Category See categories isted at the top of this schedule) Description (If travel outside of Texas, complete Schedule 1)
OF
EXPEND ITU RE

‘nnplete (J’LY if direct Candidate / Officeholder name Office sought Office held —

exoenditure to benefit C/OH

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

wwwethics.state.tx.us Revised 04/21/2010


Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1 -800-735-2989)

CANDIDATE / OFFICEHOLDER FORM C/OH


CAMPAIGN FINANCE REPORT CovER SHEET PG 1
---——

.... —

I 1 ACCOUNT 4 2 Total pages tIed


——.— I
The CIQH Instruction Guide explains how to complete this form. EthicscdiliinissionFileisl

MI
-.

. - Date Received
SUFFIX

APR 14 2011
CANDIDATE / CITY. STATE, ZIP CODE
OFFICEHOLDER
MAILING
57C24L c2VLC Z4& 45
ô4.L flxsImarked
ADDRESS r
C1
*‘IMUNk,A iONS
j Change of Address -72 7
5 CANDIDATE! AREA CODE PHONE NUMBER EXTENSION Receipt B Amounl
OFFICEHOLDER
PHONE ( 9?2) 3ô 377 Date Processed

6 CAMPAIGN MS/MRS/MR FIRST MI


TREASURER
NAME

/4,
NICKNAME ‘ ‘ LAST SUFFIX
Datelrnaged

/Ai
7 N
CAM PA I G STREET ADDRESS (NO P0 BOX PLEASEI: APT / SUITE B; CITY, STATE; ZIP CODE
TREASURER
ADDRESS
(Residence or Business)
7&35 &c- -L6l /k’i, /
4
4 fv0, /;‘ç

8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION


TREASURER
PHONE (49 ) 77 97
9 REPORTTYPE
Janua 15 Oth day before election Runoff I 5th aay after campaign Ireasurer
appointment (oificehoider onlyl

July 15 8th day before election Exceeded $500 limit Final report (Allach C/OH - FR)

10 PERIOD Month Day Year Month Day Year


COVERED / THROUGH
/
/
-‘
/
29—///
11 ELECTION ELECTION DATE I ELECTION TYPE
Month Day Year I
Prima Runoff eneral
/‘/[ Special

12 OFFICE OFFICE HELD (if anyl 113 OFFICE SOUGI4T (If knowtt) n’s’ 4%%%%’.5

‘3 Jfi(JJ)
Ak
J
7 L

14 NOTICE
DIRECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS
OF DIRECT
CANDIDATES ARE REQUIRED TO DISCLOSE THIS INFORMATION ONLY IF THEY RECEIVE NOTIFICATION OF THE DIRECT CAMPAIGN EXPENDITURE.
CAMPAIGN
EXPENDITURE
Name
BY OTHER
INDIVIDUALS
Aic27’.
Address / P0 Box; Apt / Suite #. City; Stale, Zip Code

additional pages

GO TO PAGE 2

www.ethics.state.tx.uS Revised 04/21/2010


Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1 -800-735-2989)

CANDIDATE / OFFICEHOLDER REPORT: FORMC/OH


SUPPORT & TOTALS CovER SHEET PG 2

15 C/OH NAME 16 ACCOUNT# (Ethics Commission Filers)



17 N0T CF THIS BOX IS FOR NOTiCE OF POLI11CAL CONTRIBUflONS ACCEPTED OR POLiTiCAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT ThE

FR 0 d’ - CADIDATE/ OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE WITHOUT THE CANDIDATE’S OR OFFICEHOLDER’S KNOWLEDGE OR
P0 L T’i’CA L CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMATiON ONLY IF THEY RECEIVE NOTiCE OF SUCH EXPENDITURES.
CO M MITT F F(S)
COMMITTEE NAME
COMMITTEE TYPE

ros : GENERAL
COMMITTEE ADDRESS

‘‘A’

COMMITTEE CAMPAIGN TREASURER NAME

E additional pageS

COMMITTEE CAMPAIGN TREASURER ADDRESS

18 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF 550 OR LESS (OTHER THAN


TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ /S —S.

2. TOTAL POLITICAL CONTRIBUTIONS


(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ /
EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED $
4. TOTAL POLITICAL EXPENDITURES $ 2 77/
CONTRIBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY oó’
BALANCE
OF REPORTING PERIOD $
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE )
LOAN TOTALS
LAST DAY OF THE REPORTING PERIOD $ ,__— .._—,

19 AFFIDAVIT
I swear,or affirm, under penalty of perjury, that the accompanying report
. . .

true and Correct and Includes all II3efipatIOn required to be reported by


IS
GLORk’J.4E FERNN me ui ‘%

MOTJML$TATWTW$
SOIItflOI UPlift:

EZJ
12—20-201 1
of Candidate or Officeholder

AFFIX NOTARY STAMP I SEAL ABOVE

Sworn to and subscribed before me, by the said


L
1
\ this the
day of (\rii , 20 to certify which, witness my hand and seal of office.

3
L
Siture of officer administe g oath Printed name of officer administering oath Title of office dminstering oath

.Iww.ethics.state.tx.us Revised 04/21/2010


Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)

POLITICAL EXPENDITURES
MADE FROM PERSONAL FUNDS SCHEDULE G

EXPENDITURE CATEGORIES FOR BOX 8(a)


Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Soticitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Food/Beverage Expense Travel In District Contributions/Donations Made By
Event Expense Polling Expense Travel Out Of District Candidate/Officeholder/Political Coinmntee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed abovel
The Instruction Guide explains how to complete this form.
1 Total pages Schedule G. 2 FILER NAME 3 ACCOUNT # (Ethics Commission F/ersi
,
4 Date 5 Payee name
34/i/ /$7 4P/Y/ e3
6 Amount (S) 7 Payee address: City; State; Zip Code
4O
Reimbursement from
poiitical contributions
itCnded /
8 Pu RPOSE (a) Category ISee categories listed at he top of this scheduiel (b) Description (if transi outside of Texas compiete Sched,/e Ti
0F
EXPENDITURE

Date Payee nam

/
&
9
a
Amount ($)

--
Payee address; City;

/Lt/
State; Zip Code

/J44 T ‘S244?
p0/teal contributions
geimburseme ntfrom
nitended

PURPOSE Category (See categories listed at the top of this schedule) Description lit travei outside of Texas complete Schedsie Ti
OF
EXPENDITURE CciSE.
Date Pay

V
Amount (5) Payee address; City; State; Zip Code

tram
political contributions
/Reimbursem eni
intended

PURPOSE Category ISee categories listed at the top of this schedule) Description (if travel outside of Texas, complete Schedule TI
OF
EXPENDITURE
T 5-q
Date Payee name

//
Amount ($) Payee address; City; State; Zip Code

[_j
imrentfrom
cohticai contributions
/4/ J’- 2r
n/ended

PURPOSE Category (See categories listed at the top of this schedule) Description lit travel outside of Texas, comnpiete Schedule TI
OF
EXPENDITURE
//AJO/’J6- Ar’5ë.
ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

www.e)hics.state.tx.us
Revised 04/21/2010
Texas Ethics Commission P.O. Box 1 2070 Austin, Texas 78711 -2070 (512) 463-5800 (TDD 1-800-735-2989)

PAYMENT FROM POLITICAL CONTRIBUTIONS


SCHEDULE H
TO A BUSINESS OF C/OH

EXPENDITURE CATEGORIES FOR BOX 8(a)


Advertising Expense Gift/Awards/Memorials Expense Salaries/Wages/Contract Labor Loan Repayment/Reimbursement
Accounting/Banking Legal Services Solicitation/Fundraising Expense Transportation Equipment & Related Expense
Consulting Expense Fcod/Beverage Expense Travel In District Contributions/Donations Made By
Euent Evoense Polling Expense Travel Out Of District Candidate/Officeholder/Political Committee
Fees Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed above)
The Instruction Guide explains how to complete this form.
I Tatal pages Schedule H: 2 FILER NAME 3 ACCOUNT It (Ethics Commission Filers)

4 Date 5 Business name

6 Amount 1$) 7 Business address; City; State; Zip Code

PURPOSE (a) Category (See categories listed at the top of this schedule) (b) Description (If travel outside of Texas, complete Schedule TI
OF
EXPENDITURE

9 Complete if direct Candidate / Officeholder name Office sought Office held


expenditure to benefit C/OH

Date Business name

±
Amount (5) Business address; City; State; Zip Code

PU RPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas. complete Schecule T
OF
EXPENDITURE

Complete ci if direct Candidate / Officeholder name Office sought Office held


expenditure to benefit C/OH

Date Business name

Amount (5) Business address; City; State; Zip Code

PU RPOSE Category )See categories listed at the top of this schedule) Description )lt travel outede of Texas, complete Schedule Ti
OF
EXPENDITURE

Comm/ate CX’LY if direct Candidate / Officeholder name Office sought Office held
expenditure to benefit C/OH

Date Business name

Amount 1$) Business address: City; State: Zip Code

PURPOSE Category (See categories listed at the top of this schedule) Description (If travel outside of Texas, complete Scheduie TI
OF
EXPENDITURE

Con’plete LY if direct Candidate / Officeholder name Office sought Office held —

expenditure to benefit C/OH

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

www.ethics.State.tx.ijs Revised 04/21/2010


is Llhics CultIlnISSlon )3 Q 2070
3r,x Austin, texas /8711-28/0 15 2) ‘hi3-SHOO

CANDIDATE I OFFICEHOLDER FORM C/OH


CAMPAIGN FINANCE REPORT COVER SHEET PG 1

1 Ar Cr)1JN T ;t 2 sd psos
ihe CIOH Instruction Guido explains how to complete this form. ‘-‘‘ 11HSI

3 c :ANIDIDATE / ‘35 I MRS I ‘JR URST MI


(FFICEHOLDER
14r. p -

IIOrCIAME ,LFIX
RECEIVED
OQy
13 CANDIDAFE / “FSH/SS / PC BOX .pr SUIrE I CITY STATE. OP CODE
)EFIcEbDLDER
7/ Hce- C+. P/ 7 75’ ii-ci rite

Coanqe of Address I
5 CANDIDATE! REA CODE PHONE NUMBER EXTENSION MUNIATION5
OFFICEHOLDER
( 7) 52 - & 7 DaW Processed

CAMPAIGN MS/MRS/MR FIRST I


FREASURER .
Datelmaqed

nICKNAME LAST SUFFIX

c7
7 CAMPAIGN STREETAQDRESS 1
NOPOBOXPLEASEI; /,rpTIsuIrE CITY, STATE: LIPCCDE
tREASURER
ADD RE S S
:
/sscjence or dusiness)

CAMPAIGN REA CODE PHONE NUMBER EXTENSION


tREASURER
PHONE

9 REPORT TYPE
I janua 15 50th day belore election fl Runod n5W day rifler campaign Irrarnirer
ippointment othierrolder Orion

J July 15 13th day before election Exceeded $500 limit


E Final report Attach C/OH. RI

10 PERIOD Month Day Ycar Month Day ear


COVERED
J 2c THROUGH
A- I O1 I
11 ELECTION ELECTION DATE ELECTION TYPE
Mouth Cay ar
i\
1 Lf ‘Oi I Primary Runoff General oecial

12 OFFICE OFFICE HELD if any)


113 OFFICE SOUGHT (if known)

14 NO LICE
DIRECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OTHERS WITHOUT THE CANDIDATE S PRIOR CONSENT DR APPRi)V/rL.
OF DIRECT
CANOIDA TES ARE REQUIRED TO DISCLOSE THIS INFORMATION ONLY IF THEY RECEIVE NOTIFICATION OF THE DIRECT CAMPAIGN EXPErJIZI rInSE.
CAMPAIGN
EXPENDITURE
Same
RY OTHER
NDIV1DUALS

-rouress i P0 Box, spu I Suite #1 City: Stale: Zip Code

1 additional pages

GO TO PAGE 2
-1
r,ww et[lICs.state.1X.uS
Rerjlsecl IU-1r21/2211J
<15 11u:s ImtrTllSs!ofl P0. Box 12070 AustIn, Fexas 7:3711-2070 (512) 463-5800 (TDD I -:300-735-29:3(0

CANDIDATE / OFFICEHOLDER REPORT: FORM C/OH


SUPPORT & TOTALS CovER SHEET PG 2

15 C/t.)H NAME 16 ACCOUNT çEthics Commission CHrs)

17 N U TI CE THE BOX IS FOR NOTICE OFLIaCAL CONTRIBUflONS ACCEPTED OR POUSCAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
F M ‘ANITOATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE BEEN MADE B/I THOUT THE CANDIDATES OR OFFICEHOLDER’S KNOWLEDGE OR
I-’ C ) 1.1 F (CAL CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT DES IIWORMATION ONLY IF THEY RECEIVE NOr1CE OF SUCH EXPENOIflJRES.
COMMI FTEE(S)
COMMITTEE NAME —

$
•‘ OMMiTTEE TYPE

El GENERAL
COMMITTEE ADDRESS

SPECIFIC

.,
S ‘ I S
COMMITTEE CAMPAIGN TREASURER NAME
.

[
‘ .dditioflaI pages

COMMITTEE CAMPAIGN TREASURER ADDRESS

18 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN


TOTALS PLEDGES. LOANS, OR GUARANTEES OF LOANS). IJNLESS ITEMIZED $
2. TOTAL POLITICAL CONTRIBUTIONS
(OTHER THAN PLEDGES. LOANS, OR GUARANTEES OF LOANS) $ 2 OO 00
EX PB NOITU RE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED $
4. TOTAL POLITICAL EXPENDITURES $ ; /
iQNTRI8UTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
HA LANCE OF REPORTING PERIOD $ 1 O’O
OD
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOAN TOTALS LAST DAY OF THE REPORTING PERIOD $
19 AFFIDAVIT

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.

II
/ Signature of Candidate or Officeholder

.\FPIX NOTARY STAMP / SEAL ABOVE

Sworn to and subscribed before me, by the said \P —, this the

L\ day of ‘ . , 20 to certify which, witness m nd and seal of office.

loll
-

utLire of officer adrn


‘i1ii&
i. ering oath
rrS /T t&
Printed name of officer administering oath Otle of officer admInIsterIn(ath

olitics.stale.tX.us Revised 04/21/201(1


Lti ),oiiunlsriiJrl ()() Ifox lO/O \iistifl, lirs:i3 •111’07() ‘31 )1t33—313O() IF))) 1 )—P’3 :3)1

POLITICAL CONTRIBUTIONS
OTHER THAN PLEDGES OR LOANS :3CHEDULIE -\

the Instruction Outdo explains how to complete this form.

‘ Ill I R riArilF 3 AccouNr it Dihici Coiiiiiiis,icn hirsi

t ito 5 Full ionic i,


—S’D
itijntribiitur l iii i ii l’aCiI 7 ,\iflouiitGf 9 Ink ii ijitiit)n
ioritrihution ) Iesciipiion it inp’:iuIn)

7
y(crLe
I 6 Contributor address; City: State; Zip Codq I ij3
I r’c
r 7/’
I 7S i It travel oulaide of Texas, cuniplole chodu)e r) - -- -

9 Pniicipal ocupati n / Job title See Instructions) 10 Employer (See Instructions)


-f-i
t) te ri II nan-re of contributor i ii -it-siiie PAC ICS Amount of n—kind coritriflitioii

c Nccre contribution ($) description if applicabier

Contributor address; City, State; Zip Code


I
ço Mc (00,00
770 (If travel outside of Texas, complete Scheduler)
Principal occupation / Job title (See InstructIons) Employer (See Instructions)
cj(5
[Jite Pull name of contributor tat-of-state PAC llb# Amount of I litkind contribution
contribution IS) description lit applicable)
;4€_*:,tz__A;et-i
Contributor address; ‘ City; State; Zip Code I

Ill travel outside f Texas complete Schedule T


Hiriopal occupation I Job title (See Instructional
Emplo er (See Instructions)

D ate Full name of contributor


- 7
[J out-upstate pACl) Amount of In-kind contribution
.
contribution (5) description if applicable)

address City; State; Zip Code


Conttor

If travel outside of Texas. complete Schedule 1)


upation I Job StIe (See litstrijcttons) Employer (See lnstructio
‘rncpal
T
S
Date Full name of contributor out-of-statePAC(ID# Amountof In-kind contribution
contribution (5) description if applicable)

Contributor address; City; State: Zip Code I

lf lravel outside of Texas compete Scheioe


3
inctpa) occucation I Job title )See Instructions) Employer (See Instructions)
-

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED


if contributor is out-of-state PAC, please see instruction guide foradditional reporting
requirements.

-Jwuv ethics siate.tx.uS


eiidiSCCl i)4,2 2013)
I 11511 S .i(Jt’l pQ r3OX 12070 Austin. Texas 78711-2070 (512)463-5800 TDD 1-500-735-20851

PL2DGED CONTRIBUTIONS SCHEDULE B

I ctaI paqes Schedule 13:


The Instruction Guide explains how to complete this form.

i 2 Cl NAME 3 ACCOUNT (Ethics Commission Filersl

4 TQTALQF UNITEMIZED PLEDGES: $


(5i: 6Fiill name of pledgOr out-of-state PAClIDU: Amount of 9 In-kind descriptIon
pledge 1$) (if applicable)

7 Pledqor address; City; State; Zip Code

(If travel outside of Texas, complete Schedule T)


10 Principal occupation / Job title (See instructions) II Employer (See Instructions)

Date Full name of pledgor out-of-state PAcll____________________ Amount of In-kind description


pledge ($) If applicablel

Pledgor address: City; State: Zip Code I

(It travel outside of Texas, complete Schedule T)


Principal occupation / Job title (See Instructions) Employer (See Instructions)

Jsle Full name of pledgor fl out-of-statePAC(l i Amount of In-kind description


pledge $) (if applicable)

Piedgor address: City: State; Zip Code I

(If travel outside of Texas, complete Schedule T)


Principal occupation I Job title ISee Instructions) Employer ISee Instructions)

iSle Full name of pledgor out-of-statePAC(;____________________ Amount of In-kind description


;
I pledge ($) (if applicable)

Pledgor address; City: State: Zip Code I

if ravel outside of Texas, complete Scheoi’e TI


Princoal occupation / Job title See Instructions) Employer (See Instructions)

Cute Full name of pledgor out-ot-statepACn Amount of In-kind description ——

pledge 15) if applicable)

Pledqor address: City: State: Zip Code

If travel outside of Texas complete Schedule TI


.‘,-sal ‘)CCJCtIoii / Job title (See Instructions) Employer (See Instructions)

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED


Ii contributor is out-of-state PAC, please see instruction guide for additional reporting requirements.

‘ic hi hics.state.lxus Ri/VISEd 04/21/2010


IS f—(hii;s ;)iilinls:;on I’ (2 (ox 2010 ,\ii:itifl, Fe,is 11 2070
/8 / rDlD I 0(11)—i 10. 01

LOANS SCHEDuLE

rie list uction Guido nxplains how to complete


1 ruji :
this form.

:
zzc 7 3 ;cGijct r 2nirs (--asi

IOVAL OF UNITEMIZED LOANS:

5 L),iieof loin 7NarneoIlender


] out-slate FAG 10* -__________
__ 9 Loin Amount 1$)

6 a euler 8 Lender address. City: State: Zip Code 10 lnteiest rate


tirancial
i

S ‘Otution?

11 Maturity date
0’ N____

12 Principal occupation / Job title (See IlistructiOhiS) 13 Employer (See lii5trOctionsl

1$ Description of Collateral

iJ

15 GUARANTOR 16 Name o(guarantor -__zi-a AiiiountOijaramiteed (5)


INFORMATION

17 Guarantoraddress; City: State; ZipCode


rot:iticae

19 Principal Occupation (See Instructions) 20 Employer (See Instructions>

Date of loan Name of lender


oul-ol-siate PAC 0* Loan Amount I $1 —

(a(eiruer .
Lender address; City; State; p Code Interest rate
i (inancia)

: ristitution?

11aturity oate
0’ N

(-‘rincipal occupation / Job title (See Instructions)


Employer (See Instructions)

Description of Collateral

CIJARAN TOR Name otquarantor


Amount Guaranteed I SI
t’iFiJRMATION

Guarantor address; City; State; Zip Code


Z nt npp(icate

Principal Occupation iSee Instructions) Employer (See Instructions)

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED


If londer is out-of-state PAC, please see instruction guide for additional reporting requirements
.

.iww ethics s)ate.tx us


Revlseu 04/21 Ci) 10
L liir;s i)tr,r11iSiOfl PC Box 2070 Austtn, Fexs 78711 -2070 (512) 463-5800 lCD I -P00-755 2;Pil

POLITICAL EXPENDITURES SCHEDULE 1

EXPENDITURE CATEGORIES FOR BOX 8(a)


-i.tri-iil tp’nv’ Expense
ftHtwerrts,Memorirtls Series/WaqesiContract Labor Loan PepayrnanitiReiinbursenent
.:untiiirvi(ankirq Liqal Services Solicitation/Frindraising Expense Vransportafion Equipment & Related Espeirse
ru. ruittnrj Eupenta °uod/Fteveraqe Expense Travel In District Contrihiittons/Donatlons Made By
ui’t Pirnnse Polling Expense Travel Out Of District Candidate/Olficeholder/POliticdl Committee
us Printing Expense Office Overhead/Rental Expense OTHER (enter a category not listed abcve)
The Instruction Guide explains how to complete this form.
I trIal pqes Schedule F 2 FILER NAME 3 ACCOUNT S (Ethics Commission Filensi

4 liMe 5 Payee name

6 Ainuiint is) 7 P.yee address; City; State: Zip Code

puRPOSE (a) Category (See categories iisted at the top of thiS schedule> (b) Description (if travel outside of Texas. damolete Schedule TI
8
OF
EXPENDITURE

Candidate / Officeholder name Office sought Office held


9C.rxrplete çy if direct
--penditure to benefit C/C4-1

Date Payee name

hirtounl S) Poyee address; City; State; Zip Code

Category See categories iisted at the lop ot this schedule> Description ut travel outside of texas complete Scredute ri
RPOSE
‘u
OF
EXPENDITuRE

olele CtIX if direct Candidate I Officeholder name Office sought Office held
eiiditure to benefit CIC*-I

)rite Payee name

flro,irt iS)
r Payee address; City; State; Zip Code

I Category See categories listed at the top of this schedule> Description ulftravel Outside of Texas compiete Sciieduie ri
i-’tJRPOSE
OF
EXPENDITURE

Candidate / Officeholder name Office sought Office held


irsalete Cf if direct
/L’i icliture to benetit G/—t

iitC Pyee name

rii cit St Payee address; City; State; Zip Code

tJRPosE Category See categories noted at the top of this schediIe( Description If travel outside of texas. ccmpiete Schedure r
1

)F I
r(PErJDITIJRE

ii direct Candidate / Officeholder name Office sought Office held


it: ix
.iirii’ue to hetefit C/OH

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

.•.-ji Plttics.state.txus Revised 04


211201t)
1
I II Itli:’3 (Ott1iruiSSliJt1 I’ () 121)71) Ait;tiri. Frtxis 78711-20 ‘0 (r)
12> 1—;30) rnr I Ii;0— 7)’3—.

POLITICAL EXPENDITURES
VIADE FROM PERSONAL FUNDS SCHEDULE C

EXPENDITURE CATEGORIES FOR BOX 8(a)


• Ii iiiq 3 r pen sie
yr
I It/Awarit si rxteinoriiI s P x pen se 3 ii aries, Waqes/C on tract La bor ,oa 0 Pepiy mont! R eirii ni is C in 3d
•ccDiiiitiirq/I-3ankiitq l_oqal Services Solicitation/Fiinrlraising Expense rr,iisnor,itioii Pinpinxrit ixIoieiI E ,u ire
rirsuItiirq Expense riod/Beverriqe Expense Fi vel lit District ontrh:iiorts,Doiiaticc, Maoe By
.r,it i3’pense ‘rrilinq Expense r,sel Cut Ut District Ca,iriid,te/Ottlixnc d
HcIri,:iixni
4
‘o l’rintlnq Expense )tfice Overhead/Beirt-il Expense
0 FIiEP enter a category tot lisiOd iilOvti
Tire Instruction Guide explains how to complete this form.

tii ,riijes Schedule 5. 2 f°ILER NAME IN 3 ACCUIJN r # Etr’ics i3uiirit’tsxxxi C 05

--

4 ),ie 5 Piyee name -


/

3 Amount ,$) 7 Payee address; City; State, Zip Code

(b’ /
El 1301cC
\J I 3+z f(’, f,. ow-1.
B PURPSE (a) Cutegory jhee categories listed at the top of this scoedulel (b) 0 escriptiofl lt travel outside of Texts coriplete Schedule T
1

EXPETURE
9L)5iir55 Crc/$

Urste ,
Payee name

/2&/
Aiinunt ($1 Payee address: City: State; Zip Code

/-f3 I! I fl
3
°‘xImhUiseineflt from
JCiicai contributions
IVI ST 1
rC cc
‘ tnIerj

RPOSE Category See categories listed at the top of this schedule) Description lit travel outside at Tex compete Sciipliie Ii

EXPENTURE PC fj 5rfC 5
)ite Payee name

Amount i$) Payee address: City; State: Zip Code

heirilDursement from

:

-‘13031 contriOutions
tended

PURPOSE Category iSee categories listed at the top of this schedule) Descrtption if travel outside of laxas omoiete Schediie Ii
OF
EXPENDITURE

Date Payee name

Aicioiint 1$t Payee address: City: State: Zip Code

dcx iibxi5einenit horn


1
----—

i0tical
• icrided

PURPOSE Category See categories listed at the top of this sctiedulei Description It trxxel outside or Texas. coiriciere Scnedcie II
OF
EXPENDITURE

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

dVN lhlcs slatetx us


3eirseii 5421 r2u II
• •i: llics cii1tfli:;Sion ‘0. Bnx 2070 AustIn. Texas 78711-2070 (R12 463-5800 ITDD 1 3007,5-233P)

PAYMENT FROM POLITICAL CONTRIBUTIONS SCHEDULE H


TO A BUSINESS OF C/OH

EXPENDITURE CATEGORIES FOR BOX 8(a)


•lv’ viiq piise itt/Awardsirxlemorials Expense Salaries/Waqes/Contract Labor Loan Repayment)Reimbursement
./‘:(r’.)rBaflkviq Laqal ervices SolicilationiFundraising Expense Transportation Equipment & Related Expense
,,‘uiticq ixpense EDod/Beveraqe Expense Travel in District Contributions/Donations Made By
‘-vt E”eri’s ‘-Sling Expense Travel Out Of District Candidate/Otficeholder,Pohticai Commlt,e
-sv Pr’ntirq Espense Gtfice Overhead/Rental Expense OTHER (enter a category not listed above)
rhe Instruction Guide explains how to complete this form.
I ‘iS) :qes Schedule H 2 FiLER NAME 3 ACCOUNT # (Etnics Comrnssion Filers)

4 Date 5 Business name

6 Amount 31 7 Business address: City; State; Zip Code

8 PuRPOSE (a) Category See cateqones iixted at the too 01 tTxS schedule) I (b) Description ill travel outside of Texas ccmniete Sctteduie TI
OF
OXPENDITURE
I
9Conete çj if direct Candidate / Officeholder name Office sought Office held
-epencliture to benefit CJC)H

t),iie Business name

Ainount 1$) Business address: City; State: Zip Code

i’u RPOSE Category See caiegories iisted at the top of this Schedule) Description it travel outside of Texas, complete Sche0uie r)
OF
B X PE N OITU RE

jrrplete fj if direct Candidate / Officeholder name Office sought Office held


“ perialture to benefit C/OH

i:jte l3usiness name

,‘\mount S) i3usiness address: City; State; Zip Code

U RPOSE Category See categories listed at the too of this scheoulel Description it traxei outsde of Texas, ccmoiete ScTetvie Ti
CF
BXPENDITURE

Candidate I Officeholder name Office sought Office held


•oru,leie Cf’Lf if direct
-‘penaiture to benefit CJC1—f

i)ie Business name

oiJnt ($1 Business address: City: State: Zip Code

Category See caiegones xsied at the too of this sched’jie) Description ,x ravel outsde of beat vompiete Schedu,e TI
JI-SPOSE
,i

OF
/XPENDITURE

r i (‘J5’ f ‘irert C-ndiaate I Officeholder name Office sought Office heid


‘i
itt ire to benefit C/OH

‘ ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

“jew etrtics.s(ate.tx us Revised 04/21/2010


lii: of ii ii )) () 1
3 o< I Ui() \Viftt1
-——— p515 ii11 20’l) t5l2)l:3’iHOl) )I) ,i)_i ;.)-.i’iu)

NON-POLITICAL EXPENDITURES
MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE I

EXPENDITURE CATEGORIES FOR BOX 8(a)


ivnitsitir ense II/twalslMdrnoi its ino aIiesiW’tqes/Contract Libor can RnnaynienilRsirnni,i eitieflr
‘coiiii iinqidankiriq LjaI Sci sinus uIicitatioti/F tildraistng Enpunse
isuitinq Expense
i .inoport’ution EqiumenL S liitCO
E,Bverne Exoonse rrtvel In District
uiiiribulinns;Dcritions I
1 nio dy
L unt Enpiise 9 oflen’:e
Pniliri rrasxl out i)f Diotrict ,undiilaleii)fficunc!ter,Pnlitic
inns Piuttutq Exinoe ijfficC Ojerhead/Renril Exprite )rliER (-inter ‘i ncteqcry rd Iisihd tin-..-
rho Instruction Guide itxplains how to complete this
form.
fut pages Scnudule I: 2 FILER NAME 3 .nLULNT h (Eihcx Cnmrnis-ii Finsi

-I I) tte 5 Piyee lame


‘7
6 Amount (S) 7 Payee address: City, State; Zip Code

8 PU RPOSE (a) Category Sea categories umsied at the top of this scfledulel (b) Description i See inStructions regarding lpe of nloriOo reqo Si
I

EXPENDITURE

i)ate 1 Payee name

Amount u$) Payee address; City: State: Zip Code

PURPOSE Category See categories listed at the mop of this schedule) Description Sue instructions regarding type St information nS’iurd I

EXPENDITURE

Date Payee name

Amount () Payee address: City; State: Zip Code

PURPOSE Ccmtegory Sue categories listed at the top of this scheduia) Description Sue rnSi100tmons regarding yse of iflioririaiioi nur.u I
OF
EXPENDITURE

(jute Payee name

Amount ($( Payee address; City: State: Zip Code

Category Sea categories listed at iso topottt-iis scneduia)


PIJRpOSE Description Sue notruclions egardrtg tprie A ‘fn’s- ir
OF
EXPENDITURE

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

;ww mitfltCS stale.Ix.us


evised •)421/2U(
:HlicS ;1t in,naion P0. Box 1 2070 titin. oxas 78711-2070 1512) 463-5800 (lCD I 300-125-2P1)

CREDITS (optional) SCHEDULE K

1 T.tal oges Jcfledule K


rho litsiruction Guido oxplains how to complete this form.
.

ILER NAMIE 3 ACCOUNT (Ethics Commission Filers)


2 I

4 pt 5 P iyor name 3 Amount


(:5)

15 Payor address. City; State; Zip Code

7 Reason for credit

Date Payer name Amount


IS)

Payor address; City; State; Zip Code

Reason for credit

-----

ate Payer name Amount


I (5)

Payor address; City; State; Zip Code

Reason for credit

Date Payer name Amount


1$)

Payor address; City; State; Zip Code

r-ason for credit

late Payor name Amount


(:5)

Piyor address; City; State; Zip Code

Dnasori tor credit

ATTACH ADDITIONAL COPIES OF THIS SCHEDULE AS NEEDED

,.ji.j —[h 103 Slit te.Is LIS Revised i)d/21l2(10


.i’L’thii:% l)ifltfliSSldfl p1) l3nx 2070 Ai ,::lln, VdxzJs 7871 1 2070
‘01 2 3—’ii0J0 I (LU

iN-KIND CONTRIBUTION OR POLITICAL


EXPENDITURE
FOR TRAVEL OUTSIDE OF TEXAS CII E [) U L E

0 lnstnjctionG do exp ns howt cotilote this foiim

z_____
i:ii op
2 N.:jl
3 Ut1 Th103 L,,Ti,iia’,aIi r’I.’,s)

t t’t.one of Contributor / oporation or Labor ()iqa/izatunn I Pledgo


r / Payee

S on t rihu, lion / Es penul tore reported on

3chedule A Schedule B Schedule C Schedule D ‘chedule F j ‘Schedule 5


H Schedule N COH-UC COH-T PACC
Schedule PAtS-h
b l)ites OF travel 7 Name of person(s) traveling

3 Doparture city or name of departure location


- -

9 Destination city or name of destination location

10 Means of transportation Ii Purpose of travel (including name of conference, semina


r, or other event)

name of Contributor / Corporation or Labor Organi


zation / Ptedgor / Payee

untributuon / Espenditure reported on:

‘Sohedule A
[ Schedule B Schedule C Schedule 0 Schedule F Schedu1e u
Schedule H Schedule N COH-UC COH-T E PAC-C PAC-E
Sates of travel Name of person(s) traveling

Departure city or name of departure location

Destination city or name of destination locatio


n

Means of transportation Purpose of travel (including name of confer


ence, seminar, or other event)

(-lame of Contributor! Corporation or Labor


Organization! Pledgor I Payee

Contribution I Ependilure reported on:

Schedule A Schedule B Schedule C


E Schedule D Schedule F Schedule 3
Z Schedule H
fl Schedule N COH-UC COH-T PAC-C PAC-E
Ui/es cf travel Name of person(s) traveling

Departure city or name of departure locatio


n

Destination city or name of destination locatio


n

rjleans of transportation Purpose of travel (including name of confer


ence, seminar, or other event)

-1
ATTACH ADDITIONAL COPIES OF THIS SCHE
DULE AS NEEDED
-welhtcs.slate tx,us I
,evised 04/2 t 201(1
AuSIifl, texas 78711-2070 512)463-5300 (IDD 1800-735-’ifl
‘!tl1i’ 1uifliflISSiOfl P0. Hox 12070

CANDIDATE / OFFICEHOLDER REPORT: FORM C/OH - FR


JESIG NATION OF FINAL REPORT

The Instruction Guide explains how to complete this form.


Complete only if “Report Type” on page 1 is marked “Final Report”
2 ACCOUNT S (Etcs Cornmisxcn ‘irsl
i( Ii Ni\M

3 SIGNATURE

candidacy. understand that designating a


Jo not expect any further political contnbutions or political expenditures in connection with my
I may not accept any campaign contributions
‘port as a final report terminates my campaign treasurer appointment. I also understand that
r rnae any campaign expenditures without a campaign treasurer appointment
on file.

Signature of Candidate / Officeholder

4 FILER WHO IS NOT AN OFFICEHOLDER


Complete A & B below only if you are not an officeholder.

A. CAP1PAlGN FUNDS

Check only one:

I rIo not have unexpended contributions or unexpended interest or income earned from political
contributions.

. I understand that I may


I have unexpended contributions or unexpended interest or income earned from political contributions
earned on political contributions to personal
‘iot convert unexpended political contributions or unexpended interest or income
contributions and that I may not retain unexpended
‘.ise. I also understand that I must file an annual report of unexpended
six years after filing this final
contributions or unexpended interest or income earned on political contributions longer than
interest or income
‘iport. Further. I understand that I must dispose of unexpended political contributions and unexpended
earned on political contributions in accordance with the requirements of Election Code, § 254.204.

13. ASSETS

Check only one:


.
I do not retain assets purchased with political contributions or interest or other income from political contributions

contributions. I understand that


Jo retain assets purchased with oolitical contributions or interest or other income from political
I nay not convert assets purchased with political contributions or interest or other income from political
contributions to personal
with the requirements
use. I also understand that I must dispose of assets purchased with political contributions in accordance
.1 Election Code. §254.204.

Signature of Candidate

, 5 OFFICEHOLDER
C,jmoiete this section only if you are an officeholder

treasureron file.
I ore aware that I remain subject to filing requirements applicable to an officehotderwho does not have a campaign
last required report as an
I sin also aware that I will be required to file reports of unexpended contributions if, after filing the
purchased with political
officenolder. I retain political contributions, interest or other incomefrom political contributions, or assets
‘:ontributions or interest or other income from political contributions.

.
SignatureofOfficeholder
I

Revised 04/21/2010
nihns .rste lx.us
Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989)

CANDIDATE I OFFICEHOLDER FORM C/OH


CAMPAIGN FINANCE REPORT COvER SHEET PG 1
I 1 ACCOUNT # 2 Total pages filed:
The C1OH Instruction Guide explains how to complete this form. (EthicsCommtssionFilers)

3 CANDIDATE! MS/MRS/MR FIRST MI


OFFICEHOLDER
/‘1 /
a / p OFFICEUSEONLY
NAME “tA° Date
Rec€HECEIVED
• NICKNAME LAST SUFFIX

/i’jtsJC
4 CANDIDATE! ADDRESS /POBOX, APT/SUITE#: CITY, STATE: ZIPCODE IP It i
OFFICEHOLDER
MAILING / L/J
3 / /* DateHand-deliveredorPoslmarked
ADDRESS
change of address
OMMUNOATIpNS
5 CANDIDATE! AREA CODE PHONE NUMBER EXTENSION
OFFICEHOLDER Date Processed

PHONE ( ) ‘-‘/
6 CAMPAIGN MS/MRS/MR FIRST Date Imaged
TREASURER
NAME
/4/ A
NICKNAME LAST SUFFIX 11:43

7 CAM PA I G N STREET ADDRESS )NO P0 BOX PLEASE): APT / SUITE #; CITY: STATE: ZIP CODE
TREASURER
ADDRESS j//3 frvA
(residence or business)

8 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION


TREASURER
PHONE ( -

9 REPORTTYPE
January 15 30th day before election Runoff 1 5th day after campaign treasurer
appointment )otticeho:der only)

July 15 8th day before election Exceeded $500 limit Final report (Attach C/OH. FR)

10 PERIOD Month Day Year Month Day Year


COVERED / THROUGH
/ / ci / /1 //
11 ELECTION ELECTION DATE ELEC1DN TYPE
Month Day Year

o J// //i ,,/‘


/7 Primary Runoff General Special

12 OFFICE OFFICE HELD (if any) 13 OFFICE SOUGHT (if known(

14 NOTICE
OF DIRECT
CAM PAl G N
DIRECT CAMPAIGN EXPENDITURES ARE CAMPAIGN EXPENDITURES MADE BY OThERS
ei,qzi Ii
TUf JIijt€At /0/I
CANDIDATES ARE REQUIRED TO DISCLOSE THIS INFORMATION ONLY IF THEY RECEIVNGVIFIATlQF__________________
EPROVAL.
)ITuRE.
EXPENDITURE
Name
BY OTHER
INDIVIDUALS

Address / P0 Box; Apt / Suite 8: City; State; Zp Code

additional pages

GO TO PAGE 2

www. et hi CS. State. Ix. us Revised 04/21/2010


Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1 -800-735-2989)

CANDIDATE I OFFICEHOLDER REPORT: FORM C/OH


SUPPORT & TOTALS CovER SHEET PG 2

15 C/OH NAME 16 ACCOUNT# (Ethics Commission Filers)

17 NOT I C E THIS BOX IS FOR NOflCE OF POLI11CAL C0NTRIBU11ONS ACCEPTED OR POLO1CAL EXPENDITURES MADE BY POLITICAL COMMITTEES TO SUPPORT THE
F ROM .. CANDIDATE I OFFICEHOLDER. THESE EXPENDITURES MAY HAVE EEEN MADE WITHOUT THE CANDIDATE’S OR OFFICEHOLDER’S KNOWLEDGE DI?
QJ El c CONSENT. CANDIDATES AND OFFICEHOLDERS ARE REQUIRED TO REPORT THIS INFORMAflON ONLY IF THEY RECEIVE ND11CE OF SUCH EXPENDrnJRE5.
COMMITTEE(S)
COMMITTEE NAME
COMMITTEE TYPE

flIt t’I I GENERAL


COMMITTEE ADDRESS

SPECIFIC
‘? * q ‘

.-
S.. a b - — ‘, --

COMMITTEE CAMPAIGN TREASURER NAME

additional pages

COMMITTEE CAMPAIGN TREASURER ADDRESS

18 CONTRIBUTION 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN


TOTALS PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ — o —

2. TOTAL POLITICAL CONTRIBUTIONS


(OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) —

EXPENDITURE
TOTALS 3. TOTAL POLITICAL EXPENDITURES OF $50 OR LESS, UNLESS ITEMIZED $ — d

4. TOTAL POLITICAL EXPENDITURES $ —

CONTRiBUTION
5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY
BALANCE OF REPORTING PERIOD $
OUTSTANDING
6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE
LOANTOTALS LASTDAYOFTHEREPORTINGPERIOD $ 0 —

19 AFFIDAVIT
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
UIOEFIIIliHOEZ

w:
me under Title 1 lection Code.

Signature of Candidate or OffiCeholder

AFFIX NOTARY STAMP I SEAL ABOVE

Sworn to and subscribed before me, by the said (AUQ( (irt51 this the

day of 20 1I , to certify which, witnesy hand and seal of office.

4AMIJ 4j JCL
SignJre of offiCer administ,g oath Printed name of officer administering oath Title of offiCer adstering oath

www.ethlcs.State.tx.Us Revised 04/21/2010

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